Thirty years ago, there was no bacteriology, in the present sense of
the word: and now the "habits" of these "contagia" have been studied,
outside and inside the body, with amazing accuracy. It has been
proved, past all possibility of doubt, that the pathogenic bacteria
are the cause of infective diseases; they have fulfilled Koch's
postulates--that they should be found in the diseased tissues, be
cultivated outside the body, reproduce the same disease in animals,
and be found again in the tissues of those animals. By an immeasurable
amount of hard work crowded into a few years, this New World of
bacteriology has been subdued. The Royal Commissioners of 1875,
speaking of physiological experiments only, said, "It would require a
voluminous treatise to exhibit in a consecutive statement the benefits
that medicine and surgery have derived from these discoveries." If
physiology in 1875 required a treatise, bacteriology in 1906 requires
a library: and it is impossible here to give more than the faintest
outline of some of the work that has been done.
But all pathology is not bacteriology; and it would take a treatise of
prodigious length to set forth the work of modern pathology in the
years before anything was known of bacteria. The microscopic structure
of tumours and of all forms of malignant disease, the nature of
amyloid, fatty, and other degenerative changes, and the chief facts of
general pathology--hypertrophy and atrophy, necrosis, gangrene,
embolism, and many more--all these subjects were studied to good
purpose, before bacteriology. Above all, men were occupied in the
study of inflammation under the microscope. It was this use of the
microscope that revolutionised pathology; especially, it made visible
the whole process of inflammation, the most minute changes in the
affected tissues, the slowing and arrest of the blood in the
capillaries, the choking-up of the stream, and the escape of
blood-cells out of the capillaries into the tissues. Everything had
been made ready for the fuller interpretation that was coming from
bacteriology: the old naked-eye descriptions of inflammation were left
behind; men set aside the definition of Celsus, that it was _rubor et
tumor cum colore et dolore_--words that sound like Molière's jest
about the _vis dormitiva_ of opium--they watched inflammation under
the microscope, in such transparent structures as the frog's web and
mesentery, the bat's wing, and the tadpole's tail. It was thus that
Wharton Jones discovered the rhythmical contraction of the veins in
the bat's wing. The discovery of the escape of the white blood-cells,
_diapedesis_, through the walls of the capillaries, was made by Waller
and Cohnheim. To those who are opposed to all experiments on animals,
it may seem a very small thing that a blood-cell should be on one side
or the other of a microscopic film in a tadpole's tail; but this
_diapedesis_, the first move of the blood in its fight against
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