The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
An empirical discovery of the first importance marks the middle of the
century. The story of cinchona is of special interest, as it was the
first great specific in disease to be discovered. In 1638, the wife
of the Viceroy of Peru, the Countess of Chinchon, lay sick of an
intermittent fever in the Palace of Lima. A friend of her husband's,
who had become acquainted with the virtues, in fever, of the bark of
a certain tree, sent a parcel of it to the Viceroy, and the remedy
administered by her physician, Don Juan del Vego, rapidly effected
a cure. In 1640, the Countess returned to Spain, bringing with her
a supply of quina bark, which thus became known in Europe as "the
Countess's Powder" (pulvis Comitissae). A little later, her doctor
followed, bringing additional quantities. Later in the century,
the Jesuit Fathers sent parcels of the bark to Rome, whence it was
distributed to the priests of the community and used for the cure of
ague; hence the name of "Jesuits' bark." Its value was early recognized
by Sydenham and by Locke. At first there was a great deal of opposition,
and the Protestants did not like it because of its introduction by the
Jesuits. The famous quack, Robert Talbor, sold the secret of preparing
quinquina to Louis XIV in 1679 for two thousand louis d'or, a pension
and a title. That the profession was divided in opinion on the subject
was probably due to sophistication, or to the importation of other and
inert barks. It was well into the eighteenth century before its virtues
were universally acknowledged. The tree itself was not described until
1738, and Linnaeus established the genus "Chinchona" in honor of the
Countess.(1)
(1) Clements R. Markham: Peruvian Bark, John Murray, London,
1880; Memoir of the Lady Anna di Osoria, Countess of Chinchona
and Vice-Queen of Peru, 1874.
A step in advance followed the objective study of the changes wrought in
the body by disease. To a few of these the anatomists had already called
attention. Vesalius, always keen in his description of aberrations from
the normal, was one of the first to describe internal aneurysm. The
truth is, even the best of men had little or no appreciation of the
importance of the study of these changes. Sydenham scoffs at the value
of post-mortems.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account