t-V^'Iri '^f ■ _ w .". ..>W» •--*-.- .i«**n.r. • •. wi-r^tjj' -#^k ;«»■ l»? £f -OvJtJOO^C^- -— Surgeon General's Office 1 1 ,i H > ^1 "7 ' / \»*;ifc mr^rmm:^ ■it? /, /2__ -tvt ■ +.v u,' /?~^; 'X.1 ^PHYSIC AND physicians: A MEDICAL SKETCH BOOK, EXHIBITING THE PUBLIC AND PRIVATE LIFE OF THE MOST CELEBRATED MEDICAL MEN OF FORMER DAYS; MEMOIRS OF EMINENT LIVING LONDON PHYSICIANS AND SURGEONS. IN TWO PARTS. r Ft rb 25 B . k>'• ►: / t UJ -i PHILA^OTW'HIA: G. B. ZIEBER & CO. 1845. W2L TO FrM Vsllp p ,t,1 C. SHERMAN, PRINTER. PREFACE. Dr. Samuel Johnson, in his Life of Akenside, makes the following observation:— " A physician in a great city seems to be the mere play- thing of fortune; his degree of reputation is, for the most part, totally casual; they that employ him know not his excellence; they who reject him know not his deficiency. By an acute observer, who had looked on the transac- tions of the world for half a century, a very curious book might be written on the Fortune of Physicians." Many years after this hint was thrown out, a work of much merit appeared, entitled " The Gold-headed Cane," and attributed to the pen of Dr. M'Michael. It contained a variety of interesting particulars relating to the dis. tinguished physicians who successively inherited that ancient relic, now comfortably deposited in the College of Physicians. But, although, in some particulars, "The Gold-headed Cane" resembles the present work, and is interesting as far as it goes, it does not fill up that hiatus in medical literature to which Dr. Johnson alludes. Adopting his suggestion, the author has endeavoured in the following pages to supply this desideratum; and although he was conscious that it was no easy under- taking, he fearlessly commenced the work, with a fixed determination to permit no personal consideration how- * VI PREFACE. ever pressing, to prevent his making it as complete as his humble abilities and laborious exertions could possibly render it The formidable nature of the undertaking, however, might have deterred him from its prosecution, had he not previously collected much of the materiel necessary for its basis. Intending to publish a work, entitled "Curio- sities of Medical Literature," he brought together many of the facts and illustrations contained in these pages; but just as his plan was fully matured, it was frustrated by the appearance of a book under a somewhat similar title; the author, therefore, determined at once to demo- lish the fabric he was erecting, and by mingling much new matter with the old materials, to mould the book into its present form. That the reader may be enabled to form some notion of the author's difficulties, and of the ground over which he has travelled, in his long and tiring journey, culling sweets from many a flower—it is only necessary to state that the facts and illustrations now brought together, were scattered through four hundred volumes! The preliminary chapter was written for the purpose of demonstrating the antiquity of the science of medi- cine, and to defend its professors from certain calumnies which had been levelled against them by unprincipled and ignorant men, ever ready to depreciate in public es- timation the highly honourable members of a learned and useful profession. In the chapter on the " Early Struggles of Eminent Physicians," the author has brought forward several in- stances of men who have had to contend in early life with difficulties and disappointments of no ordinary cha- racter, but who afterwards attained to very high emi- nence in their respective departments of medical science; and it is hoped that its perusal will encourage and ele- vate the drooping hopes of many who may, perhaps, at this moment be struggling, nearly heart-broken, with adversity. PREFACE. Vll The men who commence their career under the most favourable auspices, and with the most flattering pros- pects of success, do not always obtain the eminence they seek. The race is not always to the swift, nor the battle to the strong. There is a certain ordeal which all men must undergo in their passage through life ; and it is very questionable whether he succeeds the best who com- mences under the most apparently advantageous circum- stances. There is such a thing as a man depending too much upon his means, and too little upon himself—small certainties, it has been observed, are often the ruin of men. A celebrated English judge, on being asked what con- tributed most to success at the bar, replied, " Some suc- ceed by great talent, some by high connexions, some by a miracle, but the majority by commencing without a shilling." The chapter on the " Art of Getting a Practice," must be read in the spirit in which it is written. It is a satire on the stratagems and unprofessional conduct of a cer- tain class of practitioners, anxious to advance their in- terests, and not over-scrupulous of the means they resort to, in order to effect their purposes. The letter from Dr. Mead to a brother physician, is condensed from a rare and valuable tract, deposited in the library of the British Museum ; and is interesting as conveying to us some idea of the artifices which, even in his day, the learned author considered necessary to se- cure popularity and success. Nothing need be said concerning those portions of the work devoted to the Lives of Medical Poets,—Eccentric Men,—Chronicles of Warwick Hall, &c, as they will best speak for themselves. The author at first intended to give a more minute ac- count of the lives of the many eminent Physicians and Surgeons whose names are mentioned; but be knew if he did so, that it would render the work a dry biography Vlll PREFACE. rather than a series of light sketches, and he would have been compelled to exclude much interesting matter, in order to make room for the necessary dates and statistical details; but he hopes that the references which are here made to the most remarkable characteristics, and most striking peculiarities, of each individual, will give satis- faction to their admirers, and pleasure and profit to the reader. " The great end of biography," says Dr. Paris, in his life of Sir Humphry Davy, y is not to be found, as some would seem to imagine, in a series of dates, or in a col- lection of anecdotes and table-talk, which, instead of lighting up and vivifying the features, hang as a cloud of dust upon the portrait; but it is to be found in the ana- lysis of human genius, and in the developement of those elements of the mind, to whose varied combinations, and nicely-adjusted proportions, the mental habits and intel- lectual peculiarities of distinguished men may be readily referred."* For the Sketches of Living Men, the author feels that some explanation is necessary. He would have hesitated in making any allusion whatever to existing characters, had this been the first production in which such a re- ference was deemed necessary. But he felt little or no delicacy in sketching the portraits of men who still adorn the walks of life, when he perceived that their lives had already been noticed in several of the public periodicals. It is much to be regretted that the biography of emi- nent men should be commonly so long deferred, either from indolence or motives of fear or delicacy, for by so doing their most prominent features are forgotten; and unless they have communicated the results of their re- searches to the world, much that is valuable must be lost, while the memory, incapable of recalling what had never been deeply impressed, admits those fabulous conceits * Page 41. PREFACE. IX which arc so frequently found clinging to the heels of truth. There is, perhaps, in the history of every man, much that he desires to screen from public observation; and no honourable person would wish to pander to the vulgar ap- petite of those who prey on the failings of their fellows, and drag from its hiding-place that which, with studious art, had been concealed. There are, however, many bril- liant examples of virtue, honour, and great intellectual superiority, which nothing but false delicacy could wish to hide from observation and from praise. Such delineations of character, when faithfully por- trayed, must have a beneficial tendency; for by them is virtue displayed in action, and that which is worthy and good opened to the admiration of all. Such men, in the glowing language of Scripture, should be "living epistles, known and read of all men." But how can this be done, except at a time when the impression which reputation has made upon the public mind is fresh, and all the colla- teral circumstances which gave their aid in the formation of character are known? The histories of the eminent living Physicians and Surgeons contained in these pages are necessarily brief, and they may be, in some instances, imperfect; but all is told which would benefit the public, and nothing is with- held which would add to their reputation. The author has had a duty to perform, as well to the subjects of hia remark, as to his readers; and he trusts that he has faith- fully considered his obligations to both. In preparing the sketches of deceased practitioners, the most approved biographical records have, of course, been consulted. The lives, however, of only a few of the emi- nent men here noticed have been elaborately written; and, therefore, the author had to encounter great difficul- ties in collecting together the materials for his biographi- cal sketches, which, though in some instances meagre, may be depended upon for their authenticity. To the following works the author is indebted for much X PREFACE. valuable information : Mr. Pettigrew's Life and Letters of Dr. Lettsom, the Rev. Dr. Olinthus Gregory's Life of Mason Good, Mr. Pearson's Life of Hey, and Mr. Ward- rop's Life of Dr. Baillie. It is hoped that in this portion of the work will be found a useful combination of amuse- ment with instruction; for while no dry facts which could elucidate character are withheld, their somnolescent tendency is corrected by many interesting details, which of themselves constitute a large body of pleasing medical anecdote. The study of biography must always have a beneficial effect upon the mind. It may be called " philosophy teaching by example;" for by it the young aspirant, in watching the progress of men, either towards good or evil, is able to trace the cause of their success, or the ruin with which their efforts have been attended. He will behold the triumph of virtue over passion and sensual pleasure, and industry over indolence, and thus be cheered on in the midst of his own rugged way, with the inspiring hope of achieving the same glorious victory, and receiving the like honourable reward; and, beholding the wrecks of those who have been cast away upon the rocks and quicksands of life, as beacons to point out the dangers by which he is beset, he may learn, while he commiserates their fate, to avoid the errors which led to their destruc- tion. In extenuation of those inaccuracies which must necessarily creep into a work like the present, embracing as it does so many subjects, the author is conscious that an apology is due to the public. All, however, that he will venture to say on this topic, is what Dr. Goldsmith has said, in his advertisement to the "Vicar of Wake- field,"—" There are an hundred faults in this thing, and an hundred things might be said to prove them beauties. But it is needless. A book may be amusing with numerous errors, or it may be dull without a single absurdity." CONTENTS. CHAPTER I. ANTIQUITY OF PHYSIC, AND DEFENCE OF MEDICAL MEN. Divine origin of Medicine—Medicine in Egypt—Hippocrates —Galen—Religion and Medicine—Learning and Usefulness of Medical Men—Dr. Parr's Opinion of the Profession- Pope's last Illness and Death — Medical Men not Irreli- gious—Antiquated Dress of the old Physicians—Ancient Barbarous Surgery—Reasons for not liking the study of the Law......... " 13 CHAPTER II. ECCENTRIC MEDICAL MEN. Dr. Mounsey—Dr. Marryatt—Sir John Hill—Sir Richard Jebb —Sir John Elliot—Dr. Radcliffe—Mr. John Abernethy 50 CHAPTER III. EARLY STRUGGLES OF EMINENT MEDICAL MEN. Dr. Baillie—Dr. Monro—Dr. Parry—Medical Quackery—Sir Hans Sloane—An Episode in Real Life—Dr.Culien—Dr.T. Denman—Mr. John Hunter—Dr. Armstrong—Ruling Pas- sion strong in Death—Dr. Brown.....116 CHAPTER IV. CELEBRATED MEDICAL POETS. Why Poets do not succeed as Physicians—Life and anecdotes of Sir Samuel Garth—Origin of the Kit-Kat-Club—Dr. Ma- son Good—Dr. Oliver Goldsmith.....177 PHYSIC AND PHYSICIANS. CHAPTER I. Divine origin of Medicine—Medicine in Egypt—Hippocrates —Galen—Religion and Medicine—Learning and Usefulness of Medical Men—Dr. Parr's Opinion of the Profession— Pope's last Illness and Death—Medical Men not Irreligi- ous—Antiquated Dress of the old Physicians—Ancient Barbarous Surgery—Reasons for not liking the study of the Law. It is not our intention, however interesting the subject may be, to travel over the ground which has been so ably explored by the master minds of Friend, Le Clerc, Lett- som, Schulze, Hamilton, Moir, and Bostock. Were it necessary to write a history of medicine, we should have but little difficulty in effecting our object, assisted as we should be by the elaborate works of the above-mentioned authors. They have penetrated into the most secret re- cesses of ancient history, and have recorded, with a praiseworthy accuracy, the progress of opinion among the medical sages of antiquity. Much good has undoubtedly resulted from inquiries of this nature. The man who is conversant with medical history must be aware how often time and talents have been misspent, not only in the defence of deceptive theo- 2 14 PHYSIC AND PHYSICIANS. ries, and erroneous modes of practice, but in the account of alleged discoveries, which have proved in fact, to be only revivals of doctrines once supposed to be valuable, but long ago exploded as unimportant and useless. It is not only necessary, therefore, to be acquainted with the system which obtains for the time being, but to have at least some notion of the views which regulated the treat- ment of diseases in by-past ages; ebe, like the mill- horse, we may work in a circle, tread the same ground over and over again, and leave matters just where we found them. Without this knowledge a practitioner, however observant and wide the range of his personal experience, must ever remain only half informed; for al- though medicine is, perhaps, beyond all other arts and sciences essentially practical, and books, without expe- rience in the treatment of disease, can never form the real physician, yet the most valuable deductions are those which are confirmed by an extensive comparison of what is seen with what has been read.* The farther we attempt to penetrate into the mystery of antiquity, the more indistinct does the object of our pursuit become. In place of the certainty which we might have anticipated from a nearer approximation to the head of the stream, we experience increasing per- plexity ; and where we might hope for the guidance of truth we find ourselves embarrassed by the delusion of fable. Le Clerc discusses with considerable ingenuity the question, " si la medecine est venue immediatement de Dieu ?"—whether medicine came immediately from God. In Ecclesiasticus it is said, that " God created the physician and the physic, and that he hath given science to man, and that 'tis he that healeth man, &c."+ All the * Vide Moir's " Outlines of Medicine." t Chap, xxxvi. v. 12. PHYSIC AND PHYSlCIANi. 15 ancient pagans held their gods to be the authors of medi- cine. The art of physic, says Cicero, is sacred to the invention of the immortal gods: " deorum immortalium inventioni consecrata est ars medica." Pliny makes a similar declaration, " Diis primum inventores suos as- signavit medicina cceloque dicavit."* In the works of Galen, it is said, that the Greeks ascribed the invention of arts to the sons of God. Hippocrates makes God the inventor. He says, "they who first found the way of curing distempers, thought it an art which deserved to be ascribed to the gods; which is the received opinion." Celsus, the elegant Roman physician, has asserted that medicine and mankind must have been coeval in their origin: "Medicina nusquam non est;" an opinion which we think cannot be rationally questioned. If some na- tions, says Pliny, have made shift without physicians, yet none ever did without physic. The learned Schulze seri- ously maintains that the first man must necessarily have been the first physician. (Ag^ucrnp.) He considers that our first parents were skilled in physiology. Let the curious reader refer to his work for his reasons for hold- ing this opinion: we do not think this is the place for the discussion of his arguments. Our medical knowledge of the antediluvians is very scanty. After the deluge, we read of circumcision being performed; and with the solitary exception of this sur- gical rite, history, whether sacred or profane, presents us with no information whatever respecting the progress of medicine or surgery, during the patriarchal ages. As we descend the stream of time, and approach the limits of authentic history, we find that the science of medicine was cultivated methodically, and reduced to a system. Herodotus informs us of the state of the science among the Babylonians. The practice of medicine must have preceded the reduction of the art of healing to scientific * Lib. xix. cap. 1. 16 PHYSIC AND PHYSICIANS. principles. The Babylonians and Egyptians carried their sick into the market-place and public streets, in order to obtain the experience of those who might pass them, and who had been afflicted with the same diseases; and no one was allowed to pass until he had investigated the sick man's case. This was not only the practice of this nation, but was one of their public laws ; -and Sozo- mones mentions it as obtaining amongst the Hiberi, a people in Asia. The prophet Jeremiah feigns Babylon complaining, in the Lamentations, in these words, " Is it nothing to you, all ye that pass by, behold and see if there be any sorrow equal to my sorrow:" and then the Apostle Mark, (ch. vi.) in allusion to the same custom, says, " And whithersoever he entered, into villages and cities, and countries, they laid the sick in the streets, and besought that they might touch, if it were but the border of his garment; and as many as touched him were made whole." Strabo says the same of the Portuguese, " who, according to the ancient custom of the Babylonians and Egyptians, bring their sick into the streets and highways, that all comers who have had the same malady, might give them their advice."* Notwithstanding this circum- stance, the Egyptians, a people much resembling the Chi- nese, were the most forward of the primitive nations, in the march of civilization and the cultivation of know- ledge. Manetho, a distinguished Egyptian writer, is re- presented by Eusebius as stating that Athatis, a tradi- tionary monarch of that country, wrote several treatises on anatomy. In Egypt, medicine was fettered by absurd regulations. The chief priests confined themselves en- tirely to the exercise of the magic rites and prophecies, which they considered the higher branches of the art, and left the exhibition of remedies to the pastophori, or image-bearers. They were also compelled to follow im- plicitly the medical precepts of the sacred records con- ' Lib. 16. PHYSIC AND PHYSICIANS. 17 tained in the six hermetical books: a deviation from those rules was punished with death. The Egyptians, and other Eastern nations who first cultivated science, cherish- ed a great veneration in the earliest periods of time for the medical character; and the ancient Greeks, who were less advanced in civilization and the refined arts than the Trojans, never mention their professors of medicine but with the warmest gratitude and veneration. The Argo- nautic expedition was not undertaken without the attend- ance and aid of a physician, even the divine Ex, who was considered one of the principal heroes of the school of Chiron the Centaur. The history of Machteon, his son, exhibits a character adorned with most amiable virtues. When he was wounded by Paris, at the siege of Troy, the whole army appeared interested in his recovery. Even Achilles, during his seceding from the allied army, when he had His friend Machaeon singled from the rest, A transient pity touched his vengeful breast; and he despatched Patroclus to inquire after the " wound- ed offspring of the healing god," who was placed under the protection of the wise Nector at the request of Ido- meneus, who observes, " A wise Physician, skilled our wounds to heal, Is more than armies to the public weal." The Jews were ignorant of medicine until their intro- duction into Egypt. The Grecians, like the Egyptians, considered medicine of divine origin. Their Apollo and Minerva, answered to the Isis and Osiris of the latter nation ; and Orpheus, the priest, poet, and physician, usurped the place of Thoth. Esculapius flourished fifty years before the Trojan war; and we find that his two sons distinguished themselves in that war by their valour, and by their skill in curing 2* 18 PHYSIC AND PHYSICIANS. wounds. Homer, describing Eurypylus wounded and under the care of Patroclus, says, " Patroclus cut the forky steel away, When in his hand a bitter root he bruised, The wound he washed, the styptic juice infused, The closing flesh that instant ceased to glow, The wound to torture, and the blood to flow." Hippocrates, who has justly been styled the " Father of Medicine," was born in the island of Cos, situated in the Egean sea, at no great distance from Rhodes. Celsus remarks, that Hippocrates was the first person who eman- cipated medicine from the trammels of superstition and the delusions of false philosophy. He considered the doctrine, inculcated by physicians, of the celestial origin of disease, as paralysing the efforts of the physician, and proving highly detrimental to the patient. While the vain hopes it held out of recovery, through the medium of prayers, sacrifices, and bribes for the intercessions of priests, could not fail to bring both religion and medicine into contempt. His works, which have descended to us, are very much contaminated by interpolation. He died at the age of 100, three hundred and sixty years before the birth of Christ. Contemporaneously with Hippocrates lived Democritus of Abdera, a zealous anatomist. Thessalus and Dacro, two sons of Hippocrates, founded, with Polybus, his son- in-law, the Dogmatic School. Their leading tenets are recorded in the book, " On the Nature of Man." This school applying, or, rather misapplying, the mystical speculations of the Platonian philosophy to the study of medicine, adopted this most pernicious principle, that, " win. a observation failed, reason might suffice." Their doctrine was utterly subversive of the first principle of that illustrious reformer, who, by bringing every fact to the test of the most rigorous observation, and ridding the science of medicine of the gross absurdities which had so PHYSIC AND PHYSICIANS. 19 long disfigured and perplexed it, succeeded in extricating it from the chaos of confusion in which he found it in- volved, and elevating it to its true rank among the higher branches of human knowledge. Contemporaneously with the establishment of the Dog. matists, Eudoxus founded the Pythagorean system, the disciples of which directed their attention principally to the dietetic part of medicine. Then followed the Empyrical school, relying solely on facts, and setting principles entirely aside, in their estima- tion of disease and administration of remedies. The establishment of the Alexandrian sect formed an important epoch in the history of medicine. Erastratus and Hcrophilus were the first physicians of note in this school. But we have to regret that the destruction of its splendid library, by the hands of the barbarous con- querors, has left us little to relate concerning its doctrine or practice. Pliny informs us that the Romans were 600 years without physic, if not without physicians. All operations in surgery were performed by slaves and freedmen. The first man who practised at Rome, as a regular man, was Archagathus, a Greek. The too frequent use of the knife, and the actual cautery, caused him to be banished from the capital of the Roman empire. Asclepiodcs, a student from the Alexandrian school, was the next physician of note who appeared at Rome. He commenced as a teacher of rhetoric; but abandoned it for medicine; and, by his eccentric address, in a short time brought liimself into notice. The prototype of all succeeding quacks, he affected to contemn every thing that had been done before him. "Omnia, abdicavit; totamque medicinam ad causam revocando, conjecturam fecit."* He ridiculed Hippocrates, and nicknamed his system d-avsriv jutkuni, " A Meditation on Death." He * Celsus. 20 PHYSIC AND PHYSICIANS. attempted to explain all the phenomena of health and disease, by the doctrine of atoms and pores. He opposed bleeding, and depended principally upon gestation, friction, wine, and the internal and external application of cold water. He first divided disease into chronic and acute, and was the first originator of the Balinea pensilis, or shower bath; on his principle was established a sect called the Methodics. They divided disease into two divisions; first, those which proceeded from stricture, and those which were the consequence of relaxation. The celebrated Themeson, a pupil of Asclepiodes, founded this sect. Although Themeson was held in high estimation by some, he was discarded by others, as will appear by the well-known lines of Juvenal:— " How many sick in one short autumn fell Let Themeson, their ruthless slayer, tell." Sat. 10, v. 221. It was the custom of the Roman physicians to visit their patients attended by all their pupils; in allusion to which practice we have the epigram of Martial:— " I'm ill. I send for Symmachus ; he's here, An hundred pupils following in the rear: All feel my pulse, with hands as cold as snow ; I had no fever then—I have it now." Among the most distinguished medical writers of the first century, was Aurelius Cornelius Celsus. He has been termed the " Latin Hippocrates." According to good au- thority, he wrote upon several subjects; in one of his works, now extant, is a passage which deserves to be quoted, as it shows his generous and enlarged mind, he says, " Hip. pocrates, knowing and skilful as he was, once mistook a fracture of the skull for a natural suture ; and was after- wards so ingenuous as to confess his mistake, and to leave it on record." " This," says Celsus, " was acting like a truly great man; little geniuses, conscious to themselves THYSIC AND PHYSICIANS. 21 that they have nothing to spare, cannot bear the least diminution of their prerogative, nor suffer themselves to depart from any opinion which they have embraced, how false and pernicious soever that opinion may be, while the man of real ability is always ready to make a frank acknowledgment of his errors, especially in a profession where it is of importance to posterity to read the truth." The medical writings of Celsus are considered only as inferior to those of Hippocrates, over which they possess this advantage, that they have descended to us free from those interpolations and corruptions of the text, which detract so much from the authority and utility of the latter. Galen flourished one hundred and thirty years after Celsus, and was physician to the Emperor Marcus Aurelius. He was considered for many years an infalli- ble authority on all matters relating to pathology. Galen exhibited from earliest infancy evidence of uncommon sagacity. He detected the futility of prevailing systems. Dissatisfied with what his master taught him, as incon- trovertible truths and immutable principles, he was filled, as it were, with a new light on studying the writings of Hippocrates, his admiration of which increased on com- paring them with the works of nature. Much has been said of the influence which the study of anatomy had on Galen's mind. After contemplating the structure of the bones of a skeleton, and their adaptation to their different functions, he breaks out into an apos- trophe, which has been much admired, and in which he is said to have exceeded any other ancient in pointing out the nature, attributes, and proper worship of the Deity. " In explaining these things (he says), I esteem myself as composing a solemn hymn to the Author of our bodily frame; and in this, I think, there is more true piety than in sacrificing to him hecatombs of oxen, or burnt-offerings of the most costly perfumes; for I must endeavour to know him myself, and afterwards to show him to others, 22 PHYSIC AND PHYSICIANS. to inform them how great is his wisdom, his virtue, and his goodness." The works of Galen, Hippocrates, and Aristotle, were translated into the language of the Arabians, to which the science of medicine is not much indebted. They added, however, some improvements to the science of botany and materia medica. Many ages were allowed to roll on before learning was revived in Europe; this was to a great extent effected by the communications which the Crusaders established between the Europeans and Saracens; and at length, the revival of letters in Italy was fully effected in conse- quence of Constantinople being taken by the Turks. Learning took shelter in the East during the convulsions of the Roman Empire. Having traced, in this faint outline of the history of medicine, the science down to the revival of letters in Europe, we shall leave it. We never had a very extrava- gant notion of the value of the ancient medical writers* An excessive admiration of them has enabled some to dis- cover in Hippocrates and Galen the rudiments, if not the full developemcnt, of every discovery which has been made in modern times; while others, falling into the opposite extreme, find the present time, that is to say, the times which they illuminate by their genius, the only times in which any great things have been done towards the advancement of the art which they cultivate. These opposite modes of thinking, are what Lord Ba- con calls, in his own quaint phraseology, " the peccant humours of literature," of which he says, " the chiefest is the extreme affecting of two extremes—the one antiquity, * Let us learn to distinguish the uses from the abuses of antiquity. Not to know what happened before we were born, is always to remain a child: to know, and blindly to adopt, that knowledge, as an implicit rule of life, is never to be a man. THYSIC AND PHYSICIANS. 23 the other novelty. Antiquity cnvieth that there should be new additions, which it may be troublesome to master; and novelty cannot be content to add, but it must deface." " Surely (he says) the advice of the prophet is the true direction in this matter:" " state super vias antiqvas et videte quamum sit via recta, et bona, et ambulate in ea." "Antiquity," he adds, "deserveth this reverence, that men should make a stand thereupon, and discover which is the best way; but when the discovery is well taken, then to make progression."* The mummery of medicine, with all its cabalistic and unintelligible mysticisms, has given place to direct, tan- gible, demonstrable truths, as simple, as plain, and as interesting as the palpable principles of all other branches of natural philosophy. It is utterly impossible to deve- lope all the nice intricacies of the healing art, or success- fully to dispense its numerous blessings, without a strict and perpetual reference to the established operations of nature. In the beginning, medicine was of necessity a super- stitious and an empirical science; that is to say, an ex- peri mental art; while nature pursued her course with uniform regularity, and while her operations were unin- terrupted by any obstacle, men enjoyed the benefit which it bestowed, without any desire to ascertain their cause and origin; but any deviation from this cause, however trifling it might be, was calculated to excite their cu- riosity and to astonish their minds. These changes being to them incomprehensible, were readily referred to the agency of some supernatural power; and the inflic- tion of disease was attributed to the wrathful power of an offended deity, from whom both the cure and preven- tion were alone to be obtained. " Morbos vero ad iram Deorum immortalium relatos, et ah iisdem opem postulari tolitam," says Celsus. * »• Advancement of Learning." 24 PHYSIC AND PHYSICIANS., This was the true and simple notion of the case, and it was abundantly fostered by two principles, which operate powerfully upon all rude nations;—a fond desire to pene- trate into futurity, and an eager anxiety to avert impend- ing evils. With regard to the first, it has been well observed by an able writer* that the human mind is most apt to feel and to manifest this vain curiosity, when its own powers are most feeble and uninformed. Asto- nished with occurrences of which it cannot comprehend the cause, it naturally associates such occurrences with a mysterious and marvellous influence. Ashamed of events which it can neither discern the issue, nor anticipate the consequences, it has recourse to other means of discover- ing them, than that which might be afforded by its own sa- gacity. Whenever superstition is regularly and systemati- cally established, this desire of penetrating into the secrets of futurity is intimately connected with it. Hence arose the mystic divination of Greece, and Rome, as well as that of our own Druids; and this divination speedily as- sumed the character and form of a religious ceremony. Priests, and the ministers of heaven, pretended to deliver its oracles to men. They were only soothsayers, augurs, and magicians, who possessed the sacred and important art of disclosing what was hidden from less hallowed eyes. As the diseases of men in a savage state, like those of animals, are few, but violent, their impatience under what they suffered, and their solicitude for the recovery of their health, soon inspired them with extraordinary reverence for those who pretended to understand the nature of their maladies, or to preserve them from their sudden and fatal effects. These ignorant pretenders, however, were such utter strangers to the structure of the human frame, that they were equally unacquainted with the causes of disorders, as with their probable ter- * Robertson's History of America, vol. i. p. 339. PHYSIC AND PHYSICIANS. 25 mination. Enthusiasm, mingled generally with some portion of craft, supplied their deficiencies in actual science. They imputed the origin of diseases to super- natural influence; and prescribed, or performed, a variety of mysterious rites, which they declared to be sufficiently powerful to remove them. Credulity and reverence favoured the deception, so that, among savages, their first physicians were a species of conjurors or wizards, who boasted of their knowledge of the past, and who predicted the events of the future. Incantations, sorcery, and mummeries of divers kinds, were the means which they employed to counteract the causes of imaginary malignancy, upon the assumed effi- cacy of which they predicted with confidence the fate of their deluded patients. In Adair's " History of the American Indians," we find a particular account of their manner of curing the sick; and the author relates a conversation which he had with an old Indian physician, who told him they had just killed a witch for using pernicious charms. Henessin, an earlier writer, bears ample testimony to the mystic ceremonies of these American physicians and jugglers. The Abbe Poyart, in his history, says, that when the king of Cacongo happens to fall ill, his physi- cians commence their treatment by publishing his indis- position through the kingdom, and then every one is compelled to kill his dunghill cock, and offer it as a pro- pitiatory sacrifice to the angry deity, whose vengeance is supposed to have fallen upon the monarch. Thus we see, as Pliny has observed, " that magic was the offspring of medicine; and after having fortified itself with the help of astrology, borrowed all its splendour and authority from religion."* Religion was, indeed, in the early ages, inseparably connected with medicine, and its principles were inti- * Historia Natur. Lib. xxx. c. 12, 3 26 PHYSIC AND PHYSICIANS. mately attached to it: its founder was deified, and the art itself accounted divine. The one supplied medicine for the soul, the other for the body; and we question very much whether the tangible benefits of medicine were not more highly valued, if not more highly reve- renced, than the uncertain and confused advantages which were promised to the virtuous by the designing priests of a confused and mysterious mythology. Persia abounds with physicians and astrologers, and the Persians are strongly attached to the occult science of the latter. xSo much is this the case, that a Persian rarely follows the prescription of his medical adviser, without first ascertaining from an astrologer that the constellation is favourable to the proposed remedy. When a man of note dies in Persia, the astrologer ascribes hiB death to the uncertainty of physic: while the votary of Galen, on the other hand, throws all the blame on the planet-struck sage, imputing to him an ignorance of the proper time for taking the medicine prescribed. Upon this, the astrologer retorts, that the nature of his profes- sion is extremely hard, when compared with that of the physician; since, if he commit an error, by making a wrong calculation, " heaven discovers it;" whereas, if a physician be guilty of a blunder, " the earth conceals it;" the patient dies, is buried, and is heard of no more. Medical men have in all ages been held in high esti- mation, when the understanding of mankind was not clouded by superstition. The ancients deified their cele- brated medical men, and dedicated temples to their ho- nour. Plato, the great heathen philosopher ; ays, that a good physician is only second to God himself. The Athenians must have had an elevated notion of the science of medicine, for there was a law among them that no slave or woman should study physic. The inha- bitants of Smyrna associated, upon the coins of that city, the names of their celebrated physicians with the effigies of their gods. The Romans, in the early period of their PHYSIC AND PHYSICIANS. 