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+The Project Gutenberg EBook of Medical Investigation in Seventeenth
+Century England, by Charles W. Bodemer and Lester S. King
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Medical Investigation in Seventeenth Century England
+ Papers Read at a Clark Library Seminar, October 14, 1967
+
+Author: Charles W. Bodemer
+ Lester S. King
+
+Release Date: September 18, 2009 [EBook #30016]
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK MEDICAL INVESTG'N--17THCENT ENGLAND ***
+
+
+
+
+Produced by Gerard Arthus, Stephanie Eason, and the Online
+Distributed Proofreading Team at https://www.pgdp.net.
+
+
+
+
+
+
+
+
+
+ Medical Investigation
+ in Seventeenth Century
+ England
+
+ Charles W. Bodemer
+
+ Lester S. King
+
+ William Andrews Clark Memorial Library
+
+
+
+ Medical Investigation
+ in Seventeenth Century
+ England
+
+ Embryological Thought in
+ Seventeenth Century England
+
+ _by Charles W. Bodemer_
+
+ Robert Boyle as an Amateur Physician
+
+ _by Lester S. King_
+
+ Papers Read at a Clark Library Seminar,
+ October 14, 1967
+
+ William Andrews Clark Memorial Library
+ _University of California, Los Angeles/1968_
+
+
+
+
+_Foreword_
+
+
+Although the collection of scientific literature in the Clark Library
+has already served as the background for a number of seminars, in the
+most recent of them the literature of embryology and the medical aspects
+of Robert Boyle's thought were subjected to a first and expert
+examination. Charles W. Bodemer, of the Division of Biomedical History,
+School of Medicine, University of Washington, evaluated the
+embryological ideas of that remarkable group of inquiring Englishmen,
+Sir Kenelm Digby, Nathaniel Highmore, William Harvey, and Sir Thomas
+Browne. Lester S. King, Senior Editor of the _Journal of the American
+Medical Association_, dealt with the medical side of Robert Boyle's
+writings, the collection of which constitutes one of the chief glories
+of the Clark Library. It was a happy marriage of subject matter and
+library's wealth, the former a noteworthy oral presentation, the latter
+a spectacular exhibit. As usual, and of necessity, the audience was
+restricted in size, far smaller in numbers than all those who are now
+able to enjoy the presentations in their present, printed form.
+
+C. D. O'MALLEY
+
+_Professor of Medical History, UCLA_
+
+
+
+
+I
+
+_Embryological Thought in Seventeenth
+Century England_
+
+CHARLES W. BODEMER
+
+
+To discuss embryological thought in seventeenth-century England is to
+discuss the main currents in embryological thought at a time when those
+currents were both numerous and shifting. Like every other period, the
+seventeenth century was one of transition. It was an era of explosive
+growth in scientific ideas and techniques, suffused with a creative urge
+engendered by new philosophical insights and the excitement of
+discovery. During the seventeenth century, the ideas relating to the
+generation and development of organisms were quite diverse, and there
+were seldom criteria other than enthusiasm or philosophical predilection
+to distinguish the fanciful from the feasible. Applying a well-known
+phrase from another time to seventeenth-century embryological theory,
+"It was the best of times, it was the worst of times, it was the age of
+wisdom, it was the age of foolishness."[1]
+
+Embryology underwent some very significant changes during the
+seventeenth century. At the beginning of the century, embryology was
+descriptive and clearly directed toward morphological goals; by the end
+of the century, a dynamic, more physiological attitude was apparent, and
+theories of development derived from an entirely different philosophic
+base. During this time, English investigators contributed much, some of
+ephemeral, some of lasting importance to the development of embryology.
+For this discussion, we will divide the seventeenth century into three
+overlapping, but generally distinct, periods; and, without pretence of
+presenting an exhaustive exposition, we will concentrate upon the
+concepts and directions of change characteristic of each period, with
+primary reference to those individuals who best reveal the character of
+seventeenth-century English embryology.
+
+An understanding of the characteristics of embryological thought at the
+beginning of the seventeenth century may enhance appreciation of later
+developments. During the latter part of the sixteenth century, the study
+of embryology was, for obvious reasons, most often considered within the
+province of anatomy and obstetrics. From Bergengario da Capri to Jean
+Riolan the Younger, study of the fetus was recommended as an adjunct of
+these subjects, and it required investigation by direct observation, as
+decreed by the "restorers" of anatomy. Embryonic development was,
+however, also studied independently of other disciplines by a smaller
+group of individuals, and the study of chick development by Aldrovandus,
+Coiter, and Fabricius ab Aquapendente laid the basic groundwork of
+descriptive embryology. In either case, during the last half of the
+sixteenth century the attempt of the embryologist to break with the
+traditions of the past was overt, although consistently unsuccessful.
+When dealing with the fetus, the investigators of this period were,
+almost to a man, Galenists influenced to varying degrees by Hippocrates,
+Aristotle, and Avicenna. Each felt compelled to challenge the immediate
+authority, and yet their intellectual isolation from the past was
+incomplete, and their views on embryogeny corresponded with more often
+than they differed from those of the person they railed against.
+
+Embryology emerged as a distinct scientific discipline during the last
+half of the sixteenth century and early years of the seventeenth century
+as a result of the aforementioned investigations of Aldrovandus, Coiter,
+and Fabricius. Concerned with description and depiction of the anatomy
+of the embryo, they established a period of macro-iconography in
+embryology. The macro-iconographic era was empirical and based upon
+first-hand observation; it was concerned more with the facts than with
+the theories of development. This empiricism existed in competition with
+a declining, richly vitalistic Aristotelian rationalism which had
+virtually eliminated empiricism during the scholastic period. However,
+the decline of this vitalistic rationalism coincided with the rise of a
+mechanistic rationalism which had its roots in ancient Greek atomistic
+theories of matter. The empiricism comprising the _leitmotif_ of the
+macro-iconographic movement then became blended with, or, more often,
+submerged within, the new variety of rationalism; hence, mechanistic
+rationalism, divorced entirely or virtually from empiricism,
+characterizes embryology during the first half of the seventeenth
+century. It is a particularly vigorous strain of seventeenth-century
+English embryological thought, well illustrated in the writings of that
+English man of affairs, Sir Kenelm Digby.
+
+Digby, whose name, according to one biographer, "is almost synonymous
+with genius and eccentricity,"[2] could claim our attention not only as
+a scientist of talent, but also as a statesman, soldier, pirate, lover,
+and a Roman Catholic possessed of sufficient piety and naked courage to
+attempt the conversion of Oliver Cromwell. Like his father, who was
+hanged for participation in the Gunpowder Plot, Digby was a political
+creature, and during the Civil War he was imprisoned for several years.
+When freed, Digby left England to settle in France. Spending much time
+at the court of the Queen Dowager, who had been instrumental in securing
+his release, and exposed to the vigorous intellectual currents of Paris
+and Montpellier, Digby labored upon a treatise of greater scientific
+substance and merit than his more famous work on "the powder of
+sympathy." Published in 1644 under the title _Two Treatises, in the One
+of Which, The Nature of Bodies; in the Other, the Nature of Mans Soule;
+is Looked_ _into, in Way of Discovery of the Immortality of Reasonable
+Soules_, the book consists of a highly individual survey of the entire
+realms of metaphysics, physics, and biology.
+
+Digby's cannons were aimed at scholasticism, which, despite "greatly
+exaggerated" reports, did not die with the Middle Ages. The spirit of
+scholasticism was alive in many quarters well into the seventeenth
+century, and although many scholars worked in pursuit of original
+knowledge, they did not always disturb the scholastic philosophic basis
+from which their work derived. For example, in his impressive _De
+formato foetu_, published in 1604, when Sir Kenelm Digby was one year
+old, Fabricius all too often submerges a substantial body of
+observations within a dense tangle of philosophical discussion. Thus, in
+the same treatise that contains the first illustrations and commendably
+accurate descriptions of the daily progress of the chick's development,
+Fabricius devotes an inordinate amount of space to tedious discussions
+of material and efficient causes in development, emphasizing thereby the
+supremacy of the logical framework to the observations. In 1620, Digby's
+last year of study at Oxford University, Fienus published a work, _De
+Formatrice Foetus_, designed to demonstrate that the human embryo
+receives the rational soul on the third day after conception and to
+discuss at length such subjects as the efficient cause of embryogeny and
+the proposition that the conformation of the fetus is a vital, not a
+natural, action. Various expressions of Aristotelian and scholastic
+biology were clearly abroad during the first half of the seventeenth
+century, and there is reason, then, for Digby's attack upon Aristotelian
+ideas of form and matter and of the persistence of "qualities" in
+physics and "faculties" in biology.
+
+Expressing his disdain of word-spinning, Digby attempts to explain all
+phenomena by two "virtues" only, rarity and density working by local
+motion. In discussing embryonic development, Digby writes, "...our
+maine question shall be, Whether they be framed entirely at once; or
+successively, one part after another? And, if this later way, which
+part first?"[3] Toward this end, Digby makes some direct observations
+upon the development of the chick embryo, incubating the eggs so that
+the "creatures ... might be continually in our power to observe in them
+the course of nature every day and houre."[4] His description of chick
+development is of epigenetic bent:
+
+ ...you may lay severall egges to hatch; and by breaking them at
+ severall ages you may distinctly observe every hourely mutation in
+ them, if you please. The first will bee, that on one side you shall
+ find a great resplendent clearnesse in the white. After a while, a
+ little spott of red matter like bload, will appeare in the middest
+ of that clearnesse fastened to the yolke: which will have a motion
+ of opening and shutting; so as sometimes you will see it, and
+ straight againe it will vanish from your sight; and indeede att the
+ first it is so litle, that you can not see it, but by the motion of
+ it; for att every pulse, as it openeth, you may see it, and
+ immediately againe, it shutteth in such sort, as it is not to be
+ discerned. From this red specke, after a while there will streame
+ out, a number of litle (almost imperceptible) red veines. Att the
+ end of some of which, in time there will be gathered together, a
+ knotte of matter which by litle and litle, will take the forme of a
+ head; and you will ere long beginne to discerne eyes and a beake in
+ it. All this while the first red spott of blood, groweth bigger and
+ solider; till att the length, it becometh a fleshy substance; and
+ by its figure, may easily be discerned to be the hart: which as yet
+ hath no other enclosure but the substance of the egge. But by litle
+ and litle the rest of the body of an animal is framed out of those
+ red veines which streame out all aboute from the hart. And in
+ processe of time, that body incloseth the hart within it by the
+ chest, which groweth over on both sides, and in the end meeteth,
+ and closeth it selfe fast together. After which this litle creature
+ soone filleth the shell, by converting into severall partes of it
+ selfe all the substance of the egge. And then growing weary of so
+ straight an habitation, it breaketh prison, and cometh out, a
+ perfectly formed chicken.[5]
+
+
+Despite this observational effort, Digby's experience with the embryo is
+quite limited, and his theory of development relates more to his
+philosophical stance than to the facts of development. Indeed, the
+theory he propounds is not necessarily consistent. On the one hand, it
+posits a strictly mechanistic epigenesis, and on the other hand, it
+incorporates the notion of "specificall vertues drawne by the bloud in
+its iterated courses, by its circular motion, through all the severall
+partes of the parents body."[6] Digby rejects an internal agent,
+entelechy, or the Aristotelian formal and efficient causes. Similarly,
+he disposes of the idea that the embryonic parts derive from some part
+of each part of the parent's body or an assemblage of parts. This
+possibility is eliminated, he contends, by the occurrence of spontaneous
+generation. If a collection of parts was necessary, he asks, "how could
+vermine breed out of living bodies, or out of corruption?... How could
+froggs be ingendered in the ayre?"[7] Generation in plants and animals
+must, then, according to Digby, proceed from the action of an external
+agent, effecting the proper mingling of the rare and dense bodies with
+one another, upon a homogeneous substance and converting it into an
+increasingly heterogeneous substance. "Generation," he says,
+
+ is not made by aggregation of like partes to presupposed like ones:
+ nor by a specificall worker within; but by the compounding of a
+ seminary matter, with the juice which accreweth to it from without,
+ and with the streames of circumstant bodies; which by an ordinary
+ course of nature, are regularly imbibed in it by degrees; and which
+ att every degree do change it into a different thing.[8]
+
+Digby argues that the animal is made of the juices that later nourish
+it, that the embryo is generated from superfluous nourishment coming
+from all parts of the parent body and containing "after some sort, the
+perfection of the whole living creature."[9] Then, through digestion and
+other degrees of heat and moisture, the superfluous nourishment becomes
+an homogeneous body, which is then changed by successive transformations
+into an animal.
