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the evolution of modern medicine(�峇�匳勞議處延)-及25何蛍

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the    first  accurate    account    of   smallpox�察    �which    he   differentiated    from 

measles。 This work was translated for the old Sydenham Society by W。A。 

Greenhill   ��1848���察  �and   the   description   given   of   the   disease   is   well   worth 

reading。 He was a man of strong powers of observation�察�good sense and 



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excellent judgment。 His works were very popular�察�particularly the gigantic 

;Continens�察─�one of the bulkiest of incunabula。 The Brescia edition�察�1486�察�

a   magnificent   volume�察  �extends   over   588   pages   and   it   must   weigh   more 

than seventeen pounds。 It is an encyclopaedia filled with extracts from the 

Greek      and   other    writers�察  �interspersed      with   memoranda        of   his   own 

experiences。 His ;Almansor; was a very popular text´book�察�and one of the 

first   to   be   printed。   Book   IX   of   ;Almansor;   ��the   name   of   the   prince   to 

whom it was addressed�� with the title ;De aegritudinibus a capite usque ad 

pedes�察─�was a very favorite mediaeval text´book。 On account of his zeal 

for study Rhazes was known as the ;Experimentator。; 

     The   first of   the Arabians�察�known throughout the Middle Ages   as   the 

Prince�察�the rival�察�indeed�察�of Galen�察�was the Persian Ibn Sina�察�better known 

as Avicenna�察 �one   of the   greatest   names in the   history of   medicine。  Born 

about 980 A。 D。 in the province of Khorasan�察�near Bokhara�察�he has left a 

brief autobiography from which we learn something of his early years。 He 

could repeat the Koran by heart when ten years old�察�and at twelve he had 

disputed   in   law   and   in   logic。   So   that   he   found   medicine   was   an   easy 

subject�察    �not   hard   and   thorny    like   mathematics       and   metaphysics�      �He 

worked night and day�察�and could solve problems in his dreams。 ;When I 

found   a   difficulty�察─  �he   says�察   �I   referred   to   my   notes   and   prayed   to   the 

Creator。 At night�察�when weak or sleepy�察�I strengthened myself with a glass 

of wine。;��12�А�He was a voluminous writer to whom scores of books are 

attributed�察�and he is the author of the most famous medical text´book ever 

written。 It is safe to say that the ;Canon; was a medical bible for a longer 

period   than   any   other   work。   It   ;stands   for   the   epitome   of   all   precedent 

development�察�the final codification of all Graeco´Arabic medicine。 It is a 

hierarchy of   laws   liberally  illustrated by facts   which   so   ingeniously  rule 

and     are  subject    to   one   another�察   �stay   and    uphold     one   another�察   �that 

admiration is compelled for the sagacity of the great organiser who�察�with 

unparalleled   power   of   systematisation�察  �collecting   his   material   from   all 

sources�察     �constructed      so   imposing      an   edifice    of   fallacy。   Avicenna�察�

according   to   his   lights�察  �imparted   to   contemporary   medical   science   the 

appearance of almost mathematical accuracy�察�whilst the art of therapeutics�察�

although   empiricism   did   not   wholly   lack   recognition�察  �was   deduced   as   a 



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logical sequence from theoretical ��Galenic and Aristotelian�� premises。 Is it�察�

therefore�察    �matter    for  surprise    that   the   majority    of   investigators    and 

practitioners should have   fallen under the spell   of   this   consummation   of 

formalism and should have regarded the 'Canon' as an infallible oracle�察�the 

more so in that the logical construction was impeccable and the premises�察�

in   the   light  of   contemporary      conceptions�察     �passed    for  incontrovertible 

axioms�拭┌�13�А�

     ��12�А�Withington�此�Medical History�察�London�察�1894�察�pp。 151´152。 

     ��13�А�Neuburger�此�History of Medicine�察�Vol。 I�察�pp。 368´369。 

       Innumerable manuscripts of it exist�此�of one of the most beautiful�察�a 

Hebrew version ��Bologna Library���察�I give an illustration。 A Latin version 

was   printed   in   1472   and   there   are   many   later   editions�察  �the   last   in   1663。 

