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the evolution of modern medicine(�峇�匳勞議處延)-及32何蛍

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cities。 So far as science is concerned�察�the thirteenth century was an aurora 

followed by a long period of darkness�察�but the fifteenth was a true dawn 

that brightened more and more unto the perfect day。 Always a reflex of its 

period�察   �medicine    joined   heartily   though    slowly    in  the  revolt  against 

mediaevalism。 How slowly I did not appreciate until recently。 Studying the 

earliest printed medical works to catch the point of view of the men who 

were in the   thick of the   movement   up to 1480 which   may  be   taken   to 

include   the   first   quarter   of   a   century   of   printing   one   gets   a   startling 

record。 The mediaeval mind still dominates�此�of the sixty´seven authors of 

one hundred and eighty´two editions of early medical books�察�twenty´three 

were   men   of   the   thirteenth   and   fourteenth   centuries�察  �thirty   men   of   the 

fifteenth   century�察  �eight   wrote   in   Arabic�察  �several   were   of   the   School   of 

Salernum�察�and only six were of classical antiquity�察�viz。�察�Pliny ��first 1469���察�

Hippocrates   ��1473��   ��Hain   ��*��7247�В察  �Galen   ��1475��   ��Hain   7237�В察�Aristotle 



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��1476���察�Celsus ��1478���察�and Dioscorides ��1478��。��**�А�

     ��*�А�This asterisk is used by Hain to indicate that he had seen a copy。 

Ed。 

     ��**�А�Data added to a manuscript taken from the author's summary on 

;Printed   Medical   Books   to   1480;   in   Transactions   of   the   Bibliographical 

Society�察�London�察�1916�察�XIII�察�5´8�察�revised from its ;News´Sheet; ��February�察�

1914��。 ;Of neither Hippocrates nor Galen is there an early edition�察�but in 

1473   at   Pavia   appeared   an   exposition   of   the Aphorisms   of   Hippoerates�察�

and in 1475 at Padua an edition of the Tegni or Notes of Galen。; Ibid。�察�p。 6。 

Osler's   unfinished   Illustrated   Monograph   on   this   subject   is   now   being 

printed for the Society of which he was President。Ed。 

       The medical profession gradually caught the new spirit。 It has been 

well said that Greece arose from the dead with the New Testament in the 

one hand and Aristotle in the other。 There was awakened a perfect passion 

for the old Greek writers�察�and with it a study of the original sources�察�which 

had   now   become   available   in   many   manuscripts。   Gradually   Hippocrates 

and Galen came to their own again。 Almost every professor of medicine 

became   a   student of   the   MSS。   of Aristotle   and   of   the   Greek   physicians�察�

and before 1530 the presses had poured out a stream of editions。 A wave 

of enthusiasm swept over the profession�察�and the best energies of its best 

minds were devoted to a study of the Fathers。 Galen became the idol of the 

schools。   A   strong   revulsion   of   feeling   arose   against   the   Arabians�察  �and 

Avicenna�察�the Prince�察�who had been clothed with an authority only a little 

less    than    divine�察  �became      anathema。      Under     the   leadership     of   the 

Montpellier School�察�the Arabians made a strong fight�察�but it was a losing 

battle all along the line。 This group of medical humanistsmen who were 

devoted   to   the   study   of   the   old   humanities�察  �as   Latin   and   Greek   were 

called has had a great and beneficial influence upon the profession。 They 

were for the most part cultivated gentlemen with a triple interestliterature�察�

medicine and natural history。 How important is the part they played may 

be gathered from a glance at the ;Lives; given by Bayle in his ;Biographic 

Medicale; ��Paris�察�1855�� between the years 1500 and 1575。 More than one 

half of them had translated or edited works of Hippocrates or Galen�察�many 

of them had made important contributions to general literature�察�and a large 



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proportion      of  them    were    naturalists�此  �Leonicenus�察     �Linacre�察   �Champier�察�

Fernel�察   �Fracastorius�察    �Gonthier�察   �Caius�察  �J。  Sylvius�察  �Brasavola�察    �Fuchsius�察�

Matthiolus�察  �Conrad   Gesner�察  �to   mention   only   those   I   know   best�察  �form   a 

great   group。   Linacre   edited   Greek   works   for Aldus�察  �translated   works   of 

Galen�察  �taught   Greek   at   Oxford�察  �wrote   Latin   grammars   and   founded   the 

