if we do not arrest the progress of the disease, at least we do not add
to its strength by the adoption of violent and desperate expedients,
because we feel called upon to do something, yet know not what to
attempt; we do not destroy, if we cannot save. The physician,
enlightened by the pathology of the disease, who prescribes for a
patient in fever, is like a skilful surgeon, who is guided in the
performance of a difficult and delicate operation by a knowledge of
anatomy so intimate, that every touch of his scalpel exposes a tissue
with which he is acquainted, and discloses the site of a vessel with
which he is familiar; the object aimed at by the operation may not be
obtained, but, at least, the cause of its failure is not that the
operator wounds a structure which he ought to have avoided, or opens an
artery, of the situation and distribution of which he is ignorant. On
the contrary, the physician who prescribes for a patient in fever,
without knowing the pathology of the disease, is like a Charlatan, who
plunges his instrument boldly into the chest or the abdomen, without
knowing where it goes or caring what it wounds; it may possibly open a
tumour and let out the disease, but it is more likely to pierce some
vital organ and to let out life.
CHAPTER VII.
_Of the Relation between the Phenomena of Fever; or the Theory of the
Disease._
In the preceding chapters it has been shown what are the real events
which take place in fever, the assemblage of which constitutes the
disease: it has also been shown in what order these events succeed each
other, and upon what conditions of what organs they depend. To assign
further the true relation between these events, is to establish the
theory of fever in the only philosophical sense of the term theory: and
that relation must already have suggested itself to the mind of the
attentive reader.
We have seen that the first indications of disease are clearly traceable
to the nervous system: that the disorder of the functions of the brain
and spinal cord with which the attack always commences, demonstrates
that these organs form the primary seats of the malady: that the
derangement in the functions of these organs is truly _invariable_, and
is invariably the first morbid condition that is observed to take place:
that there never was a case of fever, from the slightest to the most
severe, in which these organs were not in a greater or less degree in a
disordered state, and in which that disordered state did not precede
every other. This affection of the nervous system then, the invariable
antecedent of all that follows, is the primary essential event in the
morbid series which constitutes fever.
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