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
The lady used to call on Abernethy when she came to town; and after his
death she came to me—as she said, just to report her condition. She
had at times various disturbances of her digestive organs; but always
from some imprudence; for, although habitually very simple in her
habits, she would be sometimes careless or forgetful.
She died at a very advanced age—between seventy and eighty—but
there had been no return of the disease for which she had originally
consulted Abernethy, nor had she undergone any operation. It is a
significant circumstance, too, that she had a sister who died of cancer.
The whole of the cases are, however, scarcely less valuable. In the
fifth section, he treats of disorders of parts having continuity of
surface with the alimentary canal, certain affections of the nose, of
the eye, and of the gullet or œsophagus. His observations on the latter
are especially valuable. They strike at that meddling practice which
is too common in the treatment of diseases of these parts. Many of us
have recommended a practice which, without neglecting either, relies
_less_ on manipulatory proceedings, and more on measures directed to
the general health, in such cases; as producing effects which are not
to be obtained by other means; but, if we are to judge from the medical
periodicals, without much success; so inveterate is the habit of
imagining that, whatever the causes of disease may be, if the _results_
be but _mechanical_, mechanical means can alone be applicable. Public
attention, and the perusal of such cases as those of Abernethy, can
alone correct these errors.
Lastly, he describes the results of his dissections as bearing on the
whole subject. Here he shows, that whilst disordered function may
take place coincidentally with, or as a consequence of, change of
structure, yet that such change, so _as to afford visible or detectable
departures_ from natural appearances, is by no means necessary, in
_organs which, during life_, had afforded the most incontrovertible
evidence of impaired function. He also shows that disease has
_terminated_ in _disorder_ which had its original seat in the
digestive organs. And again—that, in cases where the cause of death
had been in the abrogated _function_ of the brain, he found no actual
_disease_ in that organ, but in the _abdominal viscera_. He very justly
observes that the conclusions he has drawn can be _neither_ ascertained
nor disproved by anatomical evidence _alone_. He mentions especially,
and illustrates by a remarkably successful case, how _diseases of the
lungs_ may be engendered by disorders of the digestive organs, and
_entirely_ subdued by correction of that disorder.
Public-domain text, read in full here on John Shaqi.
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