下载辰思小说免费APP
Inageneralwaymodernastronomymaybeconsideredastheoutgrowthofastrology,justasmodernchemistryistheresultofalchemy。Itisquitepossible,however,thatastronomyistheolderofthetwo;butastrologymusthavedevelopedveryshortlyafter。Theprimitiveastronomer,havingacquiredenoughknowledgefromhisobservationsoftheheavenlybodiestomakecorrectpredictions,suchasthetimeofthecomingofthenewmoon,wouldbeled,naturally,tobelievethatcertainpredictionsotherthanpurelyastronomicalonescouldbemadebystudyingtheheavens。Eveniftheastronomerhimselfdidnotbelievethis,someofhissuperstitiousadmirerswould;fortotheunscientificmindpredictionsofearthlyeventswouldsurelyseemnomoremiraculousthancorrectpredictionsastothefuturemovementsofthesun,moon,andstars。Whenastronomyhadreachedastageofdevelopmentsothatsuchthingsaseclipsescouldbepredictedwithanythinglikeaccuracy,theoccultknowledgeoftheastronomerwouldbeunquestioned。Turningthisapparentlyoccultknowledgetoaccountinamercenarywaywouldthenbetheinevitableresult,althoughitcannotbedoubtedthatmanyoftheastrologers,inallages,weresincereintheirbeliefs。
Later,asthebusinessofastrologybecameaprofitableone,sincereastronomerswouldfinditexpedienttopractiseastrologyasameansofgainingalivelihood。SuchaphilosopherasKeplerfreelyadmittedthathepractisedastrology"tokeepfromstarving,"althoughheconfessednofaithinsuchpredictions。
"Yeotherwisephilosophers,"hesaid,"yecensurethisdaughterofastronomybeyondherdeserts;knowyenotthatshemustsupporthermotherbyhercharms。"
Onceastrologyhadbecomeanestablishedpractice,anyconsiderableknowledgeofastronomywasunnecessary,forasitwasatbestbutasystemofgoodguessingastofutureevents,cleverimpostorscouldthriveequallywellwithouttroublingtostudyastronomy。Thecelebratedastrologers,however,wereusuallyastronomersaswell,andundoubtedlybasedmanyoftheirpredictionsonthepositionandmovementsoftheheavenlybodies。
Thus,thecastingofahoroscopethatis,themethodsbywhichtheastrologersascertainedtherelativepositionoftheheavenlybodiesatthetimeofabirth——wasasimplebutfairlyexactprocedure。Itsbasiswasthezodiac,orthepathtracedbythesuninhisyearlycoursethroughcertainconstellations。Atthemomentofthebirthofachild,thefirstcareoftheastrologerwastonotetheparticularpartofthezodiacthatappearedonthehorizon。Thezodiacwasthendividedinto"houses"——thatis,intotwelvespaces——onachart。Inthesehouseswereinsertedtheplacesoftheplanets,sun,andmoon,withreferencetothezodiac。Whenthischartwascompleteditmadeafairlycorrectdiagramoftheheavensandthepositionoftheheavenlybodiesastheywouldappeartoapersonstandingattheplaceofbirthatacertaintime。
Uptothispointtheprocesswasasimpleoneofastronomy。Butthenextstep——thereallyimportantone——thatofinterpretingthischart,wastheonewhichcalledforththeskillandimaginationoftheastrologer。Inthisinterpretation,notinhismereobservations,laythesecretofhissuccess。Nordidhistaskceasewithsimplyforetellingfutureeventsthatweretohappeninthelifeofthenewlyborninfant。Hemustnotonlypointoutthedangers,butshowthemeanswherebytheycouldbeaverted,andhisprophylacticmeasures,likehispredictions,wereallegedtobebasedonhisreadingofthestars。
Butcastingahoroscopeatthetimeofbirthswas,ofcourse,onlyasmallpartoftheastrologer’sduty。Hisofficesweresoughtbypersonsofallagesforpredictionsastotheirfutures,themovementsofanenemy,wheretofindstolengoods,andahostofeverydayoccurrences。Insuchcasesitismorethanprobablethattheastrologersdidverylittleconsultingofthestarsinmakingtheirpredictions。Theybecameexpertphysiognomistsandexcellentjudgesofhumannature,andwerethusabletoforetellfutureswiththesameshrewdnessandbythesamemethodsasthemodern"mediums,"palmists,andfortune-tellers。Tostrengthenbeliefintheirpowers,itbecameacommonthingforsomesupposedlylostdocumentoftheastrologertobemysteriouslydiscoveredafteranimportantevent,thisdocumentpurportingtoforetellthisveryevent。Itwasalsoacommonpracticewithastrologerstoretain,orhaveaccessto,theiroriginalcharts,cleverlyalteringthemfromtimetotimetofitconditions。
Thedangersattendantuponastrologywereofsuchanaturethatthelotoftheastrologerwaslikelytoproveanythingbutanenviableone。Asinthecaseofthealchemist,thegreaterthereputationofanastrologerthegreaterdangershewaslikelytofallinto。Ifhebecamesofamousthathewasemployedbykingsornoblemen,histootrueortoofalseprophecieswerelikelytobringhimintodisrepute——eventoendangerhislife。
Throughoutthedarkagetheastrologersflourished,butthesixteenthandseventeenthcenturieswerethegoldenageoftheseimpostors。Askilfulastrologerwasasmuchanessentialtothegovernmentasthehighestofficial,anditwouldhavebeenaboldmonarch,indeed,whowouldundertakeanyexpeditionofimportanceunlesssanctionedbythegoverningstarsasinterpretedbytheseofficials。
Itshouldnotbeunderstood,however,thatbeliefinastrologydiedwiththeadventoftheCopernicandoctrine。Itdidbecomeseparatedfromastronomyveryshortlyafter,tobesure,andundoubtedlyamongthescientistsitlostmuchofitsprestige。
Butitcannotbeconsideredasentirelypassedaway,evento-day,andevenifweleaveoutofconsiderationstreet-corner"astrologers"andfortune-tellers,whosesignsmaybeseenineverylargecity,therestillremainsquitealargeclassofrelativelyintelligentpeoplewhobelieveinwhattheycall"thescienceofastrology。"Needlesstosay,suchpeoplearenotfoundamongthescientificthinkers;butitissignificantthatscarcelyayearpassesthatsomebookorpamphletisnotpublishedbysomeardentbelieverinastrology,attemptingtoprovebytheillogicaldogmascharacteristicofunscientificthinkersthatastrologyisascience。Theargumentscontainedinthesepamphletsareverymuchthesameasthoseoftheastrologersthreehundredyearsago,exceptthattheylackthequaintformofwordingwhichisoneofthefeaturesthatlendsinteresttotheolderdocuments。Thesepamphletsneednotbetakenseriously,buttheyareinterestingasexemplifyinghowdifficultitis,eveninanageofscience,toentirelystampoutfirmlyestablishedsuperstitions。Herearesomeoftheargumentsadvancedindefenceofastrology,takenfromalittlebrochureentitled"AstrologyVindicated,"publishedin1898:ItwillbefoundthatapersonbornwhentheSunisintwentydegreesScorpiohastheleftearashisexceptionalfeatureandthenose(Sagittarius)benttowardstheleftear。ApersonbornwhentheSunisinanyofthelatterdegreesofTaurus,saythetwenty-fifthdegree,willhaveasmall,sharp,weakchin,curveduptowardsGemini,thetwoverticallinesontheupperlip。"[4]
Thetimewaswhensciencewentoutofitswaytoprovethatsuchstatementswereuntrue;butthattimeispast,andsuchwritersareusuallyclassedamongthoseenergeticbutmisguidedpersonswhoareunabletodistinguishbetweenlogicandsophistry。
InEngland,fromthetimeofElizabethtothereignofWilliamandMary,judicialastrologywasatitsheight。AfterthegreatLondonfire,in1666,acommitteeoftheHouseofCommonspubliclysummonedthefamousastrologer,Lilly,tocomebeforeParliamentandreporttothemonhisallegedpredictionofthecalamitythathadbefallenthecity。Lilly,forsomereasonbestknowntohimself,deniedhavingmadesuchaprediction,being,asheexplained,"moreinterestedindeterminingaffairsofmuchmoreimportancetothefuturewelfareofthecountry。"Someoftheexplanationsofhisinterpretationswillsufficetoshowtheirabsurdities,which,however,werebynomeansregardedasabsurditiesatthattime,forLillywasoneofthegreatestastrologersofhisday。Hesaidthatin1588aprophecyhadbeenprintedinGreekcharacterswhichforetoldexactlythetroublesofEnglandbetweentheyears1641。and1660。"Andafterhimshallcomeadreadfuldeadman,"rantheprophecy,"andwithhimaroyalGofthebestbloodintheworld,andheshallhavethecrownandshallsetEnglandontherightwayandputoutallheresies。Hisinterpretationofthiswasthat,"Monkerybeingextinguishedaboveeightyorninetyyears,andtheLordGeneral’snamebeingMonk,isthedeadman。TheroyalGorC(itisgammaintheGreek,intendingCintheLatin,beingthethirdletterinthealphabet)isCharlesII。,who,forhisextraction,maybesaidtobeofthebestbloodoftheworld。"[5]
ThismaybetakenasafairsampleofLilly’sinterpretationsofastrologicalprophesies,butmanyofhisownwritings,whilesomewhatmoredefiniteanddirect,arestillleftsufficientlyvaguetoallowhisskilfulinterpretationstosetrightanapparentmistake。Oneofhisfamousdocumentswas"TheStarryMessenger,"alittlepamphletpurportingtoexplainthephenomenonofa"strangeapparitionofthreesuns"thatwereseeninLondononNovember19,1644——theanniversaryofthebirthofCharlesI。,thenthereigningmonarch。ThisphenomenoncausedagreatstiramongtheEnglishastrologers,coming,asitdid,atatimeofgreatpoliticaldisturbance。Prophecieswerenumerous,andLilly’sbrochureisonlyoneofmanythatappearedatthattime,mostofwhich,however,havebeenlost。Lilly,inhispreface,says:"IftherebeanyofsoprevaricateajudgmentastothinkthattheapparitionofthesethreeSunsdothintimatenoNovellethingtohappeninourownClimate,wheretheyweremanifestlyvisible,Ishalllamenttheirindisposition,andconceivetheirbrainstobeshallow,andvoydeofunderstandinghumanity,ornoticeofcommonHistory。"
