CHAPTER IX.

NATURE AND CAUSES OF EPIDEMIC PESTILENCES.

We have abundant reason for the belief that nothing is fortuitous; but,

on the contrary, that everything in this world of ours is the effect

of design; all things around us bearing evident stamp of the skill and

beneficence of its Omnipotent Author.

“Thus at thy potent nod, EFFECT and CAUSE

Walk hand in hand accordant to thy Laws;

Rise at Volition’s call; in groups combined,

Amuse, delight, instruct, and serve mankind.”

The histories of epidemic pestilences or diseases--because of the vast

numbers of persons on whom they seize at one and the same time, and

also because of their intensity and destructiveness,--are not only of

greater importance to mankind than are the generality of maladies,

but they are also of deep interest in as far as concerns questions of

pathology. Epidemics are also exceedingly interesting in a physical and

moral point of view,--their histories, and the investigation of their

causes, leading to an insight into the organism of the world, in which

the sum of organic life is subjected to the greater powers of nature;

for it would appear, as far as human knowledge extends, that all

organized bodies, from a variety of causes as dissimilar as they are

complicated and numerous, are more or less susceptible of change and

decay. Thus we see disease assail and carry off mankind at all times

and in all regions: murrain is destructive of dumb animals, while

blight spares not the vegetable kingdom, from the sturdiest oak to the

most diminutive herbage; in fine, all nature is subjected, in various

degrees, to the devastating tendency of the elements in their general

evolutions in the mundane economy, based on immutable laws, arising

from original and supreme provision:

“Wonder-working hand,

---- in majestic silence sways at will

The mighty movements of unbounded nature.”

Considering that epidemic pestilences or diseases have been from time

immemorial more destructive of mankind than all other maladies, or than

even famine and the sword combined, it is somewhat surprising that a

comprehensive and efficient investigation of such an important class of

diseases, founded on enlarged and scientific views, has never yet been

made,--in fact, has scarcely ever been attempted. Such apathy to minute

enquiry into the nature and causes of epidemics, and the indifference

evinced to every-day occurrences, so much attended to by the ancients,

is culpable in the extreme; for nothing can be more injurious to the

cause of truth, or tend more to retard scientific pursuits, than

such disregard of the nature of things, for daily experience alone

is sufficient to show that every effect in the physical world has

an antecedent cause, which is at all times open to experiment and

investigation, and which, however obscure at first, may often be

explained and understood by means of close observation and steady

perseverance in our researches.

Epidemics are acute diseases which run through their stages with

rapidity, consequently making it absolutely necessary that we should be

prepared not only to relieve those attacked with promptitude, but, if

possible, to prevent others being affected, which can only be done by

attending to the results of an unprejudiced investigation concerning

all that is known of the laws by which they are governed--the causes

whence they arise, and their mode of extension.

To the ancients, who were accurate observers of nature and of nature’s

laws, we are indebted for much valuable information as regards the

universal distempers termed Epidemic Pestilences,[2] and although

amongst their writings we may not at first sight recognize many

diseases according to our modern nomenclature, nevertheless by careful

perusal and investigation we shall be enabled to identify some of them

sufficiently to show the wisdom and the superiority of the arrangements

of our predecessors, when compared with the confusion and worse than

uselessness of many of the nosological distinctions and classifications

made since the days of Hippocrates, tending, as they do, not only to

divert us from the true character of disease, but also to mislead us in

our practical views.

The records of antiquity show that all kinds of pestilences, including

febrile diseases, have been known under various appellations from

the earliest ages of the world. From the beginning of the Jewish

nation,--from the first settlement of the Israelites in unhealthy Egypt

to the present day, we find noticed a series of plagues or pestilences

overspreading the various parts of the habitable globe, and destroying

millions of the human species; and if we refer to the histories of

ancient nations, as well as to the modern annals of medicine, we shall

find therein recorded the same character of diseases, arising from

like causes, occurring during similar seasons, happening in similar

localities, and marked pretty generally by the same circumstances.

The assumption, therefore, of the existence of any new disease, as

propounded by some modern authorities, would represent the Divine Power

as dispensing with the laws of nature,--in short, would imply nothing

less than the suspension or alteration of the operation of those laws

which the Almighty in his wisdom imposed on nature at the creation;

“By whose almighty word

They all from nothing came;

And all shall last

From changes free;

His firm decree

Stands ever fast;”--

--laws which the pious Psalmist of Israel in his contemplations on the

divine goodness and greatness of Jehovah, as displayed in the kingdom

of Nature, describes as the admirable chain of natural causes and

effects formed and preserved by him in this lower world:--whatsoever

the Lord pleaseth, He doeth in heaven and in the earth, in the sea,

and in all deep places. He causeth the vapours to ascend from the ends

of the earth, He maketh the lightnings for the rains, He bringeth the

wind out of his treasure, He smote the first-born of Egypt from man to

beast, He covereth the heaven with clouds, He prepareth the rain for

the earth, &c.--The supposition of the existence of any new disease

in our day is consequently untenable, but to be accounted for because

of our inability to trace diseases under the same names and precise

characteristic symptoms described by our predecessors in the study of

nature; in fact, the comparatively modern origin of some diseases may

be said to rest on the absence or deficiency of distinct and express

notice of them in the writings of the ancients, arising in some measure

from false or imperfect translations from the original, and from the

practice of the ancients in referring different malignant maladies to

the same pestilential constitution; for be it remembered that they

considered all febrile diseases bore such affinity to each other, that

they classed all pestilential epidemic distempers under one general

head or term, viz., PESTILENCE, PLAGUE, or FEVER; under the head

of consumption, they noted all chronic diseases; and boils, scabs,

pustules, blotches, carbuncles, &c., were included under that of skin

diseases.

Further, with reference to modern nomenclature, we now hear pestilence

called plague in Egypt, yellow fever in America and elsewhere, bilious

remittent and intermittent, and also yellow fever in the West Indies,

and typhus or nervous fever in Great Britain: we read also of the same

epidemics which the ancients called pimples, pustules, apostemes, and

gangrenous sores, now being called distinct and confluent small-pox,

carbuncles, &c.: and I repeat that the perusal of ancient writings,

both sacred and profane, not only affords us ample evidence of the

origin, nature, causes, progress, and violence of such maladies

in the primitive ages of the world, but they also demonstrate the

identity of ancient pestilence and modern plague,--the resemblance

of ancient and modern fevers,--the similitude of burning boils and

modern carbuncle,--the like appearance of pustules and small-pox,--all

tending to prove that no _material_ alteration in the nature of

any diseases, or of their causes, has taken place since the first

population of the world; AND, ABOVE ALL, THAT THEY DISPLAY THE

PERPETUAL UNIFORMITY OF PROVIDENCE IN THE ENTIRE OPERATIONS OF NATURE’S

WORKS.

A History of Epidemic Pestilences From the Earliest Ages, 1495 Years Before the Birth of our Saviour to 1848: With Researches into Their Nature, Causes, and Prophylaxis · 第 9 / 13 章