*- ^ ^ [t: Surgeon General's Office *: ^««Si(i.l/'V/-....r................ '! m %*j..&>2X?...............i ^f* A MEDICAL DISCOURSE, O R A N HISTORICAL INQUIRY Into the ancient and present State of MEDICINE: The Substance of wfjicri 1 & £~ *-* Was delivered at opening THi***'-^— MEDICAL S C H O O L, In the CITY of NEW-YORK. ________________iZ___________ By PETER MIDDLETON, M. D. And Professor of the Theory of Physic In KING'S COLLEGE, Eft quoddam prodire tenus— Hor. Curentur duhii Medicis MajORIBUS JEgri, Juv. Printed by Desjre. wsBmnmrnmrnamaaBimm NEJV-TORK: Printed by Hugh Gaine, in Hanover-Square. M,DCC,LXIX. Saxnd Haidtnt of'CdunAia CnUue . F.r Am MU. ~UJ*^Lfofi.iu- To the worthy and very respectable The GOVERNORS of King's College, and, to the much esteemed president •M Y L E S COOPER, L. L. D. Gentlemen, / ■ ''HE favourable Sentiments you were pleafed -*- to exprefs of my Introductory Lecture, at opening the Medical School in this COL- LEGE, have induced rne to make fome confi- derable Additions, in hopes of rendering it more generally entertaining : This, with my other ne- ceffary Avocations, has prevented its Publication, till now. The fuccefsful Efforts which have lately been made, under your Auspices, towards efta- blifhing the Practice of Physic in this City upon a reputable Footing, and undeceiving the Inhabitants with Refpect to Impofton, are con- fefTedly the Fruits of that chearful and fteady Warmth, with which you have at all Times efpoufed ( ii ) efpoufed the Caufe of Learning, and the Interefts of this College ; and more particularly of this prefent Institution. How far the following Difcourfe can ferve to promote thefe benevolent and laudable Purpofes, is fubmitted to your Judg- ments : If it merits your Approbation, the Author will be happy in the Succefs of his Endeavours; and your friendly Indulgence to him, for what Faults may be found in it, will be gratefully acknowledged by, Gentlemen, Your moil obedient, And very humble Servant, King's Collsge, t. , r Nov. 3, ,769. P. M. MEDICAL DISCOURSE. TH E many and .great Advantages arifing to Society, from the Inftitution of publick Seminaries of Learn- ing, wfire fo early apparent to the illuftriou's Sages and venerable Legiflators of Antiquity ; that we find fuch Schools nearly coeval with the Dawnings of Science itfei'f. The Hiftories of the moft remote Ages inform us, that particular Claries of Men, under various Denominations in different Coun- tries, were employeJjaiid fet apart as the Depo/itaries or Prefervers of all the Learning then known ; whofe Duty it was by further Ob- fervations of their own, 'to reftify or improve whatever had been communicated to them ; and afterwards to tranfmit the whole, without referve, to their Succefibrs. Thefe Men from their re- tired Life, reputed Sanclity, and Knowledge of the Powers of na- tural Bodies, and when Patriarchal Authority had now for fome * Time* been funk in that of rifing States and Empires, would na- turally be considered in Days cf Ignorance and Simplicity, as a fuperior Order of Beings, and as holding immediate Converfe with Heaven ; and therefore they were ufually entrufted at the fame Time, with the Direction of all the religious Rites and Ce- remonies pradliled among them, in the Worfhip of their feveral local Divinities : But that their Attention might not be taken off from thefe different Tafks or Studies, by' the Neceffity of pro- viding themfelves with Food and Raiment, they were for the moft Part maintained at the publick Expence. So profufely liberal had the Kings of Egypt been to their Seminaries or Colleges of learned Men, that as Diodorus Sietdus tells us, one^hird Part of the whole Country was anciently allotted for the Support of the Priefts ; who, he adds, were alio all Phyjlcians, or fkilled in the Art of Healing. Thefe Prieits, by fome called Hierephantes, or Expounders of facrea Things, derived the Origin of their Infti- tution from the earlieit Ages ; and were reputedly the moft learn- ed Body of Men then known in the World, wherever Policy and good Government had been eftabliftied. For it may be affirmed from natural Reafon, as well as from all the credible Hifiories of ancient Nations, that none of the liberal Arts or Sciences ever made any confiderablet'rogreft, but where good Order and Go- vernment had been firft introduced and properly maintained. Laws are neceffary both for the Security of the Perfons and Properties of Men, and from that Eafe and Happinefs which are the ne- ceffary Confequences of fuch Securkv, proceeds Curiofity, and an emulou" Defire of diftinguifhing themfelves either by fuc- cefsful Refearches into the Nature and Ufes of the Objects around B ,. them: 2 Medical Discourse. them ; or by fuch other Inventions and Difcoveries as are advan- tageous to themfelves, or Neighbours: The happy Refult of all which is Science or Knowledge. Befides the Egyptian Colleges already mentioned, we find fimilar Inftitutions among feveral other Nations of Antiquity ; fome of which I fhall give a fummary Account of. Among the moft ancient of thefe are the Chaldeans : They are noticed by that Name in Scripture, fo early as in the Days of Abraham, who is there faid to have been born in their Country. Tho' the Chaldjeans are frequently fpoken of as a Nation of Assyria, the Name is now moft generally underftood of a cer- tain Body of learned Men diftincl from th%jfleft of the Citizens ; whofe fole Bufinefs was Study*; who lived in and about Babylon ; and were famous for their Knowledge of Aftronomy. The Phi- Jofopher Calhjlhenes, who attended Alexander on his Expedition againft Darius, fent Jriftotle an Account of Aftronomical Obfer- vations made by the Chaldteans, from nearly the Time of the Moiaical Deluge. They firft invented Judicial Aftrology, or pre- tended to foretel Events from the Inrluence and relative Afpetts of the Stars and Conftellations. They were much confulted in Difeafes, which they pretended to cure by Charms, and the A- gency of invifible Powers, more than by the Medicinal Herbs they ufed on thefe .Occafions. The Cabeiri was an Appellation fometimes ufed by the Anci- ents for their Great Gods, fo called ; but moft generally for the Priefts, who performed their facred Rites,, and taught their Man- ner of Worfhip. They firft came from 'Phoenicia, and fettled in Sdmothrace ; They affected great Secrecy in their Ceremonies ; and ufed Certain Forms of Initiation into their Myfteries, by placing their Pupils upon a Throne, and dancing round them ; after which they put a Girdle about them, which was thought to poftefs great Virtues. The Curetfs, fo called from keeping their Hair fhort, and the Corybantes, were different Names for the Priefts of Cybe- Ic or Rhea, the fabled Mother of the Gods. They were fometimes ' called Idtei Dactyli, from their Number ; and from Mount Ida near Troy, where Cybele was held in particular Veneration. Thefe Priefts went from Phrygia, and took up their Refidence in the Iiland of Cnte, where they were faid to have been intrufted with the Education of Jupiter ; when to prevent the Cries of the young God from being heard by his Father Saturn, they invented the noify and warlike Dances in Armour, to the. Sound of Drums and Flutes, which afterwards became Part of their eftabliftied Worfhip. They were expert in the Science of Augury and Divi- nation. Medical Discourse. 3 nation. Thev applied themfelves much to Aftronomy, to Phyfi- ology or the Study of Nature, and to Poetry.- They are faid to have firft inftru&ed the Cretans to build Cities, and to live in So- cieties ; to manage Flocks and Bees ; and to make and ufe Ar- mour. Strabo mentions this Order of Priefts by the Name of the College of the Curetis ; and as performing yearly Sa- crifices in Honour of the Birth of Apollo and Diana. The Telchines came firft to Greece from the Ifland of Rhodes, whither they had removed'from Egypt; They were un- doubtedly of the Tribe of the Priefts in Egypt, the Inventors or Prefervers of the facred Hieroglyphick Characters, and of the oth« Methods by which they concealed their Learning from the Vulgar; for they were very fcrupulous and referved in communicating their Knowledge. The Greeks fpeak of them as the Inventors of Arts ; who firft taught them to rear Temples, to carve Images, and to practife regular Ceremonies in the Worfhip of their Deities. They were alfo great Magicians, and pretended to work Wonders by Charms, Incantations, and certain Drugs, whofe Qualities they were acquainted with. They were probably the fame as Pharoah's Sorcerers or wife Men ; who are faid in Scripture to have done fuch fupernatural Feats, in Imitation of the Miracles performed by Mo/is in Egypt. They were alfo much given to Proceffions and Shows ; and to all the other Arts by which they could excite Ad- miration in Mankind, and Reverence for themfelves, and their Profeffion. In the Book of Joshua we read of a City of Paleftine or Ca- naan called Ciriath-Sepher, which literally fignifies the City of Books or of Letters ; as the Canaanites and efpecially the Sidonians are known to have even then made great Progrefs in Arts and Learning, it is generally believed that they had in thofe Times, publick Schools §tT Colleges in Ciriath-Sepher, in which were taught the Sciences or Philofophy of thofe Ages ; and that this City had its Name from thefe Circumftances, and the Number of learned Men who ufed to afTemble in it, for Study, or mutual Improve- ment. It is certain that there were Colleges among the Jews, in the Time of Samuel, even for the Initrudtion of their Prophets in the Rites .and Ceremonies of their Religion ; and other Myfte- ries of that important Profeffion Here is fuch an Encomium umjn Learning, as exceeds all the Powers of Man to equal: By this we are given to underftand that Learning was conducive to Infpiration, and a more familiar Intercourfe with the Deity ; and was the eligible Vehicle of his revealed Will to that favourite, People. Accordingly in the prophetic Writings we find many beautiful Defcriptions, ingenious Allegories, and inftrutlive mo- R 7. ral 4 Medical Discourse. ral Truths, delivered in a Stile truly Poetical and Sublime. We are alfo told in thejewifn Hiftory, thatHuLDAH, tne Trophetefs, dwelt in the College at Jerulalem. The Salii or Priefts of Mars, were inftituted at Rome by X:tma, for keeping the Ancilia or facred Bucklers: They had a Pk.esul or chief Director; and they were called the College of the Salii. This Name was given them, becaufe they danced in Armour thro' the Streets in their Proceffions, in a certain Ca- dence, continually beating upon their Bucklers ; on which Oc- caiion they were accompanied with a Number of young Virgins « particular Habits, finging the Saliare Carmen, or Song of their rder. Befides thefe, we read that there were anciently Colleges of the Perjian Magi, and of the Indian Gymnofopbifts or Bramins; which Inftitutions exiit in the Eaft at this Day : And the Colleges of the Druids, or Sem?iotheans both in Gaul and Britain, are fre- quently mentioned in the Roman and other Hiftories. Thefe Col- leges were inferior to none of the others, either in Antiquity, Regularity, or popular Influence. Their Learning and Opinions fhall be more particularly confidered hereafter. It may be obferved in general of all thefe Institutions or publick Seminaries ; that they were ufually compofed of Men diftinguifhed by their Birth, Learning, and Abilities, fet apart for the Care of their religious Tenets and Ceremonies ; and that they were the eftablifh'd Schools for the Inftruction of Youth. Thefe Outlines or imperfect Models of publick Academies or Schools, whether derived from the Inftitutions above-menti- oned, or from fome other Denomination of learned Men, among Nations, whofe Hiftories have not reached our "Times, were warmly adopted and greatly improved by the Greeks : Among them we find the fine Arts more generally diffufed and culti- vated, than among the other Nations of Antiquity.* This indeed might naturally be expe&ed from the inquifitive Genius and li- beral Sentiments of the free born Sons of Greece ; whofe unwea- ried Diligence in the Purfuit of, and inextinguifhable Avidity for Know ledge, often prompted them to explore diftant Lands, to vifit many and Strange Nations, and to brave all oppofing Dif- ficulties and Dangers, in Order to participate of every Treafure of Learning, wherever it could be found. Of this there are many Inftances in Hiftory ; and it has been obferved, that one of The greateft Encomiums bellowed uppn the fagacious Ulysses is, that he " Wandering Medical Discourse. 5 " Wandering from Clime to Clime, obfervant,ftray'd, " Their Manners noted, and their States furvey'd." Pope. Nor was this Cuftom of Travelling confined to the Greeks. The'famed Zoroaster travelled over Indoftan, as far as the Ganges, to be inftrutted yi the ancient Philofephy of the Bramins, who, even in his Time, were., celebrated for the Innocence of their L;ves, and Purity of their Doctrines ; and the Gentoo An- nals, ftill preferved in India, mention .both him and Pythago- ' ras, as Travellers into that Country, in Search of Knowledge. The Hyperborean Thilofopher and Britijh Druid Abaris, is men- tioned byfeveral Greek Writers, as travelling over the Conti- nent of Europe to Athens and Delos, and from thence into Italy. Anacharsis was a noble Scythian who came to Greece for Im- provement ; from thence he vifited Croesus in Lydia ; and af- terwards was killed in his own Country, for endeavouring to in- troduce the Grecian Cudoms. Erillus, and Clitomachus, otherwife called As drub al, were Carthaginians who came to Greece, for Instruction ; as did Menippus from Phoenicia. ■>We read of many'more inquifitive Sages of Old, who quitted their native Countries to vifit diftant Regions, in Queft of Learn- ing. From thefe renowned Travellers of Antiquity, is derived • the modern fafhionabie Practice, of vifiting foreign Countries for Improvement; which was adopted fbon after the Revival of Learning in Europe; and'is,ftiil confidered, by Men of generous Minds and enlarged Underftandings, not only as a genteel and ufe- ful Accomplifhment, but as the finifhing Part of rolite Education. Since thofe more remote Times, Learning has been fo exten- fively branched cut into various Arts, Sciences, or Profeffions ; by the many curious and amazing Difcoveries communicated to the World, within thefe few lalt Centuries; and by tKe innu- merable ufeful and interefting Improvements made in all its fe- veral Departments ; that the munificent Founders, and generous Benefaftors of modjfc Universities have been thereby induced to affign competen^ffllowances, for the Support of particular Pro- feffors or Teachers in each neceffary Branch t Who with Abiliti- es not inferior, tho' with Affiltances and Advantages infinitely fuperior to the Antients, are r.evertheicfs conndcred as both ufe- * fully and neceffarily employed/or themfelves, and the Public, in attending to, and improving the angle Part alloted them. By the Example of thefe Eu-,;ean Nations, who have diftin- guifhed themfelves as Encourac trs of Learning and Patrons of Science ; and mc;j particula.l) by the Example, and with the Countenance and Affiftance of thofe Countries, which, with that affectionate 6 Medical Discourse. a-.cftionateRefpea due to the Birth Place of our Fathers, and thofe Sentiments o£ Gratitude we fo juftly owe for their generous Pro- tection and Aid in that Undertaking, we more emphatically call the MOTHER COUNTRIES ; a Seminary of "Learning, has for fome Time paft been eftabliftied and endowed in this City, with a public Spiritednefs and Liberality worthy of its Founders; and which will, we hope, reflect Honour upon their Memories, and thofe of its kind Benefactors, while lives the Love of Letters,— while Merit meets Reward. To render the Influence of this College more extenfive and beneficial to Mankind, the refpectable Governors ljave, with their ufual Benevolence, been pleafed to countenance and cherifh the infant and well-meant Endeavours of a few Gentlemen of the Medical Profeffion here, to erect a School of Physick ; by bellowing upon each of them the 1 itles, Privileges, and Immu- nities of Professors in it, of fuch fepavate Branches of Medi- cine as they have feverally engager to teach. For thefe diftin- guifhed Marks of Favour, it is with the greateft Alacrity and Pieafure, that I embrace this firft Opportunity, in my own Name, and in the N|pes of my Brother ProfefTor$, of making our fin- cere Acknowledgements to the worthy and patriotic Governors, for that Punction and Encouragement they have fo chearfully afforded to our Urn; ei taking, and the Honours they have been pleafed to confer upon us: And in a particular Manner we re- turn our unfeigned and muft cordial# Thanks to the three Gintlemen of the Committee *. appointed to confer with us ; whofe great CooJ-Senfe and Politenefs were not only ufeful, but necellary in removing "many Obftacles which occured to the Execution of our intended Plan; and whofe ileady and unweari- ed Attention to the Reputation and Intereft of this College, are drily furpaffed by their Humanity and general Good-Will to Mankind, fo confpicuous in their Endeavours to promote and improve the great Art of Healing. , When we confider that the moft civilized and polite Nations on Earth, have formerly at fome Period livedjks the moft Savage and Ignorant do at this Day; we have greaWleafon to extol the Sagacity and Addrefs of our Anceftois, for inventing, cultivating, and improving the Arts and Sciences. To enumerate the Bene- fits we derive from their Induftry ; the many Conveniences and Plealures of Life which their Difcernment and Good Senfe have * put us in PofTeffion of; or the Labours and Inquietudes we have been delivered from, by their profitable and fuccefsful Endeavours ; would be a Tafk not more difficult u.an unneceffary ; as it would be * Dr. S. Auchmuty, Reftor of Tr:nitv Chi rch Dr. M Coopir, Pre- fident of King's College, and J. T. Ktitifi, h(qt his Mjjcfty's Attorney Ge- neral. Medical Discourse. 