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
Next come the nerves of the tongue; and here again, in natural
conditions, there is a constant harmony between them and the
stomach—that to which the taste readily gives admission being, in
_undisturbed_ conditions of the economy, some guarantee that it is
innoxious; but what these _functions are to the stomach_, the stomach
is _to the other organs_. In the first place, in natural conditions
it usually at once rejects any noxious material which, from being
disguised, or from any other circumstances, may have eluded the
vigilance of the sentinels I have mentioned; but it has a vivid
sympathy with every organ in the body. If anything deleterious be once
admitted, it has to go through various processes, which may render it
a source of indefinite disturbance; therefore, if any organ in the
series of the blood-manufacture be materially disturbed—that is, so as
to be disabled—the stomach usually refuses food; because there is no
other way of stopping the mischief. Illustrations of this occur in many
disorders of the kidney, in many affections of the alimentary canal, as
also of the liver, and other parts.
No doubt the stomach is therefore a most important organ; but to
suppose that it is therefore always the seat of disorder, is not only
a most mischievous error, but a complete blind to its most beautiful
and instructive relations; and as opposite to Mr. Abernethy's views as
the most narrow can be to the most comprehensive. Proceeding with his
illustrations, Mr. Abernethy cites a number of most instructive cases,
such as palsy and other affections of most serious character, which
too often result either from organic disease of some organ, or from
mechanical pressure on the brain or spinal marrow, but which in the
cases cited depend on disorder of the digestive organs.
It is impossible to exaggerate the interest or importance of these
cases; not only from the fact that they almost certainly would have
led to organic disease, but also for the value of that practical
discrimination which they exemplify. Again, the very treatment which
would have been proper, which had sometimes been begun, and which
was not inappropriate to cases of _organic_ disease, with which the
symptoms were in part identical, would have inevitably, in the cases
in question, only served to exasperate the very conditions they were
designed to relieve, and to hasten those processes against which they
were intended to guard.
No one can understand the force of these cases, without recollecting
the intense difficulty of ascertaining that point at which disorder
ceases to be merely functional, and at which organic disease begins.
This is of all things the most difficult to determine in the whole
circle of physiological or pathological inquiry.
Public-domain text, read in full here on John Shaqi.
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