Havingthusforgivenhisfewdoubtingreaders,whowerebynomeansinthemajorityinhisday,hetakesupinreviewtherecordsofthevariousappearancesofthreesunsastheyhaveoccurredduringtheChristianera,showinghowsuchphenomenahavegovernedcertainhumaneventsinaverydefinitemanner。
Someoftheseareworthrecording。
"Anno66。Acometwasseen,andalsothreeSuns:Inwhichyeer,FlorusPresidentoftheJewswasbythemslain。PaulwritestoTimothy。TheChristiansarewarnedbyadivineOracle,anddepartoutofJerusalem。BoadiceaBritishQueen,killethseventythousandRomans。TheNazareni,ascurvieSect,begun,thatboastedmuchofRevelationsandVisions。AboutayearafterNerowasproclaimedenemytotheStateofRome。"
Again,"Anno1157,inSeptember,therewereseenthreeSunstogether,inasclearweatherascouldbe:Andafewdaysafter,inthesamemonth,threeMoons,and,intheMoonthatstoodinthemiddle,awhiteCrosse。Sueno,KingofDenmark,atagreatFeast,killethCanutus:Suenoishimselfslain,inpursuitofWaldemar。TheOrderofEremites,accordingtotheruleofSaintAugustine,begunthisyear;andinthenext,thePopesubmitstotheEmperour:(wasnotthismiraculous?)LombardywasalsoadjudgedtotheEmperour。"
Continuingthislistofpeculiarphenomenahecomesdowntowithinafewyearsofhisowntime。
"Anno1622,threeSunsappearedatHeidelberg。ThewofulCalamitiesthathaveeversincefallenuponthePalatinate,weareallsensibleof,andofthelossofit,foranythingIsee,forever,fromtherightHeir。OsmanthegreatTurkisstrangledthatyear;andSpinolabesiegethBergenupZoom,etc。"
Fortifiedbytheenumerationofthesepastevents,hethenproceedstomakehisdeductions。"OnlythisImusttellthee,"hewrites,"thattheinterpretationIwriteis,Iconceive,groundeduponprobablefoundations;andwholivestoseeafewyearsoverhishead,willeasilyperceiveIhaveunfoldedasmuchaswasfittodiscover,andthatmyjudgmentwasnotamileandahalffromtruth。"
Thereisagreatsignificanceinthis"asmuchaswasfittodiscover"——amysterioussomethingthatLillythinksitexpedientnottodivulge。But,nevertheless,onewouldimaginethathewasabouttomakesomedefinitepredictionaboutCharlesI。,sincethesethreesunsappeareduponhisbirthdayandsurelymustportendsomethingconcerninghim。Butafterramblingonthroughmanypagesofdissertationsuponplanetsandprophecies,hefinallymakeshisownindefiniteprediction。
"OallyouEmperors,Kings,Princes,RulersandMagistratesofEurope,thisunaccustomedApparitionisliketheHandwritinginDanieltosomeofyou;itpremonishethyou,aboveallotherpeople,tomakeyourpeacewithGodintime。Youshalleveryoneofyousmart,andeveryoneofyoutaste(noneexcepted)theheaviehandofGod,whowillstrengthenyoursubjectswithinvinciblecouragetosuppressyourmisgovernmentsandOppressionsinChurchorCommon-wealth;……Thosewordsaregeneral:awordformyowncountryofEngland……Looktoyourselves;here’ssomemonstrousdeathtowardsyou。Buttowhom?
wiltthousay。HereinweconsidertheSigne,Lordthereof,andtheHouse;TheSunsignifiesinthatRoyalSigne,greatones;theHousesignifiescaptivity,poison,Treachery:Fromwhichisderivedthusmuch,Thatsomeverygreatman,whatKing,Prince,Duke,orthelike,IreallyaffirmIperfectlyknownot,shall,I
say,cometosomesuchuntimelyend。"[6]
Hereisshownatypicalexampleofastrologicalprophecy,whichseemstotellsomethingornothing,accordingtothepointofviewofthereader。Accordingtoabelieverinastrology,aftertheexecutionofCharlesI。,fiveyearslater,thiscouldbemadetoseemadirectandexactprophecy。Forexample,hesays:"YouKings,Princes,etc。,……itpremonishethyou……tomakeyourpeacewithGod……Looktoyourselves;here’ssomemonstrousdeathtowardsyou……Thatsomeverygreatman,whatKing,Prince,。shall,Isay,cometosuchuntimelyend。"
Butbythedoubterthecompleteprophecycouldbeshowntobeabsolutelyindefinite,andapplicableasmuchtothekingofFranceorSpainastoCharlesI。,ortoanykinginthefuture,sincenodefinitetimeisstated。Furthermore,Lillydistinctlystates,"WhatKing,Prince,Duke,orthelike,IreallyaffirmI
perfectlyknownot"——whichlast,atleast,wasamosttruthfulstatement。Thesameingenuitythatmade"Gen。Monk"the"dreadfuldeadman,"couldeasilymakesuchapredictionapplytotheexecutionofCharlesI。Suchadefinitestatementthat,onsuchandsuchadayacertainnumberofyearsinthefuture,themonarchofEnglandwouldbebeheaded——suchanexactstatementcanscarcelybefoundinanyoftheworksonastrology。Itshouldbeborneinmind,also,thatLillywasoftheCromwellpartyandopposedtotheking。
AfterthedeathofCharlesI。,Lillyadmittedthatthemonarchhadgivenhimathousandpoundstocasthishoroscope。"Iadvisedhim,"saysLilly,"toproceedeastwards;hewentwest,andalltheworldknowstheresult。"ItisanunfortunatethingforthecauseofastrologythatLillyfailedtomentionthisuntilafterthedownfallofthemonarch。Infact,thesuddendeath,ordeclineinpower,ofanymonarch,evento-day,bringsouttheperennialpost-mortempredictionsofastrologers。
WeseehowLilly,anopponentoftheking,madehisso-calledprophecyofthedisasterofthekingandhisarmy。AtthesametimeanothercelebratedastrologerandrivalofLilly,GeorgeWharton,alsomadesomepredictionsabouttheoutcomeoftheeventfulmarchfromOxford。Wharton,unlikeLilly,wasafolloweroftheking’sparty,butthat,ofcourse,shouldhavehadnoinfluenceinhis"scientific"readingofthestars。Wharton’spredictionsaremuchlessverbosethanLilly’s,muchmoreexplicit,and,incidentally,muchmoreincorrectinthisparticularinstance。"TheMoonLadyofthe12,"hewrote,"andmovingbetwixtthe8degree,34min。,and21degree,26min。ofAquarius,givesustounderstandthatHisMajestyshallreceivemuchcontentmentbycertainMessagesbroughthimfromforeignparts;andthatheshallreceivesomesuddenandunexpectedsupplyof……bythemeansofsomethatassimilatetheconditionofhisEnemies:Andwithalthiscomfort;thatHisMajestyshallbeexceedingsuccessfulinBesiegingTowns,Castles,orForts,andinpersuingtheenemy。
"MarshisSextiletotheSun,LordoftheAscendant(whichhappeneththe18dayofMay)willencourageourSoldierstoadvancewithmuchalacrityandcheerfulnessofspirit;toshowthemselvesgallantinthemostdangerousattempt……Andnowtosumupall:Itismostapparenttoeveryimpartialandingenuousjudgment;ThatalthoughHisMajestycannotexpecttobesecuredfromeverytrivialdisasterthatmaybefallhisarmy,eitherbythetoomuchPresumption,Ignorance,orNegligenceofsomeparticularPersons(whichisfrequentlyincidentandunavoidableinthebestofArmies),yettheseveralpositionsoftheHeavensdulyconsideredandcomparedamongthemselves,aswellintheprefixedSchemeasattheQuarterlyIngresses,dogenerallyrenderHisMajestyandhiswholeArmyunexpectedlyvictoriousandsuccessfulinallhisdesigns;Believeit(London),thyMiseriesapproach,theyareliketobemany,great,andgrievous,andnottobediverted,unlessthouseasonablycravePardonofGodforbeingNursetothispresentRebellion,andspeedilysubmittothyPrince’sMercy;WhichshallbethedailyPrayerofGeo。
Wharton。"[7]
Inthelightofafterevents,itisprobablethatWharton’sstockasanastrologerwasnotgreatlyenhancedbythisdocument,atleastamongmembersoftheRoyalfamily。Lilly’sbook,ontheotherhand,becameafavoritewiththeParliamentaryarmy。
AfterthedownfallanddeathofNapoleontherewereunearthedmanyallegedauthenticastrologicaldocumentsforetellinghisruin。AndonthedeathofGeorgeIV。,in1830,thereappearedadocument(unknown,asusual,untilthattime)purportingtoforetellthedeathofthemonarchtotheday,andthiswithouttheastrologerknowingthathishoroscopewasbeingcastforamonarch。Afullaccountofthisprophecyistold,withfullbelief,byRoback,anineteenth-centuryastrologer。Hesays:
"Intheyear1828,astrangerofnoblemien,advancedinlife,butpossessingthemostblandmanners,arrivedattheabodeofacelebratedastrologerinLondon,"askingthatthelearnedmanforetellhisfuture。"Theastrologercompliedwiththerequestofthemysteriousvisitor,drewforthhistables,consultedhisephemeris,andcastthehoroscopeorcelestialmapforthehourandthemomentoftheinquiry,accordingtotheestablishedrulesofhisart。
"Theelementsofhiscalculationwereadverse,andafeelingofgloomcastashadeofseriousthought,ifnotdejection,overhiscountenance。
"’Youareofhighrank,’saidtheastrologer,ashecalculatedandlookedonthestranger,’andofillustrioustitle。’Thestrangermadeagracefulinclinationoftheheadintokenofacknowledgmentofthecomplimentaryremarks,andtheastrologerproceededwithhismission。
"Thecelestialsignswereominousofcalamitytothestranger,who,probablyobservingasuddenchangeinthecountenanceoftheastrologer,eagerlyinquiredwhatevilorgoodfortunehadbeenassignedhimbythecelestialorbs。
’Tothefirstpartofyourinquiry,’saidtheastrologer,’Icanreadilyreply。Youhavebeenafavoriteoffortune;hersmilesonyouhavebeenabundant,herfrownsbutfew;youhavehad,perhapsnowpossess,wealthandpower;theimpossibilityoftheiraccomplishmentistheonlylimittothefulfilmentofyourdesires。’"
"’Youhavespokentrulyofthepast,’saidthestranger。’Ihavefullfaithinyourrevelationsofthefuture:whatsayyouofmypilgrimageinthislife——isitshortorlong?’
