Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
Those physiologists who deny the possibility of superfœtation, among
whom we find some of the most celebrated names, assert that one
conception can never supervene another in the same woman, because _the
os uteri is closed by coaguable lymph, and the entrance to the fallopian
tubes is obstructed by the Decidua Uteri, soon after conception_, and
therefore that the semen can never find its way to the internal organs
of generation, so as to impregnate a second ovum; this opinion is
fortified by the well known aphorism of _Hippocrates_,[435] “οκοσαὶ εν
γαστρὶ εχουσὶ; τουτεων δε στομα των υστερων ξυμμεμυκεν.” _Galen_[436]
also quoting _Herophilus_ says, “_Ne specilli quidem mucronem admittere
uteros antequam mulier pariat; prœterea ne vel minimum quidem hiscere
ubi conceperint_.” Neither _Galen_, however, nor _Ætius_, nor _Paulus
Ægineta_, make any mention of superfœtation, a circumstance upon which
the opponents of the doctrine lay considerable stress. _Avicenna_
alludes to it, but for the purpose of expressing his disbelief in its
possibility. _Hebenstreit_[437] and _Ludwig_,[438] have also expressed
very strong opinions upon the subject; the former of whom observes,
“_Nullæ fere observationes extra omnem dubitationem positæ
superfœtationem confirmant_.” _Baudelocque_[439] is equally hostile to
such a belief. But it may be said that the argument founded on the
entire closure of the uterus is quite gratuitous, many authorities might
be cited who disavow the fact, we have already adduced the opinion of
_Haller_ upon this point; besides, are we sufficiently acquainted with
the manner in which impregnation is effected to authorise any deductions
from our hypothesis? We are completely ignorant in what way the male
semen arrives at the internal organs,[440] nay, we are not even
convinced that its direct transmission to the ovaria is essential to
fecundation; it is possible that these organs may be stimulated by
sympathy with the vagina. _Parsons_ opposes another argument to the
doctrine of superfœtation; it is, says he, impossible, because the
fallopian tubes become after conception too short to embrace the ovaria,
but this opinion is successfully combated by _Haller_. The cases which
have been cited to illustrate the phenomenon of superfœtation, are
regarded by those who oppose the doctrine as instances in which a
plurality of children has existed, and in which one of the following
circumstances have occurred, viz.
1. The fœtus has prematurely died, but has remained in utero with the
living child, to the full period of utero-gestation.
2. The descent of the ova into the uterus from the ovarium, has not
observed the same order of time, one being more slowly evolved than
another, although both might have been fecundated by the same coitus.
This latter was the favourite idea of _Celoni_:[441] “I am therefore
decidedly of opinion,” says he, “that this superfœtation is no other
than a later developement of a fœtus contemporaneously generated.”
Public-domain text, read in full here on John Shaqi.
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