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
Perhaps, of all known torments, there is none that can be compared,
either in intensity or duration, with that curious disease which has
been called Tic Doloreux. Like the term Neuralgia, it is merely a hard
word to express a violent pain in a nerve. Conventionally, the term
neuralgia, or nerve-pain, is generally used to express a case where
the suffering is of a more or less diffused character. The term "tic"
is more usually applied in cases where the seat of pain is found in
some superficial nerve. Neither term has much claim to the character of
scientific nomenclature; they are merely equivalent to saying that we
know very little of the matter. This obscurity, however, may be soon
lessened, if not entirely cleared, by any one who will go to work in
the way suggested by Mr. Abernethy's principles, and in which, to a
certain point, they will conduct him. He must, however, recollect that
the pain, though a most distressing symptom, is still a _symptom_, and
not the _disease_ which gives rise to it.
This disease teaches us how beneficently framed we are in relation to
all around us; and how small a deviation from a healthy condition of
our sensations converts all usual sources of pleasure into so many
elements of agony. The breeze, of late so grateful and refreshing,
may produce more suffering than would be excited by the most
intensely-heated furnace. In other cases, the cool spring, or the
most delicious fruit, become causes of torture. We should exceed
all reasonable limits if we were to enumerate all the usual sources
of pleasure which, in different cases, are converted into so many
instruments of suffering.
Tic doloreux is indeed a horrible malady; but one which, when properly
considered, becomes very instructive. It admirably illustrates
the views of Abernethy; and how ready he was to concede all that
examination of the views of others which modesty and common sense
require, as well as how superior his own were, both in philosophical
acumen and practical value; first examining the views of others, and
finding them defective, he, with the true philosophical spirit which
first discovers what is wrong—
"Primus gradus est sapientiæ falso intelligere,"
then proceeds to develop his own.
The nerves are the organs from which we receive all our impressions
from without; and when their ordinary sensibility is thus morbidly
augmented, we may be persuaded that there is _something_ very wrong
within.
The tic doloreux is one of the examples showing how cautious and
circumspect, and how modest withal, Abernethy was in advancing to his
own comprehensive views of disease; and how entirely antithetical the
method he pursued in arriving at them was to that which attempts to cut
the knot of difficulty by gratuitous hypotheses.
Public-domain text, read in full here on John Shaqi.
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