Education; Priestley, Joseph, 1733-1804; Science -- Study and teaching
A scorner of physic once said that nature and disease may be compared
to two men fighting, the doctor to a blind man with a club, who strikes
into the _mêlée_, sometimes hitting the disease, and sometimes
hitting nature. The matter is not mended if you suppose the blind man's
hearing to be so acute that he can register every stage of the
struggle, and pretty clearly predict how it will end. He had better not
meddle at all, until his eyes are opened, until he can see the exact
position of the antagonists, and make sure of the effect of his blows.
But that which it behoves the physician to see, not, indeed, with his
bodily eye, but with clear, intellectual vision, is a process, and the
chain of causation involved in that process. Disease, as we have seen,
is a perturbation of the normal activities of a living body, and it is,
and must remain, unintelligible, so long as we are ignorant of the
nature of these normal activities. In other words, there could be no
real science of pathology until the science of physiology had reached a
degree of perfection unattained, and indeed unattainable, until quite
recent times.
So far as medicine is concerned, I am not sure that physiology, such as
it was down to the time of Harvey, might as well not have existed. Nay,
it is perhaps no exaggeration to say that, within the memory of living
men, justly renowned practitioners of medicine and surgery knew
less physiology than is now to be learned from the most elementary
text-book; and, beyond a few broad facts, regarded what they did know
as of extremely little practical importance. Nor am I disposed to blame
them for this conclusion; physiology must be useless, or worse than
useless, to pathology, so long as its fundamental conceptions are
erroneous.
Harvey is often said to be the founder of modern physiology; and there
can be no question that the elucidations of the function of the heart,
of the nature of the pulse, and of the course of the blood, put forth
in the ever-memorable little essay, "De motu cordis," directly worked a
revolution in men's views of the nature and of the concatenation of
some of the most important physiological processes among the higher
animals; while, indirectly, their influence was perhaps even more
remarkable.
But, though Harvey made this signal and perennially important
contribution to the physiology of the moderns, his general conception
of vital processes was essentially identical with that of the ancients;
and, in the "Exercitationes de generatione," and notably in the
singular chapter "De calido innato," he shows himself a true son of
Galen and of Aristotle.
For Harvey, the blood possesses powers superior to those of the
elements; it is the seat of a soul which is not only vegetative, but
also sensitive and motor. The blood maintains and fashions all parts of
the body, "idque summâ cum providentiâ et intellectu in finem certum
agens, quasi ratiocinio quodam uteretur."
Public-domain text, read in full here on John Shaqi.
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