Fragments of Science: A Series of Detached Essays, Addresses, and Reviews. V. 1-2Tyndall, John
Science
Fragments of Science: A Series of Detached Essays, Addresses, and Reviews. V. 1-2
Tyndall, John
Chemistry; Physics; Science
Not only medical but still more especially surgical science is now
seeking light and guidance from this germ theory. Upon it the
antiseptic system of Professor Lister of Edinburgh is founded. As
already stated, the germ theory of putrefaction was started by
Schwann; but the illustrations of this theory adduced by Professor
Lister are of such public moment as not only to justify, but to render
imperative, their introduction here.
Schwann's observations (says Professor Lister) did not receive the
attention which they appeared to me to have deserved. The
fermentation of sugar was generally allowed to be occasioned by the
_Torula cerevisiae_; but it was not admitted that putrefaction was due
to an analogous agency. And yet the two cases present a very striking
parallel. In each a stable chemical compound, sugar in the one case,
albumen in the other, undergoes extraordinary chemical changes under
the influence of an excessively minute quantity of a substance which,
regarded chemically, we should suppose inert. As an example of this
in the case of putrefaction, let us take a circumstance often
witnessed in the treatment of large chronic abscesses. In order to
guard against the access of atmospheric air, we used to draw off the
matter by means of a canula and trocar, such as you see here,
consisting of a silver tube with a sharp-pointed steel rod fitted into
it, and projecting beyond it. The instrument, dipped in oil, was
thrust into the cavity of the abscess, the trocar was withdrawn, and
the pus flowed out through the canula, care being taken by gentle
pressure over the part to prevent the possibility of regurgitation.
The canula was then drawn out with due precaution against the reflux
of air. This method was frequently successful as to its immediate
object, the patient being relieved from the mass of the accumulated
fluid, and experiencing no inconvenience from the operation. But the
pus was pretty certain to reaccumulate in course of time, and it
became necessary again and again to repeat the process. And unhappily
there was no absolute security of immunity from bad consequences.
However carefully the procedure was conducted, it sometimes happened,
even though the puncture seemed healing by first intention, that
feverish symptoms declared themselves in the course of the first or
second day, and, on inspecting the seat of the abscess, the skin was
perhaps seen to be red, implying the presence of some cause of
irritation, while a rapid reaccumulation of the fluid was found to
have occurred. Under these circumstances, it became necessary to open
the abscess by free incision, when a quantity, large in proportion to
the size of the abscess, say, for example, a quart, of pus escaped,
fetid from putrefaction. Now, how had this change been brought about?
Without the germ theory, I venture to say, no rational explanation of
it could have been given. It must have been caused by the
introduction of something from without.
Public-domain text, read in full here on John Shaqi.
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