the evolution of modern medicine-第20章
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were to be evacuated； tenuated； cooled； heated； purged or strengthened。 This humoral doctrine prevailed throughout the Middle Ages； and reached far into modern timesindeed； echoes of it are still to be heard in popular conversations on the nature of disease。
The Arabians were famous for their vigor and resource in matters of treatment。 Bleeding was the first resort in a large majority of all diseases。 In the 〃Practice〃 of Ferrari there is scarcely a malady for which it is not recommended。 All remedies were directed to the regulation of the six non…naturals； and they either preserved health； cured the disease or did the opposite。 The most popular medicines were derived from the vegetable kingdom； and as they were chiefly those recommended by Galen； they were； and still are； called by his name。 Many important mineral medicines were introduced by the Arabians； particularly mercury； antimony； iron； etc。 There were in addition scores of substances； the parts or products of animals； some harmless； others salutary； others again useless and disgusting。 Minor surgery was in the hands of the barbers； who performed all the minor operations； such as bleeding； the more important operations； few in number； were performed by surgeons。
ASTROLOGY AND DIVINATION
AT this period astrology； which included astronomy； was everywhere taught。 In the 〃Gouernaunce of Prynces； or Pryvete of Pryveties；〃 translated by James Yonge； 1422；＇26＇ there occurs the statement： 〃As Galian the lull wies leche Saith and Isoder the Gode clerk； hit witnessith that a man may not perfitely can the sciens and craft of Medissin but yef he be an astronomoure。〃
＇26＇ Early English Text Society； Extra Series； No。 LXXIV； p。 195； 1898； Secreta Secretorum； Rawl。 MS。 B。； 490。
We have seen how the practice of astrology spread from Babylonia and Greece throughout the Roman Empire。 It was carried on into the Middle Ages as an active and aggressive cult； looked upon askance at times by the Church； but countenanced by the courts； encouraged at the universities； and always by the public。 In the curriculum of the mediaeval university； astronomy made up with music； arithmetic and geometry the Quadrivium。 In the early faculties； astronomy and astrology were not separate； and at Bologna； in the early fourteenth century； we meet with a professorship of astrology。＇27＇ One of the duties of this salaried professor； was to supply 〃judgements〃 gratis for the benefit of enquiring students； a treacherous and delicate assignment； as that most distinguished occupant of the chair at Bologna； Cecco d'Ascoli； found when he was burned at the stake in 1357； a victim of the Florentine Inquisition。＇28＇
＇27＇ Rashdall： Universities of Europe in the Middle Ages； Vol。 I； p。 240。
＇28＇ Rashdall； l。c。； Vol。 I； p。 244。Rashdall also mentions that in the sixteenth century at Oxford there is an instance of a scholar admitted to practice astrology。 l。c。； Vol。 II； p。 458。
Roger Bacon himself was a warm believer in judicial astrology and in the influence of the planets； stars and comets on generation； disease and death。
Many of the stronger minds of the Renaissance broke away from the follies of the subject。 Thus Cornelius Agrippa in reply to the request of a friar to consult the stars on his behalf says：＇29＇ 〃Judicial astrology is nothing more than the fallacious guess of superstitious men； who have founded a science on uncertain things and are deceived by it： so think nearly all the wise； as such it is ridiculed by some most noble philosophers； Christian theologians reject it； and it is condemned by sacred councils of the Church。 Yet you； whose office it is to dissuade others from these vanities； oppressed； or rather blinded by I know not what distress of mind； flee to this as to a sacred augur； and as if there were no God in Israel； that you send to inquire of the god of Ekron。〃
＇29＇ H。 Morley： The Life of Henry Cornelius Agrippa； London； 1856； Vol。 II； p。 138。
In spite of the opposition of the Church astrology held its own； many of the universities at the end of the fifteenth century published almanacs； usually known as 〃Prognosticons；〃 and the practice was continued far into the sixteenth century。 I show you here an illustration。 Rabelais； you may remember； when physician to the Hotel Dieu in Lyons； published almanacs for the years 1533； 1535； 1541； 1546。 In the title…page he called himself 〃Doctor of Medicine and Professor of Astrology；〃 and they continued to be printed under his name until 1556。 In the preparation of these he must have had his tongue in his cheek； as in his famous 〃Pantagrueline Prognostication；〃 in which； to satisfy the curiosity of all good companions； he had turned over all the archives of the heavens； calculated the quadratures of the moon； hooked out all that has ever been thought by all the Astrophils； Hypernephilists； Anemophylakes； Uranopets and Ombrophori； and felt on every point with Empedocles。＇30＇
＇30＇ Pantagrueline Prognostication； Rabelais； W。 F。 Smith's translation； 1893； Vol。 II； p。 460。