7 be doubting the Judgment of this learned Audience; as well as their Knowledge of Men and Books: I fhall therefore con- fine my fubfequent Difcourfe to the prefent Occafion of bringing together this refpectable and polite Company ; and to what is properly the Subject of this prefent Inftitution. » The Art of Healing, as is obferved by the learned Dr. Pitcairn, muft certainly be of greater Antiquity than the Study of Philosophy ; becaufe in the Beginning of the World, every one would be determined to thofe Studies of Physick or Phi- losophy, according as the Feelings of Man's Body, or the Amufements of his Mind firft excited his Attention. Now it is moft probable, that the Reafons for Philosophy were only ac- cidental or cafual ; for Men then only addicted themfelves to philofophifing, when, after experiencing the Efficacy of Reme- dies, they could in fome Security and at Leizure confider the Qualities of Natural Bodies, and think of excelling the Reft of Mankind in the Powers of the Underftanding : Whereas the Reafons for Physick, or the Prefervatiori of Health, were per- petual ; and, from the earlieft Ufe of Man's Faculties, naturally connected with his Well-being and Exiftence. The Science of Medicine is alfo more uleful, more honourable than that of Philosophy ; by how much" the rrfore reafonable it is, that our Care for the Life of Man, fhould exceed that of gratifying his Curiofity. <& By the Word Medicine, the Ancients underftood every Thing which related to the Art of Hedling ; as by the Appellation of Physician*, they meant every one who practifed that Art, whether the piefcriptive, or manual Parts of it. • MAN, from the Beginning, feems to have been formed by his Creator, fubject to Changes, and even to Death itfelf; equal- ly with all the other living Productions of Nature. The Structure of his Body, the Functions neceffary to the Prefervation of Life, Motion and Reft, Watching and Sleep, and even Health itfelf, are ultimately productive of Infirmities and Sicknefs : The daily Neceffity of frefh Supplies of Meat and Drink, to recruit the continual Wafte of the Body, by the Actions of Life ; the Air he breathes, filled with Exhalations of very different Properties, ac- cording as they afcend from the Earth in the Day, or delcend from the furrounding Atmofphere in the Night; the various and fudden Changes of the Weather, from hot, cold, moift, dry, to their feveral Oppofites ; or the long and uninterrupted Cold and Heat of fueceffive Days and Nights ; the Influence of the Sun and Moon upon our Bodies, thro' the Medium of the Atmofphere; and the varying Seafons of the Year ; all muft occafion fuch Al- terations * I*Tpij, Medicus,—a Healer. 8 Medical Discourse. terations in his Conflitution, and State of Health, as are the ne- ceffiiry Conditions of his Exiilence ; and finally muft become the Source of his total DifTolution. Frc m all this may we not conclude, that before that myiterious Fall of Adam, the Struc- ture of the human Body muft have been very different from what it now is ; or that it wa^s not liable to the fame Inconveniencies, Ncceffities, and Accidents, as at prefent; or otherwife, that even in Eden's Garden, and while poffefred of that fo celebrated and golden State of Innocence, nothing lefs than a Tree of Life, or fome fuch lingular and perpetual Exertion of Omnipotence, could preferve to him, the full and undiminifhed Enjoyment of all thofe various Powers and Faculties, depending upon the Hcajth and Weil-being of a Machine, fo mutable, foweak, and complicated I The firft Race of Mankind, expofed in the Forrefts or open Fields, to thq fudden Changes and Inclemencies of the Weather, muft have.maintained their Life in no very comfortable Conditi- on. Unacquainted with thofe Luxuries and Abules of natural Benefits, which have fince their Time been fo much followed and refined upon, it is agreed among all the antient Writers of every Country and Denomination, who have treated that Subject, and Reafon itfelf confirms it to us, that their whole Suftenance con- fvu'd in the Seeds, Herbs, arid Roofs of their own and Nature's Tillage, juft as they grew and prefented themfelves to their Han j joined Avith the fucculent Fruits of Shrubs and Trees ; and diiuted with the cool and refrefhing Draughts from the pure Stream cr Fountain. This Diet of the primitive Ages would vary, according to the differelt Productions of their refpedtive Countries; whence many Nations were, anciently diftinguifhed by Names expreffive of that particular Food moft generally ufed among them, or* with which their Country chiefly abounded : Thus we are told that the Arcadians lived in former Times upon Acorns ; the Argi-ues on Pears ; the Athenians on Figgs ; other Nations are faid "to have fed chiefly on B:uh Maft; and to keep up the Remembrance of thefe Days of Innocence and Frugality, it was cuftomary at Athens, to i refent the new married Pair on the Day of their Nuptials, with a Bafket of Acorns mixed with "Bread. However, let us obferve by the by, that probably the Acorns in thefe fouthern Latitudes.differcd in Quality, from thofe known to us ; and that other Kinds of Shell Fruits might be comprehended under that Name.' But when we confider the Na- ture of this Diet, we muft allow that, tho' it is very proper for Cattle and the feathered Tribes, whofe Organs are adapted to fuch Aliment, 'it could not he fo fit for or agreeable to Man, who is of a more delicate Texture : For the moft delicious Fruits are cold, and afford but little Nourifhment ; Seeds, without previous Dreffing, are* flatulent, and hard to digeft ; and Herbs and Roots are ftill moreharfti and crude. This is the uncon trover ted Opinion Medical Discourse. g of Phyficians in all Ages and Climates. Hippocrates fays, that in the Beginning Men ufed the fame Food as the Beafts ; and that the many Diftempers, brought upon them by fuch indigeftible Aliment, taught them in Length of Time to find out a different Diet, better fuited to theirConftitutions : And the fame Reafons no doubt, fuggefted the firft Effays of improving the Tafte, and meliorating the Nature of fuch ungrateful Food, by Means of Fire. * The Ufe ofMiLK was probably an early Acquifition to the Diet of the primitive Ages. This being a ready Article of Food, more palatable, and better fuited to their Powers of Digeftion, than any other then known, will eafily account for that Attention and Care with which the Men of thofeTimes preferved and multiplied their Herds and Flocks, in which confifted all their Riches ; and for that perpetual Defire they had to roam and change their Pla- ces of Abode, in their Function of Shepherds, for the Convenience of finding frefh Pafture and Water. Thus the Scythians were fometimes called Galactophagi, or Milk-Eaters, "by the Greeks, from their feeding much upon that nutritious Fluid. The Simplicity of their Diet could only be equaled by that qf their Cloathing and Habitations. The Skin of fome Animal, ac- cidentally found dead, or of fome devouring Beaft of Prey, killed perhaps in Self-defence, was probably the firft Covering that was wore, either for Ufe or Ornament: As their Canopy was the Sky ; a natural Grotto; or fome temporary Shelter of Branches and Leaves; agreeable to their Neceffities, and fuited to their Cir- cumftances. At what Time the Ufe of Animal Food was firft introduced, fs not eafily afcertained. Plutarch wonders what Soul or Senti- ments the Man had, who firft with his Mouth touched Blood, or the Flefh of flaughtcred Animals ; and thinks that nothing but extreme Neceffity could have introduced fuch a Practice. When we confider the helplefsConditiot* of Man, in his State of Nature ; how he is comparatively unprovided with Weapons of Offence or Defence ; and if we .reflect that there is in every Man, unprac- tifed in the Ways of Blood, an innate Abhorrence to deprive of Life, or difpaffionately to butcher an inoffenfive Brute, from a preconceived Defire of eating its Body ; we cannot believe that he was originally formed by his Creator for an Animal of Prey. This is further confirmed from comparative Anatomy ; by which it is evident, that his Inftruments of Manducation andDigeftion more nearly refemble thofe of Graminivorous^ than of Carnivorous Ani- mals. Thus Adam, among other Injunctions given him, is told; That every Arb bearing Seed, and every Tree in vjhich is the Fruit a/a Treepmng Seed, Jhallbt to him for Meat; But, tho'Dominion f. C is lo Medical Discourse. is exprefsly given him over all living Creatures, in every Ele- ment, he is no where told that he might kill, or eat of them : And it is as true as remarkable, that excepting thofe heman Figures which inhabit near the frozen Seas to the North of Europe, and who from Neceffity live almofl entirely upon Fijh and Sea FovjIs ; the principal Part of Man's Food in all other known Regions of the World, from the fierce Savages of America, to the wandering Hordes of Tartary, and the footy Tribes of Africa, hasever been, and ftill continues, to be Vegetable. But by whatever Means Man was firft tempted to act fo contrary to the Feelings of Huma- nity, as to deltroy Animals for Food ; whether from the Example of Savage Beafts, the grateful Odour of Burnt-Offerings, Curio- fity, dire Neceffity, a Spirit of Revenge, or by whatever Motive he was induced to make the bold Effay ; the firft Account we have of Animals being the deftined Prey of Man, is in that formal Per- miffion addreffed to Noah; immediately after the Flood, in thefe Words ; Every moving Thing that li-veth, ftail be Meat for you ; even as the green He< b have I given you all Things : And it is the gene- ral Opinion of Ecclejiaftical Writers, that no fuch Food was ufed, till after the Deluge. This Permiffion to eat Meat, when eonfi- dered fimply and in itfelf, will appear to have been only a partial favour,; For crude Flefh quickly putrines, more efpecially when affifted by the natural Heat of the Body; while notwithftanding, the human Stomach and Bowels, from the Delicacy of their Structure and Length of their Tube, are unable to discharge the putrid Fa>ces fo expeditioufly as is done by Beafts by Nature formed for Prey, and whofe Inteftines are not only fhorter, but alfo more firm and mufcular: Wherefore it is obvious that the Eating of« raw Meat muft have been attended with very pernici- ous Confequences, before the various Methods of dreffing it by Fire, and other Contrivances for preferving it, were found out; in order to retard its Tendency to Putrefaction, and accommodate this Difpofition to the Powers of Digeftion in Man, and to the Length of Time it muft necefiarily remain in his Body. Thus the Art of Cookery, however it may have adminiftred to the Folly or Luxury of later Times,"was undoubtedly, in its Origin, not more fimple than proper and neceflary ; and like other pro- phylactick Remedies or Prefervatives, was at*firft practifed for the fole Purpofes of Health and Convenience. Phyficians often form very juft Opinions refpeeting the Nature of the humane Juices, and the general State of Health, from that particular Kind of Food chiefly ufed, whether it be Animal or Vegetable ; and fome have even pretended to judge of Men's Tempers and Difpofition, from eating their animal Food much dreffed, crude, or nearly fo. There are however many Examples of a voluntary Abftinence from all Fie ft, both in antient and modern Times ; partly from Motives of. Humanity to Brutes, and partly from t»fe of Self- Mortification : For not to mention the Aufteritiet^and frugal Life Medical Discourse. n Life of Anchorets in different Parts of the Worjd, it is well known that, of the prefent religious Orders amongft the Roman Catholicks, the Carthusians and Minims never eat Meat: and the rigid Order of La Trappe, never eat any Thing which has ever had Life in it ; They live entirely on Vegetables, culti- vated by their own Hands. The Colloyers, a SeCt of Greek Monks, never eat Meat; and on Fall Days they ufe Vegetables only. There is another Sect of Greek Devotees called Ascetai, who live reclufe in the Mountains upon Vegetables alone : Many Religious among the Armenians never eat Meat ; and among the Japanefe we are told, that many of their Priefts and other De- votees are no lefs abftemious in that Article of Food. That fmall Society of induftrious inoffenfive People, who have lately fettled in a neighbouring Province, and are commonly known by the Name of Dunkards, live for the mwft Part upon Vegetable Pro- ductions ; and tho' they do not refrain altogether from Meat, they profeffedly ufe it very fparingly, from a Principle of Seff- Denial. They are moreover very frugal in their Drefs, Sleep upon Boards, and are extremely hofpitable : They have a Mo.ue of Worfhip, and fome Tenets .peculiar to themfelves ; and with RefpeCt to their public OEconomy, they live under Regulations fomewhat refembling the antient Spartans, or their modern Imita- tors the Moravians. This natural Averfion in Man to kill Animals for Food, if it did not give Rife to, was certainly much hightened by, the Be- lief of the Metempsychosis, or Transmigration of Souls; which Pythagoras having been inftructed in by the ^Egyptian Hierophantes, and Bramins of the Eaft, is falfly fuppos'd to have been the Author of, becaufe he firft publicly taught it in Greece. For it is certain that all of this Perfuafion, abltain more or lefs from Animal Food; either from Motives of Religion, or Humanity. As this Doctrine of the Metempsychosis is very apcient, and conftitutes the very Effence of the Gentoo Religion at this Day ; and as the Account of their original Tenets, lately pub- lifh'd by Mr."Holwell, who refided feveral Years amongu them, is in very few Hands here; I ihall fubjoin an Abftract of their Opinions, chiefly from him, for die Amufement of the Curious, tho' fomewhat foreign to the prefent Subject. The Bramins, or Gentoo Priests, by the Ancients called Gymnosophists, have ever invariably profefled, as funda- mental Articles of their Creed, the three grand Principles ufually taught to thofe initiated into the celebrated Eleusinian Mysteries ; to wit, The Unity of the God-Head ; his Provi- dence over all Creation ; and a future State of Rewards and Pu- C 2 nifhmenu 12 Medical Discourse. nifhments. They believe that the Hoft of Angels was called into Exiftence long before the Creation of this World ; and thatrlong before this latter Event, there was an Apoftacy or Rebellion of the Angels in Heaven, who, with their Chief, Moisasoor, were banifh'd thence by the Eternal One, into utter Darknefs : That after fome Time, at the Interceffion of the good Angels, fe- veral Worlds were created as Places of Punifhment and Probation for fuch of the Debt ah, or fallen Angels, as were penitent and defirous of regaining their lolt Eftate, where they were doom'd to animate the Bodies of different Animals, even to the fmalleft Rep- tile and Infect, according to the Nature an'd Degree of their Crimes ; till by Obedience, Perfeverance, and a Series of Trans- migrations thro'different Species of Animals in all thefe feveral Worlds, they fhould have totally expiated their Guilt, and be again admitted into the Divine Presence. They believe ■that every Animal Form is endow'd with Cogitation, Me- mory, and Reflection ; that each Species has a comprehen- five Mode of communicating their Ideas, peculiar to themfelves ; and that the delinquent Spirits are confeious of their own Situa- tion, thro'all thefe different Trapfmigrations and Animal Forms. They believe that Moisasoor, or the Arch Rebel, and his impe- nitent Followers, are continually endeavouring to bring back the Penitent Angels to their Apoftacy, and to render ineffectual their Atonements, in the different Forms they animate : That the good Angels have alfo, from Time to Time, by*the Permiflion of God, voluntarily fubjected themfelves to the Feelings of Natural and Mo- ral Evil, and undergone the whole Series of Tranfmigrations ; for the Sake of inftrudting and encouraging their Penitent Bre- thren : That thefe benevolent Spirits have appear'd at different Pe- riods, in the various Characters of Kings, Lawgivers, PhilOt sophers, or Teachers ; as fhining Examples to them of Courage, Piety, Benevolence, and of every other focial Virtue ; and that thefe Violations were more frequent formerly than now : That in all the rffferior Orders of Beings, thefe Spirits are in a State of Punifh- ment ; but that in Man, commences their State of Probation ; be- caufe in this Form only, they become abfolute and free Agents : Whereas in other Forms, they believe that the intellectual Powers of theCriminal Spirits are circumfcribed, byjhe varied Structure of the Bodies they inhabit; and in this principally confifts, fay they, the Difference between Man and other Animals. That the moft Malignant of the Apoftate Spirits are doom'd to inhabit the voracious ClaiTes of Animals, whither of the Earth, Air, or Waters, and Men whofe Lives and Actions are atrocioufly or pub- licly wicked: Whereas the leaf Guilty tranfmigrate only thro' thofe Forms, which by Nature are deftined to feed on Vegetables'; among which they particularly venerate the Cow, as holding, according to their Belief, the next Rank to Man in the Chain of Beings, as being by its Milk the moft ufeful of all Animals to Men forbid Medical Discourse. 