Pasteur, Louis, 1822-1895; Scientists -- France -- Biography
Our knowledge of disease has advanced in a curiously uniform way. The
objective features, the symptoms, naturally first attracted attention.
The Greek physicians, Hippocrates, Galen, and Aretaeus, gave excellent
accounts of many diseases; for example, the forms of malaria. They knew,
too, very well, their modes of termination, and the art of prognosis was
studied carefully. But of the actual causes of disease they knew little
or nothing, and any glimmerings of truth were obscured in a cloud of
theory. The treatment was haphazard, partly the outcome of experience,
partly based upon false theories of the cause of the disease. This may
be said to have been the sort of knowledge possessed by the profession
until men began to study the “seats and causes” of disease, and to
search out the changes _inside_ the body, corresponding to the outward
symptoms and the external appearances. Morbid anatomy began to be
studied, and in the hundred years from 1750 to 1850 such colossal
strides were made that we knew well the post-mortem appearances of the
more common diseases; the recognition of which was greatly helped by a
study of the relation of the pathological appearances with the signs and
symptoms. The 19th century may be said to have given us an
extraordinarily full knowledge of the changes which disease produces in
the solids and fluids of the body. Great advances, too, were made in the
treatment of disease. We learned to trust Nature more and drugs less; we
got rid (in part) of treatment by theory, and we ceased to have a drug
for every symptom. But much treatment was, and still is, irrational, not
based on a knowledge of the cause of the disease. In a blundering way
many important advances were made, and even specifics were
discovered--cinchona, for example, had cured malaria for a hundred and
fifty years before Laveran found the cause. 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 in 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
particles 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 Frascastorius, a
Veronese physician in the 16th century, who spoke of the seeds of
contagion passing from one person to another; 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 animalculæ, etc., in
water, and so gave a basis for the “infinitely little” view of the
Public-domain text, read in full here on John Shaqi.
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