Asiatic Cholera: A treatise on its origin, pathology, treatment, and cureWhitney, Elijah
History
Asiatic Cholera: A treatise on its origin, pathology, treatment, and cure
Whitney, Elijah
Cholera
Such, it is said, is the more general and successful practice in the
Mississippi Valley, where the disease has several times prevailed in
its most malignant form. For its curative efficiency much is claimed.
Its utility, however, must be measured, as in all other cases, by the
unerring rule, the actual results sustained by incontrovertible facts.
The nearer any mode of practice accords with the general principle
of pathology, the greater must necessarily be its success, for it is
not in this disease, or in any other, that the bold, energetic and
heroic practice, which is inconsistent and incompatible with this
principle, cures, however extensively adopted and rigidly pursued. For
this principle must direct and govern the practice, or else it becomes
necessarily experimental or empirical, and must be inevitably attended
with the most lamentable results.
SECTION IV.--STATISTICS--PERCENTAGE OF LOSS--VARIABLE RESULTS--THEIR
CAUSE.
The results of the different modes of practice which we have briefly
noticed will aid materially our effort to discover and establish some
general principle for the successful treatment and cure of cholera.
For all modes, whatever be their merits or demerits, are supposed to
be founded on the pathology of the disease. To treat any disease
successfully, its pathology must be observed, and so applied in the
arrangement and adoption of a mode of practice as to secure not only
entire harmony, but a complete and perfect adaptation of the treatment
to its pathological character. The nearer any mode approaches to an
exact conformity to this principle the greater will be its success.
The neglect to conform, in the treatment of the epidemic cholera, to
this acknowledged and universal law, has, no doubt, been the prolific
cause of the sacrifice of thousands of valuable lives. For this
principle is the key to unlock the mystery of disease, unfold the
process of diseased action, and, as an unfailing and definite rule,
must govern all correct theories as well as all rational practice of
medicine, under whatever name it may be conducted. All practice, then,
deviating from, opposed, or contrary to, this principle must be purely
empirical, and unworthy the confidence of an intelligent community.
Hence we may refer to statistics rather than argument on the subject,
to ascertain how far and to what extent each of the different modes of
practice conform to the general principle; and on the other hand, to
show what modes may be at fault, being deficient in the application
of science, opposed to the established laws of practice, and contrary
to observation and experience, and therefore utterly and hopelessly
empirical.
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