1000000031

1\I

E D

fing rrom any part's betng removed from iu proper

firuJli on, and c;tuGng;\ tumor. This arder contaios

genera.

vi::. !.

Hernia;

Prola.pfus ; 3. Lux·

afio.

O RDE R

VII. DI.\LYSEs: eOlllprchendingulcers, and

;\11 kinds of wouods. T hís

ordu

contains 7 genera,

tJjz.

Vnlnus

2 .

Vlcus; 3. H erpes ; 4. Tinca;

5 . prora; 6. Fraélura; 7. Carie•.

is ne.:cllers to

eoter

imo an

eX30lination

of the

pro–

pricty

01'

impropriety of [his o r any of the other mudes

'~f

dllhibution. Every une of lhem are defeétive in many

.particulars . Sauvage, Vogel, Linn:eus, Dr Cullen. hav.e

e ilch adopted peculiar theories of particular diCeafes .

Thef\! theorics connitute [he balis of their different claffi·

6cations.

A~perronJ

therefore, who is nal previou!ly ac–

quaintcd with theCe theories will naturally be (urpriféd to

1ind fome direaCes arranged under cenain cJalfes and or–

ders. For

~xample,

who would expeet lO find a diarrhcea

ranked und<r che cl. rs of N eurofes, and in .he order of

SpaCmi, wi thoul knowning Dr C ullen's pa.liil'i'!'ular theory

concerninc:

,he

c3uCe of that diCeare? The geoeric cha–

-nélers of nlany direafes will likewire be .o.ally unineelli·

g ble lO fueh a p:rron.

Ho rer, notwithllanJ ing theCe defe8.s arifing from

tbe theorcticll dHlTibution of direares,

WI!

cannot hefi tate

moment in preferring even abad method of clafTing to

none at all. Everyattempt towards a j ull and natural

arrangement of diCl!afes is laudable, and has a direa len–

d eney

introduce fcience into the medical art ;

a D

obje:ét

gready eo be wifhed for, but whieh llill .ppears

be very

dillant. There

1S,

however, a danger attending attemplS

of chis kind which dererves tO be

poin.ed

ou•. In every ar'

·,vhich is no' fouoded upon known faas and ellablilhed

principie., new projeéls are eagerly grarped at; and, though

.hey lead

error and ralfe rea(oning, it i. long before

the profeJTors o[ that art can be induced to give over the

'Purfuie. This obfervation is peculiarly applieable to me–

dicine. The .heories of d ifeafes, as weH as the mode of

;preCcription, are as variable as the faOlions of a lady's head–

drefs. No other argument is nece(fary tO fhew the crucle

/lace of the art, and che boundlefs

6.ld

fo r iniprovement.

NolV, the great danger arilin;: from .he cl,Oing of dif·

e.res is this

:-lt

wiH divide

phyfici.ns

, in the

Grl!

place,

into [wo great plrties! the one party

\ViII

fpend much time

aod genius in Ihewing the ufeleffners of claffing in general,

aod partieularly in the prefeot imperfe(t: Hate of the

3rt;

rhe other

wiII

imitate ,heir example

defending with e–

<tual keenner. . Nay. whae is llill worr., every proreffor

·belooging tO this lal! parey, ber.des rpendi ng mueh eime tO

lillle purporc in jullifying elaOiGcaeion in general, will

conCume

Oill

mOre time in critieifms upon every other

mode of elaning bcfid<s che one he chufes to adopto NolV,

t his

file about cI.\ffifie3tion among lhe teachers of

me–

dicine.

will

natural ly Icad the minds of unexperienced

íludent!

conclune, chat lhe whote reience confills in a

particular

arr.log:ment of difc:afcs, and that tbey eannot

make a more proper dirplay of their medi,,1 koolVl<dge,

1han

dífcoveriqg

Olo

acquaiotanet! with 311 Ihe varíous

methods of d:affification, and an aeuteneCs in criticilinJ; all

1he other rntthods but that particular one which he has

boco e.ught lO bclievc al iorallib!c.

