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
With respect to any influences immediately directed to the nervous
system, these we apprehend to be few and simple; some kinds of
medicine, are, no doubt, in particular cases useful, none are
susceptible of _general_ application. None of them are _certain_;
and sedatives of all kinds, which appear to have the most direct
influence on the nervous system, either require to be employed with
the utmost caution, or are in the highest degree objectionable. But
there are other _direct_ influences, certainly; and very important
they are. Quiet, avoidance of disturbing external impressions, whether
of light, sound, temperature, &c. whether in fact of mind or body;
but, in the majority of mankind, how few of them we can, in a strictly
philosophical sense, command. We are therefore driven to other sources
of disturbance; and in the digestive organs we find those on which we
can exert great influence, and in which tranquillity, however procured
or under whatever circumstances, is _certain_, _pro tanto_, to relieve
the whole system. This Abernethy attempted, and with a success which
was remarkable in no cases more than those which had resisted all more
ordinary modes of proceeding; by general measures, by simplicity of
diet, by occasional solicitation of this or that organ, by air and
exercise, and measures which were directed to the general health. No
doubt in some cases he failed, and so we shall in many; but let us look
boldly at the cause, and see whether we do not fail a great deal more
from our own ignorance than from any natural impossibility.
To examine the question, we must for the moment forget our admiration
of Abernethy; be no longer dazzled by his genius, but look only to our
duty; endeavour to discover his defects, or rather those of the state
of the question when he left us, and see what further investigation has
afforded in aid of supplying them.
In the first place, we must examine a little further that proposition
which we have seen both in Hunter and Abernethy under different forms.
Hunter says the disturbance of the organ sympathizing is sometimes more
prominent than that of the organ with which it sympathizes. Abernethy
says that the organ primarily affected is sometimes very little
apparently disturbed, or not even perceptibly so.
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