Sèvres

“ Fevers were classed of old as putrid diseases, and any one who has witnessed the prompt decomposition and the foul emanations of fever stricken beings, whether human or brute, can readily understand that it was no very India rubber like stretch of the imagination that led our forefathers to confound contagion with putrescence. ”

“ You know what sickness is. We called it a disease. Very many of the diseases came from what we called germs. Remember that word—germs. A germ is a very small thing. It is like a woodtick, such as you find on the dogs in the spring of the year when they run in the forest. Only the germ is very small. It is so small that you cannot see it—”
Hoo-Hoo began to laugh.
“You’re a queer un, Granser, talking about things you can’t see. If you can’t see ’em, how do you know they are? That’s what I want to know. How do you know anything you can’t see?” ”

“ In respect to the sympathies of action, which produce or constitute fever with debility, the system may be divided into certain provinces, which are assentient or opposite to each other. First, the lacteals or absorbent vessels of the stomach, and upper part of the intestines; secondly, the lymphatics or all the other branches of the absorbent vessels, which arise from the skin, mucous membranes, cellular membranes, and the various glands. These two divisions act by reverse sympathy with each other in the hot fits of fever with debility, though by direct sympathy in the cold ones. ”

“ If the Seeds of the Fever, which are cast out in part from the Blood, by reason of their crude and indigested State, are uncapable of breathing through the Pores of the Skin, but are caught and entangled in the small Strainers which they are unapt to pass ”

“ For not only are many of the diseases which flesh is heir to, obscure in their causes, difficultly distinguishable by their symptoms, and altogether mysterious in their effect upon the system, but constitutions may be as different as tempers, and their varieties may be as many and as great as those of the human countenance. ”

“ By way of illustration and with reference to atmospheric influence—the grand exciting cause of disease,—every practitioner is familiar with certain conditions which are favourable to the production of certain disorders, such as common catarrh or cold, and its more aggravated form termed influenza,—hooping-cough, bowel affections, gastric fevers, &c. ”

“ For that redness of the cheek is but the sign of the fever which, after the Grecians, we do call the hectical; and that shining of the eyes is but a sickly glazing, and they which do every day get better and likewise thinner and weaker shall find that way leadeth to the church-yard gate. This is the malady which the ancients did call tubes, or the wasting disease, and some do name the consumption. A disease whereof most that fall ailing do perish. ”

“ When the body is thrown into disorder by an attack of fever, the first step to be taken is to clear the stomach and bowels of their crude and acrid contents, consisting either of the food imperfectly digested, or the depraved natural secretions. So great is the disturbance produced by such offending matter, that, when nature is freed from this embarrassment, the functions of the body are frequently by this alone restored to their proper exercise, and a remission produced. ”

“ What the physical and the physiological condition of the organs is, as contrasted with their condition in the state of health, has not yet been made out with regard either to fever or to inflammation: in the present state of our knowledge, therefore, we can neither affirm nor deny any thing respecting either the identity or the difference of that physical and physiological condition of the organs in these two classes of disease. ”

“ A lady ought to look well to the purity of her pump-water, and to ascertain that no drain either enters or percolates, or contaminates in any way whatever, the spring; if it should do so, disease, such as either cholera, or diarrhœa, or dysentery, or diphtheria, or scarlet fever, or gastric fever, will, one or the other, as a matter of course, ensue. ”

“ A careful examination of the parts, in the earlier stages of the disease, will, in most cases, lead to the detection of small and deep-seated collections of matter, which, upon being let out with a needle, or the point of a lancet, will cause the swelling and redness of the skin to disappear; and, if the fomentations of warm water, and frictions with mild soap and a soft brush be persevered in, along with plain diet, and abstinence from high-seasoned dishes, pickles, cayenne, mustard, and strong liquors, a cure may, in time, be effected. ”

“ Numerous maladies arising from various degrees and complications of disease in the lungs, heart, pleura, viscera of the abdomen and investing membrane, not belonging to fever, but adding to its evils, are found on examination after death, which often fully account for anomalous symptoms that aggravated the case during life. ”

“ Sometimes also fewer signs of a fever appear than the nature of the disease requires, from a translation of the malignant cause, either to the nervous system, or to some other parts of the body, or to some of the juices not contained in the blood ”

“ In some of these mixed cases, we see marks of irreparable destruction in this entire series of organs; and in every one we see extensive disease in all of them. Coupling, then, as we ought always to couple, these ascertainable and ascertained conditions of the organs in the fatal cases, with the symptoms of derangement manifested by these organs in all cases, whether fatal or not, a body of evidence presents itself, which appears to me to be irresistible, to justify the conclusion that the local seat of fever is at least coextensive with these organs. ”

“ I pass now to the consideration of the third class of causes which render medicine an uncertain science, viz., natural changes, arising from the tendency which exists in the system to throw off disease, appropriately called the vis medicatrix naturæ, or curative power of nature; and, in connection with this, the tendency to a definite limit, which is manifest in many diseases, as, for example, small pox, measles, hooping cough, scarlet fever, &c. ”

“ In like manner when the organs of the digestive apparatus form the strong hold of the disease, the morbid condition of the spinal cord and brain, and the altered action of the heart and arteries, may attract less notice; but that morbid condition will be not the less real, and will contribute its portion of disease to the general derangement of the system, not the less certainly because the indications of its existence may be less obtrusive. ”

“ The men who lived on small rations, and who were exposed to the cold of the night and of the early morning, must have suffered from fever, even as men do now, and diseases of the eyes must have been common, especially among those who did not possess head-cloths. ”

“ Wait till I get back to the hospital, and I will send a man with some for you. This man has fever. I have fever and ague. Is your throat dry? It is, constantly so. Don’t drink too much water. Take a little chicken broth. When the fever has gone it won’t be dry. Does he cough? At times he does, at times he doesn’t, Does he drink? I fancy he smokes opium. He may do so, (I can’t say) . He is a strong man. ”

