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
He knew the necessity of the nerve supply to the muscle, and that the
brain originated the consequent motion of a muscle so supplied, and
proved the fact experimentally by cutting through some of the nerves
and so paralysing the part.[501] Where the origin of the nerve is,
there, he said, it is admitted by all physicians and philosophers
is the seat of the soul. This, he adds, is in the brain and not in
the heart. The principles of voluntary motion were well understood,
therefore, by Galen, and he must have possessed “clear mechanical views
of what the tensions of collections of strings could do, and an exact
practical acquaintance with the muscular cordage which exists in the
animal frame:—in short, in this as in other instances of real advance
in science, there must have been clear ideas and real facts, unity of
thought and extent of observation, brought into contact.”[502]
He observed that although a ligature on the inguinal or axillary artery
causes the pulse to cease in the leg or in the arm, the operation is
not permanently injurious, and that even the carotid arteries may be
tied with impunity. He corrects the error of those who, in tying the
carotids, omitted to separate the contiguous nerves, and then wrongly
concluded that the consequent loss of voice was due to compression of
the arteries.
Galen was the first and greatest authority on the pulse, if not our
sole authority; for all subsequent writers simply transferred his
teaching on this subject bodily to their own works.[503]
Briefly it was as follows: “The pulse consists of four parts, of a
diastole and a systole, with two intervals of rest, one after the
diastole before the systole, the other after the systole before the
diastole.”[504]
His therapeutics were based on these two principles:—“1. That disease
is something contrary to nature, and is to be overcome by that which is
contrary to the disease itself; and 2. That nature is to be preserved
by that which has relation with nature.”[505]
The affection contrary to nature must be overcome, and the strength
of the body has to be preserved. But while the _cause_ of the disease
continues to operate, we must endeavour to remove it; we are not to
treat symptoms merely, for they will disappear when their cause is
removed, and we must consider the constitution and condition of the
patient before we proceed to treat him.
“Such as are essentially of a good constitution are such in whose
bodies heat, coldness, dryness, and moisture are equally tempered; the
instruments of the body are composed in every part of due bigness,
number, place, and formation.”[506] He gives in succeeding chapters
the signs of a hot, cold, dry, moist, hot and dry, hot and moist, cold
and dry, and cold and moist brain; of a heart overheated, of a heart
too cold, of a dry and of a moist heart, of a heart hot and dry, hot
and moist, cold and moist, cold and dry heart. The liver is described
under the same conditions.
Public-domain text, read in full here on John Shaqi.
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