27 history, did not hold the art in very high estimation; but in the time of Julius Ca?sar, when physicians came from Greece (the country whence the Romans derived all their polite learning and knowledge of the fine arts), they were complimented with the freedom of the " Eternal City;" a privilege of which that proud people was ex- tremely jealous. Their great orator, Cicero, says, " that nothing brings men nearer the gods, than by giving health to their fellow-creatures." " How the tender springs of life," says an eminent physician, " that elevate a man to move but a little below angels, vibrate and ravish the mind with pleasure, when our art snatches a victim friend from the jaws of death! And shall we then prefer inglorious case to the divine energy of raising the dead ? No, verily : if the soldier, who burns cities and desolates the land by human sacri- fices, is worthy of marble or brass, what adequate monu- ment can human art effect for him who burns no cities, but saves their inhabitants, who desolates no country, but peoples it not with stones, as fabled of old, but with his friendiSf his relations doomed to the grave." The me- dical man is indeed a guardian angel of a family, a deity of health. If the profession be not a lucrative one, it is a divine one. It is above money, and is " not to be dealt in by attorneyship," as Shakspeare says of love. It is, indeed, a high gratification to be the humble ad- ministrator of relief to our fellow-creatures; but there are drawbacks to every enjoyment of life. Dr. Cuming, in writing to his friend Lettsom, alluding to this subject, addresses him in the following strain: " Have you not sometimes felt the hurried clay-cold grasp of a respected friend's hand ? Have you not seen the lack-lustre eye, the wan, perhaps, distorted features, and the convulsive pangs of an expiring husband and father—his bed encir- cled by an affectionate wife, and a group of weeping in- fants, whose comfort in this world—nay, perhaps, whose subsistence—depended upon the life of their parent ?— 28 PHYSIC AND PHYSICIANS, these rend the very heartstrings, and make us deplore the impuissance of our art." The balance of account between satisfaction and remorse, was jocosely stated by Dr. Warren to Lady Spencer, who had said, she thought the frequent reflec- tion, that a different treatment might have saved their patients, must embitter the lives of medical men: he told her, that the balance was greatly in favour of satisfaction, for he hoped to cure her forty times before he killed her once. It is in the time of such scenes as Dr. Cuming de- lineates, that when, in the physician, the friend and the * divine are combined, his affection, his good sense, and < his sympathy, pour into the afflicted the oil of comfort; he soothes the pangs of wo; he mitigates the distress; he finds out something in the wise dispensations of Pro- vidence that he carries home to the bosom of affliction. Hence it is that he is truly a guardian angel; his assi- duity makes him appear as a sufferer with the family; they view him as one of themselves—sympathy unites him to them ; he acquires new ties, new afftetions ; he mourns with them, and his philosophy points out new sources of consolation—he is beloved—he is become the father of the family—he is every thing that Heaven in kindness deputes, to soften and dissipate misery. But how often is the medical man treated with base ingratitude, when his services are not required. How often is he exposed to the neglect, contempt, and con- tumely of those who are the first, when ill, to demand his services! God and the Doctor we alike adore, But only when in danger, not before; The danger o'er, both arc alike requited, God is forgotten, and the Doctor slighted. The most learned men of all ages, the most distin- guished ornaments of literature, have combined in rank- PHYSIC AND PHYSICIANS. 29 ing very high the learning and humanity of medical men. " I will not stop to inquire," says Dr. Johnson, "whether what Temple says be true, that physicians have had more learning than the other faculties; but I believe every man has found in physicians great liberality and dignity of sentiment, very prompt effusion of benefi- cence, and willingness to exert a lucrative art, where there is no hope of lucre."* Pope, in his epistle to Dr. Arbuthnot, says, " Friend to my life, which did not you prolong, The world had wanted many an idle song." Dryden, in his " Postscript" to the translation of Virgil, pays a high compliment to his own medical friends, and to the profession generally. He says, " that I have re- ceived, in some measure, the health which I have lost by too much application to this work, is owing, next to God's mercy, to the skill and care of Dr. Guibbons and Dr. Hobbs, the two ornaments of their profession, whom I can only pay by this acknowledgment. The whole faculty has always been ready to oblige me." Pope says, in a letter to his friend Allen, a short period before his death, there is no end of my kind treatment from the faculty. They are, in general, the most amiable companions, and the best friends, as well as the most learned men I know."t * Life of Sir S. Garth. t A curious anecdote is related of Pope, in reference to his medical advisers, which is worth recording. During his last illness, a squabble happened in his chamber between his two physicians—Dr. Burton and' Dr. Thompson. Dr. Burton charged Dr. Thompson with having hastened Pope's death, by the violent cathartic medicines he had administered to the poet. Dr. Thomp- son retorted the charge with considerable vehemence. 3* 30 PHYSIC AND PHYSICIANS. Judge Blackstone, in his introduction to his cele- brated "Commentaries," speaks in the highest terms of the learning of medical men. He says, "the medical profession, beyond all others, has remarkably deserved the character of general and extensive knowledge." Linacre, the founder of the College of Physicians, was the first Englishman who read Aristotle and Galen in the original Greek. On his return to England, having taken the degree of Doctor of Medicine, at Oxford, he gave lectures on physic and taught the Greek language in that University. He was considered the purest Latin scholar of his day. Erasmus says of him, " vir non exactr tantum sed severi judicii." He not only published works on medicine, but also contributed much to the Philosophy of Grammar, and wrote a work on mathematics. He was successively physician to Henry the VIII., Edward the VI., and to the Princess Mary. Dr. Caius, an English physician, read lectures on Aristotle in the University of Padua. He founded Caius College, and endowed it with considerable estates, for the maintenance of a number of fellows and scholars. Pythagoras, Democritus, and Aristotle—names that will be held in veneration by the learned as long as phi- losophy is made the subject of study—did not consider it beneath their dignity to devote themselves to the study of the science of medicine. It may truly be said, that there is no study whieh tends to exalt the human mind to more liberal and extended The patient at length silenced them, by saying, " Gentle- men, I only learn, by your discourse, that I am in a very dangerous way; therefore, all I now ask is, that the fol- lowing epigram may be added, after my death, to the next edition of the ' Dunciad,' by way of postscript:— " Dunces rejoice, forgive all censures past, The greatest dunce has killed your foe at last." PHYSIC AND PHYSICIANS. 31 views of human nature, than that of which we have been speaking. It is the one best fitted to interest, to divest the feelings of prejudice, and to form both the moralist and the philosopher. In taking a view of human nature, and in studying the characters of men, it teaches us to lay aside all the adventitious qualities, and all the mere- tricious ornaments which fortune and favour may confer. It levels all distinctions and views, even " Ccesar as cold dumb clay," a mass of matter which exhibits no differ- ence in its composition from that of the vilest of the vile. A good authority* has justly observed, that no profession requires so comprehensive a mind as medicine. In the other learned professions considered as sciences, there is a certain established standard, certain fixed laws and statutes, to which every question must constantly refer, and by which it must he determined. A knowledge of this established authority may be obtained by assiduous application and a good memory. There is little room left for the display of genius, where invention cannot add, nor judgment improve; because the established laws, whether right or wrong, must be submitted to. The only exercise for ingenuity is in cases where it does not clearly appear what the laws are. But even then, as disputable points must be referred to the opinions of the judges, whose opinions being formed from various circumstantial combi- nations, frequently differ, there is no criterion by which the ingenious reasoner can be judged; and his conclu- sions, whether well or ill drawn, must still remain unde- cided. The case is very different in medicine. There we have no established authority to which we can refer in doubtful cases. Every physician must rest on his own judgment, which appeals for its rectitude to nature and experience alone. Among the infinite variety of facts and. theories with which his memory has been filled, in the course of a liberal education, it is his business to make a * Dr. Gregory. 32 PHYSIC AND PHYSICIANS. judicious separation between those founded on nature and experience, and those which owe their birth to igno- rance, fraud, or the capricious system of a heated and de- luded imagination. He will find it necessary to distin- guish between important facts, and such as, though they may be founded on truth, are, notwithstanding, trivial or utterly useless to the main ends of his profession. Sup- posing these difficulties surmounted, he will find it no easy matter to apply his knowledge to practice. We had a most elevated idea of the dignity of physic when we commenced our medical career. We held all other professional grades, in comparison with our own, in great contempt. Time has, to a certain extent, cooled our enthusiasm, and a knowledge of the world has some- what elevated our notions of lawyers and clergymen. Law is not the profession to which we should have liked to have been educated. We consider lawyers, how- ever, in the present constitution of society as a necessary part of the body politic : and until men can make up their minds to settle their own disputes, we cannot conceive how we can do without the gentlemen of the long robe. The establishment of courts of arbitration, as suggested by Lord Brougham, might prevent, to a certain extent, litigation, but it would not altogether t nable us to dispense with the disciples of Coke and Blackstone. Pope says, "All partial evil is universal good," and so we must bow to circumstances. We certainly do not think that law, as at present stu- died, is calculated to increase our stock of worldly wisdom.* * M. de la B-----, a French gentleman, having invited several friends to dine on a maigre day, his servant brought •him word that there was only a single salmon left in the market, which he had not dared to bring away, because it had been bespoken by a barrister. " Here," said the master, putting two or three pieces of gold into his hand, " go back directly, and buy me the barrister and the sal- mon too." PHYSIC AND PHYSICIANS. 33 How few study the philosophy of legal science. The mind cannot be enlarged, the faculties expanded, and the judgment matured, when it is often employed in making the " worse appear the better reason;"—in fact, in per- verting truth. A counsel enters the court to make out his case, and instead of endeavouring to establish the truth, which ought to be the object of all our investigations, he frequently exercises all his wit, learning, and eloquence, in its perversion, and so dumfounds, in the midst of learn- ed jargon, the poor jury and the unfortunate persons ex- amined. How graphically has Lord Brougham described the melancholy situation of a brow-beaten witness, when placed at the mercy of two witty barristers.* The state of medicine may be considered as the crite- rion, or barometer of the state of general science in a nation. Wherever the arts and refinement have extended their influence, there medicine will be particularly cherish- ed, as conducive to the interests and happiness of man- kind. This explains the miserable state of physic in Europe so late as the tenth century, when there was scarce- ly a physician in Spain. Sancho, the fat King of Leon, was obliged to make a journey to Cordova, in 956, to put himself under an Arabian physician, who, though sent for by the king, resolved that the king should come to him. Dr. Parr entertained an exalted opinion of the members of the medical profession. His father was a distinguish- * " Does not a barrister's affected warmth, and habitual dissimulation, impair his honesty?" asked Boswellof Dr. Johnson : " Is there not some danger that he may put on the same mask in common life, in the intercourse with his friends ?" " Why, no, Sir," replied the Doctor. " A man will no more carry the artifice of the bar into the common intercourse of society, than a man who is paid for tumbling upon his hands will continue to do so when he should walk on his feet." 34 PHYSIC AND PHYSICIANS, ed surgeon; and he himself was destined for the same profession. He used to say his father was "a man of very robust and vigorous intellect." The family was very respectable, but lost the greater part of its property, and, in some measure, its importance, by persisting in its at- tachment to the declining cause of the Pretender. Accord- ing to his own account, he had a very precocious intellect, and had obtained a considerable knowledge of the Latin language at the early age of four years. Once, when called from his boyish play to compound medicines, he showed his critical accuracy in pointing out to his father a mistake in the Latin prescription, which drew from the apothecary this authoritative injunction: " Sam, d—n the language of the prescription—make up the mixture." An empty coxcomb, after having engrossed the attention of the company for some time with himself and his petty ailments, observed to Dr. Parr, that he could never go out without catching cold in his head. " No wonder," said the Doctor, pettishly; " you always go out without any thing in it." " I cannot exactly perceive the scope of your argument, and therefore cannot adopt your opinion," said a gentleman, with whom Dr. Parr had been arguing. " Then, Sir, I can only say you have the dullness of lead without its malleability." It may be turious, as well as interesting, to know what Dr. Parr's opinions really were on the subject of medicine, and the medical men with whom he so intimately associated. Of the learned pro- fessions, Dr. Parr considered the preference due, in many respects, to the medical. " Whilst I allow," says he, " that peculiar and important advantages arise from the appropriate studies of the three learned professions, I must confess, that in erudition, in science, and in habits of deep and comprehensive thinking, the pre-eminence must be assigned, in some degree, to physicians." Again he ob- serves : " The most desirable profession is that of medi- cine : the practice of the law spoils a man's moral sense and philosophic spirit; the church is too bigoted and stiff- PHYSIC AND PHYSICIANS. 35 starched ; but the study and practice of physic arc equally favourable to a man's moral sentiments and intellectual faculties."* The Rev. W. Field, in his Life of Dr. Parr, observes, " I have often heard him declare, that he con- sidered the medical professors as the most learned, en- lightened, moral, and liberal class of the community; and though he often lamented the scepticism on religious sub- jects which some have shown ; yet this, he thought, might be explained on principles, which evince the strength rather than the weakness of the human mind, contem- plating under certain circumstances the multiplicity and the energy of physical causes.t But if the ' Religio Medici,' when weighed in the balance of the sanctuary, might, in some instances, be found wanting; yet he con- soled himself, he said, with reflecting on the many in- stances in which there was certainly the deepest convic- tion of religious truth, not merely declared by an exterior profession, but displayed in all its best and happiest effects on the heart and conduct." " In support of our sacred cause," he would often say, " might we not triumphantly appeal to such illustrious names as those of Sir Thomas Browne, Sydenham, Boerhaave, and Hartley, in days that are past; and, in our own times, to those of Gregory, He- berden, Falconer, and Percival ?" There was no subject on which Dr. Parr delighted to converse more than on the character and the preten- sions of the great men who, at different times, have ap- peared in the medical world. Speaking of the most dis- tinguished of all the ancient physicians, Hippocrates, he said, that he had read much of his works, as much as any man in this country; and he thought that the duties of a physician were never more beautifully exemplified than in his conduct, or more eloquently described than in his writings. He often particularly noticed the atten- * Dr. Gooch, in Blackwood's Magazine for 1825. t Field's Life of Dr. Parr. 36 PHYSIC AND PHYSICIANS. tion which the great father of physic paid to the nature and properties of water, and its effects on the human frame. This he considered as a subject of far more im- portance to the medical practitioner than is commonly apprehended; and, perhaps, the observation was suggested to his mind by recollecting the laborious researches, di- rected to that very object, by his much-respected friend, Dr. Lamb, begun during his residence at Warwick, and continued many years after his removal to London. Cel- sus he pronounced " a very wise man," and said, " his works ought not only to be read, but read night and day, by every medical student." His style, he said, is very good Latin; and if it were not so, he ought still to be read for the medical knowledge which he communicates. Almost all that is valuable in Hippocrates, he remarked, may be found clearly and beautifully epitomized in Celsus. In recommending to a young physician the study of Are- taeus, a bold and decisive practitioner in the reign of Ves- pasian, whose works have ever been admired for the ac- curate description of diseases which they contain, and for the judicious mode of treatment which they prescribe, " Aye," said he, " if I could find one with a mind like Are- taeus, he should be my physician." Speaking of Diosco- rides, distinguished no less as a botanist than as a physi- cian, he said, that he sometimes read his works, and al- ways with pleasure, though it is often difficult to translate his words, especially in the description of plants. Tour- nefort, Sibthorpe, and other travelling botanists, have taken, he thought, the only sure method of explaining the plants, both of Theophrastus and Dioscorides, by diligent researches in the countries where they were originally found. He looked upon Galen as decidedly one of the most learned men who have appeared in the medical world; though inferior in other respects, especially as a pathological observer, to Hippocrates or Aretreus. The poem of Frascatorius, the celebrated physician of Verona, in the eighteenth century, being immtioned, Dr. Parr ob- PHYSIC AND PHYSICIANS. 37 served, that it was one of the most classical productions which have appeared since the Georgics of Virgil; with which, indeed, for its melodious versification, its vivid imagery, and its noble sentiments, it has often been com- pared. Descending from the ancients to the moderns, he often spoke in praise of the literary acquirements and profes- sional skill of Sir Thomas Browne, Sydenham, and Har- vey; but pre-eminently his favourite medical writer was Hermann Boerhaave; and upon his genius, his attain- ments, his important works, and his noble character, he was accustomed to expatiate, with almost rapturous de- light. It was he that opened, Dr. Parr said, a new and splendid era in the science of medicine and chemistry ; and to his instructions, delivered in his lectures and wri- tings, the wonderful discoveries and improvements of later years may be principally ascribed. Next to Boerhaave, the glory of the Dutch school of medicine, stood the con- temporary and friend of Boerhaave, Dr. Mead, the illus- trious ornament of medical science in England, who was eminently distinguished not only for his professional ta- lent, but for his literary attainments, and for his fine taste in all the arts which adorn and improve human life. The Latin style of his works, Dr. Parr said, is entitled to com- mendation ; but, he added, though a good scholar, Dr. Mead was not skilful in writing Latin, and was therefore obliged to borrow the aid of Dr. Ward and Dr. Leather- land. In Dr. Friend he admired the man of profound erudi- tion, as well as of extensive medical knowledge ; and in reading his works, he always met, he said, the decp- thinking philosopher, as well as the elegant writer. Sir George Baker he considered not only one of the best phy- sicians, but also as one of the best scholars and writers of Latin of his day ; and readily yielded to him, in this last respect, the palm of superiority over himself. Dr. Aken- side he extolled as a man of vast learning, as well as of 4 38 PHYSIC AND PHYSICIANS. high talent," but united, unhappily, to excessive pride. Cullen he thought a most extraordinary man, and said, that he once intended to write his life. In Dr. Aikin he acknowledged elegance of taste and high cultivation of mind. Dr. Heberden he called " the amiable and ac- complished author of the ' Commentaries,' or, the history of the diseases which came under his own observation, written in pure and flowing Latinity." Of Dr. Gregory, well known for his useful moral, as well as medical pub- lications, Dr. Parr remarked, " that his writings are ex- tensively read, and that they do credit to the ingenuity, the sensibility, and the piety of the author." With great and unfeigned respect, Dr. Parr cherished the memory of Dr. Percival, Dr. Arnold, and especially Dr. James John- stone, of Worcester, whom he describes " as a man of much intellectual vigour and various research;" but whose life fell a sacrifice, at the age of 30, to his humane and zealous discharge of professional duty, in visiting the pri- soners, during the period of a raging fever, in Worcester jail. No medical practitioner ever acquired, within the same space of time, a higher reputation than this young physician ; and his virtues, talents, and the valuable ser- vices of his life, terminated under such affecting circum- stances by his death, have secured for him a place in the grateful remembrance of the city in which he lived and died, and of all to whom his name and his merits were in any degree known. A monument to his memory was erected in Worcester Cathedral, for which the inscription, in Latin, was written by Dr. Parr. Of the members of the medical profession, whose friend- ship Dr. Parr cultivated whilst living, and whom he enu- merated in his " last will" amongst the number of his friends, are : Dr. E. Johnstone and Dr. Mole, of Birming- ham ; Dr. Lambe, Dr. Bright, and Sir Anthony Carlisle, of London; the latter of whom he designates as " a skil- ful surgeon, a profound philosopher, a most animated wri- ter, and a most valuable friend." Among his friends, he PHYSIC AND PHYSICIANS. 39 also enumerates : Dr. Hill, of Leicester ; Dr. Bourne, of Coventry ; and his own medical attendants, Dr. J. John- stone, Dr. A. Middleton, Mr. Blenkinsop, and Mr. Jones. In the same solemn registry, he has recorded the high value at which he prized the friendship of the very learn- ed, scientific, and truly pious Dr. Falconer, of Bath; and of the eminently distinguished Dr. Holme, " who," says he, " in sincerity, in uprightness, in professional skill, in taste for reading classical authors, and in the knowledge of chemistry, zoology, and English antiquities, has few equals among his contemporaries." How extremely gratifying it is to the members of a pro- fession who have to struggle against the unreasonable prejudices of the world, to have this testimony in their favour pronounced by one of the most learned scholars of his day. To be the instruments, however humble, of increasing the happiness of others, is of itself a sufficient reward to the right thinking man, and to have the commendation of those who are considered to rank among the great and good, to be praised by those whom all men exalt, affords an additional and a higher gratification to the conscien- tious and upright physician. A wise and witty author has truly observed, "that the hope of gain and lucre, and different employments of men, shape them into a variety of strange forms." In the six- teenth, and part of the seventeenth century, the learned professions were distinguished by a number of absurd customs, and carried the affectation of superlative wisdom to a ridiculous extreme; their garb, gait, and gestures were grotesque, and resembled those of magicians and conjurors; the physician was disfigured under a grave and solemn countenance; he was caparisoned in an enormous wig, a full-trimmed coat, buttoned to the bot- tom, and^ other extravagant paraphernalia. The intro- duction of more liberal ideas, above all, dramatic satire, enforced by stage exhibitions, have contributed to free 40' PHYSIC AND PHYSICIANS. the profession from this scholastic pedantry and stupid pomposity; to banish from science dunces and artful cheats, concealed under the mask of wisdom and cloak of gravity. The pensive look is now less studied, and the manners have become less stiff and supercilious. Physic of old, her entry made, Beneath the immense full bottom's shade, While the gilt cane with solemn pride, To each sagacious nose applied, Seemed but a necessary prop, To bear the weight of wig at top. The wig, in former times, was looked upon as no in- considerable part of the insignia of a medical man, whose costume was completed by a full dress suit, &.c. Each son of Sol, to make him look more big, Had on a large, grave, decent, three-tailed wig. With the polished Reynolds departed the last silk coat among the doctors. The gentlemanly Samuel Howard, and the neat Dick Grindall, bore the last remnnnts of chirurgical costume; and, with Devaynes and Delmay- hoy, expired the magnificent peruke which characterized the "Opifer per orbem." Even in the middle of the last century, so much importance was attached to it, that Dr. Brocklesby's barber was in the habit of carrying a band- box through the High Change, exclaiming, "Make way for Dr. Brocklesby's wig!" But of all wigs the most renowned, was that of Delmahoy, which was so cele- brated in the song, beginning, If you would see a noble wig, And in that wig a man look big, To Ludgate hill repair, my joy, And gaze on Doctor Delmayhoy. PHYSIC AND PHYSICIANS. 41 Tliis eccentric character gave rise to the following clever and humorous verses:— " Delmayhoy sold infusions and lotions, Decoctions, and gargles, and pills; Electuaries, powders, and potions, Spermaceti, salts, scammony, squills. Horse aloes, burnt alum, agaric, Balm, benzoine, blood-stone and dill; Castor, camphor, and acid tartaric, With specifics for every ill. But with all his specifics in store, Death on Delmayhoy one day did pop; And, although he had doctors, a score, Made poor Delmayhoy shut up his shop." Much unjust odium has been thrown upon medical men, on account of their supposed adherence to atheistical principles. A more unfounded calumny never was in- vented. Many of our most distinguished medical men have been as eminent for their piety as for their medical and general learning. Even in the present day, some of the brightest ornaments of society, whether considered as members of our religious establishments, or as literary men, are to be found in the ranks of the medical profes- sion. It is not very apparent that the study of medicine, in its several departments, has any direct and remarkable tendency to render men irreligious and immoral, beyond the ordinary influence of many other studies. Young men, who have little or no tincture of piety, who do not regard the scriptural standard of religion as the true measure of moral conduct, when collected together, will probably encourage and embolden each other in irregular practices. A youth of some reading and reflection, into 4* 42 PHYSIC AND PHYSICIANS. whose mind the principles of religion have been instilled at an early age, if he fall under the dominion of immoral propensities, will be uneasy, while his life is so much at variance with what he knows to be his duty; he must, therefore, either relinquish his evil habits, or live in the service of sin, under the continual reproaches of his con- science, or he must find some expedient by which the voice of conscience may be silenced. The graceful and happy union of learning and philo- sophy, with a submission to revealed religion, has been frequently exhibited to the world by several of the most I illustrious characters that ever adorned the seats of science; and to these ingenuous spirits an appeal may be safely made, and the question securely rested, whence they derived their knowledge of God and of themselves. The volumes of Bacon, and of Newton, of Pascal, and of Boyle; of Leibnitz, Grotius, and Locke; of Arnauld, Malebranche, Clarke, Euler, Maclaurin, Ray, Derham, Hales, &,c, concur in giving honour to the Holy Scrip. tures, in acknowledging them as the only sure guides to the knowledge of those divine tru(hs which can make us " wise unto salvation." As the following remarks of Dr. Gregory so fully de- monstrate the falsity of the charge in question, we offer no apology for quoting them in full. He observes, with expressions of just and honest indignation, " that the charge is absolutely false; I will venture to assert, that the most eminent of our faculty have been distinguished for their regard to religion. I shall only mention, as ex- amples, Harvey, Sydenham, Arbuthnot, Boerhaave, Stahl, and Hoffman. It is easy, however, to sec whence this calumny has arisen. Men, whose minds have been en- larged by extensive knowledge, who have been accus- tomed to think and reason upon all subjects with a liberal and generous freedom, are not apt to become bigots to any sect or system whatever. They can be steady to their principles, without thinking ill of those who differ PHYSIC AND PHYSICIANS. 43 from them; but they are particularly impatient of the authority and control of men who pretend to lord it over their consciences, and to dictate to them what they are to believe in every article where religion is concerned. This freedom of spirit, this moderation and charity for thos: of different sentiments, have frequently been ascribed, by narrow-minded people, to infidelity, scepticism, or, at least, lukewarmness in religion; while, at the same time, some men, who were sincere and devout Christians, ex- asperated by such reproaches, have expressed themselves in an unguarded manner, and thus given their enemies an apparent ground of clamour against them. This, I imagine, has been the real source of that charge of infi- delity so often and so unjustly brought against physicians. I will venture to affirm, that men of the most enlarged minds, clear and solid understandings, who have acted in life with the greatest propriety, spirit, and dignity, and who have been regarded as the most useful and amiable members of society, have never been the men who have openly insulted, or insidiously attempted to ridicule the principles of religion; b.ut, on the contrary, have been its best and warmest friends. Medicine, of all professions, should be the least suspected of leading to impiety. An intimate acquaintance with the works of nature elevates the mind to the most sublime conceptions of the Supreme Being, and at the same time dilates the heart with the most pleasing prospects of Providence. There are some peculiar circumstances in the profession of a physician, which should naturally dispose him to look beyond the present scene of things, and engage the heart on the side of religion. He has many opportunities of seeing people, once the gay and tiie happy, sunk in deep retired distress; sometimes devoted to a certain but painful and lingering death; sometimes struggling with bodily anguish, or the still fiercer tortures of a distracted mind. Such afflictive scenes, one would suppose, might soften any heart, not dead to every feeling of humanity, and make it reverence 44 PHYSIC AND PHYSICIANS. that religion which alone can support the soul in the most complicated distresses ; that religion, which teaches us to enjoy life with cheerfulness, and to resign it with dignity." Were we asked, we could point out the names of many living distinguished medical men, whose moral character and piety could not for a moment be questioned. Men, whose actions, and not professions, demonstrate the cha- racter of their minds. In all large bodies of men, many will undoubtedly be found who entertain very erroneous notions concerning religion; but we utterly repudiate the assertion, that the medical profession, more than any other body of professional gentlemen, are open to the charge of infidelity and scepticism. A question, very frequently asked, is this: has any good resulted from the medical discoveries of the present age ? To this interrogatory, we say, that it can be de- monstrated by a reference to statistical documents, that in proportion as the different branches which form the foundation of the science of medicine have been improved, so in proportion has the duration of human life been in- creased. It is a fact, capable of demonstration, that since the healing art reached that point of cultivation, which has entitled it to rank among the sciences, disease has been gradually decreasing, both in frequency, malignancy, and fatality. And it is equally capable of demonstration, that the degree of perfection with which anatomy has been studied, at any successive periods, may be safely taken as the rule by which the progress of all the branches of me- dicine may be ascertained. And on what else should it depend; how much docs a watchmaker know about a watch, by counting its beats, and looking at the outside 1 As anatomy has been encouraged, so has medicine pro- gressed. Wherever dissection was forbidden, surgery declined; and even in the present day, the schools of medicine, in which dissection is most liberally practised, PHYSIC AND PHYSICIANS. 45 .send out into society, surgeons and physicians, who sel- dom fail to prove, in after life, the accuracy of Bailie's assertion, that " the dead body is that great basis on which we arc to build the knowledge that is to guide us in distributing life and health to our fellow-creatures." Sir William Petty (who died 150 years since), states, that the proportion of death to cures, in St. Bartholomew's and St. Thomas's Hospitals, during 1741, was one in ten; during 1780, the mortality had diminished one in fourteen; during 1813, one in sixteen; and that during the year 1827, out of 12,494 patients, 259 only were buried, or, one in forty-eight. His Royal Highness the Duke of Sussex has justly observed, " such is the advan- tage which has been already derived from the improve- ment of medical science in the study of anatomy, that comparing the value of life as it is now calculated, to what it was an hundred years ago, it has absolutely doubled. The most fatally malignant diseases have become com- paratively mild in the hands of modern physicians. The entire half of our population were at one time destroyed by one disease alone—the small-pox; the mortality of vvkich, at the present time, is but partial. Typhus fever was once accustomed to visit this country in annual epidemics, and to slay one out of every three whom it attacked; whereas, in the present day, it is seldom seen as an epidemic, and its average mortality does not amount to one in sixteen. Measles, scarlet-fever, hooping-cough, and consumption, are now no longer regarded with the extreme terror in which they were once viewed. From the year 17D9 to 1808, the mortality of consumption amounted to about 27 per cent, of those who became ill; from 1808 to 1813, it diminished to 23 per cent.; and from 1813 to 1822, it still further decreased to 22 per cent. As anatomy was more attended to, surgery propor- tionally advanced; until, in the days of Harvey, (who discovered the circulation of the blood, in 1610,) bold 46 PHYSIC AND PHYSICIANS. and important operations were attempted. The extreme clumsiness and cruelty with which they were then per- formed could scarcely be credited, had we not in our pos- session, some descriptions of them, by those who operated. The preceptor of the immortal Harvey describes, what he considers an improved and easy operation, in the follow- ing terms : " If it be (speaking of tumours,) a movable one, I cut it away with a red hot knife, that sears as it cuts; but if it be adherent to the chest, I cut it with- out bleeding, with a wooden or horn knife, soaked in aquafortis, with which, having cut the skin, I dig out the rest with my fingers !!" < It is a little more than fifty years ago, when Mr. Sharpe, one of the most eminent surgeons in London at that time, denied the possibility of the thigh-bone being dislocated at the hip joint; an accident which occurs daily, and which the merest bone-setter in the kingdom can now detect. In the treatment of simple wounds surgeons were, at one time, really very rude and cruel. Instead of bring- ing the edges of the wound together, and endeavouring to unite them by the first intention, as it is practised^ the present day, the wound was filled with dressings and acid balsams, or distended with tents and leaden tubes, in order to force the wound into a painful suppuration, which they considered necessary to effect a cure. In those days, every flap of skin, instead of being re- united, was cut away; every open wound was dressed as a sore, and every deep one was plugged up with a tent, lest it should heal. Tents, syndons, setons, leaden canu- las, and strong injections, were among the chief imple- ments of ancient surgery. The lips of a wound were never put together; if it was not large and free, their iule was to dilate it, but never with the knile; with a sort of forceps, they tore it open; they seldom made counter openings to let out the matter, and the most sim- ple wounds were often forced into malignant sores. PHYSIC AND PHYSICIANS. 