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a history of science-4-第14部分

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m per anatomen indagatis was the largest; most accurate; and best…illustrated collection of cases that had ever been brought together; and marks an epoch in medical science。 From the time of the publication of Morgagni's researches; morbid anatomy became a recognized branch of the medical science; and the effect of the impetus thus given it has been steadily increasing since that time。


WILLIAM HUNTER

William Hunter (1718…1783) must always be remembered as one of the greatest physicians and anatomists of the eighteenth century; and particularly as the first great teacher of anatomy in England; but his fame has been somewhat overshadowed by that of his younger brother John。

Hunter had been intended and educated for the Church; but on the advice of the surgeon William Cullen he turned his attention to the study of medicine。 His first attempt at teaching was in 1746; when he delivered a series of lectures on surgery for the Society of Naval Practitioners。  These lectures proved so interesting and instructive that he was at once invited to give others; and his reputation as a lecturer was soon established。 He was a natural orator and story…teller; and he combined with these attractive qualities that of thoroughness and clearness in demonstrations; and although his lectures were two hours long he made them so full of interest that his pupils seldom tired of listening。  He believed that he could do greater good to the world by 〃publicly teaching his art than by practising it;〃 and even during the last few days of his life; when he was so weak that his friends remonstrated against it; he continued his teaching; fainting from exhaustion at the end of his last lecture; which preceded his death by only a few days。

For many years it was Hunter's ambition to establish a museum where the study of anatomy; surgery; and medicine might be advanced; and in 1765 he asked for a grant of a plot of ground for this purpose; offering to spend seven thousand pounds on its; erection besides endowing it with a professorship of anatomy。 Not being able to obtain this grant; however; he built a house; in which were lecture and dissecting rooms; and his museum。 In this museum were anatomical preparations; coins; minerals; and natural…history specimens。

Hunter's weakness was his love of controversy and his resentment of contradiction。  This brought him into strained relations with many of the leading physicians of his time; notably his own brother John; who himself was probably not entirely free from blame in the matter。 Hunter is said to have excused his own irritability on the grounds that being an anatomist; and accustomed to 〃the passive submission of dead bodies;〃 contradictions became the more unbearable。 Many of the physiological researches begun by him were carried on and perfected by his more famous brother; particularly his investigations of the capillaries; but he added much to the anatomical knowledge of several structures of the body; notably as to the structure of cartilages and joints。


JOHN HUNTER

In Abbot Islip's chapel in Westminster Abbey; close to the resting…place of Ben Jonson; rest the remains of John Hunter (1728…1793); famous in the annals of medicine as among the greatest physiologists and surgeons that the world has ever produced: a man whose discoveries and inventions are counted by scores; and whose field of research was only limited by the outermost boundaries of eighteenth…century science; although his efforts were directed chiefly along the lines of his profession。

Until about twenty years of age young Hunter had shown little aptitude for study; being unusually fond of out…door sports and amusements; but about that time; realizing that some occupation must be selected; he asked permission of his brother William to attempt some dissections in his anatomical school in London。  To the surprise of his brother he made this dissection unusually well; and being given a second; he acquitted himself with such skill that his brother at once predicted that he would become a great anatomist。  Up to this time he had had no training of any kind to prepare him for his professional career; and knew little of Greek or Latinlanguages entirely unnecessary for him; as he proved in all of his life work。  Ottley tells the story that; when twitted with this lack of knowledge of the 〃dead languages〃 in after life; he said of his opponent; 〃I could teach him that on the dead body which he never knew in any language; dead or living。〃

By his second year in dissection he had become so skilful that he was given charge of some of the classes in his brother's school; in 1754 he became a surgeon's pupil in St。 George's Hospital; and two years later house…surgeon。 Having by overwork brought on symptoms that seemed to threaten consumption; he accepted the position of staff…surgeon to an expedition to Belleisle in 1760; and two years later was serving with the English army at Portugal。  During all this time he was constantly engaged in scientific researches; many of which; such as his observations of gun…shot wounds; he put to excellent use in later life。 On returning to England much improved in health in 1763; he entered at once upon his career as a London surgeon; and from that time forward his progress was a practically uninterrupted series of successes in his profession。

Hunter's work on the study of the lymphatics was of great service to the medical profession。  This important net…work of minute vessels distributed throughout the body had recently been made the object of much study; and various students; including Haller; had made extensive investigations since their discovery by Asellius。  But Hunter; in 1758; was the first to discover the lymphatics in the neck of birds; although it was his brother William who advanced the theory that the function of these vessels was that of absorbents。 One of John Hunter's pupils; William Hewson (1739…1774); first gave an account; in 1768; of the lymphatics in reptiles and fishes; and added to his teacher's investigations of the lymphatics in birds。 These studies of the lymphatics have been regarded; perhaps with justice; as Hunter's most valuable contributions to practical medicine。

In 1767 he met with an accident by which he suffered a rupture of the tendo Achillisthe large tendon that forms the attachment of the muscles of the calf to the heel。 From observations of this accident; and subsequent experiments upon dogs; he laid the foundation for the now simple and effective operation for the cure of club feet and other deformities involving the tendons。  In 1772 he moved into his residence at Earlscourt; Brompton; where he gathered about him a great menagerie of animals; birds; reptiles; insects; and fishes; which he used in his physiological and surgical experiments。 Here he performed a countless number of experimentsmore; probably; than 〃any man engaged in professional practice has ever conducted。〃 These experiments varied in nature from observations of the habits of bees and wasps to major surgical operations performed upon hedgehogs; dogs; leopards; etc。  It is said that for fifteen years he kept a flock of geese for the sole purpose of studying the process of development in eggs。

Hunter began his first course of lectures in 1772; being forced to do this because he had been so repeatedly misquoted; and because he felt that he could better gauge his own knowledge in this way。 Lecturing was a sore trial to him; as he was extremely diffident; and without writing out his lectures in advance he was scarcely able to speak at all。  In this he presented a marked contrast to his brother William; who was a fluent and brilliant speaker。 Hunter's lectures were at best simple readings of the facts as he had written them; the diffident teacher seldom raising his eyes from his manuscript and rarely stopping until his complete lecture had been read through。  His lectures were; therefore; instructive rather than interesting; as he used infinite care in preparing them; but appearing before his classes was so dreaded by him that he is said to have been in the habit of taking a half…drachm of laudanum before each lecture to nerve him for the ordeal。 One is led to wonder by what name he shall designate that quality of mind that renders a bold and fearless surgeon like Hunter; who is undaunted in the face of hazardous and dangerous operations; a stumbling; halting; and 〃frightened〃 speaker before a little band of; at most; thirty young medical students。  And yet this same thing is not unfrequently seen among the boldest surgeons。


Hunter's Operation for the Cure of Aneurisms

It should be an object…lesson to those who; ignorantly or otherwise; preach against the painless vivisection as practised to…day; that by the sacrifice of a single deer in the cause of science Hunter discovered a fact in physiology that has been the means of saving thousands of human lives and thousands of human bodies from needless mutilation。 We refer to the discovery of the 〃collateral circulation〃 of the blood; which led; among other things; to Hunter's successful operation upon aneurisms。

Simply stated; every organ or muscle of the body is supplied by one large artery; whose main trunk distributes the blood into its lesser 
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