Van Helmont makes it very clear that this is not magic or sorcery; there

is no diabolic influence, no necromancy. He drew attention to the

overwhelming effects which might result from a cause which was so minute

that it could not be perceived by the senses. We cannot here go into the

theoretical background which underlay van Helmont's conceptions, but we

must mention at least briefly his idea of a basic mechanism. Van Helmont

considered the action to be that of a ferment, where an extremely minute

quantity can produce a tremendous effect. He gives the analogy of the

tooth of a mad dog, which, although any saliva has been carefully wiped

off, can nevertheless sometimes induce madness. The effect of the stone

seems to be comparable. Its power becomes manifest even in enormous

dilution and can multiply, for it can import its remedial virtue to a

vast quantity of oil. Moreover, the stone had a sort of universal power

against all diseases. Such a virtue could not be vegetable in its

nature, but was, he thought, connected with metals. He pointed to the

well-accepted medicinal virtues which inhered in gems. Metals also had

great medicinal potency. Antimony, lead, iron, mercury, were well known,

and of special importance was copper, the _Venus_ of the early chemists.

The medicinal virtue which inhered in Butler's stone and in other

powerful fermental remedies, van Helmont designated as "drif," which he

said means, in the vernacular, virgin sand or earth. This virtue

requires a metallic body in which to inhere. The general concept is not

unfamiliar, of a virtue or power or ferment which was attached to a

material object, and it is this type of explanation which was so

preponderant in, for example, Porta's _Natural Magick_. Van Helmont

speaks of the "first being," which translates the Latin _Ens_, of Venus

or copper. Vitriol is the basic substance, and for purification of the

virtue we require a "sequestration of its Venus from the dregs of the

vitriol."[62]

This was the background from which Boyle set about to secure a potent

remedy. Van Helmont had discussed his experiments whereby he tried to

create a medicine which would have the virtues of Butler's stone. Boyle

attempted to improve on van Helmont's technique. Copper--Venus--was the

basic metal, and Boyle started with vitriol or copper sulfate. He gave

fairly explicit directions for the preparation, including calcination,

boiling, drying, adding sal armoniack, subliming twice. The resulting

chemical represented a purified medicine which he prescribed in variable

dosage, from two or three grains, up to twenty or thirty at the maximum.

He declared it to be a "potent specifick for the rickets," since he, and

others to whom he had given it for use, had "cured" a hundred or more

children of that disease. The medicine he also prescribed in fevers and

headache, and he thought it "hath done wonders" in obstinate

suppressions of the menses. It also improved the appetite. It worked, he

declared, through the sweat and, to some extent, the urine.[63] It is

noteworthy that Boyle did not claim to have cured the same illnesses

than van Helmont reports as having been cured by Butler's stone.

As another example, he gave directions for preparing essence of

hartshorn--prepared, literally, from the horn itself. The preparation,

strongly alkaline, he prescribed in small doses of eight to ten drops.

The medicine "resists malignity, putrefaction, and acid humours," for

it destroys the acidity. He used it "in fevers, coughs, pleurisies,

obstructions of the spleen, liver, or womb, and principally in

affections of the brain...."[64]

While Boyle was a far more skillful chemist than van Helmont, he did not

have any greater diagnostic acumen. And clearly, from the standpoint of

scientific method, he lacked any sharp criterion of cure. Various

patients were ill with various diseases; he gave them one or another

preparation; the patients recovered. Controls there were none. Boyle,

with great enthusiasm, believed that through natural philosophy we would

eventually discover "the true causes and seats of diseases" and also

find out effective remedies which would quickly free the patient from

the disease.[65] But faith and enthusiasm did not compensate for the

_post hoc propter hoc_ attitude.

According to Galenic concepts, if diseases are due to alterations of

humors either in their quality or in their proportions, then the

suitable remedy will restore the appropriate quality or proportion. In

Galenic doctrine, the disturbance of the humors should be perceptible,

and a sound Galenic remedy should work by perceptibly changing the

nature and proportion of the humors back to normal. However, side by

side with the Galenic medical doctrines, there were the other prevalent

doctrines, among which I can mention the idea of "specifics." I can

emphasize three features: the specific remedy was active against a

particular disease, in a quite specific fashion, in the same way that an

antidote acted against a specific poison; second, the effectiveness was

a matter of direct experience, based on empirical observation; and

third, the mode of action remained relatively obscure, but nevertheless

the medicines did not seem to behave as did the so-called "Galenicals."

