A Treatise on the Plague and Yellow Fever: With an Appendix, containing histories of the plague at Athens in the time of the Peloponnesian War; at Constantinople in the time of Justinian; at London in 1665; at Marseilles in 1720Tytler, James
History
A Treatise on the Plague and Yellow Fever: With an Appendix, containing histories of the plague at Athens in the time of the Peloponnesian War; at Constantinople in the time of Justinian; at London in 1665; at Marseilles in 1720
Tytler, James
Plague -- Early works to 1800; Yellow fever -- Early works to 1800
Before we dismiss the consideration of medical theories, however,
it will still be necessary to give some account of the new system
as it hath branched out in various ways: for though the fundamental
principle is now received by a great number of physicians, yet the
superstructure is exceedingly different from what Dr. Brown himself
erected and, indeed, from the very same principles we find conclusions
made as directly opposite to one another as can be expressed in words.
Drs. Yates and McLean, for instance, at Calcutta in the East Indies,
have concluded that the plague “is a disease of a very high degree of
exhaustion;” which Dr. Brown would have called debility. Dr. Rush at
Philadelphia, proceeding also upon the Brunonian principles, determines
it to be the most inflammatory of all diseases,[62] and which Dr. Brown
would have called a disease of excitement. These two doctrines are, in
every sense of the word, as distant from one another as east from west.
Let us then consider both, if any consideration can avail us on the
subject.
[62] See above, p. 102.
By the ancients it was supposed that diseases were occasioned by
something either bred in the body or received into it, and that the
power of nature produced, during the course of the disease, a certain
change in this matter, called _coction_, or _concoction_; which, if we
please, we may express by the English word _cooking_. The matter of the
disease, called also _morbific_ matter, thus _cooked_, was in a state
proper for expulsion, and was therefore thrown out by sweat, vomit,
stool, &c. or it might be expelled artificially, which could not have
been attempted with safety before. Modern systems deny the existence
of morbific matter, and resolve all into an affection of the nerves,
according to Dr. Cullen by certain sedative causes, but according
to Dr. Brown by an accumulation in some cases, and an exhaustion in
others, of the excitability or excitement of the body. The Science of
Life commences with stating what they suppose to be an improvement
of the Brunonian principles, and from which the following account of
the origin of diseases is extracted. “Upon the different states of
_excitability_ depend all the phenomena of health and disease. There
are three states of the excitability. 1. The state of accumulation;
when a portion of the usual stimuli is withheld.... When a portion
of the usual stimuli is withheld, the excitability accumulates, and
the body becomes susceptible of impression in the direct ratio of
the subduction. This state constitutes diseases of accumulation,
or of direct debility. 2. The middle state; when the excitability
is such that the application of the accustomed degree of exciting
powers produces _tone_ or _health_. 3. The state of exhaustion. When
the application of stimuli has been greater than that which produces
healthy action, the excitability is exhausted, and the body becomes
less susceptible of impression in the direct ratio of the excess. This
Public-domain text, read in full here on John Shaqi.
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