"’Iregret,’repliedtheastrologer,inanswertothisinquiry,’tobetheheraldofill,thoughTRUE,fortune;yoursojournonearthwillbeshort。’
"’Howshort?’eagerlyinquiredtheexcitedandanxiousstranger。
"’Givemeamomentarytruce,’saidtheastrologer;’Iwillconsultthehoroscope,andmaypossiblyfindsomemitigatingcircumstances。’
"Havingcasthiseyesoverthecelestialmap,andpausedforsomemoments,hesurveyedthecountenanceofthestrangerwithgreatsympathy,andsaid,’IamsorrythatIcanfindnoplanetaryinfluencesthatopposeyourdestiny——yourdeathwilltakeplaceintwoyears。’
"Theeventjustifiedtheastrologicprediction:GeorgeIV。diedonMay18,1830,exactlytwoyearsfromthedayonwhichhehadvisitedtheastrologer。"[8]
Thismakesaveryprettystory,butithardlyseemslikeoccultinsightthatanastrologershouldhavebeenabletopredictanearlydeathofamannearlyseventyyearsold,ortohaveguessedthathiswell-groomedvisitor"had,perhapsnowpossesses,wealthandpower。"Hereagain,however,thepointofviewofeachindividualplaysthegoverningpartindeterminingtheimportanceofsuchadocument。Tothescientistitprovesnothing;tothebelieverinastrology,everything。ThesignificantthingisthatitappearedshortlyAFTERthedeathofthemonarch。
OntheContinentastrologerswereevenmoreinfavorthaninEngland。Charlemagne,andsomeofhisimmediatesuccessors,tobesure,attemptedtoexterminatethem,butsuchrulersasLouisXI。
andCatherinede’Medicipatronizedandencouragedthem,anditwasmanyyearsafterthetimeofCopernicusbeforetheirinfluencewasentirelystampedouteveninofficiallife。Therecanbenoquestionthatwhatgavethecoloroftruthtomanyofthepredictionswasthefactthatsomanyofthepropheciesofsuddendeathsandgreatconflagrationswereknowntohavecometrue——inmanyinstancesweremadetocometruebytheastrologerhimself。Andsoithappenedthatwhenthepredictionofagreatconflagrationatacertaintimeculminatedinsuchaconflagration,manytimesasecondbutless-importantburningtookplace,inwhichtheambitiousastrologer,orhisfollowers,tookacentralpartaboutastake,beingconvictedofincendiarism,whichtheyhadcommittedinorderthattheirpropheciesmightbefulfilled。
But,ontheotherhand,thesepredictionsweresometimesturnedtoaccountbyinterestedfriendstowarncertainpersonsofapproachingdangers。
Forexample,acertainastrologerforetoldthedeathofPrinceAlexanderde’Medici。Henotonlyforetoldthedeath,butdescribedsominutelythecircumstancesthatwouldattendit,andgavesuchacorrectdescriptionoftheassassinwhoshouldmurdertheprince,thathewasatoncesuspectedofhavingahandintheassassination。Itdevelopedlater,however,thatsuchwasprobablynotthecase;butthatsomefriendofPrinceAlexander,knowingoftheplottotakehislife,hadinducedtheastrologertoforetelltheeventinorderthattheprincemighthavetimelywarningandsoeludetheconspirators。
Thecauseofthedeclineofastrologywasthegrowingprevalenceofthenewspiritofexperimentalscience。DoubtlessthemostdirectblowwasdealtbytheCopernicantheory。Sosoonasthiswasestablished,therecognitionoftheearth’ssubordinateplaceintheuniversemusthavemadeitdifficultforastronomerstobelongerdeceivedbysuchcoincidencesashadsufficedtoconvincetheobserversofamorecredulousgeneration。TychoBrahewas,perhaps,thelastastronomerofprominencewhowasaconscientiouspractiseroftheartoftheastrologer。
VII。FROMPARACELSUSTOHARVEY
PARACELSUS
Intheyear1526thereappearedanewlecturerontheplatformattheUniversityatBasel——asmall,beardless,effeminate-lookingperson——whohadalreadyinflamedallChristendomwithhispeculiarphilosophy,hisrevolutionarymethodsoftreatingdiseases,andhisunparalleledsuccessincuringthem。Amanwhowastoberememberedinafter-timebysomeasthefatherofmodernchemistryandthefounderofmodernmedicine;byothersasmadman,charlatan,impostor;andbystillothersasacombinationofallthese。Thissoft-cheeked,effeminate,woman-hatingman,whoseverysexhasbeenquestioned,wasTheophrastusvonHohenheim,betterknownasParacelsus(1493-1541)。
Toappreciatehiswork,somethingmustbeknownofthelifeoftheman。HewasbornnearMaria-Einsiedeln,inSwitzerland,thesonofapoorphysicianoftheplace。Hebeganthestudyofmedicineundertheinstructionofhisfather,andlateroncameundertheinstructionofseverallearnedchurchmen。AttheageofsixteenheenteredtheUniversityofBasel,but,soonbecomingdisgustedwiththephilosophicalteachingsofthetime,hequittedthescholarlyworldofdogmasandtheoriesandwenttoliveamongtheminersintheTyrol,inorderthathemightstudynatureandmenatfirsthand。Ordinarymethodsofstudywerethrownaside,andhedevotedhistimetopersonalobservation——theonlytruemeansofgainingusefulknowledge,ashepreachedandpractisedeverafter。Herehebecamefamiliarwiththeartofmining,learnedthephysicalpropertiesofminerals,ores,andmetals,andacquiredsomeknowledgeofmineralwaters。Moreimportantstill,hecameincontactwithsuchdiseases,wounds,andinjuriesasminersaresubjectto,andhetriedhishandatthepracticaltreatmentoftheseconditions,untrammelledbythetraditionsofaprofessioninwhichhistraininghadbeensoscant。
Havingacquiredsomeempiricalskillintreatingdiseases,ParacelsussetoutwanderingfromplacetoplacealloverEurope,gatheringpracticalinformationashewent,andlearningmoreandmoreofthemedicinalvirtuesofplantsandminerals。Hiswanderingscoveredaperiodofabouttenyears,attheendofwhichtimehereturnedtoBasel,wherehewassooninvitedtogiveacourseoflecturesintheuniversity。
Theselectureswererevolutionaryintworespects——theyweregiveninGermaninsteadoftime-honoredLatin,andtheywerebaseduponpersonalexperienceratherthanupontheworksofsuchwritersasGalenandAvicenna。Indeed,theiconoclasticteacherspokewithopendisparagementofthesereveredmasters,andopenlyupbraidedhisfellow-practitionersforfollowingtheirtenets。Naturallysuchteachingraisedastormofoppositionamongtheolderphysicians,butforatimetheunparalleledsuccessofParacelsusincuringdiseasesmorethanoffsethisunpopularity。Gradually,however,hisbittertongueandhiscoarsepersonalityrenderedhimsounpopular,evenamonghispatients,that,finally,hislibertyandlifebeingjeopardized,hewasobligedtofleefromBasel,andbecameawanderer。HelivedforbriefperiodsinColmar,Nuremberg,Appenzell,Zurich,Pfeffers,Augsburg,andseveralothercities,untilfinallyatSalzburghiseventfullifecametoaclosein1541。Hisenemiessaidthathehaddiedinatavernfromtheeffectsofaprotracteddebauch;hissupportersmaintainedthathehadbeenmurderedattheinstigationofrivalphysiciansandapothecaries。
Buttheeffectsofhisteachingshadtakenfirmroot,andcontinuedtospreadafterhisdeath。Hehadshownthefallibilityofmanyoftheteachingsofthehithertostandardmethodsoftreatingdiseases,andhaddemonstratedtheadvantagesofindependentreasoningbasedonobservation。InhisMagicumhegiveshisreasonsforbreakingwithtradition。"Idid,"hesays,"embraceatthebeginningthesedoctrines,asmyadversaries(followersofGalen)havedone,butsinceIsawthatfromtheirproceduresnothingresultedbutdeath,murder,stranglings,anchylosedlimbs,paralysis,andsoforth,thattheyheldmostdiseasesincurable……thereforehaveIquittedthiswretchedart,andsoughtfortruthinanyotherdirection。Iaskedmyselfiftherewerenosuchthingasateacherinmedicine,wherecouldIlearnthisartbest?Nowherebetterthantheopenbookofnature,writtenwithGod’sownfinger。"Weshallsee,however,thatthis"bookofnature"taughtParacelsussomeverystrangelessons。Modestywasnotoneofthese。"Nowatthistime,"hedeclares,"I,TheophrastusParacelsus,Bombast,MonarchoftheArcana,wasendowedbyGodwithspecialgiftsforthisend,thateverysearcherafterthissupremephilosopher’sworkmaybeforcedtoimitateandtofollowme,beheItalian,Pole,Gaul,German,orwhatsoeverorwhosoeverhebe。Comehitherafterme,allyephilosophers,astronomers,andspagirists……Iwillshowandopentoyou……thiscorporealregeneration。"[1]
Paracelsusbasedhismedicalteachingsonfour"pillars"——
philosophy,astronomy,alchemy,andvirtueofthephysician——astrange-enoughequipmentsurely,andyet,properlyinterpreted,notquitesoanomalousasitseemsatfirstblush。Philosophywasthe"gateofmedicine,"wherebythephysicianenteredrightlyuponthetruecourseoflearning;astronomy,thestudyofthestars,wasall-importantbecause"they(thestars)causeddiseasebytheirexhalations,as,forinstance,thesunbyexcessiveheat";alchemy,asheinterpretedit,meanttheimprovementofnaturalsubstancesforman’sbenefit;whilevirtueinthephysicianwasnecessarysince"onlythevirtuousarepermittedtopenetrateintotheinnermostnatureofmanandtheuniverse。"