+
+Digby is frankly deterministic in his description of embryonic
+development:
+
+ Take a beane, or any other seede, and putt it into the earth, and
+ lett water fall upon it; can it then choose but that the beane must
+ swell? The beane swelling, can it choose but breake the skinne? The
+ skinne broken can it choose (by reason of the heate that is in it)
+ but push out more matter, and do that action which we may call
+ germinating.... Now if all this orderly succession of mutations be
+ necessarily made in a beane, by force of sundry circumstances and
+ externall accidents; why may it not be conceived that the like is
+ also done in sensible creatures; but in a more perfect manner....
+ Surely the progresse we have sett downe is much more reasonable,
+ then to conceive that in the meale of the beane, are contained in
+ litle, severall similar substances.... Or, that in the seede of the
+ male, there is already in act, the substance of flesh, of bone, of
+ sinewes, of veines, and the rest of those severall similar partes
+ which are found in the body of an animall; and that they are but
+ extended to their due magnitude, by the humidity drawne from the
+ mother, without receiving any substantiall mutation from what they
+ were originally in the seede. Lett us then confidently conclude,
+ that all generation is made of a fitting, but remote, homogeneall
+ compounded substance: upon which, outward Agents working in the due
+ course of nature, do change it into an other substance, quite
+ different from the first, and do make it lesse homogeneall then the
+ first was. And other circumstances and agents, do change this
+ second into a thirde; that thirde, into a fourth; and so onwardes,
+ by successive mutations (that still make every new thing become
+ lesse homogeneall, then the former was, according to the nature of
+ heate, mingling more and more different bodies together) untill
+ that substance be produced, which we consider in the periode of all
+ these mutations....[10]
+
+
+Digby thus makes a good statement of epigenetic development. He
+attempts, without success, a physiochemical explanation of the
+mechanisms of development, finally admitting:
+
+ I persuade my selfe it appeareth evident enough, that to effect
+ this worke of generation, there needeth not be supposed a forming
+ vertue ... of an unknowne power and operation.... Yet, in
+ discourse, for conveniency and shortnesse of expression we shall
+ not quite banish that terme from all commerce with us; so that what
+ we meane by it, be rightly understood; which is, the complexe,
+ assemblement, or chayne of all the causes, that concurre to produce
+ this effect; as they are sett on foote, to this end by the great
+ Architect and Moderatour of them, God Almighty, whose instrument
+ Nature is.[11]
+
+Digby's general theory thus represents a strange mixture of epigenesis
+and pangenesis, and is not entirely devoid of "virtues." It is, however,
+a bold attempt to explain embryonic development in terms commensurate
+with his time, and it embodies the same optimistic belief that the
+mechanism of embryogenesis lay accessible to man's reason and logical
+faculties that similarly led Descartes and Gassendi to comprehensive
+interpretations of embryonic development comprising a maximum of logic
+and minimum of observations.
+
+The traditionalist reaction to the attack upon treasured and
+intellectually comfortable interpretations of development was not slow
+to set in. A year after the appearance of Digby's _Nature of Bodies_,
+Alexander Ross published a treatise with a title indicating its goals
+and content: _The Philosophicall Touch-Stone; or Observations upon Sir
+Kenelm Digbie's Discourses of the nature of Bodies, and of the
+reasonable Soule: In which his erroneous Paradoxes are refuted, the
+Truth, and Aristotelian Philosophy vindicated, the immortality of mans
+Soule briefly, but sufficiently proved_.[12] Ross supports the Galenist
+tradition that the liver, not, as Digby claimed, the heart, forms first
+in development. It can be no other way, he says, since the blood is the
+source of nourishment and the liver is necessary for formation of the
+blood. Furthermore, he contends, "the seed is no part of the ... aliment
+of the body ... the seed is the quintessence of the blood."[13] Ross is
+an epigeneticist, to be sure, but so was Aristotle, and Ross prefers to
+maintain the supremacy of logic and the concepts of the Aristotelian
+tradition as a guide to the interpretation of development.
+
+In 1651, Nathaniel Highmore, a physician at Sherborne in Dorset,
+published _The History of Generation_, which, he informs us, is an
+answer to the opinions expressed by Digby in _The Nature of Bodies_.
+Highmore's book is an important one in the history of embryology, since
+it is the first treatment of embryogeny from the atomistic viewpoint and
+because it contains the first published observations based upon
+microscopic examination of the chick blastoderm. Admittedly, the
+drawings illustrating Highmore's observations upon generation are, to
+use a word often applied to modern art, "interesting," but they do
+derive from actual observations of developing plant and animal embryos.
+His observations on the developing chick embryo are quite full,
+complete, and exact, and he also records some interesting facts
+regarding development of plant seeds.
+
+Highmore's theory of development appears to have emerged directly out of
+his observations of development. In this sense, his theory rests upon a
+more solid base than does the developmental theory of Digby. His theory
+is a mixture of vitalism and atomism, designed to eliminate the "fortune
+and chance"[14] resident in Digby's concept. "Generation," he says,
+
+ ...is performed by parts selected from the generators, retaining
+ in them the substance, forms, properties, and operations of the
+ parts of the generators, from whence they were extracted: and this
+ Quintessence or Magistery is called the seed. By which the
+ Individuals of every Species are multiplied...
+
+
+From this, All Creatures take their beginning; some laying up the like
+matter, for further procreation of the same Species.
+
+In others, some diffus'd Atomes of this extract, shrinking themselves
+into some retired parts of the Matter; become as it were lost, in a
+wilderness of other confused seeds; and there sleep, till by a
+discerning corruption they are set at liberty, to execute their own
+functions. Hence it is, that so many swarms of living Creatures are from
+the corruption of others brought forth: From our own flesh, from other
+Animals, from Wood, nay, from everything putrified, these imprisoned
+seminal principles are muster'd forth, and oftentimes having obtained
+their freedom, by a kinde of revenge feed on their prison; and devour
+that which preserv'd them from being scatter'd.[15] Accounting thus for
+sexual and spontaneous generation, Highmore defines two types of seminal
+atoms in the seed--"Material Atomes, animated and directed by a
+spiritual form, proper to that species whose the seed is; and given to
+such matter at the creation to distinguish it from other matters, and to
+make it such a Creature as it is."[16] The seminal atoms come from all
+parts of the body, the spiritual atoms from the male, and the material
+atoms from the female. The atoms of Democritus are thus transmuted into
+the "substantial forms" and endowed either with the efficient cause of
+Aristotle or, permitted to remain material, with Aristotle's material
+cause. According to Highmore, the atoms are circulated in the blood,
+which is a "tincture extracted from those things we eat," and these
+various atoms retain their formal identity despite corruption. The
+testicles abstract some spiritual atoms belonging to each part and, "As
+the parts belonging to every particle of the Eye, the Ear, the Heart,
+the Liver, etc. which should in nutrition, have been added ... to every
+one of these parts, are compendiously, and exactly extracted from the
+blood, passing through the body of the Testicles." Being here "cohobated
+and reposited in a tenacious matter," the particles finally pass out of
+the testes.[17] A similar extraction of the female seed occurs in the
+ovaries. The female seed
+
+ ...containing the same particles, but cruder and lesse digested,
+ from a cruder matter, by lesse perfect Organs, is left more
+ terrene, furnished with more material parts; which being united in
+ the womb, with the spiritual particles of the masculine seed;
+ everyone being rightly, according to his proper place, disposed and
+ ordered with the other; fixes and conjoynes those spiritual Atomes,
+ that they still afterwards remain in that posture they are placed
+ in.[18]
+
+
+The theories of development promulgated by Digby and Highmore reveal the
+chief formulations of mechanistic rationalism, more or less free of
+empiricism, that were emerging as the vitalism of the sixteenth and
+seventeenth centuries waned. There was little new in these theories:
+both Digby's and Highmore's theories included different combinations of
+elements of ancient lineage. Digby's concept was essentially free of
+vitalistic coloring; akin to the embryological efforts of Descartes in
+its virtual independence from observations of the developing embryo, it
+was similarly vulnerable to Voltaire's criticism of Descartes, that he
+sought to interpret, rather than study, Nature. This criticism is not so
+applicable to Highmore, whose theory of development is more vitalistic
+than Digby's, and is more akin to the concepts developed by Gassendi
+than those of Descartes. Highmore had experience with the embryo itself,
+and his actual contribution as an observer of development, although
+hardly epochal, is worthy of note. But despite this empirical base,
+Highmore has final recourse to a hypothesis blending many ancient ideas
+and substituting the Aristotelian material and efficient causes for the
+"fortune and chance" he objected to in Digby's hypothesis. It was _not_
+easy in the seventeenth century to avoid falling back upon some variety
+of cause or force.
