Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
Van Swieten's work consisted of commentaries upon the aphorisms of
Boerhaave. The Vienna professor did not, however, limit himself to the
consideration of the aphorisms alone, but made his work also a
compendium of his own clinical experiences with acute and chronic
diseases. As a matter of fact his commentaries on the aphorisms are
each a monograph on some special disease. The two last volumes of this
commentary appear after the publication of Auenbrugger's book on
percussion, one volume being published in 1772, the other in 1774.
The first of these articles contains a long article on pulmonary
consumption, and the other an almost equally long chapter on pleurisy
with effusion. In neither of the volumes, however, is there any
mention of percussion, or of Auenbrugger's work, though if Van Swieten
had given any serious attention to the subject, he must have become
convinced how valuable Auenbrugger's invention was in the diagnosis of
these conditions.
This omission is all the more surprising as Auenbrugger was a pupil of
Van Swieten's and practically dedicated his _Inventum Novum_ to his
master. He mentions Van Swieten's work several times in his little
book. Auenbrugger's {70} investigations were not unknown to Van
Swieten then, and the only conclusion to be drawn from his neglect to
mention Auenbrugger's methods is that he deliberately omitted
reference to them because of his failure to recognize the value of the
discovery. This constitutes one of the most serious blots on Van
Swieten's medical career. He was succeeded as the head of the clinic
in Vienna by De Haen, who also came from Leyden and brought with him
the methods of Boerhaave's clinical school. As the time during which
Auenbrugger was making his valuable observations at the Spanish
military hospital coincides with the years when De Haen was professor
of clinical medicine, and when he was frequently indebted to his
colleague of the Spanish hospital for his cases for demonstration, it
is impossible to conceive that Auenbrugger or his work should have
remained unknown to the distinguished head of the clinic.
Public-domain text, read in full here on John Shaqi.
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