Observations on the Operation and Use of Mercury in the Venereal DiseaseDuncan, Andrew
History
Observations on the Operation and Use of Mercury in the Venereal Disease
Duncan, Andrew
Mercury -- Therapeutic use -- Early works to 1800; Sexually transmitted diseases -- Early works to 1800
Theory in medicine is principally despised by two sets of practitioners,
the ignorant and the lazy; the last are unwilling, and the first are
unable, to acquire the knowledge of it; and, amidst all their boasted
contempt, it will be found, that they principally differ from others in
implicitly adopting whatever opinions they first receive. Theory is
natural to the human mind; and those who are accustomed to think cannot
be satisfied without assigning a reason for every phænomenon which falls
under their observation. Theory by no means precludes observations: On
the contrary, it leads to a more minute attention to facts; and in this
way opinions, of themselves ill founded, have often given rise to useful
discoveries in practice. For these reasons, in treating of mercury in
the venereal disease, I have esteemed it necessary to begin with some
observations on its operations.
There are few medicines, with regard to the operation of which all
practitioners are agreed. Mercury, as well as others, has, in this
respect, been a subject of dispute. It is indeed the misfortune of
medicine, that many points of great consequence still remain in a very
doubtful state. But it affords at least some chance of arriving at
truth, that, in the present age, it is never esteemed criminal to differ
even from the highest authorities: On the contrary, those whose
authority should deservedly have the greatest weight, are unwilling that
any farther deference should be paid to their opinion than arises from
conviction. He therefore who imagines, that an ill-grounded opinion is
generally received, has nothing to restrain him from a candid inquiry.
But arguments adduced in favour of any opinion will have little weight,
if another be previously received as true. To ensure therefore a fair
examination, it is, in the first place, requisite to remove
prepossession. These remarks will sufficiently account for the attention
I have here bestowed in attempting to refute an opinion different from
that which I endeavour to establish.
It is an opinion taught, and at this place very generally received, with
regard to the operation of mercury, that the good effects it produces,
in the cure of _lues venerea_, are to be ascribed to the evacuation
which it occasions. After attentively examining this hypothesis, I
cannot help thinking that it is ill founded. Notwithstanding, therefore,
the authority by which it is supported, I have, with freedom, stated
what to me seem strong objections against it.
After having endeavoured to overturn one hypothesis, I have attempted to
establish another. The opinion I support is by no means new. The honour
of invention therefore must be totally resigned to others; but the
praise of broaching novelties is always to be relinquished when it comes
in competition with the support of truth; and I should consider myself
as having done a great deal, were I able to give satisfactory evidence
of any important but doubtful point.
Public-domain text, read in full here on John Shaqi.
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