Eminent doctors: Their lives and their work; Vol. 1 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 1 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
Sydenham conceived the idea, too, of paying some attention to the
wishes and tastes of the patient. “A person in a burning fever
desires to drink freely of some small liquor; but the rules of art,
built upon some hypothesis, having a different design in view,
thwart the desire, and instead thereof order a cordial. In the
meantime the patient, not being suffered to drink what he wishes,
nauseates all kinds of food, but art commands him to eat. Another,
after a long illness, begs hard, it may be, for something odd or
questionable; here, again, impertinent art thwarts him and threatens
him with death. How much more excellent the aphorism of Hippocrates:
‘Such food as is most grateful, though not so wholesome, is to be
preferred to that which is better, but distasteful.’” He has nothing
of the meddlesome practitioner about him. “Indeed, if I may speak my
mind freely, I have been long of opinion that I act the part of an
honest man and a good physician as often as I refrain entirely from
medicines, when, upon visiting the patient, I find him no worse
to-day than he was yesterday; whereas, if I attempt to cure the
patient by a method of which I am uncertain, he will be endangered
both by the experiment I am going to make on him and by the disease
itself; nor will he so easily escape two dangers as one.”
A fine description of one aspect of hysteria and hypochondria may
here be given as an example of his power in the delineation of
disease: “The patients believe that they have to suffer all the
evils that can befall humanity, all the troubles that the world can
supply. They have melancholy forebodings, they brood over trifles,
cherishing them in their anxious and unquiet bosoms. Fear, anger,
jealousy, suspicion, and the worst passions of the mind arise without
cause. Joy, hope, cheerfulness, if they find place at all in their
spirits, find it at intervals ‘few and far between,’ and then take
leave quickly. In these, as in the painful feelings, there is no
moderation. All is caprice. They love without measure those whom they
will soon hate without reason. Now they will do this, now that—ever
receding from their purpose.... All that they see in their dreams are
funerals and the shadows of departed friends.”
Public-domain text, read in full here on John Shaqi.
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