a history of science-2-第36章

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　Tagliacozzi　（1545…1599）；　rests　upon　his　operation　for　increasing　human　comfort　and　happiness　by　restoring　amputated　noses。　At　the　time　in　which　he　lived　amputation　of　the　nose　was　very　common；　partly　from　disease；　but　also　because　a　certain　pope　had　fixed　the　amputation　of　that　member　as　the　penalty　for　larceny。　Tagliacozzi　probably　borrowed　his　operation　from　the　East；　but　he　was　the　first　Western　surgeon　to　perform　it　and　describe　it。　So　great　was　the　fame　of　his　operations　that　patients　flocked　to　him　from　all　over　Europe；　and　each　〃went　away　with　as　many　noses　as　he　liked。〃　Naturally；　the　man　who　directed　his　efforts　to　restoring　structures　that　bad　been　removed　by　order　of　the　Church　was　regarded　in　the　light　of　a　heretic　by　many　theologians；　and　though　he　succeeded　in　cheating　the　stake　or　dungeon；　and　died　a　natural　death；　his　body　was　finally　cast　out　of　the　church　in　which　it　had　been　buried。　In　the　sixteenth　century　Germany　produced　a　surgeon；　Fabricius　Hildanes　（1560…1639）；　whose　work　compares　favorably　with　that　of　Pare；　and　whose　name　would　undoubtedly　have　been　much　better　known　had　not　the　circumstances　of　the　time　in　which　he　lived　tended　to　obscure　his　merits。　The　blind　followers　of　Paracelsus　could　see　nothing　outside　the　pale　of　their　master's　teachings；　and　the　disastrous　Thirty　Years'　War　tended　to　obscure　and　retard　all　scientific　advances　in　Germany。　Unlike　many　of　his　fellow…surgeons；　Hildanes　was　well　versed　in　Latin　and　Greek；　and；　contrary　to　the　teachings　of　Paracelsus；　he　laid　particular　stress　upon　the　necessity　of　the　surgeon　having　a　thorough　knowledge　of　anatomy。　He　had　a　helpmate　in　his　wife；　who　was　also　something　of　a　surgeon；　and　she　is　credited　with　having　first　made　use　of　the　magnet　in　removing　particles　of　metal　from　the　eye。　Hildanes　tells　of　a　certain　man　who　had　been　injured　by　a　small　piece　of　steel　in　the　cornea；　which　resisted　all　his　efforts　to　remove　it。　After　observing　Hildanes'　fruitless　efforts　for　a　time；　it　suddenly　occurred　to　his　wife　to　attempt　to　make　the　extraction　with　a　piece　of　loadstone。　While　the　physician　held　open　the　two　lids；　his　wife　attempted　to　withdraw　the　steel　with　the　magnet　held　close　to　the　cornea；　and　after　several　efforts　she　was　successfulwhich　Hildanes　enumerates　as　one　of　the　advantages　of　being　a　married　man。　Hildanes　was　particularly　happy　in　his　inventions　of　surgical　instruments；　many　of　which　were　designed　for　locating　and　removing　the　various　missiles　recently　introduced　in　warfare。

The　seventeenth　century；　which　was　such　a　flourishing　one　for　anatomy　and　physiology；　was　not　as　productive　of　great　surgeons　or　advances　in　surgery　as　the　sixteenth　had　been　or　the　eighteenth　was　to　be。　There　was　a　gradual　improvement　all　along　the　line；　however；　and　much　of　the　work　begun　by　such　surgeons　as　Pare　and　Hildanes　was　perfected　or　improved。　Perhaps　the　most　progressive　surgeon　of　the　century　was　an　Englishman；　Richard　Wiseman　（1625…1686）；　who；　like　Harvey；　enjoyed　royal　favor；　being　in　the　service　of　all　the　Stuart　kings。　He　was　the　first　surgeon　to　advocate　primary　amputation；　in　gunshot　wounds；　of　the　limbs；　and　also　to　introduce　the　treatment　of　aneurisms　by　compression；　but　he　is　generally　rated　as　a　conservative　operator；　who　favored　medication　rather　than　radical　operations；　where　possible。　In　Italy；　Marcus　Aurelius　Severinus　（1580…1656）　and　Peter　Marchettis　（1589…1675）　were　the　leading　surgeons　of　their　nation。　Like　many　of　his　predecessors　in　Europe；　Severinus　ran　amuck　with　the　Holy　Inquisition　and　fled　from　Naples。　But　the　waning　of　the　powerful　arm　of　the　Church　is　shown　by　the　fact　that　he　was　brought　back　by　the　unanimous　voice　of　the　grateful　citizens；　and　lived　in　safety　despite　the　frowns　of　the　theologians。

