The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and CountriesBerdoe, Edward
History
The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and Countries
Berdoe, Edward
Medicine -- History
The Dogmatists maintained that it was not enough for the physician to
know the mere symptoms of his patient’s malady. It does not suffice to
know the _evident causes_ of the disorder, but he must acquaint himself
with the _hidden causes_. To acquire this knowledge of the _hidden
causes_, he must study the _hidden parts_, and the natural actions and
functions of the body in health. He must know the principles on which
the human machinery is constructed before he can scientifically treat
the accidents and disturbances to which it is liable. It was not,
therefore, a mere subject of philosophical interest to hold with some
physicians that diseases proceed from excess or deficiency of one or
other of the four elements, or with others, that the various humours or
the respiration were at fault. It was not of merely academic interest
to suppose that the abnormal flow of the blood caused inflammations,
or that corpuscles blocked up the invisible passages. The doctor must
do more than speculate on these things in his discussions. He must
have a theory upon them which he could apply to the treatment of his
patients, and the best physician would be the one who best knew how
the disease originated. Experiments without reasoning were valueless;
their chief use was to inform the experimenter whether he had reasoned
justly or conjectured fortunately. When the physician is confronted by
a new form of disease for which no remedy has been discovered, he must
know its cause and origin, or his practice will be mere guess-work.
Anybody can discover the evident causes—heat, cold, over-eating.
These things the least instructed physician will probably know. It is
the knowledge of hidden causes which makes the superior man. He who
aspires to be instructed must know what we now call physiology—why we
breathe, why we eat, what happens to the food which we swallow, why the
arteries pulsate, why we sleep, etc. The man who cannot explain these
phenomena is not a competent doctor. He must have frequently inspected
dead bodies, and examined carefully their internal parts; but they
maintained that it was much the better way to open living persons, as
Herophilus and Erasistratus did, so that they could acquaint themselves
in life with the structures whose disturbance or disease causes the
sufferings which they were called upon to alleviate. What is known as
the “Humoral Pathology” formed the most essential part of the system of
the Dogmatists.
Humoral pathology explains all diseases as caused by the mixture of
the four cardinal humours; viz., the blood, bile, mucus or phlegm,
and water. Hippocrates leaned towards it, but it was Plato who
developed it. The stomach is the common source of all these humours.
When diseases develop, they attract these humours. The source of the
bile is the liver; of the mucus, the head; of the water, the spleen.
Bile causes all acute diseases, mucus in the head causes catarrhs and
rheumatism, dropsy depends on the spleen.
Public-domain text, read in full here on John Shaqi.
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