"The devil! but that's a big subject. He is exhausted, I say, by too much brain-work, by irregular courses, and by the repeated use of too powerful stimulants. Violent exertion of body and mind has demoralized the whole system. It is easy, gentlemen, to recognize in the symptoms of the face and body generally intense irritation of the stomach, an affection of the great sympathetic nerve, acute sensibility of the epigastric region, and contraction of the right and left hypochondriac. You have noticed, too, the large size and prominence of the liver. M. Bianchon has, besides, constantly watched the patient, and he tells us that digestion is troublesome and difficult. Strictly speaking, there is no stomach left, and so the man has disappeared.
The brain is atrophied because the man digests no longer. The progressive deterioration wrought in the epigastric region, the seat of vitality, has vitiated the whole system. Thence, by continuous fevered vibrations, the disorder has reached the brain by means of the nervous plexus, hence the excessive irritation in that organ. There is monomania. The patient is burdened with a fixed idea. That piece of skin really contracts, to his way of thinking; very likely it always has been as we have seen it; but whether it contracts or no, that thing is for him just like the fly that some Grand Vizier or other had on his nose. If you put leeches at once on the epigastrium, and reduce the irritation in that part, which is the very seat of man's life, and if you diet the patient, the monomania will leave him. I will say no more to Dr. Bianchon; he should be able to grasp the whole treatment as well as the details. There may be, perhaps, some complication of the disease--the bronchial tubes, possibly, may be also inflamed; but I believe that treatment for the intestinal organs is very much more important and necessary, and more urgently required than for the lungs. Persistent study of abstract matters, and certain violent passions, have induced serious disorders in that vital mechanism.
However, we are in time to set these conditions right. Nothing is too seriously affected. You will easily get your friend round again," he remarked to Bianchon.
"Our learned colleague is taking the effect for the cause," Cameristus replied. "Yes, the changes that he has observed so keenly certainly exist in the patient; but it is not the stomach that, by degrees, has set up nervous action in the system, and so affected the brain, like a hole in a window pane spreading cracks round about it. It took a blow of some kind to make a hole in the window; who gave the blow? Do we know that? Have we investigated the patient's case sufficiently? Are we acquainted with all the events of his life?
"The vital principle, gentlemen," he continued, "the Archeus of Van Helmont, is affected in his case--the very essence and centre of life is attacked. The divine spark, the transitory intelligence which holds the organism together, which is the source of the will, the inspiration of life, has ceased to regulate the daily phenomena of the mechanism and the functions of every organ; thence arise all the complications which my learned colleague has so thoroughly appreciated. The epigastric region does not affect the brain but the brain affects the epigastric region. No," he went on, vigorously slapping his chest, "no, I am not a stomach in the form of a man. No, everything does not lie there. I do not feel that I have the courage to say that if the epigastric region is in good order, everything else is in a like condition----"We cannot trace," he went on more mildly, "to one physical cause the serious disturbances that supervene in this or that subject which has been dangerously attacked, nor submit them to a uniform treatment. No one man is like another. We have each peculiar organs, differently affected, diversely nourished, adapted to perform different functions, and to induce a condition necessary to the accomplishment of an order of things which is unknown to us. The sublime will has so wrought that a little portion of the great All is set within us to sustain the phenomena of living; in every man it formulates itself distinctly, making each, to all appearance, a separate individual, yet in one point co-existent with the infinite cause. So we ought to make a separate study of each subject, discover all about it, find out in what its life consists, and wherein its power lies. From the softness of a wet sponge to the hardness of pumice-stone there are infinite fine degrees of difference. Man is just like that. Between the sponge-like organizations of the lymphatic and the vigorous iron muscles of such men as are destined for a long life, what a margin for errors for the single inflexible system of a lowering treatment to commit; a system that reduces the capacities of the human frame, which you always conclude have been over-excited. Let us look for the origin of the disease in the mental and not in the physical viscera. A doctor is an inspired being, endowed by God with a special gift--the power to read the secrets of vitality; just as the prophet has received the eyes that foresee the future, the poet his faculty of evoking nature, and the musician the power of arranging sounds in an harmonious order that is possibly a copy of an ideal harmony on high.""There is his everlasting system of medicine, arbitrary, monarchical, and pious," muttered Brisset.
