The evidence is as complete as observation during life and inspection
after death can make it, that a morbid change does take place in a
certain number of organs in every case of fever, from the most trivial
intermittent to the most alarming continued fever, from the mildest
plague to the most malignant typhus: that at the two extremes of this
scale, and at all the intermediate gradations of it, there are certain
organs which are always affected, and that the affection in all is
similar.
The identity of the organs is inferred from the indications they give of
disordered function during life: the identity of the affection is
inferred from the similarity of morbid appearances which they exhibit on
examination after death.
The organs affected are those which constitute the nervous system; those
which constitute the circulating system, and those which constitute the
systems of secretion and excretion. The spinal cord and the brain; the
heart and the arteries, especially their capillary extremities; the
secreting and the excreting organs, which in fact are composed,
essentially, of the capillary extremities of the arteries; the secreting
and the excreting extremities of these arteries, especially as they
terminate in the external skin, and in the mucous membranes, which form
the internal skin, this is the chain of diseased organs: derangement in
the nervous and sensorial functions: derangement in the circulating
function: derangement in the secretory and excretory functions, this is
the circle of morbid actions.
There never was a case of fever in which all these organs and affections
were not more or less in a morbid state: there never was a concurrence
of this morbid state, in this complete circle of organs, without fever.
The events which _invariably_ concur in fever, then, are a certain
deviation from the healthy state in the nervous and the sensorial
functions; a certain deviation from the healthy state in the circulating
function; a certain deviation from the healthy state in the functions of
secretion and excretion. A deviation from the healthy state in one
circle of actions will not present the phenomena of fever; a deviation
from the healthy state in two circles of action will not present the
phenomena of fever: there must be a deviation in the three circles
before fever can exist. Such then are the common phenomena of fever.
For obvious reasons the detail of the proof that these several events
really and invariably take place, must be postponed until the phenomena
themselves have been stated, or what is termed the history of the
disease has been given.
Public-domain text, read in full here on John Shaqi.
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