That men who exhibit such talent for observation and such acute and
active powers of the understanding as many of these authors exemplify in
these very works, should, while writing with so much earnestness against
each other, fall into one and the same error, and that an error so
palpable, is no flattering exhibition of the state of the art of
reasoning among the members of the medical profession. The degree in
which the science of mind is neglected in our age and country, may it
not be justly added? especially in our profession—that science upon the
knowledge of which the conduct of every individual mind is so dependent,
is truly deplorable. Medicine is an inductive science, the cultivator of
which is peculiarly exposed to the danger of making hasty assumptions
and of resting in partial views, yet it is not deemed necessary that he
should be at all disciplined in the art of induction, or should be
cautioned against any sources of fallacy in the practice of making
inferences. All the partial and imperfect views of fever which have now
been brought before the eye of the reader, originate in one or other of
the following errors, obvious as they all are: either that of assuming
as a fact what is merely a conjecture; or that of assigning to the genus
what belongs only to the species; or that of characterising the disease
by what appertains only to a stage; or that of mistaking the effect for
the cause. On careful examination it will appear that one or other of
these errors, which are as serious as they are palpable, has vitiated in
a greater or less degree every generalization of fever that has hitherto
been attempted.
Thus the believers in debility derive their notion of the whole disease
from the phenomena which occur in the first and the last stages only: in
these, it is true, they may find abundant evidence of debility: but then
they overlook the intermediate stage in which there are generally the
most unequivocal indications of increased sensibility in the nervous and
increased action in the vascular systems: in this manner they
characterise the disease by what appertains only to certain stages of
it. Again, when they contend that debility is not only the essence of
fever in general, but is really characteristic of every type of it, they
affirm what is indisputable of fevers in particular seasons, in
particular climates or in particular constitutions; but beyond this
their generalization cannot be extended: in this manner they assign to
the genus what belongs only to the species. And when Cullen goes on to
affirm that the proximate cause of all the morbid phenomena is a “spasm
of the extreme vessels,” he commits the additional and more palpable,
but not less common error, of assigning as an undoubted fact, as a real
and ascertained occurrence, what is only a conjecture, and for which
there is not, and for which he does not even attempt to adduce the
shadow of evidence.
Public-domain text, read in full here on John Shaqi.
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