After Hippocrates the name of Aristotle comes before us. Aristotle, the

pupil and friend of the venerable Plato, whose doctrines he adopted and

developed, lectured at Athens 370 years before Christ. As a physician

and naturalist he was far in advance of his contemporaries, and as a

mathematician and moral philosopher, his transcendent learning was, for

ages, the theme of every scholar; and his “System of the Universe”

adopted by the whole of the civilized world. These great qualities

attracted the attention of Philip of Macedonia, who chose him as the

tutor of his son Alexander (the Great). Ignorance and superstition were,

however, omnipotent, and for having enunciated the doctrine of one God,

and a supreme first cause, the priests of the various temples seeing

their craft in danger, excited the populace, who threatened his life.

Warned by the fate of Socrates, he retired to Chalcis to wear away a

life embittered by personal suffering, and sorrow for the folly and

ingratitude of his countrymen.

The heart’s deepest feelings are roused at the remembrance of the deeds

of violence perpetrated against every benefactor of mankind who has had

the courage to promulgate truths beyond the comprehension of the vulgar

on the one hand, and opposed to the vested interest of established

errors on the other. The fate of Aristotle is a common result, not

confined to the dark ages, nor without examples amongst ourselves.

The learned Philo of Alexandria, who lived A.D. 40, has given us an

interesting account of the very remarkable sect living in Egypt in his

day, known as the “Theraputæ,” or “healers.” He describes them as a

confraternity who, after having received a special training in the

University of Alexandria, devoted themselves to the healing art; they

led a secluded, contemplative life, and laid the foundation of the

monastic system. Eusebius calls them Christians, but this is not

confirmed by Philo, who was a member of the sect; they were, probably,

Platonists, or philosophical pagans. They ascribed their cures to

prayers, fastings, and incantations, eschewed all material remedies, and

medicaments, but made free use of magical rites of both forms—the

leucomancy, or white magic, used in invoking the gods, and necromancy

when the demons were to be propitiated or coerced. St. Luke, before his

conversion, is supposed to have been a Therapeut; and St. Paul denounces

some of their errors. Of their faults we cannot judge, but we may admire

the benevolence with which they devoted themselves alike to the physical

and moral welfare of their fellow men—in this respect, no unworthy

forerunners of Him who commanded his disciples, not only to “instruct

the ignorant,” but to “heal the sick.”

We pass over three centuries to come to the time of Celsus, who, in the

reign of Tiberius and the first century of our Lord, was established at

Rome; where he acquired great honour and renown. To these he was fairly

entitled by the extent of his learning and the especial attention he

paid to surgery and medicine. His principles governed the medical world

without a rival until the time of Galen, who divided the empire with him

for centuries.

Celsus was the first native Roman physician whose name has been

transmitted to us: the practice of medicine and surgery being, prior to

his time, in the hands of eminent Greeks and Asiatics, excepting that

there existed in Rome (at that period) a race of native practitioners,

who belonged to the class of slaves[9] or persons of low degree; and to

whom were entrusted only the subordinate branches of the healing art.

-----

Footnote 9:

See Notes and Letters of Pliny.

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The great proficiency of Celsus on the subjects of rhetoric, philosophy,

military tactics, and rural economy, as mentioned by Quintilian, has

induced many of our older writers to doubt whether he ever really

practised medicine and surgery, or, whether, like the elder Cato, he

simply studied them as a branch of general knowledge; and this

scepticism has been favoured by the fact of his name being omitted by

Pliny, in his “Treatise on the History of Medicine.”

On the other hand, no one, I think, can rise from the perusal of his

celebrated work, “De Medicina,” without being thoroughly convinced that

his intimate acquaintance with the theory and practice of medicine,

surgery, and pharmacy, could only have resulted from close bedside

observation.

Galen was born at Pergamos, in Asia, in the second century; his learning

was great, and his literary labours enormous. Having traversed Egypt and

Greece, and acquired a knowledge of every science taught in the schools

there, he settled in Rome. His works have been estimated at over 300

volumes—medical, physical, and metaphysical. He practised bleeding more

frequently than his predecessors, but he gave very careful directions as

to the conditions under which venesection should be resorted to, as well

as to the quantity of blood to be taken.