Thus, whether they acted by "sympathy," or by a special hidden virtue,

or by a peculiar microcosmic energy, we cannot say. But the _fact_

remains that many people asserted the specific effectiveness[66] of this

or that remedy against a specific disease--e.g., that snakeweed was an

effective cure for the bite of a serpent.

Learned physicians, unfortunately, refused in large part to accept the

validity of these alleged cures. Their hesitancy rested not on

statistical evidence or on niceties of scientific method, but on the

grounds that the alleged mode of operation was quite unintelligible and

not at all in accord with accepted doctrine.

Boyle, as a chemist, insisted on keeping an open mind in regard to

so-called specifics. He objected strongly to the argument that simply

because we cannot account for their mode of action, we should conclude

that they were not effective. In a passage of great importance, he

declared, "Why should we hastily conclude against the efficacy of

specificks, taken into the body, upon the bare account of their not

operating by any obvious quality, if they be recommended unto us upon

their own experience by sober and faithful persons?" Thus, his chain of

reasoning is, first of all, these remedies work, as attested by direct

experience; we are not able to explain why or how they work; we must

not, however, fly in the face of experience and deny their effectiveness

simply because of our inability to explain the workings. He gives the

example of a "leaven," which in minute amounts is able to "turn the

greatest lump of dow [dough] into leaven."[67]

Boyle strongly supported the well-known quotation of Celsus, that the

important thing is not what causes the disease but what removes it. In

strong terms he criticized "many learned physicians" who rejected

specifics on the ground "that they cannot clearly conceive the distinct

manner of the specificks working; and think it utterly improbable, that

such a medicine, which must pass through digestions in the body, and be

whirled about with the mass of blood to all the parts, should,

neglecting the rest, shew it self friendly to the brain (for instance)

or the kidneys, and fall upon this or that juice or humour rather than

any other."[68] Boyle then went into considerable detail to show how

this can take place through the action of ferments, combined with a

theoretical exposition of atomistic philosophy, which we do not have

time to go into at present. He gave in great detail an exposition of how

these specifics _may_ operate, but did not in any way produce cogent

evidence that they do in fact operate in such fashion.

As a physician, Boyle insisted on facts over theory. He was constantly

pleading for physicians to enlarge their experience, to try new

medicines, even though these were not based on traditional doctrine.

Where observed fact conflicts with theory, the fact cannot be ignored.

Credulity of physicians, he indicated, may do the world "more mischief"

than any other profession, but nevertheless he condemned those who would

try to "circumscribe, or confine the operations of nature, and not so

much as allow themselves or others to try, whether it be possible for

nature, excited and managed by art, to perform divers things, which they

never yet saw done, or work by divers ways, differing from any, which by

the common principles, that are taught in the schools, they are able to

give a satisfactory account of."[69] Surely, this is not a model of

elegant English style, but the message is clear. Boyle was emphasizing

the message taught earlier in the century by Francis Bacon, that we must

judge the theory by the fact, and not the facts by the theory. It is the

same philosophy that Hamlet expounded, that there are more things in

heaven and earth than are dreamed of in our philosophy.

We see, thus, that Boyle had taken a mighty step toward modern

scientific medicine, but he covered only a small part of the total

distance. He insisted that we should accept facts, but he did not

realize the difficulties attendant on defining a fact and making it

credible. He indicated that when strange results are alleged, "these

need good proof to make a wary man believe so strange a thing,"[70] but

what constitutes proof was a problem which he was not able to wrestle

with and, indeed, a problem which he did not clearly perceive.

I would emphasize that Boyle was in essence a man of great faith. He had

great faith in religion, and was a deeply religious man. He was a great

supporter of so-called "natural religion" and tried to reconcile the

doctrines of natural philosophy with those of traditional religion.

