The Origin and Growth of the Healing Art by Edward Berdoe
1518. The king was moved to this by the example of similar institutions
8092 words | Chapter 74
in Italy and elsewhere, by the solicitations of Thomas Linacre, one of
his own physicians, and by the advice and recommendation of Cardinal
Wolsey. Six physicians are named in the Letters Patent as constituting
the College, viz., John Chambre, Thomas Linacre, and Ferdinand de
Victoria, the king’s physicians; and Nicholas Halsewell, John Francis,
and Robert Yaxlery, physicians, “and all men of the same faculty, of
and in London, and within seven miles thereof, are incorporated as one
body and perpetual community or college.”[840]
DR. CHAMBRE was a priest before he became a physician. He was educated
at Oxford, studied at Padua, where he graduated in physic.
DR. THOMAS LINACRE was a distinguished scholar and physician, who was
born A.D. 1460. In 1484 he was elected a fellow of All Souls’, Oxford;
the next year he went to Bologna, where he studied under Pulitian;
he then went to Florence, where he became acquainted with Lorenzo
the Great; from Florence, he went to Rome, and thence to Venice and
Padua, which at that time was the most celebrated school of physic in
the world, and took the degree of Doctor of Medicine with the highest
applause. Linacre founded (1524) two Physic Lectures at Oxford and one
at Cambridge, but “they were not performed till divers years after
Linacre’s death, on account of the troubles concerning religion.”[841]
DR. ANDREW BORDE, Carthusian monk, physician, wit and buffoon, lived in
the reign of Henry VIII. He took his physician’s degree at Montpellier
in 1532, and afterwards became one of the court physicians on his
return to England. He was a learned, genial, and sensible doctor,
but possessed “a rambling head and an inconstant mind,” as Anthony à
Wood says. He wrote voluminously. His chief works, the _Breviary of
Health_, _The Dietary of Health_, and _The Book of the Introduction to
Knowledge_, have been edited by Dr. F. J. Furnivall, and published for
the Early English Text Society in a volume which is one of the most
entertaining works on medicine ever written. Borde earned his title
of “Merry Andrew” (a name which has become a household word) from
attending fairs and revels, and conducting himself with the buffoonery
which ill became so learned a man. Doubtless, however, it endeared
him to his countrymen of the period. His medical works are full of
prescriptions for various complaints, and many of them are exceedingly
valuable and fully equal to the best treatment followed now.
THOMAS VICARY was probably born between 1490 and 1500, was not a
trained surgeon, but “a meane practiser” at Maidstone. In 1525 he was
junior of the three Wardens of the Barbers’ or Barber-Surgeons’ Company
in London. In 1528 he was Upper or First Warden of the Company,
and one of the surgeons to Henry VIII., at £20 a year. In 1530 he
was Master of the Barber-Surgeons’ Company, and at the head of his
profession till his death in 1561 or 1562. As Dr. Furnivall says, he
was “the Paget of his great Tudor time.” Soon after the dissolution of
the monasteries, Henry VIII., at the request of the City of London,
handed over the monastic hospitals, Bartholomew’s and others, to the
Corporation of London. He gave to Bartholomew’s a small endowment
(nominally £333 odd) out of old houses which he charged with pensions
to parsons. The city raised £1000 for repairs and reopened the hospital
for one hundred patients, and on 29th September, 1548, appointed
Chief-Surgeon VICARY as one of the six new governors of the hospital.
The reorganization of the hospital was in a large measure due to this
excellent man and intelligent surgeon. In 1548 he published the first
English work on Anatomy, _The Anatomie of the Body of Man_, which was
reprinted by the Surgeons of Bartholomew’s in 1577. This text-book held
the field for 150 years.[842]
Those who are interested in the origin of our oldest and greatest
hospital in London will find much valuable information in the _Truly
Christian Ordre of the Hospital of S. Bartholomewes_, 1552, published
as Appendix XVI. in Dr. Furnivall’s Vicary, p. 291.
ROBERT COPLAND in 1547 or 48 published his book called _The Hy Way to
the Spitt House_. This is an important and interesting account of the
scamps and rogues who resorted to St. Bartholomew’s Hospital, London,
in the time of Henry VIII., after the Statute 22nd Hen. VIII. (1530-1),
against vagabonds. At that time the hospital gave temporary lodging to
almost all the needy, as well as a permanent home to the deserving poor
and sick; and sisters attended to them. Copland learns from the porter
all about the ne’er-do-wells and the rascals who sought to impose on
the charity.[843]
The old herbalists were often very patient and devoted investigators,
who experimented upon themselves, and by these means accumulated a
great number of facts of great use in the art of medicine. Conrad
Gesner was one of these; he used to eat small portions of wild herbs,
and test their effects on his own person, sitting down in the study
with the plants around him.[844]
SIR WILLIAM BUTTS, M.D. (died 1545), was physician to Henry VIII., and
was the friend of Wolsey, Cranmer, and Latimer. He was knighted by
Henry, and is immortalised in Shakspeare’s play of _Henry VIII._
GEORGE OWEN, M.D. (died 1558), was physician to Henry VIII., Edward
VI., and Queen Mary. It has been said that Edward VI. was brought into
the world by Dr. Owen, who performed the Cæsarian operation on his
mother.
JOHN CAIUS, M.D. (1510-1573), entered Gonville Hall, Cambridge, 1529.
