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Updated: June 12, 2025


Our attitude is now very similar to that in typhoid, to support the strength of the patient by judicious and liberal feeding, to reduce the fever and tone up his blood-vessels by cool sponging, packing, and even bathing; to relieve his pain by the mildest possible doses of sedatives, knowing that the disease is self-limited, and that in patients in comfortable surroundings and fair nutrition from eighty to ninety per cent will throw off the attack within a week.

Jacob Bigelow upon Self-Limited Diseases, which has, I believe, done more than any other work or essay in our own language to rescue the practice of medicine from the slavery to the drugging system which was a part of the inheritance of the profession.

Our own age, deeply entangled in material satisfactions, has no mind to postpone the satisfactions of religion to a future life. The monk and, indeed, the generality of the devout in the medieval Church sought in self-limited earthly joy a proper discipline for the soul and a state in contrast to which the felicities for which they paid so great a price should be the more welcome.

Of Albert Gallatin, indeed, he had made a voluminous study and an elaborate picture, only to show that he was, if American at all, a New Yorker, with a Calvinistic strain rather Connecticut than Pennsylvanian. The true Pennsylvanian was a narrower type; as narrow as the kirk; as shy of other people's narrowness as a Yankee; as self-limited as a Puritan farmer.

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