[440] I have noticed these schools of medicine, because, though I am not able to state distinctly their respective merits in the cultivation of anatomy, a great progress in that science was undoubtedly made during their domination, of which the praise must, I conceive, be in some way divided among them. The amount of this progress we are able to estimate, when we come to the works of Galen, who flourished under the Antonines, and died about a.d. 203. The following passage from his works will show that this progress in knowledge was not made without the usual condition of laborious and careful experiment, while it implies the curious fact of such experiment being conducted by means of family tradition and instruction, so as to give rise to a caste of dissectors. In the opening of his Second Book On Anatomical Manipulations, he speaks thus of his predecessors: “I do not blame the ancients, who did not write books on anatomical manipulation; though I praise Marinus, who did. For it was superfluous for them to compose such records for themselves or others, while they were, from their childhood, exercised by their parents in dissecting, just as familiarly as in writing and reading; so that there was no more fear of their forgetting their anatomy, than of forgetting their alphabet. But when grown men, as well as children, were taught, this thorough discipline fell off; and, the art being carried out of the family of the Asclepiads, and declining by repeated transmission, books became necessary for the student.”
That the general structure of the animal frame, as composed of bones and muscles, was known with great accuracy before the time of Galen, is manifest from the nature of the mistakes and deficiencies of his predecessors which he finds it necessary to notice. Thus he observes, that some anatomists have made one muscle into two, from its having two heads;—that they have overlooked some of the muscles in the face of an ape, in consequence of not skinning the animal with their own hands;—and the like. Such remarks imply that the current knowledge of this kind was tolerably complete. Galen’s own views of the general mechanical structure of an animal are very clear and sound. The skeleton, he observes, discharges[7] the office of the pole of a tent, or the walls of a house. With respect to the action of the muscles, his views were anatomically and mechanically correct; in some instances, he showed what this action was, by severing the muscle.[8] He himself added considerably to the existing knowledge of [441] this subject; and his discoveries and descriptions, even of very minute parts of the muscular system, are spoken of with praise by modern anatomists.[9]
[7] De Anatom. Administ. i. 2.
[8] Sprengel, ii. 157.
[9] Sprengel, ii. 150.
We may consider, therefore, that the doctrine of the muscular system, as a collection of cords and sheets, by the contraction of which the parts of the body are moved and supported, was firmly established, and completely followed into detail, by Galen and his predecessors. But there is another class of organs connected with voluntary motion, the nerves, and we must for a moment trace the opinions which prevailed respecting these. Aristotle, as we have said, noticed some of the nerves of sensation. But Herophilus, who lived in Egypt in the time of the first Ptolemy, distinguished nerves as the organs of the will,[10] and Rufus, who lived in the time of Trajan,[11] divides the nerves into sensitive and motive, and derives them all from the brain. But this did not imply that men had yet distinguished the nerves from the muscles. Even Galen maintained that every muscle consists of a bundle of nerves and sinews.[12] But the important points, the necessity of the nerve, and the origination of all this apparatus of motion from the brain, he insists upon with great clearness and force. Thus he proved the necessity experimentally, by cutting through some of the bundles of nerves,[13] and thus preventing the corresponding motions. And it is, he says,[14] allowed by all, both physicians and philosophers, that where the origin of the nerve is, there the seat of the soul (ἡγημονικὸν τῆς ψυχῆς) must be: now this, he adds, is in the brain, and not in the heart.
[10] Ib. i. 534.
[11] Ib. ii. 67.
[12] Ibid. ii. 152. Galen, De Motu Musc., p. 553.
[13] Ib. 157.