These observations are sufficient to show the importance of anatomy in
certain surgical diseases. The state of medical opinion from the
earliest ages to the present time, furnishes a most instructive proof of
its necessity to the detection and cure of disease in general. The
doctrines of the father of physic were in the highest degree vague and
unmeaning. Every thing is resolved by Hippocrates into a general
principle, which he terms nature; and to which he ascribes intelligence;
which he clothes with the attribute of justice; and which he represents
as possessing virtues and powers which he says are her servants, and by
means of which she performs all her operations in the bodies of animals,
distributes the blood, spirits, and heat, through all the parts of the
body, and imparts to them life and sensation. He states that the manner
in which she acts, is by attracting what is good or agreeable to each
species, and retaining, preparing, and changing it: or, on the other
hand, by rejecting whatever is superfluous or hurtful, after she has
separated it from the good. This is the foundation of the doctrine of
depuration, concoction, and crisis in fevers, so much insisted on by him
and by other physicians after him; but when he explains what he means by
nature, he resolves it into heat, which he says appears to have
something immortal in it.
The great opponent of Hippocrates was Asclepiades. He asserted that
matter, considered in itself, is of an unchangeable nature: that all
perceptible bodies are composed of a number of small ones, termed
corpuscles, between which there are interspersed an infinity of small
spaces totally void of matter: that the soul itself is composed of these
corpuscles: that what is called nature is nothing more than matter and
motion: that Hippocrates knew not what he said when he spoke of nature
as an intelligent being, and ascribed to her various qualities and
virtues: that the corpuscles, of which all bodies are composed, are of
different figures, and consist of different assemblages: that all bodies
contain numerous pores, or interstices, which are of different sizes:
that the human body, like all other bodies, possesses pores peculiar to
itself: that these pores are larger or smaller, according as the
corpuscles which pass through them differ in magnitude: that the blood
consists of the largest and the spirits and the heat of the smallest. On
these principles Asclepiades founded his theory of medicine. He
maintains that, as long as the corpuscles are freely received by the
pores, the body remains in its natural state: that, on the contrary, as
soon as any obstacle obstructs their passage, it begins to recede from
that state: that, therefore, health depends on the just proportion
between these pores and corpuscles: that, on the contrary, disease
proceeds from a disproportion between them: that the most usual obstacle
arises from a retention of some of the corpuscles in their ordinary
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