Again, while according to this received arrangement a train of symptoms,
every one of which is found in acute inflammation, is made a distinct
genus of fever, numerous diseases, each forming an exquisite specimen of
fever, are totally excluded from the order, and placed at a considerable
distance in the nosology. Because scarlatina is a fever attended with a
peculiar eruption on the skin; because rubeola is a fever attended with
an eruption on the skin also peculiar; because variola is a fever
attended with another peculiar eruption, and urticaria with another,
these diseases are not made varieties of fever, but, designated by the
term exanthemata, are formed into a separate order: while, on the other
hand, fevers attended with petechiæ, with papulæ, with aphthæ, with
vesicles, are accounted fevers, and accordingly are termed petechial,
miliary, aphthous, erysipelatous, vesicular fevers; whence synochus
petechialis, synochus miliaris, synochus aphthosus, &c.
Without doubt is right that these varieties of disease should be
discriminated and named; but this mode of classifying them has a
necessary tendency to divert the mind from dwelling on those essential
circumstances which make all of them mere varieties of one great
disease; and to fix it upon those comparatively unimportant though
obvious circumstances which simply modify the malady without in the
least affecting its identity.
It has already been stated that the grouping of the symptoms, or, in
other words, the formation of the species of fever cannot be
scientifically or usefully accomplished until we have arrived at a
perfect knowledge of the condition of the organs upon which the trains
depend; and that our knowledge of these conditions is so imperfect,
especially with regard to many of the species, that this classification
cannot possibly be made at present. It is not even known whether the
condition of the organs in intermittent be the same as it is in
continued fever. The mere periodicity in the recurrence of the febrile
paroxysms by which this class of disease is at present characterised, is
an exceedingly unsatisfactory principle of distinction, unless we at the
same time knew the state of the system upon which that periodicity
depends. The alternate transition of intermittent into remittent and
continued, and of continued and remittent into intermittent fever, of
which the history of epidemics affords so many striking examples, and of
which Sydenham, Pringle, and all the older writers have recorded so many
interesting accounts, as events which they themselves daily witnessed,
seems to shew that there can be nothing amounting to a generic
difference between these several diseases. The type, as far as we have
the means of judging, appears to be determined entirely by the intensity
of the disease. An intermittent increasing in violence and malignity
changes into a remittent or a continued fever, and a continued or
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