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
They exemplify in every line his clearness of thought, and his care in
deducing no other conclusion from the premises than that which they
logically justify. The observations which he has annexed to his paper
also are just, and of great practical value; they discuss the bearing
that the whole has to the relation which exists between the skin and
lungs, and the influence of this on the causes of that fell destroyer,
popularly known under the title of Consumption.
They are a portion of that investigation of relation between various
organs, on which anything like the formation of a definite and
practical science must ultimately depend. We shall endeavour, in the
sequel, to explain the ulterior consequences which necessarily arise
out of such considerations, when they are duly followed out. We shall
endeavour to point out the share they had, in conjunction with other
considerations, in leading to those beautiful and simple principles
which Mr. Abernethy was led more especially to advocate; and show how
far _he_ went, as describing the starting point of those who have
endeavoured at a fuller development of the consequences of his views.
He remarks, justly enough, on the determination to the lungs consequent
on the repression of the surface, and the necessary _additional duty
thrown on those_ important organs engaged in a common function with
the skin, where the duty of the latter is not performed; and on
the elements thus supplied for disease, _especially_ in persons of
restricted chest; relations, _be it remembered_, which exist between
the various other organs of the economy, and which exemplify in a
single case truly, what has been, we trust, since shown in regard
to organs generally; how the organ, which may be the seat of the
_disease_, _may not be_ the seat of the original _cause_, but really
a secondarily affected organ—a hint which, when followed out, is of
_immense practical importance_.
The skin is by no means the only organ which has a community of
function with the lungs, or through which these important parts become
affected; but if this be so, and diseases of the lungs be treated
as an _integral thing_, it requires no great penetration to see how
diseases so handled must be incurable; since the real cause may never
be ministered to.
Again, if a case should be successfully treated, by means which
afford all possible relief to the _lungs_, whilst the _primarily
affected_ organ is also properly treated, it by no means follows that
the treatment should be the same in _every case_; for the primarily
affected organ may be different in different cases. There is, in fact,
no organ of the body which, when subjected to disordering influences,
may not _secondarily_ affect the lungs.
Public-domain text, read in full here on John Shaqi.
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