There is thus a perfect accordance in the doctrine of these two
celebrated and rival theorists, Clutterbuck and Broussais, respecting
the nature of fever: both are agreed that it is an affection of the
solids of the body and that its essence consists in inflammation: both
are agreed that that inflammation is strictly local, being seated in one
organ: but in determining what that organ is, there is an entire
discrepancy in their opinion. According to Dr. Clutterbuck the organ
universally affected in every variety of idiopathic fever is the brain.
“Out of fifty cases,” he says, “of which I noted down the symptoms with
the greatest minuteness at the bed-side of the sick, generally once and
often twice in the twenty-four hours, throughout the disease, I find
that no two of them correspond in the minute points though they all
agree in the essential one, that is, in a manifest affection of the
brain and its functions; various in degree and probably in extent, with
numerous but accidental complications, from the affection of other
organs.”[15] This affection of the brain, consisting of inflammation, it
necessarily follows, as this author elsewhere states, that fever is
nothing else than a species of phrenitis, or topical inflammation of the
brain; that it might, therefore, be arranged in the order of phlegmasiæ
with pleurisy, enteritis, and other symptomatic fevers, but that since
the term phrenitis has been generally applied to a particular form of
inflammation of the brain and implies delirium, which does not always
occur in fever, although it is a frequent symptom, that of encephalitis
would form a proper denomination for this entire class of diseases, and
might be substituted for the term fever.
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