Medical Essays

第25章

wouldmakehimreadthelifeandwritingsofBenjaminRush。Dr。Rushthoughtandsaidthatthereweretwentytimesmoreintellectandahundredtimesmoreknowledgeinthecountryin1799thanbeforetheRevolution。Hisownmindwasinaperpetualstateofexaltationproducedbythestirringscenesinwhichhehadtakenapart,andthequickenedlifeofthetimeinwhichhelived。Itwasnotthestatetofavorsound,calmobservation。Hewasimpatient,andNatureisprofoundlyimperturbable。Wemayadjustthebeatingofourheartstoherpendulumifwewillandcan,butwemaybeverysurethatshewillnotchangethependulum’srateofgoingbecauseourheartsarepalpitating。Hethoughthehadmasteredyellow-fever。“ThankGod,“

hesaid,“outofonehundredpatientswhomIhavevisitedorprescribedforthisday,Ihavelostnone。“WherewasallhislegacyofknowledgewhenNorfolkwasdecimated?WherewasitwhentheblueflieswerebuzzingoverthecoffinsoftheunburieddeadpiledupinthecemeteryofNewOrleans,attheedgeofthehugetrenchesyawningtoreceivethem?

Onesuchinstancewilldoaswellastwenty。Dr。Rushmusthavebeenacharmingteacher,ashewasanadmirableman。Hewasobserving,ratherthanasoundobserver;eminentlyobserving,curious,even,aboutallmannerofthings。ButhecouldnothelpfeelingasifNaturehadbeenagooddealshakenbytheDeclarationofIndependence,andthatAmericanartwasgettingtoberathertoomuchforher,——especiallyasillustratedinhisownpractice。HetaughtthousandsofAmericanstudents,hegaveadirectiontothemedicalmindofthecountrymorethananyotheroneman;perhapshetypifiesitbetterthananyother。Ithasclearlytendedtoextravaganceinremediesandtrustinremedies,asineverythingelse。Howcouldapeoplewhichhasarevolutiononceinfouryears,whichhascontrivedtheBowie-knifeandtherevolver,whichhaschewedthejuiceoutofallthesuperlativesinthelanguageinFourthofJulyorations,andsousedupitsepithetsintherhetoricofabusethatittakestwogreatquartodictionariestosupplythedemand;whichinsistsinsendingoutyachtsandhorsesandboystoout-sail,out-run,out-

fight,andcheckmatealltherestofcreation;howcouldsuchapeoplebecontentwithanybut“heroic“practice“?Whatwonderthatthestarsandstripeswaveoverdosesofninetygrainsofsulphateofquinine,[Morestrictly,ninety-sixgrainsintwohours。Dunglison’sPractice,1842,vol。ii。p。520。Eightygrainsinonedose。

Ibid。p。536。Ninety-sixgrainsofsulphateofquinineareequaltoeightouncesofgoodbark——Wood&Bache。]andthattheAmericaneaglescreamswithdelighttoseethreedrachmsofcalomelgivenatasinglemouthful?

AddtothisthegreatnumberofMedicalJournals,alluseful,wehope,mostofthemnecessary,wetrust,manyofthemexcellentlywellconducted,butwhichmustfindsomethingtofilltheircolumns,andsoprintallthenewplansoftreatmentandnewremediestheycangetholdof,asthenewspapers,fromasimilarnecessity,printtheshockingcatastrophesandterriblemurders。

Besidesallthis,herearewe,thegreatbodyofteachersinthenumberlessmedicalschoolsoftheUnion,someofuslecturingtocrowdswhoclapandstampinthecities,someofuswanderingoverthecountry,likeotherprofessionalfertilizers,tofecundatethemindsoflessdemonstrativeaudiencesatvariousscientificstations;

allofustalkinghabituallytothosesupposedtoknowlessthanourselves,andlovingtoclaimasmuchforourartaswecan,nottosayforourownschools,andpossiblyindirectlyforourownpracticalskill。Hencethatannualcropofintroductorylectures;

theusefulblossomingintotheornamental,asthecabbagebecomesglorifiedinthecauliflower;thatlecture-roomliteratureofadjectives,thatdeclamatoryexaggeration,thatsplendidshowoferuditionborrowedfromD’Israeli,andcreditedtoLordBaconandtherest,whichhavesuggestedtoourfriendsoftheMedicalJournalsanoccasionalepigramatourexpense。Hencethetendencyintheseproductions,andinmedicallecturesgenerally,tooverstatetheefficacyoffavoritemethodsofcure,andhencethepremiumofferedforshowytalkersratherthansagaciousobservers,forthemenofadjectivesratherthanofnounssubstantiveinthemoreambitiousoftheseinstitutions。

Sucharesomeoftheeddiesinwhichweareliabletobecomeinvolvedandcarriedbackoutofthebroadstreamofphilosophical,or,inotherwords,truth-loving,investigations。Thecausesofdisease,inthemeantime,havebeenlessearnestlystudiedintheeagernessofthesearchforremedies。Speaksoftly!Womenhavebeenborneoutfromanold-worldhospital,twoinonecoffin,thatthehorrorsoftheirprison-housemightnotbeknown,whiletheverymenwhowerediscussingthetreatmentofthediseasewerestu

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