H aving thus givcn a Ihort accotlnt of lhe anglO andO

prefene II."e of phylic, we n,.lInolV p,oceed eo lhe hillory

and tre:\tillcnt of direares.

FevERs

in gemra /.

HOFrlo1AN dc:fi nes a rever to be,

A fpafmodíc afF!c–

" tion of the whole! nervous and varcu/ ..r lyClem . annuy–

ing .11 the funélions of che body, ariling from any

,.., caufe

which

has power

to irritate lhe ncrvous pans tO

more' intenfe contraétion; and when it opera

tes,

:lrives 'the vital fluids

from

the outward pan s tO the

hean tlnd great velfels; and afterwards. when the

fy-

u fiale of

the

heart and arteries 'are increafed, they are

drove back Wilh rapidieyand heat, throlJgh lhe coo-

firiac::d velfels,

lhe outward parts

again.

till'

tbe

fparms being rel..xed,

the

feeretioDs

are p:rformed,

and

the fever vaoirhes."

The

formal

fundamental caufe

of a

rever eonfins

che rpafmodie affeélion of che whole nervous and fibrous

genus. This plainly app.ars rrom che uru_1 ph",nomena

of a fever,

tJiz.

a paio in the back, more particuJarly a.

bout

the loios;

eoldnefs,

efpecial1y

of .he extreme parts ;

a..vering,

fhaking,

trembling ;

a livid

coJour of the

nails; a fu bfidence of che

~effels

of the hands .nd fe.. ; a

lhrunk, dry fkin; a

yawOIog ;

a firetehing ; a pale, livid

coilntenance;

trembling and palpitating motian of the

~eart;

;:tn anxiety

of the prre.cordia, diffieult brcathing,

in'lui..ud"e, relU<fli,efs; a renfation of an ebullieion of the

blood aboue ,he heare; a contnéled, IVeak, fm all pulf .. ;

a naufea. and an inclinatioo to vomit; a fuppreflion of per–

fpiration; cofiivencfs, with thin watery

uriAc.

H ence

ir naturally follóws, that whatever has a power

tO irTitate and folicit

the

nervous and vafcular fyHem

fp.rms, is mol!likely

general< a fever. To chis clafs

belong violent paffions of che mind, erpecially tenor and

anger ;

poiConous, fubtle, eaul1ic matter, either bred

withi n che body, or received by infeélion; a lloppage of

perfpiration; a fuppreffion of critieal fweau; eruptions

driveD baek; 3n abundanee of purulent ulcerou! matter

adhering to variou5 pans; aliments lOO acrid aDd fharp;

corrupt and bilious cTudities lodged

Ihe prima: via: ;

exec!ffive watching; a violeDt pain and tent\on of lhe ner–

vous pan s ; ioflammalions, tumours, and abfedfes ; hurt–

ing the nervous

pan

s by Olarp in!lruments ; aerid and eor–

rofive drugs; cold baths, and, on the cODlrary. thofe

that are too hot or allringent.

Aecording tO the different Dature of [hefe eaufes, and

the vanous manDer of affeéting Ihe nerves, arife levers of

d ivers kiods. Sorne: are benign, otbers malignant; fome

are intermitting, others continual; fome are limpie,

thers compound; otbers regular or anomíllous ; eruptive,

fponed, putrid, heétic, or flo\V. Some admít of aD eafy

cure, others a difficuh; Come foon terminate, others are

protraéled , long lime; and many hurry the paeien, fud–

denly OUl of the world.

Yet, cvery frequcnt fyfiole of the heart Olnd arteries

dircoverable by ch. pulre ought nOl to be called a [tver.

For theCe may often arife from violent bodily exercife ;

or,

from a eommotion in the blood cOlufed by hot and

fpi rituous liquon . That only wlaich ariCe' from internal

e"ures,

aDd

is preceded

ihj'l:riog. fi:aking, and cold-

nef.