+
+In 1651, about two months before publication of Highmore's _History of
+Generation_, a work appeared which marks another period in
+seventeenth-century English embryology. William Harvey, _De Motu Cordis_
+almost a quarter of a century behind him, now published _De Generatione
+Animalium_, the work he said was calculated "to throw still greater
+light upon natural philosophy."[19] This book is, perhaps, not as well
+known as Harvey's treatise demonstrating circulation of the blood, but
+it is an important work in the history of embryology and it occupies a
+prominent position in the body of English embryological literature.
+
+In _De Generatione_, Harvey provides a thorough and quite accurate
+account of the development of the chick embryo, which, in particular,
+clarified that the chalazae, those twisted skeins of albumen at either
+end of the yolk, were not, as generally believed, the developing embryo,
+and he demonstrated that the cicatricula (blastoderm) was the point of
+origin of the embryo. The famous frontispiece of the treatise shows Zeus
+holding an egg, from which issue animals of various kinds. On the egg is
+written _Ex ovo omnia_, a legend since transmuted to the epigram _Omne
+vivum ex ovo_. The legend illustrates Harvey's principal theme, repeated
+constantly throughout the text, "that all animals were in some sort
+produced from eggs."[20]
+
+If Harvey made no contribution beyond emphasizing the origin of animals
+from eggs, he would deserve a prominent place in the history of
+embryology. But the work is also significant in its espousal of
+epigenesis, and, supported as his argument was by observation and logic,
+it became the prime formulation of that concept of development during
+the seventeenth and eighteenth centuries. His statement of epigenetic
+development is clear:
+
+ In the egg ... there is no distinct part or prepared matter
+ present, from which the fetus is formed ... an animal which is
+ created by epigenesis attracts, prepares, elaborates, and makes use
+ of the material, all at the same time; the processes of formation
+ and growth are simultaneous ... all its parts are not fashioned
+ simultaneously, but emerge in their due succession and order ...
+ Those parts, I say, are not made similar by any successive union of
+ dissimilar and heterogeneous elements, but spring out of a similar
+ material through the process of generation, have their different
+ elements assigned to them by the same process, and are made
+ dissimilar ... all its parts are formed, nourished, and augmented
+ out of the same material.[21]
+
+Actually, Harvey's exposition of epigenesis, albeit clear, is not
+totally impressive, since it is largely a reflection of Aristotle's
+influence. The main importance of Harvey's vigorous and cogent defense
+of epigenesis is that it provided some kind of counterbalance to the
+increasingly dominant preformationist interpretations of embryonic
+development.
+
+Harvey did not break with Aristotelianism; on the contrary, he lent
+considerable authority to it. Unable to escape the past, he was not
+completely objective in his study of generation. Everywhere the pages of
+his book reveal his indebtedness to past authorities. Robert Willis, who
+provided the 1847 translation of _De Generatione_, expresses this well:
+
+ [Harvey] ... begins by putting himself in some sort of harness of
+ Aristotle, and taking the bit of Fabricius between his teeth; and
+ then, either assuming the ideas of the former as premises, or those
+ of the latter as topics of discussion or dissent, he labours on
+ endeavouring to find Nature in harmony with the Stagyrite, or at
+ variance with the professor of Padua--for, in spite of many
+ expressions of respect and deference for his old master, Harvey
+ evidently delights to find Fabricius in the wrong. Finally, so
+ possessed is he by scholastic ideas, that he winds up some of his
+ opinions upon animal reproduction by presenting them in the shape
+ of logical syllogisms.[22]
+
+
+Even Harvey's concept of the egg reveals a strong Aristotelian bias.
+Actually, Harvey attained to his conclusion that all animals derive from
+eggs by assuming that
+
+ on the same grounds, and in the same manner and order in which a
+ chick is engendered and developed from an egg, is the embryo of
+ viviparous animals engendered from a pre-existing conception.
+ Generation in both is one and identical in kind: the origin of
+ either is from an egg, or at least something that by analogy is
+ held to be so. An egg is, as already said, a conception exposed
+ beyond the body of the parent, whence the embryo is produced; a
+ conception is an egg remaining within the body of the parent until
+ the foetus has acquired the requisite perfection; in everything
+ else they agree; they are both alike primordially vegetables,
+ potentially they are animals.[23]
+
+The ovum, for Harvey, is in essence "the primordium vegetable or
+vegetative incipience, understanding by this a certain corporeal
+something having life in potentia; or a certain something existing _per
+se_, which is capable of changing into a vegetative form under the
+agency of an internal principle."[24] The ovum is for Harvey more a
+concept than an observed fact, and, as stated by one student of
+generation, "The _dictum ex ovo omnia_, whilst substantially true in the
+modern sense, is neither true nor false as employed by Harvey, since to
+him it has no definite or even intelligible meaning."[25]
+
+Harvey's treatise on generation is clearly a product of his time. It
+advances embryology by its demonstration of certain facts of
+development, by its aggressive espousal of epigenesis and the origin of
+all animals from eggs, and by its dynamic approach stressing the
+temporal factors in development and the initial independent function of
+embryonic organs. However, the strong Aristotelian cast of Harvey's
+treatise encouraged continued discussion of long outdated questions in
+an outdated manner and, combined with his expressed disdain for
+"chymistry" and atomism, discouraged close cooperation between
+embryologists of different persuasions. It is perhaps easy to
+underestimate the impact and general importance of Harvey's work in view
+of these qualifications, and so it should be remarked that both positive
+and negative features of _De Generatione_ influenced profoundly
+subsequent embryological thought.
+
+It will be recalled that the title of _The Philosophicall Touch-Stone_
+identified Digby as the object of Alexander Ross's ire. In comparable
+manner, the latter's _Arcana Microcosmi_, published in 1652, declares
+its purpose to be "a refutation of Dr. Brown's Vulgar Errors, the Lord
+Bacon's Natural History, and Dr. Harvy's book _De Generatione_." Let us
+pause a brief moment in memory of a man so intrepid as to undertake the
+refutation of three of England's great intellects in one small volume,
+and then proceed to examine the embryological concepts of one of the
+trio, Sir Thomas Browne.
+
+Browne's _Religio Medici_, composed as a private confession of faith
+around 1635, is known to all students of English literature, as is his
+later, splendid work on death and immortality, _Hydrotaphia,
+Urne-Buriall_. One of the greatest stylists of English prose, Browne was
+also a physician and a student of generation who deserves our attention
+as an early chemical embryologist pointing the way to a form of
+embryological investigation prominent in the last half of the
+seventeenth century.
+
+Browne's embryological opinions are found particularly in _Pseudodoxia
+Epidemica_, _The Garden of Cyrus_, and in his unpublished _Miscellaneous
+Writings_. Browne, a well-read man, was educated at Oxford, Montpellier,
+Padua, and Leyden, and he was thoroughly imbued with the teaching of the
+prophets of the "new learning." This is evident throughout his writings,
+as witness his admonition to the reader of the _Christian Morals_:
+
+ Let thy Studies be free as thy Thoughts and Contemplations, but fly
+ not only upon the wings of Imagination; Joyn Sense unto Reason, and
+ Experiment unto Speculation, and so give life unto Embryon Truths,
+ and Verities yet in their Chaos.[26]
+
+
+Browne greatly admired Harvey's work on generation, considering it "that
+excellent discourse ... So strongly erected upon the two great pillars
+of truth, experience and solid reason."[27] Browne carried out a variety
+of studies upon animals of all kinds, in them joining Sense unto Reason,
+and "Experiment unto Speculation." Thus in his studies of generation, he
+made observations and also performed certain simple chemical
+experiments. Noting that "Naturall bodyes doe variously discover
+themselves by congelation,"[28] Browne studied experimentally the
+chemical properties of those substances providing the raw material of
+development. He observed the effects of such agents as heat and cold,
+oil, vinegar, and saltpeter upon eggs of various animals, recording such
+facts as the following:
+
+ Of milk the whayish part, in eggs wee observe the white, will
+ totally freez, the yelk with the same degree of cold growe thick &
+ clammy like gumme of trees; butt the sperme or tredde hold its
+ former body, the white growing stiff that is nearest it.... Egges
+ seem to have their owne coagulum within themselves manifested in
+ the incrassations upon incubation.... Rotten egges will not bee
+ made hard by incubation or decoction, as being destitute of that
+ spiritt, or having the same vitiated.... How far the coagulating
+ principle operateth in generation is evident from eggs wch will
+ never incrassate without it. From the incrassation upon incubation
+ when heat diffuseth the coagulum, from the _chalaza_ or gallatine
+ wh. containeth 3 nodes, the head, heart, & liver.[29]
+
+
+It cannot be said that Browne attained to any great generalizations
+regarding embryogeny on the basis of his rather naive experiments, but
+they are indicative of the effects of the "new learning" in one area of
+biology. Actually, Browne appears more comfortable in the search for
+patterns conforming to the quincunx, as in _The Garden of Cyrus_, and
+although he may well have been in search of something like the later
+Unity of Type, he uses his amassed details of scientific knowledge most
+effectively in support of nonscientific propositions. Thus, he uses the
+facts of embryonic development, alchemy, and insect metamorphosis as a
+part of his argument for the immortality of the human soul:
+
+ ...for we live, move, have a being, and are subject to the actions
+ of the elements, and the malice of diseases in that other world,
+ the truest Microcosme, the wombe of our mother; for besides that
+ generall and common existence wee are conceived to hold in our
+ Chaos, and whilst wee sleepe within the bosome of our causes, wee
+ enjoy a being and life in three distinct worlds, wherin we receive
+ most manifest graduations: In that obscure world and wombe of our
+ mother, our time is short, computed by the Moone, yet longer than
+ the dayes of many creatures that behold the Sunne; our selves being
+ yet not without life, sense, and reason; though for the
+ manifestation of its actions it awaits the opportunity of objects;
+ and seemes to live there but in its roote and soule of vegetation;
+ entring afterwards upon the scene of the world, wee arise up and
+ become another creature, performing the reasonable actions of man,
+ and obscurely manifesting that part of Divinity in us, but not in
+ complement and perfection, till we have once more cast our
+ secondine, that is, this slough of flesh, and are delivered into
+ the last world, that ineffable place of Paul, that proper _ubi_ of
+ spirits. The smattering I have [in the knowledge] of the
+ Philosophers stone ... hath taught me a great deale of Divinity,
+ and instructed my beliefe, how the immortall spirit and
+ incorruptible substance of my soule may lye obscure, and sleepe a
+ while within this house of flesh. Those strange and mysticall
+ transmigrations that I have observed in Silkewormes, turn'd my
+ Philosophy into Divinity. There is in those workes of nature, which
+ seeme to puzzle reason, something Divine, and [that] hath more in
+ it then the eye of a common spectator doth discover.[30]
+
+To affirm that Sir Thomas Browne was the founder of chemical embryology
+or, indeed, to contend that he made a great impress upon the progress of
+embryology is to humour our fancy. As Browne himself reminds us, "a good
+cause needs not to be patron'd by a passion."[31] His work and
+interpretations of generation are most important for our purposes as an
+indication of the rising mood of the times and an emerging awareness of
+the physiochemical analysis of biological systems. Although this mood
+and awareness coexist in Browne's writings with a continued reverence
+for some traditional attitudes, they mark a point of departure toward a
+variety of embryological thought prominent in England during the second
+half of the seventeenth century.