47 These long tents were thrust into wounds of the neck and cheek, until the neck or head swelled enormously. Even in compound fractures, they thrust their dressings betwixt the ends of the broken bones, as if they had been afraid of the formation of callus. At one period, all wounds were cured by the process of sucking; it was chiefly practised in the army, the drummers of the regiment were the suckers; and the common soldiers submitted to this cure secretly, in order to conceal their quarrels from their officers and priests. The practice of duelling had proceeded to such lengths in France, that even the common soldiers settled their drunken disputes with their swords. A hasty word be- twixt soldiers of two regiments in garrison, established a perpetual quarrel between the corps. They went out in the evening to the skirts of some adjoining wood, and fought by scores; when they happened to quarrel in taverns, they fixed their pocket-knives upon the brooms and mopsticks; and when their knives and side-arms were taken from them, they fought with sticks sharpened and hardened in the fire, which we find made more desperate wounds than tempered swords ; wounds, bruised, livid, and sloughing, like those made by shot. When a party went out to the wood, the drummer of the regiment, or some good experienced sucker, went along with them. The duel ended the moment that one of the combatants received a wound; the sucker immediately applied himself to suck the wound, and continued suck- ing and discharging the blood until the wound ceased to bleed; and then, the wound being clean, he applied a piece of chewed paper upon the mouth of it, tied up the limb with a tight bandage, and the patient walked home. The savoir-faire, or trick or cunning of this way of cure, consisted in making grimaces and contortions, signing their patient with a sign of the cross, and muttering be- tween their teeth some unintelligible jargon. All their care was to keep this profession among themselves; and 48 PHYSIC AND PHYSICIANS. it was from this profanation of the name of Christ, and this abuse of the sign of his cross, that there arose a hot war between the suckers and priests: the priests refusing confession, extreme unction, or any sacrament of the church, to those who had undergone these magical or diabolical ceremonies; while the suckers, on the other hand, refused to suck those who had any connexion with the priests. The former were afraid of losing the dues of the church, and the privilege of giving extreme unc- tion, and dismissing the soul to heaven (for those who submitted to the secret dressing were usually past all relief before the secret was disclosed to the priest): the latter, on their parts, were careful to preserve a trade which was not without its emoluments. Verduc observes, SuxerurU quidem at non sanguinem sed potius aurum; " They were more skilful in sucking gold than blood." Contrast this barbarous surgery with the improved and rational principles which guide the surgeons of the present day, and the conviction must be, that the science of healing is in a vastly improved condition. The art of surgery is not what it formerly was. It does not consist, as it did in bygone days, in the performance of manual operations. Mere dexterity in using the knife is not an infallible test of surgical skill. The man who, by the application of Hie principles of his art, can prevent the mutilation of the human frame, is considered to take the highest position in the ranks of his profession. The improvement in medicine has been equally great. Diseases are more easily detected; the cultivation of morbid anatomy has thrown considerable light on the situation of those structural alterations, which too often baffle the skill of the most able men in the profession; materia medica, chemistry, and all the auxiliary sciences which mutually bear upon and illustrate that of medicine, have proportionally advanced in improvement, and still continue to do so. The application of the stethoscope, in he detection of diseases of the thoracic viscera, has been PHYSIC AND PHYSICIANS. 49 of the most essential service in enabling the physician to discover, witli wonderful accuracy, the early dawnings of affections of the lungs and heart. This subject, how- ever, will be more minutely considered in another part of this work. In conclusion, we would observe, that if ever the science of medicine be destined to take an elevated posi- tion, that rank, which it is fully entitled to claim, it must be by the application to the study of its many branches those unerring principles of induction, which the great mind of Lord Bacon has so fully developed in his master- production.* Let medical men study this work more than they have hitherto done, and much good to the sci- ence which they investigate will be the result. * The Novum Organum. 5 50 PHYSIC AND PHYSICIANS. CHAPTER II. ECCENTRIC MEDICAL MEN. Mounsey—Dr. Marryatt—Sir John Hill—Sir Richard Jebb Sir John Elliot—Dr. Radcliffe—Mr. John Abernethy. Whole volumes might be written on this subject, full of interest and instruction ! Many of the most distin- guished ornaments of the medical profession have been most eccentric in their manners ; and although the emi- nence they attained cannot altogether be attributed to this circumstance, still we ought not entirely to overlook it in our calculation of the causes which have enabled them to obtain so great a degree of the confidence and suppoit of the public. Many justly celebrated practitioners have been naturally singular in their habits of acting and thinking, indepen- dently of the position they held in the medical world: others have aped the manners of their superiors, hoping, by this circumstance, to acquire notoriety and practice. Wc will not, in this place, pretend to inquire how much the success of the late John Abernethy was to be attributed to his blunt eccentricity ; but we may venture to assert it was of service to him, notwithstanding his pre-eminent talents would have commanded success, had he been the very reverse of singular in his deportment. The late Lord Erskine has observed, that " it is in the nature of every thing that is great and useful, both in the animate and in the inanimate world, to be wild and irregular, and we must be contented to take them with the alloys which belong to them, or live without them." PHYSIC AND PHYSICIANS. 51 How many, in imitation of this great surgeon, have assumed his manners without possessing one particle of his genius, as if roughness and ill-breeding would alone insure success in life; of such men, well might it be said— -------"This is some fellow, Who, having been praised for bluntness, doth affect A saucy roughness, and constrains his gait Quite from his nature; he cannot flatter, he ! An honest mind and plain—he must speak truth. These kind of knaves, I know, which in this plainness, Harbour more craft, and more corrupted ends, Than twenty silly clucking observants, That stretch their duties nicely." It is said, that there are excesses of the suaviter in modo, even more designing and censurable than the over- acting of the fortiter in re. Dr. Gregory marks, and forcibly condemns the double-faced and fee-seeking satyr, who blows south in the mansions of wealth, and north in the hovels of poverty ; the cur, who having grown rich by compliance with good manners, conceives himself indis- pensable to his employers, and becomes rapacious and brutal upon the strength of his reputation ; and the servile and fawning sycophant, who, in exceeding the established rules of good breeding towards characters, despicable in other respects than external splendour and magnificence, forgets that his philosophy is but a name.* How is it that we never meet with a physician, in a dramatic representation, but he is treated as a solemn coxcomb and a fool?t This satire, however, cannot * Dr. Percival. t Moliere makes Beraldo, in the " Malade Imaginairc," say, " I don't know a more pleasant piece of mummery, or any thing more ridiculous, than for one man to undertake to cure another." 52 PHYSIC AND PHYSICIANS. properly be considered as levelled against the science of medicine, but against those who practise it; not against the profession, but against its particular manners. What must be the state of medicine, when a learned physician admits that, in order to insure success, a medical man's manners should be obsequious ?* Whatever may be said of eccentricity, it must be evident to any person of observation, that a medical prac- titioner's success depends materially upon his outward appearance. A singular dress, an affected pomposity, a mysterious air, all conspire to throw around the physician indications of unusual sagacity which is sure to attract the notice of those uninitiated in the ways of the world, and to insure a degree of respect to which he cannot have a reasonable claim. How much affected dignity and pomposity influence the world, may be gleaned from the following fact:— Dr. Hugh Smith, who was a medical Nimrod, and resided at Bristol, when compelled to leave home, often substi- tuted for himself an elderly man, on whose head he placed a cauliflower wig. The deputy sat, subtle-looking, like an ape in a house-porch, dispensing with facility to his applicants, from drawers, therapeutically labelled, " ointment for sore eyes," " pills for the bilious," et hoc genus omne. After the death of the principal, the " Mock Doctor" succeeded to his practice, and the acquisition of an ample fortune! In bringing before our readers the more striking inci- dents in the lives of some of our most celebrated eccentric medical men, we would premise that it is not our inten- tion to enter into a minute detail of every circumstance connected with their career, but merely to give the prin- cipal events relating to each physician, with anecdotes illustrative of their respective characters. We shall begin with Dr. Mounsey, who was for many * Dr. Young's " Medical Literature." PHYSIC AND PHYSICIANS. 53 years the Abernethy of his day. He was physician to Chelsea Hospital, and attracted considerable attention by his many eccentricities: of his early history we have not been able to discover any records. The "Chelsea Doctor," as he was commonly called, was a truly original character. We have collected many authentic anecdotes of him, which we shall give without any respect to chro- nological arrangement. The Doctor was intimately acquainted with Sir Robert Walpole, who knew the worth of his " Norfolk Doctor," as he called Mounsey, but neglected to reward it. The prime minister was fond of billiards, at which his friend very much excelled him. " How happens it," said Sir Robert, in his social hour, " that nobody will beat me at billiards and contradict me but Dr. Mounsey ?" " They," said the Doctor, " get places; I get dinners and praise." The Duke of Grafton was mean enough to put off paying him for a long attendance on himself and family, by promising him a little place at Windsor. " I take the liberty to call on your Grace, to say the place is vacant," said the Chelsea Physician. " Ecod (his Grace had not the most harmonious voice, and repeated this elegant word in a very peculiar manner), Ecod, I knew it; the Chamberlain has just been here to tell me he promised it to Jack." The disconcerted and never-paid physician retired, and informed the Lord Chamberlain of what had passed, who said, " don't for the world tell his Grace ; but, before he knew I had promised it, here is a letter to me, soliciting for a third person." By way of ridiculing family pride, he used to confess, that the first of his ancestors, of any note, was a baker and dealer in hops, a trade which enabled him, with some difficulty, to support his family. To procure a present sum, this ancestor had robbed his feather beds of their contents, and supplied their deficiency with unsaleable hops. In a few years, a severe blight universally prevail- ing, hops became more scarce, and of course enormously 5* 54 PHYSIC AND PHYSICIANS. dear; the hoarded treasure was ripped out, and a good sum procured for hops, which in a plentiful season, were of no value ; and thus, the Doctor used to add, " our family hopped from obscurity." The mode in which he drew his own teeth was sin- gular. It consisted in fastening a short piece of catgut firmly round the affected tooth; the other end of the cat- gut was, by means of a strong knot, fastened to a per- forated bullet, with this a pistol was charged, and when held in a proper direction, by- touching the trigger, a troublesome companion was dismissed, and a disagreeable operation evaded. Dr. Mounsey was always infatuated with a fear of the insecurity of the public funds, and was frequently anxious, in his absence from his apartments for a place of safety, in which to deposit his cash and notes: going on a jour- ney, during the hot weather in July, he chose 'the fire- place of his sitting-room for his treasury, and placed bank- notes and cash to a considerable amount in one corner, under the cinders and shavings. On his return, after a month's absence, he found his housekeeper preparing to treat some friends with a cup of tea, and by way of show- ing respect to her guests, the parlour fire-place was chosen to make the kettle boil; the fire had not long been lighted when the Doctor arrived. When he entered the room the company had scarcely began tea. Mounsey ran across the room, like a madman, saying, " Hang it, you have ruined me for ever; you have burned all my bank- notes." First went the contents of the slop basin, then the tea-pot; then he rushed to the pump in the kitchen, and brought a pail of water, which he threw partly over the fire and partly over the company, who, in the utmost consternation, got out of his way as speedily as possible. His housekeeper cried out, " For G— sake take care, Sir, or you will spoil the steel stove and fire-irons." " D—n the irons," replied the Doctor; "you have Tuined me— you have burned my bank-notes." " L—, Sir," said the PHYSIC AND PHYSICIANS. 65 half-drowned woman, " who'd think of putting bank-notes in a Bath stove, where the fire is ready laid ?" " And," retorted he, " who would think of making a fire in the summer time, where there has not been one for several months ?" He then pulled out the coals and cinders, and, at one corner, found the remains of his bank-notes, and one quarter of them entire and legible. Next day, Dr. Mounsey called upon Lord Godolphin, the high-treasurer, and told him the story. His Lordship said, "that he would go with him to the bank the next day, and get the cash for him, through his influence." He accordingly ordered his carriage, and agreed to meet Mounsey at the room in the bank, where some of the directors daily attended. The Doctor, being obliged to go to the Horse- Guards on business, took water at Whitehall for the city. In going down the river, he pulled out his pocket-book, to see if the remains of his notes were safe, when a sudden puff of wind blew them out of his pocket-book into the river. " Put back, you scoundrel," said the doctor, " my bank-notes are overboard." He was instantly obeyed, and the doctor took his hat and dipped it into the river, enclosing the notes and a hat full of water. In this state he put it under his arm, and desired to be set ashore immediately. On landing, he walked to the bank, and was shown into the room where Lord Godolphin had just before arrived. "What have you under your arm ?" said his lordship. " The d-----d notes," replied the doctor, throwing down his hat with the contents on the table, with such a force as to scatter the water into the faces of all who were standing near it. " There," said the doctor, " take the remainder of your notes, for neither fire nor water will consume them!" Those who were acquainted with Garrick admired and esteemed him ; but they universally confessed, that, not- withstanding he eagerly sought and enjoyed a joke at another man's expense, he was nettled if it were raised at his own. Mounsey frequently retorted with success. The 56 PHYSIC AND PHYSICIANS. little manager was sore, and lapsed, on one particular occasion, into an unjustifiable asperity of reply, which called forth the latent spark of resentment from the doc- tor. Severe recrimination, fomented by the ill-timed in- terference of officious meddlers, who enjoyed the quarrel, subsisted to the last. There were some unfinished stanzas, penned by the doctor, during Garrick's illness, on which occasion many physicians had been called in. As soon as Garrick died, Mounsey destroyed the verses, and never could be prevailed upon to repeat them. The following extracts will show how satirical they must have been:— " Seven wise physicians lately met, To serve a wretched sinner ; Come Tom, says Jack, pray let's be quick, Or I shall lose my dinner." The consultation then begins, and the case of the patient is stated ; after which follows;— " Some roar'd for rhubarb, jalap some, Alid some cried out for Dover ;* Let's give him something, each man said— Why e'en let's give him—over I" This desperate counsel is, however, rejected by one of the medical sages, who, after some reflections on the life and habits of the patient, declares that he has great con- fidence in chinks, adding— " Not dried up skinks, you ninnies : The chinking that I recommend, Is the famous chink of guineas." After this a humorous altercation ensues, by whom this auricular application of the purse should be made; * Dover's Powder. PHYSIC AND PHYSICIANS. 57 with humility and politeness towards each other, for which physicians are so remarkable, each declines the honour to the superior rank of his order. But the poet shrewdly guesses that this backwardness arose from the majority of them not choosing to exhibit the comfortless state of their pockets. At length a physician, in high repute, with a purse replenished with guineas, approaches with due solemnity the patient's bed; the curtain is withdrawn, and the glittering gold shaken at the sick man's ear. " Soon as the fav'rite sound he heard One faint effort he tried : He op'd his eyes, he stretched his hand, He made one grasp, and died." Lord Bath made a vain attempt to reconcile these two old friends: " I thank you," cried Mounsey, " but why will your lordship trouble himself with the squabbles of a merry-andrew and a quack doctor ?" No one who pretended to understand Mounsey's cha- racter, can forget that it was impossible for folly or affec- tation to pass undetected, and, seldom, with impunity, in his company. A young clergyman, whose sound under- standing and good heart were indisputable, was affected with a solemn theatrical mode of speaking at times, ac- companied with a mincing, finical gesture, bordering on the coxcomb. This foible did not escape the eagle-eye of his friend, who well knew his worth, and would not hurt his feelings; the doctor, therefore, took an opportunity when they were alone to censure him, and agreed that, whenever he saw the " affected dramatica," as he called it, coming on, as a signal, always to offer his snuff-box, with two smart raps on the lid of it, to prevent him from lapsing into such a bad habit. The gentleman alluded to, as a sterling proof of his good sense, spoke ever after. wards of that circumstance with gratitude. A visible 58 PHYSIC AND PHYSICIANS. improvement took place in the deportment of the divine, and Mounsey was probably instrumental in procuring preferments for him, as well as in his obtaining a wife with a handsome dower. Dr. Mounsey was in the habit of the closest intimacy with Garrick, whose fascinating powers of conversation, and elegant manners, were diametrically opposed to those of Mounsey. The doctor, during a long intercourse with the great and gay, invariably maintained a plainness of comportment, which was by no means an unpleasing one ; nor could he ever be persuaded to sacrifice sincerity at the shrine of abject flattery. He spoke the truth, and what sometimes gave offence, " the whole truth, and no- thing but the truth," which afforded a frequent opportu- nity to ignorance and malignity to cry him down as a cynic. This difference of manner between him and Garrick, was productive of a mutual, but by no means an unfriendly, interchange of raillery. To raise a laugh at the doctor's expense, was the amusement of many an hour at Hampton. Garrick one evening, on his return from Drury Lane, where he had been performing, told the doctor, that wish- ing to see a favourite scene acted by a performer at Co- vent Garden, then very popular, he had slipped from his own stage very slily, and trusted an underling actor, known by the name of Dagger Mar, to supply his place for a few minutes, which was only to stand silent and aloof, and that he had returned soon enough to resume his part in the dialogue of the scene. The doctor credulously swallowed this story, and rea- dily circulated it with much delight; the town enjoyed the joke, and he was. heartily laughed at for his pains. In advancing sums to assist inferior tradesmen Moun- sey was ever ready, often with little prospect of having the money returned. Not long before his death, the doc- tor advanced a servant, retiring from a gentleman's ser- vice, an hundred pounds to set him up in business. The PHYSIC AND PHYSICIANS. 59 tradesman had applied to his master to assist him, " a fine delicate woman's man," who trembled at a breath of wind: he generously lent him twenty pounds, which, however, he made him repay in a fortnight. This " bug with gilded wings," as the doctor used to style him, would lavish treble the sum on some squeaking eunuch, or on some new furniture for his phaeton, in which, by the bye, he was often afraid to ride. " Nature certainly at first designed him for a woman," said Mounsey, in one of his peevish moments, " but was unwilling to disgrace the sex." During a prevailing sickness in the doctor's neighbour- hood, all intercourse with his family was interdicted by a serious letter sent to him. A correspondence by post, however, was admitted; but the billet-doux was obliged to pass quarantine for a night and a day, or, as the doctor termed it, to be bleached. If he met them in his post chaise, on the road, the glasses of the coach were care- fully and closely shut up, and a waving of hands was the only personal civility that passed between himself and his intimate friends for seven months. " We are afraid of you, doctor, you come from a sick room," exclaimed the petit maitre. " You often make me sick," replied Mounsey, " but never afraid." The windows of Dr. Mounsey's apartment looked upon the college court and walls. When he had arrived at a very advanced age, many members of the faculty, who thought this situation extremely desirable, and the doctor literally an incumbent, most naturally looked forward to the termination of his existence ; and the applications to the minister to succeed Dr. Mounsey were innumerable. In consequence of their ardent hopes of the place, tho court of Chelsea Hospital used to be the favourite walk of the medical candidates. Here they used to enjoy themselves in the contemplation of the advantages of the situation, its vicinity to the metropolis, and the beauty of the surrounding scenery. Coach-houses gratis, and an 60 PHYSIC AND PHYSICIANS. hundred other agreeable anticipations, had certainly their due weight, while the doctor, sitting at his window, used to enjoy his own thoughts, and smile at their presump- tion. One day this humourist saw, from his observatory, a physician, accompanied by his friend, who were taking a survey of the spot. The friend was pointing out to the candidate the pleasant situation of the medical apart- ments, and enumerating the various advantages of the college residence. As Mounsey was fond of teasing, he immediately descended. A few words served for his in- troduction ; when turning to the physician, he said, " So, sir, I find you are one of the candidates to suc- ceed me!" The physician bowed, and proceeded: " But you will be confoundedly disappointed." " Disappointed!" said the physician, with quivering lips. " Yes," returned Mounsey, " you expect to outlive me; but I discern from your countenance, and other concomi- tant circumstances, that you are deceiving yourself—you will certainly die first: though as I have nothing to ex- pect from that event, I shall not rejoice at your death, as I am persuaded you would at mine." This was actually the case : the candidate lived but a short time, and Dr. Mounsey was so diverted with check. ing the aspiring hopes of his brethren of the faculty, that whenever he saw a physician on the look-out, he used to go down and confront them in the same manner. He did so to several, and what is singularly extraordinary, his prognostications were in every instance verified. The medical speculators shrunk aghast from Chelsea; so that at the death of the doctor, the minister was not engaged by a single promise, nor had he for some time a single application for the place of physician to the college. Taylor in his Records relates the following anecdote of Mounsey :—" The doctor told me that he was once in PHYSIC AND PHYSICIANS. 61 company with another physician and an eminent farrier. The physician stated that, among the difficulties of his profession, was that of discovering the maladies of chil- dren, because they could not explain the symptoms of their disorder. « Well,' said the farrier,' your difficulties are no greater than mine, for my patients, the horses, are equally unable to explain their complaints.' «Ah!' re- joined the physician, ' my brother doctor must conquer me, as he has brought h'is cavalry against my infantry.' " With regard to religion, after long study, and much read- ing Dr. M. was a 6taunch supporter of the Unitarian doc- trine, and early imbibed an unconquerable aversion to bishops and church establishments. He denounced the Athanasian doctrine in no measured language; in fact, whenever the subject was mentioned, he burst into the most vehement expression of abhorrence and disgust. Dr. Mounsey was a man of strong passions, pointed wit, and lively imagination. His wit was ardent, insa- tiable, and often troublesome; but then his communica- tion was rapid, copious, and interesting; he possessed a vein of humour, rich, luxuriant, and, like the nature of all humours, sometimes gross, and inelegant. His wit was not the keen, shining, well-tempered weapon of a Sheridan, a Beauclerck, or a Burke; it partook rather of the nature of the irresistible massy sabre of a Cossack, which at the time it cuts down by the sharpness of its edge, demolishes by the weight of the blow. To these qualities were added deep penetration, and an incredible memory, which poured forth in an inexhaustible flow of words, the treasures of past years, which at times, like other treasures, were not without their dross. He was a storehouse of anecdote, a reservoir of good things, and a chronicle of past times. His faults he either would not, or could not, conceal; they were prominent to all:—a vitiated taste, a neglected dress, unseemly deportment, and disgusting language, formed the marked character- istics of this singular man; who even on his deathbed, 6 62 PHYSIC AND PHYSICIANS. maintained all the force of his singularity, by bequeath- ing his body for dissection, an old velvet coat to one friend, and the buttons of it to another. In his will he inveighs bitterly against bishops, deans, and chapters; and leaves annuities to two clergymen who had resigned their preferment on account of the Athanasian doctrine. Dr. Mounsey died, at his apartments in Chelsea Hos- pital, December 26th, 1788, at the advanced age of ninety. five. The following epitaph was written by himself, after having been much teased by visiters who were anxious to succeed him. " Here lie my old bones: my vexation now ends: I have lived much too long for myself and my friends. As to churches and churchyards which men may call holy; 'Tis a rank piece of priestcraft, and founded in folly. What the next world may be, never troubled my pate; And be what it may, I beseech you, O fate! When the bodies of millions rise up in a riot, To let the old carcass of Mounsey be quiet." Mounsey contributed nothing to the literature of his profession. He is represented as having been a good practical physician, and much respected by all who knew him, and had occasion to avail themselves of his profes- sional services. He was passionately fond of theatrical exhibitions, and a friend of the drama. He was at one period of his life the intimate friend and associate of Garrick, who often spoke highly of the doctor's talents and humour. He attended the celebrated actor in a dan- gerous illness, and succeeded in curing him after all the other physicians had given him over. In our enumeration of eminent eccentric physicians we must not forget Dr. Wiluam Butler, of Clare Hall, PHYSIC AND PHYSICIANS. 63 Cambridge, who was one of the greatest physicians, and the most capricious humourist of his time. His sagacity in detecting disease was very great. Mr. Aubrey says that it was Butler's usual custom to sit among the boys at St. Mary's Church in Cambridge; and that having been once sent for to King James at Newmarket, in obe- dience to one of those whimsical caprices which distin- guished him so much, he suddenly turned back to go home; and so strangely restive was this singular man in his oddities, that the messenger was obliged to compel him by force to make his visit to the king. The irregular indulgence of these fantastical humours did not lessen his character as a physician, however it might have affected his interests. No man, of his time, enjoyed so general and so deserved a reputation. Aubrey relates the following story of Butler, which he says was the occasion of his first being taken notice of: —A clergyman, in Cambridgeshire, by excessive applica- tion in composing a learned sermon, which he was to preach before the king, at Newmarket, had brought him- self into such a way, that he could not sleep. His friends were advised to give him opium, which he took in so large a quantity, that it threw him into a profound lethargy. Dr. Butler, who was sent for, from Cambridge, upon seeing and hearing his case, flew into a passion, and told his wife, that she was in danger of being hanged for killing her husband, and very abruptly left the room. As he was going through the yard, on his return home, he saw several cows, and asked her to whom they be- longed ; she said, to her husband. " Will you," says the Doctor, "give me one of these cows, if I can restore him to life ?" She replied, " With all my heart." He pre- sently ordered a cow to be killed, and the patient to be put into the warm carcass, which, in a short time, re- covered him. Granger says, " the reputation for physic was very low in England before Butler's time; hypo- thetical nonsense was reduced to a system, not only in 64 PHYSIC AND PHYSICIANS. medicine, but also in other arts and sciences."^ Butler died, aged 83, in 1618. In the last century, lived Dr. Marryat, a very eccen- tric character. He was also a man of considerable ability. His good fortune, in restoring to health some patients who had long been afflicted with painful and dangerous maladies, acquired him a reputation, which quickly enabled him to keep his carriage; but he was improvident, and made no provision for the infirmities which usually attend the bon-vivant; and, in consequence, was, towards the close of his career, much reduced. In the midst of his poverty, he, nevertheless, strenuously and haughtily refused the assistance of some very near rela- tives, of the highest respectability, who would willingly have comforted his old age, if the pride of his spirit would have permitted them. He was a man of strict integrity, and was always punctual to the utmost of his abilities, when it was in his power. In his latter days, when he imagined his credit was bad, he applied to a Mr. A-----, and abruptly said, " You don't know me; but will you trust me with a bed, to sleep upon?" The reply was in the affirmative: " Well, then," said he, " I shall pay you on such a day." Exactly at the appointed time, the doctor called, but not finding Mr. A. at home, he wrote a note, saying, " Why do you make me a liar ? I called to pay you; send for your money this evening, or I will throw it into the street." In his last illness, a friend came to see him, to whose questions respecting his health, he replied, " I am very bad; but it is not worth your while to stay and see an old man die." Afterwards, in the course of the conversa- tion, he said, "the world supposes that I am an atheist, but I am not; I know and believe that there is an Almighty God, who made me, and will not suffer me to perish ; and, therefore, I am not afraid to die." * Aubrey's MSS. in Asthmole's Museum. PHYSIC AND PHYSICIANS. G5 This eccentric physician's death was caused by his obstinately refusing to take proper medicines, until his disease had taken too firm a hold of his constitution. The mention of physic threw him into convulsions. When he found he was sinking rapidly, he said to a medical friend, who was standing by his bedside, " cannot you give me something to relieve me ?" " It is too late," replied the doctor. " Oh, what a fool I have been towards myself," exclaimed poor Marryat, a few minutes before he ceased to breathe ! In 1716, the famous Sir John Hill flourished in the metropolis; he was originally an apothecary in St. Martin's Lane. Hill was known to the world as the doctor on whom that well-known epigram was written: " For physic and farces, His equal there scarce is, His farces are physic, His physic a farce is." Hill wrote several farces, which were brought out on the stage, and very severely handled by the critics of the day. Hill once made his appearance at the Duke of Rich- mond's house, attired in elegant mourning, with servants, and a handsome chariot. He said, that a large estate had been unexpectedly bequeathed to him, that he had a borough at his command, and was come to lay it at the Duke's feet. This farce was kept up for a fortnight; and then the whole was found to be a fabrication, and the Duke would never after suffer him to come into the house. It was a conversation at Dr. Watson's, that first made Hill a quack. Hill's poverty was mentioned, and Dr. Watson was wondering that Hill, amongst all his schemes, had never attempted quackery, when the field was open : this was reported to Hill, by-one of the com- pany, and soon after came out one of his medicines; 6 66 PHYSIC AND PHYSICIANS. \ some of these, however, had not much success ; but the tincture of sage, and balsam of honey, sold so well, that Ridley, the bookseller, in St. James's Street, once assured Mr. Hudson, that he sold of them, to the amount of .£30 per week ; and that there was a still greater demand for them in the city. Hill was once engaged in several periodical works, viz, " The Lady's Magazine," " A System of Divinity," a work on " Cookery," and several Voyages and Travels. It has been humorously said, of this eccentric character, that he was " The writer on snuff, valerian, and sage, The greatest impostor and quack of his age; The punishment ordered for all such sad crimes, Was to take his own physic, and read his own rhymes I" If you have occasion for physicians, says the scholar Salernitina, there are three to whom you may apply at all times with safety; these are, a cheerful mind, moderate exercise, and a regulated regimen. So said Dumoulin, the most celebrated physician of his time. In his last moments, being surrounded by several of his colleagues, who were deploring his approaching death, he addressed them thus :—" Gentlemen, I leave behind me three ex- cellent physicians." Each of the doctors present con- ceived himself to be one of the three; but they were soon undeceived, when Dumoulin informed them, that the three he meant were water, exercise, and regimen. Domoulin was fond of money. He is said to have re- ceived some large sums of money in the shape of fees. On leaving one of his patients, who had made him a handsome payment in coined money, as the amount was considerable, he put it into his pocket. On returning home, his first thought was to count the pieces he had received. The attention he was paying to his money, prevented him from noticing a friend who was waiting for him in his apartment. This person said, " Allow me PHYSIC AND PHYSICIANS. 67 to hand you a chair." Dumoulin looked at him with a contemptuous sneer, saying, " Learn, blockhead, that a man never feels tired when counting his money." A great love for this precious metal is generally accom. panied with a slight tincture of avarice. In this respect Dumoulin yielded to no one. On one occasion he was sent for to visit the Prince Count of Clermont, who was indisposed. The surgeon, who came for him, was in one of the royal carriages, driven by the body coachman. After a visit to the Prince, Dumoulin took the liberty of using the carriage to pay two or three other visits in the neighbourhood of the Prince's residence. After the last visit, he felt in his pocket for some time, and, at length, finding sixpence, he offered it to the coachman. This was, of course, refused, but he frequently amused him- self in repeating this talc to his associates. Dumoulin received three Louis for every visit to the Prince. On another occasion, together with M. Sylva, a physician not less famous than himself, but better in- formed and less interested, he visited a man of high rank, who was so dangerously ill, that at their last visit he died in their hands. This sudden death, being quite unex- pected, it occasioned considerable consternation and mur- mur in the apartment, particularly in the antechamber, where the domestics allowed themselves to adopt the most licentious conversation, and even threatened the doctors with unpleasant consequences. M. Sylva, natu- rally timid, was alarmed, and communicated his fears to Dumoulin, saying, " By what door shall we escape !" Dumoulin, having no fear but that of not being paid, replied, " By the door where they pay," and intrepidly left the apartment, followed by Sylva, who trembled with fear. A great miser, having heard that Dumoulin far surpassed him in saving, waited on him one winter evening about eight o'clock. He found him sitting, illuminated, or rather darkened, by the smoky light of a single lamp. On entering, he said to him, " I have heard 68 PHYSIC AND PHYSICIANS. that you are one of the greatest economists existing; I also am so inclined, but conscious of my inferiority, I should be happy to become your pupil on this point." " Is that all ?" replied Dumoulin, " Sir, be seated ;" in saying so, he extinguished the lamp. " There is no occasion for light to show us how to talk, it only pro- duces inattention. Well, then, what is your object?" " Sir," cried the stranger, " the lesson of economy I have already received is enough. I shall always remain a scholar in respect to you. I shall endeavour to profit by the lesson I have received," and so withdrew in the best way he could in the dark. Notwithstanding Dumoulin's love of money, he could resist the largest fee probably ever offered to a physician, when to have accepted it, would have been to sacrifice every thing which a man of honour and principle holds dear. It is related, that a man of high rank and title waited upon this physician, to request him to exert his skill in the performance of a delicate operation, which medical men, under peculiar circumstances, are some- times compelled to perform. Dumoulin refused to do it. The illustrious stranger called a second time, and offered the doctor a fee of £2,000, on the condition of his per- forming the operation, and keeping the matter a secret Tempting as this offer was, Dumoulin positively declined to listen to the proposal, and gave orders to his servant not to admit the stranger again to his presence, lest he should forget those high chivalrous principles which, to the honour of medical men, have so prominently charac- terized the minds of our most distinguished physicians and surgeons. Sir Richard Jebb was born in 1719, and after taking his degree of M.D., commenced practice in Westmin- ster, where, in a short time, he set up his carriage, and became physician to the Infirmary and to St. George's Hospital. He subsequently attended the Duke of Glouces- ter, whom he wasJbrtunate enough to cure of a danger- PHYSIC AND PHYSICIANS. 