This total failure of men, all of them of unquestionable acuteness, and
some of them of splendid genius, in their attempts to discover the
common phenomena of fever, affords a strong presumption that they have
not pursued their object in the right path. Without doubt, before it is
possible to succeed in any scientific investigation, it is necessary to
form a distinct conception of the object of inquiry. Fever is not an
entity, not a being possessing a peculiar nature; and the object of
investigating it, is not to discover in what such nature consists, or
what it is that constitutes its essence: but fever is a series of
events, and the object of inquiry is to discover what the events are;
what the events are that invariably concur in the series; and in what
order they constantly succeed each other. When we have discovered this,
we have ascertained all that we can ever know of what is termed the
nature of fever, as it is this, and only this, that we can ever know of
any object or process. Every natural object consists either of one
single substance, or of several substances united; and our knowledge of
that object is complete when we have ascertained what that single
substance is; or what all the separate substances are that combine to
form it. Every natural process consists of a number of events, and our
knowledge of that process is complete when we have ascertained the
events themselves, the order of their succession, and the events to
which they give occasion. We can make no real progress in knowledge
unless we keep steadily in view the kind of information which it is
possible to acquire, and which it is to our purpose to seek; and
dispossess our minds of the phantoms which have so long enthralled and
abused them.
In relation to our present subject then, the first object of enquiry is,
what are the events which invariably concur in fever?
Where shall we look for the events? Not in the symptoms. Symptoms are
not events: they are only indications of events: symptoms depend upon
states of organs: they are the external and visible signs of internal,
and, for the most part, as long as life continues, invisible conditions.
It is then to the state of the organs that we must look for the events
of which we are in search.
Are there any states of any organs that always exist in fever? Are the
states constant? Are the organs affected constant; and can both be
ascertained? If this can be truly answered in the affirmative; if it can
be proved that there are certain conditions of certain organs which
invariably exist in fever, in every type, in every degree, in every
stage of it, we shall have arrived at a satisfactory conclusion relative
to the first part of our inquiry.
Public-domain text, read in full here on John Shaqi.
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