Something there is, however, which, amidst this astonishing diversity,
preserves the identity of the disease so completely and so obviously,
that there never has existed any dispute about that identity, under any
aspect which it has hitherto been observed to assume; so that all
physicians, without exception, unhesitatingly accord the name of fever
to the mildest form of the common fever of this country, to the yellow
fever of the West Indies, and to the plague of Constantinople and of
Egypt. Bring three persons, each exhibiting an exquisite specimen of one
of these several forms of the disease into the same ward of an hospital,
the external aspect presented by each would be so different, that an
unprofessional observer would probably be able to discover in these
modifications of the same malady no common property: yet there is no
physician who would not, in each case, instantly pronounce the disease
to be fever. There must, therefore, be something that establishes the
identity of the disease under this diversity of aspect. What is that
something? Whatever it be, it must be common to all the varieties of
fever. Thus we are led at once to the second inquiry which we proposed
to keep before us in this investigation, namely, what are the particular
phenomena which are common to all the varieties and combinations of the
disease?
The importance of making this analysis has been felt by every person who
has directed his attention to this subject from the remotest antiquity
down to the present time. That it is not as easy to be made as the
necessity of it is plainly to be perceived is abundantly attested by the
want of success which has hitherto attended the efforts to perform it of
the acutest minds, and the acutest minds, the pride and boast of our
science have applied themselves to the task. Notwithstanding their
labours however, the analysis made by Hippocrates has been received
through succeeding ages with little variation, and continues to be
received even in modern times with only slight modification. And yet
that reflecting men of every age have not been satisfied with resolving
all the essential phenomena of fever into heat, although they have all
consented to designate the disease by some term expressive of that
property,[17] is attested by proofs no less striking than instructive.
We are informed by Van Swieten, that Boerhaave collected with much
labour from a great variety of authors all the symptoms which they had
observed in different fevers: that from these he threw out such as did
not appear in all fevers, and that finding himself obliged to exclude
one after another, he was at length greatly surprised to find the
catalogue so short; it being ultimately reduced to three; namely
shivering, frequent pulse, heat.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account