THE PHYSICIAN.
1. Among the various avocations of men, that of the physician deserves to be placed in the foremost rank. The profession is founded in the multiplicity of diseases to which humanity is liable, and in the medical qualities of certain substances, which have been found to supply a remedy.
2. It is implied, though not expressly declared, in the Scriptures, that the diseases and other calamities pertaining to our earthly condition, originated in the fall of man from his pristine innocence; and the Grecian fable of Pandora's box appears to have originated in a similar tradition. It seems that Jupiter, being angry at Prometheus, ordered Vulcan to make a woman endowed with every possible perfection. This workman having finished his task, and presented the workmanship of his hands to the gods, they loaded her with presents, and sent her to Prometheus.
3. This prince, however, suspecting a trick, would have nothing to do with her; but Epimetheus was so captivated with her charms, that he took her to be his wife. The curiosity of Epimetheus led him to look into a box, given to her by Jupiter, which he had no sooner opened, than there issued from it the complicated miseries and diseases, which have since afflicted the family of man. He instantly shut the box; but all had flown, save Hope, which had not time to escape; and this is consequently the only blessing that permanently remains with wretched mortals.
4. Since the introduction of moral evil into the world, it cannot be supposed that man has ever enjoyed the blessing of uninterrupted health; and, as it is an instinct of our nature to seek for means of relieving pain, we may safely infer that medicinal remedies were applied in the earliest ages of the human race.
5. Among some of the ancient nations, the origin of diseases was attributed to the malignant influence of supernatural agents. This notion produced a corresponding absurdity, in the means of obtaining relief. Accordingly, idolatrous priests, astrologers, and magicians, were resorted to, who employed religious ceremonies, astrological calculations, and cabalistic incantations.
6. The healing art was cultivated at a very early period in Egypt; but it was crippled in its infancy by ordinances, enjoining, without discrimination, the remedies for every disease, and the precise time and mode of their application. The practice was confined to the priests, who connected with it the grossest superstitions.
7. We are informed by the most ancient historians, that the Chaldeans and Babylonians exposed their sick in places of public resort, and on the highways; and that strangers and others were required by law to give some advice in each case of disease. Amid the variety of suggestions which must necessarily have been given under such circumstances, it was expected that some would prove efficacious. This custom was well calculated to enlarge the boundaries of medical knowledge.
8. The first records of medicine were kept in the temples dedicated by the Greeks to Esculapius, who, on account of his skill in medicine, was honored as the god of health. The name or description of the disease, and the method of cure, were engraved on durable tablets, which were suspended, where they could be readily seen by visitors.
9. But medicine did not assume the dignity of a distinct science, until the days of Hippocrates, who reckons himself the seventeenth from Esculapius in a lineal descent. This great man, who flourished about 400 years before the Christian era, is universally esteemed the "Father of Medicine." After his death, the science was cultivated by the philosophers of Greece, to whom, however, it owes but few improvements.
10. After the dismemberment of the Macedonian empire, learning retreated from contending factions to Egypt, where it was liberally fostered by the Ptolemies. Under their patronage, a medical school at Alexandria became eminent, and the healing art flourished beyond all former example. To the disciples of this school, is the world indebted for the first correct description of the human structure. Their knowledge on this subject was obtained from the dissection of the bodies of criminals, which had been assigned to them by the government.
11. The acquisitions of the Greeks in medical science at length became the inheritance of the Romans; but Rome had existed 535 years before a professional physician was known in the city. This inattention to the subject of medicine arose, chiefly, from an opinion, common to the semi-barbarous nations of those times, that maladies were to be cured by the interposition of superior beings. The sick, therefore, applied to their idolatrous priests, who offered sacrifices to the gods in their behalf, and practised over the body of the patient a variety of magical ceremonies.
12. Sacrifices were especially offered to the gods in cases of pestilence; and, on one occasion of this kind, a temple was erected to Apollo, who was regarded as the god of physic; and, on another, Esculapius, under the form of a serpent, was conducted from Epidaurus, in Greece, and introduced, with great pomp, upon an islet in the Tiber, which was thenceforth devoted to his particular service.
13. Archagathus, a Greek, was the first who practised physic, as an art, at Rome; and he was soon followed by many more of his professional brethren. These pioneers of medicine, however, were violently opposed by Cato the Censor, who publicly charged them with a conspiracy to poison the citizens. But the patients under their care generally recovering, he began to regard them as impious sorcerers, who counteracted the course of nature, and restored men to life by means of unholy charms.
