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 — John Shaqi
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
Disease may thus properly be defined, any change of the healthy state
and healthy function of parts. If any one urge, that disease implies
the action, not the state of parts, I grant it; but must observe that
_change_ of state is action, and change of healthy state is evidently
morbid action or disease, whether it arises from within or without,
whether suddenly from external and accidental causes, or more slowly
within the body and in dependence upon other previous derangement.
Indeed to trace any disease back through previous derangement is actually
to trace out other diseases, and to define any disease from others
thus traced out, is to abandon those distinctions which separate the
termination of one disease from the commencement of another.
If any one still assert, that disease is not change of the state but
change of the action of parts, and urge that those accidents which
depend on external causes, as fracture, considered in themselves, are
not disease, I should say, were this even proved, it could only affect
my arrangement by giving the term injuries, instead of diseases, to the
first class. As, however, it seems to me that they may justly be named
diseases, and that practically considered they are precisely the same,
I shall retain that term. Thus, we shall have a fairer view of the
interesting analogies which, as will be seen, exist between the animal,
vegetable and mineral worlds.
Now, if disease consist in change of function, different diseases must
either consist in different changes of the _same_ function or in the
changes of _different_ functions; the former, viz. different changes of
the _same_ function, as being a more minute division, making evidently
the genera which are subordinate; the latter, viz. changes of different
functions, as being more general, forming the orders which include these
genera.
From the inspection of the table, and a consideration of the nature of
disease, it will appear, that whatever is commonly reckoned one disease,
is generally, perhaps always, three; thus fracture is always accompanied
by inflammation and pain; and while the simple fracture is a disease
of diminished support, the inflammation caused by it is a disease of
increased circulation, and the pain caused by it a disease of increased
impression.
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