Sir James Young Simpson and Chloroform (1811-1870): Masters of MedicineGordon, H. Laing (Henry Laing)
History
Sir James Young Simpson and Chloroform (1811-1870): Masters of Medicine
Gordon, H. Laing (Henry Laing)
Anesthetics; Chloroform; Simpson, James Young, 1811-1870
Professor Syme met the innovation with vehement opposition;
possibly he resented this intrusion of the gynaecologist into the
regions of general surgery. He took into his class-room one pamphlet
on the subject by Simpson, which had especially aroused his wrath; he
stormed at the author before his students for "his vulgar insolence,"
and then, in a dramatic scene, expressed the violence of his contempt
by savagely tearing the pamphlet into pieces and casting it away.
In a subsequent controversy between these two old opponents, who
had been temporarily united by Simpson's conduct in consulting Syme
professionally, by their joint action against homoeopathy, and by
Simpson's defence of Syme when publicly attacked by an English
surgeon, the feud was renewed.
Simpson persisted for years in collecting reports of operations in
which acupressure was employed, and published them from time to time
in the _British Medical Journal_ and elsewhere. In 1864 his work
on the subject took the form of a volume containing 580 quarto pages.
His friends endeavoured to rank acupressure with chloroform as one
of the blessings to humanity made manifest by him. He himself
recognised that he had failed to gain for acupressure a place in
practice such as he had gained for chloroform, but he looked forward
to a time, perhaps a quarter of a century distant, when his method
would be beginning to be thought about. In this he was mistaken for,
on the contrary, acupressure was beginning to be forgotten long before
twenty-five years had elapsed. Another worker on more strictly
scientific lines had by that time made healing by first intention,
without complications, the rule instead of the exception, and
conferred a benefit on humanity as great if not greater than that of
anaesthesia. In 1867, while Simpson was still alive, Mr. (now Lord)
Lister (then a hospital surgeon in Glasgow, and subsequently Syme's
successor in Edinburgh) enunciated the new principle of "antiseptic
surgery," which recognised the living infective micro-organisms of
the air as the cause of the trouble in wounds. He directed that as
these invisible organisms (known only by means of the microscope)
were present everywhere in the air, found their way into all sorts of
wounds, and set up the decomposition which led to disastrous
results, they were to be destroyed or excluded from wounds; and he
suggested effective means of accomplishing this end. He further
abolished the long ligatures which irritated by their presence, and
by the organisms they conveyed into the wound when imperfectly
cleansed as they usually were; and substituted non-irritating
ligatures which nature herself was able to remove by the process of
absorption. The recognition of this antiseptic principle effected a
much needed revolution in surgery, and in this revolution acupressure
was practically annihilated. Simpson did not live long enough to
see the complete establishment of the Listerian principle; at
Public-domain text, read in full here on John Shaqi.
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