The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
_The Views of Asclepiades with Regard to Physiology and
Pathology._--The human body, according to the philosophy of
Asclepiades, is composed of atoms--that is, small bodies which are
invisible, have no definable quality, are in continual motion, through
mutual pressure undergo modifications in form, and break up into
innumerable smaller fragments or particles that differ both in size
and in shape. The arrangement of these small bodies is such that
intercommunicating spaces or pores are left between them, and through
these channels flows a sap or juice containing larger and smaller
particles; the larger ones composed of blood, and the smaller of vapor
or heat. Health, according to Asclepiades, is that state in which the
primitive atoms are properly distributed or placed and the flow of the
juices in the pores takes place normally. When, however, the flow is
arrested and the primitive atoms are disordered in their relations to
each other and to the pores, or when the elements composing the fluid
contents of the latter become mixed, disease results. Alterations in
the pores themselves, as contradistinguished from the fluid contained
within them, may also cause disease. Farther on, when the proper time
arrives for considering the sect of the Methodists, I shall have
occasion to discuss this subject again, and particularly that part
of it which relates to pathology. In the meantime, however, I cannot
resist the impulse to say a few words about the remarkable insight
possessed by Asclepiades into the manner of construction of the human
body, as manifested by this very brief but very significant anatomical
and physiological description. Upon a first reading one might easily
get the impression that Asclepiades has reference to only one kind or
system of “pores” or channels--viz., such as serve for the circulation
of tissue juices alone. But, upon a closer scrutiny of the text, one
finds some warrant for suspecting that he had in mind more than one
system of such channels; for he states distinctly that the fluid
circulating in these pores contains larger particles composed of blood
and smaller ones which consist of vapor (_spiritus_) or heat. The
question suggests itself: Could a man who had no knowledge of Harvey’s
discovery, who did not possess a microscope, and who at the same time
believed--as did all the ancients--that air circulated in the arteries
and blood in the veins, come any nearer to the actual truth than did
Asclepiades? His description needs very few alterations and additions
to make it fit correctly the system of terminal arterio-venous channels
known to-day as arterioles and capillaries.
Public-domain text, read in full here on John Shaqi.
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