Medical Essays

第16章

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第16章

Medical Essays 佚名

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Medical Essays
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  Andif,likecontagion,theywerenotpalpabletothesenses,suchapersonmightgoontoaffirmthatnoproofexistedoftherebeinganysuchthingasmusket-balls。“NowletthestudentturnbacktothechapteronHydrophobiainthesamevolume。HewillfindthatJohnHunterknewacaseinwhich,oftwenty-onepersonsbitten,onlyonediedofthedisease。HewillfindthatonedogatCharentonwasbittenatdifferenttimesbythirtydifferentmaddogs,andoutliveditall。Istherenosuchthing,then,ashydrophobia?Wouldonetakenoespecialprecautionsifhiswife,abouttobecomeamother,hadbeenbittenbyarabidanimal,becausesomanyescape?Orlethimlookat“UnderwoodonDiseasesofChildren,“[Philadelphia,1842,p。244,note。]andhewillfindthecaseofayoungwomanwhowasinoculatedeighttimesinthirtydays,atthesametimeattendingseveralchildrenwithsmallpox,andyetwasnotinfected。Butsevenweeksafterwardsshetookthediseaseanddied。

  Itwouldseemasiftheforceofthisargumentcouldhardlyfailtobeseen,ifitweregrantedthateveryoneoftheseseriesofcasesweresoreportedastoprovethattherecouldhavebeennotransferofdisease。Thereisnotoneofthemsoreported,intheLectureortheLetter,astoprovethatthediseasemaynothavebeencarriedbythepractitioner。Istronglysuspectthatitwassocarriedinsomeofthesecases,butfromthecharacteroftheveryimperfectevidencethequestioncanneverbesettledwithoutfurtherdisclosures。

  AlthoughtheLetteris,asIhaveimplied,principallytakenupwithsecondaryandcollateralquestions,andmightthereforebesetasideasinthemainirrelevant,Iamwilling,forthestudent’ssake,totouchsomeofthesequestionsbriefly,asanillustrationofitslogicalcharacter。

  Thefirstthingtobedone,asIthoughtwhenIwrotemyEssay,wastothrowoutalldiscussionsofthewordcontagion,andthisIdideffectuallybythecarefulwordingofmystatementofthesubjecttobediscussed。Myobjectwasnottosettletheetymologyordefinitionofaword,buttoshowthatwomenhadoftendiedinchildbed,poisonedinsomewaybytheirmedicalattendants。Ontheotherpoint,I,atleast,havenocontroversywithanybody,andI

  thinkthestudentwilldowelltoavoiditinthisconnection。IfI

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