He at first studied divinity, but in 1539 went to Padua to study
medicine under Montanus. Whilst at Padua, Caius lodged in the same
house with the anatomist Vesalius, devoting no less attention to
anatomy than his companion. He took the degree of doctor of medicine
at Padua. He was public professor of Greek in that University; in
1543 he visited all the great libraries of Italy, collecting MSS.,
with the view of giving correct editions of the works of Galen and
Celsus. In 1552 he was residing in London, and published an account
of the Sweating Sickness which prevailed in 1551. He was physician to
Edward VI., Mary, and Elizabeth. Dr. Caius enlarged and augmented the
resources of the college at Cambridge, at which he had been educated;
and he rendered eminent service to the College of Physicians by
defending its rights against the illegal practices of the surgeons, who
interfered with the proper functions of the physicians. His munificent
foundation at Cambridge is a claim on the gratitude of the English
nation, and ensures him a high place for ever in the annals of our
universities. The visitor to Cambridge will not fail to remember that
it was he who built the three singular gates at his college, inscribed
to Humility, to Virtue and Wisdom, and to Honour. But he has another
lasting claim to respect on the grounds that he first introduced
the study of practical anatomy into this country, and was the first
publicly to teach it, which he did in the hall of the Barber-Surgeons,
shortly after his return from Italy. Dr. Caius was a profound classical
scholar, and left numerous works on the Greek and Latin medical
authors. As a naturalist, linguist, critic, and antiquary, he was no
less distinguished than as a physician.
EDWARD WOTTON, M.D. (died 1555), seems to have been the first English
physician who applied himself specially to the study of natural
history. He made himself famous by his work on this subject, entitled
_De Differentiis Animalium_.
DR. GEYNES (died 1563) was cited before the College of Physicians for
impugning the authority of Galen; he recanted and humbly acknowledged
his heresy, and was duly pardoned. The circumstance is a curious
illustration of the sentiments of the times.[845]
SIMON LUDFORD was originally a friar who became an apothecary
in London, who was admitted by the University of Oxford to the
baccalaureate in medicine, although totally ignorant and incompetent.
The College reproved the University, and he was compelled to undergo a
course of study, when he was ultimately admitted doctor of medicine in
Oxford, and Fellow of the College of Physicians in 1563.
WILLIAM GILBERT, M.D. (born 1540), engaged in experiments relative to
the magnet, achieving results which Galileo declared to be “great to a
degree which might be envied,” and which induced Galileo to turn his
mind to magnetism.[846]
THOMAS PENNY, M.D. (practised in London, 1570-1). Gerard styles him “a
second Dioscorides, for his singular knowledge of plants.” He was also
one of the first Englishmen who studied insects.
PETER TURNER, M.D. (died 1614), was physician to St. Bartholomew’s
Hospital, and one of the greatest botanists of his age.
THOMAS MUFFET, M.D., the learned friend of distinguished physicians and
naturalists, was esteemed in his day the famous ornament of the body of
physicians (died 1604).
BERENGER OF CAPRI (died 1527) flourished at Bologna (1518). He was a
zealous anatomist, and declared that he had “dissected more than one
hundred human bodies.” He was the first who recognised the larger
proportional size of the male chest than the female, and the converse
concerning the pelvis. He discovered the two arytenoid cartilages in
the larynx, first accurately described the thymus, and gave a good
description of the brain and the internal ear, in which he noticed the
_malleus_ and _incus_. He rectified some of the mistakes of Mondino,
but was, like all other anatomists before Harvey, deeply perplexed
about the heart and the circulation. He investigated the structure of
the valves of the heart.
* * * * *
The art of midwifery, up to the middle of the sixteenth century, was
in the lowest possible condition. In 1521, a doctor named Veites was
condemned to the flames in Hamburg, for engaging in the business of
midwifery. In the year 1500, the wife of one JACOB NUFER, of Thurgau,
a Swiss sow-gelder, being in peril of her life in pregnancy, though
thirteen midwives and several surgeons had attempted to deliver her in
the ordinary way, it occurred to her husband to ask permission of the
authorities, and the help of God, to deliver her “as he would a sow.”
He was completely successful, and thus performed the first Cæsarian
operation on the living patient, who lived to bear several other
children in the natural way, and died at the age of seventy-seven.
Another sow-gelder performed the operation of ovariotomy on his own
daughter, in the sixteenth century.
FRANÇOIS ROUSSET (about 1581), physician to the Duke of Savoy, was the
first to write upon the Cæsarian operation. The improvement in printing
and engraving caused the works of the Greek, Roman, and Arabian writers
to be more widely known, and manuals were published for the instruction
of midwives. The first book of this kind was by EUCHARIUS ROSLEIN,
at Worms, called the _Rose Garden for Midwives_ (1513). VESALIUS
(1543) rendered great services to the obstetric art by his anatomical
teaching; and when Rousset published his treatise, the operation became
popular, and was constantly performed on the living subject, sometimes
even when it was not absolutely necessary. PINEAU, a surgeon of Paris,
in 1589, first suggested division of the pubes to facilitate difficult
labour.
* * * * *
In the year 1535 (27 Henry VIII.), Wood says[847] that at Oxford
“divers scholars, upon a foresight of the ruin of the clergy, had and
did now betake themselves to physick, who as yet raw and inexpert
would adventure to practise, to the utter undoing of many. The said
visitors ordered, therefore, that none should practise or exercise
that faculty unless he had been examined by the physick professor
concerning his knowledge therein. Which order, being of great moment,
was the year following confirmed by the king, and power by him granted
to the professor and successors to examine those that were to practise
according to the Visitor’s Order.”
