A History of Science — Volume 4Williams, Henry Smith
History
A History of Science — Volume 4
Williams, Henry Smith
Science -- History
For fifteen years before this Corvisart had practised percussion, as
the chest-tapping method is called, without succeeding in convincing the
profession of its value. The method itself, it should be added, had not
originated with Corvisart, nor did the French physician for a moment
claim it as his own. The true originator of the practice was the German
physician Avenbrugger, who published a book about it as early as 1761.
This book had even been translated into French, then the language of
international communication everywhere, by Roziere de la Chassagne, of
Montpellier, in 1770; but no one other than Corvisart appears to
have paid any attention to either original or translation. It was far
otherwise, however, when Corvisart translated Avenbrugger's work anew,
with important additions of his own, in 1808.
"I know very well how little reputation is allotted to translator and
commentators," writes Corvisart, "and I might easily have elevated
myself to the rank of an author if I had elaborated anew the doctrine
of Avenbrugger and published an independent work on percussion. In this
way, however, I should have sacrificed the name of Avenbrugger to my own
vanity, a thing which I am unwilling to do. It is he, and the beautiful
invention which of right belongs to him, that I desire to recall to
life."(1)
By this time a reaction had set in against the metaphysical methods in
medicine that had previously been so alluring; the scientific spirit of
the time was making itself felt in medical practice; and this, combined
with Corvisart's fame, brought the method of percussion into immediate
and well-deserved popularity. Thus was laid the foundation for
the method of so-called physical diagnosis, which is one of the
corner-stones of modern medicine.
The method of physical diagnosis as practised in our day was by no means
completed, however, with the work of Corvisart. Percussion alone tells
much less than half the story that may be elicited from the organs of
the chest by proper interrogation. The remainder of the story can
only be learned by applying the ear itself to the chest, directly or
indirectly. Simple as this seems, no one thought of practising it for
some years after Corvisart had shown the value of percussion.
Then, in 1815, another Paris physician, Rene Theophile Hyacinthe
Laennec, discovered, almost by accident, that the sound of the
heart-beat could be heard surprisingly through a cylinder of paper held
to the ear and against the patient's chest. Acting on the hint thus
received, Laennec substituted a hollow cylinder of wood for the paper,
and found himself provided with an instrument through which not merely
heart sounds but murmurs of the lungs in respiration could be heard with
almost startling distinctness.
Public-domain text, read in full here on John Shaqi.
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