The　sixteenth　century　cannot　be　said　to　have　added　much　of　importance　in　the　field　of　practical　medicine；　and；　as　in　the　preceding　and　succeeding　centuries；　was　at　best　only　struggling　along　in　the　wake　of　anatomy；　physiology；　and　surgery。　In　the　seventeenth　century；　however；　at　least　one　discovery　in　therapeutics　was　made　that　has　been　an　inestimable　boon　to　humanity　ever　since。　This　was　the　introduction　of　cinchona　bark　（from　which　quinine　is　obtained）　in　1640。　But　this　century　was　productive　of　many　medical　SYSTEMS；　and　could　boast　of　many　great　names　among　the　medical　profession；　and；　on　the　whole；　made　considerably　more　progress　than　the　preceding　century。　Of　the　founders　of　medical　systems；　one　of　the　most　widely　known　is　Jan　Baptista　van　Helmont　（1578…1644）；　an　eccentric　genius　who　constructed　a　system　of　medicine　of　his　own　and　for　a　time　exerted　considerable　influence。　But　in　the　end　his　system　was　destined　to　pass　out　of　existence；　not　very　long　after　the　death　of　its　author。　Van　Helmont　was　not　only　a　physician；　but　was　master　of　all　the　other　branches　of　learning　of　the　time；　taking　up　the　study　of　medicine　and　chemistry　as　an　after…thought；　but　devoting　himself　to　them　with　the　greatest　enthusiasm　once　he　had　begun　his　investigations。　His　attitude　towards　existing　doctrines　was　as　revolutionary　as　that　of　Paracelsus；　and　he　rejected　the　teachings　of　Galen　and　all　the　ancient　writers；　although　retaining　some　of　the　views　of　Paracelsus。　He　modified　the　archaeus　of　Paracelsus；　and　added　many　complications　to　it。　He　believed　the　whole　body　to　be　controlled　by　an　archaeus　influus；　the　soul　by　the　archaei　insiti；　and　these　in　turn　controlled　by　the　central　archeus。　His　system　is　too　elaborate　and　complicated　for　full　explanation；　but　its　chief　service　to　medicine　was　in　introducing　new　chemical　methods　in　the　preparation　of　drugs。　In　this　way　he　was　indirectly　connected　with　the　establishment　of　the　Iatrochemical　school。　It　was　he　who　first　used　the　word　〃gas〃a　word　coined　by　him；　along　with　many　others　that　soon　fell　into　disuse。　The　principles　of　the　Iatrochemical　school　were　the　use　of　chemical　medicines；　and　a　theory　of　pathology　different　from　the　prevailing　〃humoral〃　pathology。　The　founder　of　this　school　was　Sylvius　（Franz　de　le　Boe；　1614…1672）；　professor　of　medicine　at　Leyden。　He　attempted　to　establish　a　permanent　system　of　medicine　based　on　the　newly　discovered　theory　of　the　circulation　and　the　new　chemistry；　but　his　name　is　remembered　by　medical　men　because　of　the　fissure　in　the　brain　（fissure　of　Sylvius）　that　bears　it。　He　laid　great　stress　on　the　cause　of　fevers　and　other　diseases　as　originating　in　the　disturbances　of　the　process　of　fermentation　in　the　stomach。　The　doctrines　of　Sylvius　spread　widely　over　the　continent；　but　were　not　generally　accepted　in　England　until　modified　by　Thomas　Willis　（1622…1675）；　whose　name；　like　that　of　Sylvius；　is　perpetuated　by　a　structure　in　the　brain　named　after　him；　the　circle　of　Willis。　Willis's　descriptions　of　certain　nervous　diseases；　and　an　account　of　diabetes；　are　the　first　recorded；　and　added　materially　to　scientific　medicine。　These　schools　of　medicine　lasted　until　the　end　of　the　seventeenth　century；　when　they　were　finally　overthrown　by　Sydenham。　The　Iatrophysical　school　（also　called　iatromathematical；　iatromechanical；　or　physiatric）　was　founded　on　theories　of　physiology；　probably　by　Borelli；　of　Naples　（1608…1679）；　although　Sanctorius；　Sanctorius；　a　professor　at　Padua；　was　a　precursor；　if　not　directly　interested　in　establishing　it。　Sanctorius　discovered　the　fact　that　an　〃insensible　perspiration〃　is　being　given　off　by　the　body　continually；　and　was　amazed　to　find　that　loss　of　weight　in　this　way　far　exceeded　the　loss　of　weight　by　all　other　excretions　of　the　body　combined。　He　made　this　discovery　by　means　of　a　peculiar　weighing…machine　to　which　a　chair　was　attached；　and　in　which　he　spent　most　of　his　time。　Very　naturally　he　overestimated　the　importance　of　this　discovery；　but　it　was；　nevertheless；　of　great　value　in　pointing　out　the　hygienic　importance　of　the　care　of　the　skin。　He　also　introduced　a　thermometer　which　he　advocated　as　valuable　in　cases　of　fever；　but　the　instrument　was　probably　not　his　own　invention；　but　borrowed　from　his　friend　Galileo。　Harvey's　discovery　of　the　circulation　of　the　blood　laid　the　foundation　of　the　Iatrophysical　school　by　showing　that　this　vital　process　was　comparable　to　a　hydraulic　system。　In　his　On　the　Motive　of　Animals；　Borelli　first　attempted　to　accoun