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the evolution of modern medicine(�峇�匳勞議處延)-及3何蛍

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!!!!隆堋響頼��紗秘慕禰厮宴和肝写偬堋響��




someone else can the Hoodoo be taken off。 

     To primitive man life seemed ;full of sacred presences; ��Walter Pater�� 

connected   with   objects   in   nature�察  �or   with   incidents   and   epochs   in   life�察�



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which he began early to deify�察�so that�察�until a quite recent period�察�his story 

is largely associated with a pantheon of greater and lesser gods�察�which he 

has manufactured wholesale。 Xenophanes was the earliest philosopher to 

recognize man's practice of making gods in his own image and endowing 

them   with   human   faculties   and   attributes�察  �the   Thracians�察  �he   said�察  �made 

their gods blue´eyed and red´haired�察�the Ethiopians�察�snub´nosed and black�察�

while�察�if oxen and lions and horses had hands and could draw�察�they would 

represent their gods as oxen and lions and horses。 In relation to nature and 

to disease�察�all through early history we find a pantheon full to repletion�察�

bearing testimony no less to the fertility of man's imagination than to the 

hopes and fears which led him�察�in his exodus from barbarism�察�to regard his 

gods as ;pillars of fire by night�察�and pillars of cloud by day。; 

     Even so late   a   religion as that of   Numa   was   full   of little gods to   be 

invoked on special occasionsVatican�察�who causes the infant to utter his 

first   cry�察  �Fabulinus�察  �who   prompts   his   first   word�察  �Cuba�察  �who   keeps   him 

quiet   in   his   cot�察  �Domiduca�察  �who   watches   over   one's   safe   home´coming 

��Walter Pater���察  �and Numa   believed that all   diseases   came from  the   gods 

and were   to be   averted by  prayer   and sacrifice。   Besides the   major   gods�察�

representatives of Apollo�察�AEsculapius and Minerva�察�there were scores of 

lesser ones who could be invoked for special diseases。 It is said that the 

young   Roman   mother   might   appeal   to   no   less   than   fourteen   goddesses�察�

from   Juno   Lucina   to     Prosa   and   Portvorta   ��Withington��。   Temples   were 

erected   to   the   Goddess   of   Fever�察  �and   she   was   much   invoked。   There   is 

extant a touching tablet erected by a mourning mother and inscribed�此�

     Febri divae�察�Febri Sancte�察�Febri magnae Camillo amato pro Filio meld 

effecto。 Posuit。 

     It   is   marvellous   what   a   long   line   of   superhuman   powers�察  �major   and 

minor�察�man has invoked against sickness。 In Swinburne's words�此�

     God by God flits past in thunder till his glories turn to shades�察�God by 

God bears wondering witness how his Gospel flames and fades�察�More was 

each of these�察�while yet they were�察�than man their servant seemed�察�Dead 

are all of these�察�and man survives who made them while he dreamed。 

     Most     of  them    have   been    benign    and   helpful   gods。   Into   the  dark 

chapters relating to demonical possession and to witchcraft we cannot here 



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enter。 They make one cry out with Lucretius ��Bk。 V���此�

     O   genus   infelix   humanum�察       �talia   divis   Cum   tribuit   facta   atque   iras 

adjunxit acerbas� �Quantos tum gemitus ipsi sibi�察�quantaque nobis Vulnera�察�

quas lacrimas peperere minoribu' nostris。 

       In every age�察�and in every religion there has been justification for his 

bitter   words�察    �tantum     religio   potuit   suadere    malorum;;Such         wrongs 

Religion in her train doth bring;yet�察�one outcome of ;a belief in spiritual 

beings;as Tylor defines religion has been that man has built an altar of 

righteousness in his heart。 The comparative method applied to the study of 

his religious growth has shown how man's thoughts have widened in the 

unceasing      purpose     which    runs   through    his   spiritual   no   less  than   his 

physical evolution。 Out of the spiritual protoplasm of magic have evolved 

philosopher   and   physician�察  �as   well   as   priest。   Magic   and   religion   control 

the uncharted spherethe supernatural�察�the superhuman�此�science seeks to 

know      the  world�察   �and   through     knowing�察    �to  control    it。  Ray   Lankester 

remarks   that   Man   is   Nature's   rebel�察  �and   goes   on   to   say�此   �The   mental 

