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
He speaks also suggestively of the possibility of that which is
certainly now an established fact. He says: "In cases of diseased
lungs, where no disease of the digestive organs is discovered, yet
considerable _disorder_ does exist, and may continue for many years
without any _organic_ disease being _apparent_; it is possible that
such disorder may excite disease of the lungs, and thus produce a
_severer_ disease of the latter organs than what existed in the
former. Accurate attention to the _digestive organs may determine
this important subject, and lead to the prevention and cure of the
sympathetic diseases which I have mentioned_." "This attention must
not be merely of that general kind which adverts only to the quality
of the ingesta, &c., but one which more strictly observes whether the
viscera" (that is, reader, not merely the stomach, not merely the
digestive organs, but the whole viscera of the body) "and whether these
secretions are healthy or otherwise." After speaking of the heart also,
as affected by the digestive organs; and of the infinity of diseases
which arise from the reciprocal disturbance excited between them and
the brain;—he says: "But even these are not the worst consequences.
The disorder of the sensorium, excited and aggravated (by the means
which he has described), affects the mind. The operations of the
intellect become enfeebled, perplexed, and perverted; the temper
and disposition, irritable, unbenevolent, and desponding. The moral
character and conduct appears even to be liable to be affected by these
circumstances. The individual in this case is not the only sufferer,
but the evil extends to his connections and to society. The subject,
therefore, appears to me to be of such importance, that no apology
need be offered for this imperfect attempt to place it under general
contemplation." Here is that suggestion which, when carried out, leads
to the detection of cases of insanity which depend on disturbances of
the digestive organs.
Lastly, as if, notwithstanding his own previous attention to the
important question of the influence of the digestive organs in
disease, he felt that the inquiry had grown upon him in consequence of
Mr. Boodle's endeavour to concentrate his attention to the subject,
he concludes by expressing his past obligations to Mr. Boodle; for
he says, with admirable modesty and candour, "for Mr. Boodle first
instructed me how to detect disorders of the digestive organs, _when
their local symptoms were so trivial as to be unnoticed_ by the
patient." He urges Mr. Boodle to publish also his own observations on
the subject, because any remarks from one who observes the progress of
disease "with such sagacity and accuracy, cannot but be interesting."
We are quite aware how feeble our attempt has been to do justice to
this admirable book. But nothing can do that but a careful study of the
various principles which it either suggests, dimly shadows forth, or
deeply and beautifully unfolds.
Public-domain text, read in full here on John Shaqi.
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