Royal College of Physicians。��*�А�Caius was a keen Greek scholar�察�an ardent 

student of natural history�察�and his name is enshrined as co´founder of one 

of the most important of the Cambridge colleges。 Gonthier�察�Fernel�察�Fuchs 

and Mattioli were great scholars and greater physicians。 Champier�察�one of 

the most remarkable   of the group�察 �was the  founder of the  Hotel Dieu   at 

Lyons�察  �and   author   of   books   of   a   characteristic   Renaissance   type   and   of 

singular bibliographical interest。 In many ways greatest of all was Conrad 

Gesner�察�whose mors inopinata at forty´nine�察�bravely fighting the plague�察�is 

so   touchingly   and   tenderly   mourned   by   his   friend   Caius。��2�А  �Physician�察�

botanist�察    �mineralogist�察     �geologist�察   �chemist�察    �the    first   great   modern 

bibliographer�察�he is the very embodiment of the spirit of the age。��2a�А�On 

the flyleaf of my copy of the ;Bibliotheca Universalis; ��1545���察�is written a 

fine tribute to his memory。 I do not know by whom it is�察�but I do know 

from my reading that it is true�此�

     ��*�А  �Cf。   Osler�此  �Thomas   Linacre�察  �Cambridge   University   Press�察  �1908。 

Ed。 

     ��2�А�Joannis Caii Britanni de libris suis�察�etc。�察�1570。 

     ��2a�А�See J。 C。 Bay�此�Papers Bibliog。 Soc。 of America�察�1916�察�X�察�No。 2�察�

53´86。 

       ;Conrad Gesner�察�who kept open house there for all learned men who 

came     into   his  neighborhood。      Gesner    was    not  only   the   best  naturalist 

among the scholars of his day�察�but of all men of that century he was the 

pattern man of letters。 He was faultless in private life�察�assiduous in study�察�

diligent in maintaining correspondence and good´will with learned men in 

all countries�察�hospitablethough his means were small to every scholar 

that came into Zurich。 Prompt to serve all�察�he was an editor of other men's 

volumes�察�a writer of prefaces for friends�察�a suggestor to young writers of 

books on which they might engage themselves�察�and a great helper to them 

in the progress of their work。 But still�察�while finding time for services to 



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other men�察�he could produce as much out of his own study as though he 

had no part in the life beyond its walls。; 

     A    large   majority     of   these   early   naturalists    and    botanists    were 

physicians。��3�А�The Greek art of observation was revived in a study of the 

scientific    writings    of  Aristotle�察  �Theophrastus       and   Dioscorides     and    in 

medicine�察  �of   Hippocrates   and   of   Galen�察  �all   in   the   Greek   originals。   That 

progress was at first slow was due in part to the fact that the leaders were 

too    busy   scraping    the   Arabian    tarnish    from   the   pure   gold   of  Greek 

medicine and correcting the anatomical mistakes of Galen to bother much 

about     his  physiology     or   pathology。    Here    and   there   among     the   great 

anatomists of the period we read of an experiment�察�but it was the art of 

observation�察  �the   art   of   Hippocrates�察  �not   the   science   of   Galen�察  �not   the 

carefully     devised    experiment     to  determine     function�察  �that   characterized 

their   work。   There   was   indeed   every   reason   why   men   should   have   been 

content     with   the   physiology     and    pathology     of  that   day�察  �as�察 �from    a 

theoretical   standpoint�察  �it   was   excellent。 The  doctrine   of   the   four   humors 

and of the natural�察�animal and vital spirits afforded a ready explanation for 

the symptoms of all diseases�察�and the practice of the day was admirably 

adapted to   the   theories。 There   was   no thought   of�察  �no desire   for�察  �change。 

But the revival of learning awakened in men at first a suspicion and at last 

a conviction that the ancients had left something which could be reached 

by   independent   research�察  �and   gradually   the   paralytic´like   torpor   passed 

away。 

     ��3�А�Miall�此�The Early Naturalists�察�London�察�1912。 

       The sixteenth and seventeenth centuries did three things in medicine´ 

´ shattered authority�察�laid the foundation of an accurate knowledge of the 

structure of the human body and demonstrated how its functions should be 

studied intelligentlywith which advances�察�as illustrating this period�察�may 

be associated the names of Paracelsus�察�Vesalius and Harvey。 



                                   PARACELSUS 



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