It is found that particular conditions of particular sets of organs give
rise to certain groups of symptoms: these groups of symptoms have been
supposed to form different genera and species, and have received
specific names. Were the nomenclature of these genera and species of
fever perfect, the name would in each case be expressive of the
condition of the organs upon which the assemblage of symptoms it denotes
depends, and perhaps in some greatly advanced state of our science, when
these conditions have been perfectly ascertained and have become
perfectly familiar, an approximation to this desirable classification
and naming may be attempted with success. The state of our knowledge,
however, enables no one to undertake the task at present, and in the
mean time the slightest glance at the divisions which have been
attempted of this class of diseases, is but too sufficient to shew the
total absence of that kind of information, which, if there be any truth
in the preceding observations, it is alone of value to possess.
Thus febrile diseases are commonly divided into idiopathic and
symptomatic—a division which is liable to the fundamental objection that
the diseases included under the second section are not fevers but
inflammations. There are no fevers but idiopathic fevers. It has been
shewn that fever differs from inflammation both in the individual
phenomena forming the train that constitutes the disease, and in the
order in which the several phenomena succeed each other. There are, it
is true, individual phenomena common to both; but since the series as
well as the order in which the several phenomena stand in the series are
different, to call both by the same name can only produce confusion and
misconception.
Of true or idiopathic fevers two great divisions are made; one
comprehending intermittent and the other continued fevers: a division
founded on the occurrence of the trains of the phenomena in an
interrupted or in an uninterrupted series. Intermittent fever is further
divided into intermittent and remittent, the interruption in the series
being said to be complete in the one and incomplete in the other. In
continued fever, on the other hand, the trains of phenomena are supposed
to proceed in a perfectly uninterrupted series, whence the name
continued. The single fact suggested to the mind of the practitioner by
this classification is in the highest degree trivial.
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