I ask pardon of Sydenham, who defined fever to be “an effort of nature, laboring1 with all its power to expel the peccant matter.” We might thus define smallpox2, measles3, diarrh?a, vomitings, cutaneous eruptions4, and twenty other diseases. But, if this physician defined ill, he practised well. He cured, because he had experience, and he knew how to wait.
Boerhaave says, in his “Aphorisms”: “A more frequent opposition5, and an increased resistance about the capillary6 vessels7, give an absolute idea of an acute fever. These are the words of a great master; but he sets out with acknowledging that the nature of fever is profoundly hidden.
He does not tell us what that secret principle is which develops itself at regular periods in intermittent8 fever — what that internal poison is, which, after the lapse9 of a day, is renewed — where that flame is, which dies and revives at stated moments.
We know fairly well that we are liable to fever after excess, or in unseasonable weather. We know that quinine, judiciously10 administered, will cure it. This is quite enough; the how we do not know.
Every animal that does not perish suddenly dies by fever. The fever seems to be the inevitable11 effect of the fluids that compose the blood, or that which is in the place of blood. The structure of every animal proves to natural philosophers that it must, at all times, have enjoyed a very short life.
Theologians have held, as have promulgated12 other opinions. It is not for us to examine this question. The philosophers and physicians have been right in sensu humano, and the theologians, in sensu divino. It is said in Deuteronomy, xxviii, 22, that if the Jews do not serve the law they shall be smitten13 “with a consumption, and with a fever, and with an inflammation, and with an extreme burning.” It is only in Deuteronomy, and in Molière’s “Physician in Spite of Himself,” that people have been threatened with fever.
It seems impossible that fever should not be an accident natural to an animate14 body, in which so many fluids circulate; just as it is impossible for an animate body not to be crushed by the falling of a rock.
Blood makes life; it furnishes the viscera, the limbs, the skin, the very extremities15 of the hairs and nails with the fluids, the humors proper for them.
This blood, by which the animal has life, is formed by the chyle. During pregnancy16 this chyle is transmitted from the uterus to the child, and, after the child is born, the milk of the nurse produces this same chyle. The greater diversity of aliments it afterwards receives, the more the chyle is liable to be soured. This alone forming the blood, and this blood, composed of so many different humors so subject to corruption17, circulating through the whole human body more than five hundred and fifty times in twenty-four hours, with the rapidity of a torrent18, it is not only astonishing that fever is not more frequent, it is astonishing that man lives. In every articulation19, in every gland20, in every passage, there is danger of death; but there are also as many succors22 as there are dangers. Almost every membrane23 extends or contracts as occasion requires. All the veins24 have sluices25 which open and shut, giving passage to the blood and preventing a return, by which the machine would be destroyed. The blood, rushing through all these canals, purifies itself. It is a river that carries with it a thousand impurities26; it discharges itself by perspiration27, by transpiration28, by all the secretions29. Fever is itself a succor21; it is a rectification30 when it does not kill.
Man, by his reason, accelerates the cure by administering bitters, and, above all, by regimen. This reason is an oar31 with which he may row for some time on the sea of the world when disease does not swallow him up.
It is asked: How is it that nature has abandoned the animals, her work, to so many horrible diseases, almost always accompanied by fever? How and why is it that so many disorders32 exist with so much order, formation, and destruction everywhere, side by side? This is a difficulty that often gives me a fever, but I beg you will read the letters of Memmius. Then, perhaps, you will be inclined to suspect that the incomprehensible artificer of vegetables, animals, and worlds, having made all for the best, could not have made anything better.
点击收听单词发音
1 laboring | |
n.劳动,操劳v.努力争取(for)( labor的现在分词 );苦干;详细分析;(指引擎)缓慢而困难地运转 | |
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2 smallpox | |
n.天花 | |
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3 measles | |
n.麻疹,风疹,包虫病,痧子 | |
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4 eruptions | |
n.喷发,爆发( eruption的名词复数 ) | |
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5 opposition | |
n.反对,敌对 | |
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6 capillary | |
n.毛细血管;adj.毛细管道;毛状的 | |
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7 vessels | |
n.血管( vessel的名词复数 );船;容器;(具有特殊品质或接受特殊品质的)人 | |
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8 intermittent | |
adj.间歇的,断断续续的 | |
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9 lapse | |
n.过失,流逝,失效,抛弃信仰,间隔;vi.堕落,停止,失效,流逝;vt.使失效 | |
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10 judiciously | |
adv.明断地,明智而审慎地 | |
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11 inevitable | |
adj.不可避免的,必然发生的 | |
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12 promulgated | |
v.宣扬(某事物)( promulgate的过去式和过去分词 );传播;公布;颁布(法令、新法律等) | |
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13 smitten | |
猛打,重击,打击( smite的过去分词 ) | |
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14 animate | |
v.赋于生命,鼓励;adj.有生命的,有生气的 | |
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15 extremities | |
n.端点( extremity的名词复数 );尽头;手和足;极窘迫的境地 | |
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16 pregnancy | |
n.怀孕,怀孕期 | |
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17 corruption | |
n.腐败,堕落,贪污 | |
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18 torrent | |
n.激流,洪流;爆发,(话语等的)连发 | |
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19 articulation | |
n.(清楚的)发音;清晰度,咬合 | |
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20 gland | |
n.腺体,(机)密封压盖,填料盖 | |
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21 succor | |
n.援助,帮助;v.给予帮助 | |
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22 succors | |
n.救助,帮助(尤指需要时)( succor的名词复数 )v.给予帮助( succor的第三人称单数 ) | |
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23 membrane | |
n.薄膜,膜皮,羊皮纸 | |
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24 veins | |
n.纹理;矿脉( vein的名词复数 );静脉;叶脉;纹理 | |
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25 sluices | |
n.水闸( sluice的名词复数 );(用水闸控制的)水;有闸人工水道;漂洗处v.冲洗( sluice的第三人称单数 );(指水)喷涌而出;漂净;给…安装水闸 | |
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26 impurities | |
不纯( impurity的名词复数 ); 不洁; 淫秽; 杂质 | |
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27 perspiration | |
n.汗水;出汗 | |
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28 transpiration | |
n.蒸发 | |
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29 secretions | |
n.分泌(物)( secretion的名词复数 ) | |
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30 rectification | |
n. 改正, 改订, 矫正 | |
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31 oar | |
n.桨,橹,划手;v.划行 | |
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32 disorders | |
n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调 | |
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