In these experiments, the blood in six persons indicated the operation
of the morbid cause, while each remained in a state of apparent health.
Of these six persons, four were actually seized with yellow fever during
the prevalence of the epidemic; and the other two, though they escaped
any formal attack, did not escape indisposition. They were affected with
headache, nausea, and other indications of disease, like hundreds
besides, who were never absolutely confined to the house, and who never
took any medicine, but who still experienced in nausea, giddiness,
headache, pain in the extremities, and so on, abundant intimations of
the presence of the poison.
These examples may suffice to show how the exciting, may itself become a
most powerful predisposing cause. The predisposition to subsequent
attacks, after the system has once suffered from the disease, is very
remarkable; that predisposition remains for a considerable period after
convalescence and apparent recovery. Of this, striking examples
continually occur both with regard to intermittent, and to continued
fever. In fact, the disposition to relapse, remains until the
constitution has recovered its previous strength and vigour, however
distant that period may be. The influence of cold, moisture, fatigue,
intemperance, constipation, anxiety, fear, and all the depressing
passions, are likewise extremely powerful predisposing causes. They
enable a less dose of the poison to produce fever, and they increase the
intensity of the fever when it is established. They all act by weakening
the resisting power inherent in the constitution, that is, by enfeebling
the powers of life.
CHAPTER IX.
_Of the Treatment of Fever._
We have seen that the first indication of disease in fever is traceable
to the nervous system; that the nature of this primary affection of the
nervous system is unknown; that it may possibly be the commencement of
inflammation, modified by the nature of the nervous substance, in which
the inflammatory action has its seat, and by the nature of the cause
that excites it, namely, a peculiar poison: or, on the other hand, it
may possibly be something distinct from inflammation, but having a
peculiar tendency to excite it. In either case, the inflammation that is
present in fever, is peculiar and specific, differing essentially from
ordinary or simple inflammation. Whether the affection of the nervous
system consist merely of inflammation of the nervous substance excited
by a peculiar poison; or whether it consist of some unknown condition of
the nervous system to which inflammation is superadded, and by which the
character of that inflammation is modified, the great practical result
is the same, namely, that febrile inflammation and ordinary inflammation
are not identical, and that the difference between the two affections is
such as to require a very considerable modification in the treatment
appropriate to each.
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