13 the Ufe of Meat, and as affifting them in the Cultivation of their Lands, upon which depends their vegetable Subfiftence. They be- lieve that the Females of all animated Forms, and in a more emi- nent De; ree, that Women are highly favour'd of God, and are inhabited by the leaf? culpable of the apojlate Angels : i hat, when a Spirit is difpoffefled of its Dwelling before the 1 ime allotted, how- ever far advanced it might be in Number of Tranfmigrations to- wards its State of Probation, it was obliged to begin them all a-new from the loweit Clafs : Wherefore the rigid Bramins execrate with Bitternefs all fhofe who kill, or eat fuch belov'd Animals of God, as feed intirely upon Vegetables, efpecially the Cow, Sheep, and Goat ; contrary, fay they, not only to the exprcfs Prohibition of God, but to the natural and obvious Conftruction of the Mouth, and digeftive Faculties of Man ; which mark him as deftin'd, with the other moft favour'd Forms, to fubfili upon the Produce of the Earth, with the additional Bleffing of Milk, they dread to deftroy, even by Accident, any Thing which has Life in it; left they ftiould thereby djfpofTefs a Kindred Spirit; or any of thofe other Celeftial Beings, who are working for their Redemp- tion. For the fame Reafons, they are anxious to purchafe the life of any of the favour'd Animals deftin'd for Slaughter; and they have Hofpitds for the maimed and infirm of fuch Ciafi'es, where. they are fedand attended with great Aifiduity and Care, by their Devotees. They moft religioufly abftain from every Kind of A- nimal Food, or from feeding upon any Thing which has ever breath'd the Breath of Life. 1 here is not in all their Books, the , fmalleft Allufion to that Mode of Worfhip among other ancient Nations, by Sacrifices and Burnt Offerings; fuch a cruel Initiati- on, fo repugnant to the true Spirit of Devotion, and fo abhorrent from the Benevolence and paternal Love of the Deity, could only, fay they, be contriv'd by the evil Spirit. With Refpeft to the Antiquity of the Shastah, or Gentoo Scriptures, Mr. Holwell obferves, that the firft Conquerors, who invaded their Country, found them a potent, learn'd, and civilized People, united un- der one Head, and profeffing one uniform Worihip : That their Annals, tho; fileirt as to the fabled Conquefts of Bacchus, and Sesostris, yet make particular mention of the Expedition of Alexander the Great into India, by the Epithets of a mighty Robber and Murderer : That the Sancrit Language and Character, in which their Doctrines were originally written, are not now any where ufed or underftood, except by a few learned of the Bra- mins : rI hat as their Records make mention of the famous Pcr- fian Philofopher Zoroaster, and of Pythagoras^ from Greece, as Travellers into India in Queft of Knowledge ; it is highly pro- bable, that the Fame of their Learning and Purity of Manners, may have induced many other inquifitive Sages of Antiquity to vifit theii; Country : That a* the Gentoos are by the fundamen- tal Principles of their Religion forbid all Intercourfe with other Nations ; 14 Medical Discourse. Nations; and as they cannot even admit of Converts to their Faith, or receive them into the Pale of their Communion, without the lofs of their Caft or Tribe, which is a DifgraCe every Gentoo would rather fuffer Death than incur ; therefore that their Nation has not only remain'd unmix'd with any other Race of People to this Day, but their Theological Dogmas have alfo fubfifted un- changed and unmix'd, ever iince they were firft taught to them by Bramah ; which accordingto their Accounts, was near 4900 Years ago ; - excepting fome Mythological Interpolations of a later Date : And that the Chaldeans, Perfians, and ^Egyptians, fo cele- brated for their Wifdom, and who were not under the like reli- gious Reftraints from leaving their Country, or from having Communication with the Reft of Mankind, moft probably bor- rowed great Part of their Knowledge and Opinions from the Bramins ; and not they from the Egyptians, Perfians, or Chalde- ans. From all which Mr. Holwell concludes, that tho' many Theological Syftems have in all Appearance been built upon the religious Tenets of the Gentoo's, yet they have copied from none : And that therefore their Doctrines are moft ancient, and troly Original; as much fo at leaft, as any written Body of Divi- nity whatever. It is worthy of a Remark, that if Firmnefs of Mind, a fteady Adherence to avow'd Opinions, a philofophic Indifference to every Object of Pride and Senfuality, and a cool and determined Contempt of Death, are the, natural Refult of Integrity of Heart, and confeious Rectitude ; none have given greater or more volun- tary Proofs of thefe, than the Bramins and their Difciples, for fucceffive Ages. The Bramin Dan da mis, tho' fent for by Alexander the Great to vifit him, was equally unmoved by his Sollicitations and Threats ; declaring that he had nothing to afk of Alexander, and that if the King had any Thing to afk of him, he might come to him : This magnanimous Prince however condefcended to vifit him firft ; after which the Phiiofopher was prevailed upon to come to Court. There is ftill extant a Letter from this Dandamis to Alexander, giving him fome Ac- count of the Sentiments of his Sect; and in which he draws a Comparifon between his own Principles and Morals, and thofe of Alexander, not much to the Advantage of the latter. The deliberate and eafy Manner in which the Bramin Cai.anus, when fick of a Dyfentery, burnt himfelf at Pajargadunra $>uina, or Peruvian Bark, were firft noticed from fome wild Apes having Recourfe to it in the Ague, which thefe Animals are fub- ject to : But Geoffroi, with more Probability, fays it was firft difcovered by an Indian under that Diforder, accidentally drink- ing of a Pond, into which fome of the Trees had fallen, and had im- parted their Properties and bitter Taitc to the Water ; by which he was cured. We may further fuppofe that the fenfible Savage, from * Sic Medicinam ottam, fubinde aliorum Salute, aliorum Interitu, pernicios a difcernentem a Salutaribus. Cels. T The famous Tyrian Purple Dye, was firft difcovered by a Shepherd's Dog, which being prefled by Hunger, ha:*, broke that Shell-Fifh on the Shore, when the Shepherd wiping the Blood, as be thought, from the Dog's Mouth with fome Wool, percti\cj it foon tinged with a Ln.urul purple Colour, Medical Discourse. 17 from repeated Trials, obfervmg that the Succefs of this Remedy, was always proportioned to the Degree of Bitternefs in the Wa- ter, would naturally be led to make Ufe of the Bark itfelf. But the ufeful Difcoveries which have been made in Physiology, and in the Nature and Effects of various and active Drugs, fince the Begginning of the laft Century, by Experiments upon different living Animals, from the ftately Horse, to that Medical Martyr the Frog, are fo numerous, that the Catalogue of them alone would fill a Volume : Let it fuffice to obferve, that by fuch Experiments, the grand Difcovery of the Circulation of the Blood was perfected by the immortal,Harvey, and the Pro- grefs of Conception explained ; by fuch Experiments, the Ufes and Influence of the Nerves have been traced; the Peristal- tic, or uplulatory Motion of the Intestines expofed to View; and the Courfe of the Chyle, or digefted Aliment from the Bovoels, to its mixing with the Venous Blood under the left Col- lar Bone, were firit tJemonftrated : Not to mention many other valuable Acquifitions to Natural Hiftory, as well as to Medicine, from this inexhauftible Source of Knowledge. The SciESNCi. of Medicine, in this its Dawning or Infancy, was ufually with the other Learning of the Times, preferved by the Fathers or Heads of Families : But the Number of Obfervations and Remedies, becoming too great to be retained in the Memory of Men, otherwife occupied with the Concerns of their own little States or Tribes; and the Sacerdotal Function, for the like Rea- fons of Convenience, being now feparated from the temporal Au- thority, it was long engroffed by the Priefts ; becaufe internal Dif- eafes were then confidered as Punifhments immediately inflicted by the Gods, for Crimes ; and were therefore to be cured folely by prieftly Arts and Invocations : And fuch is the State of Phyfic a- mong fome Superftitious and Pagan Nations, at this Day. After- wards, as Mankind advanced in the Knowledge of Nature, Medicine became the Study and Occupation of thofe inquifitive Geniufes 'of Antiquity, dittinguifhed by the Name of Philosophers ; who having moreLeifure and Curiofity to pro- fecute Experiments, and to collect or mark down the Cures per- formed by themfelves, or communicated by others, became ufe- ful to Society, not more by their learned Difquifitions, than by vifiting the Sick, and imparting their Advice to fuch as afked it: So that the fame Sages, who fo ufefally applied themfelves t> the Stuay of Nature, were in their Day no lefs famous for the Cue of Difeafes.* In Proof of this, jElian relates that Pythagoras was faid to have gone from Place to Place, not fo much to teach his Doctrines, as to praetife Phyfick. Many iimihtr Inftances D might * Ita ut Morborum Curatio, & Rerum Nature Contemplatio fub iifdem Autoribus natafit. Celsus. i8 Medical Discourse. might be given, till Hypoc rates, emphatically called the Divine eld Man, f firft feparated this Profeffion from the Philofophy and fpeculative Learning of his Time, and gave it the Form and Sta- bility of a liberal and diftinct Science. Thus Remedies, handed down from Father to Son, were continually improved and mul- tiplied, by fucceeding Generations. The primitive Phyficians moft probably began their Inquiries into the Nature of Difeafes, with thofe which were moft generally obferved to attend upon the Changes of the Seafons : And as Astronomy was the firft ^cience cultivated by the ancient Phi- lofophers, they would naturally impute thefe Diftempers to the angry Influence of the Stars and Conftellations, which were fup- pofed to rule at fuch Seafons; hence arofe a differed Mode of 'treating Difeafes, by Charms and Incantations, in order to ap- peafe thefe prefiding Powers: Thefe medical Charms continued long in Ufe among the Antients, and are ftill devoutly confided in, by many fuperftitious and ignorant Nations at this Day. ' All the Progrefs made in the Art of Healing at, or before the Flood, may well be imagined to have been very inconfiderable. The infant State of the World makes it probable, that as Animal Food and fermented Liquors were then little ufed, or altoge- ther unknown, there were but few Difeafes exifting ; and that the Extent of Medical Skill then confifted, in the fuccefsful Exhibition of fome Simples internally or externally ufed ; in Frictions, Bath- ing, and Sweating in the Sun or Sand. Immediately after that Pe- riod, the making of Wi n e was found out, and communicated to Mankind. This was probably the Effect of Accident; for Noah had certainly tailed of the Grape, before he expreffed or fermented the Juice ; and he could not poffibly know, that the Effects of Fer- mentation were to give an inebriating Quality, to a Liquor he had fo frequently experienced to be pleaiing and harmlefs, and to pro- duce a Spirit in the expreffed Juice, which it did not contain be- fore ; till he difcovered it, by that memorable Incident recorded in Sacred Writ. Not long afterwards was probably difcovered the Me- thod of making of Beer ; for Herodotus tell us, that in thofe Provinces of Egypt where no Vines were cultivated, the People drank a Sort of Wine made of Barley : This feems to have been the strong Drink mentioned in feveral Places of the Old Teftament, as diftinct from Wine: Thus it is faid, '« Give strong Drink to him that is ready to perijh, and Wine to thofe that be of heavy Hearts :—Thou (halt beftovj that Money for Oxen, or for Sheep, or for Win v., or for strong Drink : Aaron and his Sons were forbid to drink Wines, or strong Drink, when * they went into the Tabernacle of the Congregation, under the Penalty of Death: And Moses tells the Ifraelites, that in all . their t Divinus Senez. Medical Discourse. 19 their 40 Years Journey thro' the Wildernefs, they neither drank Wine, nor strong Drink : Which proves, that they were both, at that Time known and ufed, in the Country whence they had fo lately emigrated. The Ufe of Beer among the Germans, and fome other northern Nations, is as ancient as any Accounts we have of thofe People, or their Cuftoms. Dioscorides informs us, that the antient Britons ufed an intoxicating Drink made of Barley, dr fometimes of Wheat, called in their Language Curmi ; and this Liquor is ftill highly celebrated in the old feftival Songs of the ancient Scots, by the fame Name ; tho' the Method of mak- ing it is now loft. This Curmi feems to have been different in its Qualities, and in the Manner of preparing it, from any Beers now known ; if we may credit their Traditions concerning this famed Beverage. We are told that the Mexicans alfo ufed a Beer, or intoxicating Liquor made of Maiz, or Indian Corn, when the Spaniards firft came amongft them : This muft have been an In- vention intirely their own. The fameFact is alfo told us of the Peruvians, in the Hiftory of their Incas. As Vice and Debauchery, by fuch Means prevailed in the World, Infirmities and Difeafes muft have become more frequent; Remedies muft confeqiiently have been more fought after, and valu- ed ; and the Art itfelf more cultivated and efteemed, as it became more ufeful or neceffary to Mankind. We fhall now more particularly confider the State of Phy- sick, among the moft celebrated Nations of Antiquity ; and the Reputation it was held in by them, from the Times it began to be followed as a Profeffion. Asia, without Doubt, was civilized before any other Part of the World. Accordingly we find that moft of the Arts and Sciences, the fure Concomitants and Confequences of the Efta- blifhment of Societies, Property, and Laws, had their firft Rife in the Eaft. Here too were made the firft Obfervations upon Difeafes and Remedies, which were foon communicated to Egypt; but it was in Egypt itfelf, that Medicine was firft followed as a Science. In Egypt it is to be obferved, that however the Hiftory of their firft Kings has been concealed under Allegories and Fables, it is greatly for the Honour of this Profeffion, that of thofe who have been deified by their fuperftitious Country- Men, for inventing or communicating ufeful Knowledge to Man- king; fome as Hermes, Osyris, Isis, and Horus have been deified, more particularly for inventing and improving of Phy- sic. It is in Egypt we have the firft authefttick Account upon Record, of Physicians by Profeffion : For in the Book of Gent- fis we are told, that Joseph ordered the Phyftcians to embalm the Body of his Father Jacob. Medicine is faid to have been firft reduced to a Svftem there, by Thonis ; but after him, feveral D v, King 20 Medical Discourse. Kings are reported, not only to have ftudied, but alfo to have practifed it. The Egyptian Writer Manetho, according to Eufe- bius, relates that Athotis wrote a Treatife upon Anatomy; and Hermes, a King of Thebes, wrote upon the fame Subject, for, adds our Author, he vuas a Pbyfician.—Whatever Credit may be given to thefe Accounts, they atleaft prove the great Antiquity of the Science, as well as the great Veneration it was held in, at the Time when thofe Authors wrote. Their Practice was much fubdivided ; for fome undertook to cure one Diftemper only, and others to cure others : Some practifed only upon Difeafes of the Head; others only upon Difeafes of the Eyes; of which laft Oafs, Cyrus fent for one from Egypt. Others again practifed upon Difeafes of the Bowels ; fome Studied thofe Diftempers incident to Women only ; others applied themfelves to cure occult Maladies incident to both Sexes : And none were allowed to practife out of their own Branch. The Profeffion a- mong them was hereditary, and the Science tranfmitted from Fa- ther to Son. They had Salaries and Mantainance allowed from the Public ; and they practifed Gratis. The Egyptian Phyficians were particularly ftudious of Cleanlinefs. The Books containing their Rules and Method of Practice were depofited in their Tem- ples, along with thofe of their Religion and Learning. If by fol- lowing the Directions of this their facred Code, they could not cure or relieve the Patient, they went held blamelefs ; but if they attempted any Thing not warranted by this Rule of Praclice, and without Succefs, it was deemed a capital Crime. None, under a fevere Penalty, was permitted to adminifter Medicine, without being firft received a Member of their College, and being li- cenfed by their Authority. In all that Country, we are told, that Medicine was a favourite Study, and that they particularly re- vered the Profeffion and Character of a Physician : Wherefore, as Egypt abounds with all Sorts of Plants, both Medicinal and Poifonous, Homer, after enumerating the pleafing Effects of Helen's Anodyne Draught of Nepenthe, communicated to her by Polydamne, the Wife of Thon Prince ofCANOPUs, fubjoins, " From P^on fprung, the Patron God imparts, " To all the Pbarian Race, his Healing Arts." Pope's Odys. It fhould be remarked here for the Honour of Egypt, that we have the firft Account of a public Library, in that Coun- try ; over the Doors of which was written, in golden Letters, Ty^x? I«.Tfitn>, or Medicinp for the Soul. The Egyptians were wont to hang up the Hiftories of extraordinary Cures, in the Temple of Vulcan at Memphis. The Art of Embalming, for which they yjere fo famed, is a Proof of their being early ac- quainted-with the g^ner^t Properties of Spkeries, Rofin, Balm, Myrrh, Medical Discourse. 21 Myrrh, and other Gums, ufually imported by the IJhmatlites, and employed in that Procefs. The Ph^nicians are among the firft Nations that make any Figure in Hiftory, for Learning and Arts; and who are faid to have ftudied and cultivated Phyfic very early. But as we have pnl-y gene- ral Aflertions to conduct us in our Inquiries here ; and as all Obfervations upon Medicinal Facts, were in thefe Times necefla- rily interwoven with their other philofophicStudies; we are obliged to form our Opinions refpeCting their Skill in the Healing Art, from the Advances we find they had made in the other Branches of useful Knowledge. It is uncertain whence they derived their Origin. Some think that they were the Pofterity of the Inhabitants of Canaan, who efcaped the devouring Sword of the Jews ; and this Opinion feems countenanced by the Qtymo- logy of the Word Canaan, which, in the Language of \the Eaft, means a Merchant. The Author of the Inquiry into the Life and Writings of HomeR obferves, That they retained much of the Manners of the Eaftern Nations ; that their Language was a Branch of the old Aramaan ; that their Policy, both civil and reli- gious, their Temples, their Records preferved in Temples, and the Order of their Priefts exempted from Taxes, are very like the Inftitutions that prevailed over the Eaft: To which may be added, that the Tyrians worfhipped the Fire. They were the Authors of the nobler Kinds of Architecture, of Naviga- tion, and Geography ; the Improvers of Astronomy ; the Inventors of the Heliotrope or Sun-Dial, and of Glass; and the Rivals of the Egyptians for the Invention of Letters and Arithmetics They were alfo the Parent of Mechanics, and the firft Workers in Metals, Wood, and Stone : So that what is faid of Hiram, the Widow's Son from Tyre, and the Mafter Workman to King Solomon, was truly characteriftic of the Nation,—^ was Jkilful to work in Gold and in Silver, in Brass, in Iron, in Stone, and in Timber ; in Purple, in Blue, in fine Linnen, and in Crimson : Alfo to grave every Manner of Grav- ing, and to find out every Device which ftould be put to him. In fhort they excelled in all Works of Tafie. By their frequent Voy- ages over the Euxine, and Red Seas, to all the different Parts of the Mediterranean, and into the Atlantic Ocean, as far as the Gum Coaft on one Hand, and to Britain on the other; we may rea- fonably fuppofe that they greatly improved the Healing Art, and inriched the Materia Medica : For it is well known that the Communication of Difeafes from one Country to another, as well as of Remedies and Operations ufed in different Countries for the fame Difeafes, is the Effect of Commerce. From the Phoeni- cians, Homer firft learned the noted Story of the Sirens ; and of that dangerousDame G7rr*,who with the intoxicating Juice of Herbs, could transform Men into Brutes. From the fame People he pro- bably 22 Medical Discourse. bably firft heard of the Inchantments of Medea in Colchis, and of her wonderful Skill in the Virtues of Herbs. If moreover we confider their daily Intercourfe with, and Vicinity to Egypt, where Medicine was always particularly cultivated and reflected, and that even then, this Profeffion was a profitable Branch of Bu- finefs ; we can not doubt that they, wh-fe Merchants were Princes, and whofe Traffickers the Honourable of the Earth, were alfo well acquainted with the Nature and Cure of Difeafes. The Know- ledge of Medicine conftituted in thofe Days Part of their Phiiofo- phic Studies ; and Phaniaa has given Birth to many celebrated Names of Antiquity. Anceus, the only Argonaut upon that Expedition who underftood.