69 ous illness. The king now appointed him physician ex- traordinary to the court; and, in 1778, he was created a baronet. His reputation had been so great for many years previous to this period, that the king, being indis- posed one day, desired him to be sent for; but being told that it was etiquette to employ the physician in ordinary, he said, " Don't tell me of your »ordinaries' or ' extraor- dinaries;' I will have Jebb." He was for some time very popular, being as much employed as Dr. Mead, and being as successful as Radcliffc, whose bluntness and eccentri- city he very much imitated. Poor Sir Richard Jebb! he was loved, notwithstanding all his eccentricity. He had the bluntness, without the rudeness of Radcliffe. He had the medical perception, but not the perseverance and temporizing politeness of Warren. In every respect, but fortune, superior to Tur- ton; or to Baker, but in classical learning; and yet he was the unhappy slave of bad passions. His own sister was for a long time confined in a mad-house; the same fate attended his cousin; and a little adversity would have placed poor Sir Richard there also. There was an impetuosity in his manner, and wildness in his look, and sometimes a strange confusion in his head, which often made his friends tremble for the safety of the sensorium. He had a noble, a generous heart, and a pleasing frank- ness among his friends; communicative of experience among the faculty; earnest for the recovery of his pa- tients, which he sometimes manifested by the most im- petuous solicitude. Those that did not well know him, he alarmed. Those that did, saw the unguarded and rude ebullition of earnestness for success. " Like Corpo- ral Trim, for his Lcfevre, I miss him much," says Dr. Lettsom, speaking of Sir Richard, "for to speak my mind, 1 have but little faith in some pompous survivors. Thy patients, on whom thou imposed most severe re- straints in diet, thought thee an unfeeling mortal; and yet I knew few were possessed of more sensibility. I 70 PHYSIC AND PHYSICIANS. remember thy speech, 'Good God! Dr. Lettsom, Lord ------, whom I cured a year ago, has employed, lately, another physician.' ' Well, Sir Richard, you have more than you can do.' ' I know it, but this case has grieved me, incessantly, for a fortnight.' But when His Majesty turned away poor Jebb, and substituted in his place Sir George Baker, he never recovered from the blow. He left Great George Street, and pretended to retire to Lambs Conduit Street. But when the measles brought him again into the Royal Family, he was so agitated, that in- stead of sleeping at Windsor, he got up twelve times each night, was hurried, confused, tortured about the event, till at length, without apparent danger, he sent for Baker, to consult. After the termination of the measles, his own debility ensued, which he injudiciously increased by venesection; the effects of which no cordial could remove. But, poor fellow! a little before he died, the queen, in a letter, written by a German lady, inquired after his state of disease. This letter rekindled the ex- piring flame; he grasped it, and never parted with it, till life parted with his poor emaciated and weather- beaten frame! It is stated that Sir Richard Jebb was very rough and harsh in his manner. He once observed to a patient to whom he had been very rude, " Sir, it is my way." " Then," replied the patient, pointing to the door, " I beg you will make that your way." Sir Richard, on being called to see a patient, who fan- cied himself very ill, told him candidly what he thought, and declined prescribing, thinking it unnecessary. "Now you are here," said the patient, " I shall be obliged to you, Sir Richard, if you will tell me how I must live, what I may cat, and what not." " My directions as to that point," replied Sir Richard, « will be few and simple. You must not eat the poker, shovel, or tongs, for they are hard of digestion; nor the bellows, because they are windy; but any thing else you please." PHYSIC AND PHYSICIANS. 71 Sir Richard Jebb was the first cousin to Dr. John Jebb, who had been a dissenting minister, well known for his political opinions and writings. His Majesty George III., used sometimes to talk to Sir Richard con- cerning his cousin; and on one occasion more particu- larly spoke of his restless reforming spirit, in the church, in the university, &c. " And please your Majesty," re- plied Sir Richard, "if my cousin were in heaven, he would be a reformer." Sir Richard was not distinguished for being tenacious of the language he made use of to patients. Nothing used to make him swear more than the eternal question, " What may I eat ?" " Pray, Sir Richard, may I eat a muffin ?" " Yes, madam, the best thing you can take." " O dear! I am glad of that. But, Sir Richard, you told me the other day, that it was the worst thing that I could cat!" "What would be proper for me to eat to-day?" says another lady. " Boiled turnips." " Boiled turnips!" exclaimed the patient, " you forget, Sir Richard, I told you I could never eat boiled turnips." " Then, madam, you must have a d----d vitiated appetite." The follow- ing lines were written for Sir Richard Jebb's epitaph : " Here, caught in death's web, Lies the great Doctor Jebb, Who got gold dust just like Astley Cooper ; Did you speak about diet He would kick up a riot, And swear like a madman or trooper. " When he wanted your money, Like sugar or honey, Sir Richard looked happy and placid; Having once touch'd the cash, He was testy and rash, And his honey was turned to an acid." Sir John Elliot, as is well known, was a merry, eccentric little being, who talked pretty much at random, 72 PHYSIC AND PHYSICIANS. and oftentimes with no great reverence for the subjects which he talked upon. On one occasion he called upon a patient, Henderson, the celebrated actor, to inquire how his medicine had succeeded, and in his northern accent demanded of the patient, " Had he taken the palls that he sent him ?"—" He had." " Well! and how did they agree ? what had they done ?" " Wonders." replied Henderson; " I survived them." " To be sure you did," said the doctor, " and you must take more of them, and live for ever: I make my patients immortal." "That is exactly what I am afraid of, doctor," rejoined the patient. Elliot's medical skill was thought highly of by Lord George Germain, who exerted himself at court for the purpose of procuring a baronetcy for his friend. The king, who disliked Elliot personally, and regarded his professional talents with as little partiality, displayed much repugnance to grant the request. Yielding, how- ever, at last to the importunities of Lord Germain, His Majesty observed, " Well, my Lord, since you desire it, let it be : but remember, he shall not be my physician." " No, Sir." answered Lord George, bowing, « He shall be your Majesty's baronet and my physician." The king laughed, and Elliot was raised to the baronetage. It is difficult to discover the reason of the king's per- sonal dislike to this physician. His abilities were by no means to be despised, and his manners were extremely fascinating. It has been observed that Elliot was a great favourite of the ladies. His female patients were always falling in love with him; and he often found himself (considering that he was a married man) placed in awkward situations. The danghter of a nobleman, high in office, is said to have been desperately smitten with this physician, and made overtures of marriage to him, not knowing that he was already in that happy condition. Elliot was com- pelled to decline the proffered honour: and so amazed PHYSIC AND PHYSICIANS. 73 was the lady when she heard that he was already married, that she threatened to assassinate his wife if she had an opportunity. Sir John Elliot was guilty of many acts of eccentricity. Among others it is recorded that he had a death's head painted on the panel of his carriage. This was enough one would think to frighten away all his patients. But it did not affect his practice. ^ In the year 1650 was born the celebrated eccentric Dr. Radcliffe. His munificent acts of bounty pointed him out as one of the most celebrated of a profession that has always been distinguished for its liberality; and fully explain to us the esteem in which he was held by his contemporaries, to whom, in spite of his infirmities of 'temper, the generosity of his disposition, and the spright- liness of his conversation, rendered him at all times a most agreeable companion. After Radcliffe's establishment at Oxford, where he had graduated in 1682, he soon acquired a considerable degree of reputation as a successful practitioner, though his method of treating his patients was very different from that generally pursued by the faculty. Two of the most eminent apothecaries in Oxford, therefore, did all they could to decry his mode of prac- tice, and to depreciate his medical character. Dr. Luff said "the cures he (Dr. Radcliffe) performed were only guess work ;" and Dr. Gibbons, his other opponent, who is said to have been an excellent Grecian, observed of Radcliffe, by way of sarcasm, " That it was a great pity his friends had not made a scholar of him." Radcliffe was never a hard student. He had very few books of any kind; so few, indeed, that the learned Dr. Ralph Bathurst, President of Trinity College, when on a visit at his chambers, in the University, asked Radcliffe "where his study was?" Upon which he pointed to a few phials and a skeleton, and answered, " Sir, this is 7 74 THYSIC AND PHYSICIANS, Radcliffe's library." Notwithstanding his apparent con- tempt of literature, he left £40,000* for the building of a splendid library,* attached to the University of Oxford, and £150 per annum, to the librarian, and £100 for the purchase of books, and founded two travelling fel- Iowships.t About the time the bishops were sent to the Tower, Radcliffe was much tormented to turn papist. Mr. Obadiah Walker, of Trinity College, urged him strongly on this subject; to which Radcliffe made a frank and noble reply. He says: " I should be in as unhappy a condition in this life, as I fear I shall be in the next, were I to be treated as a turn-coat; and must tell you, that I can be serious no longer, while you endeavour to make me believe what, I am to think, you give no credit * This splendid monument of Radcliffe's liberality was opened with great ceremony, April 13, 1749, when the degree of M.D. was conferred on Drs. Pitcairn, Conyers, and Kennedy. For a considerable time after the opening of this literary depdt, as if to verify the joke of Radcliffe's private library being in his window seat, it was literally without books, and was known by the title of the " Medical Library," and many collections of books were given to it under that denomination. t Dr. Johnson had, in general, a peculiar pleasure in the company of physicians. He says, " It is wonderful how little good Radcliffe's travelling fellowships have done. I know nothing that has been imported by them, yet many additions to our medical knowledge might be got in foreign countries. Inoculation, for instance, has saved more lives than man has destroyed; and the cures performed by the Peruvian bark are innumerable. But it is in vain to send our travelling physicians to France, for all that is known there is known here. I would send them out of Christendom. I'd send them among bar- barous nations." PHYSIC AND PHYSICIANS. 75 to yourself. Fathers and Councils, and Antique Autho- rities, may have their influence in their proper.places ; but should any of them, though covered with dvit, 1400 years ago, tell me, that the bottle I am now drinking with some of your acquaintance is a wheel-barrow, and the glass in my hand a salamander, I should ask leave to dissent from them all." Radcliffe lost £5,000 in a speculation he made in a venture to the East Indies; the vessel, upon its return, being captured, and the property lost. He was induced to this act by Betterton, the tragedian, who was ruined by the event. When the doctor heard of his loss, he was enjoying liimself at the Bull's Head Tavern, in Clare Market; and he desired his companions not to interrupt the circulation of the glass, " for that he had no more to do but to go up so many pairs of stairs, to make himself whole again." Of the celebrated Dr. Radcliffe much has been written, but yet much remains to be said. He was, probably, the most eccentric, and at the same time, the most successful physician of his day. Although he practised medicine, lie had as great a contempt for physic, as he had for physicians, avowing it as his opinion, that the whole art might be written on a sheet of paper. Yet, it may be doubted, whether a more luminous lesson was ever given, than his declaration that, when a young practitioner, he possessed twenty remedies for every disease, and before the end of his career, he found twenty diseases, for which he had not one remedy. His reputation seems to have had the precedence of his experience, for we find, that before he had been two years in the medical world, his business was very extensive, particularly among those of the higher ranks. And here we have a singular exemplification, of how much the fortunes of the ablest men are dependent on fortuitous circumstances. When Radcliffe came to London, in 1684, he settled in 76 PHYSIC AND PHYSICIANS. Bow Street, Covent Garden, and in the following year, died Dr. Short, who had considerable practice in that neighborhood. Dr. Lower, whom he is said to have succeeded, had, at that time, no business to succeed to, for he had joined the Whig party, in 1678, thinking they would carry all before them ; but being mistaken, he lost the Royal patronage, and, consequently, his practice. Lower had also the Protestant interest very much at heart, and used to show that humour in every visit he made. He was a great favourite of Nell Gwynne's, and was often with her; and was so successful in getting from her all the particulars of the court intrigues, that the king himself used often to complain to him, and say, he did more mischief than a troop of horse. Dr. Radcliffe was a man of great decision,—the result of eminent talent. He always gave his predictions in a tone of confidence. Having prophesied, with great accu- racy, the fate of the Duke of Beaufort, he was always referred to as an oracle to decide disputed points of practice. In Dr. Radcliffe's day great stress was laio on critical days. A slight cathartic on the sixth day of acute fever was considered fatal. A person having taken a gentle aperient on the sixth day, who laboured under an attack of acute fever, died. The person who prescribed the dose produced the recipe, and, in his own justification, pleaded the mildness of the medicine. Radcliffe, whose judgment was referred to, after an examination into the nature of the case, acknowledged indeed, the mildness of the dose, but in his own style pronounced, " It was ill- timed ; disturbed a crisis, and thereby killed the patient." Radcliffe's ready wit often got him into trouble. Dr. Marshall prosecuted him for a witticism, and he excited Swill's spleen, who was pleased to call him " that puppy Radcliffe." His wit blazed without respect to persons, the king himself not excepted ; nor did the ties of neigh- bourly friendship restrain him. PHYSIC AND PHYSICIANS. 77 But it was not so much his wit, as his daring genius, that set at defiance, and put him above the rules that shackled the dunces of the day, and produced so much bitterness against him. It was his good sense, his prac- tical knowledge, his decision in danger, and his ready expedient, that commanded the confidence of his patients, and excited the envy of competitors. Erudition had nothing to do with his success. His friend Mead paid him a cold compliment, when he said, " that he was deservedly at the head of his profession, on account of his great medical penetration and experience." His contem- poraries would not admit that Radcliffe was a man of very considerable learning, although all were compelled to admit that he was a physician of very great attain- ments. Among the many singularities recorded of this eccen- trie man, is the following:—whilst he was one evening deeply engaged at a tavern, he was called on by a grena- dier, who desired his immediate attendance on his Colonel; but no entreaties could prevail on the disciple of Esculapius to postpone his sacrifice to Bacchus. " Sir," quoth the soldier, " my orders were to bring you ." and being a very powerful man, he took him up in his arms and carried him off by force. After traversing some dirty lanes, the doctor and his escort arrived at a narrow alley—" What the d-----1 is all this," said Rad- cliffe, "your colonel don't live here?" "No," said his military friend, " no, my colonel does not live here—but my comrade does, and he's worth two colonels, so by , doctor, if you don't do your best for him, it will be the worst for you." He was once sent for into the country to visit a gen- tleman ill of the quinsy. Finding that no external or internal application would be of service, he desired the lady of the house to order a hasty pudding to be made; when it was done, his own servants were to bring it up; while the pudding was preparing, he gave them instruc- 7* 78 PHYSIC AND PHYSICIANS. tions how they were to act. When the pudding was set on the table, the doctor said, " Come, Jack and Dick, eat as quickly as possible; you have had no breakfast this morning." Both began with their spoons, but on Jack's dipping one for Dick's twice, a quarrel arose. Spoonfuls of hot pudding were discharged on both sides; handfuls were pelted at each other. The patient was seized with a hearty fit of laughter, the quinsy burst, and the patient recovered. In the month of December, 1694, Queen Mary was seized with the small-pox, which the court physician found it impossible to cure. Dr. Radcliffe was accordingly sent for by order of the council to give his opinion. At the first sight of the recipes, without seeing her Majesty, he told them, " she was a dead woman; for it was im- possible to do any good in her case, where remedies had been given that were contrary to the nature of the dis- temper ; yet he would endeavour to do all that lay in him, to get her some ease." Dr. Radcliffe's efforts to relieve his royal patient proved unavailing, and the (jueen died. "Nor could the skilful Radcliffe's healing hand, The Goddess's approach to Death withstand. Yet, oh ! if fate, that had her vitals seized, Might then have been by mortal's aid appeased. His, e'en his art, the Victim had relieved." In the same year Dr. Edward Hans (afterwards Sir Edward Hans) having acquired an Oxford reputation, left the University, and settled in London as Dr. Rad- cliffe's rival. Dr. Hans was an excellent scholar, and a good chemist and anatomist. On his arrival in town, he set up a very spruce equipage, and in this way he en- deavoured to attract the eyes of the public and obtain practice; but he found he was unable to compete with Dr. Radcliffe. Dr. I lans now had recourse to a strata- gem ; and, to get into repute, ordered his footman to stop PHYSIC AND rilYSICIANS. 79 most of the gentlemen's chariots, and inquire whether they belonged to Dr. Hans, as if he was called by a patient. Accordingly the fellow, in pursuance of his instructions, stopped every coach from Whitehall to the Royal Ex- change ; and even went into Exchange Alley, and enter- ing Garraway's Coffee-house, made the same interroga- tories above stairs and below. At last Dr. Radcliffe, who was usually there about 'change time, and being seated at a table with several apothecaries and surgeons, cried out, when Hans's footman asked, in breathless anxiety, for his master.—" Dr. Hans is not here, what do you want with him ?" The footman replied, that such and such a lord was taken ill. " No, no, friend," said Radcliffe, " you are mistaken, the doctor wants those lords." These methods, however, of imposing upon the public, although seen through and discovered by the quick-sight- ed, obtained for Dr. Hans abundance of patients; and at last, he became principal physician at Court On which occasion, an old friend of Radcliffe's brought him the intelligence of his rival's appointment. " So much the better for him," said Radcliffe, " for now he has a patent for killing." " But," says the friend, in order to ruffle Radcliffe's temper, " but what is more surprising, the same doctor has two pairs of the finest horses that ever were seen." " Then, they will sell for more," coolly re- plied the doctor, thus signifying that his practice would scarce permit him to keep them long. A celebrated bon vivant applied to Radcliffe, and com- plained of being afflicted with colicky spasms. " What have you eaten to-day ?" said the physician. The pa- tient informed him, that he had been at a feast, and had rather exceeded his usual fare, which was so and so, daily. " Well," said Dr. R., " if happily, you escape from death's clutches to-night, I would advise you to hang thyself to-morrow, for the grim messenger alone can rid you of your complaints." At one period, Dr. Radcliffe was highly in favour with 80 PHYSIC AND PHYSICIANS. the Princess Ann, of Denmark ; but he forfeited her good graces, by his unpardonable rndeness. The Princess having been taken ill, the doctor was sent for, but he did not make his appearance as soon as was anticipated, and another messenger was despatched for him. When the symptoms of her highness's distemper were related to him, he declared that " her malady was nothing but the vapours, and that she was in as good a state of health as any woman breathing, could she but believe it." In con- sequence of this uncourtly language, he was dismissed from his attendance on the princess, and Dr. Gibbons was nominated as his successor. Dr. Radcliffe was always violently opposed to any thing bearing the resemblance of quackery. W. Pittis, Dr. Radcliffe's first biographer, relates the following account of an altercation which took place be- tween Sir Godfrey Hneller, the king's painter, and Dr. Radcliffe. The doctor, at this period, lived in Bow Street, Covent Garden. Attached to his house, he had a large garden, which was contiguous to another at the back of it, belonging to Sir Godfrey. As Kneller's garden con- tained many curious exotic plants, Dr. Radcliffe express- ed a wish to have a door made in the w-all which sepa- rated the two gardens, in order that he might occasion- ally pay a visit to the valuable flowers, without putting Sir G. Kneller's family to any inconvenience. To this proposition the painter readily consented, and a door was accordingly soon made. No source of annoyance oc- curred to either party, until the doctor's servants, instead of being strict observers of the terms of agreement, made such havoc amongst the painter's exotic plants, that Sir Godfrey, being out of all patience, intimated to his friend, the doctor, that he could not put up with such insolences; yet, notwithstanding this complaint, the grievance con- tinued unredressed; when Sir Godfrey sent word by one of his servants, that if the nuisance continued unabated, he should be obliged to lock up the doors. At this, Dr. PHVSK' AND PHYSICIANS. 81 R. was terribly enraged, and sent back for answer, that Sir Godfrey might do what he thought fit, in relation to the door, so that he did but refrain from painting it. " Did my very good friend, Dr. Radcliffe, say so ?" cried Sir G. Kncller: "go back to him, and, after presenting my service to him, tell him, that / can take any thing from him but his physic." This anecdote has been im- mortalized in verse. Quoth Knellcr, I'll certainly stop up that door If ever I find it unlocked any more; " Your threats," replied Radcliffe, " disturb not my ease, And so you don't paint it, e'en do what you please." Dr. R. was sent for to see the king, who had been seized with symptoms resembling the dropsy. Dr. R. found the king reading Sir R. L'Estrange's new version of " ^Esop's Fables." After a little preliminary conver- sation, tiie doctor requested His Majesty to allow him to look at the book he was reading. Upon opening the vo- lume, the doctor read to the king the following fable, in these words:— " Pray, sir, how do you find yourself?" says the doc- tor to his patient. " Why, truly," says the patient, " I have had a most violent sweat." " Oh ! the best sign in the world," quoth the doctor. And then, a little while after, he is at it again; with a " Pray, how do you find your lady ?" " Alas !" says the other, " I have, just now, such a terrible fit of horror and shaking upon me!" •' Why, this is all as it should be," says the physician, " it shows a mighty strength of nature." And then he asks him, a third time, the same question. " Why," says the patient, "I am all swelled, as if I had the dropsy." " Best of all," quotli the doctor, and goes his way. Soon after this, conies one of the sick man's friends to him, with the same question, " How he felt himself?" " Why, truly, so well," says he, " that I am e'en ready to die, of 82 PHYSIC AND PHYSICIANS. I know not how many good signs and tokens." " May it please your Majesty," says Radcliffe, "yours and the sick man's case is the very same." He advised the king to go abroad, and upon his return, Dr. R. was sent for again. In reply to some questions put by the doctor, the king, showing his swollen ankles, which formed a striking contrast with the rest of his emaciated body, exclaimed, " and what think you of these ?" " Why, truly," said he, " I would not have your Majesty's two legs for your three kingdoms." Dr. Radcliffe had a great objection to paying his bills. A pavior, after long and fruitless attempts to get his ac- count settled, caught Dr. R. just getting out of his cha- riot, at his own door, in Bloomsbury Square, and de- manded the liquidation of his debt. " Why, you rascal," said the doctor, " do yon pretend to be paid for such a piece of work ? Why, you have spoiled my pavement, and then covered it over with earth to hide your bad work." " Doctor," said the pavior, " mine is not the only bad work that the earth hides." " You dog, you," said Rad- cliffe, " are you a wit ? You must be poor—come in, and you shall be paid." Among the many facetias related of this physician, it has been noticed, that when he was in a convivial party, he was very unwilling to leave it, even though sent for by persons of the highest distinction. Whilst he was thus deeply engaged at a tavern, a person called, in order to induce the doctor to visit his wife, who was danger- ously ill; but no entreaties could prevail on the disciple of Esculapius to postpone his sacrifice to the jolly god. Enraged at the doctor's obstinacy, the man, who was very strong, took him up in his arms, and carried him off triumphantly. The doctor was, at first, greatly enraged, particularly as the circumstance excited much laughter amongst the spectators. Having eooled a little, however, before he was set down, he listened to the apology of the husband, who excused himself for his rudeness, by the PHYSIC AND PHYSICIANS. 83 extreme illness of his wife. The doctor then exclaimed, with an oath, " Now, you impudent dog, I'll be revenged of you; for I'll cure your wife." * Dr. R., who was attending the lady of Lord Chief Jus- tice Holt, with a diligence remarkable for one of his situ- ation as a physician, was asked, by one of his intimate friends, the cause of it. " Why," said the doctor, " to be sure, I have brought her through a very obstinate disor- der, though I have no particular regard for the woman; but, I know that her husband hates her, and, therefore, I wish to plague him." Contemporaneously with Radcliffe, lived a Dr. Case, a celebrated quack, a native of Lyme Regis, in Dorsetshire. This empiric was famous for his astrological acquire- ments, and was looked upon as the successor of Lilly, whose magical utensils he possessed. He is said to have got more for the following distich, placed over his door, than Dryden did for all his poetry. " Within this place, Lives Doctor Case." And he was, doubtless, well paid for composing the couplet which he affixed to his pill boxes: " Here's fourteen pills for thirteen pence. Enough for any man's own conscience." Dr. Radcliffe met this doctor at a tavern, when the following conversation took place : " Here, brother Case, I drink to all the fools, your patients." " Thank ye," quoth Case, " let me have all the fools, and you are wel- come to the rest" An old lady, who had spoken disrespectfully of Dr. R.'s talents, was taken seriously ill, and her daughter, for whom the doctor entertained a high respect, obtained a visit from him, on the pretence that she, herself, was in- 84 PHY3IC AND PHYSICIAN'S. disposed: Radcliffe's stay, was, however, short; for no sooner had he been made acquainted with the fact, than he abruptly departed, observing, that " he neither knew what was good for an old woman, nor what an old woman was good for." Tyson, of Hackney, a notorious usurer, having gone to the doctor's residence for advice, clad in mean attire, with a view to save the fee, was thus roughly addressed by Radcliffe, who had penetrated through his paltry dis- guise :—" Go home, sir, and repent, as fast as you can; for the grave and the devil are equally ready for Tyson of Hackney, who has received an immense estate out of the spoils of orphans and widows, and will certainly be a dead man in ten days." Tyson, it is said, died as Rad- cliffe had predicted, in ten days, leaving property, to the amount of £300,000. A lady, of rank and fortune, too anxiously careful of the health of an only son, as well as too partial to his merits, sent for Dr. R., relative to his health. On a pre- vious consultation with the lady, about the malady of his patient, she very gravely told him, that, " although she could not say her son was immediately affected with any disorder, yet she was afraid, from the excess of his spirits, and the very great prematureness of his understanding, he might, without the doctor's medical interference, ve- rify the old proverb—' soon ripe, soon rotten.' " The doctor, by this time, having pretty well taken the measure of the lady's understanding, as well as the wants of her son, desired to see the patient; when, presently, a servant introduced a strong chubby boy, between nine and ten years of age, eating a large piece of bread and butter. " Well, sir," says the doctor, " What's your name ?" " Daniel, sir," says the boy. " And pray, Master Daniel, who gave you that fine piece of bread and butter ?" " My god-fathers and god-mothers, who did promise and vow three things, &c," and was going on with the answer in the Catechism. " Very well, indeed," said the doctor, PHYSIC AND PHYSICIANS. 85 gravely. " Now, Master Daniel, let me feel your pulse. Quite well, there too: so that, dear madam, (turning round to the mother) you may make yourself easy about your son, as he is not only in good health at present, but in no danger of losing that health by too much prema- ture knowledge." At one period of his life being pressed by his acquaint. ances to marry, he looked out for a wife, and at length fixed upon the daughter of a wealthy citizen of London, with whom it was agreed he should have £15,000 down, and a still larger sum on the demise of her father, whom, however, he soon found reason to address in the following terms: " Miss Mary is a very deserving gentlewoman; but you must pardon me, if I think her by no means fit to be my wife, since she is another man's already, or ought to be. In a word, she is no better and no worse than actually enceinte, which makes it necessary that she be disposed of to him that has the best claim to her affections. No doubt you have power enough over her, to bring her to confesfion, which is by no means the part of the physician. I shall wish you much joy of a new son- in-law, when known, since I am by no means qualified to be so near of kin. Hanging and marrying I find go by destiny; and I might have been guilty of the first, had I not so narrowly escaped the last." How the doctor made the discovery is not recorded, but subsequent events proved that he was right, as to the condition of his in- tended spouse. Dr. Radcliffe being called upon to visit a sick man, asked him, as he entered the room, how he did ? "0 doctor," replied the man, in a plaintive tone, " / am dead." The doctor immediately left the room, and reported in the neighbourhood that the man was dead. The report was at first believed, and circulated; but as soon as the mistake was discovered, the doctor was asked, " why he had pro- pagated a falsehood?" He replied, " I did it on the best authority ; for I had it from the man's own mouth." 8 86 PHYSIC AND PHYSICIANS. Dr. Radcliffe, attending one of his intimates in a dangerous sickness, with an unusual strain of generosity for him, declared he would not touch a fee. One insisted, the other positively refused. When the patieht's health was established, and the doctor was taking his leave, the patient said, " Sir, in this purse I have put every day's fee; nor must your goodness get the better of my grati- tude ?" The doctor eyed the purse, counted the number of days he had been attending, and then holding out his hand, replied, " Well, I can hold out no longer; singly I could have refused them for a twelvemonth; but alto- gether they are irresistible." A lady of rank consulted Radcliffe in great distress about her daughter, and the doctor began the investigation of the case by asking, " Why, what ails her ?" " Alas! doctor," replied the mother, " I cannot tell; but she has lost her humour, her looks, her stomach; her strength consumes every day, and we are apprehensive that she cannot live." " Why do you not marry her ?" said Rad- cliffe. " Alas! doctor, that we would fain do, and Have offered her as good a match as ever she could expect." " Is there no other that you think she would be content to marry ?" " Ah, doctor, that is what troubles us; for there is a young gentleman we doubt she loves, that her father and I can never consent to." " Why, look you, madam," replied Radcliffe, gravely, " then the case is this: your daughter would marry one man, and you would have her marry another. In all my books I find no remedy for such a disease as this." An anecdote somewhat similar is recorded of the daughter of the late Sir Walter Farquliar, who attended George III. during his melancholy illness. This physi- cian calling one day on Mr. Pitt, the premier observed him to be unusually ruffled, and inquired what was the matter. "Why, to tell you the truth," replied the doctor, "I am extremely angry with my daughter. She has permitted herself to form an attachment to a young gentleman, by no means qualified in point of rank or fortune to be my PHYSIC AND PHYSICIANS. 87 son-in-law." " Now let me say one word in the young lady's behalf," returned the minister. " Is the young man you mention, of a respectable family ?" " He is." " Is he respectable in himself?" "He is." "Has he the manners and education of a gentleman ?" " He has." " Has he an estimable character ?" " He has." " Why then, my dear Sir Walter, hesitate no longer. You and I are all acquained with the delusions of life. Let your daughter follow her own inclinations, since they appear to be virtuous. You have had more opportunities than I have of knowing the value of affection, and ought to re- spect it Let the union take place, and I will not be un- mindful that I had the pleasure of recommending it." The physician consented, the lovers were united, and the patronage of the minister soon gave old Sir Walter no cause to regret the event. In 1703, Radcliffe had an attack of pleurisy, which, owing to his own imprudence had nearly proved fatal to him. During the attack he could not be induced to aban- don the bottle. Mr. Bernard, the serjeant-surgeon, being called in, bled him to the extent of one hundred ounces, and checked the disease. Radcliffe was fully sensible of his danger, and made his will, leaving the greater part of his estate to charity, and several thousand pounds for the relief of sick seamen sent on shore. His obstinacy mani- fested itself throughout his attack of illness, for after having lost a large quantity of blood, he insisted upon being removed to Kensington, and was taken thither in a chair by four men, and during the journey he fainted away. Dr. Atterbury relates these particulars, and says that he slept immediately afterwards, and that he was likely to do well; " so that the town physicians, who ex- pected to have his practice, began now to think themselves disappointed." The pleasures of the table had great charms for Rad- cliffe ; and Dr. Lettsom has reported a curious relation on this subject, as told him by the eccentric Dr. Mounsey. 