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
At the middle of the last century we did not know much more of the
actual causes of the great scourges of the race, the plagues, the fevers
and the pestilences, than did the Greeks. Here comes Pasteur's great
work. Before him Egyptian darkness; with his advent a light that
brightens more and more as the years give us ever fuller knowledge. The
facts that fevers were catching, that epidemics spread, that infection
could remain attached to articles of clothing, etc., all gave support to
the view that the actual cause was something alive, a contagium vivum.
It was really a very old view, the germs of which may be found in the
Fathers, but which was first clearly expressed--so far as I know--by
Fracastorius, the Veronese physician, in the sixteenth century, who
spoke of the seeds of contagion passing from one person to another;(12)
and he first drew a parallel between the processes of contagion and
the fermentation of wine. This was more than one hundred years before
Kircher, Leeuwenhoek and others began to use the microscope and to see
animalcula, etc., in water, and so give a basis for the "infinitely
little" view of the nature of disease germs. And it was a study of the
processes of fermentation that led Pasteur to the sure ground on which
we now stand.
(12) Varro, in De Re Rustica, Bk. I, 12 (circa 40 B.C.), speaks
of minute organisms which the eye cannot see and which enter the
body and cause disease.
Out of these researches arose a famous battle which kept Pasteur hard at
work for four or five years--the struggle over spontaneous generation.
It was an old warfare, but the microscope had revealed a new world, and
the experiments on fermentation had lent great weight to the omne vivum
ex ovo doctrine. The famous Italians, Redi and Spallanzani, had led the
way in their experiments, and the latter had reached the conclusion
that there is no vegetable and no animal that has not its own germ. But
heterogenesis became the burning question, and Pouchet in France, and
Bastian in England, led the opposition to Pasteur. The many famous
experiments carried conviction to the minds of scientific men, and
destroyed forever the old belief in spontaneous generation. All along,
the analogy between disease and fermentation must have been in Pasteur's
mind; and then came the suggestion, "What would be most desirable is to
push those studies far enough to prepare the road for a serious
research into the origin of various diseases." If the changes in lactic,
alcoholic and butyric fermentations are due to minute living organisms,
why should not the same tiny creatures make the changes which occur
in the body in the putrid and suppurative diseases? With an accurate
training as a chemist, having been diverted in his studies upon
fermentation into the realm of biology, and nourishing a strong
conviction of the identity between putrefactive changes of the body
and fermentation, Pasteur was well prepared to undertake investigations
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