I purpose to devote the time, which your indulgence has placed at my disposal this evening, to laying before you the results of some inquiries into the origin and history of medicine and of the medical profession; regarding the subject rather from a social than from a scientific point of view.
My scheme will introduce you to some of your old acquaintances; not for instruction, but to remind you of those passages in their lives which may have been pressed out of your memories by the sterner realities of professional duties.
An inquiry into the origin of medicine must begin with the history of man himself, since pain and death are the inevitable conditions of his existence; and the desire to mitigate the former, and postpone the triumphs of the latter arose from, and has kept pace with, the development of the various diseases to which time and circumstances have subjected him.
The primal man, we know, was created pure and innocent, free from liability to pain, and possessed of unmixed capacity for the enjoyment of the pleasures that surrounded him; glowing with health, and with every emotion redolent of new delight. At sight of him,
Each hill gave sign of gratulation, Joyous the birds; fresh gales and gentle airs Whisper’d it to the woods; and from their wings Flung rose, flung odours from the spicy shrub:—
Apprehension of the miseries to which his progeny were doomed, would have marred this happiness; hence his ignorance of evil, and his belief that the felicity he enjoyed would be as permanent as it was perfect. But our business is with man in his actual condition; the sport of
“All maladies Of ghastly spasm, or racking torture, qualms Of heart-sick agony, all feverous kinds, Convulsions, epilepsies, fierce catarrhs, Intestine stone, and ulcer, colic pangs, Demoniac phrensy, moping melancholy, And moon-struck madness, pining atrophy, Marasmus and wide wasting pestilence, Dropsies and asthmas, and joint-racking rheums, And over them triumphant Death his dart Shook, but delayed to strike.”——
Undertaking to examine the subject ab initio, we must take into account the sources of our information, and as our knowledge of every event antecedent to the discovery of writing must have been transmitted by oral or traditional agencies, we have to settle, in some degree, how far such evidence is worthy of credence.
According to popular belief, the Noahic flood destroyed the whole human race, with the exception of Noah and his family; who were therefore the sole depositories of the traditions of the events which had occurred between the time of Adam and themselves. The great longevity of these antediluvian fathers made this oral transmission easy; and we know, that the sons of Noah lived to see the birth of Abraham, whom, as the founder of circumcision, we claim as the first operative surgeon on record.
In dealing with dates, I adopt the commonly accepted chronology, unmoved by those refined speculations so much in favour at this time.
I begin with Moses, for whatever evidence may be urged upon us in the shape of marbles, or monuments, claiming an antiquity anterior to the advent of the Jewish lawgiver, it is a positive and unimpeachable fact, that no writings are in existence, which in point of age reach within many centuries of the Pentateuch; indeed, as we shall presently see, the oldest of the Greek writers are, in comparison with Moses, but as the children of yesterday.
The five books of Moses were written 1500 years before Christ. Hesiod, the father of Greek literature, flourished 500 years later; and Homer, the next in succession, nearly a century after Hesiod.
Herodotus places Homer 400 years before himself; thus bringing the “father of history,” as he is termed by Cicero, to about 500 years before the advent of our Saviour, so that the difference of date between the author of the Pentateuch and the oldest Greek historian cannot be much less than 1000 years.
I pass over the pretended antiquity of the Chinese and Parsis records: these have been disposed of very satisfactorily, and however much fancy may dwell upon the losses to literature inflicted by the Caliph Omar, when he destroyed the Alexandrian library,[1] in the year 640, a very little reflection will convince us that as these treasures, real or assumed, had been ransacked for ages, by the brightest spirits of Greece and Rome, everything worthy of note has been handed down to us.
Footnote 1:
The library destroyed by the Caliph Omar, was situated in the temple of Serapis, and consisted of 300,000 volumes; in addition to which there existed in the Bruchion quarter of the city of Alexandria, a second collection of 400,000 books, which was accidentally lost by fire during the war with Julius Cæsar.
Alexandria (founded 332 B.C.) stood in an intermediate position between the east and west, and united the commerce of Europe, Aralia, and India; here came first into collision the Greek and Oriental mind; here the Septuagint translation of the Old Testament was written; and the collections formed by the ancient kings of Egypt were rapidly enriched and enlarged by the interchange of ideas with the Greek philosophers.
The learned talk about the writings of the Assyrians, the Babylonians, and the Egyptians; but they do not produce a single scrap of tangible evidence in support of these pretensions.
