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
In speaking of affections of the nervous system, Abernethy observes
that the brain may be affected by the part injured, and that _then_
it may affect the various organs by a "reflected" operation; but that
whatever _may be the mode_ (thus carefully separating the opinion from
the fact), "the fact is indisputable." He adds that it may affect
some organs more than others, and thus give a character or name to a
disease. For example, it might affect the liver, we will say, when the
name which would be given would probably be expressive of what was a
secondary circumstance—namely, a disturbance of the liver. This does
not so frequently happen, perhaps, nor so mischievously in relation to
local injuries; but in other cases it is the cause of a great deal of
erroneous and misleading nomenclature.
As we have seen, it often occurs that when the organs of the body
are disordered, the more salient "symptoms," perhaps the _whole_ of
those _observed_, are referred to a secondarily affected organ, and
the disease is named from that circumstance. The too frequent result
is, that attention is exclusively directed to that organ, whilst the
_cause_, being elsewhere, and where there _are no symptoms_, wholly
escapes observation.
This is a very important branch of inquiry; and as it closely connects
what Abernethy left us with what appears to us to be one of the next
things to be clearly made out, we will endeavour to illustrate it.
Suppose a person meet with a severe injury, a cut, bruise, fracture,
or any thing that we have seen a hundred times before, and, instead
of being succeeded by the _usual_ processes of repair, it be followed
by some others: the simple expression of the fact is, that something
has interfered with the _usual_ mode and progress of repair; and as
former experience has shown us that there was nothing in the nature of
the injury to account for this, we are naturally led to look for the
explanation of it in the state of the individual. But if the unusual
appearance be one which we have agreed to call "Erysipelas," and we
are accustomed to see long papers written upon this appearance as a
_distinct disease_, we acquire a tendency, as every day's experience
shows, to regard it as a kind of abstraction, or as an entity;
something composed of precise and definite relations, contained in
that particular description of case. Yet these relations may not be
in any two successive cases exactly alike. Again, all of them may be
subordinate to some more general character, probably a relation without
which we cannot readily explain the phenomena; but at which we cannot
arrive, because we have not comprehended a sufficient number of facts
in our inquiry to include it.
Public-domain text, read in full here on John Shaqi.
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