社团报告

{"title":"社团报告","authors":"","doi":"10.1136/bmj.s3-4.206.1063","DOIUrl":null,"url":null,"abstract":"by Cullen as that met with in his day; while theY possessed also the undoubted characteristics of scarlatina. This oonjunction of eruptive fevers, if admitted as the correct view of these cases, presents an exception to the principle so emphatically laid down by John Hunter, and to a very great extent adopted by his succesors, that two different fevers cannot exist in the same constitution at the same time. There is little doubt, however, that this principle cannot be accepted rigidly and without modification. Many parallel instances have been cited by Mr. Marson from his own experience at the Smallpox Hospital, and communicated to the Royal Medico-Chirurgical Society in a paper read May 20th, 1847. \" Thus,\" concludes Mr. Marson, \" either from personal observation, or from the writings of others, I present examples of the simultaneous occurrence of variola and scarlatina, variola and rubeola, variola and pertussis, variola and vaccinia, rubeola and scarlatina, rubeola and vaccinia, rubeola and pertussis, varicella and vaccinia, pertussis and vaccinia\" Rhazes, as already obse-rved, in his Treatise on Small-Pox, bestows great pains in establishing the diagnosis of that disease from measles, and labours to show that Galen had also accurately distinguished between them. In the words of Dr. Montgomery, \" the most remarkable inaccuracy prevailed in former days on this subject (the diagnosis of eruptive fevers), since we find Sennertus, in the middle of the seventeenth century, discussing the question ' why the disease, in somie constitutions, assumed the form of small-pox, and in others that of measles;' and in a posthumous work of Diemerbroeck, published in 1687, it is laid down that small-pox and measles are only different degrees of the same affection. The same doctrine was still more recently maintained by Lauge, a professor at Leipsic.\" (Cyclopodia of Practical Medicine.) Such having been the confused state of the diagnosis of measles and small-pox, we should be prepared to find no less confusion between measles and scarlatina. This is to be observed in the names under which the latter has been known, e. g., morbilli confluentes, rubeola rosalia, febris rubra, enarthesis rosalia. Although Sydenham had completely estabhshed the differences between small-pox and measles, the latter and scarlatina continned to be regarded as varieties of the same fever. So gradually indeed did the distinction become recognised, that it is not klown by whom the word Scarlatina was first employed. Dr. Montgomery (Cyclopirdia of Practical Medicine, Art. \"Rubeola\") observes \"in our country Morton maintained the identity of measles and scarlatina, and considered the relation existing between them the same as that between distinct and confluent small-pox. Even so recently as 1769, Sir William Watson confounded these two diseases, the correct dingnosis of which ought probably to be referred to the tinme of publishing the second edition of Dr. Witbering's Essay on Scarlet Fever in 1793.\" So closely do specific eruptions sometimes run into each other, that Van Swieten, in his commnentaries upon Boerhave's aphorisms, regards measles and scarlet fever as being allied to erysipelas. The preceding brief review of the history of the diagnosis of these two eruptive fevers, furnishes presumptive evidence that scarlatina and measles must, in former times, have frequently presented a close resemblance in their features; while the cases recorded as of recent occurrence strengthen that evidence, and show that, as the two fevers may coexist, or closely coincide in the period of their appearance, the fact of their so long having been confused under one name by our ancestors must cease to be matter of surprise on our part.","PeriodicalId":88830,"journal":{"name":"Association medical journal","volume":"13 1","pages":"1063 - 1065"},"PeriodicalIF":0.0000,"publicationDate":"1856-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reports of Societies\",\"authors\":\"\",\"doi\":\"10.1136/bmj.s3-4.206.1063\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"by Cullen as that met with in his day; while theY possessed also the undoubted characteristics of scarlatina. 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引用次数: 0