Averroes, Avicenna, and other Arabian physicians held him in great

veneration; and Dr. Alison says:— “For centuries after his death his

doctrines and tenets were regarded in the light of oracles, which few

persons had the courage to oppose; and the authority of Galen alone was

estimated at a much higher rate than that of all the medical writers

combined, who flourished during a period of more than twelve centuries.”

Rome, in its decadence, was too much occupied with the intrigues and

villainies of the factions by which it was ultimately destroyed, to

spare any time for the culture of science. It was not until after the

total disappearance of the Eastern Empire, and the hollow tranquillity

which succeeded the triumphs of Mahomet, and the subsequent subjugation

of Spain by the Moors, that learning reared its head in Alexandria, and

the Arabian physicians came into view.

Although Greece had disappeared, even in the noonday of its glory, its

literature never possessed more devoted admirers, nor more faithful

exponents than are to be found among the Arabian philosophers, and yet

what a striking contrast is exhibited in the characters of the two

people. Whilst making the philosophy of Greece their own, they by no

means lost their distinctiveness and individuality. The Greeks delighted

in all that was brilliant and fascinating, like the beautiful scenery of

Attica and Asia Minor. The Arabs were thoughtful and grave, monotonous

and arid, like the deserts they inhabited. The genius of poetry

illumined all the meditations of the former, and their thoughts were

graceful, even in their errors; whilst the reflections of the latter

were dull and melancholy, albeit they were based on truths.

A dreary night now ensues—we have no name of note until Paulus Ægineta

in 640—but what a series of historically grand events interpose: The

invasion of Europe by the Huns—Division of the Roman Empire—Taking of

Rome by Alaric—Visigoths established in Spain—Saxon heptarchy

begun—Conquest of Italy by Totila—Birth of Mahomet, down to the taking

of Alexandria by the Arabs—Greece and Rome having virtually disappeared;

and our next author (Paulus) probably present at the burning of the

great library of the Ptolemies.

Paulus Ægineta is entitled to our homage, as the author of an abridgment

of the works of Galen, and many excellent treatises on medical subjects,

especially on those incident to childbed, and the diseases of women; he

was the first writer upon _small-pox_ and _measles_, and the originator

of the theory of _zymosis_, which has received so much attention of

late. Paulus died about the middle of the seventh century, and with him

expired the last of the Greek writers upon medicine. His labours have

been thought worthy of being translated by the Sydenham Society.

Avicenna, who lived in the year 980, deserves a fuller notice than we

can afford him; his works are said to present great clearness and

acuteness. At the early age of eighteen he was chosen Physician to the

Court of the Caliph of Bagdad, where for some offence he was imprisoned,

and ultimately died. He has been called the “Hippocrates of the Arabs.”

Rhazes was contemporary with Avicenna, and has attracted the respectful

attention of the lovers of ancient medicine. His most esteemed work is a

treatise on small-pox, which was translated by Dr. Mead in 1548.

I will conclude these sketches of the Arabian schoolmen with a brief

notice of Averroes, the most eminent of them:—

This profound scholar was born at Cordova, in Spain, of which city his

father was the alcade, about the year 1120. He was educated in Morocco,

then in its glory, and in the celebrated schools there studied law,

philosophy, and medicine. His admiration for Aristotle was unbounded,

and his unwearied application to the examination of that great man’s

works, secured for him the reputation of being the ablest commentator on

the Aristotelian philosophy. He rose to the dignity of a judge in

Morocco, but the freedom of his opinions being in advance of the age, he

was imprisoned for some years, and only released on recanting his

errors; he died 1206, during the Caliphate of Almanzer.

The glories of the Moorish power now began to wane, and after repeated

discomfitures in 1516, that intelligent and highly civilized people were

finally expelled by Ferdinand the Catholic: the cross triumphs—the

crescent retires, and takes with it all that is admirable in arts, or

humanizing in science; the Spaniard has chased away Mahomet, and

receives the Inquisition as the first-fruits of his conquest.

The war against opinion was carried on so vigorously that Copernicus,

whose acute perception had discovered the errors of Aristotle’s theory

of heavenly bodies, was fiercely denounced. Copernicus was born in

Westphalia in 1473, he studied at Cracow, where he received the degree

of Doctor of Medicine; at Bologna his piercing genius discovered that

the sun was the centre of the planetary system, that the earth was a

planet and revolved round the sun like other planets, and thus was first

made known the true system of the universe. These discoveries being

distasteful to the church, the Pope issued a sentence of

excommunication; and the great astronomer died with a heart oppressed by

such unmerited persecution.