qualities which have developed in Man�察�though traceable in a vague and 

rudimentary   condition   in   some   of   his   animal   associates�察  �are   of   such   an 

unprecedented power and so far dominate everything else in his activities 

as a living organism�察�that they have to a very large extent�察�if not entirely�察�

cut him off from the general operation of that process of Natural Selection 

and survival of the fittest which up to their appearance had been the law of 

the living world。 They justify the view that Man forms a new departure in 

the gradual unfolding of Nature's predestined scheme。 Knowledge�察�reason�察�

self´consciousness�察�will�察�are the attributes of Man。;��1�А�It has been a slow 

and   gradual   growth�察  �and   not   until   within   the   past   century   has   science 

organized knowledge so searched out the secrets of Nature�察�as to control 

her powers�察�limit her scope and transform her energies。 The victory is so 

recent that the mental attitude of the race is not yet adapted to the change。 

A    large   proportion     of   our   fellow    creatures    still  regard   nature    as  a 

playground for demons and spirits to be exorcised or invoked。 

     ��1�А  �Sir   E。  Ray    Lankester�此    �Romanes      Lecture�察    �Nature     and   Man�察─�

Oxford Univ。 Press�察�1905�察�p。 21。 

       Side   by   side�察  �as   substance   and   shadow;in   the   dark   backward   and 



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                        THE EVOLUTION OF MODERN MEDICINE 



abysm      of  time�察─  �in  the   dawn    of  the   great  civilizations    of  Egypt    and 

Babylon�察  �in   the   bright   morning   of   Greece�察  �and   in   the   full   noontide   of 

modern   life�察  �together   have   grown   up   these   two   diametrically   opposite 

views   of   man's   relation   to   nature�察  �and   more   particularly   of   his   personal 

relation to the agencies of disease。 

     The purpose of this course of lectures is to sketch the main features of 

the growth of these two dominant ideas�察�to show how they have influenced 

man at the different periods of his evolution�察�how the lamp of reason�察�so 

early lighted in his soul�察�burning now bright�察�now dim�察�has never�察�even in 

his    darkest    period�察   �been     wholly     extinguished�察     �but   retrimmed      and 

refurnished      by   his  indomitable      energies�察  �now     shines   more    and   more 

towards the perfect day。 It is a glorious chapter in history�察�in which those 

who have eyes to see may read the fulfilment of the promise of Eden�察�that 

one day  man   should   not only  possess the   earth�察�but   that   he should   have 

dominion       over   it�  �I  propose    to  take   an  aeroplane     flight   through    the 

centuries�察    �touching    only   on   the  tall  peaks   from   which     may   be   had    a 

panoramic view of the epochs through which we pass。 



                           ORIGIN OF MEDICINE 



     MEDICINE arose out of the primal sympathy of man with man�察�out of 

the desire to help those in sorrow�察�need and sickness。 

     In   the  primal    sympathy   Which        having    been   must    ever   be�察 �In  the 

soothing thoughts that spring Out of human suffering。 

     The   instinct   of   self´preservation�察  �the   longing   to   relieve   a   loved   one�察�

and above all�察�the maternal passionfor such it isgradually softened the 

hard race of mantum genus humanum primum mollescere coepit。 In his 

marvellous       sketch   of   the  evolution     of  man�察   �nothing     illustrates   more 

forcibly   the   prescience   of   Lucretius   than   the   picture   of   the   growth   of 

sympathy�此 �When with cries and gestures they taught with broken words 

that 'tis right for all men to have pity on the weak。; I heard the well´known 

medical historian�察�the late Dr。 Payne�察�remark that ;the basis of medicine is 

sympathy and the desire to help others�察�and whatever is done with this end 

must be called medicine。; 

     The first lessons came to primitive man by injuries�察�accidents�察�bites of 



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                        THE EVOLUTION OF MODERN MEDICINE 



beasts and serpents�察�perhaps for long ages not appreciated by his childlike 

mind�察    �but�察  �little  by   little�察 �such    experiences     crystallized     into   useful 

knowledge。 The experiments of nature made clear to him the relation of 

cause and effect�察�but it is not likely�察�as Pliny suggests�察�that he picked up 

his earliest knowledge from the observation of certa
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隆堋響頼��紗秘慕禰厮宴和肝写偬堋響��
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