, Jeffrey, Kittredge,
Oliver, Peaslee, Randall, Shattuck, Thacher, Wellington, Williams,
Woodward. Touton was a Huguenot, Burchsted a German from Silesia,
Lunerus a German or a Pole; "Pighogg Churrergeon," I hope, for the honor
of the profession, was only Peacock disguised under this alias, which
would not, I fear, prove very attractive to patients.
What doctrines and practice were these colonists likely to bring, with
them?
Two principal schools of medical practice prevailed in the Old World
during the greater part of the seventeenth century. The first held to
the old methods of Galen: its theory was that the body, the microcosm,
like the macrocosm, was made up of the four elements--fire, air, water,
earth; having respectively the qualities hot, dry, moist, cold. The body
was to be preserved in health by keeping each of these qualities in its
natural proportion; heat, by the proper temperature; moisture, by the due
amount of fluid; and so as to the rest. Diseases which arose from excess
of heat were to be attacked by cooling remedies; those from excess of
cold, by heating ones; and so of the other derangements of balance. This
was truly the principle of contraries contrariis, which ill-informed
persons have attempted to make out to be the general doctrine of
medicine, whereas there is no general dogma other than this: disease is
to be treated by anything that is proved to cure it. The means the
Galenist employed were chiefly diet and vegetable remedies, with the use
of the lancet and other depleting agents. He attributed the four
fundamental qualities to different vegetables, in four different degrees;
thus chicory was cold in the fourth degree, pepper was hot in the fourth,
endive was cold and dry in the second, and bitter almonds were hot in the
first and dry in the second degree. When we say "cool as a cucumber," we
are talking Galenism. The seeds of that vegetable ranked as one of "the
four greater cold seeds" of this system.
Galenism prevailed mostly in the south of Europe and France. The readers
of Moliere will have no difficulty in recalling some of its favorite
modes of treatment, and the abundant mirth he extracted from them.
These Galenists were what we should call "herb-doctors" to-day. Their
insignificant infusions lost credit after a time; their absurdly
complicated mixtures excited contempt, and their nauseous prescriptions
provoked loathing and disgust. A simpler and bolder practice found
welcome
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