His systematic beliefs were ofttimes worthless, but great acuteness in
observation was apt to lead him to do wisely in individual cases what
was at variance with his creed. Speaking of Hippocrates, he says, "His
system led him to assist nature, to support her when enfeebled and to
the coercion of her when she was outrageous."
As to mere drugs, Sydenham used them in what was for his day an
extremely moderate fashion, and sagaciously limited in the old and young
his practice as to bleeding, which was then immensely in vogue. The
courage required to treat smallpox, measles, and even other fevered
states by cooling methods, must have been of the highest, as it was
boldly in opposition to the public and private sentiment of his day. He
had, too, the intelligence to learn and teach that the Jesuit bark,
cinchona, was a tonic as well as the master of the agues, so common in
the England of his time.
He is at his best, however, in his statement of how he treated
individual cases, for then his written theories are given to the winds,
or the practice is far beyond the creed in its clear common-sense value.
Thus, horseback exercise he constantly speaks of. He tells you of a
friend who had been much dosed by many for dyspepsia, and how he bade
him ride, and abandon drugs, and how, after a thousand miles of such
riding, he regained health and vigor. See how this wise man touches the
matter of gout: "For years a man has feasted; has omitted his usual
exercises; has grown slow and sluggish; has been overstudious or
overanxious, etc." Then he reasons about "smothering the animal spirits,
which are the primary instruments of concoction," and so on, but at last
he says, "We must look beyond medicines. Wise men do this in gout and in
all other chronic diseases." And what does he advise? Here is the
substance of what he says. A gouty man must be moderate, not too
abstinent, so as to get weak. One meat is best; mixtures are bad. A milk
diet "has prevailed," only bread being added, but it must be rigid and
has its risks. He seems to have kept a nobleman on milk a year. Also
there must be total abstinence from wine and all fermented liquors.
Early bed hours and early rising are for the gouty. Then there come wise
words as to worry and overwork. But, above all, the gouty must ride on
horseback and exercise afoot. As to the wilder passions of men, he makes
this strangely interesting remark, "All such the old man should avoid,
for," he says, "by their indulgence he thus denies himself the privilege
of enjoying that jubilee which by the special and kind gift of nature is
conceded to old men: of whom it is the natural and happy lot to be
emancipated from the control of those lusts which during youth attacked
them."
Public-domain text, read in full here on John Shaqi.
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