An Essay on the Shaking Palsy
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Writing in 1817, James Parkinson sets out to distinguish a slowly progressing condition from other disorders involving trembling or weakness. His essay traces changes in movement, posture and daily activity, from an unsteady hand to difficulties with walking, writing and eating. Case histories and comparisons with earlier medical writers support his attempt to give the condition a clear definition.
Parkinson is direct about the limits of his inquiry. In the preface, he acknowledges that conjecture and analogy stand in for experimental and anatomical evidence, and asks others to investigate further. The chapters move from symptoms and related conditions to possible causes and means of relief. For readers interested in medical history, the appeal lies in watching a physician connect observations over time while keeping the distinction between what he has seen and what he suspects in view.
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