Fever : its pathology and treatment by antipyretics : being an essay which was awarded the Boylston prize of Harvard University, July, 1890 / by Hobart Amory Hare.

Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Fever : its pathology and treatment by antipyretics : being an essay which was awarded the Boylston prize of Harvard University, July, 1890 / by Hobart Amory Hare. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    In the second instance dissipation is affected primarily and directly. As the relation between these two great governing factors in the balancing of bodily temperature is difficult of understanding, they may be tabulated to make them clear. Bodily temperature may be raised by— (a) Increased production of heat. (6) Decreased dissipation of heat. (c) Increased production and increased dissipation, the dissipation not keeping pace with production. (d) Normal production associated with decreased dissipation. In any of these instances the temperature of the body rises because the heat is made faster than it can be dissipated from the surface. On the other hand— Bodily heat may be decreased by— (a) Decreased production of heat. (b) Increased dissipation of heat. (c) Increased production and increased dissipation ; when the second factor is more active than the first. (d) Normal production, with excessive dissipation. The actions of most of the drugs which exercise an antipyretic influence have been studied upon animals, and, although the practical use of all drugs must depend on the results obtained by the clinician, much may be done by careful researches in the physiological labora- tory which discover serious contra-indications and dan- gers. The experimental and clinical side of medicine should be studied hand in hand, the first saving the practitioner from error and giving him a foundation on which to base his actions, and the second showing him by experience the minor details which it is so necessary for him to understand. A discussion of the methods resorted to by various