PIERRE FRANCO (_c._ 1560) was a Swiss or French surgeon, and a famous
lithotomist, who performed the high operation for the first time in
1560, with success, on a child aged two years. Recognising the dangers
of this method, he introduced a new method in the operation known as
perineal lithotomy, which was called the lateral method. He preceded
Paré in improvements in dealing with strangulated hernia by the
operation known as herniotomy. He was one of the first to re-introduce
into midwifery practice the operation known as “turning,” in difficult
labour. The operation was a familiar one amongst the Hindus, and
had been known to the later Græco-Roman school, but had fallen into
disuse until Paré, Franco, and Guillemeau devoted themselves to the
improvement of this neglected branch of the healing art with great
success.
ANDREW LIBAVIUS (1546-1616), physician at Coburg, is said by Sprengel
to have been the person who began to cultivate chemistry; as distinct
from all theosophical fancies of his predecessors.
CONRAD GESNER, the miracle of learning, whom we have already mentioned,
devoted great attention to gynæcology, and wrote learnedly and without
prejudice upon medicine.
DR. HENRY ALKINS (born 1558) was one of the principal physicians
of James I. While president of the Royal College, the first London
Pharmacopœia was published in 1618.
JOHN BANNISTER was a voluminous writer on surgery who practised in
London, and wrote a treatise on surgery in 1575.
THOMAS GALE (1507-1586), the “English Paré,” was a military surgeon,
under Henry VIII. and Elizabeth, who taught that gun-shot wounds were
not poisoned as was commonly supposed, but were to be treated as
ordinary wounds.
WILLIAM BULLEYN (died 1576) was a famous physician and botanist in the
reigns of the later Tudors. He wrote _The Government of Health_ (1548),
_Book of Simples_, and other works.
FRESCATORIUS (1483-1553) was the first to publish a description of
typhus fever. Dr. Mead says[848] that he knew that “consumption is
contagious, and is contracted by living with a phthisical person, by
the gliding of the corrupted and putrified juices [of the sick] into
the lungs of the sound man.” He _inferred_ the microbes which we _see_.
G. BAILLOU (1536-1614) was the first to describe clearly the diseases
whooping cough and croup.
ALEXANDER BENEDETTI (died 1525) was an anatomist, who made important
observations on gall-stones.
FELIX PLATTER (1536-1614), a professor at Basle, must ever be
gratefully remembered for his humane and wise opposition to the cruel
treatment of the insane by coercive measures, which unhappily were
in fashion up to recent times. He suggested the division of diseases
into three classes: (1) Mental disorders; (2) Pains, fevers, etc.; (3)
Deformities and defects of secretion.
A book which contains directions for identifying simples and preparing
compound medicines is called a Pharmacopœia. The first work of this
character, which was published under Government authority, was that
of Nuremberg, in 1512. A student, VALERIUS CORDUS, passing through
the city, exhibited a recipe book, which he had compiled from the
writings of the most eminent physicians of the town. He was urged to
print it for the benefit of the apothecaries. The College of Medicine
at Florence issued the _Antidotarium Florentinum_, somewhat earlier,
but merely on its own authority. Dr. A. Foes used the term pharmacopœia
first as a distinct title for his work published at Basle, in 1561.[849]
COSTANZO VAROLIUS of Bologna (1545-1575), one of the greatest of the
Italian anatomists, described the optic nerves and many important
points in the anatomy of the brain.
VOLCHER COITER, of Groningen (1534-1600), was a pupil of Fallopius and
Eustachius, who was distinguished for his important researches on the
cartilages, bones, nerves, and the anatomy of the fœtal skeleton.
FABRICIUS, of Acquapendente (1537-1619), a pupil of Fallopius, and a
distinguished anatomist, made important researches on the structure of
animals in general. His famous discovery of the valves of the veins
and his investigations concerning their use led Harvey to make the
discovery of the circulation of the blood.
CASSERIUS (1561-1616) investigated the anatomy of the vocal organs,
discovered the muscles of the ossicles of the ear, and practised
bronchotomy, which he had learned from Fabricius. He was professor at
Padua, and a teacher of Harvey.
SPIGEL (1578-1625) made researches on the liver, a lobulus of which
bears his name.
OLAUS WORM (1588-1654) first described the small bones of the skull,
now called “Wormian” bones.
It was not till the sixteenth century that France contributed her
quota to the list of great anatomists. Nothing shows more clearly the
difficulty with which learning was spread in the times of which we
write than the fact that the works of the early Italian anatomists were
altogether unknown in France until a hundred years after they were
written.
JACQUES DUBOIS (1478-1555) taught anatomy at Paris, and was professor
of surgery to the Royal College. He was an irrational admirer of Galen.
The carcases of dogs and other animals were the materials from which
he taught; it does not appear that it was possible to obtain human
subjects for dissection without robbing the cemeteries.
CHARLES ETIENNE (1503-64) was the first to detect valves in the
orifices of the hepatic veins. He knew nothing of the researches of
Achillini concerning the brain, although they were made sixty years
before; yet his investigations of the structure of the nervous system
were most important, and his demonstration of the existence of a canal
running through the whole length of the spinal cord, which had not
previously been suspected, entitles him to a high place in the history
of anatomy.
A new era in the history of anatomy was inaugurated by the appearance
of ANDREW VESALIUS (1514-1564), a Fleming, who pursued the study with
the greatest assiduity at Venice, and demonstrated it at Padua before
he was twenty-two. He remained there seven years, then went to Bologna
and thence to Pisa. He is known as the first author of a systematic and
comprehensive view of human anatomy. He recognised the necessity of
divesting the science of the current misrepresentations of ignorance
and fancy.
Vesalius especially contributed to our knowledge of the circulatory
organs; it was he who, by his study of the structure of the heart and
the mechanism of its valves, stimulated his pupils and fellow-students
to pursue a course of research which ended at last in Harvey’s immortal
discovery. Besides these researches on the vascular system, he first
accurately described the sphenoid bone and the sternum. He described
the omentum, the pylorus, the mediastinum and pleura, and gave the
fullest description of the brain which, up to that time, had appeared.
