If even now medicine as a science and an art seems backward compared with surgery, it has nevertheless made considerable advances since it began to be empirical. In the Middle Ages it was almost purely dogmatic; men did not ask their eyes and minds what was the nature of the human body and the effect of this or that drug on it, they asked Aristotle, or Hippocrates, or Galen or Avicenna. The chief rivalries, and they were bitter, were between the Greek and the Arabian schools. [Sidenote: c. 1550] Galenism finally triumphed just before the beginnings of experiment and research were made. The greatest name in the first half of the century was that of Theophrastus Paracelsus, [Sidenote: Paracelsus, 1493-1541] as arrant a quack as ever lived, but one who did something to break up the strangle-hold of tradition. He worked out his system a priori from a fantastic postulate of the parallelism between man and the universe, the microcosm and the macrocosm. He held that the Bible gave valuable prescriptions, as in the treatment of wounds by oil and wine.
[Sidenote: Surgery]
Under the leadership of Ambroise Paré [Sidenote: Paré, 1510-90] surgery improved rather more than medicine. Without anaesthetics, indeed, operations were difficult, but a good deal was accomplished. Paré first made amputation on a large scale possible by inventing a ligature for {514} large arteries that effectively controlled hemorrhage. This barber's apprentice, who despised the schools and wrote in the vernacular, made other important improvements in the surgeon's technique. It is noteworthy that each discovery was treated as a trade secret to be exploited for the benefit of a few practitioners and not given freely to the good of mankind.
In obstetrics Paré also made discoveries that need not be detailed here. Until his time it was almost universal for women to be attended in childbirth only by midwives of their own sex. Indeed, so strong was the prejudice on this point that women were known to die of abdominal tumors rather than allow male physicians to examine them. The admission of men to the profession of midwife marked a considerable improvement in method.
[Sidenote: Lunacy]
The treatment of lunacy was inept. The poor patients were whipped or otherwise tormented for alluding to the subject of their monomania. Our ancestors found fun in watching the antics of crazed minds, and made up parties to go to Bedlams and tease the insane. Indeed, some of the scenes in Shakespeare's plays, in which madness is depicted, and which seem tragic to us, probably had a comic value for the groundlings before whom the plays were first produced.
[Sidenote: Hospitals]
As early as 1510 Luther saw one of the hospitals at Florence. He tells how beautiful they were, how clean and well served by honorable matrons tending the poor freely all day without making known their names and at night returning home. Such institutions were the glory of Italy, for they were sadly to seek in other lands. When they were finally established elsewhere, they were too often left to the care of ignorant and evil menials. The stories one may read of the Hôtel-Dieu, at Paris, are fairly hair-raising.
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