^/?rBnhips, adds, as an Argument for his Tendernefs and Care, that, 28 Medical Discourse. ■ " A Wife Physician fkill'd our Wounds to heal, «• Is more than Armies to the Public Weal." ' Pope. Tho' the Greek Poet, here in the Original, * partes a very fignal Commendation upon Physicians, and infinuates that the Grecian Army was not fo much difpirited at the Wounds of their bravefi Heroes, as at the fingle Danger* of Machaon, whom in another Place he calls the Preferver of the Greeks, yet it muft be owned that Pope, probably in Gratitude to his learned Friend and Phyfician Doctor Arbuthnot, has very much heightened che Compliment in his Tranflation. However, it will be allowed to Homer, that he at leaft fpeaks the Sentiments of the Times he wrote in. Homer further informs us, that even the inexorable Achilles, while " His feafted Eyes beheld around the Plain, The Grecian Rout; the Slaying, and the Slain ; His Friend Machaon, fingled from the Reft, w , A tranfient Pity touch'd his vengeful Breaft." And the Diftrefs ofthe bleeding Eurypylus is greatly aggra- vated with this Reflection, that The great Maohaon, wounded in his Tent, Now wants that Succour, which fo oft he lent. BoTrtNY, or the Knowledge of Plants, muft even then have been in the higheft Repute amongft them ; and they believed that the moft wonderful and fupernatural Effects, could be produced by Means of Herbs: The Stories of Medea and Circe are well known ; and Homer in the Iliad diftinguifhes AgaMede by this Character: .^ * " She that all Simples healing Virtues knew, " And every Herb that drinks the Morning Dew." It fhould be obferved too, in juftice to Homer himfelf, that in many Parts of his Poems, he fhews no inconfidcrable Know- ledge of Anatomy, Surgery, and Botany, confidering the Age he lived in. Of Podalirius, we are told, that on his Return from the Deftrudtion of Troy, being fortunately driven upon the Coaft of Cariu, he c<§ed the Daughter of Damaethus, King of that Country, wfio had fallen from the Top of a Houfe ; by bleeding her in both Arms : And that fhe was afterwards given by her Father to Podalirius in Marriage, with Half of theKingdom» a« s O' Iarpo$ y»p Av»f> voaaau anT«|io; «Ww. Medical Discourse. 29 as a Reward for his Skill and Services. This is the firft Inftance 011 Record of Vcnaefeclion, or Bleeding with a medicinal Intention. • The Greeks, in early Times imitated the Babylonians and Egypti- ans, in bringing their Sick into the molt public Places, for Ad- vice. They carried them fometimes too into their Temples, to be there directed to a Cure, b^ Jiefuppofed Influence of their Deities in Dreams, or by the Management and Attendance of their Priefts or Devotees who came to worfhip : And when a Cure was effected, the Hiftory of the Cafe, and the particular Method of Treatment by which the Sick recovered, were engraved or written upon Tables, and hung up againft the Walls and Pillars ofthe Temple; both as a Memorial cf the Patients Gratitude; and to inftrudt others, who might thereafter labour under the fame Com- plaints. From thefe Tables it is faid that Hippocrates after- wards acquired great Knowledge, by collecting them from diffe- rent Places, and with the Affiftance of his own Obfervations and Practice, digefting them into that Regularity and Order fojuftly admired in his Writings. Many Medical Schools were erected at different Times in Greece, and alio by her Colonies, in various Parts of the World. From that of Crotone, the celebrated Damocedes, had the good Fortune to cufe Darius King of Perfia, of an obftinate Diforder, which had baffled the Endeavours of his own Phyftcians; for which he was loaded by that Prince with great Wealth and Honors, and was pofl'effcd ever afterwards of his Confidence afid Friendfhip. But that q£ Coo's excelled all others in Fame, by giving to the World the immortal Hippocrates ; whofe Reputation was fo great, that not only his own Countrymen, the Coans, impreffed his Image upon their publk Coins; but all Greece, by common Suffrage decreed him the fame Honours as were paid to Hercules. The Athenians, the politelt and molt learned-of all the Gracian States, made him free of their City, voted him a Crown of Gold, and Maintenance to him and his Pofterity, at the public Expence. And in fuch Repute was the Profeffion in his Time, that, when taught to a Pupil, a more than filial Gratitude and perpetual Obedience were required from him to his Mailer or Teacher; inafmuch as his Birth or Initiation into thofe learned and ufeful • Myfteries, was thought of fuperior Import to that of Nature: The Oath exacted by Hippocrates from his Pupils, is a Proof of this; and has ferved as a Model for thofe folemn Obligations ufually adminiftred to'Graduates in Medicine, in all regular l/niverfities, ever fince. The Athenians held the Healing Art of fuch Confequence to the Public, that theyfpaffed a Law forbid- ding all Women, and fuch as were not free, to learn any Part of Medicine ; and not only they, but feveral other Grecian States 30 Medical Discourse. alfo decreed public Honours and diftinguifhed Privileges to Physicians. - Thus we find the greateft Philosophers of Antiquity, wejjf proud of the Name and Reputation of being fkilled in Medicine. Pythagoras, who has Leen already mentioned, erected a Medi- cal School m Italy, 550 Years .v^oie Christ ; and both he, and De.\.ocritus wrote upon the Viriues of Herbs. I he divine Plato wrote upon the •Theory oi Medicine, and particularly Phy- fiology, or the (Economy oi the human Body. Aristotle being delcended from tEsculafius, confidered the Science as his Birth-right ; he therefore not only ltudied, but practifed it with fuch Succefs, that having recovered his Pupil the great Alex- ander from a Fit of Sicknefs, this Monarch, ever ambitious of excelling, prevailed with his Matter to inflruct him too in that ufefal Science ; and which Plutarch tells us, the King after- wards thought not unbecoming his Dignity to communicate to Others: When this Prince was fick at Tarjus, in Confequence of unfeafonably bathing in the River Cydnus, the noble and gener rous Confidence with which he treated his Phyfician Philip, not- withftanding he had received Notice from Parmenio to beware of him as a Traitor, is not more a Proof of his own Magnani- mity, than of the high Opinion he entertained of his Phyftcians Skill and Integrity. Alexander's Situation here was critical, him.elf unable to act; Darius advancing faft upon him ; being therefore equally impatient of Doubts as of Delay, he prefented Parmenio's Letter with one Hand to Philip, while with the other he took down the medicated Potion prepared fo^him : Nor was he deceived in the Event. Theophrastus alfo, and many other Philofophers of Antiquity, both practifed and wrote upon Phyfick. At Smyrna, another Groecian Colony in the leffer Afia, Physicians were held in fuch Repute and public Eftimation, that, as we are informed by the learned Doctor Mead, their Names were impreffed upon their public Coins, with thofe of their Proetors or chief Magiftrates ; they were even frequently joined in their Medals, with their tutelar Deities : Nor did they confine thefe Honours to their own Phyficians; for we know, from the fame Authority, that they beftow'd them alfo upon o- thers eminent in this Profeffion ; tho' belonging to another cele- brated School in a remote Country, and at that Time their Ri- val in medical Fame. In fhort, the medical Abilities of the Greeks continued une- qualled, during the whole Courfe of the Roman Sovereignty; and even after itsDeclenfion : And the learned Freind obferves, that if we compare any of the Greek medical Writers, from Hip- pocrates to Paulus ./Egineta of the 7th Century, with the very beft of their Cotemporaries in any Art or Profeffion what- ever, Medical Discourse. 31 ever, we fhall find them not at all inferior, either in the Difpo- fition of their Matter, the Clearnefs of their Reafoning, or the Propriety of their Language. Some have written above the Standard of the Age they lived in; and many have done great Honour to this Profeffion, by their extenfive Knowledge in other Arts and Sciences, as well as their own. The Integrity of the Ancients was fuch, that altho' their Credulity was fometimes an Impeachment to their Underftandings, yet, being abov^the little Views of private Intereft, and acting up to the Character of their Profeffion ; whatever they could find out by their own Experience, or from the Observations of others, which might relieve their FelloW' Creatures, they candidly and generoufly made it public. This was the Pradtice of the Antients, and* ought to be a perpe- tual Model for fuch of their Succeffors, as would imitate them, either in their Knowledge, or their Virtues. Their medical Writ- ings were evidently the Reiult of long Practice, accurate Obfe'r- vation, and folid Judgement. .Hence an universal and deferved Deference is paid to their Authority, by every Practitioner, who defires to comprehend the whole Circle of this Science, or to diftinguifh himfelf by Abilities in his Profeffion. The Carthaginians were a Colony of the Phoenicians ; and as there was an uninterrupted Amity and Correfpondence kept up between thefe Republicks, while either could be of JJfe to the ether, we cannot doubt that they were well acquainted with all the Learning and Arts of the Country they came from. They had alfo frequent Intercourfe with the Greeks, while at the Sum- mit of their Glory for Arts and Arms; and while Medicine was both a fafhionable Part of Philofophy, and followed as a Profefiion : For we find that their Lacedemonian Allies under Xantippus, defeated the Roman Conful Regulus in Africa, and took him Prifoner. 499 Years after the Building of Rome, and 255 Years before Christ ; whereas Hippocrates lived about 500 Years before this laft Event. What Progrcfs the Carthaginians themfelves had made in the Healing Art, cannot now be af- certained ; by Reafon of the barbarous Policy of the Romans, in deftroying their hiftorical Monuments and Records. We know, however, that there was a Temple in that Part of Carthage cal- led. By rf a, dedicated to Esculapius ; and Diodorus Siculos, in his Account of the Plague which raged amongft the Troops under Hamilco, at the Siege of Syracuje, gives us to underftand, that they had at that Time profcffcd Physicians in their Army. The Romans are the only Nation of Antiquity who enjoy'd a Form of Government, for feveral Centuries, without any Know- ledge of Medicine. This is the more furprizing, as they appear from their Origin to have been a reftlefs, quarrelfome People, perpetually embroiled in bloody Dtfienfions at Home, or in cruel Wars 32 Medical Discourse. Wars abrorrd ; when the Haling Art, particularly Chirup.ce/, muft have been exrremelv necefiary. In the 350th Year of their City, there was certainly no Practitioner, at feaft of Merit, a- Miongft them ; fir being then grievoui'y afflicted with the Plague, they, by the Advice of the Oracle at Delphi, fent ten Deputies to the Temple of ./Esculapius at Epidaurus, to bring the God to Rome. His Godihip, as we are told, was pleafed to go along with thd*, in the Shape of a Serpent ; and having quitted the Veffel and gone afhore on an Jlland in the Tyber, near the City, a Temple was there eredtcd to him ; upon which the Plague ecafed. Hither the Sick from all Parts of hah reforted, or fent for Relief. The Method of recording Cures, according to the Cuftom of the Greeks, was long'pradtiied here too, as Pliny teftifics : And Hieronymus Mercurialis has prcferved to us fome Inscrip- tions written in the Reign of Antoninus, and found in this Temple of Esculapius ; where not only the Cures effected, but alfo the Remedies prefcribed i>y the Oracle are recorded. In the Ruins of this Temple, not long ago, was difcovered one of the Marble Tables which had been confecrated to this Deity ; upon which are ingraved in Greek Characters, feveral Cures performed by his Advice ; and which is ftill preferved as a great Curiofity, in the Palace of Mapheo at Rome. 'Tis indeed allow'd that, for nearly the firft five hundred Years of their City, few or no Veftiges of anyKiujd of polite Literature, are to be found amongft them. Before thisPeriod, they feem to have refembled rather a turbulent, licentious, and ill afibciated Community, with refpect to them- felves ; and a vindictive, haughty, and unrelenting Band of De- ftroyers, with refpf 3: to the neighbouring Nations ; than the Pro- genitors of thole, who were one Day to give Law to, and diffufe the Polite Arts with new Luftre over the World. The Accounts of their Tranfadtions, as related by 1 their own Hiftorians, luffi- ciently countenance this Opinion ; which might probably have been the general Belief at this Day concerning them, if their rival States had been equally fortunate, in tranfmitting to us their own Hiftories, together with their Sentiments andPortrait, of thePolicy, and leading Characters oft), at imperious and proud Republic; fo as that Polterity, unbiaffed by partial Evidence, might have judged for themfelves. However, we are afTured that this Sci- ence was encouraged, as early as any- Kind of Learning was taught amongft them : For about, or a few Years after the -Era abovementioned, we have an Account of one Archagathus, a Pbyfician of great Reputation, who came from G-eece to Rcme; where he was honoured with the Freedom of the City, and a Houfe given him to dwell in. Some Time after him, lived Ascl/piades the Bithynian,Vhy{ic\a.n to Crassus; no lefs reflec- ted by the Great for his Eloquence, than for his Skill in Physic. It is very remarkable, that from the firft Introduction of public Schools at Rcme, to the Subverfion of this unweildly and corrup- ted Medical Discourse. 33 txd Republic, by the fuperior Fortunes ofthe great Caesar, almoft every ^Profeffion or Art then ftudied or pradtifed amongft them, except that of War, was chiefly taught by fuch Greekft as had emigrated thither for the Sake of Curiofity cr Gain; oijjjby fuch as • the Fate of Arms had reduced to Servitude : For the fierce and warlike Temper of her own Citizens, unlike the more exten- five and elevated Genius of the Greeks, deigned not as yet to profefs any Science, except fuch as tended to gratify their Ambi- tion for C'onqu^i, or to lead and rule the People. While the Romans thus had little other Knowledge of Physic, than what was pradtifed by Captives and foreigners, or ferved only to en- hance the Price of a Slave, we cannot wonder that it fhould fome- times be fpoke of by their Learned, in very inadequate Terms : Virgil at one Time feems to confider it as a mere manual Occupation*; yet this great Poet tells us, that his Hero's Pkyfician Japis, preferred the Knowledge of Medicine, to that of Divination, Archery, oxMufic ; all which Apollo had put equally in his Electionf. But the wife and politic Cjesak, who was alfo the moft accomplifhed Scholar of the Age, made all who practifed Phyfic, Freemen of the City. Augustus confirm'd to them thefe Honours; and particularly indulged his own Phyfician, Anto- nius Musa, the Privilege of wearing a golden Ring, which among them was the ufual Badge of Knight-hood. To this Musa the Romans alfo erected a brazen Statue, as a grateful Acknow- ledgment of his Services and Skill, in curing Augustus of an obftinate Diforder. Thefe encouraging Mark's of public Favour, could not but recommend fo ufeful an Art, to the Study of the Romans themfelves. Accordingly the elegant and learned Cel- sus || foon after this Period, exhibited to the World a lafting Specimen of his Proficiency in that comprehenfive Science: Yet Pliny, who lived about 120 Years after Celsus, fays, that even in his Time the Romans had not much applied themfelves to Medicine, tho' then a profitable Employment ; but that it was chiefly in the Hands of the Greeks. Valentinian ordained that there fhould be a Physician for each ofthe 14 Wards into which Rome was divided, to take Care ofthe Poor ; and who fhould be paid at the Publ c Expence. This feems to have been the firft Elfay towards a Public Hospital. We fhall here in general obferve, that many of the Faculty lived in the ftridteft Intimacy and Friendffiip with the Roman Empe- rors ; that many had ample Salaries allow'd them by thofe Prin- ces ; that many, by the liberal Gratuities given them for their Ser- vices, acquired great Riches, and were the Authors of many E public * Mutas agitare, inglorius, Artes. -f- ------bcire Foteir-itcs Herbarum, ufumque medendi Vn«. Maluit. U Latinifllraus Celsus. 