Splendid as were his researches, and valuable as were his writings, it
was perhaps by the way in which he stimulated inquiry in others that he
rendered the greatest services to anatomical science.
Dr. Molony, writing in the _British Medical Journal_, December 31,
1892, says: “I recently secured possession of his works, entitled
_Andreæ Vesalii Invictissimi Caroli V. Imperatoris Medici Opera Omnia_.
It is a curious work in two immense folio volumes, written in fairly
good Latin. It has several plates representing the surgical instruments
of the period, dissections, and, it must be added, quadrupeds of all
sorts tied up evidently awaiting vivisection.
“The preface consists of a lengthy and appreciative life of Vesalius,
from which it seems that he was born in 1514, at Brussels, where his
father was court physician. As a boy he seems to have shown a taste for
comparative anatomy, ‘puer animalium penetralia nudare atque viscera
inspicere soleret.’ His anatomical studies were at all times pursued
under difficulties. He obtained the bodies of criminals by bribing
the judges, ‘corpora nactus eorum, in cubicula vexit, suosque in usus
per tres et ultra septimanas asservavit. Horretne legenti animus? O
juvenilis ardor, repagula eluctatur ferrea! Tali opus erat ingenio,
artibus bis, at nobile conderet opus.’ He does not seem to have been
married, if we may judge from the following extract: ‘Aetate vero
integra, uxore, liberis, rei familiaris omni cura liber, totum se
immersit in anatomicis.’
“Vesalius was an enthusiastic surgeon, and apparently looked down
upon the physicians of the period: ‘Jocatus medicos reliquos syrupis
præscribendis unice occupari.’ His success aroused the jealousy of his
contemporaries. Among others he came into collision with Sylvius of
Paris, Eustachius of Rome, and Fallopius of Padua. Mention is also made
of ‘Joannis Caji Medici Celebris Britanni.’ It would be interesting to
ascertain who this was. [No doubt it was Caius.]
“The end of Vesalius was tragic enough. ‘Hispanum curabat nobilem
petiit ab amicis defuncti corpus aperire ut mortis scrutaretur causam.
Quo concesso, visum cor in aperto jam pectore adhuc palpitans.’ The
punishment ordered for this was a pilgrimage to Jerusalem. On his
return voyage he was wrecked on the island of Zacinthus. ‘Inops, in
loco solitario, omnique carens subsidio miserabiliter vitam finivit
1564.’”
“VESALIUS,” says Portal, “appears to me one of the greatest men who
ever existed. Let the astronomers vaunt their Copernicus, the natural
philosophers their Galileo and Torricelli, the mathematicians their
Pascal, the geographers their Columbus, I shall always place Vesalius
above all their heroes. The first study for man is man. Vesalius has
this noble object in view, and has admirably attained it; he has made
on himself and his fellows such discoveries as Columbus could only
make by travelling to the extremity of the world. The discoveries of
Vesalius are of direct importance to man; by acquiring fresh knowledge
of his own structure, man seems to enlarge his existence; while
discoveries in geography or astronomy affect him but in a very indirect
manner.”
The zeal of Vesalius and his fellow-students of anatomy often led
them to weird adventures. Hallam says:[850] “they prowled by night in
charnel-houses, they dug up the dead from the graves, they climbed the
gibbet, in fear and silence, to steal the mouldering carcase of the
murderer; the risk of ignominious punishment, and the secret stings of
superstitious remorse, exalting no doubt the delight of these useful
but not very enviable pursuits.” Vesalius, as has been said above,
was once absurdly accused of dissecting a Spanish gentleman before he
was dead. He only escaped the punishment of death by undertaking a
pilgrimage to Jerusalem, during which he was shipwrecked, and died of
famine in one of the Greek islands.[851]
GABRIEL FALLOPIUS (1523-1562) was a prominent pupil of Vesalius who
studied the anastomoses (the blending together) of the blood-vessels.
His researches in the anatomy of the bones and the internal ear greatly
advanced anatomical knowledge. He discovered the tubes connected
with the womb, called after him the “Fallopian tubes.” Fallopius is
described as a savant distinguished by his sense of justice, his
modesty and gentleness; yet Dr. Baas says,[852] “the fact that even
Fallopio did not shrink from accepting the gift of some convicts, and
then poisoning them—indeed, when the first experiment proved a failure,
he tried it again with better success—is characteristic of the zeal of
the age in the investigation of the human body, and of the barbarous
idea that might makes right towards those guilty before the law!”
EUSTACHIUS was a contemporary of Vesalius. He divides with him the
honour of having created the science of human anatomy. His name is
perpetuated by the tube in the internal ear, called the “Eustachian
tube.” His researches on the anatomy of the internal part of the organ
of hearing, his studies in the anatomy of the teeth, in which he was
the pioneer, his famous _Anatomical Engravings_, and his labours in
connection with the intimate structure of the organs of the body, taken
in connection with their relative anatomy, prove that he laboured for
the advancement of the knowledge of the structure of the human frame
with the utmost assiduity and success.
J. C. ARANZI (1530-1589), of Bologna, gave the first correct account of
the anatomy of the fœtus, and his description of that of the brain is
exceedingly minute and lucid. He named the _hippocampus_, described the
choroid plexus, and the fourth ventricle under the name of the _cistern
of the cerebellum_.
COLUMBUS (died 1559) was a pupil of Vesalius, whom he succeeded in the
chair of anatomy at Padua. He had a glimpse of how the blood passes
from the right to the left side of the heart, but he had no true
knowledge of the circulation.
