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
Again we have to go back to Italy for the beginning of these studies,
this time to Florence, in the glorious days of Lorenzo the Magnificent.
The pioneer now is not a professor but a general practitioner, Antonio
Benivieni, of whom we know very little save that he was a friend of
Marsilio Ficino and of Angelo Poliziano, and that he practiced in
Florence during the last third of the fifteenth century, dying in 1502.
Through associations with the scholars of the day, he had become a
student of Greek medicine and he was not only a shrewd and accurate
observer of nature but a bold and successful practitioner. He had formed
the good habit of making brief notes of his more important cases, and
after his death these were found by his brother Jerome and published in
1507.(2) This book has a rare value as the record of the experience of
an unusually intelligent practitioner of the period. There are in all
111 observations, most of them commendably brief. The only one of any
length deals with the new "Morbus Gallicus," of which, in the short
period between its appearance and Benivieni's death, he had seen enough
to leave a very accurate description; and it is interesting to note that
even in those early days mercury was employed for its cure. The surgical
cases are of exceptional interest, and No. 38 refers to a case of angina
for which he performed a successful operation. This is supposed to have
been a tracheotomy, and if so, it is the first in the fourteen centuries
that had elapsed since the days of Antyllus.(3) There are other
important cases which show that he was a dexterous and fearless surgeon.
But the special interest of the work for us is that, for the first time
in modern literature, we have reports of post-mortem examinations made
specifically with a view to finding out the exact cause of death. Among
the 111 cases, there are post-mortem records of cases of gallstones,
abscess of the mesentery, thrombosis of the mesenteric veins, several
cases of heart disease, senile gangrene and one of cor villosum. From no
other book do we get so good an idea of a practitioner's experience at
this period; the notes are plain and straightforward, and singularly
free from all theoretical and therapeutic vagaries. He gives several
remarkable instances of faith healing.
(2) De abditis nonnullis ac mirandis morborum et sanationum
causis. 8th, Florence, Gandhi, 1507.
(3) Possibly it was only a case of angina Ludovici, or
retro-pharyngeal abscess.
Public-domain text, read in full here on John Shaqi.
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