Outline of a natural system of medical science : $b Forming the preliminary lectures to two courses: one on anatomy and physiology; the other on pathology and the practice of medicineWalker, Alexander
Science
Outline of a natural system of medical science : $b Forming the preliminary lectures to two courses: one on anatomy and physiology; the other on pathology and the practice of medicine
Walker, Alexander
Anatomy; Medicine; Pathology; Physiology
Certainly, in all diseases, the nervous functions must be affected; but
they may be affected through the vital or mechanical functions—by means,
for instance, of an aneurism or a fracture. A fracture or an aneurism,
however, have no existence as diseases under the Brownonian system. These
are whimsically, absurdly, termed stimuli; not diseases, but mere causes
of disease; and the attention of the physician is, upon the principles
of that hypothesis, ridiculously turned from the immediate disease to
others depending upon it, to the state of the nervous functions. And
for what purpose? Not, by their aid, as mere accessary and subordinate
considerations, which in this case they really are, to regulate the
disease of the mechanical or vital functions, from the very first the
most obvious, but in order to discover the very existence of any disease;
as if fracture or aneurism in themselves were not alarming diseases,
independently of their effects upon other parts of the system, as if the
injury done to the mechanical functions, to loco-motion, was less worthy
the name of disease than that done to the intellectual functions, to
nervous motion. Yet, in practice, the Brownonian, even supposing that
the nervous system were little or not at all affected, would instantly
abandon his hypothesis, and demonstrate its inapplicability, by recurring
to the injury of the mechanical functions, by setting the fractured limb,
or operating for the aneurism. In the first of these instances, indeed,
the primary disease, almost the only one worthy of consideration, is
the injury done to the mechanical functions, to loco-motion, which has
absolutely nothing to do with excitability or excitement.
It is not my view, however, intirely to exclude these systems, or to
depreciate their real value, but to show that they merely form portions
of a natural system. Still no system of the medical art can be perfect,
which does not consider the derangement of the mechanical, vital and
intellectual functions _distinctly_, and enable us to trace each disease
to the operation of its cause in the derangement of that particular
function, whether mechanical, vital, or intellectual, which was first
produced, and which led to the derangement of all the rest.
Public-domain text, read in full here on John Shaqi.
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