These discoveries were further pursued by another learned physician,

Galileo, who was born at Pisa in 1564. He entered the university there

in 1581, and prosecuted his studies with such zeal and success, that in

a very few years he became Professor of Mathematics. He now began his

career as a teacher of the philosophy of Copernicus, and soon received

unpleasant evidences that the disciple of truth must be ready to suffer.

A congregation of cardinals, monks, and mathematicians of the old

school, determined that his works were heretical and dangerous, and the

holy inquisition sentenced him to prison. After remaining incarcerated

some months he was taken before his judges, and required to renounce his

errors, and with his hand upon the Gospel, to swear that they were

sinful and detestable. Having performed this horrid penance, his

conscience upbraided him, and as he rose from his knees, he exclaimed,

“yet it does move,” for which relapse he was further sentenced to

perpetual imprisonment. He continued thus secluded for many years,

during which time blindness, deafness, and pains in his limbs embittered

his existence, and death at length, more merciful than the Holy See,

released him from his trials. Newton was born in the year in which this

noble martyr died.

For the edification of the worshippers of the “good old times,” a few

more instances of the loving kindness which prevailed may be acceptable.

The clerical sages of the University of Salamanca pronounced that the

assertion of Christopher Columbus, that a continent existed beyond the

seas, was blasphemous and feloniously wicked. A bishop of Salsburg

expressing his belief in the existence of the antipodes was denounced by

the bishop of Mentz as a dangerous heretic, and committed to the flames.

Bigotry, however, is not confined to any one creed, since we know that

Calvin the reformer, a man who had suffered persecution without learning

mercy, no sooner found himself invested with the power to punish the

freedom of thought in which he had himself indulged, than he persecuted

to death the learned physician, Michael Servetus, not for any immoral

proclivity, but because he believed him to be unsound on the doctrine of

the Trinity. Servetus took the degree of Doctor of Medicine at the

University of Paris about the year 1535. He is the author of some

medical treatises on the circulation of the blood, and also translated

Ptolemy’s geography; he was for some time in constant correspondence

with Calvin, but as the “Odium theologicum” is the bitterest, Calvin

shewed his christian charity by causing his antagonist to be consigned

to the flames.

But I must hasten forward, Fallopius looms in the distance, and with him

our medical celebrities come fast and numerous. Gabriel Fallopius was

born at Modena about the year 1523, and was one of the great triad of

anatomists in Italy who, at the close of the 16th century, laid the

foundation of the modern science of anatomy. Fallopius succeeded

Vesalius in the chair of anatomy and surgery at Padua in 1557. His

career was brilliant but short, and he died in 1562. It should be

mentioned that Fallopius shared the usual fate of great discoverers; his

originality was disputed, and his learning questioned; but it has been

always so, and in appreciating the works of our predecessors, we must

keep in view the enormous difficulties by which every onward step,

whether in art or science, is beset:

“Envy doth merit, as its shade pursue.”

truth does indeed ultimately prevail, but too frequently the heart of

the discoverer is broken before the obtuseness of the mediocrities in

power, by whom it is obstructed, can be overcome.

Although a little diverging from the strict chronological order, I must

here introduce to you our old acquaintance, Paracelsus; this eccentric

genius had too little virtue to be admired, and too much talent to be

despised. He was born at Zurich, in Switzerland, in 1493, and was

consequently contemporary with many more learned, but less celebrated

men; an unblushing and presumptuous egotist, he presents himself, in a

moral point of view, as the exact antithesis of the amiable and virtuous

Hippocrates. That he made some very useful discoveries must be granted

to him; he introduced the use of opium into Germany, and was the first

practitioner who employed preparations of mercury, antimony, sulphur,

iron, and other remedies.

Van Helmont is the most indulgent of his biographers, and Lord Bacon the

most severe; but perhaps the description given by Zimmerman comes

nearest the truth—“Paracelsus burnt publicly at _Bàle_ the works of

Galen, Avicenna, and other eminent predecessors, because, he said, ‘they

knew nothing of the cabballa and magic,’ which lay at the root of all

medical and natural laws. He undertook to cure all diseases by the use

of certain words and charms. He enjoined secresy on his disciples, and

certainly was the first _great quack_ from whom the numerous band of

Charlatans have proceeded.”

