as to its truthfulness, this hesitation only shows that long observation
and study are necessary to place this, like all other new doctrines,
on a sure and stable foundation.
My principal purpose, therefore, in bringing the subject before the
profession is not only to strengthen the original facts by fresh
instances, but to point out how Addison had somewhat
overstepped his own boundaries, by including, amongst his cases,
some which did not present the true features of the disease ; and thus
I hope, by purging his treatise of these examples, to place this
remarkable affection on a much surer basis than it has hitherto had.
The disease, in fact, will have more unique and special chracters of
its own, and may be regarded with more justice in the light of a true
discovery than Addison himself conceived, and even more worthy to be
honoured with his name than would a disease having the undefined
nature which he himself assigned to it. I may at once admit that this
want of definition and precision as to its true pathological character
has constituted the great hindrance to the progress of the discovery ;
the belief of Addison being, at the time of the publication of his work,
that any disease which affected the integrity of the supra-renal
capsules would be attended by the remarkable phenomena which he
described ; and consequently his cases include a variety of morbid
conditions of these organs which are clearly not true forms of the
disease. Dr. Addison was, I believe, beginning to see the truth of
what is now evident, that some of the cases which he had published
have only stood in the way of the full development of his discovery ;
for all subsequent observations have shown that, so far from his
early conclusions being correct, we have no recorded instance of the
affection being connected with cancer, or indeed, with any other kind
of disease of the organ than the one which was found in the genuine
cases which he first described, and which all true subsequent experience
has shown to constitute the true form of the malady.
Unfortunately, too, Addison had placed in his work the drawing of a
patient in whom no necropsy was made to reveal the true nature of the
disease, and that illustration has,
in all probability, misled many, by giving a false representation
of the usual character of the discoloration of the skin.