This mode of viewing fever as one great and extensive malady never
differing in nature, but in every two cases differing in intensity, and
giving rise by these differences in intensity to various forms of
disease, thus affords a principle of arrangement applicable to all those
various forms, which, while it is at once simple and comprehensive, is
at the same time in the highest degree practical. It directly leads the
mind to the observation of the real, the important differences that
exist or that may arise; those differences which must influence and
guide the treatment, if it be not altogether blind, and in the worst
sense of the term empirical. This principle might easily be extended,
and I think with advantage, so as to comprehend the exanthemata, and all
the forms of fever which have hitherto been known to exist, or which can
arise. Scarlet fever, for example, is continued fever attended with a
peculiar eruption upon the skin: at one time it occurs in a mild, at
another in an exceedingly severe form: the assemblage of symptoms in the
first are precisely those which it is intended to comprehend under the
term synochus: the assemblage of symptoms in the second are those which
are designated by the term typhus: thus scarlet fever exhibits at one
time the synochoid, and at another the typhoid type; the first being
what is commonly termed scarlatina benigna, the second scarlatina
maligna; and each type is capable of existing in two degrees of
severity, one of which may be conveniently distinguished by the term
mitior, and the other by that of gravior.
In like manner small-pox is a fever attended with a peculiar eruption
upon the skin, which eruption modifies the disease in a very remarkable
manner, and gives it a history and progress peculiarly its own; but it
is as much a genuine fever as typhus, and ought no more to be taken out
of this class on account of the eruption upon the skin, than scarlatina,
which likewise modifies, in a very considerable degree, the whole train
of febrile symptoms, and is attended with a peculiar condition of some
exceedingly important internal organs. Small-pox, like all the diseases
of this class, occurs in two widely different forms; the one mild, the
other intensely severe: in the first the concourse of symptoms are
precisely those of the synochoid, in the second of the typhoid type.[22]
And the same I am satisfied is true of the plague, of the yellow fever,
and of all the different forms which this great disease, of many aspects
and names, but of one uniform and unchanging nature, presents.
Public-domain text, read in full here on John Shaqi.
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