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
Thus, no one disease, properly so called, can, with the slightest truth,
be said to fall under three different classes, as inflammatory and
suppurative phthysis, which are even commonly reckoned distinct stages,
or as fracture, inflammation, &c. which are essentially different in
their nature and may actually be combined in every possible form. Thus
it can serve no useful purpose to reckon them one disease, while it
destroys every natural arrangement and all the invaluable consequences
dependent on it, and absolutely leads first to confusion, next to false
reasoning and then to the most fatal errors in actual practice.
Although, however, nosology must thus, in any thing like a natural
arrangement, be fixed most accurately upon the basis of physiology,
the classification of every disease may be derived from the particular
derangement of that individual function which occasions the derangement
of all the rest, and not from the derangement of all the three functions
which would render names uselessly complex.—I say uselessly, because, as
the whole of any one disease, commonly so termed, is primarily dependent
on the derangement of one function, so health is to be recovered chiefly
by the restoration of that function, and the mode of cure is chiefly
indicated by the name of genus under which the disease is _primarily_
arranged. This last is one of the most important consequences of such a
system.
If, however, the names of diseases and their classification are not thus
made dependent most strictly on each specific change from the healthy
state described in physiology, they are at once arbitrary and unnatural;
the pathology and nosology of which they constitute a part, have not
their foundation in physiology, nor is the practice constructed upon them
indicated by the reasonings it delivers.
To reckon a series of occurrences which entirely differ in their nature,
consequences and mode of cure, as one disease, may serve the purposes of
common language, but by no means those of medical science and medical
arrangement.
In considering the natural arrangement of medical science exhibited
above, it will be particularly necessary to avoid substituting the term
“organ” for “function.” The term “diseases of organs” expresses merely
the seats of disease, whilst the term “diseases of functions” expresses
their nature. Nevertheless a reference may also be made to the various
organs, as it is evident that there may be disease of the vital or
any other function in a mechanical organ. Thus a tumour in a bone is
a disease of secretion, or an ulcer in a similar situation a disease
of absorption; both being orders of the class—Diseases of the vital
functions.
Public-domain text, read in full here on John Shaqi.
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