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
We might multiply these illustrations to a tedious extent. We might
show, for example, in the eye, how curiously the greatest number of
diseases in that organ are placed in structures least dangerous to
the organ; and even when the organ is spoiled, so to speak, how much
more frequently this is in relation to its function as _an optical
instrument_, than to the structure which forms the link with the brain,
as _an organ of sensation_. I must, however, refer those who wish to
see more of the subject, to the work[33] in which it is more fully
discussed, under the term, "The Law of Inflammation," which is a bad
phrase, as imperfectly expressing the law; but as the greatest evils it
exposes occur in cases of Inflammation, and as it shows the essential
nature of that process to be entirely distinct from the characters
which had been usually ascribed to it, every one of which may be absent
so that expression was somewhat hastily given to the generalization
which seemed best to express a great practical fact.
To return to the bearing of all this on Abernethy's views, and in
relation to organs primarily or secondarily affected. In obedience to
the conservative law to which I have above alluded, defective function
in one organ is usually accompanied by increased action in some other;
and thus it happens that the symptoms are _almost always_ in one organ,
whilst the cause, or originally injurious influence, has acted on
another. The general reader will, of course, understand that we are not
speaking of direct mechanical injury to an organ. _Now_ all the most
recondite diseases of the kidney are already acknowledged by many to
be seated in a secondarily affected organ. Still the practice is, in
too many instances, a _strange mixture_ of that which is in accordance
with the true view, more or less marred by much _that is in opposition
to it_; because it often includes that which is certain more or less to
_disturb_ the organ which it should be the object to tranquillize or
relieve.
In the same manner, the lungs and heart are continually disordered,
and ultimately diseased, from causes which primarily act on the liver;
and I have seen such a case treated with cod-liver oil and bitter
ales, with a result which could not but be disastrous. The liver sends
an enormous quantity of blood to the heart and lungs, from which
it ought previously to have extracted a certain quantity of carbon
(bile). If this be not done, the heart and lungs are oppressed both
by the quantity and the quality of the blood sent to them. If nothing
happen in either of the various sites I have mentioned, the blood must
be got rid of; and it is so. In many cases, a vessel gives way; or
blood is poured out from a vessel; or blood is employed in building
up the structures of disease; but then the _symptoms_ are frequently
altogether in the chest, and not a sign of anything wrong in the liver.
Public-domain text, read in full here on John Shaqi.
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