14. Cato having succeeded in producing a general conviction, that the practice of these physicians was calculated to enervate the constitutions, and corrupt the manners of the people, restrictions were laid upon the profession, and practitioners were even forbidden to settle at Rome. But after the people had become more vicious and luxurious, diseases became more frequent and obstinate, and physicians more necessary. The restrictions were, therefore, at length removed.
15. Among the Roman writers on medicine, Celsus was the first who is worthy of consideration. He has been denominated the Roman Hippocrates, because he imitated the close observation and practice of that physician. His work, as well as that of his great prototype, is read with advantage, even at the present day. He flourished at or near the time of our Saviour.
16. In the second century of the Christian era, Galen, a Greek physician from Pergamus, and a disciple of the Alexandrian school, settled in Rome. He was learned in all branches of medicine, and wrote more copiously on the subject generally, than any other person amongst the ancients. For 1300 years, his opinions were received as oracular, wherever medicine was cultivated.
17. After the destruction of the Western empire by the barbarous nations, the science of medicine was cultivated only in the Greek empire, and chiefly at Alexandria, until it began to arrest the attention of the Arabians, in the seventh century. The works of several Greek philosophers and physicians were translated into Arabic, under the patronage of the caliphs, several of whom were zealous promoters of learning.
18. In the eighth century, the Caliph Almansur established, at Bagdad, a hospital for the sick, and an academy, in which, among other branches of knowledge, was taught the medical art. But it was in Spain, that Arabian learning rose to the highest point, and produced the most successful results. The University of Cordova became the most celebrated in the world, and continued to maintain its reputation for a long series of years. Arabian medicine reached its greatest eminence, in the eleventh century, under Avicenna.
19. In the tenth century, this science began to be taught in the schools of other parts of Europe; but its professors derived their knowledge of the subject from the Arabian school, or from Arabic translations of the ancient authors; and this continued to be the case, until the conquest of Constantinople by the Turks, in 1453. At this time, many erudite Greeks fled into Italy, and carried with them the ancient writings.
20. Before the general revival of this science in Europe, the cure of diseases was chiefly confided, in the western nations, to the priests and monks, who, however, generally relied more upon religious ceremonies, and the influence of sacred relics, than upon the application of medical remedies. The superstitions of those barbarous times, respecting the means of curing diseases, have not yet entirely disappeared, even from the most enlightened nations of Christendom.
21. The science of chemistry began to attract much attention about the beginning of the sixteenth century; and the many powerful medical agents which it supplied, at length produced a great change in the theory and practice of medicine. Many valuable medicines of the vegetable kind, were also obtained from America. The discovery of the circulation of the blood by William Harvey, in 1620, imparted a new impulse to medicine; but, like chemistry, it gave rise to many absurd and hurtful theories.
22. Researches in different branches of medicine were continued with ardor in the seventeenth century, in various parts of Europe; and numerous discoveries of importance were made, especially in anatomy. Many theories regarding the origin of diseases, and their treatment, were proposed, advocated, and controverted; but all these were overthrown by Stahl, Boerhaave, and Hoffman, three eminent theorists, in the early part of the eighteenth century.
23. These distinguished men were followed by others of equal celebrity, in the same century, who, in part at least, exploded the doctrines of their predecessors. The present century, above all other periods, is remarkable for men eminent in this profession; and, although all do not exactly agree in opinion, yet, guided in their conclusions by a careful observation of facts, they are less under the influence of visionary theories than physicians of former times. Besides, many of the subjects of former controversy having been satisfactorily settled, there are now fewer causes of division and excitement among the medical profession.
24. Medical science comprises several branches, of which the following are the principal; viz., Anatomy, Surgery, Materia Medica, Chemistry, the Theory and Practice of Physic. On these subjects, lectures are given in several colleges and universities in Europe, and in the United States. In this country, an attendance on two regular courses of lectures entitles the student to the degree of Doctor of Medicine, provided he can sustain with sufficient ability, an examination before the professors, or, as they are usually termed, the medical faculty.
25. The degree of M. D. conferred by a college or university, is a passport to practice, in every state of the Union; and, in some states, none are permitted to attend the sick, professionally, without having first obtained a diploma conferring such degree. In other states, however, no legal restrictions are imposed on the practitioners of the healing art; or, they are licensed by a board of physicians, constituted by law for the purpose.
26. The practice of this profession is generally attended with great labor, and, in many cases, with much perplexity. Diseases are often stubborn or incurable, and effectually baffle the most skilful practitioner. In most cases, however, diseases are under the control of medical skill; and the high satisfaction which a benevolent physician feels, in relieving the sufferings of his fellow-creatures, may serve as a recompense for the many adverse circumstances which attend the profession.
