I think that Harvey but once or twice mentions the number of the pulse
even in his physiological books. In the case descriptions of his time
and of Sydenham's it is rare to find it noted, and this is true as a
rule all through the next century. The exceptions are interesting. In
Whytte's works, _circa_ 1745, he not rarely mentions the pulse number in
connection with his primary delineation of a case, but after that does
not often speak of its subsequent changes in number. The force and other
characters of the pulse receive, however, immense attention, and are on
the whole more valuable aids than mere numeration; but that cannot
nowadays be left out of our calculations, yet as early as the reign of
Anne, about 1710, an English physician, Sir John Floyer, wrote an able
and now half-forgotten book, quaintly called the "Pulse Watch." I am
pretty sure that he was the first to put a minute-hand on a watch to
enable him to time the pulse-beat, but nowhere in any English collection
have I been able to find one of his watches. Thus aided, he was the
first to count the minute's pulse, which is now a sort of recognized and
accepted matter as standard of comparison, so that we say merely, the
pulse was 60 or 90, as may chance, and do not even speak of the minute.
It is as true as strange that this convenient method was practically
lost to habitual use in medicine for quite a hundred years. It
reappeared in the writings of the time of the great teachers who arose
in France and Germany about 1825. To-day, in case of need, we have
instruments which write in instructive curves the form of the
pulse-wave, and enable us to settle questions which sometimes could not
be settled without this delicate means.
The study of the temperature of the body was, as I have said, a mere
matter of the touch until our same Galileo applied a thermometer to
learn more accurately its changes. Sanctorius again followed in his
steps, and has left us in his works curious drawings of forms of
thermometer applicable to medical uses. Our profession is, however,
inapt to hold on to useless things, and our knowledge of fever, its
risks and its remedies, was for many a day far behind any need for the
delicate appreciations of the thermometer.
Hence it is that very few physicians did more in the last three
centuries as regards the temperature of the body than speak of it as
high or low. Sanctorius was too far ahead of his time to teach us the
true value of medical thermometry. It was forgotten for many a day. In
the last century, in Dehaen and Hunter, it again receives some notice,
and again drops out of use. At last we are ripe for it, and Wunderlich,
in a classical book, about twenty-five years ago, puts it in a position
of permanent utility. The physician of to-day knows more both of fever
and of its consequences, and finds in his thermometer an indispensable
ally.
Public-domain text, read in full here on John Shaqi.
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