_Michael Servetus_ (1511-1553) was either a pupil or fellow-student of
Vesalius, who, in 1553, described accurately the pulmonary circulation.
He recognised that the change from venous into arterial blood took
place in the lungs, and not in the left ventricle. He was a pioneer in
physiological science by his great discovery of the respiratory changes
in the lungs.
LEVASSEUR (about 1540), says Hallam,[853] appears to have known the
circulation of the blood through the lungs, the valves of the veins,
and their direction and purpose.
GASPARE TAGLIACOZZI (1546-1599) was a professor at Bologna, whose
name is famous in the history of surgery from his skill in performing
“plastic operations.” Rhinoplastic operation is a term in surgery
sometimes synonymous with the Taliacotian operation, which is a process
for forming an artificial nose. It consists in bringing down a piece
of flesh from the forehead, and while preserving its attachment to
the living structures, causing it to adhere to the anterior part of
the remains of the nose. Tagliacozzi, himself, to replace the lost
substance employed the skin of the upper part of the arm, as BRANCA
did previously. Patients flocked to him from all parts of Europe. The
world was, as usual, ungrateful; the great surgeon was considered to
have presumptuously interfered with the authority of Providence. Noses
and lips which the Divinity had destroyed as a punishment for the sins
of men had been restored by this daring man. After his death some nuns
heard voices in their convent crying for several weeks: “Tagliacozzi is
damned!” By the direction of the clergy of Bologna his corpse was taken
from the grave and re-interred in unconsecrated ground.[854] We are not
in a position to sneer at this, for the preachers of the nineteenth
century said something very similar of the use of chloroform in
midwifery only a few years ago. In 1742 the Faculty of Paris declared
Tagliacozzi’s operation impossible; but the English journals, in 1794,
discovered that such a method of surgical procedure had been in use
in India from ancient times, and then the scientific world tried the
experiment and succeeded perfectly.
AMBROISE PARÉ, “the father of French surgery” (1509-1590), availed
himself of the opportunities offered him in military surgery during the
campaign of Francis I. in Piedmont. It was the practice of the time to
treat gunshot wounds with hot oil—a treatment which Paré revolutionized
by using merely a simple bandage.
In 1545 he attended the lectures of Sylvius at Paris, and became
prosector to that great anatomist. His book on _Anatomy_ was published
five years later. By his employment of the ligature for large arteries,
he was able so completely to control hæmorrhage that he was able to
practise amputation on a larger scale than had before been attempted.
Paré is considered as the first who regularly employed the ligature
after amputation. He declares in his _Apologie_ that the invention
was due to the ancients, and he explains their use of it, although he
ascribes to inspiration of the Deity his own first adoption of the
practice.
The PHILOSOPHER RAMUS in 1562 urged Charles IX. of France to establish
schools for clinical teaching, such as already existed at Padua.
ROBERT FLUDD, M.D., or in the Latin style he affected, _Robertus
de Fluctibus_, was born in 1574; he was an ardent supporter of the
Rosicrucian philosophy. He had a strong leaning towards chemistry, but
had little faith in orthodox medicine. His medical ideas consisted of
a mysterious mixture of divinity, chemistry, natural philosophy, and
metaphysics.
In 1573, Harrison, in his unpublished _Chronologie_, remarks that
“these daies the taking in of the smoke of the Indian herb called
tabaco, by an instrument like a little ladell, is gretly taken up and
used in England against rewmes.”
It was not till 1576 that croup was well understood. Laënnec thinks it
was quite unknown to the Greek and Arabian physicians; but Forbes says
that it was known to Hippocrates and Aretæus, although its pathology
was not understood. Ballonius was the first who accurately described
the false membrane, which is a characteristic of the disease.[855]
At the Reformation in England under Elizabeth, some of the Catholic
priests who refused to conform to the new religion sought in other
professions the means of living. In a curious old book, _Tom of all
Trades, or the Plaine Pathway to Preferment_, by Thomas Powell (printed
1631), there is a story which no doubt was founded in fact. “And heere
I remember me of an old tale following, _viz._, At the beginning of the
happy raigne of our late good Queene _Elizabeth_, divers Commissioners
of great place, being authorized to enquire of, and to displace, all
such of the _Clergie_ as would not conforme to the reformed _Church_,
one amongst others was Conuented before them, who being asked whether
he would subscribe or no, denied it, and so consequently was adiudged
to lose his benefice and to be deprived his function; wherevpon, in
his impatience, he said, ‘That if they (meaning the Commissioners)
held this course it would cost many a man’s life.’ For which the
Commissioners called him backe againe, and charged him that he had
spoke treasonable and seditious words, tending to the raysing of a
rebellion or some tumult in the Land; for which he should receive the
reward of a Traytor. And being asked whether hee spake those words or
no, he acknowledged it, and tooke vpon him the Iustification thereof;
‘for, said he, ‘yee have taken from me my liuing and profession of the
Ministrie; Schollership is all my portion, and I have no other meanes
now left for my maintenance but to turn _Phisition_; and before I
shalbe absolute Master of that Misterie (God he knowes) how many mens
lives it will cost. For few _Phisitions_ vse to try experiments vpon
their owne bodies.’
“With vs, it is a Profession can maintaine but a few. And diuers of
those more indebted to opinion than learning, and (for the most part)
better qualified in discoursing their travailes than in discerning
their patients malladies. For it is growne to be a very huswiues trade,
where fortune prevailes more than skill.”
