Medical Essays

第26章

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第26章

Medical Essays 佚名

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Medical Essays
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  [NoteB。]

  Letmeillustratethispropositionbeforeyoudecideuponit。Ifitwereknownthataprize-fighterweretohaveadrasticpurgativeadministeredtwoorthreedaysbeforeacontest,oralargeblisterappliedtohisback,noonewillquestionthatitwouldaffectthebettingonhissideunfavorably;wewillsaytotheamountoffivepercent。Nowthedrainupontheresourcesofthesystemproducedinsuchacasemustbeatitsminimum,forthesubjectisapowerfulman,intheprimeoflife,andinadmirablecondition。Ifthedrugortheblistertakesfivepercent。fromhisforceofresistance,itwilltakeatleastaslargeafractionfromanyinvalid。Butthisinvalidhastofightachampionwhostrikeshardbutcannotbehitinreturn,whowillpresshimsharplyforbreath,butwillneverpanthimselfwhilethewindcanwhistlethroughhisfleshlessribs。Thesufferingcombatantisliabletowantallhisstamina,andfivepercent。maylosehimthebattle。

  Allnoxiousagents,allapplianceswhicharenotnaturalfoodorstimuli,allmedicinesproper,costapatient,ontheaverage,fivepercent。ofhisvitalforce,letussay。Twentytimesasmuchwasteofforceproducedbyanyofthem,thatis,wouldexactlykillhim,nothinglessthankillhim,andnothingmore。Ifthis,orsomethinglikethis,istrue,thenallthesemedicationsare,primafacie,injurious。

  InthegameofLife-or-Death,RougeetNoir,asplayedbetweentheDoctorandtheSexton,thisfivepercent。,thiscertainsmallinjuryenteringintothechancesisclearlythesexton’sperquisiteforkeepingthegreentable,overwhichthegameisplayed,andwherehehoardsuphisgains。Supposeablistertodiminishaman’spain,effusionordyspnoeatothesavingoftwentypercent。invitalforce;hisprofitfromitisfifteen,inthatcase,foritalwayshurtshimfivetobeginwith,accordingtoourpreviousassumption。

  Presumptionsareofvastimportanceinmedicine,asinlaw。Amanispresumedinnocentuntilheisprovedguilty。Amedicine——thatis,anoxiousagent,likeablister,aseton,anemetic,oracathartic——

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