For this very reason, however, Virchow's theoretical principle in its
most general form _could be neither confirmed nor refuted by
experience_. It would remain empirically irrefutable, so far as I can
see, even if we should learn that the devil was the true cause of all
diseases. For the devil himself would then simply predetermine the
_veränderte Bedingungen_ to which the diseased organism would be
reacting. Let bullets or bacteria, poisons or compressed air, or the
devil be the _Bedingungen_ to which a diseased organism reacts, the
postulate that Virchow states in the passage just quoted will remain
irrefutable, if only this postulate be interpreted to meet the case. For
the principle in question merely says that whatever entity it may be,
bullet, or poison, or devil, that affects the organism, the disease is
not that entity, but is the resulting alteration in the process of the
organism.
I insist, then, that this principle of Virchow's is no trial
supposition, no scientific hypothesis in the narrower sense--capable of
being submitted to precise empirical tests. It is, on the contrary, a
very precious _leading idea_, a theoretical interpretation of phenomena,
in the light of which observations are to be made--'a regulative
principle' of research. It is equivalent to a resolution to search for
those detailed connections which link the processes of disease to the
normal process of the organism. Such a search undertakes to find the
true unity, whatever that may prove to be, wherein the pathological and
the normal processes are linked. Now without some such leading idea, the
cellular pathology itself could never have been reached; because the
empirical facts in question would never have been observed. Hence this
principle of Virchow's was indispensable to the growth of his science.
Yet it was not a verifiable and not a refutable hypothesis. One value of
unverifiable and irrefutable hypotheses of this type lies, then, in the
sort of empirical inquiries which they initiate, inspire, organize and
guide. In these inquiries hypotheses in the narrower sense, that is,
trial propositions which are to be submitted to definite empirical
control, are indeed everywhere present. And the use of the other sort of
principles lies wholly in their application to experience. Yet without
what I have just proposed to call the 'leading ideas' of a science, that
is, its principles of an unverifiable and irrefutable character,
suggested, but not to be finally tested, by experience, the hypotheses
in the narrower sense would lack that guidance which, as M. Poincaré has
shown, the larger ideas of science give to empirical investigation.
V
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