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
state constitutes diseases of exhaustion, or of indirect debility. The
states of accumulation and exhaustion of the excitability, in their
different degrees, constitute all the diseases to which living bodies
are subject.”
Here the chime runs on the word _excitability_, which is not defined.
If we call this property _life_, then we are only informed, that, as
life is more or less vigorous, the body enjoys a greater or smaller
degree of health; which we know without any medical instructor. If,
instead of the accumulation and exhaustion of excitability, we take the
original doctrine of excitement and debility laid down by Dr. Brown
himself, we are nothing better. The whole theory is lost for want of
the definition of a single word. As long as _excitability_ remains an
unknown property, we can explain nothing by it. We may indeed vary
our terms. We may call it _nervous influence_ with Dr. Cullen, or
_sensorial power_ with Dr. Darwin; but we shall still be as much in the
dark as ever; and all that can be made out of our theories, when our
language is _decyphered_, must be, that sometimes people are well, and
sometimes they are sick!
Dr. Rush, in his Treatise on the Proximate Cause of Fever, adopts in
part Dr. Brown’s system pretty nearly as the author himself laid it
down. “Fevers of all kinds (says he) are preceded by general debility.
This debility is of two kinds, viz. direct and indirect. The former
depends upon an abstraction of usual and natural stimuli; the latter
upon an increase of natural, or upon the action of preternatural,
stimuli upon the body.... Debility is always succeeded by increased
excitability, or a greater aptitude to be acted upon by stimuli.... The
diminution or abstraction of one stimulus is always followed by the
increased action of others.” Here it is evident we are as much in want
of definitions as ever. We know neither what _excitability_ is, nor
what _debility_ is, and yet they are both held out as the _causes_, and
_proximate_ or _immediate_ causes, too, of symptoms produced by things
quite obvious to our senses. Thus cold and heat, with which we are
daily conversant, are only called the _predisposing_ causes of fever;
while _debility_ and _excitement_, words to which we have no meaning,
are said to be the _proximate_ cause. It would certainly be better to
throw away such words altogether, and say that cold, heat, &c. cause
fevers, without troubling ourselves farther about the matter.
Public-domain text, read in full here on John Shaqi.
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