Allhiswritingsaimtopromoteprogressinmedicine,andtoholdbeforethephysicianagrandidealofhisprofession。Inthishisviewsarewideandfar-reaching,basedontherelationshipwhichmanbearstonatureasawhole;butinhissweepingcondemnationshenotonlyrejectedGalenictherapeuticsandGalenicanatomy,butcondemneddissectionsofanykind。Helaidthecauseofalldiseasesatthedoorofthethreemysticelements——salt,sulphur,andmercury。Inhealthhesupposedthesetobemingledinthebodysoastobeindistinguishable;aslightseparationofthemproduceddisease;anddeathhesupposedtobetheresultoftheircompleteseparation。Thespiritualagenciesofdiseases,hesaid,hadnothingtodowitheitherangelsordevils,butwerethespiritsofhumanbeings。
Hebelievedthatallfoodcontainedpoisons,andthatthefunctionofdigestionwastoseparatethepoisonousfromthenutritious。Inthestomachwasanarchaeus,oralchemist,whosedutywastomakethisseparation。Indigestivedisordersthearchaeusfailedtodothis,andthepoisonsthusgainingaccesstothesystemwere"coagulated"anddepositedinthejointsandvariousotherpartsofthebody。Thusthedepositsinthekidneysandtartarontheteethwereformed;andthestonydepositsofgoutwereparticularlyfamiliarexamplesofthis。Allthisisvisionaryenough,yetitshowsatleastagropingafterrationalexplanationsofvitalphenomena。
Likemostothersofhistime,Paracelsusbelievedfirmlyinthedoctrineof"signatures"——abeliefthateveryorganandpartofthebodyhadacorrespondingforminnature,whosefunctionwastohealdiseasesoftheorganitresembled。Thevagariesofthispeculiardoctrinearetoonumerousandcomplicatedforlengthydiscussion,andvariedgreatlyfromgenerationtogeneration。Ingeneral,however,thetheorymaybesummedupinthewordsofParacelsus:"Asawomanisknownbyhershape,soarethemedicines。"Hencethephysicianswereconstantlysearchingforsomeobjectofcorrespondingshapetoanorganofthebody。Themostnaturalapplicationofthisdoctrinewouldbetheuseoftheorgansoftheloweranimalsforthetreatmentofthecorrespondingdiseasedorgansinman。Thusdiseasesoftheheartweretobetreatedwiththeheartsofanimals,liverdisorderswithlivers,andsoon。Butthisapparentlysimpleformoftreatmenthadendlessmodificationsandrestrictions,fornotallanimalswereuseful。Forexample,itwasuselesstogivethestomachofanoxingastricdiseaseswhentheindicationinsuchcaseswasreallyforthestomachofarat。Norweretheorgansofanimalstheonly"signatures"innature。Plantsalsoplayedaveryimportantrole,andtheherb-doctorsdevotedendlesslabortosearchingforsuchplants。Thustheblood-root,withitsredjuice,wassupposedtobeusefulinblooddiseases,instoppinghemorrhage,orinsubduingtherednessofaninflammation。
Paracelsus’ssystemofsignatures,however,wassocomplicatedbyhistheoriesofastronomyandalchemythatitispracticallybeyondcomprehension。Itispossiblethathehimselfmayhaveunderstoodit,butitisimprobablethatanyoneelsedid——asshownbytheendlessdiscussionsthathavetakenplaceaboutit。
Butwithallthevagariesofhistheorieshewasstillrationalinhisapplications,andheattackedtogoodpurposethecomplicated"shot-gun"prescriptionsofhiscontemporaries,advocatingmoresimplemethodsoftreatment。
Theever-fascinatingsubjectofelectricity,or,morespecifically,"magnetism,"foundgreatfavorwithhim,andwithproperlyadjustedmagnetsheclaimedtobeabletocuremanydiseases。Inepilepsyandlockjaw,forexample,onehadbuttofastenmagnetstothefourextremitiesofthebody,andthen,"whenthepropermedicinesweregiven,"thecurewouldbeeffected。Theeasyloop-holeforexcusingfailureonthegroundofimpropermedicinesisobvious,butParacelsusdeclaresthatthisoneprescriptionisofmorevaluethan"allthehumoralistshaveeverwrittenortaught。"
SinceParacelsuscondemnedthestudyofanatomyasuseless,hequitenaturallyregardedsurgeryinthesamelight。Inthishewouldhavedonefarbettertohavestudiedsomeofhispredecessors,suchasGalen,PaulofAegina,andAvicenna。Butinsteadof"cuttingmentopieces,"hetaughtthatsurgeonswouldgainmorebydevotingtheirtimetosearchingfortheuniversalpanaceawhichwouldcurealldiseases,surgicalaswellasmedical。Inthiswedetectataintofthepopularbeliefinthephilosopher’sstoneandthemagicelixiroflife,hisbeliefinwhichhavebeenstoutlydeniedbysomeofhisfollowers。Hedidadmit,however,thatoneoperationalonewasperhapspermissible——lithotomy,orthe"cuttingforstone。"
Hisinfluenceuponmedicinerestsundoubtedlyuponhisrevolutionaryattitude,ratherthanonanygreatornewdiscoveriesmadebyhim。Itisclaimedbymanythathebroughtprominentlyintouseopiumandmercury,andifthiswereindisputablyprovenhisservicestomedicinecouldhardlybeoverestimated。Unfortunately,however,therearegoodgroundsfordoubtingthathewasparticularlyinfluentialinreintroducingthesemedicines。Hischiefinfluencemayperhapsbesummedupinasinglephrase——heoverthrewoldtraditions。
ToParacelsus’sendeavors,however,ifnottotheactualproductsofhiswork,isduethecreditofsettinginmotionthechainofthoughtthatdevelopedfinallyintoscientificchemistry。Norcantheultimateaimofthemodernchemistseekahigherobjectthanthatofthissixteenth-centuryalchemist,whotaughtthat"truealchemyhasbutoneaimandobject,toextractthequintessenceofthings,andtopreparearcana,tinctures,andelixirswhichmayrestoretomanthehealthandsoundnesshehaslost。"
THEGREATANATOMISTS
Aboutthebeginningofthesixteenthcentury,whileParacelsuswasscoffingatthestudyofanatomyasuseless,andusinghisinfluenceagainstit,therehadalreadycomeuponthescenethefirstofthegreatanatomistswhoseworkwastomakethecenturyconspicuousinthatbranchofmedicine。
TheyounganatomistCharlesetienne(1503-1564)madeoneofthefirstnoteworthydiscoveries,pointingoutforthefirsttimethatthespinalcordcontainsacanal,continuousthroughoutitslength。Healsomadeotherminordiscoveriesofsomeimportance,buthisresearcheswerecompletelyovershadowedandobscuredbytheworkofayoungFlemingwhocameuponthesceneafewyearslater,andwhoshonewithsuchbrilliancyinthemedicalworldthatheobscuredcompletelytheworkofhiscontemporaryuntilmanyyearslater。Thisyoungphysician,whowasdestinedtoleadsuchaneventfulcareerandmeetsuchanuntimelyendasamartyrtoscience,wasAndrewVesalius(1514-1564),whoiscalledthe"greatestofanatomists。"AtthetimehecameintothefieldmedicinewasstrugglingagainstthedominatingGalenicteachingsandthetheoriesofParacelsus,butperhapsmostofallagainstthesuperstitionsofthetime。InFrancehumandissectionswereattendedwithsuchdangersthattheyoungVesaliustransferredhisfieldoflaborstoItaly,wheresuchinvestigationswerecovertlypermitted,ifnotopenlycountenanced。
FromtheverystarttheyoungFleminglookedaskanceattheacceptedteachingsoftheday,andbeganaseriesofindependentinvestigationsbaseduponhisownobservations。Theresultsoftheseinvestigationshegaveinatreatiseonthesubjectwhichisregardedasthefirstcomprehensiveandsystematicworkonhumananatomy。Thisremarkableworkwaspublishedintheauthor’stwenty-eighthortwenty-ninthyear。SoonafterthisVesaliuswasinvitedasimperialphysiciantothecourtofEmperorCharlesV。
HecontinuedtoactinthesamecapacityatthecourtofPhilipII。,aftertheabdicationofhispatron。Butinspiteofthisroyalfavortherewasatworkafactormorepowerfulthantheinfluenceofthemonarchhimself——aninstrumentthatdidsomuchtoretardscientificprogress,andbywhichsomanyliveswerebroughttoaprematureclose。
Vesaliushadreceivedpermissionfromthekinsmenofacertaingrandeetoperformanautopsy。Whilemakinghisobservationstheheartoftheoutragedbodywasseentopalpitate——soatleastitwasreported。ThiswasbroughtimmediatelytotheattentionoftheInquisition,anditwasonlybytheinterventionofthekinghimselfthattheanatomistescapedtheusualfateofthoseaccusedbythattribunal。Asitwas,hewasobligedtoperformapilgrimagetotheHolyLand。Whilereturningfromthishewasshipwrecked,andperishedfromhungerandexposureontheislandofZante。
