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
It is curious, however, to observe how the real business of the human
mind is shadowed forth in the very abuses of its powers; nothing so bad
but it is charged with a certain quantity of good; no error so great
but carries with it the element of its own correction. The mind in its
greatest aberrations is followed by the shadow of its real duty, which
as it were waits on the time when clearer views shall burst on it.
Nothing shows the real tendencies of mind more than its restless desire
to arrive at _some_ conclusion, _some_ tangible evidence of its highest
functions. It is the impulse of this instinct—the ungoverned abuse of
a high faculty, impatient for illegitimate fruition—which lies at the
bottom of much false reasoning, and which blinds men, even of great
power, to obstacles which are luminously evident to the most ordinary
capacity. Important as the next series of illustrations cited by
Abernethy are, the conclusions he deduced from them were the necessary
sequences of clear and correct reasoning on familiar and established
facts.
The illustrations in question were those afforded by various cases
of injuries of the head, in which certain consequences, however
exceptional they may be, are too commonly referred to the abstract
nature of the injury. We _see_ that a man has a blow, we _see_ that he
does not recover in the usual way in which we have known many others to
recover; but we do not, perhaps, _consider_ that if a similar—nay,
perhaps an identical force produces very different effects in different
cases, the cause will probably not be in the nature or direction of
the force so much as the condition of the body. Now the value of these
cases of Abernethy's consists, first, in impressing the influence
of this condition as modifying—in other words, _sustaining_—the
disturbance consequent on injuries (in their origin) purely mechanical;
and secondly, in showing that, in the cases in question, _that
condition_ depended on a disordered state of the digestive organs.
We hardly know any cases more valuable than those in question. When
a patient receives a blow, and, the _immediate_ consequences having
subsided, there still remains an impairment of sense or motion, the
most usual thing, and no doubt very often the true view, is to refer
it all to lesion of nervous structure. It is therefore of the highest
consequence to know the facts of these cases. They not only prevent
the hasty institution of treatment which would be injurious; not only
secure the patient from being abandoned in despair; but supply at
the same time the clues to a rational treatment, and the hope of a
favourable issue.
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