North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
Before taking leave of Dr. AYRE, we cannot omit adverting, in a very few
words, to a circumstance noticed in his preface, and which we think of
some importance. He remarks, that if, in the prosecution of his task, he
has had no acknowledgments to make to any individual as his guide and
authority, he is nevertheless indebted for many important facts to the
writings of the late Dr. WELLS, and of Drs. BLACKALL, ABERCROMBIE, and
DUNCAN, jun. and particularly to the system of pathology of Dr. PARRY.
He further remarks, that he entertained and taught for many years, the
views advocated in this work, and that, after the manuscript had been
sent to press, he had seen a copy of an abridged edition of the
elaborate Dictionnaire des Sciences Medicales, in which the doctrine of
dropsy, maintained in the larger work, is relinquished; whilst others
are given in their place, conformable, in the main, with those which it
is the object of his treatise to establish. Now it would appear, from
these expressions, that Dr. AYRE wishes to inculcate the idea, that the
English writers, whom he has cited, were the only ones who had published
anything valuable, and conformable to his doctrine; and that prior to
1823, the year of the publication of the Dictionary above mentioned, the
French entertained very different views of the pathology of the disease.
We think it our duty, however, to rectify our author in this respect,
and to show to our readers, that, even allowing full credit to Drs.
WELLS, BLACKALL, ABERCROMBIE, &c. for their researches into the nature
and treatment of dropsy, the American, French, and Italian pathologists
are entitled to a much larger share than is allowed to them in the
present work. A few references will be sufficient. Many years ago, our
celebrated RUSH taught, that general dropsies "depend on a certain
morbid excitement of the arteries;" and that hydrocephalus, "in its
first stage, is the effect of causes, which produce a less degree of
that morbid action in the brain which constitutes phrenitis." In 1812,
Dr. BRESCHET, of Paris, published an excellent dissertation on active
dropsies. In the early writings of BROUSSAIS, though more particularly
in the propositions prefixed to his _Examen_, the opinion is maintained,
that all active dropsies depend on irritability, either primary or
secondary, of the serous and cellular tissues,--a theory more closely
allied to Dr. A.'s, than all that is contained in the writings of Drs.
WELLS, PARRY, &c. But what, perhaps, is more to our purpose, Dr.
GEROMINI, of Cremona, published a work, in 1816, on the origin and cure
of dropsy, in which he compares the dropsical accumulation to that of
serum produced by the inflammation of a blister, or by fire; and in
which he also maintains, that a slight inflammation occasions a flow of
limpid serous fluid, whilst a higher degree gives rise to the formation
of pus. From these circumstances, he concludes, that the hydropic fluid,
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