The New York herald. [volume] (New York [N.Y.]) 1840-1920, 1853-10-22

their position For the rest the exclusive practice Of
speciality is only possible in the great centres Of popas
monopoly ofrsal superiority 10 Dupnytren, no iston
thotomist-he will be all that, and excel in all
As for physicians residing in small towns and in tho
ae %
than the physicians Of large cities to neglect branch
Of the art They have to rely upon their un.ided
skill; they must be able to do everything from simple
bleeding to the tying Of large artery from the avuson
of teeth to the removal of hernial construction.
surgeons, Who we're formerly divided into rival and
ininical corpoI atoms, now gnited in the
faculty. and that the students in our colleges are con
plomas and acquire distinctive rights titles The
public interest, we'll as sound philosophy, sxacts
IL permanent alliance Of medicine and surgery.
So much being admitted 1t is right and proper that in
large Cities some members of profession should de-
St: to hsS osas apa
SELF These divisions are sanctioned by reason and Gus
TOM am not opposed to them; but have deemed IT
opportune to point out the danger and abuses of peca
aliss particularly as the daily increasing invasion OF
the SO called specialists finds support not only in the
1attery Of portion Of the medical press
Pathological anatomy ascertains the alterations aber
ratons organic distinctions which the eye may note
during life in the external parts but which are only &C
csnble after DEATH such the organic notifications
produced by the morbid state by the progress Of or
Pathological anatomy points the defects of dcve
lopement the vices Of conformation Of the organs
their morbid state and how their destruction partial or
complete, may clog the movements Of life and change
their equilibrium. Like the physognomist who discovers
characters by studying the features Of the countenance
lection into the depths Of The economy can there dis
Iorsanic changes beyond the percepve reach of
Medical philosophy is the science of the methods
principles and dogmas OF medicine considered science
Gin txrhi
but with which the ply stefan advances boldly from prin
cpe to principle at each step acquiring that knowledge
which alone brings wisdom and invests its professor with
The lecturer then touched upon the history of msdi
cine and proceeded to sayWthout clinical Instruction
there be medicine and in fact medi
cne for medicine useful science, only exists in the
exercise Of the art in other words in that
tive and intelligent practice which only be learned at
the bedside Of the patient under the eye and direction Of
q competent teacher.
Clinical medicine may be regarded the technical part
Of the science for consists in exercises than in
Precepts its true object being to the rules
and proceedings Of the art and to teach that art upon
the patient himself In the order of time it Is evidently
anterior to theoretical instruction The Greeks in
the habit of exposing their sick to view in the streets
vted to advise and prescribe such treatment they
thought best To be adequately benefited by clinical in
sruction the student should have certain endowmens
without which it would be vain to hope to become
cessful medical practitioner He must in the FIRST place
be thoroughly mbaed with the love of his art with good
sense, determined will good memory and great patience
He must moreover the faculty of fixing and apply
irg his attention length Of time upon the most alb
stract subjects. Lastly he must possess the genius of
observation the powers Of reflection and generalization
and with them delicate and penetrating tact
In the estimation Of the vulgar the physician is merely
ened his Office sacerdotal 70 fulfil the duties of pky
sciaD, six conditions rays the father of medicine
early study the love Of work, and lastly time
we examine the life Of the practising physician,
find gded and shining on the surface bat beneath the
spangles how much pain and hardship The practising
physician il of the martyrs of modern society he
drinks the cup Of bitterness and empes it to the dregs
He under the weight of an immense responsibility and
his reward but too often injustice and ingrattude
His trials begin at the very gates Of his career He
spends his youthful years in the exhaustng inyesti-
cations Of anatomy-he breahes the air Of
and daily exposed to all the perils Of conagon View
him in the practice Of the difficult art he has acquired at
the result of chance else is alleged that it is nature
and nature alone that disease, and that the ply
stefan is only useful for form sake Then consider the
notifications he has to undergo, whom he unblush
ing ignorance win The which is denied to his
learning and talents and you will acknowledge that the
trials Of the are not surpassed in any other bu
siness of life There is another evil the honorable ply
stefan has to contend with-a hideous and devouring
evil by the world sustained by the world and
seemingly forever destined to be infection upon
humanity This evil 9uackey, which takes advantage
of that deporabe instinct which actually seeks false
hood and prefers to truth. How often do the
shameless and ignorant peculaor arrest the public at
tention and attain fortune while neglect obscurty and
poverty the portion of the modest practitioner who
has emb sced the profession of medicine with full
seriousness and cultivated it with dignity and hor or Bat
these stern realities Will deter whose vocation Ia
ascer,aned by calm self scrutiny and examination from
adopting profession the duties Of which prescribed
by humanity, and invest him who fulfs them faithfully
with sacerdotal character.
The sacred contracted by the physician are
nowhere laid down with earnestness than in the
majestic oath Of Hippocrates, with the text Of which
shall conclude this lecture
81 swear by Apollo, by Hygea, by Panacea, whom
call to Witness that will observe to the best Of my ab
ty and according to the Of my knowledge this
oath, such as it Is written.
g. will regard as my father him who has taught me
medicine. will help him in his need and supply his
wants. will look upon his children my brothers
they shall desire to learn win CHI it them
without fee written obligaton will make known TO
them ts principles; will explain those principles to
them at length; will communicate the whole doctrine of
medicine to them and also to those disciples who have
matriculated and taken the usual OATH but to none
others.
~ will prescribe for the sick q suitable regimen &C.
cordng to my skill and knowledge; will protect them
against things that huftful Or Unjust will keep my
life pure and holy, as well my art When l enter
house. IL will be solely to visit the sick, keeping myself
free from all corruption. AL that may hear in
my intercourse with men, either in the functions out
Of the functions of my Office and which should not be
ported, will keep secret, as things sacred.
And 50, may live long, succeed in my art and be-
come celebrated through all time, If keep this oath,
without violating single article Of it, IL fall and
come perjured, may the contrary be my lot.'
Court OF Common Pleas-Part1 L.
Before Hon. Judge Woodruff