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
But besides this mistake, which is common to other systems, Boerhaave’s
lentor has been denied, and that upon such strong grounds that it is
now universally exploded. Another system quickly succeeded, in which
every thing was managed by the nerves. This was introduced by Hoffman,
adopted, and perhaps improved, by Dr. Cullen, under whose auspices
it acquired such a degree of celebrity, that for a long time it was
dangerous to write or speak against it; and the person who had the
audacity to do so underwent a kind of medical proscription from the
Edinburgh College and all its students. According to this celebrated
theorist, the brain is that part of the body first formed in the
embryo; it may be seen with nerves proceeding; from it long before the
heart or any blood-vessel belonging to it is visible. Hence we are to
conclude that this part is necessary to the existence of every other
part of the body, though it doth not appear that they are essentially
necessary to its existence. The superiority of the nerves to all other
parts being thus established, the Doctor undertook to prove that
all other parts of the body were formed from them; that the body is
nourished immediately from them, and in short that the whole body is
in such subjection to the nervous system, that, except for the mere
purpose of distending the vessels, we can scarcely know for what end
the blood exists; since the nerves can alter its consistence, or that
of any of the fluids secreted from it, by a mere affection of that
system, without any thing either added to or taken from the vital fluid.
Thus we were compelled to believe that all diseases at their first
origin are affections of the nervous system, from whence they are
propagated through the whole body. The Cullenian practice in acute
diseases, of which the plague is the most violent, was built upon a
maxim of Hoffman: “Atonia gigoit spasmos:” _Atony produces spasms_. In
explaining the nature of typhus fever, therefore, with which he classes
the plague, the Doctor supposed that the contagion acted first upon
the nervous system, by producing therein a debility. The immediate
effect of this debility is a _spasm_, or preternatural contraction of
the capillary vessels, or extremely small arteries. Hence the blood
finds some difficulty in circulating, and the patient is seized with
shivering, and has a sense of cold. When this has continued for some
time the system begins to _re-act_ against its enemy; the spasm is
resolved, and, the reaction of the system continuing, the action of the
heart and arteries is augmented, and the body becomes warmer.
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