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
Between these two extremes, he placed, as the step of transition,
that tumour which he had observed to partake most strongly of
intermediate characters. But, besides the desire to throw some light
on the subject of tumours generally, he had another special object
in view. Few diseases exemplify the absence of scientific research
more than tumours. In regard to most of these morbid depositions, it
may be remarked that, even now, whenever a patient with one of these
so-called tumours applies for advice, the practicability of removal
is too often the only thing thought of; and it must be obvious to
common sense that the mere cutting away of a deposition of this kind
(however proper under some peculiar circumstances), can hardly ever
exert any influence on the causes of its production. Indeed the manner
in which these diseases are continually removed, without any previous
inquiry that is really worthy of the name, is amongst the many grounds
on which we found the opinion expressed in the sequel on the present
state of medical surgery, as contrasted with that in which it was
left by Abernethy. Now, while the gravity of the subject rendered
the consideration of all tumours important, there was one which in
an especial manner had eluded all efforts to expose its nature and
dependencies—this was the justly-dreaded cancer. In regard to this,
Mr. Abernethy hoped that further information might be obtained, by
investigating other tumours more closely, and thus bringing, as he
expresses it, collateral knowledge to bear on it, "like light shining
from various places to illustrate the object of our researches."
Here was a suggestion in the true spirit of philosophical inquiry;
whilst, in taking so simple a basis for the names of tumours, and then
associating them in arrangement with their respective constitutional
tendencies, he adopted the best mode of recording in a general sense
their more important relations. But the fault lay in the suppressed
premise that the _relations_ of the so-called tumours were comprehended
by a division which is not founded in nature. Nothing indeed can be
more artificial than that division of diseases to which surgeons
usually restrict the term tumour; a defect which besets all medical
inquiries. The old division, in which all sorts of diseases were
jumbled together under the general name of tumours, defective as it
might be, was much more auspicious, had it ever been made the object
of a really philosophical inquiry; because the very diversity of the
phenomena they presented would, by the ordinary process of common sense
or inductive reasoning, have only served to bring out their common
characters—the most important first step in all investigations of this
nature.
Public-domain text, read in full here on John Shaqi.
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