Thomas Sydenham was born in the year 1624, at Windford Eagle, in
Dorsetshire, where his father, William Sydenham, esq. had a large
fortune. Under whose care he was educated, or in what manner he passed
his childhood, whether he made any early discoveries of a genius
peculiarly adapted to the study of nature, or gave any presages of his
future eminence in medicine, no information is to be obtained. We
must, therefore, repress that curiosity, which would naturally incline
us to watch the first attempts of so vigorous a mind, to pursue it in
its childish inquiries, and see it struggling with rustick prejudices,
breaking, on trifling occasions, the shackles of credulity, and giving
proofs, in its casual excursions, that it was formed to shake off the
yoke of prescription, and dispel the phantoms of hypothesis.
That the strength of Sydenham's understanding, the accuracy of his
discernment, and ardour of his curiosity, might have been remarked
from his infancy by a diligent observer, there is no reason to doubt;
for there is no instance of any man, whose history has been minutely
related, that did not, in every part of life, discover the same
proportion of intellectual vigour; but it has been the lot of the
greatest part of those who have excelled in science, to be known only
by their own writings, and to have left behind them no remembrance of
their domestick life, or private transactions, or only such memorials
of particular passages as are, on certain occasions, necessarily
recorded in publick registers.
From these it is discovered, that, at the age of eighteen, in 1642, he
commenced a commoner of Magdalen hall, in Oxford, where it is not
probable that he continued long; for he informs us himself, that he
was withheld from the university by the commencement of the war; nor
is it known in what state of life he engaged, or where he resided
during that long series of publick commotion. It is, indeed, reported,
that he had a commission in the king's army, but no particular account
is given of his military conduct; nor are we told what rank he
obtained, when he entered into the army, or when, or on what occasion,
he retired from it.
It is, however, certain, that if ever he took upon him the profession
of arms, he spent but few years in the camp; for, in 1648, he
obtained, at Oxford, the degree of bachelor of physick, for which, as
some medicinal knowledge is necessary, it may be imagined that he
spent some time in qualifying himself.
His application to the study of physick was, as he himself relates,
produced by an accidental acquaintance with Dr. Cox, a physician,
eminent at that time in London, who in some sickness prescribed to his
brother, and attending him frequently on that occasion, inquired of
him what profession he designed to follow. The young man answering
that he was undetermined, the doctor recommended physick to him, on
what account, or with what arguments, it is not related; but his
persuasions were so effectual, that Sydenham determined to follow his
advice, and retired to Oxford for leisure and opportunity to pursue
his studies.
It is evident that this conversation must have happened before his
promotion to any degree in physick, because he himself fixes it in the
interval of his absence from the university, a circumstance which will
enable us to confute many false reports relating to Dr. Sydenham,
which have been confidently inculcated, and implicitly believed. It is
the general opinion, that he was made a physician by accident and
necessity, and sir Richard Blackmore reports, in plain terms, [preface
to his Treatise on the Small Pox,] that he engaged in practice,
without any preparatory study, or previous knowledge, of the medicinal
sciences; and affirms, that when he was consulted by him what books he
should read to qualify him for the same profession, he recommended Don
Quixote.
That he recommended Don Quixote to Blackmore, we are not allowed to
doubt; but the relater is hindered by that self-love, which dazzles
all mankind, from discovering that he might intend a satire very
different from a general censure of all the ancient and modern writers
on medicine, since he might, perhaps, mean, either seriously or in
jest, to insinuate, that Blackmore was not adapted by nature to the
study of physick, and that, whether he should read Cervantes or
Hippocrates, he would be equally unqualified for practice, and equally
unsuccessful in it.
Whatsoever was his meaning, nothing is more evident, than that it was
a transient sally of an imagination warmed with gaiety, or the
negligent effusion of a mind intent upon some other employment, and in
haste to dismiss a troublesome intruder; for it is certain that
Sydenham did not think it impossible to write usefully on medicine,
because he has himself written upon it; and it is not probable that he
carried his vanity so far, as to imagine that no man had ever acquired
the same qualifications besides himself. He could not but know that he
rather restored, than invented most of his principles, and, therefore,
could not but acknowledge the value of those writers whose doctrines
he adopted and enforced.
That he engaged in the practice of physick without any acquaintance
with the theory, or knowledge of the opinions or precepts of former
writers, is undoubtedly false; for he declares, that, after he had, in
pursuance of his conversation with Dr. Cox, determined upon the
profession of physick, he "applied himself in earnest to it, and spent
several years in the university," (aliquot annos in academica
palæstra,) before he began to practise in London.
Nor was he satisfied with the opportunities of knowledge which Oxford
afforded, but travelled to Montpellier, as Désault relates,
[Dissertation on Consumptions,] in quest of further information;
Montpellier, being at that time, the most celebrated school of
physick: so far was Sydenham from any contempt of academical
institutions, and so far from thinking it reasonable to learn physick
by experiments alone, which must necessarily be made at the hazard of
life.
What can be demanded beyond this by the most zealous advocate for
regular education? What can be expected from the most cautious and
most industrious student, than that he should dedicate several years
to the rudiments of his art, and travel for further instructions from
one university to another?
It is likewise a common opinion, that Sydenham was thirty years old,
before he formed his resolution of studying physick, for which I can
discover no other foundation than one expression in his dedication to
Dr. Mapletoft, which seems to have given rise to it, by a gross
misinterpretation; for he only observes, that from his conversation
with Dr. Cox to the publication of that treatise, thirty years had
intervened.