A writer in Hood’s _Every-Day Book_, on the date February 25, says
that the monks knew of more than three hundred species of medicinal
plants which were used in general for medicines by the religious
orders before the Reformation. The Protestants, the more efficiently to
root out Popery, changed the Catholic names of many of these. Thus the
_virgin’s bower_ of the monastic physician was changed into _flammula
Jovis_; the _hedge hyssop_ into _gratiola_; _St. John’s wort_ became
_hypericum_; _fleur de St. Louis_ was called _iris_; _palma Christi_
became _ricinus_; _Our Master wort_ was christened _imperatona_;
_sweet bay_ they called _laurus_; _Our Lady’s smock_ was changed into
_cardamine_; _Solomon’s seal_ into _convallaria_; _Our Lady’s hair_
into _trichomanes_; _balm_ into _melissa_; _marjoram_ into _origanum_;
_herb Trinity_ into _viola tricolor_; _knee holy_ into _rascus_;
_rosemary_ into _rosmarinus_; _marygold_ into _calendula_; and a
hundred others. But the old Catholic names cling to the plants of the
cottage garden, and _Star of Bethlehem_ has not quite given place to
_ornithogalum_; _Star of Jerusalem_ to _goat’s beard_; nor _Lent lily_
to _daffodil_.
The gullibility of mankind has never been exhibited in a clearer
light than JOHANN VALENTIN ANDREÆ (1586-1654) succeeded in showing
in his elaborate joke of the SOCIETY OF THE ROSY-CROSS. In 1614 a
famous but entirely fabulous secret society set the scholars of Europe
discussing the pretensions of the Rosicrucians, who were said to have
derived their origin from one CHRISTIAN ROSENKREUZ, two hundred years
previously. This philosopher, it was said, had made a pilgrimage to
the East, to learn its hidden wisdom, of which the art of making
gold was a portion. The character of the society was Christian, but
anti-Catholic, and its ostensible objects were the study of philosophy
and the gratuitous healing of the sick. Its device was a cross, with
four red roses. Andreæ was a learned man, but jocular withal; for no
sooner had the public eagerly swallowed his story, than he confessed
the whole was pure invention, and that he had originated the idea with
the view of ridiculing the alchemists and Theosophists, whose opinions
were dominating European society. The public, however, liked the idea
so well that it developed and flourished, and a society was established
called _Fraternitas Rosæ Crucis_. The most celebrated followers of
the Rosicrucians were Valentine Wiegel, Jacob Boehm, Egidius Gutman,
Michael Mayer, Oswald Crollius, and Robert Fludd.[856]
De Quincey has traced the connection between the Rosicrucians and
Freemasons. “Rosicrucianism,” he says, “it is true, is not Freemasonry,
but the latter borrowed its form from the first.”[857]
Scrofula was anciently treated in a superstitious manner by the
sovereigns of England and France by imposition of hands. This ceremony
is said to have been first performed by Edward the Confessor
(1042-1066). A special “Service of Healing” was used in the English
Church in the reign of Henry VIII. (1484-1509).
The ceremonies of blessing cramp-rings on Good Friday, called the
Hallowing of the Cramp-Rings, is described by Bishop Percy in his
_Northumberland Household Book_,[858] where we have the following
account:—
“And then the Usher to lay a Carpett for the Kinge to Creepe to the
Crosse upon. And that done, there shal be a Forme sett upon the
Carpett, before the Crucifix, and a Cushion laid upon it for the King
to kneale upon. And the Master of the Jewell Howse ther to be ready
with the Booke concerninge the Hallowing of the Crampe Rings, and
Amner (Almoner) muste kneele on the right hand of the Kinge, holdinge
the sayde booke. When that is done the King shall rise and goe to the
Alter, wheare a Gent. Usher shall be redie with a Cushion for the Kinge
to kneele upon; and then the greatest Lords that shall be ther to take
the Bason with the Rings and beare them after the Kinge to offer.”
In the Harleian Manuscripts there is a letter from Lord Chancellor
Hatton to Sir Thomas Smith, dated Sept, 11th, 158-, about a prevailing
epidemic, and enclosing a ring for Queen Elizabeth to wear between
her breasts, the said ring having “the virtue to expell infectious
airs.”[859]
Andrew Boorde, in his _Introduction to Knowledge_ (1547-48), says: “The
Kynges of England by the power that God hath gyuen to them, dothe make
sicke men whole of a sickeness called the kynges euyll. The Kynges of
England doth halowe euery yere crampe rynges, the whyche rynges, worne
on ones fynger, dothe helpe them the whyche hath the crampe.”[860]
Concerning the king’s evil, which Boorde explains is an “euyl sickenes
or impediment,” he advises: “For this matter let euery man make frendes
to the Kynges maiestie, for it doth pertayne to a Kynge to helpe this
infirmitie by the grace the whiche is geuen to a Kynge anoynted.”[861]
In Robert Laneham’s letter[862] about Queen Elizabeth’s visit to
Kenilworth Castle, it is told how on July 18th, 1575, her Majesty
touched for the evil, and that it was “a day of grace.” “By her
highnes accustumed mercy and charitee, nyne cured of the peynfull and
daungerous diseaz, called the kings euill; for that Kings and Queenz of
this Realm withoout oother medsin (saue only by handling and prayerz)
only doo cure it.”
Sir John Fortescue, in his defence of the House of Lancaster against
that of York, argued that the crown could not descend to a female
because the Queen is not qualified by the form of anointing her to
cure the disease called the king’s evil. On this account, and more
especially after the excommunication of Elizabeth by the Pope in 1570,
it must have been eminently comforting to all concerned to find that
the power to cure disease by the royal touch had not been affected by
the change of religion or any other cause. The practice was at its
height in the reign of Charles II.[863]
Lord Braybrooke says,[864] “In the first four years after his
restoration he ‘touched’ nearly 24,000 people.” We find that Dr.