34 Medical Discourse. public Benefactions in the Places where they lived ; and laftly, that many, from the Reputation of their univerfal Learning and great Abilities, were employed as Embafladors to foreign Poten- tates, and in the other higheft Offices of State. But befides the many and diftinguifh'd Honours and Privileges from Time to Time conferred upon Individuals, the whole Profeffion was held in fuch Efteem, that great Immunities were alfo granted to their Schools or Colleges, as well as to themfelves. They were by the public Edicts of Antoninus, Constantine the Great, and Julian, exempted from all the ufual Duties or'Citizens, or Sol- diers, from attending Courts, or entertaining public Officers and Strangers ; and every one was forbid to moleft them, under the Penalty of being punifhed at the Will of the Judge : And a Parti- cipation of thefe public Indulgences was extended, even to the Wives and Children of fuch ufeful Members to the Common-Weal. Nor was the Fame of their Ppysicians always confined to the Li- mits even of this vaft Empire ; for when a Peace was negotiating between the Emperor Justinian, and Chosroes King of Perfia; this laft would not even agree to a Truce, but upon this exprefs Condition, that the Phyfician Tribunus, whofe Affiftance he wanted, and whofe Skill he was acquainted with, fhould be fent to him ; which Justinian having comply'd with, a Truce was granted for 5 Years. Chosroes, being reftored to Health by the Care of Tribunus, offered to give him whatever he de- manded : But the generous Phyfician only defired that fome Roman Captives, his Countrymen, fhould be fet at Liberty : That gallant Prince not only releafed the Perfons required, and 3000 Prifoners befides, but alfo rewarded him with ^great Prefents ; and fent him back in Safety to his own Country. About this Time the Medical School of Alexandria, was fo celebrated thro' the learned World, that to have been educated there, was alone fufficient to give the Reputation of great Skill in Physic. The Fame of this Place for Medicine, had been long before this jEra eftablifh'd in the Eaft ; and it continu'd uridimi- nifhed for many Years, even after the City had been, in the 7th Century, facked by the Saracens. Herophilus, Phyfician to Pto- lomy Lathyrus, is faid to have been the Founder, as well as the great Ornament of this School: He is faid alfo to have been the firft who diffected Human Bodies, for the Purpofes of Medical In- ftruction; by the Countenancej^nd Encouragement of that Prince. Before I difmifs this Enquiry into the State of P h y s i c among the Antient Nations ; I muft requeft the Reader's Atten- tion to one more Seminary of learned Men, not lefs remarkable for their Antiquity, the Regularity of their Colleges, the Sin- gularity of their Dodtrines, their Learning, and popular Influence, than any yet fpokenof: I mean the British Druids. As thefe Medical Discourse. ^5 thefe Men, befides their other Functions, wer^lfo in their Day, the fole Practitioners of Physic ; and from Circumftanots of Place, feem to .hold fome diftant Connection with ourfelves ; I hope I fhall be indulged in being fomewhat particular in the following Account of them : As indeed the Advances made by them in the other Branches of Literature, are the only Rule we have, whereby to judge of their Progrefs in Medicine. The Druids, by fome called Semnotheans, i. e. fuch as reverence the Gods, were poffeffed of the fame Influence and Au- thority among the Celtes, and other Gallic Tribes, as the Perfian Magi ; or as the Prophets among the Jews ; who are well known to have been often too powerful, for Royalty itfelf. The firft Account we have of them by that Name, is from Caesar, who in his Com- mentaries defcribes them as a College, or feledt Clafs of religious Philcfophers, and Prieftr, having fix'd Places of Worfhip; as govern- ed by particular and eftabliftied" Regulations, and fubjedted to one certain Head or Archdruid, who refided in Britain: To which Place, he fays, all the Noble Youth of the Continental Gauls, were ufually fent for their Education. As tfcey knew not the Ufe of Let- ters, before their Intercourfe with thwRomans, they committed all their Learning to Memory, and delivered it to their Pupils in Verfe. They were fo called from Deru, which in the old Britijh Language fignifies an Oak ; becaufe the Oak was always held fa- cred by them ; becaufe they always worfhiped in Groves of Oak, upon gently elevated Places ; and becstofe they never perform'd any of their religious Functions without it. TheMisLETOE of the Oak was in a particular Manner revered by them, and gathered at cer- tain Seafons, with great Parade and Ceremony: They believed this to be an infallible Cure for Barrennefs ; an Antidote to Poi- fons ; a Prefervative againft Witchcraft ; and a powerful Remedy in all Difeafes whatever. In fome old Britijh Books ftill extant, arc to be found many of the Medical Secrets, ufually pradtifed by thr Druids, in their Treatment of various Maladies ; and it need not be doubted, that many of the ftrange Cures and Charms re- commended at this Day, for different Complaints, by the com- mon People of the Hebrides or Weftern Ifiands, and elfewhere in Britain, and Ireland, are from the fame Origin. They were ex- perienced in the Powers of natural Bodies, and particularly in the ' Properties of Plants, and gave great Application to fuch Studies; whence they were conftantly%:onfulted in all bodily Infirmities and Sicknefs, by all Ranks of People : The Silago, a Species of Mofs which grows upon Trees, was alfo a fovereign Remedy with them, efpecially for Difeafes of the Eyes; as was alfo the Sa molus, a Species of the Water-Brook-Lime. They were much ad- dicted to Magick, Hbeantations, and Oharms; and were highl) efteem'd, even by the Romans, for their Skill in Divination an^ Augury. They were great Aftronomers> and 'tis faid, could cal- culate 36 Medical Discourse. culate Eclipfes. Jfhey were indeed well verfed in all thofe Arts, by which the Terror and Amazement of the Vulgar are ufually excited ; and by which the beneficial Belief, of their being pof- feffed of Supernatural Powers, could be kept up. The Learned have found much Reiemblance between the Britijh Druids, and the Perfian Magi, in their religious Tenets, Modes of. Worfhip, Learning, and Drefs. The Druids acknowledged the Exiftence of one Supreme God, uncreated, and uncon fined; whom they therefore adored in the open Air, in confecrated Groves, but never in covered t emples. 'I hey admitted however of inferior Deities : Thus, Tar an us was their Jupiter, having Power over the Heavens : H.ssus was their Mars, or God of War: Teu- tates was their Mercury, who prefided over Arts and Com- mercce, and was the Guide of Travellers. But their principal Adoration was directed to Apollo, or the Sun ; as the God of Light, Heat, and Physic. To the Sun they offered grand year- ly. Sacrifices on the firft Day of May ; at which Time all domef- tic Fires were every where extinguifhed, and the People went to receive holy Fire from the Druids, at their Temples, or Places of Worfhip ; to rekindle their houfehold Fires. This Deity or • God-like Luminary, was by the Druids of S.Britain, called ' Belin ; and the principal Seat of his Worfhip, was in the Ifle of Anghfey : But the Caledonian Druids gave him the Name of Grian, fignifying the Effence, or Source of Fire and Heat; and worfhipped him at particular Seafons, by making large Fires up- on the Tops of Hills. There are many Remains of the Druidical Temples, ltill to be feen in Anglejey, in the Wefiern Ifies of Scot- land, and in feveral other Places ; confifting of long, large, and rude fingle Stones placed on End in the Ground, at regular Dif- tances, and in a circular Form ; with an Avenue of tht fame Contrivance, leading up to it. They alfo paid great Veneration to the Moon ; whofe Temples were conftrudted in like Manner, but of a femicircular Form; as appears by the Veftiges of fome of them, ftill obfervable in the North of Scotland. Mufic, both Vocal and Inftrumental, was a conftant Attendant upon all their religious Rites; and their Inftruments were Pipes, Flutes, and Harps. It does not appear that they ever ufed any Images in their Worfhip : From which and other Circumftaaces, it feems evi- dent, that they borrow'd nothing from the Greeks ; tho' it may be reafonably fufpedted, that the Greeks have been indebted for fome things to the Druids. Their Authority was fo great, and fo devoutly fupported, that their Excommunications were terri- ble, even to their Princes ; fo that the Nobles, generally from Prudence as well as Inclination, procured themfelves to be initi- ated into their Myfteries, and frequently, to be enroll'd among them. As they had the fole Direction in ajl religious Matters, no Sacrifice, whether Public or Private, could be perform'd but by a Druid. They were alfo the fole Judges iu all Controverfie* refpe&ing Medical Discourse. 37 refpecting Property : No Law could be enadted without their Ap- probation : They had the greateft Influence in all public Coun- cils : And, like the Spartan Ephori, they could controul the chief Rulers of the Nation. They offered up human Sacrifices in Times of imminent Danger, or great Diftrefs; for which Reafon it is faid, that Suetonius Paulinus under Nero, utterly deftroyed their Groves and Temples in South-Britain: But the true Reafon feems to have been, their great Influence with the People, in fpiriting them up to defend their Liberties, againft the unmerited Incroachments and arbitrary Sway of the Romans : For fuch Sacrifices could be no more reproachful in the Druids, than in the Romans themfelves ; who, in no very dis- tant Period, had countenanced the like Cruelties : It was only in the 657th Year of the City, and in the Confulate of Lentu- lus and Crassus, that human Sacrifices were forbidden at Rome: Till then they had been occafionally authorifed there*; and we meet with feveral Inftances of the like Pradtices among the Remans, long after that Period, in different Parts of theEm- ..pire. * Indeed we find frequent Examples of this barbarous Cuf- tom, among moft Nations, in their Infant State ; from thf, chofen People of God, to the profefled Objects of his Vengeance in Ca- naan ; and from the more enlightened Greeks, to the more igno- rant and ill fated Mexicans. The Deftrudtion of the Druids ia North-Britain, was more gradual, owing to civil Broils, and the Refentment of Parties contending for Power ; they having efpous'd the weaker Side. Tradition informs us, that there were fome Remains of them in Scotland, at that Time when the firft Chriftians fled thither, from the Roman Perfections : Where thefe pious Fugi- tives, from their fequeftered Life in Caves, and other hiddenPlaces, were called Culdees ; and from the Similiarity of their Cir- cumftances, being not eafily diftinguifh'd by the Natives from the profcribed Druids, they have been frequently confounded by Pofterity. They believed the Immortalily of the Soul; and the Metempfychofis from one human Body to another, under certain Circumftances : And they allowed cf a future State of Rewards and Punifhments. They ufually burnt the dead Bodies of their Friends, and preferv'd their Afhes in earthen Pots, buried under great Cairns, or Heaps of Stones : Some of thefe Pots or Urns have lately been dug up, from under thefe Cairns, in the Weft Highlands of Scotland. The Druidical Functions were often here- ditary ; and their Females, called Druidesses, were no lefs. famous for Divination, than the Druids themfelves. The pious and peaceful Hyperboreans, fo often mentioned by the old Greek Writers, were undoubtedly the Celtic or Britijh Druids ; for as what they tell us of thefe Hyperboreans, cannot be apply'd with any Juftice, either to the Scythians, or Scandinavians, there is no other Clafs cf Men ) et known, who agree 3S Medtcal Discourse. agree with their Defcription and Situation, but the Druids. rl hey tell us, that the Hyperboreans inhabited a large Illand, with many leffer Iflands about it, lying to the N. W. of Europe. beyond Gaul, and in the great Atlantic Ocean ; and that Laton a, the Mother of Apollo, was born there : That Apollo was the great Object of their Worfhip ; fo that after having finifh'd the Building of the Walls of Troy, he is fuid by Pindar, to have haftened totheHYPERBOREANs : That thefe Iflands were frequen- ted by the Ghofts of departed Heroes, and by friendly Genii, who revealed future Events in Dreams ; and that one of thefe fmaller Iflands, was the peaceful Retreat of old Cronus or Sa- turn, after he had been deprived of his Sovereignty by Jupi- ter : Perhaps the prefent Notion, that fome People in thofe re- mote Parts, are pofTefled of what is called the Second Sight, or a Power of predicting certain dij'uftrcus Events, is a Remnant of the old Druidical Doctrines and Superftitions, and of this Be- lief in friendly Genii,, or guardian Spirits. The Fertility of the Soil, Temperature of the Climate, and happy Situation of the Inhabitants of thefe Hyperborean Iflands, were highly celebrated by many ancient Writers. They fay that they were a religious, temperate, long lived, hofpitable, hardy,* and vigorous Race of People ; that they were fubjedt to few Difeafes ; that they lived chiefly on Vegetables ; and were infefted with no Wars : That frequent Embaffies of Young Men and Virgins, crowned with Laurel, and cloathed in White, had from Time to Time been fent from thefe Islands, with Offerings of First Fruits, wrapped in Wheat Straw, and having their Inftruments of Mu- fick, to the Temple of Apollo, in the Ifland of Deles ; where Latona is fabled to have been delivered of him, and his Sifter Diana. Now Anacharsis fays, that his Country-Men the Scythians detefted the Ufe of Inftrumfnts of Mufic in their Reli- gion ; and Laurel was not then known to exift in Rujfia, or Scandinavia: Befides, when Rome was facked by the Goals under Brennus, it was the general Report in Greece, that this City " had*been taken by an Army of Foreigners, from the Country of the Hyperboreans. , This Intercourfe between Greece, and the Country of the Hy- perboreans, has been traced up to about the Time of the Tro- jan V/ar: So that Abaris, the celebrated Hyperborean Phi- losopher, and Priest of Apollo, who came to Athens about 550 Years before Christ, to renew this Correfpondence, and to vifit Delos, could be none other than a Druid, and probably too from the Weftern lfles of Britain- Diocenes Laertius obferves, that it was the Opinion of many learned Men, that the Greeks acquired their Philofophy from the Barbarians ; among whom he names the Druids: And it is allow'd, that the Hyperbo- reans firft taught the Greeks, that the Earth was Spherical, and fituated Medical Discourse. 39 fctuated in the Center of the World ; whence it is conjectured, that what riiey called the Sphere of the Barbarians, was a Form or Machine contrived by the Hyperboreans, for the eafier In- ftrudtion of their Pupils in Aftronomy. Befides, as the Images ufed by moft Nations, to reprefent the happy State of Souls de- parted, are ufually drawn from Subjects which uvere the principal Part of their Delights in this World ; fo the Hyperboreans, according to Plato, among other Things, promifed in their Paradise or Elysium, the fineft Fruits of every Seafon, Choirs of Dancers, Theatres of Poets, vocal and inttrumental Mufic, public Feftivals, Banquets, and Schools of Philoso- phers : All which are in every Refpect conformable to the known Rites, Ufages, and Belief of the Druids. Thus, the Druids being generally defcended of the beft Families, the Honours of their Birth, joined with thofe of their Functions, and the Opi- nion of their great Learning, procured them the highelt Venera- tion and Authority, among all the Gallic Nations: And it is natural to believe, that fuch a Set of Men, under fuch a regular Inftitution, continually employ'd in the Search of Knowledge, and communicating their Discoveries from Age to Age, muft have made great Improvements in Physic, Astronomy, Ma- thematics, Philosophy, and the other Sciences ; according as their Studies or Refearches were directed. There was alfo another Order of Priefts among them, but fup- pofed to be inferior to the Druids ; called Eubates, or Faids ; whence the Vates ofthe Latins. Thefe likewife ftudied the fublime Myfteries of Nature, and pretended to be infpired: There are fome Veftiges of their Name, among the Highland Scots, and native Lift af this Day. The Bards were a Set of Men, inferior to both Druids, and Faids : They were the Difciples of the Druids ; but they were no Priefts, nor interfered with religious Matters: i'heir Perfons however were every where facred, among the old German and Gallic Nations, and they were the ufual Heralds of State, between contending Chiefs. They were by Profeffion Poets, em- ploy'd on Subjects merely mortal; and who celebrated in Songs, the Genealogies of the Great, and the Gallant Deeds of depar- ted Warriors : Nor were the fofter Pafiions forgot in their Com- pofitions, as is evident from thefe genuine and invaluable Re- mains of ancient Poetry, afcribed to Ossian : They were ex- empt from Taxes, and all public Duties, both Civil and Mili- tary : They frequently went from Place to Place, repeating their Songs for Hire, like the Scandinavian Scalds; or father like the Aoidoi (AotJo») of the Greeks, among whom fome have claffed the imnfOrtal Homer himfelf. The Bards at 'aft ca;ie to be retained in the Families of the Great, as lnipiciiiju':, of State: 40 Medical Discourse. State: Their Function became hereditary ; Lands were affigned to their Office in Perpetuity ; and they continued in the higheft Eftimation with the antient Natives, for many Ages after the Ex- tirpation of the Druids ; as appears from Ossian's Poems, and the Traces of that Profeffion ftill extant, in fome remote Parts of Britain. • It is worthy of Remark, that all the ancient Nations, who firft cultivated or made any confiderable Improvements in Me- dicine, have either attributed the firft Difcovery of it to their Gods ; or have deified the Inventors. Such Sentiments at leaft fhow the high Veneration they had for this ufeful Profeffion ; and how beneficial and neceflary they believed it to be, for the Pre- fervation and Happinefs of Mankind. Hippocrates obferves, that this Belief of the divine Origin of Physic, was not only confonant to the general Opinions of the World in his Time ; but alfo, he thinks, agreeable to Reafon. In fhort, all Nations, as they emerged from Barbarifm and Ignorance, and improved in civil Polity and Knowledge, have encouraged and refpected the Learned in the Healing Art; as the Friends and Benefactors of Society, and of Mankind. They rewarded their Services while living, with a Liberality almoft beyond Belief; and revered their Memories after Death, not more honourably by monumental In- fcriptions, Medals, and Statues ; than gratefully, by continuing their public Benefactions, even to their Pofterity. _, Let us next view the State of the Medicinal Profession, among certain foreign Nations, who, tho' Ancient as to their Origin and Government, may yet be confidered as Modern, with Refpect to our Acquaintance with them. The Chinese have applied themfelves to the Study of Medi- cine, from the very Infancy of their Empire ; and they have a great Number of ancient Authors, upon that Subject. The Pro- feffion is not only much refpedted among them ; but their own Phyficians alfo are juftly efteemed, for their Sagacity and Angular Acutenefs in diftinguifhing Difeafes, and forming Prognolticks by the Pulfe ; tho' they pay great Attention to the Tongue, Eyes, Voice, and Complexion of the Patient, at the fame Time, in forming their Opinions : From the Manners of the Country, they are fometimes obliged to find out Diftempers by the Pulfe alone ; for many of the great Men will not permit their Wives to be feen or fpoke to, but only to put their Arms 'thro' a Cur- tain, in Order for the Phyfician to feel the Pulfe. Du Halde has given 41s a particular Account of their Method of judging by the Pulfe, with their various Obfervations and Diftindtions concerning it. Their Herbal is very copious, and contains many Simples not known in Europe; from which they form a Variety of Compofitions. Medical Discourse. 41 Compofitions. The fame Author, gives us feveral Specimens of their Prefcriptions, both fimple and compound ; and affures us, that they are as expert in curing Difeafes with their Medicines, as the Europoeans are with theirs. The Profeffion of th-e Physi- cian among them, is diftinct from that ofthe Druggist, or Apothecary ; and he is paid for his Vifits. They have alfo their £>uacks ; fome of whom pretend* to. be poffeffed of- a Medicine, which will render thofe who take it, immortal. They are circumftantial in their Manner of collecting and curing their Drugs ; minute in diftinguifhing Difeafes ; and attentive to every Confidcration fuggefted by Difference of Age, Sex, Tempera- ment, Climate, Diet, or Occupation, or by the various Conditions of Women. Every Part of the Elephant is ufed by them in Me- dicine, in fome Form or other; 'and the Ginjeng Root is a fove- reignjlemedy, for numberlefs Diforders. They are however very fuperficial Anatomifts ; and have therefore made rflfcle Progrefs in Medicine as a Science : And they are very whimfical in their Theories. Before their Acquaintance With the Europeans, they knew little of Chymistry, and nothing of the Circulation of the Blood ; whatever they may pretend to the contrary : Yet they knew the Method of opening a Vein, tho' they feldom prac- tifed it. The Ufe of Enemata or Injections,* they learned from the Europoeans ; and therefore call them, the Remedy ofthe Bar-* barians; for fuch they account ajl Nations, befides themfelves. Several of their Monarchs are believed to have both practifed, and improved Medicine ; and if we believe their Accounts, there werelmperial Academies anciently eftabliftied, for that Purpofe : Nankin is particularly famous at this Day, for the (Cul- tivation of the Arts and Sciences ; and has the greateft Number of Libraries, of any City in China. There is an Anecdote mentioned in the Chinefe Hiftories, which, while it proves their high Eftimation of the Healing Art, yet greatly invalidates the boafted Antiquity of their Chronology : They tell us that Chi-Hoam-Ti, acknowledged to be one of their greateft Monarchs, being interefted in the Deftrudtion of all the ancient hiftorical Records, and of thofe who preferved the Memory of them, caufed all Books to be burnt, except fuch as treated of Agriculture, and Medicine ; in Hopes that his own Actions might eclipfe all thofe c f his Predeceffors in the Empire. This happened about 213 Ye:.:; before Christ.