It may, however, be contended, that although there are no writings extant, traditional evidence is very strong; and this establishes a high antiquity for Lycurgus, who lived 900 years before the Christian era. The more, therefore, we inquire, the stronger the proof becomes, that Moses as a lawgiver flourished 600 years before the highest claimant to our veneration on the grounds of primitiveness; and thus we are entitled to assume that the Greek legislator took much that is excellent, in the laws ascribed to him, from his Jewish predecessor.
Lycurgus lived about the time that Shishak, king of Egypt, destroyed the temple of Solomon, and carried away many captives: it is therefore no very extravagant supposition, that the Pentateuch of Moses was known to the great lawgiver. During the peaceful reign of king Solomon, the intercourse between the Jews and the Egyptians was frequent and extensive, for the great monarch, needing the assistance of skilful artificers for the construction of the Temple at Jerusalem, broke down that barrier of exclusiveness that had previously isolated his people.
Now the learned of that day were seekers after wisdom wherever it was to be found; and moreover, as the fame of Solomon was co-extensive with the then existing world, so acute an observer as the founder of the Grecian law could not fail to use the materials which the wide spread knowledge of the Jewish kings sayings and doings had placed within his reach.
Every Jew was required to read the law, or hear it read, once a year—each individual therefore became a living depository of its truths, and, consequently, a somewhat competent teacher of those who might desire to be instructed in such matters.
Moses then comes before us as the first writer, and the first lawgiver; and we shall now proceed to show that to these titles he added the still greater distinction of being the first physician, and promulgator of sanitary precautions.
At present, however, I will not further intrude upon your patience, but leaving his claims where I have placed them, pass on to the consideration of the character of the laws themselves;—and here we arrive at a body of enactments so excellent, so well adapted, not only to the requirements of a nomadic people wandering in a wild country, but to that same people when they subsequently became dwellers in cities, and suffered all the encumbrances of a more advanced civilization. Moses made laws for all times and for all communities, general as well as particular, reaching the nation through every individual member thereof; his rules for the preservation of health embraced the consideration of personal cleanliness enforced as a religious obligation in order that he might thereby enlist the unvarying co-operation of the priesthood.
In a climate incentive to animal enjoyments he placed strict barriers for the preservation of chastity, and decreed that matters relating to sexual intercourse should be under the surveillance of the priest; directions were also given to the menstruous woman, and for her conduct during pregnancy and in childbed. The ordinance of circumcision was devised not alone for ablutionary purposes, but for other well understood objects conducive to purity. Further, it was directed how the man should order himself in affections of the virile organs; and more emphatically, what he was bound to observe when the terrible leprosy afflicted him. In such a calamity he was compelled to withdraw from his house, to be separated from society, and present himself to the priest at various periods during the progress of the disease; he was also to remain in a cheerless exclusion, where, if by chance any unwary passenger came in sight, the sufferer was commanded to cry aloud, unclean! unclean! When convalescence and health returned, the priest pronounced him cured of his leprosy, and he was then permitted to return to his home; but if the leprosy was supposed to cling to the habitation, that, too, was subjected to isolation, and in some instances to total destruction.
The same precautions obtain in our own times, although nearly 3400 years have elapsed since they were first insisted upon by Moses.
Thus, we are told by Dr. Thompson, an eminent American writer on the Holy Land (where he resided many years), that lepers are everywhere regarded as unclean, and that at Jerusalem (where there is always a considerable number of them) a separate quarter in the city is assigned to them, to which they are rigidly confined. Dr. Thompson says: “I have seen them cast out of the villages where they resided, and no healthy person would touch them, eat with them, or use any of their clothes or utensils, and even the Arab tent dwellers cast them out of camp. The leper beggars stand apart, and never attempt to touch you, even as it was in the time of the Saviour, when the ten lepers stood afar off and lifted up their voice of entreaty.”
The same writer furnishes us with the following graphic description, which, as coming from an eye witness, we have deemed worthy of notice:—
“Sauntering down the Jaffa road, on my way to the Holy City, I was startled by the sudden apparition of a crowd of beggars, sans eyes, sans nose, sans hair, sans everything; they held up their handless arms, unearthly sounds gurgled through throats without palates, and, in a word, I stood horrified, when, for the first time, I found myself face to face with a leper.” He then goes on to say: “For many years I have sought to get at the mystery of its origin, but neither books nor learned physicians have thrown any light upon it. I have suspected that this remorseless enemy originates in some self-propagating animalcules, and thus I can conceive the possibility of the contagion reaching the walls of a dwelling. No one has spoken with authority, as to what it proceeds from or how it is generated.