Science and Medieval Thought: The Harveian Oration Delivered Before the Royal College of Physicians, October 18, 1900Allbutt, T. Clifford (Thomas Clifford)
Philosophy
Science and Medieval Thought: The Harveian Oration Delivered Before the Royal College of Physicians, October 18, 1900
Allbutt, T. Clifford (Thomas Clifford)
Philosophy, Medieval
It is part of my argument to-day to point out one evil of many which
this prejudice has wrought for medicine. The progress of an applied
science dependent as it is upon accessions of advantage from other arts,
yet on the whole is from the simple to the complex; from facts of more
direct observation to those of longer inference: and this path was the
more necessary when the right method of inference—the so-called
inductive method—had not been formulated, and indeed was barely in use.
Now in medicine, from Homer to Lord Lister, direct observation and the
simpler means of experiment have obtained their first-fruits on the
surface of the body. In Homeric times surgery was the institution of
medicine, and kings concerned themselves with the practice of it. From
Erasistratus to Celsus physicians of all schools practised medicine and
surgery as one art. Galen urges the unity of medicine, and Littré points
out that this unity is maintained in the Hippocratic writings. In the
Middle Ages the ascetic contempt for the body—partly Stoic, chiefly
oriental,—the barren alliance of medicine with philosophy, and the low
esteem of mechanical callings hid from the physician the very gates of
the city into which he would enter. Francis Bacon says of the physicians
of Harvey’s day, that they saw things from afar off, as if from a high
tower; and, again, that after the manner of spiders they spun webs of
sophistical speculation from their own bowels. Surgery, by virtue of its
imperative methods, was kept clear of philosophy on the one hand and of
humanism on the other; and in Paris the establishment of the Collège de
St Côme, afterwards the Academy of Surgery, protected the higher surgery
against the rabble of barbers. Upon the raft of anatomy and surgery,
with some clinical aid from Salerno, positive medicine crossed the gulf
between Byzantine compilations, monkish leechcraft, Arab starcraft and
alchemy, and the scientific era of Harvey[44]. But physicians were not
only blind to the great services to the whole art of medicine of the
surgical school of Lanfranc in the fourteenth century, of Guy de
Chauliac in the fifteenth, and of Paré and Gale in the sixteenth
century, advances even accelerated in the seventeenth, but they ignored
also their very origin, and even withdrew from fellowship with the
surgeon; to our grievous harm from those days unto our own[45]. Surgery
was excluded from the Faculty of Medicine of the University of Paris;
and from the Royal College of Physicians of England, which was, and is
still, enabled by charter to teach surgery, and to grant licenses
therein. Fabricius, the master of Harvey, was fortunately as great a
surgeon as anatomist, and such was Fallopius. In this College Harvey
lectured on anatomy and surgery, and he left his surgical instruments to
us; for us Caldwal founded a lectureship in surgery which has been
allowed virtually to lapse. From the progress of anatomy which, under
Public-domain text, read in full here on John Shaqi.
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