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
As is well known, before the discovery of vaccination, persons were
_inoculated_ with the small-pox, because it was found that the disease
could _be thus rendered_ comparatively harmless; whilst, if it was
taken naturally, as it was termed, it was always serious, and too
frequently extremely fatal. The preparation for inoculation consisted
of _measures addressed to the digestive organs_. Now the effect may be
judged of by this fact: Inoculation was at first violently opposed;
and, in reply to the alleged safety of it, an opponent wrote to prove
that _one_ in _one_ hundred and eighty-two had died of it. I wish we
could say so of many other diseases.
That such persons had, nevertheless, the genuine malady, was proved
by the fact they were capable of infecting others (unprepared) with
the disease in its most malignant form. But our notions of the mode in
which the laws of the animal economy deal with injurious influences
of this kind, are mischievously conventional. What quantities, for
example, of mercury, in its different forms, have been administered in
almost all diseases; and yet unquestionably there is a great deal of
false reasoning in regard to this poison. Effects are attributed to it
_as mercury_, which only belong to it in _its general character of an
injurious agent_. All the (so-called) specific effects of it, most of
which are become popularly familiar, may occur without any mercury at
all. We have seen them induced by aloes, by scammony; and in a case
where no medicine had been given, and where the only detectable poison
was one which was to be sure bad enough, an enormously loaded liver.
We are obliged to say but little here in connection with this subject.
Abernethy's cases were very important in relation to the influence of
the digestive organs, although he did not see the generalization to
which, as it appears to us, they help to conduct the pathologist. The
subject is too extensive for discussion here. We will attempt something
of a popular view of it, when we endeavour to explain the fallacy to
which we have already referred.
Abernethy next adduces various illustrations from cases of other
diseases; as indurations, tumours, carbuncles, scrofulous affections,
and others; in proof of the dependence of a "numerous and dissimilar
progeny" of so-called local diseases, on that "fruitful parent,"
disorder of the digestive organs. Of one of the most interesting
and remarkable cases of tumour, Mr. Abernethy did not live to see
the termination. It was of a lady who consulted him previous to the
proposed infliction of an operation. She had been recommended by my
father, in the country, to consult Abernethy before submitting to
it; because he disapproved of it, as did Abernethy—not because they
doubted of the nature of the disease, but because it was not confined
to the part on which it was proposed to operate.
Public-domain text, read in full here on John Shaqi.
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