Avicenna      was    not   only   a  successful    writer�察  �but   the  prototype     of  the 

successful      physician     who    was    at  the   same    time   statesman�察    �teacher�察�

philosopher and literary man。 Rumor has it that he became dissipated�察�and 

a   contemporary   saying   was   that   all   his   philosophy   could   not   make   him 

moral�察�nor all his physic   teach him to preserve   his health。 He enjoyed   a 

great reputation as a poet。 I reproduce a page of a manuscript of one of his 

poems�察�which we have in the Bodleian Library。 Prof。 A。V。W。 Jackson says 

that some of his verse is peculiarly Khayyamesque�察�though he antedated 

Omar   by   a   century。   That   ;large   Infidel;   might   well   have   written   such   a 

stanza as 

     From Earth's dark centre unto Saturn's Gate I've solved all problems of 

this world's Estate�察�From every snare of Plot and Guile set free�察�Each bond 

resolved�察�saving alone Death's Fate。 

     His hymn to the Deity might have been written by Plato and rivals the 

famous      one   of   Cleanthes。��14�А    �A   casual    reader   gets   a  very   favorable 

impression of Avicenna。 The story of his dominion over the schools in the 

Middle Ages is one of the most striking in our history。 Perhaps we feel that 

Leclerc      exaggerates      when      he   says�此    �Avicenna       is  an    intellectual 

phenomenon。 Never perhaps has an example been seen of so precocious�察�

quick and wide an intellect extending and asserting itself with so strange 

and   indefatigable   an   activity。;   The   touch   of   the   man   never   reached   me 

until I read some of his mystical and philosophical writings translated by 



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Mehren。��15�А�It is Plato over   again。 The beautiful  allegory in   which   men 

are likened to birds snared and caged until set free by the Angel of Death 

might be met with   anywhere in the immortal   Dialogues。 The tractate   on 

Love   is   a   commentary   on   the   Symposium�察  �and   the   essay   on   Destiny   is 

Greek in spirit without a trace of Oriental fatalism�察�as you may judge from 

the concluding sentence�察�which I leave you as his special message�此 �Take 

heed to the limits of your capacity and you will arrive at a knowledge of 

the truth� �How true is the saying��Work ever and to each will come that 

measure of success for which Nature has designed him。; Avicenna died in 

his fifty´eighth year。 When he saw that physic was of no avail�察�resigning 

himself to the inevitable�察�he sold his goods�察�distributed the money to the 

poor�察�read the Koran through once every three days�察�and died in the holy 

month   of   Ramadan。   His   tomb   at   Hamadan�察  �the   ancient   Ecbatana�察  �still 

exists�察�a simple brickwork building�察�rectangular in shape�察�and surrounded 

by an unpretentious court。 It was restored in 1877�察�but is again in need of 

repair。    The   illustration   here   shown     is  from   a  photograph      sent  by   Dr。 

Neligan     of   Teheran。    Though     dead�察  �the   great   Persian    has  still  a  large 

practice�察�as his tomb is much visited by pilgrims�察�among whom cures are 

said to be not uncommon。 

     ��14�А �L'hymne d'Avicenne; in�此�L'Elegie du Tograi�察�etc。�察�par P。 Vattier�察�

Paris�察�1660。 

     ��15�А  �Traites   mystiques   d'Abou Ali   al´Hosain   b。 Abdallah   b。   Sina   ou 

d'Avicenne   par   M。 A。   F。   Mehren�察  �Leyden�察  �E。   J。   Brill�察  �Fasc。   I´IV�察  �1889´ 

1899。 

       The Western Caliphate produced physicians and philosophers almost 

as   brilliant   as   those   of   the   East。   Remarkable   schools   of   medicine   were 

founded      at   Seville�察  �Toledo     and   Cordova。     The    most    famous     of   the 

professors   were   Averroes�察  �Albucasis   and   Avenzoar。   Albucasis   was   ;the 

Arabian restorer of surgery。; Averroes�察�called in the Middle Ages ;the Soul 

of    Aristotle;    or   ;the   Commentator�察─       �is  better   known     today    among 

philosophers than physicians。 On the revival of Moslem orthodoxy he fell 

upon     evil  days�察   �was   persecuted     as   a  free´thinker�察   �and   the   saying    is 

attributed to him;Sit anima mea cum philosophic。; 

     Arabian   medicine   had   certain   very   definite   characteristics�此  �the   basis 



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was   Greek�察  �derived   from   translations   of   the   works   of   Hippocrates   and 

Galen。     No    contributions     were    made     to  anatomy�察    �as  di
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梁椣戻幣�� 梁心弌傍議揖扮窟燕得胎��傍竃徭失議心隈才凪万弌誌育断蛍�輌臆惨軼僑〃�燕慕得珊辛參資誼持蛍才将刮襲潜��範寔亟圻幹慕得 瓜寡追葎娼得辛參資誼寄楚署衛、持蛍才将刮襲潜填��