+
+Browne did no more than analyze crudely the reaction of the egg to
+various physical and chemical agents. This static approach was later
+supplanted by a more dynamic one concerned primarily with the
+physicochemical aspects of embryonic development. This is first apparent
+in a report by Robert Boyle in the _Philosophical Transactions of the
+Royal Society_ in 1666 entitled, "A way of preserving birds taken out of
+the egge, and other small foetus's." Boyle, unlike Browne, exposed
+embryos of different ages to the action of "Spirit of Wine" or "Sal
+Armoniack," demonstrating thereby the chemical fixation of embryos as an
+aid to embryology. A year later, Walter Needham, a Cambridge physician
+who studied at Oxford in the active School of Physiological Research,
+which included such men as Christopher Wren and Thomas Willis, published
+a book reporting the first chemical experiments upon the developing
+mammalian embryo.[32] Needham's approach and goals are more dynamic than
+those of Browne, and he attempts to analyze various embryonic fluids by
+coagulation and distillation procedures. His experiments reveal, for
+example, that "coagulations" effected by different acids vary according
+to the fluid; thus, the addition of "alumina" to bovine amniotic fluid
+produced a few, fine precipitations, whereas the allantoic fluid was
+precipitated like urine. By such means Needham was able to demonstrate,
+however crudely, that there are considerable differences in the various
+fluids occurring within and around the fetus. Furthermore, it is with
+the results of chemical analyses that he supports his other arguments,
+such as his contention that the egg of elasmobranchs is not, as
+believed, composed of only one humour, but has separate white and yolk.
+
+Needham's book contains many splendid observations, including an
+accurate description of the placenta and its vessels, the relationship
+of the various fetal membranes to the embryonic fluids, and rather
+complete directions for dissection of various mammals. These need not
+detain us, since the important aspect of Needham's work relevant to our
+purpose is his continuation of the chemical analysis of the developing
+embryo and its demonstration that, although Harvey might have despised
+the "chymists" and been contemptuous of the "mechanical, corpuscular
+philosophy," this system and approach was not to be denied.
+
+Needham's book is dedicated to Robert Boyle, whose _Sceptical Chymist_
+set the cadence for subsequent research based upon the "mechanical or
+corpuscularian" philosophy and quantitative procedures. It is
+appropriate for us, then, to terminate our discussion with a
+consideration of this current in English embryological thought.
+
+John Mayow was the first to realize that "nitro-aerial" vapour, or
+oxygen, is essential to respiration of a living animal, and he was soon
+led to inquire "how it happens that the foetus can live though
+imprisoned in the straits of the womb and completely destitute of
+air."[33] As a consequence of this interest, the third of his _Tractatus
+Quinque medico-physici_, published in 1674, is devoted to the
+respiration of the fetus _in utero_. He shows truly remarkable insight
+when he concludes therein that
+
+ It is very probable that the spermatic portions of the uterus and
+ its carunculae are naturally suited for separating aerial particles
+ from arterial blood.
+
+ These observations premised, we maintain that the blood of the
+ embryo, conveyed by the umbilical arteries to the placenta or
+ uterine carunculae transports to the foetus not only nutritious
+ juice, but also a portion of the nitro-aerial particles: so that
+ the blood of the infant seems to be impregnated with nitro-aerial
+ particles by its circulation through the umbilical vessels in the
+ same manner as in the pulmonary vessels. Therefore, I think that
+ the placenta should no longer be called a uterine liver, but rather
+ a uterine lung.[34]
+
+Although Mayow's attempted analysis of respiration of the chick embryo
+_in ovo_ is less than successful, his views on fetal respiration were
+soon accepted by many, and his tract stands as a great contribution to
+physiological embryology.
+
+The studies of such individuals as John Standard reporting the weight of
+various parts of the hen's egg, e.g., the shell, the yolk, the white,
+reveal the wing of embryological investigation that was increasingly
+obsessed with quantification and the physicochemical analysis of the
+embryo and its vital functions. In this they were following the
+injunction of Boyle, who used the developing embryo as a vehicle in an
+attack upon the idea that mixed bodies are compounded of three
+principles, the obscurities of which operated to discourage
+quantification:
+
+ How will this hypothesis teach us, how a chick is formed in the
+ egg, or how the seminal principles of mint, pompions, and other
+ vegetables ... can fashion water into various plants, each of them
+ endowed with its peculiar and determinate shape, and with divers
+ specifick and discriminating qualities? How does this hypothesis
+ shew us, how much salt, how much sulphur, and how much mercury must
+ be taken to make a chick or a pompion? And if we know that, what
+ principle it is, that manages these ingredients, and contrives, for
+ instance, such liquors, as the white and yolk of an egg into such a
+ variety of textures, as is requisite to fashion the bones, veins,
+ arteries, nerves, tendons, feathers, blood, and other parts of a
+ chick? and not only to fashion each limb, but to connect them all
+ together, after that manner, that is most congruous to the
+ perfection of the animal, which is to consist of them?[35]
+
+
+The emphasis upon quantification and the physicochemical analysis of
+vital processes was to continue into the eighteenth century and to
+contribute to the great stress upon precision in that period. It was
+not, however, destined to become immediately the main stream of
+embryological investigation. For even as the studies of Mayow were in
+progress, embryology was embarked upon a course leading to
+preformationism. By the end of the seventeenth century, the idea that
+the embryo was encased in miniature in either egg or sperm was elevated
+to a position of Doctrine, and thereafter there was little encouragement
+to quantitative study of development. Many embryological investigations
+were performed during the eighteenth century, but most relate to the
+controversy regarding epigenesis and preformationism as the true
+expression of embryonic development. Withal, the seventeenth-century
+embryologists, and particularly the embryologists of seventeenth-century
+England, had contributed much to the progress of the discipline. They
+had introduced new ideas, applied new techniques, and created new
+knowledge; they had effectively advanced the study of development beyond
+the stage of macro-iconography; they had freed the discipline from much
+of its traditional baggage of causes, virtues, and faculties. Various
+English embryologists had varying success with developmental theory, but
+as a group they had made great impact upon the development of
+embryology. In the course of their century, they had, in the words of
+one of them, "called tradition unto experiment."[36]
+
+
+
+
+_Notes_
+
+
+[1] Charles Dickens, _A Tale of Two Cities_, London, 1859, p. 1.
+
+[2] Kenelm Digby, _Private Memoirs of Sir Kenelm Digby, Gentleman of the
+Bedchamber to King Charles the First_, London, 1827, Preface, p. i.
+
+[3] Kenelm Digby, _Two Treatises, in the One of Which, The Nature of
+Bodies; in the Other, the Nature of Mans Soule; is Looked into_, Paris,
+1644, p. 213.
+
+[4] _Ibid._, p. 220.
+
+[5] _Ibid._, pp. 220-221.
+
+[6] _Ibid._, p. 222.
+
+[7] _Ibid._, p. 215.
+
+[8] _Ibid._, p. 219.
+
+[9] _Ibid._, p. 213.
+
+[10] _Ibid._, pp. 217-219.
+
+[11] _Ibid._, p. 231.
+
+[12] Alexander Ross, _The Philosphicall Touch-Stone; or Observations
+upon Sir Kenelm Digbie's Discourses of the nature of Bodies, and of the
+reasonable Soule_, London, 1645.
+
+[13] Alexander Ross, _Arcana Microcosmi: or, The hid secrets of Man's
+Body disclosed ... In an anatomical duel between Aristotle and Galen
+concerning the parts thereof_, London, 1652, p. 87.
+
+[14] Nathaniel Highmore, _The History of Generation, Examining the
+several Opinions of divers Authors, expecially that of Sir Kenelm Digby,
+in his Discourse of Bodies_, London, 1651, p. 4.
+
+[15] _Ibid._, pp. 26-27.
+
+[16] _Ibid._, pp. 27-28.
+
+[17] _Ibid._, p. 45.
+
+[18] _Ibid._, Pp. 90-91.
+
+[19] William Harvey, _Opera omnia: a Collegio Medicorum Londinensi
+edita_, Londini, 1766, p. 136.
+
+[20] William Harvey, _Anatomical Excercises on the Generation of
+Animals_, trans. Robert Willis, London, 1847, p. 462.
+
+[21] _Ibid._, pp. 336-339.
+
+[22] _Works of William Harvey_, trans. Robert Willis, London, 1847, pp.
+lxx-lxxi.
+
+[23] Harvey, _op. cit._, pp. 462-463.
+
+[24] _Ibid._, p. 457.
+
+[25] F. J. Cole, _Early Theories of Sexual Generation_, Oxford, 1930, p.
+140.
+
+[26] Thomas Browne, _The Works_, ed. Geoffrey Keynes, Chicago, 1964, I,
+261-262.
+
+[27] _Ibid._, II, 265.
+
+[28] _Ibid._, III, 442.
+
+[29] _Ibid._, III, 442-452.
+
+[30] _Ibid._, I, 50.
+
+[31] _Ibid._, I, 14.
+
+[32] Walter Needham, _Disquisitio anatomica de formato foetu_, London,
+1667.
+
+[33] John Mayow, "De Respiratione foetus in utero et ovo," in _Tractatus
+Quinque Medico-Physici_, Oxonii, 1674, p. 311.
+
+[34] _Ibid._, pp. 319-320.
+
+[35] Robert Boyle, _The Works_, London, 1772, I, 548-549.
+
+[36] Browne, _op. cit._, II, 261.
+
+
+
+
+II
+
+_Robert Boyle as an Amateur Physician_
+
+LESTER S. KING
+
+
+
+Robert Boyle was not a physician. To be sure, he had engaged in some
+casual anatomical studies,[37] but he had not formally studied medicine
+and did not have a medical degree. Nevertheless, he engaged in what we
+would call medical practice as well as medical research and exerted a
+strong influence on the course of medicine during the latter seventeenth
+century, an influence prolonged well into the eighteenth. He lived
+during the period of exciting yet painful transition when medical theory
+and practice were undergoing a complete transformation towards what we
+may call the "early modern" form. The transition, naturally gradual,
+extended over three centuries, but I wish to examine only a very small
+fragment of this period, namely, the third quarter of the seventeenth
+century.
