Medical Essays

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第4章

Medical Essays 佚名

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Medical Essays
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  MostofthosepresenthaveatsometimeintheirlivesheardmentionmadeoftheMETALLICTRACTORS,inventedbyoneDr。Perkins,anAmerican,andformerlyenjoyinggreatreputeforthecureofvariousdiseases。Manyhaveseenorheardofasatiricalpoem,writtenbyoneofourowncountrymenalso,aboutfortyyearssince,andcalled“TerribleTractoration。“TheMetallicTractorsarenowsoutterlyabandonedthatIhaveonlybygoodfortunefallenuponasingleoneofapair,toshowforthesakeofillustration。Formorethanthirtyyearsthisgreatdiscovery,whichwastobanishatleasthalftheevilswhichafflicthumanity,hasbeensleepingundisturbedinthegraveofoblivion。Notavoicehas,forthislongperiod,beenraisedinitsfavor;itsnobleandlearnedpatrons,itspublicinstitutions,itseloquentadvocates,itsbrilliantpromisesareallcoveredwiththedustofsilentneglect;andofthegenerationwhichhassprungupsincetheperiodwhenitflourished,veryfewknowanythingofitshistory,andhardlyeventhetitlewhichinitspalmydaysitboreofPERKINISM。Takingitassettled,then,asnooneappearstoanswerforit,thatPerkinismisentirelydeadandgone,thatbothinpublicandprivate,officiallyandindividually,itsformeradherentsevenallowittobeabsolutelydefunct,Iselectitforanatomicalexamination。Ifthispretendeddiscoverywasmadepublic;ifitwaslongkeptbeforethepublic;ifitwasaddressedtothepeopleofdifferentcountries;ifitwasformallyinvestigatedbyscientificmen,andsystematicallyadoptedbybenevolentpersons,whodideverythingintheirpowertodiffusetheknowledgeandpracticeofit;ifvariouscollateralmotives,suchasinterestandvanity,wereembarkedinitscause;if,notwithstandingallthesethings,itgraduallysickenedanddied,thentheconclusionseemsafairone,thatitdidnotdeservetolive。Contrastingitsfailurewithitshighpretensions,itisfairtocallitanimposition;whetheranexpresslyfraudulentcontrivanceornot,somemightbereadytoquestion。Everythinghistoricallyshowntohavehappenedconcerningthemodeofpromulgation,thewidediffusion,theapparentsuccessofthisdelusion,therespectabilityandenthusiasmofitsadvocates,isofgreatinterestinshowingtowhatextentandbywhatmeansaconsiderablepartofthecommunitymaybeledintothebeliefofthatwhichistobeeventuallyconsidered’asanidlefolly。Ifthereisanyexistingfolly,fraudulentorinnocentinitsorigin,whichappealstocertainargumentsforitssupport;providedthattheverysameargumentscanbeshowntohavebeenusedforPerkinismwithasgoodreason,theywillatoncefalltotheground。Stillmore,ifitshallappearthatthegeneralcourseofanyexistingdelusionbearsastrongresemblancetothatofPerkinism,thattheformerismostfrequentlyadvocatedbythesameclassofpersonswhowereconspicuousinbehalfofthelatter,andtreatedwithcontemptoropposedbythesamekindofpersonswhothustreatedPerkinism;ifthefactsinfavorofbothhaveasimilaraspect;ifthemotivesoftheiroriginatorsandpropagatorsmaybepresumedtohavebeensimilar;thenthereiseveryreasontosupposethattheexistingfollywillfollowinthefootstepsofthepast,andafterdisplayingagivenamountofcunningandcredulityinthosedeceivinganddeceived,willdropfromthepublicviewlikeafruitwhichhasripenedintospontaneousrottenness,andbesucceededbythefreshbloomofsomeotherdelusionrequiredbythesameexcitableportionofthecommunity。

  Dr。ElishaPerkinswasbornatNorwich,Connecticut,intheyear1740。Hehadpractisedhisprofessionwithagoodlocalreputationformanyyears,whenhefelluponacourseofexperiments,asitisrelated,whichledtohisgreatdiscovery。Heconceivedtheideathatmetallicsubstancesmighthavetheeffectofremovingdiseases,ifappliedinacertainmanner;anotionprobablysuggestedbythethenrecentexperimentsofGalvani,inwhichmuscularcontractionswerefoundtobeproducedbythecontactoftwometalswiththelivingfibre。Itwasin1796thathisdiscoverywaspromulgatedintheshapeoftheMetallicTractors,twopiecesofmetal,oneapparentlyironandtheotherbrass,aboutthreeincheslong,bluntatoneendandpointedattheother。Theseinstrumentswereappliedforthecureofdifferentcomplaints,suchasrheumatism,localpains,inflammations,andeventumors,bydrawingthemovertheaffectedpartverylightlyforabouttwentyminutes。Dr。Perkinstookoutapatentforhisdiscovery,andtravelledaboutthecountrytodiffusethenewpractice。Hesoonfoundnumerousadvocatesofhisdiscovery,manyofthemofhighstandingandinfluence。Intheyear1798thetractorshadcrossedtheAtlantic,andwerepubliclyemployedintheRoyalHospitalatCopenhagen。Aboutthesametimethesonoftheinventor,Mr。BenjaminDouglassPerkins,carriedthemtoLondon,wheretheysoonattractedattention。TheDanishphysicianspublishedanaccountoftheircases,containingnumerousinstancesofallegedsuccess,inarespectableoctavovolume。Intheyear1804anestablishment,honoredwiththenameofthePerkineanInstitution,wasfoundedinLondon。Thetransactionsofthisinstitutionwerepublishedinpamphlets,thePerkineanSocietyhadpublicdinnersattheCrownandAnchor,andapoetcelebratedtheirmedicaltriumphinstrainslikethese:

  “See,pointedmetals,blestwithpowert’appeaseTheruthlessrageofmercilessdisease,O’erthefrailpartasubtlefluidpour,DrenchedwithinvisibleGalvanicshower,Tillthearthriticstaffandcrutchforego,Andleapexultingliketheboundingroe!“

  Whileallthesethingsweregoingon,Mr。BenjaminDouglassPerkinswascalmlypocketingmoney,sothataftersomehalfadozenyearsheleftthecountrywithmorethantenthousandpounds,whichhadbeenpaidhimbythebelieversinGreatBritain。Butinspiteofallthissuccess,andthenumberofthoseinterestedandcommittedinitsbehalf,Perkinismsoonbegantodecline,andin1811theTractorsarespokenofbyanintelligentwriterasbeingalmostforgotten。Suchwastheoriginanddurationofthisdoctrineandpractice,intothehistoryofwhichwewillnowlookalittlemorenarrowly。

  Letussee,then,bywhoseagencythisdelusionwasestablishedandkeptup;whetheritwasprincipallybythosewhowereaccustomedtomedicalpursuits,orthosewhosehabitsandmodesofreasoningweredifferent;whetheritwaswiththeapprobationofthoselearnedbodiesusuallysupposedtotakeaninterestinscientificdiscoveries,oronlyofindividualswhoseclaimstodistinctionwerefoundedupontheirpositioninsociety,orpoliticalstation,orliteraryeminence;whetherthejudiciousorexcitableclassesenteredmostdeeplyintoit;whether,inshort,thescientificmenofthattimeweredeceived,oronlyintrudedupon,andshouteddownforthemomentbypersonswhohadnoparticularcalltoinvadetheirprecincts。

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