Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
Of this work of Morgagni's, Professor Benjamin Ward Richardson, said:
"To this day no medical scholar can help being delighted and
instructed by the study of this wonderful book. To move into it from
the midst of a body {41} of current medical literature, is like
passing from the periodical flux of current general literature to the
perusal of a Shakespearean drama, the _Pilgrim's Progress_, or
_Paradise Lost_. It is a transition from the mediocrity of incessant
repetition of well-known truths told in long and hackneyed terms, back
to descriptions derived direct from nature and fresh from her
treasury. It matters not where the book is opened, it is always good
and instructive reading, full of suggestion and rich in original
narrative."
Some of Morgagni's work in clinical medicine and in pathology, as
detailed in these volumes, remains of perennial interest and is often
referred to. Many an after-time discovery, proclaimed loudly by its
author, will be found, at times only in embryo but often enough in
entirety, in its pages. There are frequent surprises to the reader in
the anticipation of what are supposedly much later thoughts in
medicine. Some of these passages of more general interest I venture to
present here.
It was Morgagni who first realized that minute connections between
parts of the nervous system might very easily provide the basis for
symptoms quite distant from the site of actual disease. He gives, for
instance, a detailed account of a curiously interesting case in which
the patient, a man somewhat beyond middle life, was annoyed on a
number of occasions by violent sneezing. These attacks of sneezing
became more and more frequent and finally were accompanied by
difficulty of breathing and a sense of pressure over the chest. These
symptoms became more and more marked, until finally, during an
especially violent attack of sneezing, the man suddenly died.
Up to this time anatomists generally had declared that there was no
direct nervous connection between the mucous membrane of the nose and
the diaphragm. Sneezing is {42} due to a violent contraction of the
diaphragm and is almost invariably caused by the presence of an
irritant in the nose. This is, in fact, nature's method of getting rid
of irritant material on the sensitive nasal mucous membranes by an
explosive expulsion of air through the nose. This expulsion of air is
brought about by a convulsive contraction of the diaphragm. It had
always been supposed that the sneezing was due to irritation
transmitted through the brain to the diaphragm.
Public-domain text, read in full here on John Shaqi.
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