I might go farther back in time, and show by examples that the great
fathers of medicine have usually possessed a like capacity, and learned
much from experience of that which, emphasized by larger use and
explained by scientific knowledge, has found its way into the text-books
of our own day and become common property.
It appears to me from a large mental survey of the gains of my
profession, that the English have above all other races contributed the
most towards enforcing the fact that on the whole dietetics, what a man
shall eat and drink, and also how he shall live as to rest, exercise,
and work, are more valuable than drugs, and do not exclude their use.[1]
[Footnote 1: By this I mean that the physician, if forced to choose
between absolute control of the air, diet, exercise, work, and general
habits of a patient, and use of drugs without these, would choose the
former, and yet there are cases where this decision would be a
death-warrant to the patient.]
The active physician has usually little time nowadays to give to the
older books, but it is still a valuable lesson in common sense to read,
not so much the generalizations as the cases of Whytt, Willis, Sydenham,
and others. Nearer our own day, Sir John Forbes, Bigelow, and Flint
taught us the great lesson that many diseases are self-limited, and need
only the great physician, Time, and reasonable dietetic care to get well
without other aid.
There is a popular belief that we have learned this from homoeopathy,
for the homoeopath, without knowing it, made for us on this matter ample
experiments, and was as confident he was giving powerful medicines as we
are that he was giving practically none. "He builded better than he
knew," and certainly his results aided our ablest thinkers to reach the
truth.
I have named one of the most illustrious of physicians, Sydenham, as
among the great Englishmen who brought to their work the clearest
perception of how nature was to be best aided. He will answer admirably
to exemplify my meaning.
Sydenham was born in 1624, and lived in and through the wild periods of
Charles I. and Cromwell, and was himself a stanch republican. He more
than any other in his century decisively taught caution as to mere
medication, and sedulously brought the clear light of common sense to
bear upon the practice of his time. It is interesting to note, as his
biographer remarks, that his theories were often as worthless as his
practice was good. Experience taught him to do that for which he felt
forced to find a reason, and the reason was often enough absurd. "The
contrast gives a fine light and shadow effect in his biography."[2]
[Footnote 2: R.G. Latham, p. xxxvi.]
Public-domain text, read in full here on John Shaqi.
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