It is not the object of the present volume to treat of intermittent or
of remittent fever, but only of that class which, in ordinary medical
language, is termed continued. Of the apparently endless varieties of
disease comprehended under the term continued fever, it is found that
certain forms occur in this country with great constancy. Each
particular assemblage of symptoms occurring in these different forms is
said, in ordinary language, to constitute a type or species. Each type
or species depends on a particular condition of the circle of organs
that has been described. The causes that concur to produce this
particular condition of this series of organs, will be treated of in
their proper place. But these assemblages of symptoms never occur
without being accompanied by these particular conditions of the organs;
and these conditions of the organs are never found without having been
connected with these assemblages of symptoms. In all the forms of fever
hitherto observed this condition of the organs is found to be absolutely
the same: it never differs in any thing but intensity; of this the
evidence is complete and irresistible: the direct and legitimate
inference is, that all these different forms of fever differ in nothing
excepting in the intensity of the affection. Were the terms genera,
species, variety, merely used as short expressions to denote this fact;
to point out and to name different degrees of the same malady, degrees
which it is important to discriminate, because they require material
modifications of treatment, a clear and precise meaning would be affixed
to these words: in nature there would be foundation for the distinction
they imply: in practice there might be convenience in their use. But the
nosological distinctions at present inseparably associated with these
terms, appear to me to be either so vague and unmeaning, or when they
cease to be indistinct, to excite notions so false and pernicious, that
I think it right to abandon the use of them altogether. The more we
investigate the subject, the more satisfied we shall become that
continued fever is one disease and only one, however varied, or even
opposite, the aspect it may present; but that it differs in intensity in
every different case, and that this and this alone is the cause of the
different forms it assumes. Many of these diversities it would be
frivolous to distinguish: some of them, on the other hand, it is of the
highest importance to discriminate. For all useful and practical
purposes, it is necessary only to arrange the different assemblages of
symptoms into two great classes, the one comprehending the mild and the
other the severe forms of the disease. All the forms that continued
fever can assume, and all the individual cases that can occur under
either, must be mild or severe, and, therefore, must readily find its
place under one or other of these divisions. The only real difference in
the disease being a difference in degree, it is proper that the
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