Westfall[71] has considered in detail the religious attitudes of late

seventeenth-century writers, Robert Boyle in particular. The "proofs"

alleged by the proponents of natural religion have, of course, little

cogency. As Westfall points out, they examined nature in order to find

what they already believed.

Nevertheless, religious faith was only one part of the total faith which

Boyle exhibited. He had as much faith in the capabilities, the future

progress, and the promise of science as he did in traditional religion.

Throughout all his works we see great evidence of his religious piety.

But his faith in science, particularly as it affected medicine, we see

with utmost clarity in the essay "The Usefulness of Natural Philosophy."

He had great vision of the benefits that science would eventually bring

to the healing arts. Unlike many of his contemporaries, particularly

persons such as Glanvill or Spratt, he realized that many anatomical

discoveries, for example, were of little practical value, but he felt

that such discoveries would, "in process of time (when the _historia

facti_ shall be fully and indisputably made out, and the theories

thereby suggested clearly established) highly conduce to the improvement

of the therapeutical part of physick...."[72] And with extraordinary

perceptiveness he indicated the different ways in which he expected

progress to be made through the proper application of mechanical

philosophy. He was clear-sighted enough to realize that the discoveries

made hitherto were not of great practical value but that the future was

indeed bright, and he provided a remarkable blueprint of progress to

come.

The measure of progress is, perhaps, the quantity of faith which moves

mankind. The study of Robert Boyle emphasizes some divisions among

mankind. Some are content to look backward, to be satisfied with the

achievements of the past, to rely on accepted systematization, doctrine,

and explanation. Others, while dissatisfied with the past, have no guide

to lead them anywhere. Still others, however, have a strong faith in the

new course which they are pursuing, a faith which can guide them over

great difficulties. Boyle was such a man of faith--a word which is

really synonymous with "attitude." He marked the transition between the

old and the new, and pointed up the difficulties which transition always

involves.

_Notes_

[37] Thomas Birch, _The Life of the Honourable Robert Boyle_, in Robert

Boyle, _The Works of the Honourable Robert Boyle_, ed. Thomas Birch,

London; 1772, I, liv, reprinted Hildesheim, 1965, I, Introduction,

viii-ix; Marie Boas Hall, _Robert Boyle on Natural Philosophy: An Essay

with Selections from His Writings_, Bloomington, Indiana, 1965, p. 16.

[38] John F. Fulton, _A Bibliography of the Honourable Robert Boyle_,

2nd ed., Oxford, 1961, p. 37.

[39] Hall, _op. cit._, p. 47.

[40] Margaret E. Rowbottom, "The Earliest Published Writing of Robert

Boyle," _Annals of Science_, VI (1950), 376-389; R. E. W. Maddison, "The

Earliest Published Writing of Robert Boyle," _Annals of Science_, XVII

(1961), 165-173.

[41] Lazarus Riverius, _The Universal Body of Physick, in five books,...

Exactly translated into English by William Carr_, London, 1657.

[42] Lazari Riverii, _Opera Medica Universa_, Geneva, 1727.

[43] J.-H. Reveillé-Parise, ed., _Lettres de Gui Patin_, Paris, 1846.

[44] Jean Baptiste van Helmont, _Oriatrike or Physick Refined ...

faithfully rendered into English by J. C._, London, 1662, and _Ortus

Medicinae_, Editio Quarta, Lugduni, 1667.

[45] Giovanni Battista della Porta, _Natural Magick_, London, 1658,

reprinted New York, 1957, and _Magiae Naturalis Libri Viginti_,

Rothomagi, 1650.

[46] Richard F. Jones, _Ancients and Moderns: A Study of the Rise of the

Scientific Movement in Seventeenth-Century England_, 2nd ed., St. Louis,

1961; Richard S. Westfall, _Science and Religion in Seventeenth-Century

England_, New Haven, 1958; Marjorie Hope Nicolson, _Pepys' Diary and the

New Science_, Charlottesville: The University Press of Virginia, 1965;

Walter E. Houghton, "The English Virtuoso in the Seventeenth Century,"

_Journal of the History of Ideas_, III (1942), 51-73, 190-219; and

Dorothy Stimson, _Scientists and Amateurs: A History of the Royal

Society_, New York, 1948. See also, for an entertaining primary source,

Thomas Shadwell, _The Virtuoso_, ed., Marjorie Hope Nicolson and David

Stuart Rodes, London, 1966.

