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the evolution of modern medicine(�峇�匳勞議處延)-及28何蛍

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!!!!隆堋響頼��紗秘慕禰厮宴和肝写偬堋響��




1904   by   Sir   Clifford   Allbutt。��20�А  �They   were   strong   men   with   practical 

minds   and   good   hands�察  �whose   experience   taught   them   wisdom。   In   both 

there was the blunt honesty that so often characterizes a good surgeon�察�and 

I   commend   to   modern   surgeons   de   Mondeville's   saying�此   �If   you   have 

operated conscientiously on the rich for a proper fee�察�and on the poor for 

charity�察�you need not play the monk�察�nor make pilgrimages for your soul。; 

     ��20�А�Allbutt�此  �Historical   Relations   of   Medicine   and   Surgery�察  �London�察�

Macmillan Co。�察�1905。 

       One   other   great   mediaeval   physician   may   be   mentioned�察  �Peter   of 

Abano ��a small town near Padua�察�famous for its baths��。 He is the first in a 

long   line   of distinguished   physicians   connected   with   the  great   school   of 

Padua。   Known   as   ;the   Conciliator�察─  �from   his   attempt   to          reconcile     the 

diverse     views     on   philosophy      and    medicine�察    �he   had    an  extraordinary 

reputation   as   a   practitioner   and   author�察  �the   persistence   of   which   is   well 

illustrated by the fact that eight of the one hundred and eighty´two medical 

books   printed   before   1481   were   from  his   pen。   He   seems   to   have   taught 

medicine in Paris�察�Bologna and Padua。 He was a devoted astrologer�察�had a 

reputation   among   the   people   as   a   magician   and�察  �like   his   contemporary�察�

Arnold   of Villanova�察  �came   into   conflict   with   the   Church   and   appears   to 



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have   been   several   times   before   the   Inquisition�察  �indeed   it   is   said   that   he 

escaped the stake only by a timely death。 He was a prolific commentator 

on Aristotle�察�and his exposition of the ;problems; had a great vogue。 The 

early editions of his texts are among the most superb works ever printed。 

He outlived his reputation as a magician�察�and more than a century after his 

death Frederick�察�Duke of Urbino�察�caused his effigies to be set up over the 

gate of the palace at Padua with this inscription�此�

     PETRUS              APONUS               PATAVINUS               PHILOSOPHIAE 

MEDICINAEQUE              SCIENTISSIMUS�察          �OB    IDQUE�察     �CONCILIATORIS 

NOMEN ADEPTUS�察�ASTROLOGIAE VERO ADEO PERITUS�察�UT  IN 

MAGIAE         SUSPICIONEM           INCIDERIT�察       �FALSOQUE          DE    HAERESI 

POSTULATUS�察�ABSOLUTUS FUERIT。��21�А�

     ��21�А�Naude�此�History of Magick�察�London�察�1657�察�p。 182�察�or the original�此�

Apologie pour les grands hommes soupconnez de magic�察�e。g。�察�ed。 Amst。�察�

1719�察�p。 275。 

       It is said that Abano caused to be painted the astronomical figures in 

the great hall of the palace at Padua。 

     One   characteristic   of   mediaeval   medicine   is   its   union   with   theology�察�

which   is   not   remarkable�察  �as   the   learning   of   the   time   was   chiefly   in   the 

hands     of  the  clergy。   One   of  the   most   popular    works�察   �the  ;Thesaurus 

Pauperum�察─�was written by Petrus Hispanus�察�afterwards Pope John XXI。 

We   may  judge   of   the   pontifical practice   from  the   page   here   reproduced�察�

which   probably   includes�察  �under   the   term   ;iliac   passion�察─  �all   varieties   of 

appendicitis。 

     For   our   purpose   two   beacons   illuminate   the   spirit   of   the   thirteenth 

century   in    its   outlook  on  man    and   nature。   Better   than   Abelard   or   St。 

Thomas Aquinas�察�and much better than any physicians�察�Albertus Magnus 

and Roger Bacon represent the men who were awake to greet the rising of 

the sun of science。 What a contrast in their lives and in their works� �The 

great    Dominican's      long   life  was   an   uninterrupted     triumph    of  fruitful 

accomplishmentthe   titanic   task   he   set   himself   was   not   only   completed 

but was appreciated to the full by his own generation a life not only of 

study and teaching�察�but of practical piety。 As head of the order in Germany 

and   Bishop   of   Regensburg�察  �he   had   wide   ecclesiastical   influence�察  �and   in 