- As the Ufe of Paper was not known, the Chjr\ e then wrote their Cha- racters upon wooden Tablets, or littlePlatts ^1 Bamboo, which could not eafily be fecreted or conceded ; and th. refore it is imagined, that this Deftrudtion of their hiftorical I■' )numents, muft have been pretty complete : And that they can hv.. : few if any authen- tick Records, anterior to that Period. Th^j Emperor built the G famous 42 Medical Discourse. famous Wall, fo much admired by Travellers ; to defend his Dominions from the Incurfions of the Tartars. We haye alfo in Du Halde, an Account of a Chinefe Trca- tife, on the Subject of Prcferving Health, divided into thefe 4 Heads ; 1 ft, of the Heart and its Adions ; zdly, of Diet ; 3<:lly, of the Adions of the Day\t; and 4thly, of Reft at Night : Wherein feem to be contain'cf, moft of the Modern Rules reflecting Air, Aliments, Motion and Reft, Paffionsof the Mind, things retain'd or difcharged, and Sleep and Watching ; which in the Medical Stile are called the six Non Naturals. In violent Pains, particularly of the Gout, the Chinefe burn Moxa upon the Parts affected. This Remedy, upon the Recomisendation of Sir William Temple, was for fome Time the fafhionable Appli- cation for the Gout, in England ; but is new laid afide. Among the People of Japan, the Antiquity and Eftimation of this Art, are carried as high as with the Ckineje. They afci ibe the Inveii.ion and firft Practice of it, to their Kings ; who,- by their Corruutatiqn, lived long before the Mofaic Deluge* Their Physicians have the Reputation of great Skill and Abilities; and it is remarked.that they moft commonly prefcribe their Mc- • dicines in a folid Form; and make- very frequent Ufe of Rhu- barb and Cajfia : But the Art of Surgery b very little pradtifed among th.-m, and lefs underftood. The Japanefe are grofs Pa- gans, or rather have little, real Religion of any kind ; for they treat their Idols with great Contempt and Freedom, whenever th'ey are difpleafed with them. As to their National Character, they are. jult in their Dealings ; faithful to their Pron ifes ; civil to Strangers admitted among them ; and of ftridt Veracity : They have but one Language, and one Meafure over all the Em- • pire : rl heir Laws are every where uniform, and duely execu- ted : Property is well fecured, and generally hereditary; Perjury, Theft, and Gaming for Money, are punifhed with Death : They are remarkably fond of Mufic, and admit it to all their Enter- tainments. They are not permitted to leave their Country, on any Pretence ; arfd if they do, they can never return. In State Of- fences, the Emperor generally orders the Nobleman in Dilgrace, to be his own Executioner, on an appointed Day : This is accoun- ted an Indulgence, and always complied with: But the Kindred and Friends of the Criminal, are frequently involved in his Fate. It is fafhionable with the japanefe Noblemen, among other Blan- ches of their polite Learning, to apply themfelves to the Study of Physic ; in Order to recommend thc-mfe-ives more effectually to the Emperor's Favour. None however are allowed to write or publifh Books, but their Dairo, or Chief Prieft, with his Familv, and Defcendants, who for this Reafon, are particularly induced to apply thtmicivcs to Learning. The Japanefe Ph^ ^icians flu-ke Medical Discourse. 43 make very little Ufe of Bleeding : And in violent Pains, or Spaiinodic Affections, they ufe Acupundure ; or burn Moxa upon the Parts affected : This Practice is alfo followed by the Chinefe in the like Complaints, as well as in the Gout. - The State of Phyfic among the Bramins, and Inhabitants of Indoftan, has been already taken Notice of. We fhall only add here, that they ufually divide Difeafes into certain Claffes ; and that their Physicians confine themfelves to one or two of fuch Claftes, that they may excell in thofe they particularly profefs. They -re very exact and pundtilious with Regard to Regimen ; and have a particular Regimen for moft Difeafes. They have fome Knowledge of Chymistry ; and make frequent Ufe of Medicines prepared by Fire. They have a Book of Inftitutes, in which is contained all their Medicinal Knowledge. Their Prog- nostics are much influenced, by fuperftitious Obfervations. They are very nice in .their Choice of Medicines, and Me- thod of preferving them. They carefully confider both the Pulfe and Excretions, in order to form juft Notions of Difeafes ; butthey.were ignorant of Anatomy, or the Circulation of the Blood, when fir it vifited by the Europeans. In the Ifland of Ceylon, the Practice of Physic, as well as their Modes of Worfhip, and religious Tenets, are very fimilar to thofe of the Mogul Nations, and Bramins. They make fre- quent Ufe of ftrongly purgative Simples ; and apply fteeped Pepper outwardly, in all Complaints of the Bowels, fhe Ele- phant is alfo much ufed here in Medicine ; and the Ifland abounds with various Drugs, and valuable Spiceries. In the Ifland of Amboyna, they are remarkably expert in the Knowlege of poifonous Plants ; and not lefs fo, in the Ap- plication of their Antidotes. The Natives of the Eaft-Indiet in general, particularly of the Iflands, are chiefly ftudious of the noxious Properties of Vegetables ;^ho' it muft be owned, that they are alfo well acquainted with many falutary and Medicinal Productions. In Siam, the Pradice of Medicine confifts in adminiftering a certain Number of Receits, which have been handed down from their Anceftors ; and which, like Our modern Quacks, they apply at Random, without Regard to the different Caufes, or dillinguifhing Symptoms of Difeafes. Among the Tartars of Thibet, the Lamas or Priefts are their only Physicians. They prefcribe the moft common Sim- ples, and chiefly fuch as are ufed in China. We are affured, that fome of them are well acquainted with the Methods of cu- ring 44 Medical Discourse. rin~ moft Difeafes, incident to thefe Countries. The Tartars believe their chief Lam,*, to be a living Deity ever prefent with them ; and accordingly worfhip him leated upon an Altar in their $'cmple, whenever he pleafes to fhow himfelf for that Pur- pofe : They believe that he never dies, but only changes his Perion, or the Body he choofes to inhabit, as fuits his Inclination : The Vulgar have the fame Notions, with Refpect to their fubor- dinate Lamas. The L.ih.-» of Thibet, like the Roman Pontif, is Supreme both in Spiritual and Temporal Affairs ; and is often vifited by diftant Princes, to receive his Bleffing, and Remiffiou of their Sins.' Tne Arabians were long acquainted with the Practical Part of Medicine, before the .Foundation of the Saracen Empire : 'Tis believed, that their Prophet Mahomet had fome Knowledge of Medicine himfelf; and that therefore it was ever afterwards highly eftcemed, by his Succelfors in the Caliphat. The Saracens, in the beginning of Mahometanifm, fcarce applied themfelves to any Study, befides that of cultivating their own Language, and underftanding their own Laws, except Physic; hut this Pro- feffion was generally efteemed among them, as being ofuniverfal Advantage to Mankind. It was the barbarous Policy of this People, to deftroy all Books, and other Veftiges of Literature wherever they carried their Conquelts : Accordingly, Amrou, having made himfelf Matter of Alexandria, and being loath to deftroy fo famous and valuable a Library as he found in that City, fe«t to the Caliph Omar, to know his Pleafure ; he recei- ved for Anfwer, that if thefe Books contained the fame as the Coran, they could be of no Ufe ; and if they advanced any thing contrary to it, they fhould therefore be burnt. This was accordingly executed, excepting fuch as treated of Medicine ; thefe were carefully preferved from the Conflagration, the Quantity of Volumes which had been collected there, at an immenfe Expence, for a Series of Ages, was fo great, that it fupplied Fuel to the Bagnios^or the Space of fix Months ; tho' there were no lefs than 4000 at that time in Alexandria. Thus the Remains of the Ptolomean Library, which had furvived the calamitous Accidents of Cesar's Wars, were now intenti- onally and almoft intirely confumed by theie Votaries to Super- ftition and Enthufiafm. It has been remarked that Arts and Sciences have undergone Revolutions, fomewhat fimilar to thofe of States and Empires. The Irruptions of the Goths, and other Northern Nations into the Roman Empire, in the Cth Century, was attended with the Deftrudtion of almoft every Monument of Learning, in the Weftern World : And about two Centuries afterwards, the Saracens and Followers of Mahomet in the Eaft, laid the Foundation of an Empire, which in the Space of about 80 Ytars, extended its Dominion with amazing Rapidity, over mote Medical Discoursed 45 more Kingdoms and Territories, than the Romans had ever been able to do in 800; and laboured but too fuccefsfully, to fubftitute Arabic and the Koran, in the Place of every other Lasguage and Book, thro' great Part of Afia, and Africa. This Difference however is obfervable in thefe literary Events, that what was done by the Northern Swarms, thro' brutal Ferocity and Ignorance, was perpetrated by thefe Apoftles of Mahomet, under the fpecious Pretence of ferving God and his Prophet . vVe read, it is true, of fome few Inilances, both in Sacred and Profane Hiftory, where a Difference in Religious Dodtrines, has oceafioned the'Demolition of States, or Extirpation of Nations : even the Followers of the meek and peaceful Jesus, tho' fhameful to relate,—had already fet that execrable Example of killing, or otherwife perfecuting one another/or the Sake of God ; which has been fo pioujly and induftrioufly followed, by over- heated and factious Enthufiafts, thro' fucceffive Ages, to thefe prefent Times : But on fuch Pretences to deftroy Books, and the ufeful Labours of the Learned, is fuch a Proftitution of Reafon and Religion, as.no Age, no Nation, before the Saracens, had ever avowed. Such Feats of Bigotry and Ignorance, were re- ferved for the Sons of Ishmael; and for fome Chriftian -Zea- lots of more modern Days, who with more than Turkift Barbarity, indulged their religious Phrenzy, in deftroying both Books, and many ftately Edifices, the very Ruins of which are at this Day the Admiration of Strangers. Notwithftandmg this Havoc among the Records of Antiquity, the Fathers of Physic, as has been faid above, found an Afylum with thefe religious Conquerors. Afterwards, when Spain, in the 9th Century, was reduced to the Moorift Yoke, they began to attend to the Arts of Peace, and founded Colleges there ; to which there was a great Refort of Students, from all Parts of Europe, particularly to learn the Healing Art. The many voluminous Publications of the Arabian Physicians, which for many Years were almoft the only Books confalted upon the Subjed of Medicine; the liberal Rewards and Salaries beltowed upon them, by their Caliphs and Princes; the many valuable Additions they have made to the Materia Medica ; and the accurate Defcriptions they have left us, of feveral new Difeafes, unknown to former Authors ; are not only Teftimonies of the great Efteem the Science was held in, by that People, but alfo ofthe extenfivc Knowledge and Abilities of their Practitioners. We are allu- red, that the Hakimm, or Doctor, is always treated with uncommon Refpect amctt the Arabians, and other Nations oi the Eaft: That he mayMninvited enter any Houfe, where he never fails of a cordial Welcome : That even in their hoftile Incurfions and Depredations, his Perfon and Effeds are unmo- lefted, and held facred; for, fay they, it would be barbarous and uniuft, to involve thofe in the Calamities ot War, who * bv 46 Medical Discourse. by their Profeffion and Employment are Friends to Mankind : And by this diflinguifhed ApelJation, we are told by 1 ravcilers, they are charaderized in thefe Countries, at this Day. The Turks are now, v/ith Refped to Learning, nearly what -the Romans were, during their Repai, and a great Part of their Confular State; a warlike, proud, and illiterate People: But where the other liberal Sciences are not permitted to take Root, the Art of Healing- has never been obferved to flourifh. The Turks have fome Family Receipt;, which they make Ufe of , when fick; and when thefe fail, they then have Recourfc to fome profeffed Physician. The Pradice among them, is generally carried on by Armenians, Greeks, or Jews ; or by Chriftian Renu- gado's : But they mult all be licenfed by the Echim-Paschi, or chief Physician to the Grand Seignior, before they dare open Shop. This Licence, which is obtained at no great Ex- pence, is confidered as their Diploma. They have the fame Chief of the Faculty, with the fame Powers of licenfing Prac- titioners, at Cairo in Egypt. The Turks, bejfig forbid the Ufe of Wine, very temperate in their Diet, and making frequent Ufe of Bathing, are in general very healthy. But what princi- pally difcourages the Art here, and prevents Men of Skill from fettling among them, is,' that the Turks are extremely covetous and fond of Money ; that they make great Promiffes, but after the Service is done, are bad Pay-Mafters ; and that they are apt to impure the Death of a Patient, to the Ignorance ofthe Doctor, whoever he is, from mere Caprice and a gratuitous Inclination for Abufe or Plunder. They have a particular Infirmary be- longing to the Seraglio. The Sultan's Physician is greatly refpeded, and always eats in the Palace, with the Capee Aga, or Chamberiain in greateft Authority ; and for whom there is allowed a feparate Table and Attendance. They make great Ufe of Scarifications and Burning for Head-Aches, or local Pains, and are very patient under fuch Operations. The Commonalty con- fult, for the moft Part, fome Jew or Renagado Chriftian, or who- ever will ferve them cheapeft ; but if thefe Medical Adventurers are convidted of Mal-Pradice, they are feverely punifhed in their Perfons or Efteds, and moft frequently in both. When their Great-Men .are Sick, they generally apply to fome Ambaffador, for the Advice of his Physician, who neverthelefs is feldom well paid for his Affiftance. When a Phyfician is applied to, they will not follow his Diredions, till he firft has told them, what the Patient's Diforder is : This iwiot only an Argument of their extreme Caution and Diffidence, But alfo of the Experience and Ability that they require in the Praditioner, to whom they entruft the Care of their Health. They have fome few Books of Phyfic among them, as well as of Hi/lory, Poetry, and other Sub- jects. Their Injlitutes, and Pradice of Physick, are chiefly taken from Medical Discourse. *. 47 from Galen. The Arabian Writer Avicenna, whom they call Eelx-Zina, is alfo greatly admired, and much C£n fuited where- ver the Mahometan Religion has prevailed. Mathiolus is ano- ther IVJedical Writer known to them : But as their fole Aim and Study is to get Money, there is ro Emulation any where among them, in any Branch of true or ufeful knowledge. Di Solis informs us, that Montezuma, Emperor of Mex- ico, had tranfplanted into his Gardens, f .r the Purpofes of Me- dicine, all the choice Similes that benign Climate, produced; where his Phyficiarft had an Opportunity of ftudying their Pro- perties. By long Experience, they had found out various Herbs and Plants, proper for all kinds of Pains and Difeafes ; and with which they often eftedcd furprir.ir.g Cures. The Emperor himfelf pot only diftributed fuch Plant:; from Jm Collection, as had been prefcribed by the Phyficians, or defired by the Sick; but would alfo inquire after the Succefs of the Medicines given ; thus, ei- ther gratifying his Vanity, or believing that he thereby fulfilled the Obligations of a Sovereign, in feking fuch Care of the Health of his Subjeds. The fame Author tells us, that Cortes having been feized with a violent Fever, and Diforder in his Brain, at Tlaj'cala, in Confequence of a Wound of the Head, .which he had received a few Days before, in an Engagement with the Mexicans ; the Senate of that Republic, fent for the belt Physi- cians in the Country to his Affiftance : Who, by a wonderful Difcernment in the Virtues of their Medicinal Herbs, and by varying their Applications, according to the different Turns and Appearances of the Diltemper, at laft reftored him to Health. Mr. Waffer, who was himfdtf bred to Phyfic, tells us in his TraVels, that being accidentally wounded in croffing the Ifihtnus of Darien, he was neceffarily left behind among the Indians of that Country ; that being unable to aifi.t himfelf, thefe Savages, tho' not remarkably kind to him in other Refpeds, took Com- £flion upon his Wounds,- and By applying certain falutifcrous Herbs chewed to a Confifrence, and fpread upon Piantane Leaves, they effeded a compleat Cure, in a fhort 1 ime. Thefe Indians he tells us, had a very Angular Method of Blading; the Patient was feated on a Stone, in the River which flowed near their Ha- bitation, and a Perfcn fkilled in that Exercife, fhot feveral little Arrows at the Body, which pierced no deeper than the Skin: And that when they brought Blood, the Spectators were greatly re;ov!