[47] Sir George Clark, _A History of the Royal College of Physicians of

London_, Oxford, Volume I, 1964, Volume II, 1966.

[48] Boyle, "Memoirs for the Natural History of Human Blood," _Works_,

IV, 637.

[49] Boyle, "On the Usefulness of Natural Philosophy," _Works_, II, 169.

[50] Stephen Paget, _John Hunter_, London, 1897, p. 126.

[51] Riverius, _Opera_, trans. Lester S. King, p. 1.

[52] Boyle, "Usefulness," pp. 74-75. See also pp. 115-116.

[53] _Ibid._, p. 87.

[54] _Ibid._, p. 97.

[55] _Ibid._, p. 98. See also "Of the Reconcileableness of Specific

Medicines to the Corpuscular Philosophy," _Works_, V, 85-86.

[56] Lester S. King, "The Road to Scientific Therapy: 'Signatures,'

'Sympathy,' and Controlled Experiment," _Journal of the American Medical

Association_, CXCVII (1966), 250-256.

[57] Boyle, "Usefulness," p. 115.

[58] _Ibid._, p. 127.

[59] _Ibid._, p. 130.

[60] _Ibid._, p. 131.

[61] Van Helmont, "Butler," _Ortus Medicinae_, pp. 358-365, and

_Oriatrike_, pp. 585-596. See also Boyle, "Usefulness," p. 102.

[62] Van Helmont, _Ortus_, p. 365; _Oriatrike_, p. 596.

[63] Boyle, "Usefulness," pp. 135-136.

[64] _Ibid._, p. 138.

[65] _Ibid._, p. 144.

[66] Boyle, "Reconcileableness of Specific Medicines," pp. 80-81.

[67] Boyle, "Usefulness," p. 183.

[68] _Ibid._, p. 190.

[69] _Ibid._, p. 194.

[70] _Ibid._, p. 195.

[71] Westfall, _op. cit._

[72] Boyle, "Usefulness," pp. 163-164.

_Members of the Seminar_

L. R. C. Agnew

Theodore Alexander

M. Peter Amacher

Lawrence Badash

Stephen Dow Beckham

Charles S. Bodemer

Hilda Boheme

John G. Burke

Seymour L. Chapin

Jack H. Clark

William E. Conway

Louise Darling

Edna C. Davis

Dr. & Mrs. John Field

Waldo H. Furgason

Martha Gnudi

Doris Haglund

Karl Hufbauer

Samisa Jadon

Dieter Jetter

Roy Kidman

Irving J. King

Lester S. King

Leslie Koepplin

Elizabeth Lomax

Patrick McCloskey

Nancy McNeil

Edgar Mauer

David S. Maxwell

Robert Moes

C. D. O'Malley

Ynez O'Neill

Marilyn Paul

Ladislao Reti

Sally Rutherford

Edward Shapiro

Hans H. Simmer

Ingrid Simmer

John E. Smith

Joan Starkweather

Betsey Starr

John M. Steadman

Annette Terzian

Lelde Trapans

Richard F. Trucken

Frances Valadez

Virginia Weiser

Fred N. White

Maxine White

Virginia Wong

Jacob Zeitlin

_William Andrews Clark

Memorial Library

Seminar Papers_

_Editing Donne and Pope._ 1952.

Problems in the Editing of Donne's Sermons, by George R. Potter.

Editorial Problems in Eighteenth-Century Poetry, by John Butt.

_Music and Literature in England in the Seventeenth and Eighteenth

Centuries._ 1953.

Poetry and Music in the Seventeenth Century, by James E. Phillips.

Some Aspects of Music and Literature in the Eighteenth Century, by

Bertrand H. Bronson.

_Restoration and Augustan Prose._ 1956.

Restoration Prose, by James R. Sutherland.

The Ironic Tradition in Augustan Prose from Swift to Johnson, by Ian

Watt.

