Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
parts of water by weighing it in a hydrostatic balance. Much mischief
has been done by nosological arrangements of diseases. They erect
imaginary boundaries between things which are of a homogeneous nature.
They degrade the human understanding, by substituting simple perceptions
to its more dignified operations in judgment and reasoning. They gratify
indolence in a physician, by fixing his attention upon the name of a
disease, and thereby leading him to neglect the varying state of the
system. They moreover lay a foundation for disputes among physicians, by
diverting their attention from the simple, predisposing, and proximate,
to the numerous, remote, and exciting causes of diseases, or to their
more numerous and complicated effects. The whole materia medica is
infected with the baneful consequences of the nomenclature of diseases,
for every article in it is pointed only against their names, and hence
the origin of the numerous contradictions among authors who describe the
virtues and doses of the same medicines. By the rejection of the
artificial arrangement of diseases, a revolution must follow in medicine.
Observation and judgment will take the place of reading and memory, and
prescriptions will be conformed to existing circumstances. The road to
knowledge in medicine by this means will likewise be shortened; so that a
young man will be able to qualify himself to practise physic at as much
less expence of time and labour than formerly, as a child would learn to
read and write by the help of the Roman alphabet, instead of Chinese
characters.
In thus rejecting the nosologies of the schools, I do not wish to see
them banished from the libraries of physicians. When consulted as
histories of the effects of diseases only, they may still be useful. I
use the term diseases, in conformity to custom, for, properly speaking,
disease is much a unit as fever. It consists simply of morbid action or
excitement in some part of the body. Its different seats and degrees
should no more be multiplied into different diseases, than the numerous
and different effects of heat and light upon our globe should be
multiplied into a plurality of suns.
The advocates for Dr. Cullen's system of medicine will not, I hope, be
offended by these observations. His immense stock of reputation will
enable him to sustain the loss of his nosology without being impoverished
by it. In my attempts to introduce a new arrangement of fevers, I shall
only give a new direction to his efforts to improve the healing art.
Public-domain text, read in full here on John Shaqi.
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