AttheverytimewhentheanatomicalwritingsofVesaliuswerestartlingthemedicalworld,therewaslivingandworkingcontemporaneouslyanothergreatanatomist,Eustachius(died1574),whoserecordsofhisanatomicalinvestigationswerereadyforpublicationonlynineyearsafterthepublicationoftheworkofVesalius。Owingtotheunfortunatecircumstancesoftheanatomist,however,theywereneverpublishedduringhislifetime——not,infact,until1714。WhenatlasttheyweregiventotheworldasAnatomicalEngravings,theyshowedconclusivelythatEustachiuswasequal,ifnotsuperiortoVesaliusinhisknowledgeofanatomy。Ithasbeensaidofthisremarkablecollectionofengravingsthatiftheyhadbeenpublishedwhentheyweremadeinthesixteenthcentury,anatomywouldhavebeenadvancedbyatleasttwocenturies。Butbethisasitmay,theycertainlyshowthattheirauthorwasamostcarefuldissectorandobserver。
Eustachiusdescribedaccuratelyforthefirsttimecertainstructuresofthemiddleear,andrediscoveredthetubeleadingfromtheeartothethroatthatbearshisname。Healsomadecarefulstudiesoftheteethandthephenomenaoffirstandseconddentition。Hewasnotbaffledbytheminutenessofstructuresandwherehewasunabletostudythemwiththenakedeyeheusedglassesforthepurpose,andresortedtomacerationsandinjectionsforthestudyofcertaincomplicatedstructures。
Butwhilethefruitofhispenandpencilwerelostformorethanacenturyafterhisdeath,theeffectsofhisteachingswerenot;
andhistwopupils,FallopiusandColumbus,arealmostaswellknownto-dayastheirillustriousteacher。Columbus(1490-1559)
didmuchincorrectingthemistakesmadeintheanatomyofthebonesasdescribedbyVesalius。Healsoaddedmuchtothesciencebygivingcorrectaccountsoftheshapeandcavitiesoftheheart,andmademanyotherdiscoveriesofminorimportance。
Fallopius(1523-1562)addedconsiderablytothegeneralknowledgeofanatomy,madeseveraldiscoveriesintheanatomyoftheear,andalsoseveralorgansintheabdominalcavity。
Atthistimeamostvitallyimportantcontroversywasinprogressastowhetherornottheveinsofthebodiesweresuppliedwithvalves,manyanatomistsbeingunabletofindthem。etiennehadfirstdescribedthesestructures,andVesaliushadconfirmedhisobservations。Itwouldseemasiftherecouldbenodifficultyinsettlingthequestionastothefactofsuchvalvesbeingpresentinthevessels,forthedemonstrationissosimplethatitisnowmadedailybymedicalstudentsinallphysiologicallaboratoriesanddissecting-rooms。Butmanyofthegreatanatomistsofthesixteenthcenturywereunabletomakethisdemonstration,evenwhenithadbeenbroughttotheirattentionbysuchanauthorityasVesalius。Fallopius,writingtoVesaliusonthesubjectin1562,declaredthathewasunabletofindsuchvalves。Others,however,suchasEustachiusandFabricius(1537-1619),weremoresuccessful,andfoundanddescribedthesestructures。Butthepurposeservedbythesevalveswasentirelymisinterpreted。Thattheyactinpreventingthebackwardflowofthebloodintheveinsonitswaytotheheart,justasthevalvesoftheheartitselfpreventregurgitation,hasbeenknownsincethetimeofHarvey;butthebestinterpretationthatcouldbegivenatthattime,evenbysuchamanasFabricius,wasthattheyactedinretardingtheflowofthebloodasitcomesfromtheheart,andthuspreventitstoorapiddistributionthroughoutthebody。Thefactthatthebloodmighthavebeengoingtowardstheheart,insteadofcomingfromit,seemsnevertohavebeenconsideredseriouslyuntildemonstratedsoconclusivelybyHarvey。
Ofthisimportantandremarkablecontroversyoverthevalvesinveins,Withingtonhasthistosay:"Thisistrulyamarvellousstory。AgreatGalenicanatomistisfirsttogiveafullandcorrectdescriptionofthevalvesandtheirfunction,butfailstoseethatanymodificationoftheoldviewastothemotionofthebloodisrequired。Twoabledissectorscarefullytesttheiractionbyexperiment,andcometoaresult。theexactreverseofthetruth。Urgedbythem,thetwoforemostanatomistsoftheagemakeaspecialsearchforvalvesandfailtofindthem。Finally,passingoverlesserpeculiarities,anagedandhonorableprofessor,whohaslivedthroughallthis,calmlyassertsthatnoanatomist,ancientormodern,hasevermentionedvalvesinveinstillhediscoveredthemin1574!"[2]
AmongtheanatomistswhoprobablydiscoveredthesevalveswasMichaelServetus(1511-1553);butifthisissomewhatindoubt,itiscertainthathediscoveredanddescribedthepulmonarycirculation,andhadaveryclearideaoftheprocessofrespirationascarriedoninthelungs。ThedescriptionwascontainedinafamousdocumentsenttoCalvinin1545——adocumentwhichthereformercarefullykeptforsevenyearsinorderthathemightmakeuseofsomeofthehereticalstatementsitcontainedtoaccomplishhisdesireofbringingitswritertothestake。TheawfulfateofServetus,theinterestingcharacteroftheman,andthefactthathecamesoneartoanticipatingthediscoveriesofHarveymakehimoneofthemostinterestingfiguresinmedicalhistory。
InthisdocumentwhichwassenttoCalvin,Servetusrejectedthedoctrineofnatural,vital,andanimalspirits,ascontainedintheveins,arteries,andnervesrespectively,andmadetheall-importantstatementthatthefluidscontainedinveinsandarteriesarethesame。Heshowedalsothatthebloodis"purgedfromfume"andpurifiedbyrespirationinthelungs,anddeclaredthatthereisanewvesselinthelungs,"formedoutofveinandartery。"EvenatthepresentdaythereislittletoaddtoorchangeinthisdescriptionofServetus’s。
Bykeepingthisdocument,pregnantwithadvancedscientificviews,fromtheworld,andintheendonlyusingitasameansofdestroyingitsauthor,thegreatreformershowedthesamejealousyinretardingscientificprogressashadhisarch-enemiesoftheInquisition,atwhosedictatesVesaliusbecameamartyrtoscience,andinwhosedungeonsetienneperished。
THECOMINGOFHARVEY
Thetimewasripefortheculminatingdiscoveryofthecirculationoftheblood;butasyetnoonehaddeterminedtheall-importantfactthattherearetwocurrentsofbloodinthebody,onegoingtotheheart,onecomingfromit。Thevalvesintheveinswouldseemtoshowconclusivelythatthevenouscurrentdidnotcomefromtheheart,andsurgeonsmusthaveobservedthousandsoftimestheevery-dayphenomenonofcongestedveinsatthedistalextremityofalimbaroundwhichaligatureorconstrictionofanykindhadbeenplaced,andthesimultaneousdepletionofthevesselsattheproximalpointsabovetheligature。Butitshouldberememberedthatinductivesciencewasinitsinfancy。Thiswasthesixteenth,notthenineteenthcentury,andfewmenhadlearnedtoputimplicitconfidenceintheirobservationsandconvictionswhenopposedtoexistingdoctrines。Thetimewasathand,however,whensuchamanwastomakehisappearance,and,asinthecaseofsomanyrevolutionarydoctrinesinscience,thismanwasanEnglishman。ItremainedforWilliamHarvey(1578-1657)tosolvethegreatmysterywhichhadpuzzledthemedicalworldsincethebeginningofhistory;notonlytosolveit,buttoprovehiscasesoconclusivelyandsosimplythatforalltimehislittlebookletmusthehandeddownasoneofthegreatmasterpiecesoflucidandalmostfaultlessdemonstration。
Harvey,thesonofaprosperousKentishyeoman,wasbornatFolkestone。Hiseducationwasbegunatthegrammar-schoolofCanterbury,andlaterhebecameapensionerofCaiusCollege,Cambridge。SoonaftertakinghisdegreeofB。A。,attheageofnineteen,hedecidedupontheprofessionofmedicine,andwenttoPaduaasapupilofFabriciusandCasserius。ReturningtoEnglandattheageoftwenty-four,hesoonafter(1609)obtainedthereversionofthepostofphysiciantoSt。Bartholomew’sHospital,hisapplicationbeingsupportedbyJamesI。himself。Evenatthistimehewasapopularphysician,countingamonghispatientssuchmenasFrancisBacon。In1618hewasappointedphysicianextraordinarytotheking,and,alittlelater,physicianinordinary。HewasinattendanceuponCharlesI。atthebattleofEdgehill,in1642,where,withtheyoungPrinceofWalesandtheDukeofYork,afterseekingshelterunderahedge,hedrewabookoutofhispocketand,forgetfulofthebattle,becameabsorbedinstudy,untilfinallythecannon-ballsfromtheenemy’sartillerymadehimseekamoreshelteredposition。
OnthefallofCharlesI。heretiredfrompractice,andlivedinretirementwithhisbrother。Hewasthenwellalonginyears,butstillpursuedhisscientificresearcheswiththesamevigorasbefore,directinghisattentionchieflytothestudyofembryology。OnJune3,1657,hewasattackedbyparalysisanddied,inhiseightiethyear。Hehadlivedtoseehistheoryofthecirculationaccepted,severalyearsbefore,byalltheeminentanatomistsofthecivilizedworld。
