To a certain degree we can understand--and this contributes to an
explanation of matters--how medical science of our time has come
to regard so lightly the loss of appetite as a special object for
treatment. Now, however, the experimental method has penetrated more
and more into medical science, with the result that many pathological
factors and therapeutic agents are judged of according to whether they
hold good in the laboratory or not--that is to say, they are valued
only in so far as they can be verified by laboratory experiments.
Naturally we do not doubt that a movement in this direction indicates
a great advance, but even here, as with every undertaking of mankind,
things do not proceed without mistakes and exaggerations. We must not
consider an event to be a mere picture of the imagination because
it is not realisable under given experimental conditions. We often
do not know all the essential conditions for the production of the
phenomenon in question, nor are we yet able to grasp the connection
between all the separate functions of life as fully as may be desired.
Thus in the clinical treatment and pathology of digestion assistance
was sought for in the laboratory, but nothing was there met with which
had a relation to appetite, and consequently this factor was overlooked
in medical practice. As stated above, the psychic gastric juice
obtained only cursory mention in physiology, and this not even by all
authors; and when it was noticed it was related more as a curiosity.
Great importance was, on the other hand, assigned to the mechanical
stimulus, the efficiency of which, now that our knowledge is more
complete, has been shown to be purely imaginary. Each of the contending
factors has at length been assigned its proper place, and if clinical
medicine maintains her worthy desire of following out the experimental
investigation of her problems, she must in actual practice accord to
appetite its old claim for consideration and treatment.
Public-domain text, read in full here on John Shaqi.
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