Popular Lectures on Zoonomia: Or The Laws of Animal Life, in Health and DiseaseGarnett, Thomas
Science
Popular Lectures on Zoonomia: Or The Laws of Animal Life, in Health and Disease
Garnett, Thomas
Physiology
There is a state however between perfect health and disease, which is
called predisposition; and in which, though the functions are
undisturbed, the slightest cause will bring on disease. Strictly
speaking, there is perhaps only one point, or one degree of
excitement, at which the health is perfect: the first alterations
from this point, on either side, are scarcely perceptible, but if the
morbid causes be continued, the functions will become gradually more
and more disturbed, till at last they become so uneasy or painful
that they are termed disease.
In order to render what has been said still more plain, it may be
proper to make use of an illustration by means of numbers: we must
recollect however that it is merely for the sake of illustration, for
we have not data to enable us to reduce either the excitability, or
excitement, or stimulus, to numerical calculation; if we could do
this, the science of medicine would be perfect, and we could cure
diseases as easily as we could perform any chemical or philosophical
experiment. A very principal object however is to understand the
nature of predisposition, and the kind of diathesis, whether sthenic
or asthenic, to which it inclines: this not only throws light on the
nature of the disease, but affords us the only means of preventing
it. When a slight uneasiness or predisposition is felt, it is almost
impossible to say from our feelings whether it leads to a sthenic or
an asthenic state: here we must be guided chiefly by the exciting
powers. If we find that these have acted too powerfully; that is, if
we have lived freely, been exposed to heat, and perhaps indulged in
some of the unnatural stimuli, such as wine and spirits; and
particularly if we previously to the present time perceived the
functions to go on with more vigour, our spirits and strength
greater, before we experienced the slight disturbance of which we
complain, we are verging towards sthenic or inflammatory disease, and
therefore to prevent the disease we ought immediately to diminish the
action of the exciting powers; the quantity of food ought to be
diminished, wine and other liquors abstained from, heat carefully
avoided; and even the quantity of blood in the circulating system
diminished, if the habit is full and the pulse strong.
On the contrary, if the exciting powers have acted more feebly than
is natural; that is, if we have lived on a less nourishing diet, or
have taken it in less quantity; if we have been long exposed to cold,
without alternating with heat, and other debilitating causes; and if
at the same time we find the vigour of the functions diminished,
though they are not yet become much disturbed, we are verging towards
asthenic disease. To prevent which, we must take a more nutritious
diet, and join a portion of wine, and perhaps take some tonic
medicines. This however ought to be done gradually, for fear of
exhausting the excitability, which in these cases is morbidly
accumulated.
Public-domain text, read in full here on John Shaqi.
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