A doctor attempts a case of catarrh. He opens the nostril with his
speculum, turns in a strong light, takes a long, careful look, then
examines, perhaps with a microscope, some of the fluid which the
patient blows out of his nose, and then the doctor says, "Ahem!
ahem! this is a case of sick nose. It is a case of nasal catarrh.
The pituitary membrane is congested, and is secreting a morbid
mucus. Ahem! you really should have called upon me before."
Then the doctor proceeds to inject various stimulating caustic
fluids into the nostrils. He gives a snuff. He introduces a crooked
tube into the man's mouth, and turns the end up back of his palate,
and, getting into the back opening of the nostrils, he blows in
certain medicated powders. The nose is better at once, the treatment
is continued, the patient is soon cured; with the first cold or
stomach derangement the symptoms return, the second cure is more
difficult, the third is very difficult, and then the patient goes to
another doctor, who tells him he is very sorry that he has been so
quacked, but he will make a sure cure this time. He goes through
with the same performance, with similar results. The patient now
abandons hope, and goes snuffling about, to the great discomfort of
himself and friends. In just this way a hundred maladies are
treated,--an inflamed eye, a noise in the ear, a rheumatic knee, a
gouty toe, a pain in the liver or spine, a sore throat, and so on
through the whole list. The doctor finds the sick place, and then
proceeds to attack it.
The idea that the disease is in a certain part of the system, and
that the artillery must be directed to that precise spot, is not
only common among the doctors, but is so plausible that the people
all adopt it. This is the fundamental misapprehension underlying the
disastrous failure in medicine.
The catarrh is not of the nose, but of the man, showing itself in
the nose. The bronchitis is not a disease of the throat, but of the
man, showing itself in the throat. The sore eye is not a disease of
the eye, but of the man, showing itself in the eye.
A local disease is impossible. The organism is one and not many.
Even a gun-shot wound is not a local trouble. Suppose a man's little
finger is shot away. The man is not in the condition of a table with
a corner shot off; he is not even in the condition of a steam engine
with a valve or screw destroyed. Neither approaches the case of the
man with the maimed hand. The table is, except the small point
touched by the bullet, exactly as before. Feel of it. There is no
unusual warmth, no trembling, no sympathy with the wounded corner.
In fact, the table is quite well, thank you, except where it was
hit. Now examine the man with the hurt finger. Look at his face. How
pale and excited. Feel his pulse. It is 120 instead of 75. The skin
of his toes is in a peculiar condition. What is the matter with this
man's toes? They are suffering from a wound in his little finger.
Public-domain text, read in full here on John Shaqi.
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