The last step of Harvey's demonstration was to prove that the blood does flow along the veins to the heart, aided by the valves that had been the cause of so much discussion and dispute between the great sixteenth-century anatomists. Harvey not only demonstrated the presence of these valves, but showed conclusively, by simple experiments, what their function was, thus completing his demonstration of the phenomena of the circulation.
The final ocular demonstration of the passage of the blood from the arteries to the veins was not to be made until four years after Harvey's death. This process, which can be observed easily in the web of a frog's foot by the aid of a low-power lens, was first demonstrated by Marcello Malpighi (1628-1694) in 1661. By the aid of a lens he first saw the small "capillary" vessels connecting the veins and arteries in a piece of dried lung. Taking his cue from this, he examined the lung of a turtle, and was able to see in it the passage of the corpuscles through these minute vessels, making their way along these previously unknown channels from the arteries into the veins on their journey back to the heart. Thus the work of Harvey, all but complete, was made absolutely entire by the great Italian. And all this in a single generation.
LEEUWENHOEK DISCOVERS BACTERIA
The seventeenth century was not to close, however, without another discovery in science, which, when applied to the causation of disease almost two centuries later, revolutionized therapeutics more completely than any one discovery. This was the discovery of microbes, by Antonius von Leeuwenhoek (1632-1723), in 1683. Von Leeuwenhoek discovered that "in the white matter between his teeth" there were millions of microscopic "animals"—more, in fact, than "there were human beings in the united Netherlands," and all "moving in the most delightful manner." There can be no question that he saw them, for we can recognize in his descriptions of these various forms of little "animals" the four principal forms of microbes—the long and short rods of bacilli and bacteria, the spheres of micrococci, and the corkscrew spirillum.
The presence of these microbes in his mouth greatly annoyed Antonius, and he tried various methods of getting rid of them, such as using vinegar and hot coffee. In doing this he little suspected that he was anticipating modern antiseptic surgery by a century and three-quarters, and to be attempting what antiseptic surgery is now able to accomplish. For the fundamental principle of antisepsis is the use of medicines for ridding wounds of similar microscopic organisms. Von Leenwenhoek was only temporarily successful in his attempts, however, and took occasion to communicate his discovery to the Royal Society of England, hoping that they would be "interested in this novelty." Probably they were, but not sufficiently so for any member to pursue any protracted investigations or reach any satisfactory conclusions, and the whole matter was practically forgotten until the middle of the nineteenth century.
VIII. MEDICINE IN THE SIXTEENTH AND SEVENTEENTH CENTURIES
Of the half-dozen surgeons who were prominent in the sixteenth century, Ambroise Pare (1517-1590), called the father of French surgery, is perhaps the most widely known. He rose from the position of a common barber to that of surgeon to three French monarchs, Henry II., Francis II., and Charles IX. Some of his mottoes are still first principles of the medical man. Among others are: "He who becomes a surgeon for the sake of money, and not for the sake of knowledge, will accomplish nothing"; and "A tried remedy is better than a newly invented." On his statue is his modest estimate of his work in caring for the wounded, "Je le pansay, Dieu le guarit"—I dressed him, God cured him.
It was in this dressing of wounds on the battlefield that he accidentally discovered how useless and harmful was the terribly painful treatment of applying boiling oil to gunshot wounds as advocated by John of Vigo. It happened that after a certain battle, where there was an unusually large number of casualties, Pare found, to his horror, that no more boiling oil was available for the surgeons, and that he should be obliged to dress the wounded by other simpler methods. To his amazement the results proved entirely satisfactory, and from that day he discarded the hot-oil treatment.
As Pare did not understand Latin he wrote his treatises in French, thus inaugurating a custom in France that was begun by Paracelsus in Germany half a century before. He reintroduced the use of the ligature in controlling hemorrhage, introduced the "figure of eight" suture in the operation for hare-lip, improved many of the medico-legal doctrines, and advanced the practice of surgery generally. He is credited with having successfully performed the operation for strangulated hernia, but he probably borrowed it from Peter Franco (1505-1570), who published an account of this operation in 1556. As this operation is considered by some the most important operation in surgery, its discoverer is entitled to more than passing notice, although he was despised and ignored by the surgeons of his time.