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LONDON: C. J. CLAY AND SONS

CAMBRIDGE UNIVERSITY PRESS WAREHOUSE, AVE MARIA LANE

1904

ALL RIGHTS RESERVED

TO

Sir WILLIAM SELBY CHURCH, Bart., K.C.B., M.D.

THE PRESIDENT

AND TO

THE FELLOWS

OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON

THIS ORATION IS DEDICATED

WITH MUCH RESPECT

THE

HARVEIAN ORATION

1904

Mr. President and Gentlemen, The officials fellows and friends of this

college assemble to-day, as we and our predecessors have assembled year

by year for two-and-a-half centuries, to commemorate the services which

William Harvey has rendered to mankind, and in order to keep alive in

our own minds the wise counsels which he addressed to us, the memory of

which he desired us ever to renew at the festival which he founded. We

are to honour our great profession, to continue in mutual love and

affection among ourselves, and to search and to study out the secrets of

nature by way of experiment in order to prevent suffering and to

ameliorate human life.

In commencing the pleasing duty which the kindness of our President has

placed in my hands it is needful to comply with the desire of our

founder that we commemorate the names of benefactors of this college.

The lengthy and honourable roll was so fully dealt with by the learned

orator of last year that I shall merely add to his recital the names of

those who since that time have given of their substance for the

advancement of medicine. Dr. Horace Dobell of Parkstone Heights, Dorset,

gave the sum of £500 to encourage research into the ultimate origin,

evolution, and life-history of bacilli and other pathogenic

micro-organisms; Dr. George Oliver, Fellow of this College, of

Harrogate, and Farnham, Surrey, has given £2,000 to found the

Oliver-Sharpey lectureship or prize in memory of William Sharpey of

University College, and to encourage the application of physiological

knowledge for the prevention and cure of disease and for the

prolongation of life; and Lady Clark has presented to us a bust of our

revered and lamented former president, Sir Andrew Clark.

No student of the works of Harvey can fail to bear in mind the great

loss we have sustained this year in the decease of Sir Edward Sieveking,

who in his Harveian Oration drew special attention to the Prelectiones

Anatomiae and in conjunction with Dr. George Johnson and other Fellows

of this College arranged for the admirable autotype reproduction of

Harvey’s manuscript which we possess.

Desiring to render this address as little wearisome as may be I propose

to divide it into two parts: the first archaeological, dealing with

Egyptian medicine, the medicine god, and the earliest inquiries known to

have been made concerning the circulation and circulatory diseases—viz.,

those of the physicians of ancient Egypt, a department of pre-Harveian

work, and perhaps the only one, which has not been dealt with in this

room. Secondly, I wish to speak with great brevity on the more practical

subject of the preventive treatment of certain forms of circulatory

disease.

I

Egypt and the Earliest Researches on the Circulation

To all who love our venerable and beneficent profession the spectacle of

our predecessors in early ages striving in darkness and difficulty to

acquire that hidden knowledge to which we have partially attained is

interesting and should awaken our sympathy. As was remarked by the

learned Harveian Orator of 1896: ‘The past is worth our study and ever

more so the further we advance.’[1]

The information which archaeological research has of late afforded,

though in a fitful and partial manner, as to the earliest history of

medicine, and particularly in regard to that department in which our

founder laboured, is not unworthy of our attention.

The first evidence of definite inquiry, in any degree worthy to be

called scientific by a body of men specially educated for, and devoting

their lives to medical service, occurs in the early history of Egypt.

The ability, learning, and artistic skill shown during the early

dynasties, which all Egyptologists recognize, are paralleled by the

remarkable interest then manifested in medicine. Works on anatomy and

medicine are stated to have been written even by the early sovereigns of

Egypt. Athothis, the son of Menes, who lived six thousand years ago,[2]

is stated in the Berlin papyrus to have written a book on medicine, and

I shall soon have to quote from the anatomical writings of the Pharaoh

Usaphais, one of his successors; Semti, the seventh monarch of the same

dynasty, pursued similar investigations. It is clear that, like the

Greeks, these men in the childhood of the world believed that ὑγιαίνειν

µὲν ἄριστον ἐστιν, sanitation was to them the first of the sciences.

[Illustration: PLATE I

Ancient bronze figure of I-em-hotep, the Egyptian God of Medicine

(By the kind permission of the Committee and Curator of the

Liverpool Museum)]

I-em-hotep and Ancient Egyptian medicine: II. Prevention of valvular disease The Harveian Oration delivered before the Royal college of physicians on June 21, 1904 · 第 5 / 19 题