It has been said, and is generally believed, that Consumptions are
incurable. This fact cannot be established. Moreover, the doctrine
involves the most fearful consequences; for cases, which in themselves
are hopeful, are rendered hopeless from the neglect of proper means, from
the groundless apprehensions that no medicines can succeed, and death
inevitably ensues. The patient afflicted with cough, expectoration,
shortness of breath, and other pectoral symptoms, is calmly consigned to
the slow ravages of hectic fever and Consumption. After a few weeks or
months of suffering, he dies: this is regarded only as a matter of
course. An inspection takes place—the lungs are found studded with
tubercles, and an ulcer of more or less extent in some part of them. The
pathologist immediately asks, in significant triumph, what possible good
could medicines have done in such a case? by what mode of treatment could
an organ so diseased have been restored? But another case occurs, the
invalid complains precisely of the same symptoms: he has cough,
expectoration, wheezing in the chest, and difficulty in breathing—he
gradually falls away in flesh, and the hectic fever increases.
Palliatives are resorted to, as in the former case, not to cure, which is
considered impossible, but simply to alleviate his suffering—he also
dies. On inspection, the lungs are found generally sound; no tubercles
are discovered; but there is found to be an ulcerated spot of more or
less extent in the bronchial membrane. We are forthwith informed, that
an ulcerated or thickened condition of the bronchial membrane, with
purulent secretion, is a fatal disorder, even although the lungs are
otherwise perfectly sound: that in fact, in this case, as there was no
difference in the symptoms from the former, and none in the result, so
there could have been none made in the method of treatment—that remedies
were alike unavailing in both.
Without under-estimating the importance of morbid anatomy, we must
observe, that when it is carried to the unwarrantable length of
introducing such paralysing and disheartening scepticism into medical
science, it is productive of extensive and serious practical evils that
counterbalance the benefits which would otherwise result from it.
Hundreds, nay, thousands of cases of death are day by day occurring,
exactly as above described. Indeed, it is a well-established fact, that
in this country alone, the annual number of deaths by pulmonary
consumption greatly exceeds 50,000.
When it is considered, further, that in every individual case of the
above solemn catalogue of deaths in disease, medical skill has been
resorted to, and found unavailing; the practitioner is reluctantly
constrained to pronounce every similar case as equally hopeless, and
beyond the power of remedies to cure. This is manifestly a fallacious
mode of reasoning, leading to an erroneous conclusion.
Public-domain text, read in full here on John Shaqi.
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