+
+Boyle's first major work which dealt extensively with medical problems
+was the _Usefulness of Experimental Philosophy_. This work, although
+published in 1663, had been written in two parts, the first much earlier
+than the second. Fulton[38] indicates it had been drafted around 1650,
+while Hall[39] ascribes it to the period 1647-1648. This first part has
+relatively little to do with medicine; the references are few and rather
+incidental, and have significance only for the light they throw on
+"natural philosophy" and "natural religion." The second part, however,
+written apparently not too long before publication, has a great deal to
+do with medicine and constitutes one of the important medical documents
+of the century.
+
+Deserving of mention is an earlier and minor work of Boyle, indeed, his
+first published writing, only recently identified. This work, apparently
+written in 1649, bore the title "An Invitation to a free and generous
+communication of Secrets and Receits in Physick," and appeared
+anonymously in 1655 as part of a volume entitled _Chymical, Medicinal
+and Chirurgical Addresses Made to Samuel Hartlib, Esquire_.[40] For our
+purposes, it is significant as emphasizing his early interest in
+medicine.
+
+Boyle seems to have acquired most of his medical knowledge between, say,
+1649 and 1662. It is worth recalling some of the trends and conflicts
+that formed the medical environment during this period. Among the major
+trends, first place, perhaps, must be given to Galenic doctrine, which
+had come under progressively severe attack. Molière, who lived from 1622
+to 1673, showed in his comedies the popular reaction to a system which,
+although dominant, was clearly crumbling. The cracks in the edifice even
+the layman could readily see. Nevertheless, Galenism had its strong
+supporters. Riverius, who lived from 1589 to 1655, was a staunch
+Galenist. An edition of his basic and clinical works[41] was translated
+into English in 1657, and Latin editions continued to be published well
+into the eighteenth century.[42]
+
+Galenism, of course, had to withstand the great new discoveries in
+anatomy and physiology made by Vesalius, Aselli, Sanctonius, Harvey, and
+others, not to mention the host of great investigators who were more
+strictly contemporaries of Boyle.
+
+Galenism also faced the rivalry of chemistry. The so-called "antimony
+war" in the earlier part of the century marked an important assault on
+Galenism, and the letters of the arch-conservative Guy Patin (who died
+in 1672) help us appreciate this period.[43] However, even more
+important was the work of van Helmont, who developed and extended the
+doctrines of Paracelsus and represented a major force in
+seventeenth-century thought. Boyle was well acquainted with the
+writings of van Helmont, who, although his works fell into disrepute as
+the mechanical philosophy gradually took over, nevertheless in the
+middle of the seventeenth century was a highly significant figure. In
+1662 there appeared the English translation of his _Oriatrike_,[44]
+while Latin editions continued to be published later in the century.
+
+In this connection I might also mention the subject of "natural magic,"
+which had considerable significance for medicine. The best-known name
+is, perhaps, Giovanni Battista della Porta (1545-1615), whose books[45]
+continued to be published, in Latin and English, during this period when
+Boyle was achieving maturity.
+
+Profound developments, of course, arose from the new mechanics and
+physics and their metaphysical background, for which I need only mention
+the names of Descartes, who died in 1650, and Gassendi, who died in
+1655. And then there was also the new methodological approach, that
+critical empiricism whose most vocal exponent was Francis Bacon, which
+led directly to the founding of the Royal Society in 1660 and its
+subsequent incorporation. These phases of seventeenth-century thought
+and activity I do not intend to take up.
+
+In this turbulent riptide of intellectual currents, Robert Boyle,
+without formal medical education, performed many medical functions, as a
+sometime practitioner, consultant, and researcher. Repeatedly he speaks
+of the patients whom he treated, and repeatedly he refers to
+practitioners who consulted him, or to whom he gave advice. In addition,
+through his interest in chemistry, he became an important experimental
+as well as clinical pharmacologist, and his researches in physiology
+indicate great stature in this field. If we were to draw a present-day
+comparison, we might point to investigators who had both the M.D. and
+the Ph.D. degrees, who had both clinical and laboratory training, and
+who practiced medicine partly in the clinical wards, partly in the
+experimental laboratories. Boyle, of course, did not have either degree,
+but he did have a status as the leading virtuoso of his day.
+
+The virtuoso has been the subject of a most extensive literature.[46] He
+aroused considerable contemporary hostility and satire and his overall
+significance for medical science is probably slight, with a few striking
+exceptions. Robert Boyle is one of the great exceptions.
+
+First of all, the virtuoso was an amateur. In the literal sense the
+amateur loves the activities in which he engages, and in the figurative
+sense he remains independent of any Establishment. Not trained in any
+rigorous, prescribed discipline, he was not committed to any set
+doctrine. Furthermore, he was not restricted by the regulations which
+all Establishments employed to preserve their status, block opposition,
+and prevent competition. In many fields the Establishment took the form
+of a guild organization--in medicine, the Royal College of
+Physicians.[47]
+
+Boyle was a wealthy and highly talented man who could pursue his own
+bent without needing to make concessions merely to earn a living. He
+remained quite independent of the cares which oppressed those less well
+endowed in worldly goods or native talent. Sometimes, of course,
+necessity can impose a discipline and rigor which ultimately may serve
+as a disguised benefit, but in the seventeenth century, when Boyle was
+active, the lack of systematic training and rigorous background seemed
+actually an advantage. Clinical chemistry and the broad areas which we
+can call experimental medicine had no tradition. Work in clinical
+chemistry, clinical pharmacology, and experimental physiology was
+essentially innovation. And since innovations are often made by those
+who are outside the Establishment and not bound by tradition, we need
+feel no surprise that the experimental approach could make great
+progress under the aegis of amateurs. Necessarily the work was rather
+unsystematic and undisciplined, but system and discipline could arise
+only when the new approach had already achieved some measure of success.
+Through the casual approach of amateurs this necessary foundation could
+be built.
+
+Boyle, as a clinician, remained on excellent terms with medical
+practitioners. For one thing, he took great care not to compete with
+them. As stated,[48] he "was careful to decline the occasions of
+entrenching upon their profession." Physicians would consult him freely.
+As a chemist and experimental pharmacologist, he prepared various
+remedies. Some of these he tried out on patients himself, others he gave
+to practitioners who might use them. Boyle seems to have abundantly
+provided what we today call "curbstone consultations."
+
+In no way bound by guild rules and conventions or by rigid educational
+standards, Boyle was free to learn from whatever sources appealed to
+him. Repeatedly he emphasized the importance of learning from
+experience, both his own and that of others, and by "others" he included
+not only physicians and learned gentlemen, but even the meanest of
+society, provided they had experience in treating disease. This
+experience need not be restricted to treatment of humans but should
+include animals as well. Thus, in speaking of even the "skilfullest
+physicians," he indicated that many of them "might, without
+disparagement to their profession, do it an useful piece of service, if
+they would be pleased to collect and digest all the approved experiments
+and practices of the farriers, graziers, butchers, and the like, which
+the ancients did not despise...; and ... which might serve to
+illustrate the _methodus medendi_."[49] He was quite critical of
+physicians who were too conservative even to examine the claims of the
+nonprofessionals, especially those who were relatively low in the social
+or intellectual scale. This casts an interesting sidelight on the
+snobbishness of the medical profession.
+
+Boyle's willingness and ability to ignore the restrictions of an
+Establishment represent the full flowering of what I might call the
+Renaissance spirit--the drive to go outside accepted bounds, to
+explore, to _try_, to avoid commitment, and to investigate for oneself.
+
+What internal and external factors permit a successful breakaway from
+tradition? Rebels there have always been, yet successful rebels are
+relatively infrequent. The late seventeenth century was a period of
+successful rebellion, and the virtuosi were one of the factors which
+contributed to the success. Robert Boyle played a significant part in
+introducing new methods into science and new science into medicine.
+
+We must realize that Boyle was primarily a chemist and not a biologist.
+He thought in chemical terms, drawing his examples from physics and
+chemistry; he did not think in terms of the living creature or the
+organism, and as a mechanist he passed quite lightly over the concept or
+organismic behavior. His basic anti-Aristotelianism prevented his
+appreciating the biologically oriented thought of Aristotle. Instead,
+Boyle talked about the inorganic world, of water, of metals and
+elements, of physical properties. He ignored that inner drive which
+Spinoza called the _conatus_; or the _seeds_ of Paracelsus or van
+Helmont; or the persistence over a time course of any "essence" or
+"form." Since he dealt with phenomena relatively simple when compared
+with living phenomena, he could, for this very reason, make progress, up
+to a point. As a chemist, he could seek fairly specific and precise
+correlations of various concrete environmental factors, and then assume
+that living beings behaved as did the inorganic objects which he
+investigated. However, he always excepted the soul of man, as outside
+his investigations.
+
+But while Boyle was a skillful chemist, judged by the standards of his
+time, we cannot call him a skillful medical investigator. This
+represents, however, the fault of the era in which he lived rather than
+any fault peculiar to him. Boyle's medical studies fall into at least
+two categories. These were the purely physiological experiments, such as
+those on respiration or on blood, and the more clinical experiments,
+concerned with pharmaceuticals, clinical pharmacology, and clinical
+medicine. The purely physiological experiments have great merit and were
+profoundly influential in shaping modern physiology. The clinical
+experiments throw great light on the development of critical judgment in
+medical history, and the relations of judgment and faith.
+
+In 1775, John Hunter wrote a letter to Jenner that has become quite
+famous. Hunter had just thanked Jenner for an "experiment on the
+hedgehog." But, continued Hunter, "Why do you ask me a question by way
+of solving it? I think your solution is just, but why think? Why not try
+the experiment?"[50] The word "just," of course, in its
+eighteenth-century sense, means exact or proper, precise or correct. A
+"just solution" is one that is logically correct. The "think" refers to
+Hunter's own uncertainty. He is not content with a verbal or logical
+solution to a problem, he wants empirical demonstration. Why, he is
+asking, should we be content with merely a logically correct solution
+when we can have an experiential demonstration. _Try the experiment._
+Put the logical inference to the test of experience.
+
+This empirical attitude, not at all infrequent in the latter
+eighteenth-century medicine, was quite unusual in the seventeenth-century
+medicine. This was precisely the attitude that Robert Boyle exhibited in
+his clinical contacts.
+
+Medicine, at least textbook medicine, was rationalistic. Textbooks
+started with definitions and assertions regarding the fundamentals of
+health. This we see particularly in a Galenic writer such as Riverius.
