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
"Erysipelas" is nothing more than a natural law obscured; because,
as we have just hinted, it is developed under circumstances of
interference (from disordered conditions of the economy) which distort
the natural features of the law, modify its effects, or which may
prevent altogether its full development. But now, if we study the
means afforded by the various links _which other varieties of disease_
furnish, the ascertainment of the real relations becomes comparatively
_easy_; and we find that, whilst there are certain general relations
which belong to all cases, there are certain others which may in a
given number in succession be identical; or in no two exactly the same.
Partial investigations, leading, of course, to erroneous views, are
sure to entail on us a defective nomenclature; and then the two do very
materially contribute to continue the fallacies of each other. We may
have an affection of a lung, perhaps; the cause may not be in the chest
at all, although the lung may be inflamed or otherwise affected; but
we call it Pneumonia, or Pleuritis, or some other name which _simply
refers to what is happening to the part_; but all such names have
reference only to effects; they are extremely defective therefore, as
comprehending only a portion of the _nature_, and having no reference
whatever to the _seat_, of the _cause_ of the malady. The consequences
of all this may not be _necessarily_ mischievous; but they are so
lamentably common, as to continue to form a very large share of the
routine practice. The cause is elsewhere; but the remedies are directed
to the chest—that is, they are, in such cases, applied to effects,
not causes. If we must retain names so defective, it would be very
practicable to combine them with something which should indicate that
we had, at least, _looked_ for the cause. This would, at all events,
encourage a habit of looking beyond mere symptoms, and carry us at
least one link higher up the chain of causation.
Abernethy, in demonstrating the connection between local disease, or
injury, and general disturbance, judiciously takes cases where the
relation was most unequivocal; that is, where the local disturbance
consisted of a mechanical injury; such as in a gentleman who had
undergone an operation—in another who had met with a bad fracture
of his leg. In order to amplify his illustrations of the connection
between the brain and all parts with the digestive organs, he draws
them from all sorts of sources—from diseases the most severe and
dangerous, as well as from affections which are regarded as most common
or trivial—from the last stages of cancer and serious diseases of the
loins, to the common disturbances of teething in children—sources
which, from their apparent _dissimilarity_, confer, of course, the
strongest force on testimony in _which they combine_.
His delineation of the features by which disorders of the digestive
organs may be generally detected, is remarkably simple, clear, and
truthful.
Public-domain text, read in full here on John Shaqi.
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