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Athil fron Antigua, and Mi Charies Darwin frona Litchfield, ho, hile heyhave been student of medicine at Edin- burgh, have, at different periods, ossiciated a m assistant a the Dispensary. of the accuracy With hicli these gentiemen have fultilled his par of thei duty, the reader must judge o himself. I xllonly say that i I ad not reposed themost thorough confidenc in their u gemen and attentiora, would neve have intrusted them illi an ossice, on the prope discliarge of hich my wn repution very much depended. IN delineatin the history of ever case, have, in generat, recommende it tothem, totegi With givinian account of the condition of the patient, independently of his disiense briefly mentioning
the age, sex temperament, condition oflife and the circumstances hich could throw ight on the natur of the patient's constitutiores in the neX place, o iv afui description os at the symptonas illi
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an account of the progress of the dis easse:
afterwariis to enumerat tho se remote causes
s are, as inducing the assection: and lastly, to mention the remedie employ dies ore admission, and the effect resutring romthese his order, though necessarii varied by the circumstances of different cases, has been preti generali adhered to. IN the subsequent reporis, hich maybe considere 1 as a continuation of the his ory, and whicli record the practice employed illi a vie to the cure, themethod hicli I have in generat ollowed has been fit st, o mentio the obviolas effect whicli resulted froni the medicines that were sed Ohen to ive an account of the changes hich had has pened illi regard o symptom bes ore existing nex'to tali notice of ne occurrences, and
of the state of the principat functions; and astly to conclude illi rescribing
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such medicines a the condition of the af fection a the time seemed to indicate. am a frona alleging that the plan hi chlias here been followed in givini delatio facts is re froni objections. et, after frequently considering this subjech,
i appears to me to afford a distine and accurate vie of thos e particulars hicli itis mos materia to know, respecting thsappearances of diseases in thei nature singular, o the wecus os remedies hichliave no been in frequent use. Ap et g this mori account of the methodwhicli has been prosecuted in relat ingcases, Pinali nex fana e word respect- in the lan whichias den followed indelivering observations on these cases. Ithas atready been aid, that these observations were firs deliveret a clinicabor caselectures and the are o presented tolli public, early in the fame state in whicli the were fir si iven to thos genti e-men wlio id me the honour os attending
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I Avit osten deli vered it a m opinion, that it is hardi possJble to conceive any method of eaching the practica par of
medicine, hicli is citer calculared forconveyingi sesul information, than clinicalor case lectures The benesit resultings rom these, indeed, must depend muchon the judgmen and abilities of the teacher. And in deli vering th se lectures illiati the ad vantage of hicli they are ca-pabie, the ulmost medicat Enowledge, con-joined illi the longes experietice, ill bes undinequat to thecias , utiles they besupported by ianwearieti attention, and utiles the remari si de livere Mon a prope plan Consciolis of my wn deficien ces, and of the numberles dis culties
with hicli medicine is lil perplexed Iam fuit aware that the observation here elivered, Willio appear equalty interest- in to ver rea lerci And I am far romasterting that the lan hich has herehee followed is the est that could be levise l. Talainiit for granicii, hoWeVer, that the ultimate almis every pracstitioner
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is to know dis eas es, and tote able o curethem, these objects are the basis of m re-marhs My clites im, then, in the observation here deliveredin particular cases, has been to ascertain the nam and natureo the diseasse to poliat out hos generalprincipies on hicli I imagined that a curemigii mos reas nably be expected andio mention the remedies rom hichrithought that there a the greatest hance of successe. But, a the reputation o a pracstitione is osten a much assected by the opinion hich he may delive res ect- in the event of a discase, as by the judgment hichine exert in the reaimentos it the prognosis also has been the subjecto rem ark. Arad attention to the grotan is of prognosis, is a particular,hicli meriis
serious consideration rom very one whoi engaged in the practice of the ealingari. Whil an Unfortunate event, thathas o been foreseen, ill greatly injure his reputation, he wil osten derive more
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io P RE FACE.IT is indeed tot observed that,in the subjecti prognosis, Phave delivere Minysentiment in lectures, illi greater Deedom than any one ought to do in practice: and i my conjectures have not twaysheen wcl unded, it ili Pliope, at east serve o mow that, even here there areprobabie round for judgment, no certain conclusion ought o be drawn. Bu although observations on the nameand natur of eachiis ease, o the prognosis, and on the practice, forin the prinicipat par of the remarhs; et it must boallowed that have no vnfrequentlygiven placesto reasoning of a disserent nature Phave ometimes ahen an opportunit os draming, rom particular cases, proos of peculia doctrines and of deli-verin conjectures, hicli ome perhaps, ma conside a in a great meas ure thework of imagination. I ope ho ever, that on such occasions Pliave uniformiyexpresse 'myself with that dissidetice hichthe intricac of the subjecit demands and
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ΡRE FACE. iii in opinion respecting the natur offome disienses, and the operationis someremedies, differ froin the doetrines ostcommonly received, it ought to e re- membered that these also re not sta blimedisi infallibi evidence Even themere suggestioni opinions althoughiot stricti founded in truth, a lead topractices hich ill improve the healingari an suppositions hicli can, at present, e considered in no the light buta Vague conjecture, may et be confirm-ed by future observation. A far, ther fore, a these do no serve o missea in practice, they deserve conrideration and Iliope that an farther apolog for introducin them ill be thought uianecessary. Apet g this fior vie of the nature of the present,ork I leave the reade to forma udgmentis it fron a candid conrideration os iis contents. y that judgment,m future conduci ill in s me meas ure, b regulated Andri the present production ait o far meet with a favourable receptionii
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ia RE FACE.ception, as may give oom for belle vingthaesit is notinacceptablesto medica read-ers, whenes have been abieci collect suci, material a Pthini deserve notice, I may, Perhaps subject another volume o public
TH favourable reception hicli his volume has et illi, ut it again in my pomer o present it to the public in state belle deservin thei attention: And Pliope, froin the cares ut perusal have bestowed pon it, soni inaccuracies have been remove l. To the present editiones have adde som explanatory notes. These eemed no necessary, a different formula prescribe&were prepared accord
inito the 1xili edition of the Edilaburgh Pharmacopoeia publisbed in 1774. ut in the evenili editionis that work, publisia-
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ed in i 83, severa formulae are altered, and many ames changed. I have here- fore, o different occasions no subjoinedili formulariis et a fuli tength this edition have also ad dedis genera vlew of the bustines of the Collegium Casuale, as it is a present conducted a the Public Dispensar o Edilaburgh his generalcietch was fri hirinted for the use of student at the case-lectures, and to them twill e lites serviceable utra opei may also e of some advantage toothers; an thin this ill particu- Iarly be the case illi that par of it in whiches have delivered a plan for drawingum histor of the diseas of any patient. This is a subject whichiught yclaim theattention Devery pracstitioner. For thereis no ne ho illiso frequently have occasion to commit such histori es t wri- ting, ither o consulting pracstitioner ata distance, for communicatin to the public observations hich have been instructive to himself, o for preserviniwith vie to his own improvement an exact
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account of the symptom and progress sparticular affections hicha may have had occasion reat. On the method howeve in which these historie are delinealed, his own reputation, as weli a the satisfaction whichine derives fro the future perusal of them, must very much depend. Ic heresere, a cares ut examination os theplan here proposed an assor hi any aid the attention heaestows upon it,illno bellare arded.