In 1741 he went to Leyden, in pursuit of medical knowledge; and three years afterwards, May 16, 1744, became doctor of physick, having, according to the custom of the Dutch universities, published a thesis or dissertation. The subject which he chose was the Original and Growth of the Human Fœtus; in which he is said to have departed, with great judgment, from the opinion then established, and to have delivered that which has been since confirmed and received.

Akenside was a young man, warm with every notion that by nature or accident had been connected with the sound of liberty, and, by an eccentricity which such dispositions do not easily avoid, a lover of contradiction, and no friend to any thing established. He adopted Shaftesbury’s foolish assertion of the efficacy of ridicule for the discovery of truth. For this he was attacked by Warburton, and defended by Dyson: Warburton afterwards reprinted his remarks at the end of his dedication to the Freethinkers.

The result of all the arguments, which have been produced in a long and eager discussion of this idle question, may easily be collected. If ridicule be applied to any position, as the test of truth, it will then become a question whether such ridicule be just; and this can only be decided by the application of truth, as the test of ridicule. Two men, fearing, one a real and the other a fancied danger, will be for awhile equally exposed to the inevitable consequences of cowardice, contemptuous censure, and ludicrous representation; and the true state of both cases must be known, before it can be decided whose terrour is rational, and whose is ridiculous; who is to be pitied, and who to be despised. Both are for awhile equally exposed to laughter, but both are not, therefore, equally contemptible.

In the revisal of his poem, though he died before he had finished it, he omitted the lines which had given occasion to Warburton’s objections.

He published, soon after his return from Levden, 1745, his first collection of odes; and was impelled, by his rage of patriotism, to write a very acrimonious epistle to Pulteney, whom he stigmatizes, under the name of Curio, as the betrayer of his country.

Being now to live by his profession, he first commenced physician at Northampton, where Dr. Stonehouse then practised with such reputation and success, that a stranger was not likely to gain ground upon him. Akenside tried the contest awhile; and, having deafened the place with clamours for liberty, removed to Hampstead, where he resided more than two years, and then fixed himself in London, the proper place for a man of accomplishments like his.

At London he was known as a poet, but was still to make his way as a physician; and would, perhaps, have been reduced to great exigencies, but that Mr. Dyson, with an ardour of friendship that has not many examples, allowed him three hundred pounds a year. Thus supported, he advanced gradually in medical reputation, but never attained any great extent of practice, or eminence of popularity. A physician in a great city seems to be the mere plaything of fortune; his degree of reputation is, for the most part, totally casual; they that employ him know not his excellence; they that reject him know not his deficience. By any acute observer, who had looked on the transactions of the medical world for half a century, a very curious book might be written on the Fortune of Physicians[196]

Akenside appears not to have been wanting to his own success: he placed himself in view by all the common methods; he became a fellow of the Royal Society; he obtained a degree at Cambridge; and was admitted into the College of Physicians; he wrote little poetry, but published, from time to time, medical essays and observations; he became physician to St. Thomas’s hospital; he read the Gulstonian lectures in anatomy; but began to give, for the Crounian lecture, a history of the revival of learning, from which he soon desisted; and, in conversation, he very eagerly forced himself into notice by an ambitious ostentation of elegance and literature.

His Discourse on the Dysentery, 1764, was considered as a very conspicuous specimen of Latinity, which entitled him to the same height of place among the scholars as he possessed before among the wits; and he might, perhaps, have risen to a greater elevation of character, but that his studies were ended with his life, by a putrid fever, June 23, 1770, in the forty-ninth year of his age[197].

Akenside is to be considered, as a didactick and lyrick poet. His great work is the Pleasures of Imagination; a performance which, published as it was, at the age of twenty-three, raised expectations that were not very amply satisfied. It has undoubtedly a just claim to very particular notice, as an example of great felicity of genius, and uncommon amplitude of acquisitions, of a young mind stored with images, and much exercised in combining and comparing them.