88 PHYSIC AND PHYSICIANS. " A little behind my house," says Dr. Cumming, "lies Carshalton, at which place in days of yore, I have been informed that Dr. Radcliffe and the great Dons in his day, held an hebdomadal meeting, sacred, not to iEsculapius, but to Bacchus." To admit a young physician to one of these meetings, was deemed a distinguished honour; for no one was asked unless he seemed likely to prove con. spicuous. When Dr. Mead was young, and just beginning to be talked of, he was asked to Carshalton; the object was to make him drunk, and to see the man: this design he suspected, and carefully avoided to fill a bumper when the sign was given. " Mecum saepe viri cum vino pellite curas:" And he so managed as to see all the company retire under the table, except Radcliffe and himself; and the former was so far gone as to talk fast, and to show him- self affected by the potations. "Mead," said he, "will you succeed me." " It is impossible," replied the polite Mead; "you are Alexander the Great, and no man can succeed Radcliffe; to succeed to one of his kingdoms is the utmost of my ambition." Radcliffe, with all his bluntness, was susceptible of flattery when delicately dressed up, and this reply won his heart. " J will recommend you, Mead, to my patients," said he; and the next day he did Mead the honour to visit him in town, when he found him read- ing Hippocrates. Radcliffe with surprise asked, " Do you read, Hippocrates in the original Greek ?" " Yes," answered Mead, respectfully. " J never read it in my life" said the great Radcliffe. " JVo.'" replied Mead," You have no occasion, you are Hippocrates himself." This did the business for«Mead, and it completely gained the blunt Radcliffe ; and when he did not choose to attend patients, he recommended Mead, who from that moment rapidly rose in his profession. "This," says Dr. Lettsom, "I heard ten years ago from old Dr. Mounsey of Chelsea, PHYSIC AND PHYSICIANS. 89 who was one of the party; and since, Crespigny, of Cam- berwcll, told me the anecdote of this drinking party." On the 28th of July, 1714, Queen Anne was 6eized with a severe fit of illness, which terminated her life. Radcliffe was sent for; but he sent word that " he had taken physic, and could not come." In a letter to a friend he states his reason for not obeying the summons. He says, "I knew the nature of attending crowned heads in their last moments too well to be fond of waiting upon them without being sent for by the proper authority. You have heard of pardons being signed for physicians before a sovereign's demise. However, as ill as I was (his dis- ease was the gout), I would have went to the Queen in a horse-litter, had either her Majesty, or those in commis- sion next her, commanded me to do so." Radcliffe, however, confessed that every thing had been done to save her Majesty's life. In consequence of Rad cliffe's apparent neglect of the Queen, the popular feel- ing ran very strongly against him. He felt this very acutely. He did not survive the Queen many months An early biographer says, that he fell a " victim to the ingratitude of a thankless world, and the fury of the gout." He died in November, 171 1, in the sixty-fifth year of his age. It is said that Radcliffe's diagnostic powers were un- equalled by any physician of the day. Upon visiting a patient for the first time he was most particular in exa- mining the condition of the eye, the temperament of the skin, and state of the pulse. He paid particular atten- tion to the mind of the patients under his care. He has been heard to say that he attributed much of his success and eminence to this circumstance. It was said of Radcliffe after his death, by some friends who were well aware thai he never thought of these things when alive, that, a little before he died, he read the twentieth or thirtieth chapter of Genesis, and ob- served, " He found Mosss a clever fellow; if he had 8* 90 PHYSIC AND PHYSICIANS. known him a little sooner, he thought he would have read him through." Among the celebrated eccentric surgeons, the name of John Abernethy stands prominently forward. Of the early history of this eminent man very little is really known. It is said that, like most men who have obtained great eminence, he manifested, when quite a youth, in- dications of that singular genius which was destined, at a more advanced period of his life, to astonish the world. Abernethy was unquestionably one of the most success- ful surgeons of his day. Notwithstanding his eccentri- city and apparent hard-heartedness and want of feeling, all who really knew his disposition admitted that he had much of the " milk of human kindness" intermixed with : other qualities, which concealed the more benevolent features of his character from the eyes of superficial ob- servers. His great success in life must be, in a great measure, attributed to his having directed the attention of the public to the influence of derangement of the organs of digestion on all the diseases to which " flesh is heir." This view of the subject was not altogether novel, but the profession had not paid sufficient attention to it. Abernethy always opposed, with great zeal, the artificial line of'demarcation drawn between surgery and medi- cine ; he considering the two sciences as " one and in- divisible." Abernethy commenced his medical studies under au- spicious circumstances. He had the advantage of being placed under the instruction of the most brilliant surgical luminaries of the day. That Abernethy was not a man of high classical at- tainments, appears evident from the fact stated by Mr. Pettigrew. "Upwards of twenty years (says Mr. P.) have now elapsed, since Abernethy applied to me, as the registrar of the London Medical Society, relative to the supposed knowledge of the small-pox by Galen; and he THYSIC AND PHYSICIANS. 91 had a reference to the passage in the writings of that great physician, which he was desirous of consulting on the subject. I placed before him one of the volumes of the works of this author, containing the passage ; and when he saw it was entirely in Greek, he blew a long whistle, and called out—' Pooh ! pooh ! I can?t read Galen in Greek ; I never read Galen in Greek, you must translate it for me !' " Notwithstanding Abernethy's ignorance of the Greek language, he was considered a good Latin scholar. The circumstance of his not being able to read Hippocrates, Galen, or Aretreus in the original, must not lead the reader to suppose him to have been ignorant of the works of the celebrated medical sages of antiquity. Many who pride themselves on their high classical at- tainments are apt to imagine themselves superior to those who obtain their knowledge of the ancient writers through the medium of translations. To a certain ex- tent wc arc willing to admit that they have a superiority over those whose education has not been strictly classical, A knowledge of words, however, is often confounded with a knowledge of things. Many who read with consider- able fluency the writings of the ancients have but really little knowledge of the spirit of the celebrated Greek and Roman authors. On the same principle, a person may read his own language, and have a thorough insight into its construction, "and yet be really very ignorant of the literature of his country. Abernethy was apprenticed to Mr. afterwards Sir Charles Blickc, surgeon to St. Bartholomew's Hospital. He attended with considerable industry the lectures of Blizard, John Hunter^ Hewson, Pott, and Falconar. When the celebrated Pott retired from the hospital, Abernethy was appointed assistant-surgeon, which he held for twenty-eight years. It was not until after the death of Sir Charles Blickc, that he was appointed full surgeon to the hospital. He now commenced lecturing on anatomy and surgery. His class was at first small, 92 PHYSIC AND PHYSICIANS. but on the death of Dr. A. Marshall, it greatly increased. When Abernethy commenced business in St. Mildred's Court, in the Poultry, he observed to Mr. now Sir A. Cooper, " I intend to live seven years in the city, seven years in the middle of the town, and seven years at the west end, or fashionable part of London, and then I shall conclude my professional labours." Sir Astley recollects noticing in his house at this period a camera lucida, by which he made some anato- mical drawings; also a hornet's nest, which made the worthy baronet facetiously remark to Mr. A., that " he had already a hornet's nest about him." Notwithstanding Abernethy's resolution to go to the west end of the town, he never advanced farther west than Bedford Row. There he remained until a short period before his death. The following are a few of the many humorous anecdotes recorded of this eccentric and eminent surgeon. A female, who, consulted Mr. A., for an ulcer she had on her arm, was particularly asked, " What is the matter with you ?" The patient immediately held up her arm, but did not utter a word. " Oh! oh! poultice it, and take five grains of blue pill every night, that's all; come again in a week." The fee was presented, but refused; at the end of the week, the patient presented herself again, when the same pantomime took place, and the fee again refused. After a few more visits, Mr. A., on look- ing at the arm, pronounced it well, when the patient again offered a fee. " No," said Abernethy, " from you nothing will I receive, for you are the most sensible woman I ever saw. You don't talk .'.'" Mr. T. a young gentleman with a broken limb, which refused to heal after the fracture, went to consult Mr. A.; and, as usual, was entering into all the details of his complaint, when he was thus stopped almost in limine— « Pray, sir, do you come here to talk, or to hear me ? If you want my advice, it is so and so—I wish you good morning." . PHYSIC AND PHYSICIANS. 93 A scene of greater length, and still greater interest and entertainment, took place between our eminent sur- geon, and the famous John Philpot Curran. Mr. Curran, it seems, being personally unknown to him, had visited Mr. Abernethy several times, without having had an op- portunity of fully explaining, as he thought, the nature of his malady, at last determined to have a hearing; when, interrupted in his story, he fixed his dark bright eyes upon the doctor, and said, " Mr. Abernethy, I have been here on eight different days, and I have paid you eight different guineas; but you have never yet listened to the symptoms of my complaint. I am resolved, sir, not to leave this room until you satisfy me by doing so." Struck by his manners, Mr. Abernethy threw himself back into his chair, and assuming the posture of a most indefatigable listener, exclaimed, in a tone of half sur- prise, half humour,—" Oh, very well, sir, I am ready to hear you out. Go on, give me the whole—your birth, parentage, and education. I wait your pleasure; go on." Upon which, Curran, not a whit disconcerted, gravely began—" My name is John Philpot Curran.* My parents * " Poor Curran's sufferings," says Mr. Pettigrew, " sprang, unfortunately, from his irregularities; and I cannot forbear recording that which passed at the last interview I had with him, which was in the waiting- room of the Duke of Sussex's apartments, in Kensington Palace, but a few weeks before his death. I had for- merly seen much of him, and it was in gay, jovial, and learned society, associated with men of genius and eccen- tricity, whose irregularities, like those of Curran, served but to render them more delightful. Not having seen him for some time, we mutually inquired after our old ac- quaintances ; and I was induced to express my regret that the love of opinion in one remarkable instance, the love of drink in others, had operated so unfavourably upon the health and fortunes of those we esteemed and 94 PHYSIC AND PHYSICIANS. were poor, but I believe honest people, of the province of Munster, where also I was born, being a native of New- market, county of Cork;" and so he continued for several minutes, giving his astonished hearer a true but irre sistibly laughable account of his birth, parentage, and education, as desired, until he came to his illness and sufferings, the detail of which was not again interrupted. It is hardly necessary to add, that Abernethy's attention to the gifted patient was, from that hour to the close of his life, assiduous, unremitting, and devoted. Mrs. J-------consulted him respecting a nervous dis- order, the minutiae of which appeared to be so fantastical, that Mr. A. interrupted their frivolous detail, by holding out his hand for the fee. A one-pound note and a shil- ling were placed into it: upon which he returned the latter to his fair patient, with the angry exclamation, " There, Ma'am ! go and buy a skipping-rope; that is all you want." The reported fashion of his courtship and marriage, is extremely characteristic. It is said, that while attending a lady for several weeks, he observed those admirable qualifications in her daughter, which he truly esteemed to be calculated to make the married state happy. Accord. loved. I could not help expressing my astonishment in relation to one individual in particular, that no warning would operate, and that nothing would direct him from his dreadful course of intemperance ; upon which Curran stopped me short, with this remark : ' Oh, Mr. Pettigrew, there is a great pleasure in getting drunk ; if it were not for three things, I would be drunk every night of my life.' »Oh ! Mr. Curran, what may these three things be ?' I inquired. ' Why, sir,' says he, ' in the first place, the sin;' that I know would not operate very powerfully with my friend,—«in the second place, the shame;' that was not likely very much to deter him,—'and in the third,' he added, in his own peculiar manner,' the sickness.'" PHYSIC AND PHYSICIANS. 95 ingly on Saturday, when taking leave of his patient, he addressed her to the following purport:—" You are now so well, that I need not see you after Monday next, when I shall come and pay yo« my farewell visit. But, in the mean time, I wish you and your daughter seriously to consider the proposal I am about to make. It is abrupt and unceremonious I am aware; but the excessive occu- pation of my time, by my professional duties, affords me no leisure to accomplish what I desire, by the mere ordi- nary course of attention and solicitation. My annual re- ceipts amount to £-------, and I can settle £ on my wife; my character is generally known to the public, so that you may readily ascertain what it is. I have seen in your daughter a tender and affectionate child, an assiduous and careful nurse, and a gentle and lady-like member of your family ; such a person must be all that a husband could covet, and I offer my hand and fortune for her acceptance. On Monday, when I call, I shall expect your determination; for I really have not time for the routine of courtship." In this way, however, the lady was wooed and won, and the union proved a happy one in every respect. Of Mr. Abernethy's independence, and strict regard to what is right, we have many examples. Among others, the following is characteristic:—A certain noble person- age, who at that time enjoyed a situation of great respon- sibility in the sister kingdom, had been waiting for some time in the surgeon's ante-room, when seeing those who had arrived before him, successively called in, he became somewhat impatient, and sent his card in. No notice was taken of the hint; he sent another card—another— another—and another; still no answer. At length he gained admission in his turn! and full of nobility and choler, he asked, rather aristocratically, why he had been kept waiting so long ?—" Wh—ew !" replied the profes- sor; " because you did not come sooner, to be sure." Mr. A. could never bear any interruption to his dis- 96 PHYSIC AND PHYSICIANS. course. " People come here," he often was heard to say, " to consult me, and they will torture me with their long, foolish, fiddle-de-dee stories; so we quarrel, and then they blackguard me all about this busy town; but I can't help it." The following picture is from real life. Let the reader imagine a snug, elderly, sleek, and venerable-looking man, approaching seventy years of age, rather below than above the middle height, somewhat in- clined to corpulency, and still upright in his carriage, with his hair most primly powdered, and nicely curled round his brow and temples. Let them imagine such a person habited in sober black, with his feet thrust care- lessly in a pair of unlaced half boots, and his hands de- posited in the pockets of his " peculiars," and they have the " glorious John," of the profession, before their eyes. The following colloquy between Abernethy and a pa- tient is very characteristic of the professor. Having entered the room, the patient opened the pro- ceedings. " I wish you to ascertain what is the matter with my eye, Sir. It is very painful, and I am afraid there is some great mischief going on." " Which ? I can't see," said Abernethy, placing the patient before the window, and looking closely at the eye. " But," inter- fered the patient—" which ? I can't see," again said Abernethy. " Perhaps not, Sir, but—" " Now don't bother!" ejaculated the other; " but sit down, and I'll tell you all about it." The patient took a seat, and the surgeon, standing with his back against the table, thus begun:—" I take it for granted that, in consulting me, you wish to know what I should do for myself, were I in a predicament similar to yours. Now, I have no reason to suppose that you are in any particular predicament; and the terrible mischief which you apprehend, depends, I take it, altogether upon the stomach. Mind—at present, I have no reason to believe that there is any thing else the matter with you." The patient, at this period, was PHYSIC AND PHYSICIANS. 97 about to disclose sundry dreadful maladies with which he believed himself afflicted ; but he was interrupted with " Diddle-dum, diddle-dc-dum, diddle-dum-dce !" uttered in the same smooth tone as the previous part of the ad- dress, and he was silent. "Now," continued Abernethy, "your stomach being out of order, it is my duty to explain to you how to put it to rights again; and in my whimsical way, I shall give you an illustration of my position, for I like to tell people something that they will remember. The kitchen, that is, your stomach, being out of order, the garret (pointing to the head) cannot be right, and egad ! every room in the house becomes affected. Repair the injury in the kitchen—remedy the evil there, and all will be right This you must do by diet. If you put improper food into your stomach, by gad you play the very devil with it, and with the whole machine besides. Vegetable matter fer- ments, and becomes gaseous, while animal substances are changed into an abominable and acid stimulus. You are going/to ask,' What has all this to do with your eye ?' I will tell you. " Anatomy teaches us, that the skin is a continuation of the membrane which lines the stomach; and your own observation will inform you, that the delicate linings of the mouth, throat, nose, and eyes, are nothing more; lor some people acquire preposterous noses, others blotches on the face and different parts of the body, others inflamma- tion of the eye—all arising from irritation of the stomach. People laugh at me for talking so much about the sto- mach. I sometimes tell this story to forty different people in the morning, and some won't listen to me ; so we quar- rel, and I get abused. I can't help it; they conic to me for my advice, and I give it them, if they will take it; I <*m't do any more. Well, Sir, as to the question of diet, I must refer you to my book. There are only about a tiozen pages in which you will find (beginning at page 73l all that is necessary for you to know. I am chris- 9 98 PHYSIC AND PHYSICIANS. tened Doctor My-book,' and satirized under that name all over England; but who would sit and listen to a long lecture of twelve pages, or remember one half of it when it is done ? So I have reduced my directions into writing, and there they are for any body to follow, if they please. " Having settled the question of diet, we now come to medicine. It is, or ought to be, the province of a medical man to soothe or assist nature, not to force her. Now the only medicine I should advise you to take, is a dose of a slight aperient every morning the first thing. I won't stipulate for the dose, as that must be regulated by cir- cumstances, but you must take some; for without it, by gad! your stomach will never be right. "People go to Harrowgate, and Brighton, and Bath, and the devil knows where, to drink the waters, and they return full of admiration at their surpassing efficacy, Now these waters contain next to nothing of purgative medicine; but they are to be taken regularly, readily, and in such quantities as to produce the desired effect You must persevere in this plan, Sir, until you experience relief, which you certainly will do. I am often asked— ' Well, but Mr. Abernethy, why don't you practise what you preach ?' I answer, by reminding the inquirer of the parson and the signpost; both point the way, but neither follow its course." And thus ended a colloquy, wherein is mingled much good sense, useful advice, and whimsi- cality. A man of rank consulted Abernethy, and was received by him with remarkable rudeness. Upon some severe remark being made, the patient lost his temper, and told the eccentric surgeon, that he would make him eat his words. " It will be of no use," said Mr. A. coolly, " for they will be sure to come up again." "Pray, Mr. Abernethy, what is the cure for the gout?" was the question of an indolent and luxurious citizen, " Live upon sixpence a day, and earn it," was the reply. The late Duke of York is reported once to have con- PHYSIC AND PHYSICIANS. 99 suited Abernethy. During the time his highness was in the room, Abernethy stood before him with his hands in his breeches pockets whistling with great coolness. The duke, naturally astonished at his conduct, said, " I sup- pose you know who I am ?" " Suppose I do, what of that ? If your Highness of York wishes to be well, let me tell you," said the surgeon, " you must do as the illustrious Duke of Wellington often did in his cam- paigns, cut off the supplies, and the enemy will quickly leave the citadel." On Abernethy's receiving the appointment of Professor of Anatomy and Surgery to the Royal College of Sur- geons, a professional friend observed to him, that they should now have something new. "What do you mean?" asked Abernethy. " Why," said the other', " of course you will brush up the lectures which you have been so long delivering at St. Bartholomew's Hospital, and let us have them in an approved form !" " Do you take me for a fool or a knave ?" rejoined Abernethy; " I have always given the students at the Hospital that to which they were entitled—the best produce of my mind. If I could have made my lectures to them better, I would certainly have made them so. I will give the College of Surgeons precisely the same lectures down to the smallest details : nay, I will tell the old fellows how to make a poultice." Soon after, when ho was lecturing to the sudents at St. Bartholomew's, and adverting to the College of Surgeons, he chuckingly exclaimed, " I told the big wigs how to make a poultice!" It is said, by those who have seen it, that Mr. Abernethy's explanation of the art of making a poultice was irresistibly entertaining. In the year 1818, Lieutenant D fell from his horse on a paved street in London, and fractured his skull and arm, whilst his horse trod on his thigh and grievously injured his limb. Mr. A. was the nearest surgeon, and he was sent for; he came and attended daily. After the lapse of months, convalescence took place, leaving great 100 PHYSIC AND PHYSICIANS. debility, when Abernethy enjoined the adoption of shell- fish diet, at Margate. His grateful patient requested in- formation as to the amount of his pecuniary debt, for professional aid and care. Abernethy smiled, and said, " Who is that young woman ?" " She is my wife."— " What is your rank in the army ?"—" I am a half-pay lieutenant."—"Oh, wait till you are a general; then come and see me, and we'll talk about it." Mr. Abernethy, as a lecturer, was highly popular. He generally had a large and attentive class of medical students. His discourses were distinguished for their practical character ; and every subject which he touched upon, was illustrated by humorous and sometimes highly laughable cases, which had come under his own imme- diate observation. How often have we witnessed hun- dreds, who generally thronged into his lecture-room, convulsed with laughter at his strange stories. However ludicrous the narration might be, it generally carried with it and left on the mind some valuable practical fact, which was of great service to the student in after life. On this account, his style of lecturing was peculiar to himself. It was not so much the cases themselves, but the dramatic manner in which they were related, which rendered them so highly attractive to his class. To give our readers a specimen of the stories with which he used to adorn his lectures, we will relate a few of the most piquant and humorous, which will convey to their minds, a just conception of the originality of Abernethy's character. In speaking of the mode of reducing dislocations of the jaw, Abernethy observed, " Be it known to you, people who have once dislocated the jaw, are very often likely to do it again. There was a major in the army, who had the misfortune of frequently dislocating his jaw, and it was an infirmity he cared very little about, for he was generally moving about with his regiment, and when he put it out, the regimental surgeon put it in PHYSIC AND PHYSICIANS. 101 again. But it happened, that on one occasion, he was fourteen or fifteen miles from where the regiment was quartered, dining with a gentleman, and being rather merry after dinner, laughing heartily, his jaw slipped out; his mouth, of course, remained wide open, and it was impossible to close it, while the condyles remained out of their sockets. Not being able to close his mouth, articulation was impossible. Well, but he made an in- articulate noise, and the host being surprised, considered that there was something wrong with him, and sent for a medical man, residing in the neighbourhood, whom, if you please, we will call, for the present, the village apothecary. The apothecary made his appearance, look- ing as grave as any Methodist parson, and after ex- amining the poor major, pronounced, in an oracular tone, that there was something the matter with him, and that there was something the matter with the jaw; and that, in fact, it was dislocated; and, accordingly, he began to pull the jaw, for the purpose of putting it in its proper place. The officer, knowing the simplicity of the opera- tion, and how it ought to be done, was so enraged that a man should be so presumptuous as to put a pestle and mortar over his door, and yet not know how to reduce a simple dislocation of the jaw, that he vented his rage in a most furious, but in a very inarticulate manner. And egad, the apothecary took it into his head, thatthe infuriated major was mad; and, in faith, it was very nearly being verified, for Mr. Pestle's suggestion put the major into a terrible rage, which actually confirmed the apothecary in his opinion. He therefore threw him down, put a strait waistcoat on him, and left him lying on his back, and then sent him some cooling draughts, and some lotion for the jaw, which was to be applied in due season. The major then found, that there was nothing for him but submission. After some time had elapsed, he made signs for pen, ink, and paper; and as these were instruments which it was supposed he could not much injure himself 9* 102 PHYSIC AND PHYSICIANS. with, they were furnished to him; and when he got them, he wrote on the paper just these words: ' For God's sake, send, with all possible speed, to Mr. So-and-so, surgeon to the regiment.' Well, that was considered a very rea- sonable request, and therefore they sent off a man on horseback, immediately for the surgeon. The surgeon came, took off the blister which the sapient apothecary had applied, threw the lotion out of the window, undid the strait waistcoast in which the major was incar- cerated, armed his hands, introduced his two thumbs to the back of each side of the lower jaw, pressed down the condyles, and at the same time elevating the angle of the inferior maxillary bone, the jaw slipped into its socket:— so much for the major, the apothecary, and the regimental surgeon." In speaking of the subject of delirium, Abernethy ob- serves, " Delirium seems to be a very curious affection; in this state, a man is quite unconscious of his disease; he will give rational answers to any question you put to him, when you rouse him; but, as I said before, he re- lapses into a state of wandering, and his actions corre- spond with his dreaming. I remember a man, with a compound fracture, in this hospital, whose leg was in a horrible state of sloughing, and who had delirium in this state. I have worried him, and said, ' Thomas, what is the matter with you? how do you do ?' He would reply, ' Pretty hearty, thank you; nothing is the matter with me : how do you do ?' He would then go on dreaming of one thing and another; I have listened at his bedside, and I am sure his dreams were often of a pleasant kind. He met old acquaintances in his dreams; people whom he remembered lang syne; his former companions, his kindred and relations; and he expressed his delight at seeing thein, He would exclaim every now and then, 1 That's a good one,'—' Well, I never heard a better joke: ah ! ah ! ah ! give us your fist, my old fellow.' " In lecturing on the subject of chronic inflammation, he PHYSIC AND PHYSICIANS. 103 observes, " A lady had a small tumour in her breast, she consulted a surgeon, and he ordered leeches to be applied; the leeches produced an erysipelatous inflammation, which the lady did not like. She became alarmed, and I was sent for, and I met the gentleman at the lady's house : he happened, in the hearing of the patient, to say, ' Don't you consider it a very unusual circumstance to follow the application of leeches ?' ' No, sir,' said I, ' certainly not; it is the thing which frequently happens in irritable constitutions; let me say, in persons who have much disorder in the digestive functions.' ' L—d, sir,' said the patient,' that is my Case, that is exactly my case—what must I do ?' I ordered a poultice to be applied to the part, and the digestive organs to be put in order. The lady then said, ' Will you be good enough to feel this lump : did you ever know such a lump as mine is ?' * Yes, and if you attend to what I say, the lump will disappear.' So it did ; it very soon got well, and she went into the country. Four years after, she returned, with a similar lump; I told her, she must attend to her diet. The lump, egad! to my astonishment, would not go. One day, however, I saw her fingering and pressing about this tumour, and I said, ' Madam, pray, do you finger it in this way frequently?' 'Oh, yes, continually.' • I insist on it, then, that you promise me, immediately, that you will not touch it again for a week, or until I next see you.' She did so, and the swelling soon sub- sided." " Going round the hospital one day," says Abernethy, " I saw a patient with an ulcerated leg, as if of ten years' standing. 'What do you call this ?'said I. 'Oh,'said the dresser,' it is a case of erysipelas; and he only came in last week.' 'Good God,' said I, 'Is it possible?' ' True, I assure you, Sir, the leg has sloughed, and that has made it in the state in which you see it' 1 was in- duced to ask the patient what his previous health had been, and when his complaint first appeared. I found 104 PHYSIC AND PHYSICIANS. that it all arose from the stomach—I regulated that, and the man soon recovered. Oh! L—, what an excellent rule that is, not to offend the stomach." "I once lodged in the country during the summer, where I used to see a man go by the window every day, making all the wry faces in the world—one day having the mouth and chin drawn up, another, grinning like a 'Cheshire cat.' I wondered what all this meant At last, he called on me one day, because, I suppose, I was a London surgeon, to consult me. He was a respectable farmer, and a well-educated man. He asked me whether it was possible for him to be cured ? Most undoubtedly, I told him. Regulate your diet and bowels ; take a less quantity of wine than you have been accustomed to; in short, keep your system as quiescent as possible. By attention to these circumstances he became quite well, as you will see by the following anecdote, which he after- wards told. "' I returned,' he said,' to the country, and met a sur- geon in the market who had always attended me. I said to him, Doctor, I will buy sixpenny-worth of pears, and lay you a bet that I eat my half of them before you will yours.' " Whether he gained the bet or not I don't know, but the surgeon was astonished, and said to him, ' I thought that you could not venture to eat a pear.' To which he replied,' I could sooner have done as Martius ScjEvola did, thrust my right hand into the fire, than have taken a cold pear into my mouth.' " In speaking of curvatures of the spine, Abernethy observed, "that I have been in the habit of telling a case, when lecturing on this subject, that occurred in my family : a child, young and active—and I do not see these curvatures happening except where there is some constitutional disorder—I say, a girl of this kind became awry ; I saw the girl when I had an opportunity, and I observed she had got one shoulder-strap very often down, PHYSIC AND PHYSICIANS. 105 which she was continually pulling up, and I said to her mother,' if you allow that to go on, that shoulder will become warped, as sure as you are alive. Let the gown be made in another way, and do not let her always be twisting herself to keep up that shoulder-strap.' The mother said, * O, don't take any notice of it; and let it pass on for a'time.' Then I began to swear about the fashions that had been the cause of those shoulder straps being made in such a way. But in the course of a month the reason appeared why the shoulder-strap did not stop on that shoulder; it appeared that that shoulder had sunk down about an inch lower than the other. I then told her to walk before me, and then to stop, and I observed her particularly, and I found that she was in the habit of standing and resting always upon one leg. I then began to ask her if there were any sores about her feet, any pains in her leg, or any thing wrong with it, and she said, no. I said,' I should like to see you hop; hop around the room, and then stand;' she did it, and did it very well. «Now,' said I,' pass round the room on the other leg ;' she attempted it as a task, and she took a few hops, and then she was obliged to walk, because that leg was not capable of supporting her." In speaking of the effects of bleeding, in removing temporary fits of mental derangement, he related the fol- lowing case; loud fits of laughter following its narration. " A gentleman of fortune residing in Portland Place, fell in love with the late Princess Charlotte of Wales; and so earnest was he to obtain her in marriage that he be- came insane. His family and friends became alarmed for his personal safety ; and fearful lest he should commit suicide, placed him under the care of a physician, who directed, without loss of time, that he should be freely blooded. To this, after repeated attempts, he refused to accede. However, a pupil of one of the physicians hear- ing of the circumstance, hit upon an expedient, and cn- LMged to blued the patient. The plan was contrived, and 106 PHYSIC AND PHYSICIANS. the patient was introduced to the young gentleman, who stated that he was the bearer of a message from the Prin. cess, and requested to see Mr.------- in private. No sewner was tbis information received, than the pupil was shown into the drawing-room. The door was cautiously shut, and the patient with great earnestness requested the stranger to divulge, without loss of time, what message he had to communicate from the Princess. ' Why, you must know, sir,' said he,' that we must be particularly cautious. I am deputed by the Princess Charlotte to inform you that she would give you her hand in marriage, but she is pro- hibited from so doing in consequence of the king, her father, having been informed that you possess white blood in your veins instead of red.' * Good Heavens!' exclaimed the patient, 'if that be the case, pray let me be bled instantly, that her Royal Highness may be convinced to the contrary.' And, egad ! the pupil did bleed him, until he nearly laid him prostrate on the floor; and in a few days the patient had recovered, and his delusion of course left him. Mr. Abernethy had occasionally a most fearful practice of thinking aloud. On the day of one of his introductory lectures, when the theatre of St. Bartholomew was as full as it could possibly be, and the cheering on his entrance had subsided, he was observed to cast his eyes around, seemingly insensible to the applause with which he had been greeted, and he exclaimed with great feeling and pathos, " God help you all! what is to become of you ?" evidently much moved by the appearance of so great a number of medical students, seeking for information to be fitted for practice. Nelson, the water-bailiff, finding his stomach one day very much out of order, waited upon Abernethy. " Well," said the eccentric surgeon, supposing that Nelson was a farmer, " What's the matter with you ? you look big enough to be well." « Oh !" said the water-bailiff, «I am very bad indeed, doctor." " I am no doctor," said Abcr- PHYSIC AND PHYSICIANS. 