_essential_ to the constitution of the disease, an enquiry which
embraces the second question proposed for consideration, namely, what
are the particular phenomena which are common to all the varieties of
fever? Now in singling out this particular series of events from the
great mass, we are liable to several sources of error. In the first
place, we may stop too soon in our enumeration; in the second place, we
may mistake the adventitious for the essential and the essential for the
adventitious, and in the third place, we may overlook the real place
which some particular event holds in the series, and so may suppose that
to be antecedent which was truly sequent, and consequently assign that
as a cause which is only an effect.
The first thing to be done then is to ascertain the concourse of
symptoms, and the second, to determine the order in which they occur:
when these two points have been made out, what is essential and what
adventitious, as well as what is the cause and what the effect, become
at once clear and certain. But the difficulty lies in discerning amidst
the infinite diversity and contrariety of symptoms which the different
modifications of fever present, when we may safely assure ourselves that
we are in possession of all the essential phenomena. Our guide is
_invariableness_ of concurrence. If we can ascertain that a certain
number of events _invariably_ take place in every form and every degree
of fever, these events will give us the particular phenomena which are
common to all the varieties of the disease. If we can further ascertain
that these events _invariably_ concur in a certain order, we shall have
discovered what events bear to each other the relation of cause and
effect. And the establishment of this relation of events, this constant
connexion with each other, this uniform antecedence and sequence appears
to me to be the only theory after which it is consistent with the
principles of sound philosophy to search. If I have endeavoured to
establish this connexion, and have thus ventured, as I conceive, in a
strictly philosophical sense to propose a theory, in doing so, I have
carefully restricted myself to the attempt to deduce a legitimate
conclusion from facts previously ascertained. It does appear to me that
these three points, namely, the common phenomena, the invariableness of
their concurrence, and their mutual relation are satisfactorily
established. Whether I shall be able to communicate this conviction to
the reader I do not know: but I hope he will at least coincide with me
in opinion that this mode of investigating the disease affords us the
best chance of arriving at satisfactory results.
Public-domain text, read in full here on John Shaqi.
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