Akeennessintheobservationoffacts,characteristicofthemindoftheman,hadledHarveytodoubtthetruthofexistingdoctrinesastothephenomenaofthecirculation。Galenhadtaughtthat"thearteriesarefilled,likebellows,becausetheyareexpanded,"butHarveythoughtthattheactionofspurtingbloodfromaseveredvesseldisprovedthis。Forthespurtingwasremittant,"nowwithgreater,nowwithlessimpetus,"anditsgreaterforcealwayscorrespondedtotheexpansion(diastole),notthecontraction(systole)ofthevessel。Furthermore,itwasevidentthatcontractionoftheheartandthearterieswasnotsimultaneous,aswascommonlytaught,becauseinthatcasetherewouldbenomarkedpropulsionofthebloodinanydirection;andtherewasnogainsayingthefactthatthebloodwasforciblypropelledinadefinitedirection,andthatdirectionawayfromtheheart。
Harvey’sinvestigationsledhimtodoubtalsotheacceptedtheorythattherewasaporosityintheseptumoftissuethatdividesthetwoventriclesoftheheart。Itseemedunreasonabletosupposethatathickfluidlikethebloodcouldfinditswaythroughporessosmallthattheycouldnotbedemonstratedbyanymeansdevisedbyman。Inevidencethattherecouldbenosuchopeningshepointedoutthat,sincethetwoventriclescontractatthesametime,thisprocesswouldimpederatherthanfacilitatesuchanintra-ventricularpassageofblood。Butwhatseemedthemostconclusiveproofofallwasthefactthatinthefoetusthereexistedademonstrableopeningbetweenthetwoventricles,andyetthisisclosedinthefullydevelopedheart。
WhyshouldNature,ifsheintendedthatbloodshouldpassbetweenthetwocavities,choosetoclosethisopeningandsubstitutemicroscopicopeningsinplaceofit?Itwouldsurelyseemmorereasonabletohavethesmallperforationsinthethin,easilypermeablemembraneofthefoetus,andtheopeningintheadultheart,ratherthanthereverse。FromallthisHarveydrewhiscorrectconclusions,declaringearnestly,"ByHercules,thereARE
nosuchporosities,andtheycannotbedemonstrated。"
Havingconvincedhimselfthatnointra-ventricularopeningexisted,heproceededtostudytheactionoftheheartitself,untrammelledbytoomuchfaithinestablishedtheories,and,asyet,withnotheoryofhisown。Hesoondiscoveredthatthecommonlyacceptedtheoryoftheheartstrikingagainstthechest-wallduringtheperiodofrelaxationwasentirelywrong,andthatitsactionwasexactlythereverseofthis,theheartstrikingthechest-wallduringcontraction。Havingthusdisprovedtheacceptedtheoryconcerningtheheart’saction,hetookupthesubjectoftheactionofarteries,andsoonwasabletodemonstratebyvivisectionthatthecontractionofthearterieswasnotsimultaneouswithcontractionsoftheheart。Hisexperimentsdemonstratedthatthesevesselsweresimplyelastictubeswhosepulsationswere"nothingelsethantheimpulseofthebloodwithinthem。"Thereasonthatthearterialpulsationwasnotsimultaneouswiththeheart-beathefoundtobebecauseofthetimerequiredtocarrytheimpulsealongthetube,Byaseriesoffurthercarefulexaminationsandexperiments,whicharetooextendedtobegivenhere,hewassoonablefurthertodemonstratetheactionandcourseofthebloodduringthecontractionsoftheheart。Hisexplanationswerepracticallythesameasthosegivento-day——firstthecontractionoftheauricle,sendingbloodintotheventricle;thenventricularcontraction,makingthepulse,andsendingthebloodintothearteries。Hehadthusdemonstratedwhathadnotbeengenerallyacceptedbefore,thattheheartwasanorganforthepropulsionofblood。Tomakesuchastatementto-dayseemsnotunlikethesoberannouncementthattheearthisroundorthatthesundoesnotrevolveaboutit。BeforeHarvey’stime,however,itwasconsideredasanorganthatwas"insomemysteriouswaythesourceofvitalityandwarmth,asananimatedcruciblefortheconcoctionofbloodandthegenerationofvitalspirits。"[3]
Inwatchingtherapidandceaselesscontractionsoftheheart,Harveywasimpressedwiththefactthat,evenifaverysmallamountofbloodwassentoutateachpulsation,anenormousquantitymustpassthroughtheorganinaday,oreveninanhour。Estimatingthesizeofthecavitiesoftheheart,andnotingthatatleastadrachmmustbesentoutwitheachpulsation,itwasevidentthatthetwothousandbeatsgivenbyaveryslowhumanheartinanhourmustsendoutsomefortypoundsofblood——morethantwicetheamountintheentirebody。Thequestionwas,whatbecameofitall?Foritshouldberememberedthatthereturnofthebloodbytheveinswasunknown,andnothinglikea"circulation"morethanvaguelyconceivedevenbyHarveyhimself。Onceitcouldbeshownthattheveinswereconstantlyreturningbloodtotheheart,thediscoverythatthebloodinsomewaypassesfromthearteriestotheveinswasonlyashortstep。Harvey,byresortingtovivisectionsofloweranimalsandreptiles,soondemonstratedbeyondquestionthefactthattheveinsdocarrythereturnblood。"Butthis,inparticular,canbeshownclearerthandaylight,"saysHarvey。
"Thevenacavaenterstheheartataninferiorportion,whilethearterypassesoutabove。Nowifthevenacavabetakenupwithforcepsorthethumbandfinger,andthecourseofthebloodinterceptedforsomedistancebelowtheheart,youwillatonceseeitalmostemptiedbetweenthefingersandtheheart,thebloodbeingexhaustedbytheheart’spulsation,theheartatthesametimebecomingmuchpalereveninitsdilatation,smallerinsize,owingtothedeficiencyofblood,andatlengthlanguidinpulsation,asifabouttodie。Ontheotherhand,whenyoureleasetheveintheheartimmediatelyregainsitscoloranddimensions。Afterthat,ifyouleavetheveinfreeandtieandcompressthearteriesatsomedistancefromtheheart,youwillsee,onthecontrary,theirincludedportiongrowexcessivelyturgid,theheartbecomingsobeyondmeasure,assumingadark-redcolor,eventolividity,andatlengthsooverloadedwithbloodastoseemindangerofsuffocation;butwhentheobstructionisremoveditreturnstoitsnormalcondition,insize,color,andmovement。"[4]
ThisconclusivedemonstrationthattheveinsreturnthebloodtotheheartmusthavebeenmostimpressivetoHarvey,whohadbeentaughttobelievethatthebloodcurrentintheveinspursuedanoppositecourse,andmusthavetendedtoshakehisfaithinallexistingdoctrinesoftheday。
Hisnextstepwasthenaturaloneofdemonstratingthatthebloodpassesfromthearteriestotheveins。Hedemonstratedconclusivelythatthisdidoccur,butforoncehisrejectionoftheancientwritersandonemodernonewasamistake。ForGalenhadtaught,andhadattemptedtodemonstrate,thattherearesetsofminutevesselsconnectingthearteriesandtheveins;andServetushadshownthattheremustbesuchvessels,atleastinthelungs。
However,thelittleflawintheotherwisecompletedemonstrationofHarveydetractsnothingfromthemainissueatstake。Itwasforotherswhofollowedtoshowjusthowthesesmallvesselsactedineffectingthetransferofthebloodfromarterytovein,andthegrandgeneralstatementthatsuchatransferdoestakeplacewas,afterall,theall-importantone,andtheexactmethodofhowittakesplaceadetail。Harvey’sexperimentstodemonstratethatthebloodpassesfromthearteriestotheveinsaresosimplyandconciselystatedthattheymaybestbegiveninhisownwords。
"Ihaveheretocitecertainexperiments,"hewrote,"fromwhichitseemsobviousthatthebloodentersalimbbythearteries,andreturnsfromitbytheveins;thatthearteriesarethevesselscarryingthebloodfromtheheart,andtheveinsthereturningchannelsofthebloodtotheheart;thatinthelimbsandextremepartsofthebodythebloodpasseseitherbyanastomosisfromthearteriesintotheveins,orimmediatelybytheporesoftheflesh,orinbothways,ashasalreadybeensaidinspeakingofthepassageofthebloodthroughthelungs;whenceitappearsmanifestthatinthecircuitthebloodmovesfromthencehither,andhencethither;fromthecentretotheextremities,towit,andfromtheextremepartsbackagaintothecentre。Finally,upongroundsofcirculation,withthesameelementsasbefore,itwillbeobviousthatthequantitycanneitherbeaccountedforbytheingesta,noryetbeheldnecessarytonutrition。
"Nowletanyonemakeanexperimentonthearmofaman,eitherusingsuchafilletasisemployedinblood-lettingorgraspingthelimbtightlywithhishand,thebestsubjectforitbeingonewhoislean,andwhohaslargeveins,andthebesttimeafterexercise,whenthebodyiswarm,thepulseisfull,andthebloodcarriedinlargequantitiestotheextremities,forallthenismoreconspicuous;undersuchcircumstancesletaligaturebethrownabouttheextremityanddrawnastightlyascanbeborne:
itwillfirstbeperceivedthatbeyondtheligatureneitherinthewristnoranywhereelsedothearteriespulsate,thatatthesametimeimmediatelyabovetheligaturethearterybeginstorisehigherateachdiastole,tothrobmoreviolently,andtoswellinitsvicinitywithakindoftide,asifitstrovetobreakthroughandovercometheobstacletoitscurrent;thearteryhere,inshort,appearsasifitwerepermanentlyfull。
