Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
At the very commencement, he hits on a great cause of evil, and
boldly assails one of the most mischievous of all conventionalisms.
"The division of medicine and surgery," he observes, "is mischievous,
as directing the attention of the two orders of practitioners too
exclusively to the diseases usually allotted to them." There is indeed
no exaggerating the evils of that partial mode of investigation to
which such a custom almost necessarily leads. We fall into error, not
because of the difficulty of the subject, but because we never can, by
looking _at one set of diseased processes only_, learn the whole of
the facts belonging to the subject. It was just this that prevented
Fordyce from arriving at correct views of fever. Nothing could be
more excellent than the way he _began_ to consider it; but he hardly
begins, before he tells us that he intends to exclude those febrile
affections which fall under the care of surgeons. In doing this, he
at once abandoned a series of facts which are absolutely essential
to the investigation. It must be obvious, on a moment's reflection,
that, if a particular condition of a part have a relation to the whole
body, the study of one without the other, or even if both be taken
up by different persons, nothing but the most imperfect views can
result. A jury, still more a judge, might in some cases guess from
partial evidence the issue of a legal investigation; but who ever
heard of either determining beforehand to examine a portion only of
that evidence? Yet it is not too much to say, that hardly any legal
question can be so recondite as many inquiries in physiology. The
nature of the case is always more or less obscured by a number and
variety of interfering circumstances. Diseases may be regarded, in
fact, as nothing more than natural laws, developed under _more or less
complicated circumstances of interference_.
Lord Bacon had warned all investigators of Nature of the danger of
attending only to a portion of the facts; it had been one of the great
bars to progress of knowledge in general. I regret to say that it still
continues the bane of _almost all medical inquiries_.
Abernethy's inference in relation to this mutilated sort of
investigation is too true, when he observes that "the connection of all
local diseases with the state of the constitution has obtained little
notice;" whereas the truth is, that "no part of an animal body can be
considerably disordered without affecting the whole system." Now here
Mr. Abernethy claims—what? Simply this: he claims for _function_—that
is, _the various offices fulfilled_ by the several parts and organs of
the body—that which Cuvier has so beautifully insisted on, and which
our own Owen has so instructively exemplified in regard to _structure
or formation_; namely, a _necessary relation_ between the whole and all
its parts.
Public-domain text, read in full here on John Shaqi.
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