_Anglo-American Cultural Relations in the Seventeenth and Eighteenth

Centuries._ 1958.

The Puritans in Old and New England, by Leon Howard.

William Byrd: Citizen of the Enlightenment, by Louis B. Wright.

_The Beginnings of Autobiography in England_, by James M. Osborn. 1959.

_Scientific Literature in Sixteenth and Seventeenth Century England._

1961.

English Medical Literature in the Sixteenth Century, by C. D. O'Malley.

English Scientific Literature in the Seventeenth Century, by Rupert

Hall.

_Francis Bacon's Intellectual Milieu._ A Paper delivered by Virgil K.

Whitaker at a meeting at the Clark Library, 18 November 1961,

celebrating the 400th anniversary of Bacon's birth.

_Methods of Textual Editing_, by Vinton A. Dearing. 1962.

_The Dolphin in History._ 1963.

The History of the Dolphin, by Ashley Montagu.

Modern Whales, Dolphins, and Porpoises, as Challenges to Our

Intelligence, by John C. Lilly.

_Thomas Willis as a Physician_, by Kenneth Dewhurst. 1964.

_History of Botany._ 1965.

Herbals, Their History and Significance, by George H. M. Lawrence.

A Plant Pathogen Views History, by Kenneth F. Baker.

_Neo-Latin Poetry of the Sixteenth and Seventeenth Centuries._ 1965.

Daniel Rogers: A Neo-Latin Link between the Pléiade and Sidney's

'Areopagus,' by James E. Phillips.

Milton as a Latin Poet, by Don Cameron Allen.

_Milton and Clarendon: Papers on Seventeenth-Century English

Historiography._ 1965.

Milton as Historian, by French R. Fogle.

Clarendon and the Practice of History, by H. R. Trevor-Roper.

_Some Aspects of Seventeenth Century English Printing with Special

Reference to Joseph Moxon_, by Carey S. Bliss. 1965.

_Homage to Yeats, 1865-1965._ 1966.

Yeats and the Abbey Theatre, by Walter Starkie.

Women in Yeats's Poetry, by A. Norman Jeffares.

_Alchemy and Chemistry in the Seventeenth Century._ 1966.

Renaissance Chemistry and the Work of Robert Fludd, by Allen G. Debus.

Some Nonexistent Chemists of the Seventeenth Century, by Robert P.

Multhauf.

_The Uses of Irony._ 1966.

Daniel Defoe, by Maximillian E. Novak.

Jonathan Swift, by Herbert J. Davis.

_Bibliography._ 1966.

Bibliography and Restoration Drama, by Fredson Bowers.

In Pursuit of American Fiction, by Lyle Wright.

_Words to Music._ 1967.

English Song and the Challenge of Italian Monody, by Vincent Duckles.

Sound and Sense in Purcell's 'Single Songs,' by Franklin B. Zimmerman.

_John Dryden._ 1967.

Challenges to Dryden's Biographer, by Charles E. Ward.

Challenges to Dryden's Editor, by H. T. Swedenberg.

_Atoms, Blacksmiths, and Crystals._ 1967.

The Texture of Matter as Viewed by Artisan, Philosopher, and Scientist

in the Seventeenth and Eighteenth Centuries, by Cyril Stanley Smith.

Snowflakes and the Constitution of Crystalline Matter,

by John G. Burke.

_Laplace as a Newtonian Scientist_, by Roger Hahn. 1967.

_Modern Fine Printing._ 1967.

The Private Press: Its Essence and Recrudescence, by H. Richard Archer.

Tradition and Southern California Printers, by Ward Ritchie.

Transcriber's Notes:

Passages in italics are indicated by _underscore_.

Additional spacing after some of the quotes is intentional to indicate

both the end of a quotation and the beginning of a new paragraph as

presented in the original text.

The following misprints have been corrected:

"acessible" corrected to "accessible" (page 10)

"Futhermore" corrected to "Furthermore" (page 10)

"histroy" corrected to "history" (page 14)

"wordly" corrected to "worldly" (page 32)

Medical investigation in seventeenth century England · 第 3 / 3 段