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the evolution of modern medicine(�峇�匳勞議處延)-及37何蛍

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edition    of  the   ;Fabrica;    that   he  had   a  splendid    lecture   theatre   which 

accommodated more than five hundred spectators ��p。 681��。 

     With     Vesalius    disappeared      the   old   didactic    method     of   teaching 

anatomy。   He   did   his   own   dissections�察  �made   his   own   preparations�察  �and�察�

when     human     subjects    were    scarce�察  �employed      dogs�察  �pigs   or  cats�察 �and 

occasionally a monkey。 For five years he taught and worked at Padua。 He 

is known to have given public demonstrations in Bologna and elsewhere。 

In the ;China´root; he remarks that he once taught in three universities in 

one year。 The first fruit of his work is of great importance in connection 

with the evolution of his knowledge。 In 1538�察�he published six anatomical 

tables    issued    apparently     in   single   leaves。    Of   the   famous      ;Tabulae 

Anatomicae; only two copies are known�察�one in the San Marco Library�察�

Venice�察  �and   the   other   in   the   possession   of   Sir   John   Stirling´Maxwell�察�

whose father had it reproduced in facsimile ��thirty copies only�� in 1874。 

Some of the figures were drawn by Vesalius himself�察�and some are from 

the pencil of his friend and countryman�察�Stephan van Calcar。 Those plates 

were   extensively   pirated。   About   this   time   he   also   edited   for   the   Giunti 

some of the anatomical works of Galen。��21�А�



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     ��21    De    anatomicis     administrationibus�察      �De   venarum      arterinrumque 

dissectione�察�included in the various Juntine editions of Galen。 

       We know very little of his private life at Padua。 His most important 

colleague in the faculty was the famous Montanus�察�professor of medicine。 

Among his students and associates was the Englishman Caius�察�who lived 

in   the   same   house   with   him。   When   the   output   is   considered�察  �he   cannot 

have had much spare time at Padua。 

     He    did   not    create   human      anatomythat      had    been    done    by   the 

Alexandriansbut he studied it in so orderly and thorough a manner that 

for the first time in history it could be presented in a way that explained 

the entire structure of the human body。 Early in 1542 the MS。 was ready�察�

the drawings had been made with infinite care�察�the blocks for the figures 

had   been   cut�察  �and   in   September�察  �he   wrote   to   Oporinus   urging   that   the 

greatest   pains   should   be   taken   with   the   book�察  �that   the   paper   should   be 

strong and of equal thickness�察�the workmen chosen for their skill�察�and that 

every detail of the pictures must be distinctly visible。 He writes with the 

confidence   of   a   man   who   realized   the   significance   of   the   work   he   had 

done。 It is difficult to speak in terms of   moderation of the ;Fabrica。; To 

appreciate its relative value one must compare it with the other anatomical 

works of the period�察�and for this purpose I put before you two figures from 

a text´book on the subject that was available for students during the first 

half of the sixteenth century。 In the figures and text of the ;Fabrica; we 

have anatomy as we know it�察�and let us be honest and say�察�too�察�largely as 

Galen   knew   it。   Time   will   not   allow   me   to   go   into   the   question   of   the 

relations of these two great anatomists�察�but we must remember that at this 

period Galen ruled supreme�察�and was regarded in the schools as infallible。 

And   now�察  �after   five   years   of   incessant   labor�察  �Vesalius   was   prepared   to 

leave     his   much      loved    Padua     and    his   devoted      students。    He    had 

accomplished   an   extraordinary  work。   He   knew�察  �I   feel   sure�察  �what   he   had 

done。 He knew that the MSS。 contained something that the world had not 

seen     since   the   great   Pergamenian       sent   the   rolls  of   his   ;Manual     of 