Johnson was touched by Queen Anne. “The Office for the Healing”
continued to be printed in the Book of Common Prayer after the
accession of the House of Hanover.
The custom evidently arose from the fact that Edward the Confessor
was a saint as well as a king. William of Malmesbury gives the origin
of the royal touch in his account of the miracles of Edward: “A young
woman had married a husband of her own age, but having no issue by
the union, the humours collecting abundantly about her neck, she had
contracted a sore disorder, the glands swelling in a dreadful manner.
Admonished in a dream to have the part affected washed by the king,
she entered the palace, and the king himself fulfilled this labour of
love, by rubbing the woman’s neck with his fingers dipped in water.
Joyous health followed his healing hand; the lurid skin opened, so that
worms flowed out with the purulent matter, and the tumour subsided.
But as the orifice of the ulcers was large and unsightly, he commanded
her to be supported at the royal expense till she should be perfectly
cured. However, before a week was expired, a fair new skin returned,
and hid the scars so completely, that nothing of the original wound
could be discovered; and within a year becoming the mother of twins,
she increased the admiration of Edward’s holiness. Those who knew him
more intimately, affirm that he often cured this complaint in Normandy;
whence appears how false is their notion, who in our times assert, that
the cure of this disease does not proceed from personal sanctity, but
from hereditary virtue in the royal line.”[865]
Many other miracles of healing were attributed to St. Edward. Jeremy
Collier[866] maintains that the scrofula miracle is hereditary upon
all his successors. The curious fact, however, is that the hereditary
right of succession was repeatedly interrupted, yet the power remained.
In connection with this royal touching, pieces of gold were given by
the sovereigns to be worn by the patients as amulets. They were called
“touching pieces,” and though not absolutely requisite for the cure,
some persons declared that the disease returned if they lost the coins.
We can only account for the great efficacy which in some cases seemed
to have attended the royal treatment, by the confidence and exalted
expectation awakened in the sufferers by the ceremony, which acted as a
tonic to the system, and roused the patients’ imagination to contribute
to their own cure.[867]
Chips and handkerchiefs dipped in the blood of King Charles I. are said
to have been efficacious in curing sick persons in hundreds of cases.
The College of Physicians of Edinburgh was created by the king’s
letters patent in 1581, one year after the foundation of Edinburgh
University by James VI.
In the reign of Elizabeth, when physicians rode on horseback, they were
seated sideways; many of them carried muffs, to keep their fingers warm
when they had to feel their patient’s pulse. Twice a year everybody was
bled—a system which must have caused many disorders.
Fifteen centuries after the age of CELSUS, with the revival of learning
and science came the revival of human vivisection. VESALIUS, as
above mentioned, is known to have vivisected men; and in the _Storia
Universale_ of CESARE CANTÙ there is an account of the DUKE OF FLORENCE
giving a man for vivisection to FALLOPIUS. This incident has been
disputed; but the following series of cases, extracted by Professor
ANDREOZZI from the Criminal Archives of Florence, and published by him
in his book _Leggi Penali degli antichi e Cinesi_, are beyond question.
COSMO DE MEDICI seems to have taken the anatomists of Pisa under his
special favour, and to have sent them the miserable convicts from the
prisons at his option. The following examples are a selection from the
cases extracted by Signor ANDREOZZI from the _Archivio Criminale_:—
“1. January 15th, 1545.—SANTA DI MARIOTTO TARCHI DI MUGELLO, wife of
BASTIANO LUCCHESE, was condemned to be beheaded for infanticide. Under
the sentence is written, ‘Dicta Santa, de mente Excell^{mi} Ducis, fuit
missa Pisis, de ea per doctores fieret notomia.’[No notice to be found
of any execution of the woman, such as would have appeared had she been
put to death before she was sent to Pisa.]
“2. December 14th, 1547.—GIULIO MANCINI SANESE was condemned for
robbery and other offences. Sent to Pisa to be anatomised. ‘Ducatur
Pisis, pro faciendo de eo notomia.’
“3. In the record of prisoners sent away, dated September 1st, 1551,
occurs this entry:—‘Letter to the Commissioner of Castrocaro, that
MADDALENA, who is imprisoned for killing her son, should be sent here,
if she be likely to recover, as it pleases S. E. that she should be
reserved for anatomy. Of this nothing is to be said, but she is to be
kept in hopes. If she is not likely to recover, the executioner is
to be sent for to decapitate her.’ The end of the horrible extract
is,—‘Went to Pisa, to be made an anatomy.’
“4. December 12th, 1552.—A man named ZUCCHERIA, accused of piracy, was
reserved from hanging, with his comrade, and sent to Pisa, ‘per la
notomia.’
“5. December 22nd, 1552.—A certain ULIVO DI PAOLO was condemned by
the Council of Eight to be hanged for poisoning his wife. Sentence
changed—to be sent for anatomy. Was sent to Pisa on January 13th.
“6. November 14th, 1553.—MARGUERITA, wife of BIAJIO D’ANTINORO,
condemned to be beheaded for infanticide.... December 20th, ‘she was
released from the fetters and consigned to a familiar, who took her to
Pisa to the Commissario, _who gave her, as usual, to the anatomist, to
make anatomy of her_; which was done’ (‘che la consegni, secondo il
solito, al notomista, per farne notomia, come fu fatto’).”
