It is deeply to be lamented that the community, in general, are so
entirely ignorant of all that relates to the art and the science of
medicine. An explanation of the functions of the animal economy; of
their most common and important deviations from a healthy state; of the
remedies best adapted to restore them to a sound condition, and of the
mode in which they operate, as far as that is known, ought to form a
part of every course of liberal education. The profound ignorance of the
people on all these subjects is attended with many disadvantages to
themselves, and operates unfavourably on the medical character. In
consequence of this want of information, persons neither know what are
the attainments of the man in whose hands they place their life, nor
what they ought to be; they can neither form an opinion of the course of
education which it is incumbent upon him to follow, nor judge of the
success with which he has availed himself of the means of knowledge
which have been afforded him. There is one branch of medical education
in particular, the foundation, in fact, on which the whole
superstructure must be raised, the necessity of which is not commonly
understood, but which requires only to be stated to be perceived.
Perhaps it is impossible to name any one subject which it is of more
importance that the community should understand. It is one in which
every man’s life is deeply implicated: it is one on which every man’s
ignorance or information will have some influence. We shall therefore,
show the kind of knowledge which it is indispensable that the physician
and the surgeon should possess: we shall illustrate, by a reference to
particular cases, the reason why knowledge of this kind cannot be
dispensed with: and we shall explain, by a statement of facts, the
nature and extent of the obstacles which at present oppose the
acquisition of this knowledge. We repeat, there is no subject in which
every reader can be so immediately and deeply interested, and we trust
that he will give us his calm and unprejudiced attention.
The basis of all medical and surgical knowledge is anatomy. Not a
single step can be made either in medicine or surgery, considered either
as an art or a science, without it. This should seem self-evident, and
to need neither proof nor illustration: nevertheless as it is useful
occasionally to contemplate the evidence of important truth, we shall
show why it is that there can be no rational medicine, and no safe
surgery, without a thorough knowledge of anatomy.
Disease, which it is the object of these arts to prevent and to cure, is
denoted by disordered function: disordered function cannot be understood
without a knowledge of healthy function; healthy function cannot be
understood without a knowledge of structure; structure cannot be
understood unless it be examined.
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