In fact, whenever energy is transmitted from one body to another in time, there must be a medium or substance in which the energy exists after it leaves one body and before it reaches the other ... and if we admit this medium as an hypothesis, I think it ought to occupy a prominent place in our investigations, and that we ought to endeavour to construct a mental representation of all the details of its action, and this has been my constant aim in this treatise.

Inexact method of observation, as I believe, is one flaw in clinical pathology to-day. Prematurity of conclusion is another, and in part follows from the first; but in chief part an unusual craving and veneration for hypothesis, which besets the minds of most medical men, is responsible. Except in those sciences which deal with the intangible or with events of long past ages, no treatises are to be found in which hypothesis figures as it does in medical writings. The purity of a science is to be judged by the paucity of its recorded hypotheses. Hypothesis has its right place, it forms a working basis; but it is an acknowledged makeshift, and, at the best, of purpose unaccomplished. Hypothesis is the heart which no man with right purpose wears willingly upon his sleeve. He who vaunts his lady love, ere yet she is won, is apt to display himself as frivolous or his lady a wanton.