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December 19, 1908


JAMA. 1908;LI(25):2121-2125. doi:10.1001/jama.1908.25410250021001d

Matthew Arnold, in his "Essays on Criticism," says: "It is true that all time given to writing critiques on the works of others would be much better employed if it were given to original composition."

From the truth of this statement we must occasionally except the subject of medicine, for it is not the work of one man that is analyzed, but the opinions and hypotheses of many. These often give us information of great value in regard to matters which are insusceptible of direct experimental investigation, and from such an analysis we may often see the gaps in our knowledge that require to be filled.

It is not possible within reasonable limits to give a systematic discussion of the whole subject of the circulatory disturbances in diphtheria, but I wish rather to consider the underlying causes of these disturbances. some aspects of the symptoms, and the rational therapy indicated

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