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
When this disease first began to attract attention, it was suggested
that it might be cured by the division of the nerve. The phenomena
of the nervous system afforded abundant grounds for mistrusting the
soundness of this view. The tendency, however, to confound the more
salient symptom of a disease with its intrinsic nature, caused such
phenomena to be overlooked or little considered; and the consequence
was, that where the nerve was divided, the treatment was sometimes
entirely confined to that proceeding.
In the end, the operation disappointed expectation; and that which
careful reasoning might have predicted as probable, was left to be
determined by experiment, In some cases, circumstances concurred to
produce temporary relief; but on the whole the operation was a failure.
In the case he here published, Abernethy removed a little bit of
nerve from a lady's finger. As she had suffered severely, and he was
anxious to give her more permanent relief, he did not rest satisfied
with merely dividing the nerve. For about nine months the lady was in
comparative ease; but then the sensation returned. He remarks on the
interest attached to this return of sensation, and observes on the
analogy it suggests between the supply of blood, and that of nervous
power. For if the vessels conveying the former be tied or obstructed,
the supply is gradually restored through collateral channels. The
return of the nervous functions, after the removal of a portion of the
nerve, seemed to favour that view of the nervous system which regarded
as the proximate cause of the phenomena some subtle principle or other,
like electricity or magnetism, or some analogous power, of which the
nerves might be the conductors.
Perhaps the most interesting fact of this case, however, was the
significant bearing it had on those views which he was beginning
to deduce from a multitude of other sources. The fact being, that
when the lady died, which she did about four years afterwards, _she
died of disordered digestive organs_. Showing, therefore, at least,
the coincidence of the most severe form of nervous disturbance with
disorder of these important functions.
Public-domain text, read in full here on John Shaqi.
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