Medical Essays

第36章

Thereasonwhyweteachsomuchthatisnotpracticalandinitselfuseful,isbecausewefindthattheeasiestwayofteachingwhatispracticalanduseful。Ifwecouldinanywayeliminateallthatwouldhelpamantodealsuccessfullywithdisease,andteachitbyitselfsothatitshouldbeastenaciouslyrootedinthememory,aseasilysummonedwhenwanted,asfertileinsuggestionofrelatedfacts,assatisfactorytotheperemptorydemandsoftheintelligenceasiftaughtinitsscientificconnections,Ithinkitwouldbeourdutysototeachthemomentoustruthsofmedicine,andtoregardalluselessadditionsasanintrusiononthetimewhichshouldbeotherwiseoccupied。

Butwecannotsuccessfullyeliminateandteachbyitselfthatwhichispurelypractical。Theeasiestandsurestwhyofacquiringfactsistolearnthemingroups,insystems,andsystematizedknowledgeisscience。Youcanveryoftencarrytwofactsfastenedtogethermoreeasilythanonebyitself,asahousemaidcancarrytwopailsofwaterwithahoopmoreeasilythanonewithoutit。Youcanrememberaman’sface,madeupofmanyfeatures,betterthanyoucanhisnoseorhismouthorhiseye-brow。Scoresofproverbsshowyouthatyoucanremembertwolinesthatrhymebetterthanonewithoutthejingle。

Theancients,whoknewthelawsofmemory,groupedthesevencitiesthatcontendedforthehonorofbeingHomer’sbirthplaceinalinethusgivenbyAulusGellius:

Smurna,Rodos,Colophon,Salamin,Ios,Argos,Athenai。

Iremember,intheearlierpoliticaldaysofMartinVanBuren,thatColonelStone,ofthe“NewYorkCommercial,“oroneofhiscorrespondents,saidthatsixtownsofNewYorkwouldclaiminthesamewaytohavebeenthebirth-placeofthe“LittleMagician,“ashewasthencalled;andthushegavetheirnames,anyoneofwhichI

shouldlongagohaveforgotten,butwhichasagrouphavestucktightinmymemoryfromthatdaytothis;

Catskill,Saugerties,Redhook,Kinderhook,Scaghticoke,Schodac。

Ifthememorygainssomuchbymererhythmicalassociation,howmuchmorewillitgainwhenisolatedfactsarebroughttogetherunderlawsandprinciples,whenorgansareexaminedintheirnaturalconnections,whenstructureiscoupledwithfunction,andhealthyanddiseasedactionarestudiedastheypassoneintotheother!

Systematic,orscientificstudyisinvaluableassupplyinganaturalkindofmnemonics,iffornothingelse。YoucannotproperlylearnthefactsyouwantfromAnatomyandChemistryinanywaysoeasilyasbytakingthemintheirregularorder,withotheralliedfacts,onlytheremustbecommonsenseexercisedinleavingoutagreatdealwhichbelongstoeachofthetwobranchesaspurescience。Thedullestofteachersistheonewhodoesnotknowwhattoomit。

Thelargeraimofscientifictrainingistofurnishyouwithprinciplestowhichyouwillbeabletoreferisolatedfacts,andsobringthesewithintherangeofrecordedexperience。Seewhatthe“LondonTimes“saidaboutthethreeGermanswhocrackedopenJohnBullChatwood’sstrong-boxattheFairtheotherday,whilethethreeEnglishmenhammeredawayinvainatBrotherJonathanHerring’s。TheEnglishmenrepresentedbruteforce。TheGermanshadbeentrainedtoappreciateprinciple。TheEnglishman“knowshisbusinessbyroteandruleofthumb“——science,whichwould“teachhimtodoinanhourwhathashithertooccupiedhimtwohours,““isinamannerforbiddentohim。“Tothiscausethe“Times“attributesthefallingoffofEnglishworkmenincomparisonwiththoseoftheContinent。

Grantingallthis,wemustnotexpecttoomuchfrom“science“asdistinguishedfromcommonexperience。Therearetenthousandexperimenterswithoutspecialapparatusforeveryoneinthelaboratory。Accidentisthegreatchemistandtoxicologist。Battleisthegreatvivisector。HungerhasinstitutedresearchesonfoodsuchasnoLiebig,noAcademicCommissionhaseverrecorded。

Medicine,sometimesimpertinently,oftenignorantly,oftencarelesslycalled“allopathy,“appropriateseverythingfromeverysourcethatcanbeoftheslightestusetoanybodywhoisailinginanyway,orliketobeailingfromanycause。Itlearnedfromamonkhowtouseantimony,fromaJesuithowtocureagues,fromafriarhowtocutforstone,fromasoldierhowtotreatgout,fromasailorhowtokeepoffscurvy,fromapostmasterho

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