Thehandundersuchcircumstancesretainsitsnaturalcolorandappearances;inthecourseoftimeitbeginstofallsomewhatintemperature,indeed,butnothingisDRAWNintoit。
"Afterthebandagehasbeenkeptonsomeshorttimeinthisway,letitbeslackenedalittle,broughttothestateortermofmiddlingtightnesswhichisusedinbleeding,anditwillbeseenthatthewholehandandarmwillinstantlybecomedeeplysuffusedanddistended,injected,gorgedwithblood,DRAWN,asitissaid,bythismiddlingligature,withoutpain,orheat,oranyhorrorofavacuum,oranyothercauseyetindicated。
"Aswehavenoted,inconnectionwiththetightligature,thatthearteryabovethebandagewasdistendedandpulsated,notbelowit,so,inthecaseofthemoderatelytightbandage,onthecontrary,dowefindthattheveinsbelow,neverabove,thefilletswellandbecomedilated,whilethearteriesshrink;andsuchisthedegreeofdistentionoftheveinsherethatitisonlyverystrongpressurethatwillforcethebloodbeyondthefilletandcauseanyoftheveinsintheupperpartofthearmtorise。
"Fromthesefactsitiseasyforanycarefulobservertolearnthatthebloodentersanextremitybythearteries;forwhentheyareeffectivelycompressednothingisDRAWNtothemember;thehandpreservesitscolor;nothingflowsintoit,neitherisitdistended;butwhenthepressureisdiminished,asitiswiththebleedingfillet,itismanifestthatthebloodisinstantlythrowninwithforce,forthenthehandbeginstoswell;whichisasmuchastosaythatwhenthearteriespulsatethebloodisflowingthroughthem,asitiswhenthemoderatelytightligatureisapplied;butwhentheydonotpulsate,orwhenatightligatureisused,theyceasefromtransmittinganything;theyareonlydistendedabovethepartwheretheligatureisapplied。Theveinsagainbeingcompressed,nothingcanflowthroughthem;thecertainindicationofwhichisthatbelowtheligaturetheyaremuchmoretumidthanaboveit,andthantheyusuallyappearwhenthereisnobandageuponthearm。
"Itthereforeplainlyappearsthattheligaturepreventsthereturnofthebloodthroughtheveinstothepartsaboveit,andmaintainsthosebeneathitinastateofpermanentdistention。
Butthearteries,inspiteofthepressure,andundertheforceandimpulseoftheheart,sendonthebloodfromtheinternalpartsofthebodytothepartsbeyondthebandage。"[5]
Thisuseofligaturesisverysignificant,because,asshown,averytightligaturestopscirculationinbotharteriesandveins,whilealooseone,whilecheckingthecirculationintheveins,whichlienearerthesurfaceandarenotsodirectlyinfluencedbytheforceoftheheart,doesnotstopthepassageofbloodinthearteries,whichareusuallydeeplyimbeddedinthetissues,andnotsoeasilyinfluencedbypressurefromwithout。
ThelaststepofHarvey’sdemonstrationwastoprovethattheblooddoesflowalongtheveinstotheheart,aidedbythevalvesthathadbeenthecauseofsomuchdiscussionanddisputebetweenthegreatsixteenth-centuryanatomists。Harveynotonlydemonstratedthepresenceofthesevalves,butshowedconclusively,bysimpleexperiments,whattheirfunctionwas,thuscompletinghisdemonstrationofthephenomenaofthecirculation。
ThefinaloculardemonstrationofthepassageofthebloodfromthearteriestotheveinswasnottobemadeuntilfouryearsafterHarvey’sdeath。Thisprocess,whichcanbeobservedeasilyinthewebofafrog’sfootbytheaidofalow-powerlens,wasfirstdemonstratedbyMarcelloMalpighi(1628-1694)in1661。Bytheaidofalenshefirstsawthesmall"capillary"vesselsconnectingtheveinsandarteriesinapieceofdriedlung。
Takinghiscuefromthis,heexaminedthelungofaturtle,andwasabletoseeinitthepassageofthecorpusclesthroughtheseminutevessels,makingtheirwayalongthesepreviouslyunknownchannelsfromthearteriesintotheveinsontheirjourneybacktotheheart。ThustheworkofHarvey,allbutcomplete,wasmadeabsolutelyentirebythegreatItalian。Andallthisinasinglegeneration。
LEEUWENHOEKDISCOVERSBACTERIA
Theseventeenthcenturywasnottoclose,however,withoutanotherdiscoveryinscience,which,whenappliedtothecausationofdiseasealmosttwocenturieslater,revolutionizedtherapeuticsmorecompletelythananyonediscovery。Thiswasthediscoveryofmicrobes,byAntoniusvonLeeuwenhoek(1632-1723),in1683。VonLeeuwenhoekdiscoveredthat"inthewhitematterbetweenhisteeth"thereweremillionsofmicroscopic"animals"——more,infact,than"therewerehumanbeingsintheunitedNetherlands,"andall"movinginthemostdelightfulmanner。"Therecanbenoquestionthathesawthem,forwecanrecognizeinhisdescriptionsofthesevariousformsoflittle"animals"thefourprincipalformsofmicrobes——thelongandshortrodsofbacilliandbacteria,thespheresofmicrococci,andthecorkscrewspirillum。
ThepresenceofthesemicrobesinhismouthgreatlyannoyedAntonius,andhetriedvariousmethodsofgettingridofthem,suchasusingvinegarandhotcoffee。Indoingthishelittlesuspectedthathewasanticipatingmodernantisepticsurgerybyacenturyandthree-quarters,andtobeattemptingwhatantisepticsurgeryisnowabletoaccomplish。Forthefundamentalprincipleofantisepsisistheuseofmedicinesforriddingwoundsofsimilarmicroscopicorganisms。VonLeenwenhoekwasonlytemporarilysuccessfulinhisattempts,however,andtookoccasiontocommunicatehisdiscoverytotheRoyalSocietyofEngland,hopingthattheywouldbe"interestedinthisnovelty。"
Probablytheywere,butnotsufficientlysoforanymembertopursueanyprotractedinvestigationsorreachanysatisfactoryconclusions,andthewholematterwaspracticallyforgottenuntilthemiddleofthenineteenthcentury。
VIII。MEDICINEINTHESIXTEENTHANDSEVENTEENTHCENTURIES
Ofthehalf-dozensurgeonswhowereprominentinthesixteenthcentury,AmbroisePare(1517-1590),calledthefatherofFrenchsurgery,isperhapsthemostwidelyknown。HerosefromthepositionofacommonbarbertothatofsurgeontothreeFrenchmonarchs,HenryII。,FrancisII。,andCharlesIX。Someofhismottoesarestillfirstprinciplesofthemedicalman。Amongothersare:"Hewhobecomesasurgeonforthesakeofmoney,andnotforthesakeofknowledge,willaccomplishnothing";and"A
triedremedyisbetterthananewlyinvented。"Onhisstatueishismodestestimateofhisworkincaringforthewounded,"Jelepansay,Dieuleguarit"——Idressedhim,Godcuredhim。
ItwasinthisdressingofwoundsonthebattlefieldthatheaccidentallydiscoveredhowuselessandharmfulwastheterriblypainfultreatmentofapplyingboilingoiltogunshotwoundsasadvocatedbyJohnofVigo。Ithappenedthatafteracertainbattle,wheretherewasanunusuallylargenumberofcasualties,Parefound,tohishorror,thatnomoreboilingoilwasavailableforthesurgeons,andthatheshouldbeobligedtodressthewoundedbyothersimplermethods。Tohisamazementtheresultsprovedentirelysatisfactory,andfromthatdayhediscardedthehot-oiltreatment。
AsParedidnotunderstandLatinhewrotehistreatisesinFrench,thusinauguratingacustominFrancethatwasbegunbyParacelsusinGermanyhalfacenturybefore。Hereintroducedtheuseoftheligatureincontrollinghemorrhage,introducedthe"figureofeight"sutureintheoperationforhare-lip,improvedmanyofthemedico-legaldoctrines,andadvancedthepracticeofsurgerygenerally。Heiscreditedwithhavingsuccessfullyperformedtheoperationforstrangulatedhernia,butheprobablyborroweditfromPeterFranco(1505-1570),whopublishedanaccountofthisoperationin1556。Asthisoperationisconsideredbysomethemostimportantoperationinsurgery,itsdiscovererisentitledtomorethanpassingnotice,althoughhewasdespisedandignoredbythesurgeonsofhistime。
Francowasanilliteratetravellinglithotomist——aclassofitinerantphysicianswhowereverygenerallyfrowneddownbytheregularpractitionersofmedicine。ButFrancopossessedsuchskillasanoperator,andappearstohavebeensoearnestinthepursuitofwhatheconsideredalegitimatecalling,thathefinallyovercamethepopularprejudiceandbecameoneofthesalariedsurgeonsoftherepublicofBern。Hewasthefirstsurgeontoperformthesuprapubiclithotomyoperation——theremovalofstonethroughtheabdomeninsteadofthroughtheperineum。Hisworks,whilewritteninanilliteratestyle,givetheclearestdescriptionsofanyoftheearlymodernwriters。
AsthefameofFrancorestsuponhisoperationforprolonginghumanlife,sothefameofhisItaliancontemporary,GasparTagliacozzi(1545-1599),restsuponhisoperationforincreasinghumancomfortandhappinessbyrestoringamputatednoses。Atthetimeinwhichhelivedamputationofthenosewasverycommon,partlyfromdisease,butalsobecauseacertainpopehadfixedtheamputationofthatmemberasthepenaltyforlarceny。
