In like manner the symptoms, when any symptoms are present, are
essentially the same, whether the disease exist alone, or whether it be
complicated with several others. The symptoms of inflammation of the
brain are the same, whether cerebral inflammation alone be present, or
whether it be complicated with inflammation and ulceration of the mucous
membrane of the intestines. And the symptoms of inflammation and
ulceration of the mucous membrane of the intestines are the same, when
any symptoms are present, whether these affections exist alone, or
whether they are complicated with cerebral inflammation. The occasional
absence of symptoms in the subordinate organs, overwhelmed by the
preponderance of affection in the principal, is a proof that they are
subordinate. It would, therefore, be useless to detail the symptoms
which occur in the mixed cases, since they must only be a repetition of
those which have been already enumerated. Their concurrence in
individual complications, and the modifications they undergo from such
particular combinations, will be best understood from the study of the
cases.
An examination of large averages clearly shews, what would scarcely have
been expected, and what is by no means generally understood, that these
mixed cases, instead of being rare, are even frequent. It seems to me to
be impossible to study the pathology of those which will now be laid
before the reader, without perceiving that the opinion that the seat of
fever is invariably fixed in some _one_ organ, is founded in partial,
and, therefore, imperfect views; and I earnestly solicit the attention
of those who have hitherto contended for the strict locality of that
seat, to these very interesting and instructive cases. It was by slow
degrees, and after the study of the symptoms as they occur in all
varieties, and, if I may so speak, shades of type, _in connexion with
the morbid changes apparent after death_, that I was able to make out,
what I have so often stated to be, the true circle of organs upon which
this disease always seizes and always preys, and which it often
irreparably destroys. In some of these mixed cases, we see marks of
irreparable destruction in this entire series of organs; and in every
one we see extensive disease in all of them. Coupling, then, as we ought
always to couple, these ascertainable and ascertained conditions of the
organs in the fatal cases, with the symptoms of derangement manifested
by these organs in _all_ cases, whether fatal or not, a body of evidence
presents itself, which appears to me to be irresistible, to justify the
conclusion that the local seat of fever is at least coextensive with
these organs. A repetition of my own conviction cannot, I know, produce
conviction in others; I, therefore, again entreat attention to the facts
which have produced conviction in me. And in order that the cases to
which I am so anxious to direct the attention of the pathological
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