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, here there are many things to be regarded; for man is a moral
as well as a physical being; and the circumstances by which he
is surrounded, even the air he breathes, the moral and physical
impressions to which he is subjected, are very often not under his own
control, much less that of his medical attendant. On the other hand,
the food is, in civilized communities, very much under the influence
of his volition; and there are many circumstances which, instead of
impeding those adaptations which disorder requires, renders them
particularly easy—it frequently happening that those things which
are really best, are most easily procured. This is important; because
the next proposition is, _that the nervous system is very easily and
constantly disturbed by disorder of one or other, or of the whole
of the digestive organs_, and that therefore the tranquillizing of
disturbance in them is of the highest consequence in the treatment of
disease: _few_ propositions in _any_ science are more susceptible of
proof than the foregoing. But if this be so, we must now recollect
the full force of what we have observed with regard to relation; that
is, we must not restrict our notion of it to the general loose assent
that there is a relation in all parts of the body, and rest on the
simple admission, for example, that animals are formed in adaptation
to their habits; but we must sustain the Cuvier-like impression of the
fact, the Owen-like application of it to the phenomena; recollect
that _preconceived_ ideas of magnitude and minuteness can do nothing
but obscure or mislead; and that the relations established in the
body are constant and universal, however they may at first—as in the
case we have quoted—excite the surprise or the derision of the less
informed and less reflecting. We must take their immensely potential
power as existing _as certainly in the most trifling headache, as
in the most malignant fever_—in the smallest scratch, _as in the
most complicated compound fracture_. We have plenty of facts now to
_prove_ this; but the first plain, clear enunciation of it all, the
successful demonstration of it at the bedside, and the consequent
diminution of an enormous amount of human suffering, is the great
debt we owe to Abernethy. Mankind in general admitted that Diet
was of consequence. Nobody doubted its force as an _accessory_ in
treatment. Lactantius said: "Sis prudens ad victum sine quo cetera
remedia frustra adhibentur." But no one had recognized the treatment
of the Digestive Organs as the essential part of the treatment of
_surgical_ diseases, nor founded it on the same comprehensive view
of its relations as addressed to organs which executed the nutritive
functions of the body on the one hand, and were the _most potential
disturbers or tranquillizers of the nervous system on the other_,
and thus for ever linked them in their practical relations with the
fact, that the essential element of disease, the _fons et origo_, is
disturbed nervous power.
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