107 nethy, "lama surgeon. If you want a doctor you must go elsewhere." " I am told as you know how to cure bad stomachs, sir, and I am wery bad indeed; you see how swelled I am," said Nelson, holding out his body. " I can't cure your great paunch," said Abernethy, with his hands in his pockets, "you must do that yourself; don't be stuffing yourself with beer and brandy, but exercise yourself well at your farm : omit a fourth part of what you now eat, and take salts: walk about in the fields." " In the fields!" exclaimed Nelson, " God bless your soul, what have I to do with fields ? why, I am Nelson, the water-bailiff." " Water-bailiff," said Abernethy, " brandy- bailiff you mean—a devilish little water goes into that carcass of yours—you're a good friend to the public house." " No, sir," replied Nelson, " never since my son Jerry, him what kept the Sawyers, died: I never goes no where to smoke my pipe." " I tell you," said Abernethy, "that if you don't stop blowing yourself out, you'll soon go to smoke your pipe with your son Jerry." Nelson then told his adviser that he would follow his prescription exaetly. " Indeed! I don't expect that you will," ob- served the surgeon, " but if you wish to live, don't swill nor devour so much as you have done. Go and buy my book; and you will know how to get rid of your enormous corporation, Mr. Wafer-bailiff." " What, won't you let me have my pipe and pint of beer, or my glass ?" said Nelson, disconsolately. " You may do as you please : I can't stay with you any longer," said Abernethy: " if you do as I desire, you will enjoy your health." A gentleman farmer, from a distant part of the country, either fancying there was some derangement in his sys- tem, or wishing, after having seen the other sights of the metropolis, to visit one of its principal lions, Mr. Aber- nethy, accordingly went to him. " Do j'ou make a good breakfast ?" inquired Mr. Abernethy. " Pretty good," answered the patient. " You lunch ?" " Yes, I take luncheon." "Do you eat a hearty c'r.ner?" "Pretty 108 PHYSIC AND PHYSICIANS. hearty." " You take tea, I suppose ?" " Yes, I do." " And to wind up all, you sup, I suppose ?" " Yes, I always sup." " Why then, you beast," said Abernethy, "go home and eat less, and there will be nothing the matter with you." A lady who went to consult the same surgeon began describing her complaint with very great minuteness. Among other things she said, " Whenever I lift up my arm it pains me exceedingly." "Why, then, madam," replied the surgeon, "what a fool you must be for doing so." Abernethy was one of the earliest friends of vaccina- tion. In regard to the welcome with which "honest John," as Dr. Walker used to call him, received this boon, we have the following particulars. " The French apothegm ' Le scepticism est le vraiflambeau de la science;' 'doubt is the true torch of science,' was, in the infinitely im- portant question of vaccination, well sustained by Mr Abernethy, when Dr. Jenner offered protection from thu most contagious disease that ever desolated the earth. He listened with enthusiasm to the news immediately corroborated and proclaimed by others. Of this most wonderful and incomprehensible law in animal physiology he was sceptical. He waited for facts: it was only on witnessing them that he ceased to hesitate. He then zealously came forward in the formation and support of the vaccine institutions, and administered the guardian operation, the great prophylactic, to all his children."* In February, 1828, Abernethy took the chair at the annual meeting of the Royal Jennerian Society. In con- nexion with his becoming chairman, on this occasion, the following interesting anecdote is worthy of detail. It is recorded in a letter to the editor of the Times. " Wait- ing lately on John Abernethy, on the part of the managers of the Royal Jennerian Society, to request him to take the * Dr. Walker. PHYSIC AND PHYSICIANS. 109 chair at the annual meeting, he said, 'Friend Walker, I am no dinner man, after the manner of the public feasts!' ' There is not to be any dinner; but as their presidential roll contains the most eminent professional talent, as well as the highest heraldic rank, they are desirous of the honour of thy name, who art so noted a public character.' ' The notoriety that is forced upon me is such, that I be- lieve I shall be obliged to run away from you, and leave the town altogether.' ' It will be very pleasing to them if thou consent' ' Can I possibly do more for vaccination than I have always done, since I, in spite of all my scep- ticism, became convinced of its efficacy ? I have always contributed to the support of the institutions, and I have vaccinated all my own children ; besides, I belong to the National Establishment' 'Ay, there's the rub,' en- deavouring to pique him; 'get connected with govern. ment, and you lose your individual independence.' ' But, remember, the prime minister, with all his public support of your united colleges, was so well convinced of the merit of the popular institutions, as annually to send his indi- vidual contributions of five guineas in its support' ' Well,' said Walker, ' I can only bear to the managers the unpleasant report. In parting, however, I cannot help adding, that thy declining to come forward is also painful to myself. In the remembrance of ancient friendship, 1 had hoped the messenger would have received a prompt acquiescence.' ' Oh, stop there! that's a different view of the case; that's going quite upon another tack. I consent!' 1 That's a good fellow,' seizing him by the hand; ' this is proper Irish—a second William Norris (late president of the Royal College of Surgeons), the even unwavering friend. Farewell!'" The following is Dr. Walker's own account of another interview which he had with " honest John," as he face- tiously termed the surgical lion of Bedford Row :— "John Abernethy I know has his qucernesses, but they will perfectly well bear analyzation. Hastening rather 10 110 PHYSIC AND PHYSICIANS. early to his house in Bedford Row, one morning, I found him in his back parlour. ' I am glad I have found thee alone. A physician, come to town with his family from the west of England, has called upon me with some in- quiries respecting the classes at your hospital; and I have promised him'—' Will you tell me what you are after V ' Briefly then, he is foolish enough to think he would like to attend thy physiological lecture!' ' Have you had your breakfast ?' «Not yet.' ' Come along,' and throw. ing open the intervening door, I found the female part of his family at their tea, whose reception of their friends was never that limited kind of civility the 'great' are sometimes obliged to receive from the lord of the mansion. My host laid hold of a loaf, reached it over to me, with the observation, 'You may eat that freely, it is home made.' «I'll do it justice, never fear.' Eating heartier than any other at table, in conclusion he observed, that ' on the first day of the week I regularly got so engaged among my books and papers, that sansfaire la barbe, my family dine without me, having taken a double allowance at breakfast, to preclude both the appetite and the neces- sity for dinner!' ' I am glad then, that you called on me on your first day in preference to any other.' From my history of the loaf of John Abernethy, some of my readers may observe on a label, 'Abernethy biscuits,' in a baker's window, in the Strand, which has lately met my eye. Le Boulanger n'est pas bete. The baker knows that Mr. Abernethy is, above all things, so attentive to the digestive organs of his patients, that by association of his name with the biscuits, the valetudinarians must flock to him for his biscuits, like doves to the windows." An unmarried gentleman, living in the neighbourhood of London, who had long lived in the pleasant enjoyment of an easy fortune, had for some time begun to feel several unwelcome notices of the approach of his grand climac- teric. Under the repeated pressure of these warnings, he was induced to address a formal note to Abernethy, beg- PHYSIC AND PHYSICIANS. Ill ging his attendance for a little serious conversation, and professional advice, on the subject of himself; and well knowing his friend's turn for conviviality, in order more to engage his attention, he added, " that he would not in- terrupt his morning engagements, and should have a broiled fowl ready for supper at nine; but, for the imme- diate purpose of having his more confidential opinion, he wished to see him earlier in the evening." Abernethy obeyed the summons of his friend, and was at the patient's residence punctually at the hour ap- pointed. After the usual salutations, and a mutual occu- pation of arm-chairs on each side of the fire, the patient began to describe with minuteness his various ailments: " His rest was broken ; bad headache; appetite often en- tirely gone; languor and listlessness; lumbago; sciatica; spasm." Abernethy listened with great apparent attention, and nodded in token of intelligence, at the pause of every period; until the patient had exhausted in every form the history of his symptoms, which he at length brought to a conclusion with—" and now, my good friend !" step- ping across the room for pen, ink, and paper, " you'll consider the case, and write for me." Abernethy did not, however, exhibit any great inclina- tion to handle the weapons thus presented to him; but eyeing him somewhat closely from top to toe, as he re- sumed his seat, instead of the pen he laid hold of the poker, and began to amuse himself with stirring the fire, observing at the same time, that "the season was rather severe, and he had a mind to be comfortable, and put himself in order for what was coming." He then com- menced whistling; and afterwards related a case of a man who had just been admitted into St. Bartholomew's Hospital who had nearly killed himself by over-eating; ho then discoursed most eloquently on the stupidity of people in swallowing more than their stomach can digest. As this had no relation to his case, the patient rccom- 112 PHYSIC AND PHYSICIANS. menced describing his numerous ailments, and concluded by observing, " and now, sir, you will have the kindness to write for me." He had, however, occupied so much time in endeavouring to enforce his symptoms on the surgeon's attention, that the supper made its appearance, and the pen and ink were of course dismissed pro hac vice. " We'll discuss this first, if you please," said Aber- nethy, " and then—." The fowl was excellent; the mush- rooms in high flavour; and the lemon-pickle of peculiar poignancy. It is scarcely necessary to add, that the bottle of wine which succeeded, was of the first quality, and that its flavour was duly criticised, as they pro- ceeded to empty it, in that kind of sober enjoyment which only men of cultivated tastes, as well as of culti- vated understandings, have any relish for; whilst the conversation continued to be sustained on both sides with easy cheerfulness; and our host, whose animal spirits as well as his external appearance by no means synchro- nized with his years, was all gaiety. His train of symp- toms vanished and were forgotten; until the very con- eluding glass reminding him of the object of the party, he was induced thus to renew his appeal to the gay and eccentric Abernethy. "Whilst I go for another bottle," said the patient, " you will employ yourself upon that sheet of paper." He soon returned with a bottle in one hand, and an enve- lope of paper in the other, ready to be exchanged for medical advice received. To his surprise he found that no prescription had been written. At this moment he felt a shoot of the lumbago, and casting a rueful look first at the paper, and then upon the countenance of his friend, he exclaimed, " My dear Mr. Abernethy ! I am most happy to see you ; but—only consider my situation ; prescribe you must, and shall, by----." Here he was immediately cut short by the other, whose eye had been riveted on the bottle. They again sat and commenced discussing the other bottle of wine. The hours glided PHYSIC AND PHYSICIANS. 113 away unheeded, and it was past eleven before he per- ceived, by the approaching depletion of the To £\f4>*'Wi as he held it in his hand, that it was high time to pull the bell, with an inquiry for his servant, &c. Our host was started from a vision of gaiety by the unexpected summons, and grasping with eagerness the hands of his guest, did his utmost to drag him down to his seat, with, " For heaven's sake, dear Abernethy!—now—why, you forget—you're not going without prescribing for me! let me have your advice! what shall I do?" With a waggish expression of countenance, Abernethy com- menced the following address to the patient: " Do, my good hospitable friend," pointing significantly to the neighbourhood of the gastric region, " do, let me entreat you, take care what you put into that big stomach of yours—there is the seat of your many ailments—consult my book—read it with care and attention, and I can as- sure you, you will not for the future stand in need of my advice." Some years before his death, as Mr. Abernethy was walking up Holborn, he overtook one of his pupils: as was his custom when he had once noticed intrinsic talent, he entered into familiar conversation with him, observing that he had missed him for some time in the dissecting- room. The young man, with tears in his eyes, told him he was involved in debt, and that his parents, overtaken like himself by the shafts of adversity, could not grant him the necessary supplies. " To what amount are you in debt?" " About £80, sir," answered the poor bankrupt. " Well," said Mr. A., " call at Bedford Row to-morrow morning at ten o'clock, and I will see what can be done for you." The young man was obedient to the wishes of his kind instructer, when a letter sealed up was put into his hand, on opening which he discovered a check for £90 ! This younsj man was seen at the grave of his late benefactor completely grief-stricken. Poor John Abernethy was facetious to the very last 10* 114 PHYSIC AND PHYSICIANS. He exhibited the ruling passion strong in death* A short period before his death, his legs became cedema- tous; and upon some one inquiring how he was, he re- plied, " Why, I am better on my legs than ever: you see * Instances of the ruling passion strong in death are numerous. Stories of Rabelais's sportiveness and wit to the last are familiar to every one; such as his dressing himself in a domino, a short time before he died, and sitting in it by his bedside, in order, when asked why he committed so ill-timed an extravagance, he might reply, "Beati qui in Domino moriuntur." An anecdote of Mai- herbe, who was " nothing if not critical," is not perhaps so well known as those relating to Rabelais. An hour before his death (says Bayle), after he had been two hours in an agony, he awakened on a sudden to reprove his landlady, who waited upon him, for using a word that was not good French; and when his confessor re- primanded him for it, he told him he could not help it, and that he would defend the purity of the French lan- guage until death. When his confessor painted the joys of Paradise with extraordinary eloquence, and asked him if he did not feel a vehement desire to enjoy such bliss, Malherbe, who had been more attentive to the holy man's manner than to his matter, captiously replied, » Speak no more of it; your bad style disgusts me." He was critical to the last gasp. Poor Sheridan, like Rabe- lais, in the midst of all his miseries preserved his plea- santry and his perception of the ridiculous, almost as long as life lasted. When lying on his death-bed, the solicitor, a gentleman who had been much favoured in wills, waited on him: after the general legatee had left the room another friend came in, to whom the author of the School for Scandal said, " My friends have been very kind in calling upon me, and offering their services in their respective ways; Dick W. has been here with his trill-making face." PHYSIC AND PHYSICIANS. 115 how much stouter they are!" His hobby retained full possession of his mind to the end of his life. He attri- buted his disease to the stomach. He said, " It is all stomach; we use our stomach ill when we are young, and it uses us ill when we are old." It is singular that he left express commands that his body should not be opened after his death. 116 PHYSIC AND PHYSICIANS. CHAPTER III. EARLY STRUGGLES OF EMINENT MEDICAL MEN. Dr. Baillie—Dr. Monro—Dr. Parry—Medical Quackery—Sir Hans Sloane—An Episode in Real Life—Dr.Culien—Dr.T. Denman—Mr. John Hunter—Dr. Armstrong—Ruling Pas- sion strong in Death—Dr. Brown. Smollett says, in a letter to his friend David Garrick, « I am old enough to have seen and observed that we are all the mere playthings of fortune, and that it depends upon something as insignificant as the tossing up of a halfpenny, whether a man rises to affluence and honour, or continues, to his dying day, struggling with the diffi- culties and disgraces of life." The author of " Roderick Random," spoke feelingly; he was a medical man, and knew, by painful experience, the peculiar difficulties with which every medical aspi- rant has to contend. The Roman satirist has expressed, in the well-known ode, commencing, " Justum et tenacem propositi virum, Non civium ardor prava jubentium," &c. his high gratification at the sight of a "brave man strug- gling with the storms of fate." It is difficult, however, to induce the combatant to take the same philosophic view of the matter, or to say, with a sage of antiquity, " that he delighted to create difficul- ties in order to experience the high enjoyment of over- throwing them." PHYSIC AND PHYSICIANS. 117 "Can any thing," says an eminent writer, "be con- ceived more dreary and disheartening than the prospect before a young London physician, who, without friends and fortune, yet with high aspirations after professional eminence, is striving to weave around him, what is tech- nically called, a connexion ?"* It is true, that the members of the medical profession have to go through the same ordeal which other profes- sional men have to encounter; and therefore, it may be urged, they have no just ground of complaint. But many of the obstacles with which the medical man has to con- tend are of a peculiar nature. No other men have to combat with more heart-rending trials and disappoint ments. How many spirits are broken in endeavouring to stem the torrent to which the great majority of practi- tioners in early life, are exposed'. He who enters the ranks of medicine must prepare his mind to encounter impediments and mortifications of no ordinary character; he must subdue his own prejudices—the prejudices of his patients, their relations, and contend also against the ill- office of opposing interests; for it unfortunately happens, " that the only judges of his merit, are those who have an interest in concealing it."t Success in no profession is so uncertain as in that of physic. Prejudice and caprice are capable of conferring a name on those who can produce no solid claims to dis- tinctions and pre-eminence, and the popular physician of the day is often indebted for his celebrity to a fortunate concurrence of circumstances, in which merit can boast no share. The difficulties of advancement in other pro- fessions are certainly diminished by the influence of favour and patronage ; yet even these advantages arc of no permanent utility, unless merit and talent conspire to maintain us in that elevation, which we at first owe to casual means and fortuitous circumstances. Bat in the t Dr. Gregory. " Diary of a Physician. 118 PHYSIC AND PHYSICIANS. medical profession, we have daily opportunities of seeing men brought into notice by the zeal of their friends, family connexion, the recommendation of the great, and the caprices of fashion, whilst those without these advan- tages, are generally uncountenanced and neglected. Sir Hans Sloane was accustomed to relate of himself, that the first circumstance which introduced him to prac. tice, was his being engaged at a whist-table with a lady of quality, who had, fortunately for him, a return of an ague fit. He prescribed for her, and his remedy was effectual; and this case, he acknowledged to be the first foundation of his celebrity. It is told by Steele, that the celebrated Radcliffe used to advise parents to avoid, of all professions, choosing that of medicine for their children; and if they should be resolved, notwithstanding, to devote a favourite boy to physic, he would persuade them, as the first step to his future eminence, to send the young student to a fencing- master, and a dancing-school: a strong instance of his knowledge of the world, and an honest confession that merit was not the only security for success in his pro- fession. The talents and skill of a physician and surgeon can- not be known immediately on their announcing them- selves as candidates for confidence and employment. The medical man must wait the slow operation of time, and the intervention of circumstances favourable to the developement of his professional abilities. It has been remarked, that of those medical men who have had the greatest share of practice and public confi- dence, the most of them have previously been conside- rably advanced in years. This was the case, in a re- markable degree, with the celebrated Dr. Baillie; for, when the great eminence of the latter years of his life is considered, it might have been expected that he would have earlier enjoyed no small portion of his fame. It was not, however, until he had reached his fortieth year, PHYSIC AND PHYSICIANS. 119 that he found himself fairly established; but he only re- quired to be known, for, from that period, he became completely engaged in practice, and in a very few years, rose to great eminence in his profession. It is curious to trace the variety of circumstances which have led medical men to celebrity in the metropo- lis. " Dr. Baillie," says his biographer, Dr. Wardrop, " was one of those whose success was greatly to be attri- buted to professional knowledge adorned with every pri- vate virtue. Minute anatomical knowledge had been too much disregarded by physicians of his day, and con- ceived necessary for those only who practised surgery. Dr. Baillie's comprehensive knowledge of anatomy, there- fore, gave him immense superiority over those who were competing with him. Whenever more than the ordinary scientific precision was wanted, his opinion was resorted to; and the advantages which his anatomical skill af- forded him, soon established his reputation among the better-informed in his profession, as well as secured to him the confidence of the public. However unaccount- able it may appear, yet it is not less true, that many of the physicians then in London, were of opinion that his pre-eminence in anatomical knowledge, instead of esta- blishing his fame as a practitioner, would be the means not only of impeding, but absolutely of frustrating his prosperity; and he was in consequence repeatedly ad- vised to relinquish his anatomical pursuits. It must, however, be admitted that Dr. Baillie enjoyed some unusual advantages, in addition to his own excel- lent qualities, at the time he commenced practice. Be- sides other family connexions, his name was early brought before the public as the relative and pupil of the most eminent men of the day: in addition to this, Dr. Pitcairn, with whom he had been acquainted in very early life, at the time when he had arrived at great eminence, was obliged, from declining health, to relinquish his extensive 120 PHYSIC AND PHYSICIAN.*. practice, and Dr. Baillie was introduced by him to hia patients, which introduction speedily brought him into notice. After the death of Pitcairn, Baillie's practice in- creased so rapidly, that he was obliged to abandon his anatomical lectures. The celebrated Monro's success in life has been attri- buted to his habit of noting down cases; and we owe the works of the celebrated Dr. Parry, which exhibit a pure science seldom found in modern medical writings, to a similar practice. He says—" The great book of nature, which is alike open to all, and is incapable of deceiving, I have hourly read, and I trust not wholly in vain. During the first twelve or fourteen years of my profes- sional life, I recorded almost every case which occurred to me, either in private practice or in the chief conduct of an extensive charity. When afterwards the multipli- cation of common examples seemed to me an unnecessary waste of inestimable time, which might be much more profitably employed, I contented myself with the more useful task of recording chiefly such cases, or, on occa- sions, such particular circumstances only of cases, as led to the establishment of principles. This I-have done generally on the spot, or rarely deferred beyond the day of observation, always rejecting what, on repeated varied inquiry, I have not been able to verify." Dr. Parry himself had to overcome many impediments before he established himself in decent practice. Not- withstanding he was an accomplished physician, and a man of high medical attainments, it is recorded, that in the next street to the one in which he resided, lived a quack, who commenced business some years after Parry had announced himself as a candidate for public support, and who succeeded in being able to keep his horse and livery servant some time before the physician had six patients on his daily list Thus it will ever be so long PHYSIC AND PHYSICIANS. 121 as the wise form but an insignificant fraction of the hu- man race.* " For the dull world, most honour pay to those, " Who on their understanding most impose." An observer has said, that the illiterate form two-thirds of the whole nation, and yield that conviction to preju- dice and credulity, which they refuse to solemn evidence and irrefragable exposure. By fallacies in physic, the wise as well as the foolish 0 are caught. But upon what vague and speculative evi- dence is fame in medicine built ? The despotic influence of public opinion, of fashion, have so much to do with the success of a medical man. Of those of whom we think nothing, the "whistling of a name" will cause thousands to think highly ; two-thirds of mankind neither can, nor will estimate medical capacity, by any other test than that of notoriety.t To have a name is every thing to a medical man ; to appear to be overwhelmed with business is sure to induce the public to smile with approbation on his endeavours. In an old pamphlet, entitled " When a man's name is up, he may lie a-bed; or, the Grand Quack;" the writer says, " We frequently see some enterprising spirits start up, who live merely by imposing on the public. I have heard of a couple of extravagant fellows who, having spent their patrimony, consulted how to subsist for the future. One proposed the highway; but that was ob- jected to as dangerous. They, therefore, concluded to pitch upon some profession, where ignorance could not be easily discovered; for it would be easier to set up for statesmen than as tradesmen. But as being made a minister depended on the favour of others, they sought * Collections from the unpublished Medical Writings of Dr. Parry, Vol. i. p. 48. t Medical Ethics, by Dr. Perceval. 11 122 PHYSIC AND PHYSICIANS. to find out something that might depend upon themselves; and as law and physic were professions which required but little stock, they fixed upon these. This being agreed upon, they drew lots, and one was dubbed a counsellor and the other a doctor. In the course of their practice, one ruined his clients, and the other killed his patients; yet both grew eminent, rolled in their coaches, and left great estates." A medical man's success depends greatly upon acci- dent. A wealthy influential person, is taken suddenly ill in his neighbourhood. The family physician and apothe-' cary reside some considerable distance off, and the case being of an urgent nature, the nearest doctor is sent for, If the case terminates favourably, the practitioner is treated as a demi-god, and if he be a gentleman and agreeable in his manners, he may succeed in obtaining an introduction into some good families. A very eminent general practitioner, of the present day, relates the following circumstances as connected with his early career. After graduating at the College of Surgeons and Apothecaries' Hall, he took a small house in a neighbourhood where he thought it was likely he should succeed in obtaining a practice. His property amounted to a little furniture, which his mother had left him, a few bottles for his surgery, and a hundred pounds in cash. Having fixed upon a locality, he took posses- sion of his habitation, sat down and waited anxiously for patients. Six months passed away, and not one patient had he seen! He was always at his post—dressed well— and was by no means deficient in his attainments as a scholar and as a medical man. He was advised to change his residence; but he refused to do so, being determined to establish himself where he had first commenced, or abandon the profession altogether. His money, although he lived very economically, was nearly expended, and he had no other resources whatever. Having some talent for composition, he wrote an article for a newspaper; and PHYSIC AND PHYSICIANS. 123 was mortified to find next day, among the notices to cor- respondents, the following:—" Medicus ;—the communi- cation is unsuited to our pages." A friend suggested that he should write a small pamphlet on a disease which was then prevailing epidemically. The pamphlet was written; but alas! after having walked his shoes nearly off his feet, he could not succeed in inducing any book- seller to print it. Many offered to publish the pamphlet at the author's risk, but he declined this arrangement, and the unfortunate MS. was thrown upon the shelf. The surgeon was recommended to look out for a wife with a little money, as the only way to relieve him from his present situation; but he found this to be impracti- cable, owing to his not being able to dress like a gentle- man,'and his tailor hesitated to trust him with more clothes. Distress followed distress in rapid succession, until the poor man was a miserable, heart-wearied, and nearly heart-broken wretch. How truly has Spenser de- lineated his situation: " Full little know'st thou that hast not tried What hell it is, in suing long to bide; To lose good days that might be better spent; To waste long nights in pensive discontent. To speed to-day, to be put back to-morrow; To feed on hope, to pine with fear and sorrow : To fret the soul with crosses and with cares, To eat the bread thro' comfortless despairs." Having thus been brought nearly to the verge of ruin, he was seated one evening before his surgery fire, cogi- tating what step to take to relieve him from his pecuniary difficulties, when he heard the surgery bell ring most violently. To the door he immediately hastened, when lie saw a crowd in the street, and two men carrying a gentleman, who appeared to be much injured. Admis- sion was directly given to the parties, when, upon in- 124 PHYSIC AND PHYSICIANS. quiring what had occurred, he ascertained that the pa- tient had been thrown out of a cab, and it was supposed that he was nearly killed. Upon examining the gentle- man, it was found that he had received a severe concus- sion of the brain, in addition to the shoulder-joint being dislocated. Having reduced the luxation, the gentleman was placed in bed, and when reaction had taken place he was bled. By this time the surgeon ascertained from a policeman who had emptied the gentleman's pockets, that he was a man of title, and at that time of eminence as a politician. A despatch was forwarded to his house at the west end, to acquaint his family of the accident that had occurred. His brother immediately came to see him, bringing with him a physician of great cele- brity. A consultation took place, and as the physician highly approved of all that had been done, and it was not thought advisable to move the patient in his present con. dition, he was accordingly left under the care of the sur- geon into whose house he was first brought. The gene- ral practitioner was unremitting in his attention to his distinguished patient, watching him by day and night. In the course of a week, the physician suggested the pro- priety of removing him to his own house, which was ac- cordingly accomplished. The apothecary was desired to continue his visits, which he did until his patient was completely restored to health. As a reward for his ser- vices, a cheque for £100 was forwarded to the apothe- cary, and he was enrolled as surgeon to the family. So grateful were the friends of the patient, that they suc- ceeded in introducing the general practitioner into many •> highly respectable families. Once being known, his practice rapidly increased, and he is at the present day one of our first general practitioners. The pamphlet, to which allusion has been made, has been published, and it demonstrates that the writer is a man of great powers of observation, and possesses an in- timate knowledge of the subject which he has illustrated. PHYSIC AND PHYSICIANS. 125 The early struggles of the medical man, which we have thus endeavoured briefly to sketch, is but a speci- men of the lives of thousands of medical practitioners, ----" What rugged places lie between Adventurous Virtue's early toils, And her triumphal throne !" " It is morally impossible," says Dr. Gregory, " for any great number of physicians, or for any large proportion of those who may choose to try their fortunes in a great town, ever to rise to eminence, or to acquire extensive or lucrative practice." In proportion, at least, to the great eminence and wealth that a few in our profession have ac- quired in any city, or more probably, in much greater pro- portion, will the number of adventurers in the medical lottery in that place be increased; each trusting much to his own merit and his good fortune. But the people among whom, and by whom, they must live, are not in the least disposed to trust any of them, without the recommen- dation, at least, of pretty long acquaintance, or what they may think satisfactory experience of their talents and professional knowledge. Each for his own sake, or for that of any of his family, when sick, will be eager to ob- tain the assistance of some physician whose character is already established. This is the true origin and rational foundation of the common remark, that "a physician cannot earn his bread until he has no teeth to eat it." This point was well explained some hundred years ago, when men wore long beards, and the Pope was infallible. His holiness had the misfortune to lose his physician, in whom he had great confidence. Many physicians, of course, were eager to offer their services to the Pope, who could not, for some time, find out any one that suited him, or who had the sense to answer a simple question, which the Pope put to them successively : " How many have you killed?" One after the other declared, that they had 11* 126 PHYSIC AND PHYSICIANS. never killed any man. At last, a shrewd-looking old fel- low, with a large bushy beard, made his appearance, and offered his services. The Pope put the usual question to him. " Tot quot," said the old fellow, grasping his beard with both hands. The Pope chose him for his physician. We remember having read, in some French author, of a lover, who, being on the point of losing his mistress by a dangerous illness, went in search of a physician, on whose skill he might depend. In his way, he met with a person who possessed a talismanic mirror, by which, ob- jects, undiscernible to the naked eye, could be distin- guished. Having purchased this wonderful instrument, he made all possible haste to the house of a celebrated physician in the neighbourhood. In this mansion he beheld a multitude of spectres, which were the souls of men, women and children, whom, in attempting to cure of various diseases, the physician had killed. Struck with terror at the sight, the young man effected a hasty retreat, and visited another practi. tioner, in whose house he beheld similar spectres, but not so many in number. Still terrified and disgusted he again fled with precipitation, and successively entered the habitations of several other medical gentlemen, determined to find out some one who was guiltless of the blood of his fellow-creatures; but, alas! the poor fellow met with similar scenes, more or less aggravated by numbers, wherever he went. At length, almost in despair of finding any medical man fit for his purpose, or whom he could dare to em- ploy, he was bending his steps homeward sorrowful and sad, when he was asked by a friend who met him, whether in the course of his peregrinations, he had called upon a practitioner who lived in an obscure corner of the city ? He replied, that he had not—he must have escaped his notice; but that he would now bend his way to the suburbs, for that purpose. Accordingly, the young man soon arrived at this doc- PHYSIC AND PHYSICIANS. 127 tor's house, and having consulted his talisman, he per- ceived, only, the tiny souls of two little children. " Now !" exclaimed the lover, in a transport of joy; "at length I have discovered a skilful and an honest physician, who will speedily restore my beloved to health, and to my arms." Having related his business, the physician put some medicines into his pocket-case, and prepared to accom- pany him to the abode of his charmer. On their way, his curiosity was excited to ask the young man how he had found him out, as he lived at such a distance ? " How !" replied the latter; " why, by your reputation —your skill!" " My reputation !" returned the compounder of drugs ; "L—d, sir, you are certainly quizzing, I have not been more than eight days in business, nor have yet seen but two patients." A country doctor, who had been an apothecary, and afterwards a physician at Bath, was obliged to fly for debt; and finding himself at Berlin, was introduced to the old King of Prussia. The king said to him:—" Vous devez avoir tui beaucoup de monde ?"—" Pas autant que votre Majesti" was the candid reply. It is said of a Swiss physician, that he never passed the churchyard of the place where he resided, without pulling out his pocket handkerchief, and hiding his face with it, saying, that the number of persons who had found their way there, under his direction, made him apprehensive lest some of them, recognising his features, should oblige him to take up his lodging along with them. The success of the great Dr. Cullen was owing to acci- dent. This eminent physician was long an obscure medical practitioner, in a country village in Scotland, where he could neither obtain fame nor riches; but it happened whilst he resided there, that Archibald, Duke of Argyle, visited a gentleman in the neighbourhood; the Duke was fond of the study of chemistry, and often ex- 128 PHYSIC AND PHYSICIANS. perimented in the science; but while on this visit, he was much at a loss for want of a small chemical apparatus. His host recollecting Mr. Cullen, invited him to dinner, introduced him to the Duke, as a person likely to supply his wants. An introduction to one of his grace's great political influence could not but be favourable. The Duke was highly pleased with Cullen, in whom he found a man not only with a mind more than ordinarily cultivated in professional knowledge; but possessing, as well, more than the average information of the fine arts, of which the Duke was passionately fond. Cullen was naturally a gentleman—his manners were bland and conciliating without approaching to obsequiousness, and he sewn won the affections of his noble friend, who introduced him to the Duke of Hamilton, on whom he performed a success. ful cure; which circumstance completely established his reputation: prior to this fortunate event, it is said that Cullen had serious thoughts of abandoning the profession of medicine for the church, so disheartened was he with the slow advancement he made as a practitioner. For- tunately for science and mankind this great man was not permitted to carry his idea into execution. How many practitioners there are in this great metro- polis, who are doomed to a life of misery and wretched. ness, in consequence of their not being able to make the public believe that they are entitled to a share of their support. To succeed in the medical profession requires, on the part of the practitioner, in far the great majority of cases, a degree of chicanery and trickery, from which men of honourable and gentlemanly feelings naturally recoil. The " tricks of the trade," are as numerous in medicine as in law ; and he who has recourse to them the most is the most successful man. The public believe that medical knowledge is to be ob- tained by intuition : they cannot conceive, or if they do, PHYSIC AND PHYSICIANS. 