+Medicine, he said, "stands upon the basis of its own principles, axioms
+and demonstrations, repeated by the demonstration of nature."[51] In his
+text, Riverius first expounded a groundwork concerning the elements,
+temperaments and humors, spirits and innate heat, the faculties and
+functions; then the nature of the diseases which resulted from
+disturbances of these; and finally the signs of disease and the
+treatment that was appropriate. All were beautifully interdigitated in a
+logical fashion, and for any recommended therapy a good reason could be
+found. There was, however, a serious difficulty. If anyone were so bold
+as to ask, _But how do you know?_ only a rather lame answer would come
+forth. The exposition rested in large part on authority or else largely
+on reasoning from accepted premises--a "just" reasoning. And while much
+keen observation was duly recorded and a considerable mass of fact
+underlay the theoretical superstructure, the idea of empirical proof was
+not current. Riverius chopped logic vigorously and drew conclusions from
+unsupported assertions in a way that strikes us as reckless.
+
+For a body of knowledge to be a science, it must indicate a logical
+connection between first principles, which were "universal," and the
+particular case. The well-educated physician could always give a logical
+reason for what he did. The empiric, however, was one who carried out
+his remedies or procedures without being able to tell _why_. That is, he
+could not trace out the logical connection between first principles and
+the particular case.
+
+Galenism suffered especially from logical systematization, and the
+system of van Helmont, while far less orderly, also had its own basic
+principles on which all else depended. Boyle, however, practiced
+medicine on a thoroughly different basis. He did not depend on system or
+logic. In the words that Hunter used to Jenner over a hundred years
+later, other physicians would _think_ the answers to their problems.
+Boyle, however, preferred to _try the experiment_. He wanted _facts_.
+
+But this attitude, which sounds so modern, so praiseworthy and
+enlightened, had one serious flaw. What _was_ a fact? And how did you
+know? This important problem, so significant for the growth of
+scientific medicine, we can study quite readily in the works of Robert
+Boyle.
+
+The problem, in a sense, resolves around the notion of credulity. What
+shall we believe? Boyle makes some distinctions between what he has seen
+with his own eyes and what other people report to have seen. Thus, he
+mentions "a very experienced and sober gentleman, who is much talked of"
+who cured cancer of the female breast "by the outward application of an
+indolent powder, some of which he also gave me." But, he adds
+cautiously, he has not yet "had the opportunity to make trial of
+it."[52] Clearly, since he cannot make the trial himself, Boyle
+withholds judgment, even though the material came from a "very
+experienced" gentleman. Or again, he talks about "sober travelers" who
+made certain claims regarding the treatment of poisons. But, he says,
+"having not yet made any trial of this my self, I dare not build upon
+it."[53]
+
+There are numerous such instances, scattered throughout his works, where
+he reports an alleged cure but specifically indicates his own mental
+reservations. Clearly, he is quite cautious in accepting the statements
+of others, even though they were "sober" or "experienced" or even
+"judicious." On the other hand, he is extremely uncritical when he
+himself uses the term "cure" and when he attributes cures to particular
+medicines.
+
+His skepticism he indicates in references, for example, to Paracelsus
+and van Helmont. Their specific remedy against "the stone," he says, and
+their claims that they can reduce stones to "insipid water, is so
+strange (not to say incredible) that their followers must pardon me, if
+I be not forward to believe such unlikely things, til sufficient
+experience hath convinced me of their truth."[54] Here, of course, we
+see further a feature of critical acumen. A claim is made, but if this
+claim runs counter to Boyle's own accepted body of knowledge, or to
+logical doctrines derived from other directions, mere assertion cannot
+carry conviction. "Sufficient experience" must play its part, and just
+what constitutes "sufficient" we are not quite sure.
+
+In judging the effectiveness of a remedy or the credibility of a
+statement, one of the most important weapons was _analogy_. Direct
+observation of a phenomenon was good. Next best was direct observation
+of some _analogous_ phenomenon whereby one body acted upon another to
+alter its properties or induce significant changes. Boyle drew his
+analogies largely from chemistry, but he had no hesitation in applying
+them to medicine.
+
+Claims that medicines swallowed by mouth could dissolve stones in the
+bladder seemed a priori unlikely. Yet there was considerable authority
+that this took place; many persons had reported that this was a _fact_.
+Boyle kept an open mind. He might be highly skeptical in regard to the
+claims for any particular medication, but he did not deny the principle
+involved. The possibility that some fluid, when swallowed, could have a
+particular specific action on stones in the bladder, without affecting
+the rest of the body, he considered quite plausible through the analogy
+that quicksilver has an affinity with gold but has no effect upon iron.
+Furthermore, a substance than can corrode a solid body may nevertheless
+be unable to "fret" a different body which is considerably softer and
+thinner, if the "texture" does not admit the small particles.[55]
+Reasoning by analogy served to explain the logical plausibility. In
+other words, he was very open-minded. He refused to dismiss all such
+claims, and provided analogy as a reason for keeping his mind open; yet
+he refused to accept particular claims of medicine that dissolved
+stones, because the evidence was not convincing. We could scarcely ask
+for more.
+
+An important seventeenth-century medical document was the report of Sir
+Kenelm Digby, regarding the so-called "weapon salve." The essay
+describing this famous powder was written in 1657, and I have discussed
+it at some length elsewhere.[56] Here again Boyle keeps an open mind,
+saying, "and if there be any truth in what hath been affirmed to me by
+several eye-witnesses, as well physicians as others, concerning the
+_weapon-salve_, and _powder of sympathy_, we may well conclude, that
+nature may perform divers cures, for which the help of chirurgery is
+wont to be implored, with much less pain to the patient, than the
+chirurgeon is wont to put him to."[57]
+
+One great advantage of chemistry, thought Boyle, lay in the help it
+provided in investigating the _materia medica_. Chemistry, he thought,
+could help to purify many of the inorganic medicines and make them
+safer, without impairing their medicinal properties. Furthermore,
+chemistry could help investigate various medications customarily
+employed in medicine, where "there hath not yet been sufficient proof
+given of their having any medical virtues at all."[58] Boyle believed
+that by proper chemical analysis he could isolate active components, or,
+contrariwise, by failing to extract any valuable component, he could
+eliminate that medicine from use. While a major interest, perhaps, was a
+desire to provide inexpensive medicines, he was well aware that much of
+what went into prescriptions probably had no value. Furthermore, he felt
+that his chemical analysis could indicate whether value and merit were
+present or not.
+
+The same skepticism applies to remedies that, far from being expensive,
+were common and yet rather disgusting. The use of feces and urine as
+medication was widespread. The medical virtues of human urine represent,
+he believed, a topic far too great to be considered in a brief compass.
+But he declared that he knew an "ancient gentlewoman" suffering from
+various "chronical distempers" who every morning drank her own urine,
+"by the use of which she strangely recovered."[59] Boyle was quite
+skeptical of the reports of others, which he had not had opportunity to
+try himself. But in therapeutic trials that he himself had witnessed, he
+seemed utterly convinced that the medication in question was responsible
+for the cure and was quite content to accept the evidence of a single
+case.
+
+He discussed the "efficacy" of millepedes, which he found to be "very
+diuretical and aperitive." And he indicated, on the evidence of a single
+patient whom he knew, that the millepedes had great medicinal value in
+suffusions of the eyes.[60]
+
+Many remedies of this type, the so-called old wives' remedies, were
+those of empirics. As mentioned previously, Boyle felt deeply concerned
+because physicians tended to ignore the alleged remedies of those who
+had not had formal training in medicine. He believed that great specific
+virtue probably lurked in many of these remedies, and he maintained that
+the chemists should investigate them without the prejudice that the
+medical professions exhibited. As part of this view, he felt that
+"simples" should be more carefully studied, because medicinal virtues
+inhered in single substances and that complicated combinations were
+unnecessary.
+
+We find innumerable examples scattered through Boyle's writings
+regarding the relations between chemistry and medication, numerous
+descriptions of cures, and skepticism regarding other alleged cures. As
+an important example, I would indicate Boyle's discussion of one of van
+Helmont's alleged cures.[61]
+
+Van Helmont described the remarkable cures brought about by a man
+identified only by the name of Butler. Apart from van Helmont's
+discussion, we can find no trace of him in medical annals, and van
+Helmont's own account is extremely skimpy. There are no dates given, and
+the only temporal clue is that Butler apparently knew King James--King
+James I, naturally. Butler was an Irishman who suddenly came into world
+view while in jail. A fellow prisoner was a Franciscan monk who had a
+severe erysipelas of the arm. Butler took pity on him, and to cure him
+took a very special stone which he had and dipped it briefly in a
+spoonful of "almond milk." This he gave to the jailer, bidding him
+convey a small quantity of it into the food of the monk. Almost
+immediately thereafter, the monk, not aware of the medicine, noted an
+extremely rapid improvement.
+
+Van Helmont related other cures. For example, a laundress who had a
+"megrim" [migraine] for sixteen years was cured by partaking of some
+olive oil, into a spoonful of which Butler dipped the stone. Other cures
+for which van Helmont vouched included a man who was exceedingly fat; he
+touched the stone every morning with the tip of his tongue and very
+speedily lost weight. Van Helmont's own wife was cured of a marked
+edema of the leg. Similarly, a servant maid who had had severe attacks
+of erysipelas which were "badly cured," and the leg leaden colored and
+swollen, was cured almost immediately. An abbess, whose arm had been
+swollen for eighteen years, partly paralyzed, was also cured. Van
+Helmont, however, indicates that he himself, when he thought he was
+being poisoned by an enemy, did not secure any benefit from the use of
+the stone. Later, however, it turned out that, because of the nature of
+the illness, he should have touched the stone with his tongue, to take
+its virtue internally, rather than merely anointing the skin with oil
+into which the stone had been dipped.
+
+Van Helmont makes it very clear that this is not magic or sorcery; there
+is no diabolic influence, no necromancy. He drew attention to the
+overwhelming effects which might result from a cause which was so minute
+that it could not be perceived by the senses. We cannot here go into the
+theoretical background which underlay van Helmont's conceptions, but we
+must mention at least briefly his idea of a basic mechanism. Van Helmont
+considered the action to be that of a ferment, where an extremely minute
+quantity can produce a tremendous effect. He gives the analogy of the
+tooth of a mad dog, which, although any saliva has been carefully wiped
+off, can nevertheless sometimes induce madness. The effect of the stone
+seems to be comparable. Its power becomes manifest even in enormous
+dilution and can multiply, for it can import its remedial virtue to a
+vast quantity of oil. Moreover, the stone had a sort of universal power
+against all diseases. Such a virtue could not be vegetable in its
+nature, but was, he thought, connected with metals. He pointed to the
+well-accepted medicinal virtues which inhered in gems. Metals also had
+great medicinal potency. Antimony, lead, iron, mercury, were well known,
+and of special importance was copper, the _Venus_ of the early chemists.