He has left his mantle behind him, and his descendants, with none of his

brains, have largely inherited his presumption. On the occasion of his

inauguration in the Chair of Medicine, he thus expresses himself:—

“Know,” says he, “that my _cap_ has more learning than all your

professors, and my beard more experience than all your academies! I

speak to you Greeks, Latins, Frenchmen, Italians, &c. &c. _You_ will

follow _me_, _I_ shall not follow _you_. You, I say, doctors of Paris,

Montpellier, Dalmatia, of Athens; you Jews, Arabs, Spaniards, English, I

tell you all that nature obeys me; and if God does not deign to assist,

I have yet the devil to resort to. I am king of all science, and command

all the hosts of hell.”

We have in this impostor the very embodiment of the true quacks of

to-day; their language is indeed a little subdued, but their pretensions

are as large; and, let me add, that whereas Paracelsus, in his days, had

the countenance and support of many persons of rank, so in ours, there

does not exist an ignorant pretender without the patronage of the great,

and this patronage, too often, in the exact ratio of his presumption and

falsehood.

It must not be overlooked that this arch imposter died miserably, in

poverty, induced by dissipation, and the possessor of the “elixir of

immortality” breathed out his drunken soul at the age of fifty.

We have a lively picture of the state of things begotten of this man in

the pages of Burton, an example in himself of the power of credulity,

and a proof that great scholastic learning was by no means at variance

with the wild vagaries of the times. He appears not unconscious of his

peculiarities, and offers the following apology for his frequent

reference to callings other than his own:—

“If any physician shall infer ‘ne sutor ultra crepidam,’ and be grieved

that I have intruded into his profession, I tell him, in brief, he does

the same by us:—I know many of his sect who have taken Orders in hope of

a Benefice—’tis a common transaction; and why may not a melancholy

divine, who can get nothing but by _Simony_, profess _Physic_? Marsilius

Ficinus was ‘semel et simul,’ a priest and physician, at once ‘sacerdos

et medicus;’ and also divers Jesuits are at this time ‘permissu

superiorem,’ chirurgeons, panders, bawds and midwives. Many poor vicars,

for want of other means, are driven to turn mountebanks, quacksalvers

and empirics; and in every village have we not wizards, alchymists,

barbers, goodwives, Paracelsians (as they call themselves), possessing

great skill, and in such numbers that I marvel how they shall all find

employment?”

Burton lived about 1576, and was consequently of the same age as our own

great Harvey, of whom we shall speak presently.

Let me offer you one specimen on the subject of demoniacal possession,

first introducing you to a new character, Cornelius Gemma, who was born

at Louvain in 1535, and was one of the greatest scholars of his age, a

professor of medicine in his native town (the chair having been

conferred upon him by the great Duke of Alva, who governed the low

countries), and whose writings embrace the subjects of medicine,

mathematics, magic, and spiritual possession. Like Cardan, he was

thought a little extreme in some views, but this one example suffices to

demonstrate the evil influences of Paracelsus. Gemma, in his second book

on natural miracles, says:—“A young maid, called Katherine Gualter, a

cooper’s daughter, in the year 1571, had such strange passions that

three men could not hold her. She purged a live eel—I myself saw and

touched—a foot and a half long; she vomited twenty-four pounds of

fulsome stuff of all colours twice a day for fourteen days, and after

that great _balls of hair_, _pieces of wood_, _pigeons’ dung_, _coals_,

and after them _two pounds_ of pure blood, and then again coals and

stones (_of which some had inscriptions_) bigger than a walnut. All this

I saw with horror. Physic could do no good, so she was handed over to

the clergy.”

Marcellus Donatus relates a story of a country fellow who had four

knives in his belly, every one a span long, and indented like a saw;

also a wreath of hair, and much other baggage. How they “came into his

guts” he knew not.