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                        THE EVOLUTION OF MODERN MEDICINE 



death he left a memory  equalled only by one or two of his century�察 �and 

excelled only by his great pupil�察�Thomas Aquinas。 There are many Alberts 

in history the Good�察�the Just�察�the Faithfulbut there is only one we call 

;Magnus; and he richly deserved the name。 What is his record�拭�Why do 

we hold his name in reverence today�拭�

     Albertus Magnus was an encyclopaedic student and author�察�who took 

all knowledge for his province。 His great work and his great ambition was 

to   interpret Aristotle   to   his   generation。   Before   his   day�察  �the   Stagirite   was 

known only in part�察�but he put within the reach of his contemporaries the 

whole   science   of   Aristotle�察  �and   imbibed   no   small   part   of   his   spirit。   He 

recognized the importance of the study of nature�察�even of testing it by way 

of experiment�察�and in the long years that had elapsed since Theophrastus 

no one else�察�except Dioscorides�察�had made so thorough a study of botany。 

His paraphrases of the natural history books of Aristotle were immensely 

popular�察  �and   served   as   a   basis   for   all   subsequent   studies。   Some   of   his 

medical works had an extraordinary vogue�察�particularly the ;De   Secretis 

Mulierum; and the ;De Virtutibus Herbarum�察─�but there is some doubt as 

to the authorship of the first named�察�although Jammy and Borgnet include 

it in the collected editions of his works。 So fabulous was his learning that 

he was suspected of magic and comes in Naude's list of the wise men who 

have unjustly been reputed magicians。 Ferguson tells��22�А�that ;there is in 

actual   circulation   at   the   present   time   a   chapbook。   。   。   containing   charms�察�

receipts�察�sympathetical and magicalcures for man and animals�察 � 。 。 which 

passes   under   the   name   of   Albertus。;   But   perhaps   the   greatest   claim   of 

Albertus to immortality is that he was the teacher and inspirer of Thomas 

Aquinas�察�the man who undertook the colossal task of fusing Aristotelian 

philosophy      with    Christian    theology�察   �and   with   such    success    that  the 

;angelic     doctor;    remains    today    the  supreme     human     authority    of  the 

Roman Catholic Church。 

     ��22�А�Bibliotheca Chemica�察�1906�察�Vol。 I�察�p。 15。 

       A man of much greater interest to us from the medical point of view 

is Roger Bacon and for two reasons。 More than any other mediaeval mind 

he saw the need of the study of nature by a new method。 The man who 

could write such a sentence as this�此 �Experimental science has three great 



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prerogatives       over   other    sciences�察    �it  verifies   conclusions      by    direct 

experiment�察�it discovers truth which they never otherwise would reach�察�it 

investigates the course of nature and opens to us a knowledge of the past 

and of the future�察─�is mentally of our day and generation。 Bacon was born 

out   of   due   time�察  �and   his  contemporaries   had      little  sympathy   with     his 

philosophy�察  �and   still   less   with   his   mechanical   schemes   and   inventions。 

From the days of the Greeks�察�no one had had so keen an appreciation of 

what experiment meant in the development of human knowledge�察�and he 

was obsessed with the idea�察�so commonplace to us�察�that knowledge should 

have its utility and its practical bearing。 ;His chief merit is that he was one 

of   the   first  to  point   the  way    to  original   researchas     opposed     to  the 

acceptance   of   an   authoritythough   he   himself   still   lacked   the   means   of 

pursuing this path consistently。 His inability to satisfy this impulse led to a 

sort of longing�察�which is expressed in the numerous passages in his works 

where he anticipates man's greater mastery over nature。;��23�А�

     ��23�А�Dannemann�此  �Die  Naturwissenschaften   in ihrer  Entwicklung   und 

in ibrem Zusammenhange��Leipzig�察�1910�察�Vol。 I�察�pp。 278´279。 

     Bacon wrote a number of medical treatises�察�most of which remain in 

manuscript。 His treatise on the ;Cure of Old Age and the Preservation of 

Youth;   was   printed   in   English   in   1683。��24�А  �His   authorities   were   largely 

Arabian。 One of his manuscripts is ;On the Bad Practices of Physicians。; 

On   June   10�察  �1914�察  �the   eve   of   his   birth�察  �the   septencentenary   of   Roger 

Bacon will be celebrated by Oxford�察�the university of which he is the most 

distinguished   ornament。   His   unpublished   MSS。   in   the  
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隆堋響頼��紗秘慕禰厮宴和肝写偬堋響��
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