129 they never regard, the labour and study which every practi- tioner has to exercise, before he is qualified or even allowed to practise his profession. " We hear," says Dr. Moore, " people every day, in talking of their physician, use language of this kind : ' I own he is a very weak, silly man; but he has had a great deal of experience;' or,' I grant yon, he is an ostentatious, parading coxcomb, next to a fool, in other respects : but he is an excellent physician.' They seem to think, that common sense diverts-a man from the study of his pro- fession; like the French lady, who, being told that her physician had not common sense, replied, ' Tant mieux; un homme qui passe son temps a etudier le sens commun, comment peut-il apprendre la medecine ? Monsieur I'Abbe qui parle Grec comme Homere ne suit pas danser.' "* " I made my son study medicine," said a gentleman, " because I found he was unfit for any thing else." What a satire upon one of the most learned and respecta- ble of the professions! As long as practitioners have re- course to unprofessional and illegitimate modes of obtain- ing notoriety, so long will the sensible portion of the pub- lie entertain but a low estimate of the medical character. We will admit that a medical man, in entering upon his professional career, has many disheartening things to combat with; we know that he has to travel on " a long, a rough, and a weary road ;" but this does not justify him in doing any thing likely to depreciate his profession in public estimation. Quackery, we have no doubt, succeeds in many in- stances, but this does not warrant us in having recourse to it. It is recorded, by a once celebrated physician, that he happened to call upon a lady, who, on account of pain, * " So much the better; a man who passes his time in studying common sense, how can he learn medicine ? Monsieur I'Abbe, who speaks Greek like Homer, cannot dance." 130 PHYSIC AND PHYSICIANS. and a slight swelling in her ankle, had consulted a well. known doctor, who was distinguished for charlatanical parade in his practice, and as a natural result, commanded the admiration of his patients to an astonishing degree. He had just left his patient, when the other physician entered ; she told him, he had ordered a poultice of bread and milk to be applied to the part, and then, giving the watch to her maid, she desired her to take particular care that the poultice should be boiled exactly four minutes and a half, for such was the express orders of Monsieur le Docteur. On the physician expressing his surprise at the minuteness of these orders, the patient exclaimed, " Mon dieu! quelle precision! il calcule comme un ange .'"* A gentleman in very extensive practice, in the north of England, once communicated to a friend the secret of his success. This practitioner attended the families of some of the most distinguished of the nobility in his neighbour- hood. Upon being asked to what circumstance he attri- buted his popularity, he said that when he commenced practice, it was his custom to send out draughts wrapped up in differently coloured papers, and tied over with great neatness. He said, this pleased the children, and made him a subject of frequent conversation; and in this way he obtained notoriety and practice. He certainly, by the * Madame de Sevigne somewhere tells us of a whimsi- cal way in which a doctor manoeuvred with his patient. He was ordered to take seize gouttes d'un elixir dans trois cuilleries d'eau (sixteen drops of an elixir in three spoonfuls of water). The doctor assured the patient, if he had taken four instead of three, all would have been over. This lady is very merry with the doctor on some oc- casions, and cites a case of a patient ordered to take exer- cise in his chamber after a pill, stopping short, in great dismay, "parce qu'il a oublie si e'est en long ou en large." The patient had forgotten whether he was to exercise himself the length or breadth of the room! PHYSIC AND PHYSICIANS. 131 mode of putting up his medicine, charmed away the nauseousness of physic; but it spoke little for his intellect to confess that he owed his reputation to such chicanery. 'A youthful appearance is often a great impediment to a young physician's success; for the public, or at least the portion to which a medical man looks for support, naturally associates with advanced years great experience. Again, the public, with its present amount of medical knowledge, is incapable of detecting the attainments or deficiencies of the professors of medicine ; it cannot draw a line of demarcation between the illiterate and shallow pretender, and the man of high scientific attainments. How often do we witness a man, accomplished in every branch of the science of medicine, doomed to struggle, until nearly heart-broken, against the adversities of the world, whilst the man of no scientific acquirements, but who is well versed in the quackery of the trade, is allowed to roll in his carriage, and fare sumptuously every day ! It is difficult to say, how this is to be remedied. Some have suggested, that we should give the public some ge- neral knowledge of medicine, and then it will be compe- tent to distinguish the educated from the uneducated man; but, although this might, to a certain extent, remedy the evil, it would not altogether prove a panacea for the malady of which we complain. In medicine, " a little knowledge is a dangerous thing," although Pope's maxim will not admit of universal application. We can- not say to the reading medical public, to the amateur practitioners of medicine, so far shalt thou go, and no farther; once give them a taste for quacking themselves, once admit them into the outskirts of the medical harem, and immediately they will exclaim, " I am Sir Oracle." Nothing is more annoying to the practitioner, than to be compelled to explain to every old woman (and this he must do, if he wishes to ingratiate himself with her), the precise locality and nature of the real or imaginary ail- ment under which she is labouring, and for the removal 132 PHYSIC AND PHYSICIANS. of which he is summoned to her side. But according to the present notion of things, he must do so, or abdicate his functions.* The physician has good reason for exclaim- ing, blessed be he who first discovered the nerves; for, in the hour of danger and difficulty this is a secure haven into which the poor weather-beaten practitioner often takes shelter. The patient is satisfied if you give a " local habitation and a name" to the complaint, it being a matter of indifference to him whether he comprehends it or not. We recollect to have heard a medical gentleman seriously maintain, in the presence of a large assembly of non-professionals, that the real cause and nature of all fevers was the excessive generation of heat. This notion he defended rather ingeniously, and every person present considered him a sensible and well-informed man. We attempted to controvert his position; but we found that our opponent had obtained the assent of the majority of his hearers, and of course we did not, in parliamentary language, call for a division. " If I did but know a few physical hard words!" says the patient. " A few physical hard words," replies the mock-doctor; " why, in a few physical hard words con- sists the science." " My dear medical man," says a lady to a friend, " talks so beautifully; he explains every thing to me; and his language is so learned; I'm sure he must have expended a fortune in his education !" Of such a " dear medical man," how truly it may be said, " In trifling show, his tinsel talent lies, And form, the want of intellect supplies; * " It is always a satisfactory thing to a patient," says the facetious Wadd, " to trace his complaint to a visible cause. I once knew a lady, suffering from what is tech- nically called a catarrh (vulgo, cold), who had her mind set at ease by her Abigail discovering that her complaint arose from her having read a damp play-bill!" PHYSIC AND PHYSICIANS. 133 Hourly his learned impertinence affords, A barren superfluity of words. The patient's ears remorseless he assails, Murders with jargons, where his medicine fails."* It is not the circumstance of a medical man having to struggle against adversity and misfortune which is so mortifying to him; for he knows the members of every profession have to stem the same torrent; but the pecu- liar difficulties with which the practitioner of medicine has to contend, arise from the circumstances of his being convinced by cruel experience, that to succeed in his pro- fession he must, to a certain extent, have recourse to means repugnant to all men of proper feeling. * Let our readers bear in mind the following observa- tions of a sensible writer : " Since it is decided that we cannot live or die without physicians, we may at least make choice among them. Let not that choice fall upon him who can display the most eloquence and learning, but upon him who is most attached to you. Forgetting their profession, they depart from their thickets, and in- vade the forests of poets and fields of orators. More busied in showing off than in healing, they bawl about the bed of the patient a hotch-potch of the ideas of Cicero, and the aphorisms of Hippocrates. The malady grows worse; but that goes for nothing, provided they succeed in making it said, ' here's a man who talks well.' A physician who has the talent of speech, renders himself the arbiter of your lives and deaths. But regard as an assassin, as a giver of poison, every physician who has more babble than wisdom and experience. Say to him, as said the old man in Plautus,' Depart: you were sent for to cure, not to declaim !' To avoid the reproaches of your physicians, I say nothing but what is drawn from Pliny, who speaks more of them than any one else."— Memoirs pour la vie de Petrarque, par I'Abbe de Sade. Vol. iii. p. 99. 12 134 PHYSIC AND PHYSICIANS. This is not so much the case in the legal as in the medical profession. The barrister has, in the majority of cases, to do with a man acquainted with law techni- calities and forms; he seldom comes into direct contact with his client; and the attorney takes care to select a man in whom he can safely place his client's interest; but how differently is the medical man situated ! There are legal as well as medical quacks; but we are bound to confess that the latter preponderate. The remedy exists in the profession itself. We want a moral revolution in medicine. Let medical men re- spect themselves, and they will command the respect of the public. Dr. Lettsom, who was in his day an eminent and successful physician, in a letter to his friend, Sir M. Martin, says, speaking of his (Dr. L.'s) son, a youth of great promise, and intended for the profession, "The character given by his master is, in my opinion, highly flattering; he is, in some measure, deficient in memory, but his apprehension is quick, and his application great; the two last will amply compensate for the defect of the first." In alluding to the qualities of mind necessary in a physician to insure success, he observes: " Many, I might say most, of the distinguished characters in medi- cine, have risen rather by application than by the advan- tages of memory: for those who are blest with the latter faculty are very often indolent, and thereby lose more, in proportion, from the want of industry. Brilliancy is not distinguished for solidity. Success in physic depends more upon judgment than quickness of memory. The first strikes to the bottom, the latter skims the surface. I know, where both are combined, the character will be- come more elevated; but they rarely associate; and the want of memory may be assisted by art This defect is my lot. I believe I possess industry. I made artificial tables of my own; and, by arrangement and art, I appear to those, who know no better, to possess memory. I PHYSIC AND PHYSICIAN6. 135 suppose I have forty thousand notes which I can refer to. Some years since, I was desired to deliver an ora- tion at a short notice. This I effected by my notes, and my auditory thought I possessed memory in a high degree; but, alas ! it was fictitious." " Success in the medical profession always attends the diligent." So says Dr. W. Hunter; we wish we could Bay that we agree with him in opinion ; but evidence, painful evidence, is against his position. His words are these: " An opinion, the child of spleen and indolence, has been propagated, which has done infinite prejudice to science as well as virtue. They would have us be- lieve that merit is neglected, and that ignorance and knavery triumph in the world. Now, in our profession, it seems incontestable that the man of abilities and dili- gence always succeeds. Ability, indeed, is not the only requisite ; and a man may fail who has nothing besides to recommend him, or who has some great disqualifica- tion of head or heart But sick people are so desirous of life and health, that surely the man who is not really able in his profession, will have the least chance of being thought so. In my opinion, a young man cannot culti- vate a more important truth than this, that merit is sure of its reward in this world."* The question is not, is a man of talent and learning always rewarded, but is his success in life at all com- mensurate with his industry and merit ? Judging from the result of our own observation, and from what we have read, we should certainly answer the latter question in the negative. It is hoped, however, that what we have been compelled to state, will not have an evil tendency on the minds of our youthful readers. If the man of industry, if the man who by unwearied application has acquired a thorough knowledge of the different branches of medicine, eloes * Vide Introduc. Lect p. 102. 136 PHYSIC AND PHYSICIANS. not invariably elevate himself to an exalted position, he stands a fair chance of acquiring a certain amount of fame and fortune. We cannot all become generals and colonels, and we must be satisfied if we are permitted to enjoy the " luxury of doing good," as inferior officers in the medical army. If we do not attract the notice of the world ; if our names are not associated with the great and good in the records of science and philanthropy; we have, at least, the consciousness of the rectitude of our intentions, which ought to console us for any deficiency of worldly honour which it may be our lot to endure. In our researches into medical biography, we have discovered many instances of men who have had to struggle in life with fearful difficulties. We have selected a few prominent cases which we hope will have the effect of rousing the energies of those who may at this moment be combating with the cares and disappoint- ments of the world. The first illustration is that of the celebrated father of the present Lord Chief Justice of England. Prefixed to Dr. Denman's " Introduction to the Prac- tice of Midwifery," is a deeply interesting autobiographi- cal memoir of the writer, in which he has detailed an account of the difficulties with which he had to contend, in endeavouring to establish himself in London practice. For some period Dr. Denman remained with his brother at Bakewell, who succeeded his father in prac ticc. He acquired at this time some knowledge of his profession, and in 1754 he came to London for further improvement and information. " The money," he says, " with which I was supplied for this purpose, amounted to 75Z.; 507. bequeathed by my grandfather, and 252. as my share of what my father was supposed to be worth at the time of his death." " As I am now," he continues, "entering upon the de- tails of my own life, I may be permitted to speak of myself. I.had been educated at the Free-School at Bake- PHYSIC AND PHYSICIANS. 137 well, in such sort of knowledge as my old master, Mr. Hudson, was capable of teaching. I understood a little Greek; I was tolerably well informed in the Latin lan- guage, and wrote a good hand. " I had not been instructed in any of those accomplish- ments which serve to show inferior capacities to advan- tage, nor had I seen much company, having never been from home a week at any time of my life. " It might be truly said that I was ' home-bred;' but I had an excellent constitution, having been accustomed to live on the most homely diet, and I had hardly ever been out of bed at ten o'clock at night. In short, I was a meagre, hungry, sharp-set lad; though my education was very incomplete, I had a very competent knowledge of pharmacy, and knew as much of disease as the fre- quent reading of Dr. Sydenham's works and a few other books could give me. I had a common understanding, and some ambition to succeed in the world, though I was ignorant of the means of procuring success; but I had been trained in habits of industry, frugality, and civility or respect to those with whom I had been connected. " When I arrived in town, I was recommended to Mr. Hunt, a hair-dresser in Dean Street, with whom my brother had lodged and boarded. I paid him ten shillings and sixpence a week, and a bad bargain he had. The money 1 brought with me to London was intended for the purpose of enabling me to attend St. George's Hospi- tal, and two courses of anatomical lectures; but in six months it was wholly expended. I knew little of eco- nomy, for having never been accustomed to the manage. ment or disposal of money, I acted as a child in this respect, contriving how to spend it as soon it was re- ceived. This was rather a misfortune than a fault; but it is amazing to me, when I recollect how many vears I lived in the world without changing this disposition, and how many inconveniences it caused me in the course of my life. My money being gone, there was a necessity 12* 138 PHYSIC AND PHYSICIANS. of seeking some employment for immediate support. Many were thought of, but none seemed so agreeable to myself or friends as going to sea in the king's service. I applied to the navy-board for an order to be examined at Surgeons' Hall; and, very much to my own astonish. ment, I passed as surgeon to a ship of sixth rate, April 3d, 1755. The ship to which I was appointed lay at Blackstairs; but I had no money to prepare for the voyage, or to bear my expenses to the ship. I pawned my watch, and set off with about forty shillings in my pocket, to enter among strangers upon a way of life of which I had no more idea than of the Mogul's court" After Dr. Denman's return from sea, he was recom- mended by his friends to settle at Winchester. At this time he had saved up £500. After residing at Winches- ter for some time, he says in his journal, " I soon became impatient of waiting, and began to blame myself and others for having undertaken a matter of so much im- portance without more deliberation. I fretted, made my- self less likely to succeed by uneasiness and solicitude, and, after teasing myself and my friends for about four months, I determined to quit Winchester, having thrown away, since my arrival in England, nearly two hundred pounds." Dr. Denman left Winchester for the great metropolis; and after attending a course of anatomical lectures and dissections, on the recommendation of Drs. Kelly and Kirkpatrick, he obtained his degree of M.D. from the University of Aberdeen. Dr. Denman received forty pounds in fees the first year; but this sum, he says, " though not adequate to pay my expenses, gave me some encouragement." He then published an essay on puerperal fever, which gained him some credit and increased his practice. He also published a letter to Dr. Hirch, on the construction and use of vapour baths; but this, the author says, " scarcely produced so much as to pay the expense of printing it." PHYSIC AND PHYSICIANS. 139 The doctor, finding it difficult to support himsolf from the proceeds of his practice, applied to be appointed sur- geon to one of the king's yachts. He received the ap- pointment, which was worth £70 a year to him ; but, in 1777, he was obliged to resign the situation, as the yacht was ordered upon service, and the attendance would have been incompatible with his London business. But to continue the doctor's autobiography: " The whole sav- ings," he says, " of the nine years I had been at sea, were now entirely expended, and I had, with great diffi- culty, kept myself out of debt; the thoughts of which hurting my pride, and giving me very mortifying reflec- tions, I began to be very circumspect about my expenses. However, on the strength of the yacht, I had taken a small house in Oxendon Street; but I furnished only one parlour, thinking to complete it gradually, as I was able; and I hired a maid servant, who cheated me very much. When I went into this house, excepting my furniture, I had but twenty-four shillings in the world, but I was out of debt. My business increased every year; and, in the third year after I had taken my house, I had two hun- dred "and fifty pounds; which, together with the profits for the yacht, prevented all present inconvenience, and gave me better hopes for the future. " About this time died Dr. Cooper, a teacher of mid- wifery, of no great reputation. Mr. Osborn, who had attended St. George's Hospital when I did, and who was pretty much in the same predicament, with respect to fortune, as myself, agreed to give lectures with me. We purchased Dr. Cooper's apparatus for £120, and great difficulty we had to raise the money between us. We began to read lectures in the year 1770, awkwardly enough, and with little encouragement, as I suppose most people do at first; but, it is probable that we improved, for, in a short time, the lectures flourished, and, with them, my business, and, I believe, my credit also. " Dr. Cooper had likewise been man-midwife to the 140 PHYSIC AND PHYSICIANS. Middlesex Hospital; I offered myself as a candidate to succeed him; and, after a very hard contest, some ex. pense, and endless trouble, I was elected jointly with Dr, Krohn. " I was now surgeon to the William and Mary yacht, I was teacher of midwifery, I was man-midwife to the Middlesex Hospital, I had published two pamphlets, which had at least acquired me a character for industry and common abilities, and I got upwards of £300 a year by my business. I was in the thirty-seventh year of my age, and I determined to marry; and, becoming ac- quainted with the family of Mr. Brodie, a respectable army linen-draper, I chose Elizabeth, his youngest daugh- ter, then in the twenty-fourth year of her age. I re- ceived no money as a dowry, but two leasehold houses in Vine Street, Piccadilly, which produced £80 a year, clear of all deductions. " It is impossible to have chosen a wife more suitable to my disposition and circumstances ; her manners were amiable, her disposition gentle, her understanding natu- rally good, and ijnprovcd by reading and the conversation of reasonable people, and she had that regard for •truth and propriety, that I was firmly persuaded no human consideration could induce her to depart from them. She was frugal without meanness, temperate, and cheerful; and it was impossible for any two people to have lived together, with more perfect harmony, than we did for nine years. " My assiduity increased with my family, so that in the very year we were married, we saved £200, and have continued to do so every year since. About two years after our marriage, I thought it necessary to take a larger house, partly for appearance, and partly for con. venience, that in which we lived being too email. In the year 1772,1 therefore removed into Queen Street, Golden Square; which, I thought would be a good situation for lectures, and for business; and I soon after purchased the PHYSIC AND PHYSICIANS. 141 lease of this house for 1,200Z. Three hundred pounds of this money I had saved, and, for the rest, I paid in- terest about four years, when the whole purchase was completed. I had now a large house; my business brought me in about 4002. a year, the lectures 1002., the houses in Vine Street 801., the yacht 101., and I lived rent free. My business was chiefly among the lower class of people, but I never lost sight of the possibility of getting business among a higher rank ; and, I had strug- gled through so many difficulties, that my mind became seasoned against common accidents, and I was better qualified to conduct myself in the more intricate parts of the business of life. My friends have for some years given me credit of being remarkably steady; but, I may assure thte reader of this, whether it be my wife, or my daughters, or my son, that if I have steadiness, it is all acquired, my natural disposition being impetuous. I al- ways thought steadiness worth every other quality, either in man or woman; and it has been the business of my life to acquire it. " About this time I took courage, and kept a chariot in the winter; but the advantages which might result from it, were rather expected than realized. My business, how- ever, both increased and improved, though slowly; but, in the year 1778, it amounted to 6002.; and the profits of the lectures to 1502.; and then I built a new chariot. In the year 1777,1 purchased two pieces of land near Lynn, in Norfolk, for which I paid down 3502., and was to pay 5002. more. This land was to bring me in four per cent. for my money, or 342. a-year; but I was unfortunate in my bargain, the value of money increasing immediately after I had made it; first by the failure of Mr. Fordyce, the banker, which put almost an instant stop to all cre- dit ; and, secondly, by the French and American war, which occasioned a real scarcity of money. "With my new chariot I had a coachman in a hand- some livery, and a servant behind, which were beyond 142 PHYSIC AND PHYSICIANS. my wish and inclination, but I thought them due to my present reputation, as well as to my future prospects; and I hoped that I had secured my family from distress, if I were to die before I had an opportunity of making any further addition to my fortune. We observed the most strict frugality in all other respects. On February 23, 1779, I was made happy by the birth of my son, which was an unexpected blessing, as I had given up all hopes of having any more children, my daughters being, at that time, more than seven years of age. I shall not fail to do all in my power to provide for them, consirt. ently with those rules of probity and integrity which I have always established as guides of my conduct; and, from which, when they are capable of judging, they will be glad that I have never swerved. If the property I may leave behind me, should not be so much as they ex- pect, or as I wish, they will see the reason in this narra- tive. Whatever it may be it ought to wear well, because it has been honestly gained. They will see an example of the good which attends industry and fair intentions, even when counteracted by errors and indiscretion. " The continuation of this memoir must be left to some future period, and it concludes for the present on the 5th of August, 1779." Thus concludes the deeply interesting autobiography of Dr. Denman. It appears that, after having written the above account of his early life, he found that his bu. siness did not increase as rapidly as he anticipated, and he was compelled to take pupils; three of whom attained considerable eminence in the profession, viz., Dr. Parry, of Bath ; Mr. Chesshen, of Hinckley ; and Philip Marti- ncau, Esq., of Norwich. In 1781 his house was burned down, which involved him in considerable pecuniary difficulties. On the death of Dr. Hunter, Denman rose rapidly in practice, and was placed at the head of his profession. Upon removing his residence to Old Burlington Street, he was called to at- PHYSIC AND PHYSICIANS. 143 tend the late Duchess of Devonshire—a circumstance particularly gratifying to him, as, from the impression of his early life, he always felt strongly attached to that noble family. Dr. Denman now finding the duties of his profession too laborious for him, he gradually introduced his son-in- law, Mr. Croft, who had chosen the same branch of the profession, and who attended to the more arduous duties of the practice, until the doctor finally retired from the field. Doctor Denman died in the year 1815. The fol- lowing lines were written for his epitaph:— " Here lies Doctor Denman, An excellent penman, And related to Baillie and Croft: He attended the Queen, As all must have seen, And his works are read frequent and oft. But, his works put aside, His fame should spread wide, With the liberal deeds of his life; For, though under ground, His good deeds will be found Carried on in the deeds of his wife."* Of the early life of John Hunter we are indebted for the following particulars to Mr. Palmer, who has prefixed a valuable memoir of this celebrated surgeon to his edi- tion of his writings. When Hunter was about seventeen, he went for a time on a visit at the house of his brother-in-law, Mr. Bu- chanan, under the hope of being able to assist in freeing him from his pecuniary difficulties, into which convivial * Alluding to the circumstance of his amiable widow, since his death, being distinguished for her acts of cha- rity and benevolence. 144 PHYSIC AND PHYSICIANS. habits and inattention had led him. It is probable that whilst here, Hunter, who prided himself on his manual dexterity, assisted his brother-in-law in his workshop, and that hence originated the statement made by Foot, that he had served as a millwright or a carpenter. His effort however, proved unavailing to accomplish the object of his visit, and Mr. Buchanan soon after resigned his busi- ness, and earned a scanty livelihood as a teacher of music, and clerk to an Episcopalian chapel, at Glasgow. During this time Mr. W. Hunter, John's brother, was rapidly pursuing his way to fame and fortune. After re- ceiving a classical education at Glasgow, and studying medicine for three years as a pupil of Cullen, who was at that time practising at Hamilton, he resorted to Edin- burgh, where he spent a winter attending the schools ot anatomy, and finally settled in London, in 1741. Previously to this time, William Hunter's means had been very limited ; for though the family property had fallen to him at his brother James's death, yet as his mother continued, with his permission, to reside on the estate, the surplus accruing to him could have been but small. In proof of which, Mr. Watson, formerly sur- geon to the Westminster Hospital, and one of Mr. Hun- ter's earliest pupils, used to relate, that as they were walking home together after the introductory lecture, the latter, who carried a bag containing seventy guineas, which he had raised for entrance fees, remarked, that this was a larger sum than he had ever been possessed of. Simmons gives a similar account of his own slender beginnings ; and it is related by Sir James Earl, that at Pott's death a small box was found among his papers, containing a few pieces of money, not amounting to five pounds, being the whole which he had received from the wreck of his father's fortune. Such anecdotes may serve to encourage those who, at the outset of their journey through life, chance to have their purses but slenderly furnished: numbers more might be found by a reference PHYSIC AND PHYSICIANS. 145 to the lives of eminent men in all professions, many of whom, though they have afterwards reaped a bountiful share of the favours of fortune, were doubtless obliged, on their first starting in life, to have recourse to shifts quite as curious as those of Johnson's Irish friend, who, in describing how a man may live respectably in London, on thirty pounds a year, allots ten for the expenses of clothes, and provides that all visits are to be paid on clean shirt days. William Hunter had many difficulties to overcome in establishing his anatomical school; he was the first sur- geon unconnected with an hospital, who had lectured on anatomy, and no one attempted it on a scale at all equal to what he proposed: his predecessors had been accus- tomed to employ but one subject for demonstrating all parts of the body, except the bones and arteries, which were described on preparations, and for exhibiting which a foetus was usually employed. Practical dissection was unknown to the great bulk of the physicians: added to all this, a far greater horror of anatomical pursuits existed in the public mind at that time than the present. W. Hunter's address and perseverance at length triumphed over all these difficulties, and he succeeded in forming an establishment, which in consequence of the superior advantages it afforded, and the unrivalled talent of its founder, as a lecturer, for a long time maintained its rank as by far the first anatomical school in London. John Hunter was now in his twentieth year, when the fame of his brother's success made him desirous of entering into the same profession. He accordingly wrote to his brother, requesting to be allowed to join him in London, and offering his services as an assistant in the dissecting-room. His reply was favourable, and con- tained a kind invitation to visit London. He lost no time in complying with this, and set out for the metropolis. No long time elapsed before John's skill was put to the trial, in preparing for the lecture a dissection of the 13 146 PHYSIC AND PHYSICIANS, muscles of the arm. It is probable that W. Hunter had not as yet formed a very high estimate of the talents of his hitherto idle brother, and little foresaw that he was ere long to eclipse his preceptor: he was, how- ever, so well pleased with his pupil's first essay, that he soon afterwards entrusted him with the preparation of a similar part, of which the blood-vessels were injected. In this, the young student succeeded so well as to obtain much praise for his dexterity from his brother, who fore- told that he would soon become a good anatomist, and promised that he should never want employment From this time, therefore, we may consider Hunter as engaged in the dissecting-room, under the instruction of his brother's assistant Mr. Symonns, where he pursued his studies with such zeal and diligence, that by the next season he was able to take the charge of directing his pupils in their dissections;—thus by his rapid progress, showing what may be effected by great diligence, and adding another to the examples furnished by Cheselden, Haller, Albinus, Baillie, Abernethy, and a host of others, that the surest foundation for future professional eminence is an early and extensive knowledge of anatomy. The summer after he arrived in town, W. Hunter ob- tained permission for his brother to attend at the Chelsea Hospital, under Cheselden, of whom, as Hunter's first master in surgery, and as the most celebrated surgeon of his day, no apology will be necessary for introducing a short account. This admirable surgeon was then more than sixty years of age, and had retired in great part from the toils of a profession in which he had been engaged nearly forty years, and in which he had attained the highest rank. As a surgeon Cheselden may be truly said to have enjoyed the same repute, both in England and on the Continent, which his contemporary and friend Dr. Mead had acquired as a physician. He was educated at St. Thomas's Hospital, under Thomas Feme, a very able man, and studied anatomy under the celebrated PHYSIC AND PHYSICIANS. 147 Cowper. Under this great man Hunter received his first lessons in surgery,—a worthy master for so eminent a pupil; and he continued to attend regularly at the Chelsea Hospital, during the summer months of 1749 and 1750. Here he would have probably continued for some time, but in the following year Cheselden was obliged to resign his situation, in consequence of an attack of paralysis, which entirely unfitted him for business. He repaired to Bath, in the hope of amendment, but in 1752, he was seized with apoplexy, which put an end to his life, in the 64th year of his age. Hunter now entered to St. Bartholomew's Hospital, under the tuition of the celebrated surgeon Pott. In 1753, he became a gentleman commoner at St. Mary's Hall, Oxford. It will appear from the following anecdote that his biographer did not entertain an exalted idea of Hunter's classical attainments. In speaking to his friend Sir Anthony Carlisle, then a student at the hospital, Hunter said, " They wanted to make an old woman of me, or that I should stuff Latin and Greek at the University;" but added he, significantly pressing his thumb-nail on the table, " their schemes I cracked like so many fleas as they came before me." From Bartholomew's Hospital Hunter went to St. George's, where he attended during the summer months, whilst the winter was devoted to his duties and studies in the dissecting-room. With reference to the peculiar difficulties with which Hunter had to compete in early life, his biographer observes: " Various circumstances combined to render his success in practice far less rapid than might have been anticipated. Of these, one of the most obvious was that of the field being already occupied by several men of great merit in their profession, and who, by their writings, had contributed largely to the improvement of surgery. First of these, facili princeps, stood Pott, in the prime of life, and in the zenith of his fame, who, though he had never received, because he had 148 PHYSIC AND PHYSICIANS. never solicited, those titles and posts of honour, which are usually bestowed on the leaders of our profession, yet had raised himself by his eminent abilities and industry, and by his gentlemanly manners, to the highest place in the esteem of his professional brethren and the public. The second stations were ably filled by Bromfield, and Sir Caesar Hawkins, surgeons to St. George's Hospital; and Samuel Sharp, and Warner, of Guy's. These divided amongst them the greater part of the civil prac- tice, whilst Adair and Tomkins, from their long con- nexions with the army, enjoyed the chief share of what accrued from that quarter. The narrowness of his income was no doubt also an obstacle to Hunter's success; for though his personal habits were often very economical, his scientific inquiries required more money than he could well afford. He was therefore obliged to be content with establishing himself in the plainest manner, and living a retired life; and though this, no doubt, enabled him with more freedom to pursue those important objects in which he was about to engage, yet it would not be likely to conduce to his speedily increasing his professional connexions. It is in this respect, ceteris paribus, a man commencing with a moderate share of fortune, has a decided advan- tage over the fortuneless; for though it has been truly said, that " moneys are not the sinews of fortune, but the sinews and state of men's minds—wit, courage, audacity, resolution, temper, industry, and the like," yet, even he, who declared this, has allotted the secured place to " wealth and means." But besides these external difficulties, with which most men have to struggle, in a greater or less degree, at the outset of life, there were, in Hunter's case, some great impediments arising out of his own character. He was deficient in those refined gentlemanly feelings, and those conciliating manners, which in all situations go far to win the good-will of those with whom we are in the habit PHYSIC AND PHYSICIANS. 