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
The liver is especially apt to affect them. It is engaged, like the
lungs, in throwing off large quantities of carbon or charcoal from the
system, and has been not very improperly termed the "abdominal lung."
It is constantly also sending through the medium of the heart a large
quantity of blood to the lungs. Now, if this blood have not the proper
quantity of carbon extracted from it by the liver, or if even the blood
be excessive in quantity, why the lungs must have more to do; and many
diseased lungs have been produced in this manner in cases where the
chest has been well formed.
There are, however, many intimate relations between organs which do not
depend on mere community of function. It is very important that the
public should have clear views on this subject; and if they would only
give a little of that attention which they so often bestow on things
infinitely more difficult, there is no doubt many lives would be saved
that are irremediably damaged, as Abernethy says, sometimes even before
any symptoms have suggested that there is anything the matter.
But if there be a shadow of truth in Mr. Abernethy's views, and still
more in those extensions of them to which they have naturally led, we
may learn how necessary is that discrimination which traces disease to
_primarily_ affected organs; and how little success we may expect by
treating the lungs, as the integral seat of disease, by specifics, or
such remedies as tar, naphtha, cod-liver oil, various gases, &c. which
come in and go out of fashion in a manner sufficiently significant of
the claims they can have in a scientific point of view.
Mr. Abernethy also remarks on the comparatively restricted influence
of scrofula in constituting consumption. "At one time," he observes,
"I examined the bodies of many people who died of consumption." After
describing other appearances which he found, he says, "the greater
number were bestudded with larger or smaller tubercles, or _made
uniformly dense_ (consolidated)." He says, this disease (consolidation)
is _very insidious_, that it is often established beyond the
possibility of removal before it is suspected; but, he says, he thinks
it might be known, for the capacity of the lungs is diminished; and
suggests that this should be tested, by allowing a suspected case to
_breathe into a glass vessel over water_, by which the quantity of air
they can receive is rendered perceptible.
His remarks, too, on the treatment are highly interesting and
discriminative, and will not only well repay attentive perusal, but
that study which is necessary to the perception of their full force and
beauty. When we have to sum up the various influences of the views of
Abernethy, we may probably find space for a few facts on that which
they exert on the treatment of the lungs and skin; and this not merely
as affecting the health in general, but also complexion, and other
conditions of these curious and important organs.
Public-domain text, read in full here on John Shaqi.
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