DISEASE. 
ther inftances, fome local diforder, which excites the morbid 
ation in the fyftem at large, by a general fympathy. See Clut- 
terbuck’s Bingo n Fevers, 1 1807. For are purpofes, 
however, it is proper to difinguifh thofe morbid appear- 
ances, which are conne€ted with fome eae cata diforder, 
; becau fe the remedies of 
‘tution at large, by the ftomach, the cutaneous abforbents, 
‘ec. to tre difeafed parts; while thofe of the laf muft be 
sae immediately to the parte themfelves, Thus the 
utansous eruptions, in {yphiiis, require the ttate of 
continiion to be ae 'y change a art 
hey can be cured ; tho inch, 
removed only by mee topical applications ; a ere 
_ coe are of noa 
h 
difin@ions of eae fuch as corporeal — 
ocher 
and mental ‘nfammatory, fpa(modic, &c. fee 
INFL or the diagsoftics of the parti-- 
MAT 
pee Gectinstin of dileate, {ee the generic cs a 
ively. 
which it ek Lab ap- 
Theres is another diftin@ion, 
0 of feigned 
ene : ane ee 
ere 
public hofpitals, and other charitable inftitutions, impofitions 
ef this fort are but too commonly attempted. ‘The onl 
means of difcrimination are to be found in te incongruity of 
the defcriptions, or of the fymptoms which the patient ex- 
hibits, with the appearang:s obferved by the practitioner. 
“Thus, if the functions of the ftomach go on well, if the 
fleep is good, if the pulle is calm, and the tongue without 
fur, it would a obvious in Soe that no very acute fymp- 
toms could ¢ 
cafes, ates at a and convuifive fits, are doubtlefs 
often feigned, ifter purpofes : cataleply, as authors 
have defcribed i ae was believed by Dr. Cullen to be alwaysa 
curious a ahi might be formed of the 
iftor eptions of this kind; and of the difeafes ac- 
tually infli@ied by individuals upon themfelves, for which they 
have see = medical aid, in hofpitals, &c. and costinued 
to keep u iforders, to the great perplexity of their 
phyfictans, at their deceptions were detetted by accident. 
ne woman was actually expofed on the table before the 
ftudents of a large hofpital in London, preparatory to the 
the extraordinary deception was deteCted; a hard 
being difcovered to have been artificially introduced into the 
erous and various, however, as are the real diforders, to 
which the ay a is expofed, it 1s not deftitu 
of hope, or of the m of a reltoration of health, ae 
difeafe ee once iieded ss t is happily poffeffed of an 
internal power, which preferves i it fon the ill effets of many 
of a rational agent. e term, in fa&t, merely implies a dif+ 
Lilia in the conftitution to recover from its difeafes : -and 
“Voi 
it mult be obvious, that, if fuch ad! Fool ition did not extit, it 
would be vain to attempt to cure them by medicine. ae al 
that medicine, of the moft ative powers, can effet, is to 
excite, to direct, and to ieee ae difpofition. Medicine 
has no influence on the ody; and, ufed co wee to 
the natural efforts of the contitution, is of no avail, 
force of this difpofition wounds » hemorrhages are lap. 
an 
wife beyond the reach of art, difappear {pontaneoufly, with- 
out ee external affitance. It is, therefore, of the highef 
obfe 
importance to ve minutely the powers of the conttitu- 
tion, ser the tendency of their operation ; that, in the 
ifeafes, we may fi hem, wt o languid, or, 
att. Much of the recent improvements in the 
confifis in having exploded.many of the abfurd interferences 
with the proceffes of nature in the conftitution ; and in man 
difeafes, efcecially of the febrile kind, when no organ of the 
body is particularly fuffering, the principal bufinefs of the 
phyfician is to watch the progrefs of the natural efforts, to 
prevent all unncceffary interference, and to be active only 
when the vital organs are likely to fuffer. 
The actions of the conftitution, however, are not always to 
be confided in as falutary; fometimes they are too weak to 
be ufeful; at other times they are vehement, and exceflive, 
infomuch that more mifchief is to be apprehended from their 
continuance, than from the difeafe itfelE. 
eeaaae a phate as they tend the more certainly to gane 
grene, or to fuppuration, which, in the internal organs, is 
> fcarcely lefs fatal. 
t is neceffary, therefore, to be on our guard againft a 
double error; and neither to negle& the efforts of natuie too 
ot obvioufly, fo 
crete: to follow ie ye ee clofely, that it is often re- 
a to purfue a con 
tions of the conftitution by all p offibie meafures. i 
ce profifion of fubftances in eens, which have extentive 
powers o ee man economy, and produce various an 
» by the faga- 
city of the phyfician, into the moft ufeful auxiliaries in‘ his 
art; fince — Nera! ftimulates the animal frame, may 
be, under of a onan ager the caufe of death, 
and, — aioe. ae beft: re Such are, in faét, the 
powers of the moft valuable elena, as opium, mercury, 
the incl ac a &e. 
£xperience, then, guided by a knowledge of the nee 
and tendencies of difeafe, muft teach us when to look o 
quiet | dai when to aid, and when to veftrain hea mor- 
bid efforts of the conftitution:; The pbyfician, paar 
es 
conftitutes the art of Tuerareutics; which fee. 
any wsiters of underitanding have affected to defpite 
the art of curing difeafes, confidering it as built — 
5C upor 