-ed. The Wife ofthe Indian Chief Lacenta, being fick, Mr. Waffer, to relieve her, opened a Vein ofthe Arm, with a Lancet; when the Spouting of the Blood fo alarmed the Indian, that he was wiilyDiffculty withheld from killi:-.;^ him: But the Woman foon recovering, Lacinta, with all his Followers, kifTed Mr. 4# Medical Discourse. Mr. Wafer's Hands, inReverenceto his Skill ; and they ever after- wards treated4iim with fingular Refped. He was carried about in a Hammock, from Plantation to Plantation, adminiltring Advice, Phlebotomy, and Phyfic, for he had preferved fome Inftruments and Medicines; and he became the Objed of almoft general Adora- tion with thofe grateful Savage?. It was with Difficulty that at laft, when an Opportunity offered of getting back to Europe, they confented to part with him, upon his Promife of a fpeedy Return. The Peruvians, as we are told in the Hiftory of their Inc as, had feveral Medical Secrets and Operations,' for various Difeafes, which had been tranfmitted from Father to Son ; and which they had learned from long Experience: Tho' they had a pretty extenfive Knowlege of Remedies, they had not advanced fo far in that Branch of Learning, as to have any regular Theory refpec- ing Difeafes, or to have ^reduced their Pradice to a System. That they had profeffed Praditioners among them feems evident, from reading in the Hiftory of the Conqueft of Peru, that Atauchi, Brother to the murdered Inc a Atabaliba, having taken fome Spanift Prifoners, would have facrificed them all to his Revenge ; but he was afterwards prevailed upon, not only to give thern their Lives, in Confideration of two among them, who had warmly protefled againft the In ca's Murder : Butalfo he took Care, fays our Author, that fuch as were wounded, fhould be cured: And then he difmiffed them with Prefents. By Means of the Peruvians, we are become acquainted with feveral power- ful Drugs, particularly Jefuits Bark, and Ipecac$an ; which are ftrong Proofs of their Knowledge in the Virtues and Properties of various Plants. The warlike Savages of North-Am eric a, particularly the Iroquois, or five confederate Nations, where they are untainted with the Vices and cozening Arts of the more civilized Europoeans, exhibit the moft linking and genuine Pidure of the primitive World, or iuppofed State of Nature, to be met with upon the knov/n Face of the Globe. They have no eftabliftied Authomy among them, hereditary or eledive, but fuch only as is acquired by approved Bravery and Succefs in War, or by Eloquence in Council: And even this Obedience or Submiffion to fuperior Merit, is altogether voluntary; for their Sachems or Chiefs, when acknowledged fuch, are mere Advifers or Counfellors, they never have any coercive Powers. They have no national Tenet? of Religion; no eflablifhed Modes, or public Places of Worfhip ; no Order cf Priefts, or Dillindion of Days : Every Man frames his own Creed, according to his Fancy ; and many of them have none at all. The only Article of Belief in which they fe?m generally to agree, is in fome vagtoe and obfeure No- tion* of a future Exiftence ; But with the ancient Mexicans, and the Medical Discourse. 49 the more humanized Natives of Peru, this Opinion was ftill more prevalent. The following Lines of Mr. Tope, maybe, with fome Indul- gence, applied to all, or moft of the known Tribes in this Wefiern World : Lo, the Poor Indian ! whofe untutor'd Mind $ees God in Clouds, or hears him in the Wind ; His Soul, proud Science never taught to ftray Far as the Solar Walk, or Milky Way ; Yet ample Nature to his Hope has giv'n, Behind the cloud-topt Hill, an humbler Heav'n ; Some fafer World in Depth of V/oods cmbrac'd, Some happier Ijland in the watry Wafte ; Where Slaves once more their native Land behold, No Fiends torment, no Christians thirit for Gold. To be, Contents his natural Defire, He alks no Angels Wing, no Seraphs Fire ; But thinks, admitted to that equal Sky, His faithful Dog fhall bear him Company. Some diftant Nations about the upper Lakes, pay Reverence to the Sun : And fome alfo to the Moon. Some have M«ni- toos, or fmall' tutelar Divinities of their own Compofitien, which they carry to War with them in Boxes, and confult upon particular Emergencies, with ftrange Ceremonies, and always in the Dark; upon which Occafions, the War Captain generally ads the Conjurer. Wstr and Hunting are the fole Occupations of the Men ; and almoft every menial Office at Home, or in the Field, is performed by the Women. Whoever firft Plants a Spot of Land with Maize or Indian Corn, poffefles it undifturbed, as long as he pleafes ; and when he leaves it, which is frequently the Cafe, the next Comer occupies it by the fame indifputed Right, Poffeffion. Whence the Migration of Families is both eafy and frequent among them ; and even whole^rTribes or Nations, from various Motives, will fometimes; change their Habitations. Their Wants are few : Their Houfhold Furniture and Riches are eafily tranfported :_ They know not tne JJfe of Locks or Bars to their Houfes ; yet Theft is fcarcely ever heard of among them- felves, tho' they will all take or fteal from Europoeans: Every Wood affords them a Shelter ; and there too they can generally fupply themfelves*with both Food and Cloathing. Their Medi* cinal Remedies are few, and generally adminiftred by their Squaas or Women : They confift in various Methods of Sweating; in certain Drinks made with Simples, which operate by Stool or Vomit; and "in cold Bathing. They have fome Notions of Bleeding, by Scarifications fot local Pains: They treat with par- H ticular $o Medical Discourse. ticular Refpedt, upon all Occafions, fuch Europeans as poffefs any Knowledge of Medicine : And they obey their1 Diredions, when ailing, with the greateft Deference and Punduality. Among the Negro Tribes of Africa, we are told, that the Pradice of Medicine confifts in the outward Application of certain Herbs or Roots, or Infufions and Decodions of them given inwardly: But the Remedies they chiefly depend upon, are the Charms, and other Tricks of their Conjurers. They are all believed to be fo very mifchievous, and with all fo expert in the Ufe of vegetable.Pbijbns, that every obftinate and uncommon Ailment among them, is ufually fuppofed to be the Effect of Poifon adminiftred by fome envious or revengeful Negro : 'Tis true, fuch Accidents too frequently happen ; but this Belief is fo prevalent among the African Slaves, that when once a fick Negro is fully impreffed with fuch a Notion, he feldom recovers. Tho' the extenfive Countries of the Negroes are generally, for obvious Reafon6 very unhealthy, yet we do not find any where a fixt or uniform Pradice in their Cure of Difeafes; nor do we know any remarkableRemedies orDrugs which are peculiar to theirClimates. It is however worthy of Remark, that, from undoubted Accounts both of Traders and intelligent Natives, fome of the inland Nations of Africa have long had the Pradice of Inoculation for the Small Pox ; but whether this is a Difcovery of their own, or derived from the more intelligent Nations of Asia, we know not. The Revival of Learning in Europe, is in nothing more dif- tinguifhable, than by that ardent Attention, and early Encourage- ment given for improving all the various Branches ofthe He ali ng Art. ManV Medical Colleges were foon after this Period en- dowed, and Ledurers appointed, by different Princes in their refpedtive Dominions; to which there was a great Refort of Stu- dents, from many diftant Countries; according as the Reputation of the Profeffors attracted then* From thefe firft fiftablifhments in Spain and Italyi%\ready mentioned, as we approach our own Times, we find the Profession rifing more and more into Fame and Eftimation, thro' France, Germany, and other Parts of Europe; in Proportion's Discoveries and Improvements were made, in Anatomy,Thymistry, Botany, and Physiolo- gy : „.Till the immortal Harvey, Phyfician to that great Patron of Learning Charles the First, by his Difcovery of the Circulation of the Blood, eaft fuch an* inextinguifhable Light upon this Science, as fixes here, the moft memorable JEra in the Hiftory of Physic, fince it firft exifted as a Profeffion. From that Time, Medicine has continued to flourifb, among the Britijh Nations, with unequalled Lirftre. In no Country is this Profeffion more honourable, more refpeded, or more bounte- oufly . - Medical Discourse. 51 oufly cherifhed; and no Profeffion has more amply repaid this benign Influence, and public Favour, or refleded more Honour upon their Country, by fuch a Number of eminent Writers, than this has ; Whether- we confider them with Refped to their Merit and Abilities, in Subjeds merely medical; or their great Reputa- tion in foreign Kingdom*, for Compofitions of Genius and Tafte ; or their acknowledged Proficiency, in all other Parts of ufeful and polite Literature : It is uuneceffary to give Inftances here, or to e- numerate a long Train of Medical Worthies fo well known to every Gentleman of Reading. To juftify my Affertion, permit me to appeal to the Sentiments of that Ornament of human Nature, Mr. Pope ; who, in one of his familiar Epiftles, fpeaking of Eis Obligations to Dr. Mead, and others of the Faculty, adds, they are in general the moft amiable Companions, and the befi Friends, as well as the moft learned Men Lknowr. And the ingenious Dr. Black- stone, in his Ledure upon the Study of the Law, recommends fome Acquaintance with this neceffary Science to the Faculty of Physic, in common with other Gentlemen, to compleat the Cha- rader of general and extenfive Knowledge; a Character, fays he, which their Profeffion, beyond others, has remarkably deferved. Nor is it our leaft Happinefs and Boaft, that there are now living, many Gentlemen defervedly celebrated both at Home and Abroad; nOt more for their medical Talents in particular, than for their exten- five Knowledge of Letters in general. But when we turn our Refearches from thefe glorious Fields of Science, to the prefent obfcure and illiterate Scenes before us; when we lift our Eyes to thefe towering and enlightened Geniufes of ancient and modern Days, and afterwards look down to the favourite Wonder-work- ing Dodors of this Place, how wide is the Diftance between fuch contrafted Objeds ? How numerous the Links which conned the Extremes of fuch a lengthened Chain r The Comparifon, with all Refped to thofe who think differently be it faid, is too une- qual, abfurd, and ridiculous to be fupported. I cannot conclude this Inquiry into the ancient and prefent State of Physic, without acknowledging, in Juftice to the Me- dical Faculty of Philadelphia, that they firft fetus the lau- dable Example of this Inftitution in America ; tho' the pradi- cability of inftruding Youth in this ufeful and learned Profeffion, among ourfelves, has> for many Years been an Objed of Spe- culation here : Whereby we may in a great Meafure prevent the future Neceffity of long and perilous Voyages to Europe ; as well as large Remittances of Money, which never more re- turns : Nor indeed is this the only Inllance" of the wife Police and public Spirit of that flourifhing and well regulated City, which deferves our Imitation. The Art of Physic inftructs us in the Method of preferving Health. 52 Medical Discourse. Health when prefent; and in the Means of reftor.ing it when loft ; or how to alleviate the Inconveniencies confequcnt upon Health impaired, when a total Cure cannot be effected. This Art is by Hippocrates called the Noblest of aH Ap.ts ; which heal.-, by adding that which was wanting, and taking a- w.iy what is fuperfluous. And Pluthrch fays, that Medi- cine contains as large and fruitful a Field for Pleafure, as any other of all the liberal Arts. The whole Syftem of Physic is comprehended under thefe two Denominations, the Theory, and the Practice. The Nature aud Meaning ofthe latter is pretty generally underftood : But the Theory of Physic, tho' the Foundation of all rational Practice, being very little underftood or attended to here, and confequently its Advantagas not* fo obvious, a particular Explication of the Nature and Ufefulnefs of it, will now the more readily be indulged me, as it will ferve at the fame Time to convey a more adequate Idea of the Importance of this pre- fent Institution. ' There is'but too frequent Occafion to remark, that we are apt to undervalue in others, what we ourfelves do not poffefs, or defpair of ever' attaining ; efpecially when the Subjed of our Envy gives any Pre-eminence to the' Poffeflbr ! This is in no Cafe more applicable, than with Refped to the Ufefulnefs of Theory in Physic ; and will fully account for that Objoquy and Ridi- cule, with which the Self-taught Dodors of this City, affed to treat a Plan of MeciCaL Education, which they either have not Senfe to comprehend, or Honefty and Candour enough to regret the Want of". Such little Foes are pardonable; they indeed claim our Pity ; becaufe they know no better. But when an intel- ligent Head, is totally guided by an unfeeling and malevolent Heart: When the Want of academical Inftrudion in his Profef- fion, is artfully concealed under many real and more ftudied Oddities of Behaviour; by fhunning every Occafion of Medical Converfe with fuch as can judge of his Skill, or cenfure hrs Pradice ; by amufing his credulous Hearers with vulgar Jefts, or the too generally deledable Arts of Defamation, and illiberal Abufe of thofe, who have been more fortunate in Opportunities of Improvement than himfelf: When a Spirit of Rapacity is gloffed over by boafted Nojirums, and fiditious Cures; or otherwife, by himfelf, or his Emijfaries, pradifing upon the diftempered Ima- ginations cf the fick ; and by. every other mean and reproachful Artifice; it might'well excite the Amaze and Regret of every Friend to Learning, and of every good Member of Society, fhould he find that the infidious Opinions of fuch a Medical Phoencmenon, who refleds'fo little Flonour upon the City he lives in, and much lefs upon the Profeffion he follows, were ftill, as heretofore* Medical Discourse. 53 heretofore, not only liftened to, but applauded. However I would willingly hope, that this refpedable Community will, for the^ future, form their Opinions of this Profeffion, and of this prefent Undertaking, from their own Underftanding and Ob- fervation ; and that Strangers, who fhall ^henceforth vifit thefe hofpitable Regions, for the Sake of Health, will not too haftily judge of the whole Faculty here, from the ungracious PraCtifes of a heterocute Doctor, or the relentlefs Cravings of an infatiable Leech. t Before we proceed, let us here confider fuch common Objedi- ons, made to the Ufefulnefs of Theory, as carry with them any Appearance of Reafon or Plaufibility. It feems to be univerfally allowed, that Experience alone can never form a rational Physician : Vet fome decry Theory, as of no Ufe in explaining.Difeafes, becaufe, fay they, it cannot be accommodated to all of them. But fuch Difputants may as well contend, that becaufe Theory cannot obtain in all Difea- fes, it therefore does in none ; which would be to contradid all Senfe and Obfervation. Others, becaufe they are not ac- cuftomed, or not willing, or perhaps not able to inveftigate the Caufes of Difeafes, reckon Theory not only as .ufelefs, but would infinuate alfo, that it may fometimes be dangerous in Pradice.' Now, what can be more abfurd, than to imagine that a Physi- cian will be the more unfuccefsful, the better he' underftands the Diftemper ? Or that he who fees clearly into the Origin and Caufe of an Indifpofitiori, fhould therefore be the more incapa^ ble of rightly applying a Remedy ? Or on the contrary, that he ftiould be the moft happy in his Cures, who is altogether ignorant why one Method fhould be purfued rather than another ? The Futility of fuch Objedions is obvious to every Capacity. Others again fay, that Difeafes have been cured by Perfons ignorant of all -Theory ; who neither underftood Anatomy, the Ani- mal Oeconomy, nor the Manner in which Remedies operate! This has fometimes undoubtedly been the Cafe ; and happy are they who have efcaped, to tell the Tidings ! But were we to examine the Pradice of fuch Perfons, and obferve how unfeafon- ably moft Medicines are applied ; how many and how contrary Things are given ; we muft acknowledge that their Apothecaries are much obliged to them, but their Patients not at all: For being unacquainted with the Nature of the Diftemper, or any certain Method of Cure, they range thro' the whole Materia Medic*, in Hopes that they may fortunately hit upon a Remedy at laft. There are fome too who object to the Ufefulnefs of Theory ; That there are Perfons who, tho' incirely ignorant of any rational Scheme of Pradtice, yet by being much employed, have acquired fuch a Degree of Knowledge, as, to fucceed in 54 Medical Discourse. the Cure of fome particular Difeafes! This Obfervation will hold equally good of every fagacious and attentive old Woman, or Nurje; nor, if true, is it fo very furprizing, when y: is confidered, that fome Difea/es recur as it v/ere in a Circle. But fhoulcf any new. Dif^jrlp'erarife, and fuch as this Praditioner never faw before, our Champion of Experience would then be much at aLofs, and turn over his mufty Receipts and Commen- taries long in vain, 'ere he could difcover any Light to guide him to a proper Treatment. Whereas the judicious and rational Physician, who is intimately acquainted with the Powers of the human Body, and the Nature of the Fluids ; without being alarmed at any unufual Cafe; applies the Ideas he had already formed in his Mind, about the Nature of Difeafes in general, to this particular Cafe ; by which he eafily difcerns the Genius of the Difeafe ; whence it arifes ; the true Indications of Cure ; and what Method ought chiefly to be purfued : Amidft the Va- riety of D'ugs, he has no Difficulty in choofing immediately fuch as are moft proper for his Purpofe, and in fixing upon that Order he ought to follow in preferibing them. Empyri'cs do not fo much diftinguifh between Difeafes themfelves, as the Names of Difeafes : For lnftance in Fevers, the fame fymptoms frequently occur, where the Caufe of the Difeafe and State of the Humours, are very different. Thus fome Fevers arife from a Redundancy, fome from a Rarefadion, others from a Lentor, and others again from a putrid Dijfolution ofthe Blood; all which require a different Treatment, according to their feveral Caufes. Suppofe now this Nominal Phyfician to be fent for ; he would immediately form his Diftindions, or Diagnofis, as it is called, from the moft obvious Symptoms attending Fevers in general ; and without further Inquiry, pronouncing the Diftemper to be a Fever, would boldly purlue the fame Method of Cure in all ! On the contrary, the rational Physician explores not fo much the Name, as the Nature of the Difeafe : He endeavours to find out its immediate and remote'Caufes, with the State of- the circulating Fluids ; and from thefe is direded in his Application of Remedies : And often too, by a judicious Analogy, extends thofe Medicines to many Difeafes, which Ufe had perhaps too arbitrarily determined as Specifics in one. How can he apply a proper Remedy to a'Difeafe, fays Celsus, who knows not whence, it arifes, what Parts are atfeded, how they are con- neded, where they are feated, or what are their Fundiofts ? And tho' it is undeniable that Experience is abfolutely neceffary to a Phyfician ; yet even this Experience can neither be purfued, nor fafely applied, without Reafoning upon it; or without for- ming fome 1 heory from hie own Obfervations. Whence it may be.fairly concluded, that Theory and Practice fo much re- quire each others Affiftance, that no one can ever deferve greatly of Physic, who does not unite them : And let us add, that the belt Medical Discourse. 55 heft Colledion of Medical Receipts or Prefcriptions which ever was, or will be made, can no more make a complete Physician, than gopd Colours and Pencils alone, can make a fine Pain- ter.