Even physicians of the most distinguished reputation practised judicial astrology。 Jerome Cardan was not above earning money by casting horoscopes； and on this subject he wrote one of his most popular books （De Supplemento Almanach； etc。； 1543）； in which astronomy and astrology are mixed in the truly mediaeval fashion。 He gives in it some sixty…seven nativities； remarkable for the events they foretell； with an exposition。 One of the accusations brought against him was that he had 〃attempted to subject to the stars the Lord of the stars and cast our Saviour's horoscope。〃＇31＇ Cardan professed to have abandoned a practice looked upon with disfavor both by the Church and by the universities； but he returned to it again and again。 I show here his own horoscope。 That remarkable character； Michael Servetus； the discoverer of the lesser circulation； when a fellow student with Vesalius at Paris； gave lectures upon judicial astrology； which brought him into conflict with the faculty； and the rarest of the Servetus works； rarer even than the 〃Christianismi Restitutio；〃 is the 〃Apologetica disceptatio pro astrologia；〃 one copy of which is in the Bibliotheque Nationale。 Nor could the new astronomy and the acceptance of the heliocentric views dislocate the popular belief。 The literature of the seventeenth century is rich in astrological treatises dealing with medicine。
＇31＇ De Thou； Lib。 LXII； quoted by Morley in Life of Jerome Cardan； Vol。 II； p。 294。
No one has ever poured such satire upon the mantic arts as did Rabelais in chapter twenty…five of the third book of 〃Pantagruel。〃 Panurge goes to consult Her Trippathe famous Cornelius Agrippa； whose opinion of astrology has already been quoted； but who nevertheless； as court astrologer to Louise of Savoy； had a great contemporary reputation。 After looking Panurge in the face and making conclusions by metoposcopy and physiognomy； he casts his horoscope secundum artem； then； taking a branch of tamarisk； a favorite tree from which to get the divining rod； he names some twenty…nine or thirty mantic arts； from pyromancy to necromancy； by which he offers to predict his future。 While full of rare humor； this chapter throws an interesting light on the extraordinary number of modes of divination that have been employed。 Small wonder that Panurge repented of his visit！ I show here the title…page of a popular book by one of the most famous of the English astrological physicians； Nicholas Culpeper。
Never was the opinion of sensible men on this subject better expressed than by Sir Thomas Browne：＇32＇ 〃Nor do we hereby reject or condemn a sober and regulated Astrology； we hold there is more truth therein than in ASTROLOGERS； in some more than many allow； yet in none so much as some pretend。 We deny not the influence of the Starres； but often suspect the due application thereof； for though we should affirm that all things were in all things； that Heaven were but Earth Celestified； and earth but Heaven terrestrified； or that each part above had an influence upon its divided affinity below； yet how to single out these relations； and duly to apply their actions； is a work ofttimes to be effected by some revelation； and Cabala from above； rather than any Philosophy； or speculation here below。〃
＇32＇ Sir Thomas Browne： Pseudodoxia Epidemica； Bk。 IV； Chap。 XIII。 （Wilkin's ed。； Vol。 III； p。 84。）
As late as 1699； a thesis was discussed at the Paris Faculty； 〃Whether comets were harbingers of disease；〃 and in 1707 the Faculty negatived the question propounded in a thesis； 〃Whether the moon had any sway on the human body。〃
The eighteenth and nineteenth centuries saw； among intelligent men； a progressive weakening of the belief in the subject； but not even the satire of Swift； with his practical joke in predicting and announcing the death of the famous almanac maker； nor contemptuous neglect of the subject of late years sufficed to dispel the belief from the minds of the public。 Garth in the Dispensary （1699） satirizes the astrological practitioners of his day：
The Sage in Velvet Chair； here lolls at Ease To promise future Health for present Fees Then as from Tripod solemn Sham reveals And what the Stars know nothing of foretell。 （Canto ii。）
The almanacs of Moore and Zadkiel continue to be published； and remain popular。 In London； sandwich men are to be met with carrying advertisements of Chaldeans and Egyptians who offer to tell your fortune by the stars。 Even in this country； astrology is still practiced to a surprising extent if one may judge from advertisements in certain papers； and from publications which must have a considerable sale。 Many years ago； I had as a patient an estimable astrologer； whose lucrative income was derived from giving people astral information as to the rise and fall of stocks。 It is a chapter in the vagaries of the human mind that is worth careful study。＇33＇ Let me commend to your reading the sympathetic story called 〃A Doctor of Medicine〃 in the 〃Rewards and Fairies〃 of Kipling。 The hero is Nicholas Culpeper； Gent。； whose picture is here given。 One stanza of the poem at the end of the story； 〃Our Fathers of Old；〃 may be quoted：
Wonderful tales had our fathers of old Wonderful tales of the herbs and the stars The Sun was Lord of the Marigold； Basil and Rocket belonged to Mars。 Pat as a sum in division it goes （Every plant had a star bespoke） Who but Venus should govern the Rose？ Who but Jupiter own the Oak？ Simply and gravely the facts are told In the wonderful books of our fathers of old。
＇33＇ It is not generally known that Stonewall Jackson practiced astrology。 Col。 J。 W。 Revere in 〃Keel and Saddle〃 （Boston； 1872） tells of meeting Jackson in 1852 on a Mississippi steamer and talking with him on the subject。 Some months later； Revere received a letter from Jackson enclosing his （Revere's） horoscope。 There was a 〃culmination of the malign aspect during the first days of May； 1863both will be exposed to a common danger at the time indicated。〃 At the battle of Chancellorsville； May 9； 1863； Revere saw Jackson mortally wounded！
James J。 Walsh of New York has written a book of extraordinary interest called 〃The Thirteenth； Greatest o
