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 effect of the tendency of the Methodists to classify and simplify
all the departments of medicine was not wholly beneficial. It conveyed
to many the impression that medicine might readily be learned in the
course of a few months, and thus offered the temptation to inferior
men to choose the career of physician; and yet, on the other hand,
it infused into the art the essentially Roman characteristics of
orderliness, simplicity and efficiency. Anatomy, for example, was
studied only so far as a knowledge of this department of medicine was
necessary to render the physician familiar with the location, general
character and relations of the different organs. There was one field,
however, in which the adherents of this school displayed a high degree
of excellence, viz., in their descriptions of disease; and this is
especially true of those written by Caelius Aurelianus (fourth century
A. D.), whose manner of handling the subject of differential diagnosis
is far more thorough and satisfactory than that of any of the medical
authors who preceded him.
In their treatment of disease, the Methodists were largely guided by
the principle of _contraria contrariis_,--_i.e._, in those
cases in which, to the best of their belief, a _status laxus_
existed, they administered astringents, in the hope of thereby bringing
the parts back more nearly to a contracted condition; and, _vice
versa_, when the diagnosis of _status strictus_ was made, they
gave a relaxing medicine. The terms “laxatives” and “astringents,”
which are still applied to many drugs, were originated by the
Methodists. Bloodletting, for example, was one of the remedies which
they used for producing relaxation, and an astringent was employed
when a contrary effect was desired. In the list of relaxing remedial
agents (aside from bloodletting) were placed the following: warm
baths, poultices, inunctions with warm oil, vapor baths, fasting and a
restricted diet, diuretics (very carefully watched and employed only in
exceptional cases), emetics, diaphoretics and laxatives. The following
agents, on the other hand, were classed as contracting, astringent and
tonic remedies: washing with cold water, cold baths, the application of
cloths dipped in cold water, living in cold air, strengthening diet,
wine, vinegar, alum, narcotics, etc. Themison, it should be added, is
the first one among the ancient writers to mention the use of leeches
as a means of extracting blood. It does not follow from this, however,
that he was the discoverer of this method of local bloodletting; for it
is highly probable that this procedure had been in common use for many
years previous to his time.
Public-domain text, read in full here on John Shaqi.
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