Although I have spoken of the early and middle portions of the eighteenth century as constituting a barren or stagnant period in the history of medicine, I would not wish to convey to my readers the impression that it was a colorless and uneventful period. Far from it. There was nothing colorless, for example, in Hahnemann’s eventful career, and yet to all appearances he was not contributing in any way to the genuine and solid advance of the science of medicine. Then, again, Hufeland is not commonly supposed to have contributed in any material degree to the advance of medical science, and yet his “Makrobiotik,” his “Art of Prolonging Life,” is a veritable mine of useful information that the practitioner of medicine can scarcely afford to classify as trivial. Hufeland also deserves the credit of having founded one of the earliest medical journals, a periodical which still, in many of its numbers that were issued during the later years of the eighteenth century, furnishes reading matter that to-day possesses the power to entertain even a twentieth-century reader. At a somewhat later date (1779) J. Peter Frank founded the first journal or archives distinctly devoted to hygiene and medico-legal science. Farther on I will supply a few details concerning these two rather important contributions to medical knowledge.
Finally, there are a few men who, during this same relatively barren period of German medical science, made permanently valuable contributions to our stock of knowledge. Among these stands out conspicuously Johann Christian Reil (1759–1813). Although lack of space prevents me from doing anything like full justice to these worthy representatives of our profession, I will endeavor to furnish in the next chapter at least sufficient information concerning their work and characters to enable the reader to place them in their proper niches in the history of medicine.
CHAPTER III
PHYSICIANS WHO ATTAINED DISTINCTION IN SOME OF THE DEPARTMENTS OF MEDICINE DURING THE FIRST HALF OF THE EIGHTEENTH CENTURY
In looking over the list of medical men who attained distinction during the first half of the eighteenth century, one can scarcely fail to note two important facts, viz., that they hailed from widely separated localities in Western Europe,—for example, from England, Holland, Northern Germany, France, Austria, Switzerland and Italy,—and also that the advances which they effected in medical knowledge were not confined to one or two departments of this science but included very nearly all the fundamental branches. Hence it could not rightly be claimed by a citizen of any one of these countries that his own nation was entitled to be considered the leader in this advance. It would be a waste of time, and would require more space than can be spared for such a purpose, to furnish here even an incomplete list of the anatomists, biologists, chemists, pharmacologists, diagnosticians, therapeutists and surgeons who during the period named took a very active part in the work. Probably Boerhaave of the University of Leyden, Holland, of whose career I have given some account in the preceding volume, deserves to be reckoned one of the first physicians who exerted a strong stimulating influence upon the movement as a whole. From a superficial examination of his writings the modern physician finds it difficult to understand why Boerhaave attained so great a degree of popularity as he indisputably did,—a popularity, too, which was of the best sort; for during the period of his professorship both students and practicing physicians flocked to Leyden from all parts of Europe, and they never tired of speaking about the great benefit which they derived from Boerhaave’s teaching. Many of them attributed this popularity more especially to his practice—which at that time was a novelty—of laying great stress upon bedside teaching and upon the importance of studying disease from direct observation of its manifestations in the living subject. Then, in addition, there is evidence that, as a teacher, Boerhaave undoubtedly possessed the gift of exerting a personal charm upon his auditors.[[3]]
Not a few of those who were privileged to receive instruction from this celebrated physician became themselves distinguished afterward as teachers or authors, and thus Boerhaave’s method of teaching was perpetuated. Among the physicians to whom reference has just been made were such men as Albrecht von Haller, of Berne, Switzerland, Van Swieten, of Vienna, and Hoffmann, of Halle, Prussian Saxony, many of whom are well known to-day in a general way to students of the history of medicine, but who, nevertheless, in at least a few instances, are worthy of having their careers described in further detail. In the following pages I propose to supply biographical sketches of these men and to show in what respects they exerted a beneficial influence upon the great body of their confrères, and also to what extent they made contributions to the science of medicine in its various branches.
It will undoubtedly surprise some of my readers, as it did me, to learn that during the comparatively barren period of the eighteenth century, to which brief reference has been made on a previous page, there were in Northern and Central Germany several anatomists and biologists who did creditable work as original investigators in these departments of medicine. Of this small number, however, I shall mention here only one—Reil. While he spent the greater part of his life in Germany, he was in reality a native of Holland.
Johann Christian Reil was born at Rhaude, East Friesland, in 1759. His father, who was the pastor of the village church, gave his son an excellent preliminary training, which enabled him, at the age of ten, to enter the high school (Gymnasium) in the neighboring town of Norden. On attaining his twentieth year, Johann entered the University of Goettingen, but he remained there only a short time, as he had become convinced that the Halle University offered greater facilities for those who intended, as did Reil, to follow a medical career. Three years later, armed with the degree of Doctor of Medicine, he began the practice of his profession at Norden. In the course of five years he managed to build up such a reputation as a successful practitioner that the University of Halle invited him to occupy the position of Professor Extraordinary of Clinical Medicine. Then, after the lapse of only a short year from the time of his acceptance of this invitation, he was promoted to the full professorship. Almost simultaneously he was appointed (1789) to the position of City Physician of Halle. It was probably while serving in the latter capacity that he began to reveal to the Government that he was not only an excellent physician but also possessed, at the same time, unusual executive ability.