Anatomy; among his friends。 Too precious to entrust to any printer but the 

bestand the best in the middle of the sixteenth century was Transalpine 

he was preparing to go north with the precious burden。 We can picture the 



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                        THE EVOLUTION OF MODERN MEDICINE 



youthful teacherhe was but twenty´eightamong students in a university 

which   they   themselves   controlledsome   of   them   perhaps   the   very   men 

who five years before had elected himat the last meeting with his class�察�

perhaps giving a final demonstration of the woodcuts�察�which were of an 

accuracy and beauty never seen before by students' eyes�察�and reading his 

introduction。   There   would   be   sad   hearts   at   the   parting�察  �for   never   had 

anyone     taught    anatomy     as  he  had   taught   itno   one   had   ever   known 

anatomy as he knew it。 But the strong�察�confident look was on his face and 

with the courage of youth and sure of the future�察�he would picture a happy 

return   to   attack   new   and   untried   problems。   Little   did   he   dream   that   his 

happy   days   as   student   and   teacher   were   finished�察  �that   his   work   as   an 

anatomist was over�察�that the most brilliant and epoch´making part of his 

career as a professor was a thing of the past。 A year or more was spent at 

Basel with his friend Oporinus supervising the printing of the great work�察�

which appeared in 1543 with the title ;De Humani Corporis Fabrica。; The 

worth of a book�察�as of a man�察�must be judged by results�察�and�察�so judged�察�

the ;Fabrica; is one of the great books of the world�察�and would come in 

any century of volumes which embraced the richest harvest of the human 

mind。 In medicine�察�it represents the full flower of the Renaissance。 As a 

book it is a sumptuous tome a worthy setting of his jewelpaper�察�type and 

illustration to match�察�as you may see for yourselves in this foliothe chef 

d'oeuvre of any medical library。 

     In every section�察�Vesalius enlarged and corrected the work of Galen。 

Into the details we need not enter�此�they are all given in Roth's monograph�察�

and it is a chapter of ancient history not specially illuminating。 

     Never did a great piece of literary work have a better setting。 Vesalius 

must have had a keen appreciation of the artistic side of the art of printing�察�

and he must also have realized the fact that the masters of the art had by 

this time moved north of the Alps。 

     While superintending the printing of the precious work in the winter of 

1542´1543 in Basel�察�Vesalius prepared for the medical school a skeleton 

from     the  body    of   an  executed     man�察   �which    is  probably    the   earliest 

preparation of the kind in Europe。 How little anatomy had been studied at 

the period may be judged from that fact that there had been no dissection 



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at Basel since 1531。��22�А�The specimen is now in the Vesalianum�察�Basel�察�of 

which   I    show   you     a   picture  taken    by   Dr。  Harvey   Cushing。        From   the 

typographical   standpoint   no   more   superb   volume   on   anatomy   has   been 

issued from any press�察�except indeed the second edition�察�issued in 1555。 

The   paper   is�察  �as   Vesalius   directed�察  �strong   and   good�察  �but   it   is   not�察  �as   he 

asked�察�always of equal thickness�察�as a rule it is thick and heavy�察�but there 

are   copies   on   a   good   paper   of   a   much   lighter   quality。   The   illustrations 

drawn by his friend and fellow countryman�察�van Calcar�察�are very much in 

advance of anything previously seen�察�except those of Leonardo。 The title´ 

page�察�one of the most celebrated pictures in the history of medicine�察�shows 

Vesalius in a large amphitheatre ��an imaginary one of the artist�察�I am afraid�� 

dissecting a female subject。 He is demonstrating the abdomen to a group 

of   students   about   the   table�察  �but   standing   in   the   auditorium   are   elderly 

citizens   and   even   women。   One   student   is   reading   from   an   open   book。 

There   is   a   monkey   on   one   side   of   the   picture   and   a   dog   on   the   other。 

Above the picture on a shield are the three weasels�察�the arms of Vesal。 The 

reproduction   which   I   show   you   here   is   from   the   ;Epitome;a   smaller 

work   issued   before   �В殖А  �the   ;Fabrica�察─  �with   rather   larger   plates�察  �two   of 

which   represent nude human   bodies   and   are not   reproduced   in   the great 

work。 The   freshest   and   most   beautiful   copy  is   the one   on   vellum  which 

formerly belonged to Dr。 Mead�察�now in the British Museum�察�and from it 

this picture was taken。 One of the most interesting features of the book are 

the full´pag
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隆堋響頼��紗秘慕禰厮宴和肝写偬堋響��
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