The Writings of Thomas Jefferson, Vol. 5 (of 9): Being His Autobiography, Correspondence, Reports, Messages, Addresses, and Other Writings, Official and PrivateJefferson, Thomas
History
The Writings of Thomas Jefferson, Vol. 5 (of 9): Being His Autobiography, Correspondence, Reports, Messages, Addresses, and Other Writings, Official and Private
Jefferson, Thomas
United States -- Politics and government -- 1775-1783; United States -- Politics and government -- 1783-1865
of corpuscular attraction, of chemical agency, of mechanical powers, of
stimuli, of irritability accumulated or exhausted, of depletion by the
lancet and repletion by mercury, or some other ingenious dream, which
lets him into all nature's secrets at short hand. On the principle which
he thus assumes, he forms his table of nosology, arrays his diseases into
families, and extends his curative treatment, by analogy, to all the cases
he has thus arbitrarily marshalled together. I have lived myself to see
the disciples of Hoffman, Boerhaave, Stahl, Cullen, Brown, succeed one
another like the shifting figures of a magic lantern, and their fancies,
like the dresses of the annual doll-babies from Paris, becoming, from
their novelty, the vogue of the day, and yielding to the next novelty
their ephemeral favor. The patient, treated on the fashionable theory,
sometimes gets well in spite of the medicine. The medicine therefore
restored him, and the young doctor receives new courage to proceed in
his bold experiments on the lives of his fellow creatures. I believe
we may safely affirm, that the inexperienced and presumptuous band of
medical tyros let loose upon the world, destroys more of human life in
one year, than all the Robinhoods, Cartouches, and Macheaths do in a
century. It is in this part of medicine that I wish to see a reform, an
abandonment of hypothesis for sober facts, the first degree of value set
on clinical observation, and the lowest on visionary theories. I would
wish the young practitioner, especially, to have deeply impressed on his
mind, the real limits of his art, and that when the state of his patient
gets beyond these, his office is to be a watchful, but quiet spectator
of the operations of nature, giving them fair play by a well-regulated
regimen, and by all the aid they can derive from the excitement of good
spirits and hope in the patient. I have no doubt, that some diseases not
yet understood may in time be transferred to the table of those known.
But, were I a physician, I would rather leave the transfer to the slow
hand of accident, than hasten it by guilty experiments on those who put
their lives into my hands. The only sure foundations of medicine are,
an intimate knowledge of the human body, and observation on the effects
of medicinal substances on that. The anatomical and clinical schools,
therefore, are those in which the young physician should be formed. If
he enters with innocence that of the theory of medicine, it is scarcely
possible he should come out untainted with error. His mind must be strong
indeed, if, rising above juvenile credulity, it can maintain a wise
infidelity against the authority of his instructors, and the bewitching
delusions of their theories. You see that I estimate justly that portion
of instruction which our medical students derive from your labors; and,
associating with it one of the chairs which my old and able friend,
Doctor Rush, so honorably fills, I consider them as the two fundamental
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