“ In fevers they encourage their patients to eat, thinking it necessary, where the air is so subtile, to put something into the body for the distemper to feed upon; they bleed often, and in both arms, that the blood may be drawn forth equally ”

“ That it is concerned in preserving the health of the human body is likewise certain, if it be the fluid which acts in the nerves, as most probably it is. But whatever preserves health will also bring on disease, if it be applied to that purpose; and we have already seen that this fluid is capable of bringing on the most dreadful symptoms, viz. mortification in its highest stage, fever, convulsions, bilious discharges, lethargy, &c. ”

“ I say, I must be allowed to believe, that no one in this whole Nation ever sreceiv’d the Sickness or Infection, but who receiv’d it in the ordinary Way of Infection from some Body, or the Cloaths, or touch, or stench of some Body that was infected before. ”

“ In all the acute diseases of an organ there are always two orders of symptoms, the one relative to the affected organ, as are the cough, the pain in the side, the spitting of blood, the difficulty of respiration, &c. ”

“ In the departments of general medicine not as yet entirely appropriated by specialists it will suffice to mention scrofula, pleurisy and pneumonia, hemoptysis, empyema, phthisis, cardiac affections, diseases of the stomach, liver and spleen, diarrhoea and dysentery, intestinal worms, dropsy, jaundice, cancer, rheumatism and gout, small-pox, measles, leprosy and hydrophobia, all of which claim more or less attention. ”

“ That disease is a derangement of functions interrupting their natural action, and carrying attendant pain as its indication, could not enter the head of the uncivilised: and, indeed, among ourselves a cold or a fever is commonly thought of as an entity in the body which has stolen in, and, having been caught, must be somehow expelled. ”

“ In laying before the reader the pathology of the solids, as far as it is yet ascertained, it is my most anxious wish to enable him constantly to make for himself, as he proceeds, the association between the morbid appearances that are found after death, and the symptoms that were present during life. For this reason every case that is adduced to illustrate any morbid change is preceded by a brief account of the symptoms that were observed, day by day, at the bed-side of the patient. ”

“ We have learned that so-called acute diseases are Nature's cleansing and healing efforts. All acute reactions represent increased activity of vital force, resulting in feverish and inflammatory conditions, accompanied by pain, redness, swelling, high temperature, rapid pulse, catarrhal discharges, skin eruptions, boils, ulcers, etc. ”

“ In the days of the lancet, roots and herbs, of bleedings and sweatings, of fevers without water for parched tongues, throats, and stomachs, Nature had no part in the cure of disease in the professional or lay mind, except in rare in{113}stances in which there were those specially gifted with insight as well as eyesight. ”

“ Physic has taught me by his dissections that these symptoms may exist without the least inflammation in the stomach, and that they have been absent where the stomach has appeared after death to have been highly inflamed.
“The cure of the fever should not rest upon a single dose of the medicine. ”

“ When these associations of motion are disturbed by the too great or too small stimulus of the food taken into the stomach, or by the too great excess or deprivation of heat, or by indigestible substances, or by torpor or orgasm occasioned by their association with other parts, various diseases are induced under the names of apepsia, hypochondriasis, hysteria, diarrhœa, cholera, ileus, nephritis, fever. ”

“ Fevers occurring every fourth day are cured easily by suddenly startling the unprepared patients, and by means of herbs producing effects opposite to the humors of this fever. All these secrets they told me in opposition to their own wishes. They take more diligent pains to cure the lasting fevers, which they fear more, and they strive to counteract these by the observation of stars and of plants, and by prayers to God. Fevers recurring every fifth, sixth, eighth or more days, you never find whenever heavy humors are wanting. ”

“ What I have been saying leads to important consequences, as it respects those acute or chronic diseases that are local; for those, which like most fevers, affect almost simultaneously every part, cannot be much elucidated by the anatomy of systems. ”

“ By all sorts of acute reactions, such as skin eruptions, diarrheas, feverish, inflammatory and catarrhal conditions, boils, abscesses, mucopurulent discharges, etc., Nature now endeavors to remove the latent, chronic disease taints from the system. ”

“ In those cases of fever where the bowels are loose, and the mind is disordered, the greater number of patients pick the wool from their blankets, scratch their noses, answer briefly when questions are put to them, but, when left to themselves, utter nothing that is rational. ”

“ These organs of elimination become overcrowded with the rush of morbid matter and the accompanying congestion and irritation cause the acute inflammatory processes and feverish symptoms characterizing the various forms of colds, catarrhs, skin eruptions, diarrheas, boils and other acute forms of elimination, which we call healing crises. In other words, what the "Old School" of medicine calls the disease, we look upon as the Cure. ”

“ And when one particular portion of the body, an organ, is principally affected, when the disease has there manifested itself, as we say, shall we be far wrong in saying that it is a kind of crisis? It would be just what happens, only more evidently, in those fevers which terminate in a critical abscess. ”

“ When one watches for symptoms, every organ in the body is ready to put in its claim. By and by a real illness attacked him, and the box of little pellets was shut up, to minister to his fancied evils no longer. ”

“ Of all the diseases that have ever appeared which can in any way be compared to the English Sweating Sickness, we have principally three to look back upon—the cardiac disease of the ancients, the Picardy sweat, and the sweating fever of Rötingen. ”

“ The parts of the body are so connected with one another, that the disease of one may show itself in another; or it may affect the whole body in such a manner as to produce a general disease; though Dr. Rush considers this last, at least from injuries of the viscera, as a rare occurrence;55 but we certainly know that general diseases are very often followed by evident diseases of particular organs ”