-—Thus then the Knowledge of the Theory of Physic, regularly acquired as a Science, according to the beft and moft approved Methods of Study, is thfe fureit Guide to a fafe and judi- cious Pradice ; arid diftinguifhes the rational Physician, from the daring Empyrick, and other trammel'd Labourers in this Pro- feffion. We fhall now cbnfider the Nature of Theory, and what it particularly teaches us. It is well known, that all other Sciences have their Prjecognita, or Introdudory Parts ; and that no one can arrive at their Summit, without afcending by fuch regu- lar Steps, as Reafon and Experience inform us are neceffary to conduct him. The Pr^cognita, or Theory of Physic, com- prehends feveral curious, and intricate Subjeds of Study ; each* of which alone is fufficient to employ the Attention of a Student, for a long Time, before he can acquire fuch a competent Know- ledge therein, as will intitle him to pradife with Safety to his Patient, or Honour to himfelf. The Foundation of all true and rational Medical Knowledge, is Anatomy; or that dextrous, nice, and methodical Difiedion of the human Body, which difcovers to us its various component Parts, together with their Figure, Arrangement, Situation, and Connedtions. Anatomy*gives us the Mechanifm and Ufes of the Bones, and of theMufcles; it defcribes the Contents ofthe different Cavities of the Trunk of the Body : It teaches alfo, the particular Courfe of the Nerves*, and Blood Veffel3; and how we may often difcover the Origin or Scat of an Injury, when perhaps the Part affeded or complained of, is very diftant from it. The Demonftrations in this Polar Branch of Medicine, are fo palpa- bly neceffary and inftrudive, that tihey can never be too often repeated by every Denomination of the Faculty, whether Pupils or Praditioners ; for it is felf evident, that they ought to know intimately and minutely the Compofition and Frame of the Body, in the natural and found State, before they attempt to remedy its Infirmities or Ailments.—To ufe a familiar Comparjfon— would not a Man deferve to be laughed at, who fhould undertake to regulate or repair any valuable or curious Piece of Machinery, (fuppofea Watch,) without underftanding its Principles and Me- - chanifm ? Yet how many are guilty of a greater Abfurdity, by trufting their own moft curious Animal Machine, which itfelf alone is a World of Wonders, in the Hands of thofe, who are ignorant of the Strudure and Ufes even of fdch Parts, as admit of equal demonftrative Certainty, wkh any Connivance of Man's Invention.? • Befides 56 Medical Discourse. Befides what we are inftruded in by Anatomy, which ia principally concerned in defcribing the human Body after.Peath ; there are other Parts of Knowledge, refpeding our prefent; Well-. being and Exiftence, which are properly the Subjeds of PhySi- ology.—This Branch of Theory confiders Manprogreffively, from his earlieft Exiftence, before he has yet breathed the Breath of Life ; before he is even fafhioned in his Mother's Womb ;, and while all the boafted Pre-eminence of this future Image of Di- vinity, of this Deputy Ruler of the World, is that of a loco- motive Vegetable, a mere auiomatous Machine, an almoft impercepti- ble Worm; to his Decay, or natural Death. Physiology treats of the Animalization of our Pood; of the Properties and Ufes of our various Fluids; of the Nature and Circulation of tho Blood; of Refpiration ; of the Senfes ; and, in fhort, of every Fundion, whither Vital, Animal, or Natural, which is, or ought to be performed by the Body, while in Health: All which are comprehended under the Appellation of,—the Animal OEco- nomy. By Physiology, we are enabled to form a juft Idea of Health, and wherein it confifts : As from the total, or partial Depravation of aDy of the various Fundions, which are or ought to be performed in Health, we form the Idea of Sickness, in all its different Stages and Degree's. Anatomy may be con- fidered as the Topography ofthe Body ; and Physiology as its na- tural Hifto>y. Anatomy is the guiding Star to the Surgeon ; but both are alike effential to the Physician. We have already obferved, what great Improvements have from Time to Time been made, in Physiology, by opening and infpeding the Bo- dies of different Animals alive; and otherwife making Experi- ments upon them. How far fuch Pradtices, tho' influenced by fuch good Motives, are reconcileable to Humanity, I will not pre- tend to determine : But wheh it is confidered what important, what ufeful Difeovcries have been made in that Way ; the Inqfci- fitive both in Physic and Phylosophy1, will always congratu- late themfelves upon every Acquifition of Knowledge, however abhorrent they may be from fuch Means of obtaining it. We find too, that fuch pradical Curiofity prevailed in a very early Period of this Profeffion ; and was even carried to great Lengths, if what feme-affirm of Erasistratus, the fagacious Physici- an to the-finc Seleucus, and of Hfrophilus above menti- oned, be true. From what is already faid, it muft be evident to every Man of Senfe or Refledion, how prepofterous it is, to at- tempt to remedy the Alterations and Changes produced in the Body by Sickness, without a previous particular Knowledge of its State in Health. But thefe Studies of Anatomy, and Physiology, befides being confidered as neceffary Qualifications for the Pradice of Physic, may moreover be looked upon as Branches of Natu- ral Medical Discourse. S7 ral Philosophy, both pleating and inftrudive to Men of Specuiudon and Letters ; and no lefs amufing to fuchvas carry their Refearches, no farther than the immediate .Objects of their Senfes. . If our Curiofity receives fuch exquifite Gratification, in contemplating the immenfe Variety, which Nature .has dif- playe'd in her inferior Produdions ; why fliould we not in like Manner take Pleafure in purfuing her, in her more complete and noble Work, the Human Frame? When we examine the various component Parts of the Body, with their different Com- binations and Ufes, how are we amazed, to find all the Motion* of this moft complicated Machine performed^ according to the well known and immutable Powe>s of Mechanics ? How are our moft warm and Heart-felt Emotions of Gratitude called up, when we perceive, that every minute difcernible Atom is formed, and placed, according to the moft juft Weight, and ftrideft Men-. furation? That the Diftribution of our Veffels, and Courfe of the Fluids thro' them, are all conformable to the ever permanent Laws of Hydraulics ; and that all thefe are difpofed of, v\irh fuch Symmetry and benevolent Care, as are moft conducive" to the Prefervation, and prefent Happinefs of Beings, whofe Du- ration is fo fhort and limited ?—-The Articulations of the Spine, or Back-Bone, moving over their liquid Axle, and retting upon the Incomprejfibility of Water, atleaft incompreffible by any natural Force of the Body : The aftoniffiing Mechanifm of the Eye, and ■ Ear, fo beautifully contrived, and carefully adapted to the Na- ture and Properties of Light, and Sound ; all muft excite the moft profound Refped, and awful Veneration in every attentive Obferver of Nature, for Him who has thus fafhioned us. In fhort, what more rational Entertainment can be found ; what Subjed of Admiration, more grand or noble ; what more con- vincing fc-oofs can be given, of the fuperlative and paternal Goodness of the Deity, than fuch an Hijfbrical Survey of this little World of Man ? Who, agreable to that juft, and empha- tical Exclamation of the Hebrew Poet, is fo " fearfully and won- " derfulfy made!" * Pathology neceffarily depends upon the previous Knowledge of Physiology, and is naturally conneded with it ; it is ufual therefore to teach both, in the fame Courfe of Lectures : Thefe two Branches together are more particularly, and in a limited Senfe, called the Theory of Physic. The Subjed of Patho- loc y confifts, in the general Inveftigation of the various Caufes of Difeafes, whether adventitious or natural; with their conse- quent Symptoms, and Effeds. Physiology confidcrs the Hurjian Body, in its found and healtty State : But Pathology confi- ders it, in its preternatural and"morbid State. A familiar Acquaintance with the Materia Medica, and Pharmacy, or atleaft with the Nature 'and Effeds of all fuch J Simple 58 Medical Discourse. Simple and Compound Medicines, as are generally ufed in Prefcriptions, together with the moft proper Methods jf com- pounding them, is another Acquifition in this Science, ex- tremely necefiary to a Student, before he engages in Pradice. Medicines are the Inftruments in the Hands of the Ph%-sician, with which he is to fubdue Difeafes : it would therefore be not only dangerous for the Patient, but abfurd and wicked in a Praditioner, fhould he be ignorant of the Strength and* Quali- ties of thofe Weapons, he enfploys for accomplishing his Pur- pofe : It is indeed his Duty to know, not only the feveral Vir- tues of Drugs; what Difeafes they are proper for; in what Quantities they orjfght to be given ; and in what Forms they can be moft commodioufly exhibited : But he fhould alfo be able to diftinguifh what are genuine, from what .ire fophilticated ; and what are frefh and found, from what are old and ufelefs. Chymistry, and Botany, with Refped to Medicine, may in fome Senfe be confidered, as Subdivisions of the Materia Medic a ; with which they both ferve to make us more intimately acquainted. By Chymistry, the Nature and Properties of all fuch Subftances as are ufed in Medicine, are explored ; and vari- ous powerful Remedies are thereby prepared from the Vegeta- ble, Fossile, and Animal Kingdoms, by Means of Fire, and Solvents. By Chymistry, many curious Difcoveries, and ufe- ful Improvements are made in Natural Philosophy. It is a Study, no lefs pleafing than advantageous to the Physician ; and an Amufement equally curious and entertaining to the Gentleman and Scholar. By Botany we are inflruded in the Natural Hiftory, and diitirguilhing Charaders of Plants. This purfuecLas a Sci- ence, or Branch of Medical Study, prefents to us *a Fund of Knowledge, both valuable and ornamental. As this Conti- nent yields moft of the Medical Plants now in Ufe, and abounds alfo with a Variety of others, whofe Virtues we are as yet but little acquainted with, or-intire Strangers to ; may we not hope, that among the future literary Inftitutions in this Place, a Teacher of Botany will foon be appointed ; and a Botanical Garden laid out, and properly furniftied ? This would open an extenfive Field for further Difcoveries in, and for large Acquifitions to the Materia Medica : And this City might yet have the Honour, of the firft Appointment of that Kind in America. f The principal and moft interefting Part of Medicine, and to which all thofe other foregoing Studies, or Branches of Theory are fubfervient, is Practice ; or the Knowledge and Cure of j'ifedVs. The Practice of Pjiysic is founded on repeated Experiment:, Medical Discourse. 59 Experiments, and Obfervations of*Fads, made by our Prede- ' ceffors in the Healing Art, upon Difeafes and Remedies ; and compared with thofe made by ourfelves: And thence, from what ufually has happened, we colled what may'again- happen, and what we ought to do in fimilar Cafes. As all the Proficiency made in the other preparatory Classes, with every Affiftance which can be derived from Memory, or the Powers of Under- standing, is -neceflarily exerted here ; it has always been cufto- mary^for Students, to embrace the earlieft Opportunities of being converfant in it; by attending, from their firft Entrance upon their Studies, the Pradice of feme Gentleman, eminent for Bufinefs and Abilities; or by vifiting the Sick in Hospitals, where th£ fame Opportunities of Inftrud^on ufually occur.— Permit me to obferve here, that, in this wealthy and populous City, which from its extenfive Trade and commodious Situation, is fo much the Refort of Strangers, and to which, as the Me- tropolis and Seat of Government, there is fuch a Concourfe of People from the inland Settlements ; the want of a proper arid well regulated Infirmary, is greatly to -be lamented. When we lobk round, and fee how many Objeds of Diftrefs, are every where fuffering under the accumulated Woes of Poverty, Sicknejs, and bodily Infirmities ; only becaufe they cannot have the Con- veniencies neceffary for their being benefited by that Affiftance, which many Gentlemen of this Profeffion daily do, and would ftill moft cheerfully give them ; it is a Matter of fincere Regret, that neither the Motives of Humanity, nor the laudable Example of,a neighbouring Colony, have yet been able to give Being, to fo defirable a Place of Refuge, from fuch complicated Mi- ferv. An Eftablifhment, fo beneficial to the whole Province, and to this City in particulaf, well deferves the • Attention of a public Spirited Legislature; as well as the united In- fluence of every Friend to the Country, and of every compajfion- ate and.good Man : But the Manifold Advantages, which would hence arife to the Young Student, and Praditioner, in the Pro- feffion both of Physic and Surgery, are fo very palpable and obvious, that it in a particular Manner claims the Countenance of every Friend to the Art of Healing. I am not ignorant, that there has been for many Years in this City, a public Re- ceptacle for poor Invalids ; but the intentional Plan and Oeconomy ofiscourse. 6i and Manual Part of MfbwiFRY ; tho' he may not incline to pradice either the one, or the other. How neceMry fuch Ac- compliftiments are every where," efpecially in thismfant Coun- try ; how conducive they are to the Increafe and VMpfare of our fellow Citizens ; and how imprudent it is, to perm» any one to practice thefe Arts of Surgery and MiDwiFRY^without pre- vious Examinations, or having public Teftimonials of'their Abili- ties, muft be obvious to every one. A Practitio4|r^>ught to know how to ad, as well as to advife : And in Cafe of Neceffity, to afiift* in, or even perform every Operation needful for the Re- lief, or Prefervation of thofe who have placed their whoVft Con- fidence in him ; or are otherwife committed to his Care. From this general View of the Profeffion of Medicine ; hjow aiv.azing and unaccountable is it, that Men of Senfe and Reflec- tion, fhould truft-that greateft of all Bkffings, Health, in the Hands of Pr&fumptuous and daring Empyrics ? who not only are ignorant, of the above mentioo'd moft iffential Principles to a con- fcientious Practitioner ; but even of the particular Qualities of thofe very Noftrums, they vaunt of? The Learned Rollin ob- ferves, that judicious and experienced Physicians deferve to be highly rec$mpenfed and diftiaguifhed ; fince all their Labours, Lucubrations, and Watchings, are devoted to Peoples Health ; which of all human Bleffings, is the deareft and moft valuable ; And yet, favs he, fo carelefs are Mankind of this Bleffing, that thro' a blind Credulity, they foolilhly entruft it with Perfons of no Skill, or Experience, who impofe upon them by their Impu- dence and Preemption, or feduce them by their flattering AfTu- rances of an infallible Recovery.* The State of Health, was by the Ancients believed to have fuch Influence, upon the Faculties of the Mind, that atcording to Plato's Opinion, an infirm Conltitution is an Obftacle to the Practice o£ Virtue ; becaufe it makes People imagine themfelves always fick, and to mind, nothing but their own frail Carcafes. When the Body is in Pain, fays another Philosopher, the Mind has no Relifh for the Exercife of Virtue ; But Health enlarges the Soul. We are told in the Book of Joe, that all which a Man hath will he give for his Life ; but it might with equal Juftice be faid, that all which a Man hath, will he give for Health : For many are the Inftances, is all Ages, and in all Countries, of Men who have facrificed L^fe itfeif, at the Shrine of Health, and anticipated the Time of their Departure for that . " Peaceful Shore, Where Billows never break, nor Tempoih> rare." Garth. rather * Palam eft, ut quifque inter iflos loquendo polleat, Imperatorcm iUico Vita: aoSttx, Nkcis que fieri. Pl:n. 61 MeDICAL l]^gCOURSE. rather than arotrait it, without Health. Should fhe Proffer be made tomis, of long Life loaded with Infirmities, and the perpetually Jcvotcd Prey to painful, and loafhfoeie Difeafes: Who is thatpiortal fo timid, or fuch an abject Slave to the Fears of Death, alto make the Purchafe by a fingle Wilh, upon fuch humiliatingaTerms ? Who would not rather ardently fupplicate, a Releafe from fuch a wretched Exiftence, than thus drag out a Being, tirffoMe to himfelf, burthenjome to his Friends, and naufe- ous to his Family ? While perhaps his fingle Petition for Length of Days, is oppofed by the fervent Prayers of Multitudes, for his f{*edy Exit, and their happy Delive»nce from fuch a djf- gufting Muj's of Mifery ? Let thofe, whofe Patience has been tried by Sicknefs, whofe* Bodies have felt the rude Attacks of that Monitor of Mortality, recall to Mind, the high Va- luation they put upon Health, and their eager Longings after it, while the Scourge of Difeafe, or Rage of Pain was upon them. Let them reflect, how much they prized that firm Friend in Adverfity, .that faithful Comforter in ev%ry Calamity, when- ever it has been loft to them. How feelingly will they then ac- knowledge, that the Bleffings of Health are indeed ineftima- ble! * Quee\- of every Joy ! Says Armstrong. Without thy cheerful, active Energy, No Rapture fwells the Breaft, no Poet fings ; j No more the Maids of Helicon delight. Who would not rather embrace Poverty, with Health ; than either Grandeur or Riches with Disease ? Every Enjoyment of Life, is infipid, without Health. It may be added, that every Man, befides the Motives which particularly refpedt himfelf, is concerned as a Member of Society, to take Care of his Health ; to enable him to difcharge the Duties of his Station. If Health then is fo much preferable to every other earthly Bleflng, and gives the only true Relifh, for every fecial Enjoyment ; how ought we to prize that Art, by Means of which this invaluable Boon is preferved; or recovered to us, when injured, or de- ftroyed ? I fhall conclude this Argument with the ingeniousDR. Garth's Addfcefs to Health. « Hail ! Blooming Goddess, ThouppROPiTious Power, Whofe Bleffings Mortals more than Life implore; With fio much Luftre your bright Looks endear, That Cottages are Courts, when thofe appear ; Mankind, as you \*uchfafe.to fmile or frown, Finds Ease in Chains, or Ancutsh in a Crown. When Medical Discourse. • 63 When it is confidered, how extenfive this Science is, how many, and how various are its Objects; can we pofiibly imagine it to be fuch a mean A*cquifitioW, fuch an eafy Attainment, as to be within the Reach of every needy Trader in Physic, or mercenary Patcher of Cures ? Can we fnppofe, that a Releafe from the Importunities of Pain ; a Reprieve from the Horrors of the Grave ; and a Reftitution to the Blemngs of Health, are fuch