+
+The medicinal virtue which inhered in Butler's stone and in other
+powerful fermental remedies, van Helmont designated as "drif," which he
+said means, in the vernacular, virgin sand or earth. This virtue
+requires a metallic body in which to inhere. The general concept is not
+unfamiliar, of a virtue or power or ferment which was attached to a
+material object, and it is this type of explanation which was so
+preponderant in, for example, Porta's _Natural Magick_. Van Helmont
+speaks of the "first being," which translates the Latin _Ens_, of Venus
+or copper. Vitriol is the basic substance, and for purification of the
+virtue we require a "sequestration of its Venus from the dregs of the
+vitriol."[62]
+
+This was the background from which Boyle set about to secure a potent
+remedy. Van Helmont had discussed his experiments whereby he tried to
+create a medicine which would have the virtues of Butler's stone. Boyle
+attempted to improve on van Helmont's technique. Copper--Venus--was the
+basic metal, and Boyle started with vitriol or copper sulfate. He gave
+fairly explicit directions for the preparation, including calcination,
+boiling, drying, adding sal armoniack, subliming twice. The resulting
+chemical represented a purified medicine which he prescribed in variable
+dosage, from two or three grains, up to twenty or thirty at the maximum.
+He declared it to be a "potent specifick for the rickets," since he, and
+others to whom he had given it for use, had "cured" a hundred or more
+children of that disease. The medicine he also prescribed in fevers and
+headache, and he thought it "hath done wonders" in obstinate
+suppressions of the menses. It also improved the appetite. It worked, he
+declared, through the sweat and, to some extent, the urine.[63] It is
+noteworthy that Boyle did not claim to have cured the same illnesses
+than van Helmont reports as having been cured by Butler's stone.
+
+As another example, he gave directions for preparing essence of
+hartshorn--prepared, literally, from the horn itself. The preparation,
+strongly alkaline, he prescribed in small doses of eight to ten drops.
+The medicine "resists malignity, putrefaction, and acid humours," for
+it destroys the acidity. He used it "in fevers, coughs, pleurisies,
+obstructions of the spleen, liver, or womb, and principally in
+affections of the brain...."[64]
+
+While Boyle was a far more skillful chemist than van Helmont, he did not
+have any greater diagnostic acumen. And clearly, from the standpoint of
+scientific method, he lacked any sharp criterion of cure. Various
+patients were ill with various diseases; he gave them one or another
+preparation; the patients recovered. Controls there were none. Boyle,
+with great enthusiasm, believed that through natural philosophy we would
+eventually discover "the true causes and seats of diseases" and also
+find out effective remedies which would quickly free the patient from
+the disease.[65] But faith and enthusiasm did not compensate for the
+_post hoc propter hoc_ attitude.
+
+According to Galenic concepts, if diseases are due to alterations of
+humors either in their quality or in their proportions, then the
+suitable remedy will restore the appropriate quality or proportion. In
+Galenic doctrine, the disturbance of the humors should be perceptible,
+and a sound Galenic remedy should work by perceptibly changing the
+nature and proportion of the humors back to normal. However, side by
+side with the Galenic medical doctrines, there were the other prevalent
+doctrines, among which I can mention the idea of "specifics." I can
+emphasize three features: the specific remedy was active against a
+particular disease, in a quite specific fashion, in the same way that an
+antidote acted against a specific poison; second, the effectiveness was
+a matter of direct experience, based on empirical observation; and
+third, the mode of action remained relatively obscure, but nevertheless
+the medicines did not seem to behave as did the so-called "Galenicals."
+Thus, whether they acted by "sympathy," or by a special hidden virtue,
+or by a peculiar microcosmic energy, we cannot say. But the _fact_
+remains that many people asserted the specific effectiveness[66] of this
+or that remedy against a specific disease--e.g., that snakeweed was an
+effective cure for the bite of a serpent.
+
+Learned physicians, unfortunately, refused in large part to accept the
+validity of these alleged cures. Their hesitancy rested not on
+statistical evidence or on niceties of scientific method, but on the
+grounds that the alleged mode of operation was quite unintelligible and
+not at all in accord with accepted doctrine.
+
+Boyle, as a chemist, insisted on keeping an open mind in regard to
+so-called specifics. He objected strongly to the argument that simply
+because we cannot account for their mode of action, we should conclude
+that they were not effective. In a passage of great importance, he
+declared, "Why should we hastily conclude against the efficacy of
+specificks, taken into the body, upon the bare account of their not
+operating by any obvious quality, if they be recommended unto us upon
+their own experience by sober and faithful persons?" Thus, his chain of
+reasoning is, first of all, these remedies work, as attested by direct
+experience; we are not able to explain why or how they work; we must
+not, however, fly in the face of experience and deny their effectiveness
+simply because of our inability to explain the workings. He gives the
+example of a "leaven," which in minute amounts is able to "turn the
+greatest lump of dow [dough] into leaven."[67]
+
+Boyle strongly supported the well-known quotation of Celsus, that the
+important thing is not what causes the disease but what removes it. In
+strong terms he criticized "many learned physicians" who rejected
+specifics on the ground "that they cannot clearly conceive the distinct
+manner of the specificks working; and think it utterly improbable, that
+such a medicine, which must pass through digestions in the body, and be
+whirled about with the mass of blood to all the parts, should,
+neglecting the rest, shew it self friendly to the brain (for instance)
+or the kidneys, and fall upon this or that juice or humour rather than
+any other."[68] Boyle then went into considerable detail to show how
+this can take place through the action of ferments, combined with a
+theoretical exposition of atomistic philosophy, which we do not have
+time to go into at present. He gave in great detail an exposition of how
+these specifics _may_ operate, but did not in any way produce cogent
+evidence that they do in fact operate in such fashion.
+
+As a physician, Boyle insisted on facts over theory. He was constantly
+pleading for physicians to enlarge their experience, to try new
+medicines, even though these were not based on traditional doctrine.
+Where observed fact conflicts with theory, the fact cannot be ignored.
+Credulity of physicians, he indicated, may do the world "more mischief"
+than any other profession, but nevertheless he condemned those who would
+try to "circumscribe, or confine the operations of nature, and not so
+much as allow themselves or others to try, whether it be possible for
+nature, excited and managed by art, to perform divers things, which they
+never yet saw done, or work by divers ways, differing from any, which by
+the common principles, that are taught in the schools, they are able to
+give a satisfactory account of."[69] Surely, this is not a model of
+elegant English style, but the message is clear. Boyle was emphasizing
+the message taught earlier in the century by Francis Bacon, that we must
+judge the theory by the fact, and not the facts by the theory. It is the
+same philosophy that Hamlet expounded, that there are more things in
+heaven and earth than are dreamed of in our philosophy.
+
+We see, thus, that Boyle had taken a mighty step toward modern
+scientific medicine, but he covered only a small part of the total
+distance. He insisted that we should accept facts, but he did not
+realize the difficulties attendant on defining a fact and making it
+credible. He indicated that when strange results are alleged, "these
+need good proof to make a wary man believe so strange a thing,"[70] but
+what constitutes proof was a problem which he was not able to wrestle
+with and, indeed, a problem which he did not clearly perceive.
+
+I would emphasize that Boyle was in essence a man of great faith. He had
+great faith in religion, and was a deeply religious man. He was a great
+supporter of so-called "natural religion" and tried to reconcile the
+doctrines of natural philosophy with those of traditional religion.
+Westfall[71] has considered in detail the religious attitudes of late
+seventeenth-century writers, Robert Boyle in particular. The "proofs"
+alleged by the proponents of natural religion have, of course, little
+cogency. As Westfall points out, they examined nature in order to find
+what they already believed.
+
+Nevertheless, religious faith was only one part of the total faith which
+Boyle exhibited. He had as much faith in the capabilities, the future
+progress, and the promise of science as he did in traditional religion.
+Throughout all his works we see great evidence of his religious piety.
+But his faith in science, particularly as it affected medicine, we see
+with utmost clarity in the essay "The Usefulness of Natural Philosophy."
+He had great vision of the benefits that science would eventually bring
+to the healing arts. Unlike many of his contemporaries, particularly
+persons such as Glanvill or Spratt, he realized that many anatomical
+discoveries, for example, were of little practical value, but he felt
+that such discoveries would, "in process of time (when the _historia
+facti_ shall be fully and indisputably made out, and the theories
+thereby suggested clearly established) highly conduce to the improvement
+of the therapeutical part of physick...."[72] And with extraordinary
+perceptiveness he indicated the different ways in which he expected
+progress to be made through the proper application of mechanical
+philosophy. He was clear-sighted enough to realize that the discoveries
+made hitherto were not of great practical value but that the future was
+indeed bright, and he provided a remarkable blueprint of progress to
+come.
+
+The measure of progress is, perhaps, the quantity of faith which moves
+mankind. The study of Robert Boyle emphasizes some divisions among
+mankind. Some are content to look backward, to be satisfied with the
+achievements of the past, to rely on accepted systematization, doctrine,
+and explanation. Others, while dissatisfied with the past, have no guide
+to lead them anywhere. Still others, however, have a strong faith in the
+new course which they are pursuing, a faith which can guide them over
+great difficulties. Boyle was such a man of faith--a word which is
+really synonymous with "attitude." He marked the transition between the
+old and the new, and pointed up the difficulties which transition always
+involves.
+
+
+
+
+_Notes_
+
+
+[37] Thomas Birch, _The Life of the Honourable Robert Boyle_, in Robert
+Boyle, _The Works of the Honourable Robert Boyle_, ed. Thomas Birch,
+London; 1772, I, liv, reprinted Hildesheim, 1965, I, Introduction,
+viii-ix; Marie Boas Hall, _Robert Boyle on Natural Philosophy: An Essay
+with Selections from His Writings_, Bloomington, Indiana, 1965, p. 16.
+
+[38] John F. Fulton, _A Bibliography of the Honourable Robert Boyle_,
+2nd ed., Oxford, 1961, p. 37.
+
+[39] Hall, _op. cit._, p. 47.
+
+[40] Margaret E. Rowbottom, "The Earliest Published Writing of Robert
+Boyle," _Annals of Science_, VI (1950), 376-389; R. E. W. Maddison, "The
+Earliest Published Writing of Robert Boyle," _Annals of Science_, XVII
+(1961), 165-173.
+
+[41] Lazarus Riverius, _The Universal Body of Physick, in five books,...
+Exactly translated into English by William Carr_, London, 1657.
+
+[42] Lazari Riverii, _Opera Medica Universa_, Geneva, 1727.
