Beacon Lights of History, Volume 14: The New Era: A Supplementary Volume, by Recent Writers, as Set Forth in the Preface and Table of ContentsLord, John
Philosophy
Beacon Lights of History, Volume 14: The New Era: A Supplementary Volume, by Recent Writers, as Set Forth in the Preface and Table of Contents
Lord, John
History
The Humoral pathology, or that doctrine of the nature of disease which
ascribed all ailments to excess, deficiency, or ill "concoction" of some
one of the four humors (yellow and black bile, blood, and phlegm), had
not yet lost its hold on men's convictions, or at least not further than
to make them look upon exposure to cold and errors of diet as amply
explanatory of all diseases not plainly infectious. The medical writers
who were most revered were those who busied themselves with nosology;
that is to say, the naming and classifying of diseases. Wonderful were
the onomatological feats performed by some of these men, and most
diverse and grotesque were the data on which they founded their
classifications. To label a disease was high art; to cure it was
something that Providence might or might not allow. In the treatment of
"sthenic" acute diseases (meaning those accompanied by excitement and
high fever), blood-letting, mercury given to the point of salivation,
antimony, and opium, together with starvation (all included under the
euphemism of "lowering measures"), were the means universally resorted
to and reputed "sheet anchors." Some advance had been made from the
times when disease had been looked upon as an entity to be exorcised,
but it was still so far regarded as a material thing that it was to be
starved out.
But the century was not out of its second decade when signs of an
awakening from this lethargy began to show themselves. The first steps,
naturally, were along preparatory lines, and for those we are largely
indebted to the physicists, the chemists, and the botanists. Gross
anatomy became better known, owing for the most part to more enlightened
legislation on the subject of the dissection of the human body; minute
anatomy (histology) sprang into existence as the result of improvements
of the compound microscope. Physiology took on something of the
experimental; and medication was rendered far less gross and repulsive
by the isolation of the active principles of medicinal plants. But it
was long after all this that the telling strides were taken. Up to
within the memory of many men who are now living, "peritonitis" tortured
its victims to death, said "peritonitis" being often interpreted as a
manifestation of rheumatism, for example, and no well-directed
interposition was attempted against it, whereas we now know perfectly
well that the vast majority of cases of peritonitis are due to local
septic poisoning and for the most part quite readily remediable by the
removal (with a minimum of danger) of the organ from which such
poisoning arises--almost always the vermiform appendix. "Appendicitis,"
of which we hear so much nowadays, is no new disease; it is simply the
"peritonitis" that killed so many people in former times. But while no
well-informed person would now maintain that this disease was a new one,
there are many, and those, too, among the best instructed, who find it
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