“Several other cases, from 1554 to 1570, are recorded, with equally
unmistakable exactitude. In one instance the condemned man’s destiny
was mitigated, and after having been ordered to be sent to Pisa for
the Commissario to consign to the anatomist, ‘when he should ask for
him, and at his pleasure,’ he was mercifully sentenced to be hanged
at once at Vico, ‘by direction of Sua Excellenza Illustrissima.’ Two
unfortunate thieves, PAOLI DI GIOVANNI and VESTRINO D’AGNOLO, were sent
together by the Council of Eight to be anatomised; the Duke having
written to say ‘that they wanted in Pisa a subject for anatomy.’”
After the date 1570 no more cases occur in the Archives.
Francis I. invited the Italian anatomist VIDUS VIDIUS to his royal
college at Paris.
Several new medicines were introduced about this period.
Lemon juice was first spoken of as a remedy for scurvy in 1564. Its use
was discovered by some Dutch sailors whose ship was laden with lemons
and oranges from Spain.[868]
The virtues of sassafras as a medicine for scurvy were discovered,
according to Cartier, in 1536, on a voyage to explore the coast of
Newfoundland and the St. Lawrence. The natives advised the sailors
afflicted with the malady to use the wood of the tree ameda, which was
thought to have been sassafras.[869]
[Illustration: INTERIOR OF A DOCTOR’S HOUSE.
Facsimile of a miniature from the _Epistre de Othea_, by Christine de
Pisan. (Fifteenth century MS. in Burgundy Library, Brussels.)
[_Face p._ 374]
Sarsaparilla was first brought to Europe by the Spaniards, in the
middle of the sixteenth century, from Peru and Brazil.
Guaiacum was introduced into Europe in 1509, and in 1519 its use became
common.
Holinshed complained[870] that estimation and credit given to compound
medicines made with foreign drugs in his time was one great cause of
the prevailing ignorance of the virtues and uses of “our own simples,”
which he held to be fully as useful as the “salsa parilla, mochoacan,
etc.,” so much in request. “We tread those herbs under our feet, whose
forces, if we knew and could apply them to our necessities, we would
honour and have in reverence.—Alas! what have we to do with such
Arabian and Grecian stuff as is daily brought from those parts which
lie in another clime?—The bodies of such as dwell there are of another
constitution than ours are here at home. Certes, they grow not for us,
but for the Arabians and Grecians.—Among the Indians, who have the most
present cures for every disease of their own nation, there is small
regard of compound medicines, and less of foreign drugs, because they
neither know them nor can use them, but work wonders even with their
own simples.”
CARLO RUINI, of Bologna, published in 1598 a work on the anatomy of the
horse, in which Ercolani has found evidence that he, to some extent,
anticipated Harvey’s discovery.[871]
NICHOLAS HOUEL (1520-1585) was born at Paris, 1520. He was a famous
and learned pharmacien, who devoted the fortune which he acquired by
his industry and skill to philanthropic and scientific purposes. He
founded a great orphanage in Paris, and the School of Pharmacy of that
city owes its origin to him. He wrote a _Treatise on the Plague_, and
one on the _Theriacum of Mithridates_, both published in 1573. It is to
his enlightened and charitable suggestion that dispensaries arose in
Paris. His “Garden of Simples” inspired the creation of the _Jardin des
Plantes_.[872]
Even at the close of the sixteenth century careful and sober men, as
Mr. Henry Morley says,[873] believed in the miraculous properties of
plants and animals and parts of animals. When the century commenced,
the learned and unlearned alike believed in the influences of the stars
and the interferences of demons with diseases, and in the mysteries
of magic. The reason why students of such sciences as existed were
punished and persecuted was the dread which men had that the knowledge
of the occult powers of nature would afford the learner undue and
mysterious power over them.
LEGAL MEDICINE.
That most important branch of medical science known as Medical
Jurisprudence, or Forensic Medicine, first took its rise in Germany,
and, later, was recognised as a necessary branch of study in England.
Briefly this science may be described as “that branch of State medicine
which treats of the application of medical knowledge to the purposes
of the law.” It embraces all questions affecting the civil or social
rights of individuals, and of injuries to the person. Although we
find traces of the first principles of this science in ancient times,
especially in connection with legitimacy, feigned diseases, etc., it
is by no means certain that even in Rome the law required any medical
inspection of dead bodies. The science dates only from the sixteenth
century. The Bishop of Bamberg, in 1507, introduced a penal code
requiring the production of medical evidence in certain cases. In
1532, Charles V. induced the Diet of Ratison to adopt a code in which
magistrates were ordered to call medical evidence in cases of personal
injuries, infanticide, pretended pregnancy, simulated diseases, and
poisoning. The actual birth of forensic medicine, however, did not take
place until the publication, in Germany, in 1553, of the _Constitutio
Criminalis Carolina_.[874] The difficulties which the infant science
had to contend against may be estimated from the fact that a few years
later a physician named Weiker, who declared that witches and demoniacs
were simply persons afflicted with hypochondriasis and hysteria, and
should not be punished, was with difficulty saved from the stake by his
patron, William, Duke of Cleves.
AMBROSE PARÉ wrote on monsters, simulated diseases, and the art of
drawing up medico-legal reports.
In 1621-35 Paulo Zacchia, of Rome, published a work entitled
_Quæstiones Medico-Legales_, which inaugurated a new era in the
history of Forensic Medicine. He exhibited immense research in this
classical work, the materials for which he collected from 460 authors.
Considering that chemistry and physiology were then so imperfectly
understood, such a work is a proof of the learning and sagacity of the
author.
In 1663 the Danish physician Bartholin proposed the hydrostatic
test for the determination of live-birth, the method used to-day in
examining the lungs of an infant to discover whether the child was born
alive or not, by observing whether they float or sink in water.
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