Whatever may have produced this notion, or how long soever it may have
prevailed, it is now proved, beyond controversy, to be false; since it
appears that Sydenham, having been for some time absent from the
university, returned to it, in order to pursue his physical inquiries,
before he was twenty-four years old; for, in 1648, he was admitted to
the degree of bachelor of physick.
That such reports should be confidently spread, even among the
contemporaries of the author to whom they relate, and obtain, in a few
years, such credit as to require a regular confutation; that it should
be imagined that the greatest physician of the age arrived at so high
a degree of skill, without any assistance from his predecessors; and
that a man, eminent for integrity, practised medicine by chance, and
grew wise only by murder; is not to be considered without
astonishment.
But if it be, on the other part, remembered, how much this opinion
favours the laziness of some, and the pride of others; how readily
some men confide in natural sagacity; and how willingly most would
spare themselves the labour of accurate reading and tedious inquiry;
it will be easily discovered, how much the interest of multitudes was
engaged in the production and continuance of this opinion, and how
cheaply those, of whom it was known that they practised physick before
they studied it, might satisfy themselves and others with the example
of the illustrious Sydenham.
It is, therefore, in an uncommon degree useful to publish a true
account of this memorable man, that pride, temerity, and idleness, may
be deprived of that patronage which they have enjoyed too long; that
life may be secured from the dangerous experiments of the ignorant and
presumptuous; and that those, who shall, hereafter, assume the
important province of superintending the health of others, may learn,
from this great master of the art, that the only means of arriving at
eminence and success are labour and study.
From these false reports it is probable that another arose, to which,
though it cannot be with equal certainty confuted, it does not appear
that entire credit ought to be given. The acquisition of a Latin style
did not seem consistent with the manner of life imputed to him; nor
was it probable, that he, who had so diligently cultivated the
ornamental parts of general literature, would have neglected the
essential studies of his own profession. Those, therefore, who were
determined, at whatever price, to retain him in their own party, and
represent him equally ignorant and daring with themselves, denied him
the credit of writing his own works in the language in which they were
published, and asserted, but without proof, that they were composed by
him in English, and translated into Latin by Dr. Mapletoft.
Whether Dr. Mapletoft lived and was familiar with him, during the
whole time in which these several treatises were printed, treatises
written on particular occasions, and printed at periods considerably
distant from each other, we have had no opportunity of inquiring, and,
therefore, cannot demonstrate the falsehood of this report; but if it
be considered how unlikely it is, that any man should engage in a work
so laborious and so little necessary, only to advance the reputation
of another, or that he should have leisure to continue the same office
upon all following occasions; if it be remembered how seldom such
literary combinations are formed, and how soon they are, for the
greatest part, dissolved, there will appear no reason for not allowing
Dr. Sydenham the laurel of eloquence, as well as physick [53].
It is observable, that his Processus Integri, published after his
death, discovers alone more skill in the Latin language than is
commonly ascribed to him; and it surely will not be suspected, that
the officiousness of his friends was continued after his death, or
that he procured the book to be translated, only that, by leaving it
behind him, he might secure his claim to his other writings.
It is asserted by sir Hans Sloane, that Dr. Sydenham, with whom he was
familiarly acquainted, was particularly versed in the writings of the
great Roman orator and philosopher; and there is evidently such a
luxuriance in his style, as may discover the author which gave him
most pleasure, and most engaged his imitation.
About the same time that he became bachelor of physick, he obtained,
by the interest of a relation, a fellowship of All Souls' college,
having submitted, by the subscription required, to the authority of
the visitors appointed by the parliament, upon what principles, or how
consistently with his former conduct, it is now impossible to
discover.
When he thought himself qualified for practice, he fixed his residence
in Westminster, became doctor of physick at Cambridge, received a
license from the college of physicians, and lived in the first degree
of reputation, and the greatest affluence of practice, for many years,
without any other enemies than those which he raised by the superiour
merit of his conduct, the brighter lustre of his abilities, or his
improvements of his science, and his contempt of pernicious methods,
supported only by authority, in opposition to sound reason and
indubitable experience. These men are indebted to him for concealing
their names, when he records their malice, since they have, thereby,
escaped the contempt and detestation of posterity.
It is a melancholy reflection, that they who have obtained the highest
reputation, by preserving or restoring the health of others, have
often been hurried away before the natural decline of life, or have
passed many of their years under the torments of those distempers
which they profess to relieve. In this number was Sydenham, whose
health began to fail in the fifty-second year of his age, by the
frequent attacks of the gout, to which he was subject for a great part
of his life, and which was afterwards accompanied with the stone in
the kidneys, and, its natural consequence, bloody urine.
These were distempers which even the art of Sydenham could only
palliate, without hope of a perfect cure, but which, if he has not
been able by his precepts to instruct us to remove, he has, at least,
by his example, taught us to bear; for he never betrayed any indecent
impatience, or unmanly dejection, under his torments, but supported
himself by the reflections of philosophy, and the consolations of
religion; and in every interval of ease applied himself to the
assistance of others with his usual assiduity.
After a life thus usefully employed, he died at his house in
Pall-mall, on the 29th of December, 1689, and was buried in the aisle,
near the south door of the church of St. James, in Westminster.
What was his character, as a physician, appears from the treatises
which he has left, which it is not necessary to epitomise or
transcribe; and from them it may likewise be collected, that his skill
in physick was not his highest excellence; that his whole character
was amiable; that his chief view was the benefit of mankind, and the
chief motive of his actions, the will of God, whom he mentions with
reverence, well becoming the most enlightened and most penetrating
mind. He was benevolent, candid, and communicative, sincere, and
religious; qualities, which it were happy, if they could copy from
him, who emulate his knowledge, and imitate his methods.