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
In 1757 Dr. Cullen first undertook to give clinical lectures in the
infirmary, and in this work his especial talents shone. He had now
had sufficient experience of practice, with the best knowledge of
chemistry and materia medica that the time afforded; and his skill
in observation and graphic description of disease, added to his zeal
for imparting knowledge, soon made his clinical lectures renowned.
In these lectures, for eighteen years most carefully prepared, the
first real model of what is now so familiar to medical students as
a clinical lecture was afforded. His candour may be judged from
the following expressions: “In these lectures, however, I hazard
my credit for your instruction, my first views, my conjectures, my
projects, my trials, in short, my thoughts, which I may correct and
if necessary change; and whenever you yourselves shall be above
mistakes, or can find anybody else who is, I shall allow you to rate
me as a very inferior person. In the meantime I think I am no more
liable to mistakes than my neighbours, and therefore I shall go on
in telling you of them when they occur.” Promoted by such candour,
Cullen’s reputation rapidly grew. His lectures were remarkable
for simplicity, ingenuity, and comprehensiveness of view, with
copiousness of illustration. He taught his students to observe the
course of nature in diseases, to distinguish between essential and
accidental symptoms, and to carefully discriminate the influence of
remedies from the curative operations of nature. “There is nothing,”
he said, “I desire so much as that every disease we treat here should
be a matter of experience to you, so you must not be surprised that
I use only one remedy when I might employ two or three; for in using
a multiplicity of remedies, when a cure does succeed, it is not easy
to perceive which is most effectual.” Again, he says, “Every wise
physician is a dogmatist, but a dogmatical physician is one of the
most absurd animals that lives. We say he is a dogmatist in physic
who employs his reason, and, from some acquaintance with the nature
of the human body, thinks he can throw some light upon diseases
and ascertain the proper methods of cure; and I have known none
who were not dogmatists except those who seemed to be incapable of
reasoning, or who were too lazy for it. On the other hand, I call
him a dogmatical physician who is very ready to assume opinions,
to be prejudiced in favour of them, and to retain and assert very
tenaciously, and with too much confidence, the opinions or prejudices
which he has already taken up in common life, or in the study of
the sciences.” He sought to build up rational views of medicine,
indeed, on the basis of fact and experiment. In giving his clinical
lectures he was at great pains to choose diseases of the most common
types, as most useful to the students. He adhered to great simplicity
of prescriptions, compared with the complex and barbarous nostrums
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