The modern science of pathology is usually regarded as dating from the
earlier researches of Virchow, whose 'Cellular Pathology' was the
outcome of a very careful and elaborate induction. Virchow, himself,
felt a strong aversion to mere speculation. He endeavored to keep close
to observation, and to relieve medical science from the control of
fantastic theories, such as those of the _Naturphilosophen_ had been.
Yet Virchow's researches were, as early as 1847, or still earlier,
already under the guidance of a theoretical presupposition which he
himself states as follows: "We have learned to recognize," he says,
"that diseases are not autonomous organisms, that they are no entities
that have entered into the body, that they are no parasites which take
root in the body, but _that they merely show us the course of the vital
processes under altered conditions_" ('dasz sie nur Ablauf der
Lebenserscheinungen unter veränderten Bedingungen darstellen').
The enormous importance of this theoretical presupposition for all the
early successes of modern pathological investigation is generally
recognized by the experts. I do not doubt this opinion. It appears to be
a commonplace of the history of this science. But in Virchow's later
years this very presupposition seemed to some of his contemporaries to
be called in question by the successes of recent bacteriology. The
question arose whether the theoretical foundations of Virchow's
pathology had not been set aside. And in fact the theory of the
parasitical origin of a vast number of diseased conditions has indeed
come upon an empirical basis to be generally recognized. Yet to the end
of his own career Virchow stoutly maintained that in all its essential
significance his own fundamental principle remained quite untouched by
the newer discoveries. And, as a fact, this view could indeed be
maintained. For if diseases proved to be the consequences of the
presence of parasites, the diseases themselves, so far as they belonged
to the diseased organism, were still not the parasites, but were, as
before, the reaction of the organism to the _veränderte Bedingungen_
which the presence of the parasites entailed. So Virchow could well
insist. And if the famous principle in question is only stated with
sufficient generality, it amounts simply to saying that if a disease
involves a change in an organism, and if this change is subject to law
at all, then the nature of the organism and the reaction of the organism
to whatever it is which causes the disease must be understood in case
the disease is to be understood.
Public-domain text, read in full here on John Shaqi.
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