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0"T' LAERT> "! - USP

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DIAGNOSIS AND PATHOLOGICAL ANATOMY. 473<br />

had come to recognize the hopelessness of attempts to<br />

fathom the essential nature of disease by bold but ill-founded<br />

hypotheses and philosophical speculations, they applied the<br />

analytical method to this subject also and began by making<br />

sure of and examining those concrete facts of which the<br />

whole picture of disease is made up.<br />

The perfecting of the appliances used in diagnosis gave<br />

rise to a deeper and more thorough study of the symptoms<br />

•of disease and the startling advance made in pathological<br />

anatomy held out a promise that valuable conclusions would<br />

be arrived at concerning the changes lying at the root of<br />

such symptoms. By a comparison between clinical obser­<br />

vations and notes taken in the post-mortem room, the<br />

development and essential nature of most diseases became,<br />

by degrees, more intelligible.<br />

To physics and chemistry for the most part we owe the<br />

advances made in the art of diagnosis. During last century<br />

percussion was practised only by a few as, for example, by<br />

M. STOLL; it fell almost completely into oblivion and first<br />

under the influence of CORVISART assumed the place which<br />

it deserves among the means of diagnosis used at the bed-<br />

cside. Having had his attention drawn to it by AuEN-<br />

BRUGGER'S almost forgotten treatise, CORVISART tested the<br />

-observations there laid down during a period of twenty<br />

years, corrected and extended them by his own private<br />

-experience and then published his famous work on percus­<br />

sion, in which he did full justice to the services rendered<br />

h>y the discoverer. Percussion was rendered more perfect<br />

in many ways by PiORRY, who introduced the plessimeter,<br />

by WlNTRiCH who recommended the employment of a<br />

hammer, by SKODA especially who furnished a correct<br />

-explanation of the various sounds heard on percussion and<br />

show 7 ed a reforming and inventive genius in all directions,<br />

by TRAUBE and others.<br />

Auscultation also at the same time underwent reforma­<br />

tion and scientific improvement. Whereas before it had<br />

been only occasionally practised and then by the direct

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