TagliacozziprobablyborrowedhisoperationfromtheEast;buthewasthefirstWesternsurgeontoperformitanddescribeit。SogreatwasthefameofhisoperationsthatpatientsflockedtohimfromalloverEurope,andeach"wentawaywithasmanynosesasheliked。"Naturally,themanwhodirectedhiseffortstorestoringstructuresthatbadbeenremovedbyorderoftheChurchwasregardedinthelightofahereticbymanytheologians;andthoughhesucceededincheatingthestakeordungeon,anddiedanaturaldeath,hisbodywasfinallycastoutofthechurchinwhichithadbeenburied。
InthesixteenthcenturyGermanyproducedasurgeon,FabriciusHildanes(1560-1639),whoseworkcomparesfavorablywiththatofPare,andwhosenamewouldundoubtedlyhavebeenmuchbetterknownhadnotthecircumstancesofthetimeinwhichhelivedtendedtoobscurehismerits。TheblindfollowersofParacelsuscouldseenothingoutsidethepaleoftheirmaster’steachings,andthedisastrousThirtyYears’WartendedtoobscureandretardallscientificadvancesinGermany。Unlikemanyofhisfellow-surgeons,HildaneswaswellversedinLatinandGreek;
and,contrarytotheteachingsofParacelsus,helaidparticularstressuponthenecessityofthesurgeonhavingathoroughknowledgeofanatomy。Hehadahelpmateinhiswife,whowasalsosomethingofasurgeon,andsheiscreditedwithhavingfirstmadeuseofthemagnetinremovingparticlesofmetalfromtheeye。Hildanestellsofacertainmanwhohadbeeninjuredbyasmallpieceofsteelinthecornea,whichresistedallhiseffortstoremoveit。AfterobservingHildanes’fruitlesseffortsforatime,itsuddenlyoccurredtohiswifetoattempttomaketheextractionwithapieceofloadstone。Whilethephysicianheldopenthetwolids,hiswifeattemptedtowithdrawthesteelwiththemagnetheldclosetothecornea,andafterseveraleffortsshewassuccessful——whichHildanesenumeratesasoneoftheadvantagesofbeingamarriedman。
Hildaneswasparticularlyhappyinhisinventionsofsurgicalinstruments,manyofwhichweredesignedforlocatingandremovingthevariousmissilesrecentlyintroducedinwarfare。
Theseventeenthcentury,whichwassuchaflourishingoneforanatomyandphysiology,wasnotasproductiveofgreatsurgeonsoradvancesinsurgeryasthesixteenthhadbeenortheeighteenthwastobe。Therewasagradualimprovementallalongtheline,however,andmuchoftheworkbegunbysuchsurgeonsasPareandHildaneswasperfectedorimproved。PerhapsthemostprogressivesurgeonofthecenturywasanEnglishman,RichardWiseman(1625-1686),who,likeHarvey,enjoyedroyalfavor,beingintheserviceofalltheStuartkings。Hewasthefirstsurgeontoadvocateprimaryamputation,ingunshotwounds,ofthelimbs,andalsotointroducethetreatmentofaneurismsbycompression;
butheisgenerallyratedasaconservativeoperator,whofavoredmedicationratherthanradicaloperations,wherepossible。
InItaly,MarcusAureliusSeverinus(1580-1656)andPeterMarchettis(1589-1675)weretheleadingsurgeonsoftheirnation。
LikemanyofhispredecessorsinEurope,SeverinusranamuckwiththeHolyInquisitionandfledfromNaples。ButthewaningofthepowerfularmoftheChurchisshownbythefactthathewasbroughtbackbytheunanimousvoiceofthegratefulcitizens,andlivedinsafetydespitethefrownsofthetheologians。
Thesixteenthcenturycannotbesaidtohaveaddedmuchofimportanceinthefieldofpracticalmedicine,and,asintheprecedingandsucceedingcenturies,wasatbestonlystrugglingalonginthewakeofanatomy,physiology,andsurgery。Intheseventeenthcentury,however,atleastonediscoveryintherapeuticswasmadethathasbeenaninestimableboontohumanityeversince。Thiswastheintroductionofcinchonabark(fromwhichquinineisobtained)in1640。ButthiscenturywasproductiveofmanymedicalSYSTEMS,andcouldboastofmanygreatnamesamongthemedicalprofession,and,onthewhole,madeconsiderablymoreprogressthantheprecedingcentury。
Ofthefoundersofmedicalsystems,oneofthemostwidelyknownisJanBaptistavanHelmont(1578-1644),aneccentricgeniuswhoconstructedasystemofmedicineofhisownandforatimeexertedconsiderableinfluence。Butintheendhissystemwasdestinedtopassoutofexistence,notverylongafterthedeathofitsauthor。VanHelmontwasnotonlyaphysician,butwasmasterofalltheotherbranchesoflearningofthetime,takingupthestudyofmedicineandchemistryasanafter-thought,butdevotinghimselftothemwiththegreatestenthusiasmoncehehadbegunhisinvestigations。HisattitudetowardsexistingdoctrineswasasrevolutionaryasthatofParacelsus,andherejectedtheteachingsofGalenandalltheancientwriters,althoughretainingsomeoftheviewsofParacelsus。HemodifiedthearchaeusofParacelsus,andaddedmanycomplicationstoit。Hebelievedthewholebodytobecontrolledbyanarchaeusinfluus,thesoulbythearchaeiinsiti,andtheseinturncontrolledbythecentralarcheus。Hissystemistooelaborateandcomplicatedforfullexplanation,butitschiefservicetomedicinewasinintroducingnewchemicalmethodsinthepreparationofdrugs。InthiswayhewasindirectlyconnectedwiththeestablishmentoftheIatrochemicalschool。Itwashewhofirstusedtheword"gas"——awordcoinedbyhim,alongwithmanyothersthatsoonfellintodisuse。
TheprinciplesoftheIatrochemicalschoolweretheuseofchemicalmedicines,andatheoryofpathologydifferentfromtheprevailing"humoral"pathology。ThefounderofthisschoolwasSylvius(FranzdeleBoe,1614-1672),professorofmedicineatLeyden。Heattemptedtoestablishapermanentsystemofmedicinebasedonthenewlydiscoveredtheoryofthecirculationandthenewchemistry,buthisnameisrememberedbymedicalmenbecauseofthefissureinthebrain(fissureofSylvius)thatbearsit。
Helaidgreatstressonthecauseoffeversandotherdiseasesasoriginatinginthedisturbancesoftheprocessoffermentationinthestomach。ThedoctrinesofSylviusspreadwidelyoverthecontinent,butwerenotgenerallyacceptedinEnglanduntilmodifiedbyThomasWillis(1622-1675),whosename,likethatofSylvius,isperpetuatedbyastructureinthebrainnamedafterhim,thecircleofWillis。Willis’sdescriptionsofcertainnervousdiseases,andanaccountofdiabetes,arethefirstrecorded,andaddedmateriallytoscientificmedicine。Theseschoolsofmedicinelasteduntiltheendoftheseventeenthcentury,whentheywerefinallyoverthrownbySydenham。
TheIatrophysicalschool(alsocallediatromathematical,iatromechanical,orphysiatric)wasfoundedontheoriesofphysiology,probablybyBorelli,ofNaples(1608-1679),althoughSanctorius;Sanctorius,aprofessoratPadua,wasaprecursor,ifnotdirectlyinterestedinestablishingit。Sanctoriusdiscoveredthefactthatan"insensibleperspiration"isbeinggivenoffbythebodycontinually,andwasamazedtofindthatlossofweightinthiswayfarexceededthelossofweightbyallotherexcretionsofthebodycombined。Hemadethisdiscoverybymeansofapeculiarweighing-machinetowhichachairwasattached,andinwhichhespentmostofhistime。Verynaturallyheoverestimatedtheimportanceofthisdiscovery,butitwas,nevertheless,ofgreatvalueinpointingoutthehygienicimportanceofthecareoftheskin。Healsointroducedathermometerwhichheadvocatedasvaluableincasesoffever,buttheinstrumentwasprobablynothisowninvention,butborrowedfromhisfriendGalileo。
Harvey’sdiscoveryofthecirculationofthebloodlaidthefoundationoftheIatrophysicalschoolbyshowingthatthisvitalprocesswascomparabletoahydraulicsystem。InhisOntheMotiveofAnimals,Borellifirstattemptedtoaccountforthephenomenaoflifeanddiseasesontheseprinciples。Theiatromechanicsheldthatthegreatcauseofdiseaseisduetodifferentstatesofelasticityofthesolidsofthebodyinterferingwiththemovementsofthefluids,whicharethemselvessubjecttochangesindensity,oneorbothoftheseconditionscontinuingtocausestagnationorcongestion。TheschoolthusfoundedbyBorelliwastheoutcomeoftheunboundedenthusiasm,withitsaccompanyingexaggerationofcertainphenomenawiththecorrespondingbelittlingofothersthatnaturallyfollowssucharevolutionarydiscoveryasthatofHarvey。HavingsuchafounderasthebrilliantItalianBorelli,itwasgivenasufficientimpetusbyhiswritingstocarryitsomedistancebeforeitfinallycollapsed。SomeoftheexaggeratedmathematicalcalculationsofBorellihimselfareworthnoting。Eachheart-beat,ashecalculatedit,overcomesaresistanceequaltoonehundredandeightythousandpounds;——themodernphysiologistestimatesitsforceatfromfivetonineounces!