_Physician._—Then, Sir, what the d——l _did_ you do?
_Clerk._—_I ran for the stomach-pump._
Dr. John was never tired of inculcating this distinction; it is the
backbone of almost all those papers of his that have been just
mentioned, and it reappears in others. In his special little essay
called _Art and Science_ he formulates it thus:—
IN MEDICINE
SCIENCE
Looks to essence and cause.
Is diagnostic.
Has a system.
Is _post-mortem_.
Looks to structure more than function.
Studies the phenomena of poisoning.
Submits to be ignorant of nothing.
Speaks.
ART
Looks to symptoms and occasions.
Is therapeutic and prognostic.
Has a method.
Is _ante-mortem_.
Looks to function more than structure.
Runs for the stomach-pump.
Submits to be ignorant of much.
Acts.
Now, in the particular matter in question, so far as it is here
represented, we should, doubtless, all agree with our friend. We should
all, for ourselves, in serious illness, infinitely prefer the attendance
of any tolerable physician of the therapeutic and prognostic type to
that of the ablest of the merely diagnostic type, especially if we
thought that the genius of the latter inclined him to a _post-mortem_
examination. Hence we may be disposed to think that Dr. John did good
service in protesting against the run upon science, ever new science, in
the medicine of his day, and trying to hark back the profession to the
good old virtues of vigorous rule of thumb. What I detect, however,
underneath all his expositions of this possibly salutary idea, and
prompting to his reiterations of it, is something deeper. It is a
dislike in his own nature to the abstract or theoretical in all matters
whatsoever. Dr. John Brown’s mind, I should say, was essentially
anti-speculative. His writings abound, of course, with tributes of
respect to science and philosophy, and expressions of astonishment and
gratitude for their achievements; but it may be observed that the
thinkers and philosophers to whom he refers most fondly are chiefly
those older magnates, including Bacon, Newton, Locke, and Bishop Butler
among the English, whose struggle was over long ago, whose results are
an accepted inheritance, and who are now standards of orthodoxy. All
later drifts of speculative thought, and especially the latest drifts of
his own day, seem to have made him uncomfortable. He actually warns
against them as products of what he calls “the lust of innovation.” This
is a matter of so much consequence in the study of Dr. John Brown’s
character that it ought not to be passed over lightly.
Public-domain text, read in full here on John Shaqi.
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