+
+[43] J.-H. Reveillé-Parise, ed., _Lettres de Gui Patin_, Paris, 1846.
+
+[44] Jean Baptiste van Helmont, _Oriatrike or Physick Refined ...
+faithfully rendered into English by J. C._, London, 1662, and _Ortus
+Medicinae_, Editio Quarta, Lugduni, 1667.
+
+[45] Giovanni Battista della Porta, _Natural Magick_, London, 1658,
+reprinted New York, 1957, and _Magiae Naturalis Libri Viginti_,
+Rothomagi, 1650.
+
+[46] Richard F. Jones, _Ancients and Moderns: A Study of the Rise of the
+Scientific Movement in Seventeenth-Century England_, 2nd ed., St. Louis,
+1961; Richard S. Westfall, _Science and Religion in Seventeenth-Century
+England_, New Haven, 1958; Marjorie Hope Nicolson, _Pepys' Diary and the
+New Science_, Charlottesville: The University Press of Virginia, 1965;
+Walter E. Houghton, "The English Virtuoso in the Seventeenth Century,"
+_Journal of the History of Ideas_, III (1942), 51-73, 190-219; and
+Dorothy Stimson, _Scientists and Amateurs: A History of the Royal
+Society_, New York, 1948. See also, for an entertaining primary source,
+Thomas Shadwell, _The Virtuoso_, ed., Marjorie Hope Nicolson and David
+Stuart Rodes, London, 1966.
+
+[47] Sir George Clark, _A History of the Royal College of Physicians of
+London_, Oxford, Volume I, 1964, Volume II, 1966.
+
+[48] Boyle, "Memoirs for the Natural History of Human Blood," _Works_,
+IV, 637.
+
+[49] Boyle, "On the Usefulness of Natural Philosophy," _Works_, II, 169.
+
+[50] Stephen Paget, _John Hunter_, London, 1897, p. 126.
+
+[51] Riverius, _Opera_, trans. Lester S. King, p. 1.
+
+[52] Boyle, "Usefulness," pp. 74-75. See also pp. 115-116.
+
+[53] _Ibid._, p. 87.
+
+[54] _Ibid._, p. 97.
+
+[55] _Ibid._, p. 98. See also "Of the Reconcileableness of Specific
+Medicines to the Corpuscular Philosophy," _Works_, V, 85-86.
+
+[56] Lester S. King, "The Road to Scientific Therapy: 'Signatures,'
+'Sympathy,' and Controlled Experiment," _Journal of the American Medical
+Association_, CXCVII (1966), 250-256.
+
+[57] Boyle, "Usefulness," p. 115.
+
+[58] _Ibid._, p. 127.
+
+[59] _Ibid._, p. 130.
+
+[60] _Ibid._, p. 131.
+
+[61] Van Helmont, "Butler," _Ortus Medicinae_, pp. 358-365, and
+_Oriatrike_, pp. 585-596. See also Boyle, "Usefulness," p. 102.
+
+[62] Van Helmont, _Ortus_, p. 365; _Oriatrike_, p. 596.
+
+[63] Boyle, "Usefulness," pp. 135-136.
+
+[64] _Ibid._, p. 138.
+
+[65] _Ibid._, p. 144.
+
+[66] Boyle, "Reconcileableness of Specific Medicines," pp. 80-81.
+
+[67] Boyle, "Usefulness," p. 183.
+
+[68] _Ibid._, p. 190.
+
+[69] _Ibid._, p. 194.
+
+[70] _Ibid._, p. 195.
+
+[71] Westfall, _op. cit._
+
+[72] Boyle, "Usefulness," pp. 163-164.
+
+
+
+
+_Members of the Seminar_
+
+ L. R. C. Agnew
+ Theodore Alexander
+ M. Peter Amacher
+ Lawrence Badash
+ Stephen Dow Beckham
+ Charles S. Bodemer
+ Hilda Boheme
+ John G. Burke
+ Seymour L. Chapin
+ Jack H. Clark
+ William E. Conway
+ Louise Darling
+ Edna C. Davis
+ Dr. & Mrs. John Field
+ Waldo H. Furgason
+ Martha Gnudi
+ Doris Haglund
+ Karl Hufbauer
+ Samisa Jadon
+ Dieter Jetter
+ Roy Kidman
+ Irving J. King
+ Lester S. King
+ Leslie Koepplin
+ Elizabeth Lomax
+ Patrick McCloskey
+ Nancy McNeil
+ Edgar Mauer
+ David S. Maxwell
+ Robert Moes
+ C. D. O'Malley
+ Ynez O'Neill
+ Marilyn Paul
+ Ladislao Reti
+ Sally Rutherford
+ Edward Shapiro
+ Hans H. Simmer
+ Ingrid Simmer
+ John E. Smith
+ Joan Starkweather
+ Betsey Starr
+ John M. Steadman
+ Annette Terzian
+ Lelde Trapans
+ Richard F. Trucken
+ Frances Valadez
+ Virginia Weiser
+ Fred N. White
+ Maxine White
+ Virginia Wong
+ Jacob Zeitlin
+
+
+
+ _William Andrews Clark
+ Memorial Library
+ Seminar Papers_
+
+
+_Editing Donne and Pope._ 1952.
+
+ Problems in the Editing of Donne's Sermons, by George R. Potter.
+
+ Editorial Problems in Eighteenth-Century Poetry, by John Butt.
+
+_Music and Literature in England in the Seventeenth and Eighteenth
+Centuries._ 1953.
+
+ Poetry and Music in the Seventeenth Century, by James E. Phillips.
+
+ Some Aspects of Music and Literature in the Eighteenth Century, by
+ Bertrand H. Bronson.
+
+_Restoration and Augustan Prose._ 1956.
+
+ Restoration Prose, by James R. Sutherland.
+
+ The Ironic Tradition in Augustan Prose from Swift to Johnson, by Ian
+ Watt.
+
+_Anglo-American Cultural Relations in the Seventeenth and Eighteenth
+Centuries._ 1958.
+
+ The Puritans in Old and New England, by Leon Howard.
+
+ William Byrd: Citizen of the Enlightenment, by Louis B. Wright.
+
+_The Beginnings of Autobiography in England_, by James M. Osborn. 1959.
+
+_Scientific Literature in Sixteenth and Seventeenth Century England._
+1961.
+
+ English Medical Literature in the Sixteenth Century, by C. D. O'Malley.
+
+ English Scientific Literature in the Seventeenth Century, by Rupert
+ Hall.
+
+_Francis Bacon's Intellectual Milieu._ A Paper delivered by Virgil K.
+ Whitaker at a meeting at the Clark Library, 18 November 1961,
+ celebrating the 400th anniversary of Bacon's birth.
+
+_Methods of Textual Editing_, by Vinton A. Dearing. 1962.
+
+_The Dolphin in History._ 1963.
+
+ The History of the Dolphin, by Ashley Montagu.
+
+ Modern Whales, Dolphins, and Porpoises, as Challenges to Our
+ Intelligence, by John C. Lilly.
+
+_Thomas Willis as a Physician_, by Kenneth Dewhurst. 1964.
+
+_History of Botany._ 1965.
+
+ Herbals, Their History and Significance, by George H. M. Lawrence.
+
+ A Plant Pathogen Views History, by Kenneth F. Baker.
+
+_Neo-Latin Poetry of the Sixteenth and Seventeenth Centuries._ 1965.
+
+ Daniel Rogers: A Neo-Latin Link between the Pléiade and Sidney's
+ 'Areopagus,' by James E. Phillips.
+
+ Milton as a Latin Poet, by Don Cameron Allen.
+
+_Milton and Clarendon: Papers on Seventeenth-Century English
+Historiography._ 1965.
+
+ Milton as Historian, by French R. Fogle.
+
+ Clarendon and the Practice of History, by H. R. Trevor-Roper.
+
+_Some Aspects of Seventeenth Century English Printing with Special
+Reference to Joseph Moxon_, by Carey S. Bliss. 1965.
+
+_Homage to Yeats, 1865-1965._ 1966.
+
+ Yeats and the Abbey Theatre, by Walter Starkie.
+
+ Women in Yeats's Poetry, by A. Norman Jeffares.
+
+_Alchemy and Chemistry in the Seventeenth Century._ 1966.
+
+ Renaissance Chemistry and the Work of Robert Fludd, by Allen G. Debus.
+
+ Some Nonexistent Chemists of the Seventeenth Century, by Robert P.
+ Multhauf.
+
+_The Uses of Irony._ 1966.
+
+ Daniel Defoe, by Maximillian E. Novak.
+
+ Jonathan Swift, by Herbert J. Davis.
+
+_Bibliography._ 1966.
+
+ Bibliography and Restoration Drama, by Fredson Bowers.
+
+ In Pursuit of American Fiction, by Lyle Wright.
+
+_Words to Music._ 1967.
+
+ English Song and the Challenge of Italian Monody, by Vincent Duckles.
+
+ Sound and Sense in Purcell's 'Single Songs,' by Franklin B. Zimmerman.
+
+_John Dryden._ 1967.
+
+ Challenges to Dryden's Biographer, by Charles E. Ward.
+
+ Challenges to Dryden's Editor, by H. T. Swedenberg.
+
+_Atoms, Blacksmiths, and Crystals._ 1967.
+
+ The Texture of Matter as Viewed by Artisan, Philosopher, and Scientist
+ in the Seventeenth and Eighteenth Centuries, by Cyril Stanley Smith.
+
+ Snowflakes and the Constitution of Crystalline Matter,
+ by John G. Burke.
+
+_Laplace as a Newtonian Scientist_, by Roger Hahn. 1967.
+
+_Modern Fine Printing._ 1967.
+
+ The Private Press: Its Essence and Recrudescence, by H. Richard Archer.
+
+ Tradition and Southern California Printers, by Ward Ritchie.
+
+
+
+
+Transcriber's Notes:
+
+ Passages in italics are indicated by _underscore_.
+
+ Additional spacing after some of the quotes is intentional to indicate
+ both the end of a quotation and the beginning of a new paragraph as
+ presented in the original text.
+
+ The following misprints have been corrected:
+ "acessible" corrected to "accessible" (page 10)
+ "Futhermore" corrected to "Furthermore" (page 10)
+ "histroy" corrected to "history" (page 14)
+ "wordly" corrected to "worldly" (page 32)
+
+
+
+
+
+
+
+End of the Project Gutenberg EBook of Medical Investigation in Seventeenth
+Century England, by Charles W. Bodemer and Lester S. King
+
+*** END OF THIS PROJECT GUTENBERG EBOOK MEDICAL INVESTG'N--17THCENT ENGLAND ***
+
+***** This file should be named 30016-8.txt or 30016-8.zip *****
+This and all associated files of various formats will be found in:
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