摘要

就像在他那个时代遇到的那样;同时,他们也具有猩红热的无可置疑的特征。这种爆发性发烧的结合,如果被认为是这些病例的正确观点,那么就提出了约翰·亨特如此强调并在很大程度上被他的继任者所采用的原则的例外,即两种不同的发烧不能同时存在于同一身体中。然而,毫无疑问,这一原则不可能不加修改而被严格地接受。马森先生从他自己在天花医院的经历中引用了许多类似的例子,并在1847年5月20日发表的一篇论文中传达给了皇家医学外科学会。”因此,“马森先生总结道,“根据个人观察,或者从别人的著作中,我列举了同时发生的天花和猩红热,天花和风疹,天花和百日咳,天花和牛痘,风疹和猩红热,风疹和牛痘,风疹和百日咳,水痘和牛痘,百日咳和牛痘的例子,正如我们已经看到的,在他的《天花论》中,花了很大的精力来建立麻疹疾病的诊断,并努力证明盖伦也准确地区分了它们。在蒙哥马利博士的话说,“在这个问题上最引人注目的准确盛行在前几天(喷发的诊断发烧),因为我们发现Sennertus,在17世纪中叶,讨论这个问题“为什么这种疾病,somie宪法,认为天花的形式,而在其他的麻疹;“布洛克的死后的工作,出版于1687年,是放下天花和麻疹只是不同程度相同的感情。莱比锡大学的劳格教授最近仍然坚持同样的学说。”(《实用医学Cyclopodia》)麻疹和天花的诊断如此混乱,我们应该准备好发现麻疹和猩红热之间的混淆。这可以从后者的名称中观察到,例如,morbilli confluentes, rubeola rosalia, febris rubra, enarthesis rosalia。虽然西德纳姆已经完全确定了天花和麻疹之间的区别,但后者和猩红热仍然被认为是同一种发烧的不同变种。人们确实是逐渐认识到这一区别的,以至于不知道斯卡拉蒂娜这个词是谁首先使用的。蒙哥马利博士(实用医学Cyclopirdia,艺术)“Rubeola”)观察到“在我国Morton保持了麻疹和猩红热的同一性,并认为它们之间存在的关系与不同和融合的天花之间存在的关系相同。直到1769年,威廉·华生爵士才把这两种疾病混淆起来,对这两种疾病的正确诊断,大概应该追溯到1793年威伯林博士的《论猩红热》第二版出版的时候。”某些特定的爆发有时会如此紧密地相互碰撞,以至于范·斯维滕在评论布尔哈夫的格言时,把麻疹和猩红热与丹毒联系在一起。前面对这两种发疹性发烧的诊断史的简要回顾,提供了推定的证据,即猩红热和麻疹在过去一定经常在其特征上表现出相似之处;虽然最近发生的病例记录加强了这一证据,并表明,由于这两种发烧可能共存,或者在它们出现的时期几乎同时出现,我们的祖先这么长时间把它们混淆在一个名字下,这一事实对我们来说应该不再是一件令人惊讶的事情。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reports of Societies
by Cullen as that met with in his day; while theY possessed also the undoubted characteristics of scarlatina. This oonjunction of eruptive fevers, if admitted as the correct view of these cases, presents an exception to the principle so emphatically laid down by John Hunter, and to a very great extent adopted by his succesors, that two different fevers cannot exist in the same constitution at the same time. There is little doubt, however, that this principle cannot be accepted rigidly and without modification. Many parallel instances have been cited by Mr. Marson from his own experience at the Smallpox Hospital, and communicated to the Royal Medico-Chirurgical Society in a paper read May 20th, 1847. " Thus," concludes Mr. Marson, " either from personal observation, or from the writings of others, I present examples of the simultaneous occurrence of variola and scarlatina, variola and rubeola, variola and pertussis, variola and vaccinia, rubeola and scarlatina, rubeola and vaccinia, rubeola and pertussis, varicella and vaccinia, pertussis and vaccinia" Rhazes, as already obse-rved, in his Treatise on Small-Pox, bestows great pains in establishing the diagnosis of that disease from measles, and labours to show that Galen had also accurately distinguished between them. In the words of Dr. Montgomery, " the most remarkable inaccuracy prevailed in former days on this subject (the diagnosis of eruptive fevers), since we find Sennertus, in the middle of the seventeenth century, discussing the question ' why the disease, in somie constitutions, assumed the form of small-pox, and in others that of measles;' and in a posthumous work of Diemerbroeck, published in 1687, it is laid down that small-pox and measles are only different degrees of the same affection. The same doctrine was still more recently maintained by Lauge, a professor at Leipsic." (Cyclopodia of Practical Medicine.) Such having been the confused state of the diagnosis of measles and small-pox, we should be prepared to find no less confusion between measles and scarlatina. This is to be observed in the names under which the latter has been known, e. g., morbilli confluentes, rubeola rosalia, febris rubra, enarthesis rosalia. Although Sydenham had completely estabhshed the differences between small-pox and measles, the latter and scarlatina continned to be regarded as varieties of the same fever. So gradually indeed did the distinction become recognised, that it is not klown by whom the word Scarlatina was first employed. Dr. Montgomery (Cyclopirdia of Practical Medicine, Art. "Rubeola") observes "in our country Morton maintained the identity of measles and scarlatina, and considered the relation existing between them the same as that between distinct and confluent small-pox. Even so recently as 1769, Sir William Watson confounded these two diseases, the correct dingnosis of which ought probably to be referred to the tinme of publishing the second edition of Dr. Witbering's Essay on Scarlet Fever in 1793." So closely do specific eruptions sometimes run into each other, that Van Swieten, in his commnentaries upon Boerhave's aphorisms, regards measles and scarlet fever as being allied to erysipelas. The preceding brief review of the history of the diagnosis of these two eruptive fevers, furnishes presumptive evidence that scarlatina and measles must, in former times, have frequently presented a close resemblance in their features; while the cases recorded as of recent occurrence strengthen that evidence, and show that, as the two fevers may coexist, or closely coincide in the period of their appearance, the fact of their so long having been confused under one name by our ancestors must cease to be matter of surprise on our part.
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