The frequent and formidable disease on the investigation of which we are
entering, cannot be understood until clear and exact answers are
obtained to the following inquiries. 1. What is the series of phenomena
which constitutes fever? 2. What are the particular phenomena which are
common to all its varieties and combinations? 3. What is the order in
which these phenomena occur in the series? 4. What are the organs, and
what are their states, upon which these phenomena depend? 5. What are
the external signs of these internal states, or what are the indications
by which their existence may be known? 6. What is the external noxious
agent or agents, or the exciting cause or causes of the disease? 7. What
is the particular remedy, or the particular combination of remedies
which is best adapted to each state of each organ? When these questions
can be clearly and perfectly answered, and not till then, we shall know
the disease and its treatment. In order to make any real progress in
this knowledge we must therefore prosecute these inquiries. It appears
to me that we are already in possession of ascertained facts, adequate
to answer with a high degree of certainty, though perhaps not with
absolute certainty, several of these questions. In keeping these
inquiries steadily before our view in our investigation there will be
this great advantage, that it will enable us clearly to perceive what we
really know and what still remains to be ascertained.
The phenomena which constitute fever, like those which belong to all the
processes of nature, consist of a certain number of events. The events
which take place in this disease are before our eyes: they are
abundantly familiar to us all: no one man indeed has seen all the forms
of fever which exist, nor observed all the symptoms of those species
which he has witnessed, but accurate records are to be obtained of them
all: records upon which we have this assurance that we may rely, that
all the important events in this disease are so obvious and striking,
and indeed force themselves so powerfully and constantly upon the
notice, that there can be little danger that any one of consequence
should be overlooked. Accordingly medical writings abound with the most
minute, and, as far as can be judged, accurate histories of the symptoms
which accompany all sorts of fevers, whether epidemic or sporadic. It is
not in the observation of symptoms that the danger of error lies,
because these are matters of sense, but the danger arises from a
different source. Supposing, for example, that all the important events
which accompany all the important varieties of fever have been
ascertained, and that thus our first inquiry relative to the series of
phenomena which constitutes the disease, is answered, still as many of
these events are observed to be often absent, while it cannot be doubted
that fever is nevertheless present, we must necessarily enquire in the
next place, what is that particular combination of events which is
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