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
Now, from both these statements, we find that there may be no signs
in the primarily affected organ; which, practically rendered, is
nothing more or less than saying that in many cases we must not seek
for the primarily affected organ where _the symptoms are_; and this
is a great fact: because, although it does not necessarily teach us
what we must do, it exposes the broken reed on which so many rely. Now
the further point, which, as we would contend, time and labour have
supplied, is first this—that what Hunter had mentioned as one feature
in the history of the sympathies of different organs, and Abernethy as
an occasional or not unfrequent occurrence, is, in disorders of any
standing, and with the exception of mechanical injury, _in fact the
rule_—the _symptoms_ of disorder being almost _never_ in the primary
organ; nay, even organic change (disease) is for the _most part_ first
seen in a _secondarily_ affected organ. In regard to primarily affected
parts, the skin only excepted, they will be found, in the vast majority
of cases, to be one or other of the digestive organs.
I will endeavour to render the cause of this intelligible. A minute
examination of what happens in a living person, especially if it
be extended to some thousands of cases, will soon disclose to the
most unlettered person a few instructive facts, showing that Nature
has a regular plan of dealing with _all_ injurious influences,
which, however _various_ many of the _details_ may be, is in general
character exquisitely simple, surprisingly beautiful, and intelligibly
conservative; and that the various modes on which she exercises this
plan, from the cradle to the grave, are, in _frequency, directly in
the order of their conservative tendency_. Let us explain. There is no
dearth of illustration; the _facts_ are bewilderingly abundant; the
difficulty is which to choose, and how to give them an intelligible
_general expression_. Let us take a single case. We know that if a mote
gets into the eye, there is irritation, immediately there is flow of
blood to the part, a gland pours forth an abundant supply of tears,
and the substance is probably washed out. Very well; we say that is
intelligible. But suppose you have the vapour of turpentine, or any
other irritant, the same thing happens; but still you cannot give quite
the same _mechanical_ explanation.
Again—substances which affect the mouth, nose, and stomach, will
irritate the eye without any contact, and cause a flow of tears.
Lastly, you know that affections of the mind will do this, and where
even we have no _mechanical_ irritant at all.
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