This personal testimony of Gemma is a melancholy proof that the light of

christianity, during fifteen centuries, had done but little towards the

emancipation of the human mind from the trammels of superstition, for,

we find Josephus, who lived A.D. 30, also favoring us with his

_personal_ testimony to facts quite as marvellous, and no doubt as

veracious, as those recorded by our Dutch philosopher. Yet although

common sense rejects such “materials of history” where shall we look for

better evidence of authenticity than is thus furnished by two men of

unimpeachable integrity. The pride of enlightenment is indeed checked by

the reflection that A.D. 1867 we hear of believers in “Spiritual

Manifestation” not only among the vulgar but in classes of society where

the yearning after the mysterious sets both reason and philosophy at

defiance.

The universality of belief in the existence of demons, and their

occasional possession of the bodies of men, pervades the whole course of

sacred and profane history, and Josephus, in enumerating the great

qualities of King Solomon, bears testimony to the power of the Jewish

Monarch as an “_Exorcist_:”—After informing us that Solomon exceeded all

men in knowledge of natural things, that he was familiar with every sort

of tree, from the cedar to the hyssop on the wall; that he knew the

habits of every living creature, whether upon the earth, or in the seas,

or in the air, and described their several attributes like a

philosopher, and demonstrated his exquisite knowledge of them; he goes

on to say:—“God also gave him understanding to attain to skill against

demons for the benefit of mankind; for having composed incantations,

whereby diseases are removed, he also left behind him certain kinds of

exorcisms whereby demons may be expelled so as never to return, and this

method of cure is effectual or prevails much among us to this day: for

_I saw_ one Eleazar, my countryman, in the presence of Vespasian and his

sons, and many tribunes and other soldiers, deliver men who were seized

by these demons. The cure was in this manner:—Applying to the nostrils

of the demoniacs a ring, having under the seal one of those roots of

which Solomon taught the virtues, he drew out the demon from the

nostrils of the man who smelled to it:—The man presently falling down,

the Exorcist mentioned the name of _Solomon_, and reciting the charms

composed by _him_, adjured the demon never to return:—Moreover Eleazar,

to satisfy all the company of his power, placed a small vessel full of

water, in which feet are washed, and commanded the demon as he went out

of the man to overthrow it, that all present might be sensible that he

had left the man: this being done the wisdom of Solomon was manifest.”

In the seventh book of his “Wars of the Jews,” he gives us the following

account of one of the roots employed by Exorcists:—“On the north side of

the City of Machœrus there is a valley, in which is a place called

Baaras, in which is found a plant bearing the same name: it is of a

flaming colour and towards evening shines very bright: it is not easy to

be gathered for it withdraws itself and does not stay unless one pours

upon it the urine of a woman, or menstruous blood, and even then it is

certain death to him who takes it unless he carries the root hanging

down upon the hand—There is another way of getting it without

danger:—They dig all round it, so that a very little bit of the root is

left in the ground, then they tie a dog to it, and the dog attempting to

follow him who tied it, the root is easily pulled up, but the dog dies

presently, as it were, instead of the man who would get the plant,

afterwards there is no danger to those who touch it. With all these

dangers the root is desirable, for demons, as they are called, who are

the spirits of wicked men entering into the living, and killing those

who have no help, this root presently expels; if it be only brought near

to them who are diseased.”

We have already shewn how it took the devils by the nose.

Before we proceed, it may not be out of place to notice the general

belief in astrology, and especially lunar influences, which prevailed at

this period. Herbs and roots had their several patrons, and it was only

when gathered and preserved under certain prescribed circumstances that

their specific virtues were assured.

Similar superstitions are not yet extinct; even in this year of grace,

1867, we are not quite emancipated from the ignorance of the middle

ages, and it is not a very unusual thing to see an advertisement in the

_Times_ announcing a “child’s caul” for sale. These and such like

absurdities,

“Though it make the unskilful laugh,

Cannot but make the judicious grieve.”

Nor is this credulity confined to the illiterate classes. The dupes of

St. John Long, as many of us may remember, included “potent, grave, and

reverend signiors,” and on his memorable trial, a certain noble lord[10]

gave evidence that Mr. Long had extracted a piece of lead from his head.

Some scoffers think it a pity that the quack, having succeeded to some

extent, left so much behind.

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Footnote 10:

The Earl of Shrewsbury.

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Sketches from the history of medicine, ancient and modern An oration delivered before the Hunterian Society · 第 2 / 4 段