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
So much then having been said and written upon the disease in question,
one might be apt to suppose that the nature of fever would have
been thoroughly investigated, and its causes explained in the most
satisfactory manner, long before this time. Instead of this, however,
we find it still like a word which every body uses, and nobody
understands. Dr. Fordyce, who has lately written a treatise on the
subject, endeavours to prove that there is not any single symptom from
the existence of which we can certainly determine the presence of this
disease. “Fever (says he) has obtained its name in Greek, Latin, Arabic
and Persian, principally from the idea of heat: _pur_, in Greek fire;
_febris_ in Latin, from _fervere_, to burn,” &c. This idea, he goes
on to demonstrate, is erroneous; as the body of a feverish patient
frequently sinks the thermometer below the natural standard; while the
patient sometimes finds himself cold when the thermometer shows him
to be really hot, and hot while the same instrument shows him to be
cold. Neither is cold, followed by heat, a certain indication of the
presence of fever, as many fevers begin without any previous sensation
of cold. Frequency of the pulse also is no certain sign; and having
discussed this last symptom he concludes thus. “If we examine the
restlessness, anxiety, state of the tongue, head-ach, or any other of
the symptoms which often take place in fever, we shall find that they
also may be present when there is no fever, and absent in a patient
afflicted with this disease; and therefore we cannot allow that there
is any pathognomic symptom of fever.”[58] Dr. Rush declines giving
any definition of fever;[59] but, with all due deference to these two
very experienced physicians, we must account such extreme scepticism
altogether erroneous. If fever cannot be defined, it cannot be
described; for a _definition_ is no other than a short _description_.
If again there be no single symptom by which the presence of fever
can be known, it is impossible that there can be any _combination_
by which it can be known, any more than we can form an unit by any
combination of cyphers. In fact Dr. Fordyce himself is at last obliged
to acknowledge that there is a certain symptom with which fever
_generally_ begins; and, by his insisting upon it in various parts of
the work, we must certainly be induced to suppose that it was by this
sign principally that he determined whether his patients had a fever
or not. “The first appearance (says he) which generally takes place is
uneasiness and restlessness; a general uneasiness, the patient feeling
himself ill, but incapable of fixing on any particular part of the
body. This uneasiness affects the mind at the same time. Perhaps in
this case it is the mind that is first affected.... Along with this
uneasiness there is a restlessness, the patient wishing to change his
place or posture frequently; the mind cannot likewise rest upon one
Public-domain text, read in full here on John Shaqi.
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