149 of mingling in the daily intercourse of life, and are espe- cially requisite in the medical profession. Conscious of great mental superiority, he was too apt to show this in a rude and overbearing manner towards men, who, in sta- tion, were his equals, and exhibited somewhat too large a share of that " pride of port" which the poet assigns to those " Intent on high designs, a thoughtful band, By form unfashion'd, fresh from nature's hand." Consequently, though the intrinsic excellencies of his character insured him the friendship of a few, who knew and estimated his worth, this fault raised up against him many bitter enemies, and prevented him from ever be- coming a general favourite witli the profession. It might, probably, with justice be said, that of all who have attained to the highest rank as surgeons, no one ever rose so entirely by the pure force of superior talents as John Hunter, or was less indebted than he was for his success to the good-will and assistance of his contem- poraries. Hunter had also a great contempt for those minor tactics, which constitute so large a part of what has been aptly termed—the art of rising in the world ; and they who have carefully watched the progress of men to for- tune, know full well how much of their success has often been due to the judicious management of these auxiliary means. It would be egregious folly to suppose that a man could ever attain to high repute as a surgeon in London, without possessing a large share of the essential requisites for the practice of his profession ; but, on the other hand, it requires no great penetration to perceive, that the vast difference in the amount of the favours, vouchsafed by Fortune to her different votaries, must be accounted for in sonic other way, than by the amount of professional talent possessed by each. 13* 150 PHYSIC AND PHYSICIANS. " He that is only real had need have exceeding great parts of virtue," says Lord Bacon, "as the stone had need be rich that is set without foil;" and we need not a better illustration of the truth of this observation, than is afforded by Hunter's tardy progress in the path of for- tune, compared with the rapid strides of others to pro- fessional eminence, who, in point of attainments would be the first to acknowledge themselves but the humble disciples of this great master. But after all, perhaps, the principal reason why Hunter was so long in obtaining a large share of practice was, that he looked not, as most men do, to the acquisition of wealth as the end for which he was labouring; but, on the contrary, considered money only as a means by which he might advance the far more important objects he had in view. His powerful mind was unceasingly stimulated by an ardent desire to forward the acquisition of those branches of knowledge which appeared to him best fitted to promote the improvement of his profession. To this object was devoted every hour that he could spare from his daily avocations, or snatch from the time allotted by others to sleep; and to promote this end, he was always ready to sacrifice the claims of worldly prudence and self- interest To witness an interesting and extraordinary case, he would take any trouble, or go almost any distance, with- out the chance of pecuniary recompense; but to the daily routine of practice he always turned unwillingly: and even when he had acquired a lucrative and extensive business, he valued it only as affording him the means of pursuing his favourite studies. This feeling he would often express to his friend Mr. Lynn, when he called to see a patient, by saying, as he unwillingly laid by his dissecting instruments, " Well, Lynn, I must go and earn this d---- guinea, or I shall be sure to want it to- morrow." As a means of increasing his income, Hunter deter- PHYSIC AND PHYSICIANS. 151 mined on delivering lectures on anatomy and operative surgery, to a private class. These he continued for several years; but so far were his talents and his en- lightened views from exciting the attention they merited, that his hearers never amounted to twenty. Amongst them, however, were numbered, Cline, Lynn, Brande, Adams, Vaux, and Justamond. " Dr. Garthshore," says our modern Democritus, the late worthy and facetious William Wadd, " occasionally looked in, wound up his watch, and fell asleep." Hunter's leisure hours were never allowed to remain unemployed. He returned to the study of comparative anatomy with increased delight; and to furnish subjects for his researches, he obtained the refusal of all animals which chanced to die in the Tower, or in those smaller zoological collections which used at that time to peram- bulate the country; and to insure the good-will of the owners, he used to allow them a life-interest in any rare animals he was able to purchase, on condition that their carcasses were restored to him after their decease. All the money he could spare was devoted to procuring curiosities of this sort; and Sir Everard Home used to state, that as soon as he had accumulated fees to the amount of ten guineas, he always purchased some addi- tion to his collection. Indeed, he was not unfrequently obliged to borrow of his friends, when his own funds were at a low ebb, and the temptation was strong. " Pray, George," said he one day to Mr. G. Nicol, the bookseller to the king, with whom he was very intimate, " have you got any money in your pocket ?" Mr. N. replied in the affirmative. " Have you got five guineas ? because, if you have, and will lend it me, you shall go halves." "Halves in what?" inquired his friend. "Why, halves in a magnificent tiger, which is now dying in Castle Street" Mr. Nicol lent the money, and Hunter purchased the tiger. Hunter'e behaviour was well adapted to secure him 152 PHYSIC AND PHYSICIANS. the homage of his junior brethren; for he was by no means backward in encouraging the advances of young men of talent, who desired to cultivate his acquaintance: and readily afforded any slight attentions in his power to those coming to London to finish their studies, recom- mending such as had completed their education to situa- tions in the army, if he found them industrious and intelli- gent. On Mr. Thomas's arrival in London, he, in company with Mr. Nicol, by whom he was to be introduced, called on Hunter: they found him dressing. "Well, young gentleman," said Hunter, when the first ceremonies of introduction were over, " so you are come to town to be a surgeon; and, how long do you intend to stay ?" " One year," was the reply. " Then," said he, " I'll tell you what, that won't do; I've been here a great many years, and have worked hard, and yet I don't know the princi- ples of the art." After some further conversation, Mr. T. was directed to call again in an hour, which he did, and accompanied Hunter to the hospital, where he said to him after the business was over, " Come to me to-morrow morn- ing, young gentleman, and I will put you further in the way of things; come early in the morning, as sewn after four as you can." It was summer: Mr. Thomas kept the ap- pointment ; at that early hour Hunter was busily engaged in dissecting beetles. Mr. Thomas afterwards became his dresser at the hospital, and was finally recommended by him as surgeon to Lord Macartney's embassy to China; on returning from which place, he found that Hunter had died during his absence from England. Sir A. Carlisle, whilst a pupil at the Westminster Hos- pital, was anxious to become personally acquainted with Hunter. He introduced himself by calling and requesting his acceptance of a very delicate and well-executed pre- paration of the internal ear. Hunter was highly delighted with it, and detained him to breakfast; and, in the course of conversation, encouraged him by saying, " Any man PHYSIC AND PHYSICIANS. 153 who will set about a business, and do it as you have done that car, may do any thing he pleases in London." On finding that Mr. Carlisle had not yet attended his lectures. as a reason for which, lie assigned his not being suf- ficiently advanced in professional knowledge to profit by them—" That, Sir," said Hunter, " is very compli- mentary ; but I will give you a perpetual ticket, and shall be glad to see you whenever you will call." This invita- tion was not neglected; and Mr. Carlisle's anatomical skill soon made him a favourite with Hunter, to whose collection he contributed several valuable preparations. Nor did Hunter confine himself to such minor atten- tions as these, but occasionally assisted young men whom he saw struggling with pecuniary difficulties at the outset of their career, by sending them valuable patients; or even extended his kind consideration still further, as the following anecdote will show:— Mr. Lynn, who was for many years on intimate terms with Hunter, suffered a long illness, in consequence of having wounded his hand in opening the body of a man who had died from a syphilitic affection. Hunter fre- quently called to see him; and, one day, after expressing regret at his misfortune, and the obstruction it caused to his business, offered to lend him £200; adding, that though he was the last man in the world to be able to do such a thing, yet he would stretch a point, in consequence of the esteem he had for Mr. Lynn. His friend had been more prudent, however, than Hunter supposed, and did not then require his assistance, but said, that, should he have occasion for it, he would not fail to apply to him. " Nay," said Hunter, " what I offer, I will do now; but, what I may be able to do a week hence, it is impossible for me to say." On his recovery, Mr. Lynn thanked him for his kindness. Hunter had forgotten the circumstance ; "But," said he, "if I did say so, you may depend upon it I meant what I said." Dr. Denman used to say that William Hunter was a 154 PHYSIC AND PHYSICIANS. man of order, and John Hunter a man of genius; and, in truth, with all his cleverness, which was more than ordi- nary, the doctor always felt John's superiority. " In this I am only my brother's interpreter,—I am simply the demonstrator of this discovery; it was my brother's,"— were his constant expressions. Hunter was a philosopher in more senses than one; he had philosophy enough to bear prosperity as well as ad- versity ; and with a rough exterior, was a very kind man. The poor could command his services more than the rich. He would see an industrious tradesman before a duke, when his house was full of grandees. " You have no time to spare," he would say, "you live by it; most of these can wait, they have nothing to do when they go home." No man cared less for the profits of the profes- sion, or more for the honour of it. He cared not for money himself, and wished his brother to estimate it by the same scale, when he sent a poor man with this laconic note:— " Dear Brother, " The bearer wants your advice. I do not know the nature of the case. He has no money, and you have plenty, so you are well met. " Yours, i "J. Hpnter." He was once applied to to perform a serious operation on a tradesman's wife ; the fee agreed upon was twenty guineas. He heard no more of the case for two months; at the end of which time he was called upon to perform it In the course of his attendance, he found ont the cause of the delay had been the difficulty under which the patient's husband had laboured to raise the money ; and, that they were worthy people, who h:id been unfortunate, and were by no means able to support the expense of such an affliction. " I sent back to the husband nineteen PHYSIC AND PHYSICIANS. 155 guineas, and kept the twentieth," said he, "that they might not be hurt with the idea of too great obligation. It somewhat more than paid me for the expense I had been at in the business." Hunter held the operative part of surgery, in the lowest estimation. " To perform an operation," said he, " is to mutilate a patient whom we are unable to cure; it should, therefore, be considered as an acknowledgment of the imperfection of our art" With what proud feelings he must have contemplated the improved treatment of the popliteal aneurism, when success justified the high conceptions he had formed of it. Mr, Hunter, who did more than any human being to lessen the frequency of operations, once had a patient whose leg he considered it necessary to remove. He was a most anxious man about an operation; which, in those days, was attended almost with the formality of an ex- ecution. He had got on his dress, and a profound silence reigned in the theatre. The surgery-man was ordered to bring in the patient who was to have his leg taken off. The surgery-man disappeared; in two minutes he re- turned, with a face as long as the leg, solus—" Why do you not bring in the patient ?" was demanded of the ex- pectant operator. «' Because, sir," said the astonished surgery.man, " because, sir, he has run away." The following are the particulars of the melancholy circumstances connected with the death of this great surgeon and physiologist:— In 1792 a contest took plack at St. George's Hospital, owing to the resignation of Hawkins, between Mr. Keate and the late Sir Everard Home. The latter, of course, was supported by Hunter; whilst all the remaining medi- cal officers, with the exception of Dr. Baillie, lent their interests to his opponent. Keate was eventually elected. Owing to this result, Hunter announced to them his inten- tion to discontinue the practice of dividing equally among the surgeons the admission fees of all the pupils attending the hospital. 156 PHYSIC AND PHYSICIANS. This measure his colleagues resolved to resist; and a special meeting of the governors was summoned, to take the matter into consideration. After hearing Hunter's statement, and that of his opponents, the decision of the meeting was given against him. A committee was sub- sequently appointed to draw up a code of rules for regu- lating the admission and instruction of pupils: and a set of proposals was submitted to Mr. Hunter's colleagues, and agreed to without his having been consulted on the occasion. Among the regulations was one which determined, for the future, that no person should be admitted as a student to the hospital without bringing certificates that he had been educated to the profession; a regulation which was probably designed to exclude Mr. Hunter's countrymen, who sometimes came to town recommended to him, and entered as his pupils at the hospital without having had any previous education. Nor was this long in taking effect: for in the autumn two young men, who had come up to town ignorant of this new regulation, applied to Hunter to be admitted under him at the hospital. He informed them of the law which had been passed, but undertook to press for their admission at the next board- day, and directed them to furnish him with a statement of their case in writing. On the 16th of October the board was to meet, and Hunter prepared to fulfil his promise, though he was so well aware of the risk he in- curred, in undertaking a task which he felt would agitate him, that in mentioning the circumstance to a friend who called on him in the morning, he expressed his appre- hension lest some unpleasant dispute might occur, and his consideration that if it did it would certainly prove fatal to him. At his accustomed hour he left his house to commence his morning rounds, and by accident forgot to take with him his list of appointments; he had left the house but a few moments when it was discovered, and Mr. Clift, who was then residing with Hunter, hastened PHYSIC AND PHYSICIANS. 157 with it to York Street, St. James's, the first place on the list, where he found tho carriage waiting. Hunter soon made his appearance, took the list, and in an animated tone called to the coachman to drive to St. George's. Arrived at the hospital, he found the board already assembled, and entering the room, he presented the memorial of the young men, and proceeded to urge the propriety of their being admitted. In the course of his remarks, he made some observation which one of his col- leagues thought it necessary instantly and flatly to con- tradict. Hunter immediately ceased speaking, retired from the table, and struggling to suppress the tumult of his passion, hurried into an adjoining room, which he had scarcely reached, when, with a deep groan, he fell lifeless into the arms of Dr. Robertson, one of the physicians of the hospital, who chanced to be present. Dr. Baillie had immediately followed him from the board-room, and Mr. Home, who was in the house, was also summoned to his assistance. Various attempts were made for upwards of an hour to restore animation, under the hope that the attack might prove only a fainting fit, such as he had be- fore experienced, but in vain: life had fled; and all their efforts proving useless, his body was placed in a sedan chair and conveyed to Leicester Square, followed by his now vacant carriage. Thus perished the illustrious John Hunter, in the sixty-fifth year of his age, celebrated as the first anatomist, physiologist, and surgeon of his day; a man whose labours, in human and comparative anatomy, throw completely into the shade all who preceded or have followed him! The following epitaph was composed in 1804 by his wife, with the design of having it executed on the marble tablet to be placed over the remains of her late husband in St. Martin's church. Here rests in awful silence, cold and still, One whom no common sparks of genius fired; 14 158 PHYSIC AND PHYSICIANS. Whose reach of thought nature alone could fill, Whose deep research to love of truth inspired. Hunter ! if years of toil and watchful care, If the vast labours of a powerful mind To soothe the ills humanity must share, Deserve the grateful plaudits of mankind, Then be each human weakness buried here, Envy would raise to dim a name so bright: Those specks which in the orb of day appear, Take nothing from his warm and welcome light. Anne Hunter. Doctor Armstrong was born on the 8th of May, 1784, at Ayres Quay, in the parish of Bishopwearmouth, in the county of Durham. His parents were of humble origin. His father, Mr. George Armstrong, was an husbandman. Dr. Armstrong at the age of eight years was placed under the care of the Rev. Mr. Mason, a minister of the united secession church of Scotland, who kept a small school in Queen Street. At the age of sixteen he was placed with Mr. Watson, a surgeon-apothecary at Monk- wearmouth, on trial; but not liking his situation, he left it, and returned home. Armstrong having shown that he was in possession of superior abilities and taste for litera. ture, it was determined that he should be sent to Edin- burgh to study medicine; and accordingly, at the age of nineteen he entered as a medical student in the University of Edinburgh, where he resided three years. On the 5th of May, 1807, he passed his examination at the Edinburgh Royal College of Surgeons; and in June, in the same year, he took his degree of Doctor of Medi- cine, having written a thesis, "De Causis Morborum Hydropicorum, Rationeque iis Medendi." Armstrong subsequently commenced practice in Sunderland, where he remained some years. During the time of Dr. Arm- PHYSIC AND PHYSICIANS. 159 strong's residence in Edinburgh, he formed an intimacy with a young gentleman of Sunderland, who had resorted to Edinburgh for general education. The father of this gentleman had laboured for a period of nearly two years under an occasional, and what had been considered an anomalous attack of diarrhoea, which had resisted all the skill of his medical advisers. On Dr. Armstrong's settling at Bishopwearmouth, this person, who was affluent and much esteemed in the town, was earnestly solicited to consult the young physician, in whose talents the son had expressed an implicit confidence. After some persuasion Dr. Armstrong was called in; and conceiving from the history of the case that it was one of overloaded bowels, and that the occasional diarrhoea was the effect of an irri- tation thus established, and an effort of nature to throw off the offending cause, he advised a mild course of laxatives to be steadily persevered in, until the motions were of a natural character. His advice was followed. In a day or two Dr. Hamilton, the author of the celebrated work on Purgative Medicines, and with whom Dr. A. had formed an intimacy at Edinburgh, stopped at Sunderland on his way to England, and Dr. Armstrong hearing of his arrival waited on him to explain his case, earnestly soliciting him to see the patient. Dr. Hamilton firmly resisted the proposal, and gave as his reason, that the practice recom- mended was undoubtedly correct, and that the issue of it would be fortunate. " It will gain you credit," said he ; " but if I am consulted, the recovery will be attributed to my counsel and longer experience, when all the merit in reality will be due to your own sagacity. You have ascertained the cause, and you see its effects, and have only to wait the sure operation of the only means of re- lief that can be recommended under the existing circum- stances. Take the advice of an old man, and avoid con- sultations in all cases where you feel satisfied that you understand the nature of a malady, and this at once sug- gests a simple and effectual remedy." 160 PHYSIC AND PHYSICIANS. Dr. Boot observes, that in a short time the patient was restored to health. He was in the habit of riding about the town on his pony, and was so sensible of the relief which he had obtained, that the praises of Dr. Armstrong were ever on his tongue ; and the recommendations of this gentleman alone established Armstrong in a practice, at once, of about 2002. a year. In January, 1811, he was elected physician to the Sunderland Dispensary. Soon after this appeared in the Edinburgh Medical and Surgical Journal, then edited by Dr. Duncan, Armstrong's first publication, on "Brain Fever caused by Intoxication." He also contributed to the same Journal a paper on " Diseased Vertebrae," and published his treatise on puerperal fever. On the subject of this disease his notions were peculiar. He considered it in the first stage essentially inflammatory, and to be marked by highly typhoid symptoms in the second stage. The favourable reception which this work on puerperal fever met with, encouraged him to extend his views farther, and in 1816 his celebrated work on typhus ap- peared. This admirable work at once raised him to a very high eminence in his profession. It passed through three large editions in three years, and was received almost with acclamation by the medical public, not only in this country, but in America, where it obtained for him, from some of the most eminent professional men, the name of the "modern Sydenham." From a lowly origin, and what would generally be considered a very bumble education, Dr. Armstrong had at. tained to an enviable pre-eminence in the profession he had chosen; and by a sagacious observation of the phe- nomena of disease, had educated himself to a degree of knowledge which no existing institution, with all its pro. mise of literature or science, could have bestowed upon him. He had appealed from human testimony on the subject of fever to the operations of nature; and from a patient observation of her laws had acquired some per- PHYSIC AND PHYSICIANS. 161 ccption of the principles which regulated them, by which he had created within himself the power of instructing others in the truths he had discovered, and of reflect- ing abroad the light which had dawned upon his own mind. From an unpromising station in society, in which he had first doubtingly aspired to the confidence and support of the public, unsupported by affluent family connexions, and unaided by those powerful friendships which many men of humble origin form with their supe- riors in rank and fortune, at the large English schools and universities, he had raised himself, by the buoyant energies of his own mind, to a high intellectual rank of life, which not only conferred dignity upon himself, but reflected honour on those who had gone down with un- conscious distinction to the grave.* In 1818, Dr. Armstrong, depending upon the reputa- tion which his works had afforded him, determined to come to London. This hazardous step, however, was not hastily taken. He took lodgings at No. 38, Great James Street, Bedford Row, where he resided several months alone. "This," says his biographer, "was the most trying period of his life. All those domestic sym- pathies upon which he so much depended for happiness were far removed from him, and he felt, as it were, alone in the world; anxious about his present, and uncertain of his future fortunes. He never, to the close of his life, courted general society, and had few inducements to mix in public amusements; for his taste centred in his pro- fessional pursuits, and his enjoyments in the bosom of his family, and in' the familiar society of a few personal friends. His sensibilities were acute, and his mind simple and discerning in its instincts and desires. He had left a society to which he was attached by the ties of grati- tude, and in the oppressive solitude of his present situa- * See Dr. Boot's " Life and Opinions of Dr. Arm- strong." 14* 162 PHYSIC AND PHYSICIANS. tion, he keenly felt the loss of his early friends, and became fully sensible of the hazard to which he had ex- posed the interests of his family. He has often told me, that the loneliness of his situation at times overpowered him; and that so oppressive was the busy scene around him, in which he stood a stranger, uncared for and un- known, that he sometimes found relief in tears, and tried to drown the consciousness of sorrow, by seeking sleep in his darkened chamber at noon." A short time after his arrival in London, he published a work on " Scarlet Fever, Measles, Consumption," &c, which attracted considerable attention. In the spring of 1818, Dr. Armstrong presented him- self for examination at the London College of Physicians. He had, says Dr. Boot, perhaps undervalued the estimate which the Board of Examiners place on classical educa- tion, and the alphabets of the profession ; for this distin- guished physician, who had received a diploma from the most efficient, and most celebrated school of medicine in Great Britain,—who had been in successful practice eleven years,—and was the author of three of the most popu- lar works which the medical press of this country had ever put forth, the fame of which was still sounding in the periodical journals of the day,—was rejected as in- competent to continue in the practice of his profession in London, and undeserving the honour of having his name enrolled among the members of the college. This rejection, it is said, preyed much upon Dr. Arm- strong's mind. Soon after this event, he was elected, in conjunction with the late Dr. Cleverly, physician to the London Fever Hospital, on the occasion of the retirement of Dr. Batcman from the practice of that institution. On his election being made known to him, he, on his intro- duction to the trustees, expressed his grateful sense of their kindness, but, at the same time, regretted he could not avail himself of it, as their laws required that their physician should be a Fellow, or Licentiate, of the Col- PHYSIC AND PHYSICIANS. 163 lege of Physicians. The trustees, having been made acquainted with the fact, that Dr. Armstrong had pre- sented himself for examination and been rejected at the College, immediately—so high a sense did they entertain of his medical skill—suspended the by-law, and Dr. Arm- strong at once entered upon the duties of the important office thus honourably conferred upon him. In 1821, Dr. Armstrong commenced lecturing on the Practice of Medicine, in conjunction with Mr. Granger, who lectured on Anatomy, in Webb Street, Maze Pond. The effect his lecture produced was electric. The energy of his manner—the fine intonations of his voice—the facility and correctness of his diction—the strain of im- passioned eloquence which often burst from him, riveted the attention, and made even those who could not en- tirely adopt or appreciate his opinions, sensible that he was uttering the deep convictions of his mind; and there was so much of chaste, and often pathetic feeling, so much of the refined sensibilities of his nature blended with his discourse, that those who were compelled to admire his talents, felt confidence in his virtue; and, while they revered the Professor, they loved the man.* An anecdote, connected with the period of his greatest difficulties in the year 1820, when his funds were nearly exhausted, is too honourable to himself, and to the late Mrs. Oliphant, of Gash, in Scotland, to be omitted. Dr. Armstrong had naturally been led to take an unfavour- able view of his prospects, from the prejudices excited against him by the conduct of the College of Physicians, and from an experience of the unavoidable expense at- tending a physician's opening career in London, which appeared the more formidable to him from the injury that he imagined had been done to his reputation. His mind was at one time so much a prey to anxiety, that he en- tertained serious thoughts of removing from town. This * Dr. Boot. 164 PHYSIC AND PHYSICIANS. idea was communicated to Mrs. Oliphant, in whose family he had practised for several years, and to whom his worth was fully known. She immediately remonstrated against it. With a delicacy, which added to the extent of her kindness, she advised him to set up his carriage, and in- sisted that he should draw upon her banker for any sum he might require, till his income should prove equal to his wants. This noble act of devotion to a pure and ex- alted friendship, was honoured as it deserved to be, for Dr. Armstrong availed himself of the liberal offer, and the fruits of this beautiful instance of mutual confidence, were to remove at once the apprehensions he laboured under, and to fortify his mind with a confiding hope of ultimate success. He never spoke of this disinterested act of friendship without emotion, and he always attri- buted his subsequent prosperity to it, as it reconciled him to difficulties he had to encounter, and enabled him to employ his mind, unfettered by anxiety, to the discharge of the responsible duties of his situation, as Physician to the Fever Hospital. It was only a year before Dr. Armstrong's death that he exhibited unequivocal symptoms of the disease which he so much dreaded, viz., consumption. In October, 182S, he left off lecturing, and removed for a short time to Seven Oaks, in Kent, thinking that relaxation from pro- fessional duties, and change of air and scene, might re- novate his health. He subsequently returned to town to attend the anniversary dinner of the Webb Street Stu- dents, held in Freemason's Tavern. A recurrence of his indisposition compelled him, however, to leave town again in May. He returned on the 17th of October, but very little im- proved in health. It was now evident that his strength was gradually declining. A few months' residence in the country had evidently brought about a change for the better. On the 8th of October he visited Durham for the purpose of seeing his friends and relations in that quar- PHYSIC AND PHYSICIANS. 165 ter. It was during his stay at this place that he received this melancholy account of his youngest child's death: and, on the 1st of November, he returned, says Dr. Boot, to London, " broken in spirit, and fast fading away." He did not leave his bed after the 1st of December. On the 3d he told Dr. Boot that he might live ten days. On the 7th he was visited by Dr. Thomas Davis and Mr. Lang. staff, and underwent an examination with the stethoscope. Dr. Davis was of opinion that a large cavity had formed in the upper lobe of the left lung, with their anterior pa- rietes adhering to the ribs. The extreme accuracy of this diagnosis, unhappily, was soon verified. He rapidly became worse, and was observed to be extremely restless and uneasy about eight o'clock on Saturday evening, the 12th of October. Soon afterwards, however, he became more comfortable, and had fallen into an apparent slum- ber. When he awoke he seemed to take no notice of any thing around him, lying perfectly still, with his eyes ge- nerally closed. At brief intervals he spoke—exclusively of his wife and profession. He used the tenderest epi- thets in speaking of the former, and, once, after a brief pause, said, as if advising a patient, " It is not amaurosis; the pupil of that eye is as regular as the other!" Again, he said, " Live by strict rule ; do not eat too much; these conditions form rapidly, and must be prevented. Purge them freely." About twenty minutes after eleven o'clock, he looked up, and, seeing Dr. Boot by his side, he faintly said, " Turn me, Boot." " I got upon his bed," says his biographer, " and did so." He said, " More forward !" " I raised him again, and placed his head more forward. I asked him if he was easy."—" Yes!" he feebly an- swered, " Bless you." He did not move after this, but lay still and silent until a quarter to twelve, " when, without a struggle, or apparent suffering, he ceased to breathe."* Thus terminated the brief but brilliant ca- * In a previous part of this work, we have recorded several instances in which the " ruling passion strong in 166 PHYSIC AND PHYSICIANS. reer of Dr. Armstrong! Had it pleased Providence to have preserved his life, we have no doubt he would have death" has been remarkably displayed. A few more il- lustrations occur to our mind. Curran's ruling passion was his joke. In his last ilrhess, his physician observing, in the morning, that he seemed to cough with more diffi- culty, he answered, " That is rather surprising, as I have been practising all night." The French Princess de Charolais, although in the agonies of death, for some time refused the entreaties of her confessor to take off her rouge; at last she consented, " But, in this case," said she to the attendant woman, " give me some other rib- bons ; you know that, without rouge, yellow ribbons look frightful upon me." The last words of Mrs. Oldfield were, " One would hot look a fright after one's death;" or, according to Pope, " One would not surely look ugly when one's dead, Pray—Betty!—Give these cheeks a little red!" Alonzo Carro, a celebrated Spanish artist, refused to look at the crucifix, when the priest presented it to him in his dying moments, because the sculpture was so badly executed. He asked for a plain cross, which being brought to him, he devoutly embraced, and expired. The Duke de Crillon was at Avignon at the period when the Duke of Ormond died there; and, having en- tered his chamber at the very moment when the latter was dying, he had nearly been a witness to a very re- markable scene which had just taken place between the expiring nobleman, who was a true pattern of politeness, and a German baron, also one of the most polite men in the country. The Duke, feeling liimself dying, desired to be conveyed in his arm-chair, when, turning towards the baron, " Excuse me, Sir," said he, " if I should make some grimaces in your presence, for my physician tells PHYSIC AND PHYSICIANS. 167 placed himself in a most exalted position, both as a suc- cessful practitioner, and as a medical philosopher. Considering the difficulties with which he had to con- tend, and the opposition and mortifications to which he was exposed, it is a matter of surprise to us that he was able to achieve as much as he did. We have, in the life of Dr. Thomas Brown, the founder of the celebrated " Brunonian System," another illustra- tion of the difficulties with which a man, who obtained great eminence, had to compete in early life. Dr. Brown's parents were extremely humble. His father was sup- posed to have been a day-labourer. They were people of great honesty and worth, and being seceders, their sole ambition was to bestow upon their son a decent and reli- gious education. In this respect, it can hardly be sup- posed, that, in their contracted circumstances, they were me that I am at the point of death."—" Ah, my Lord Duke !" replied the baron, " I beg you will not put your- self under any restraint on my account." The study of grammar was the great passion of the Abbe Dangeau. On being seized with a fit of illness, and being told that he must be prepared for death, he said, " Whatever hap- pens, I am extremely rejoiced that I have, in my port- folio, at least thirty-six conjugations perfectly completed." Garci Sanchez de Badajoz, when he was at the point of death, desired that he might be dressed in the habit of St. Francis; this was accordingly done: and, over the Franciscan frock, they put on his habit of Santiago, for he was a knight of that order. It was a point of devo- tion with him to wear the one dress, and a point of ho- nour to wear the other; but, looking at himself in this double attire, he said to those who surrounded his death- bed, " The Lord will say to me, presently, * My friend Garci Sanchez, you come very well wrapt up!' (muy ar- rapado)—and I shall reply,' Lord, it is no wonder, for it was winter when I set off.' " 168 PHYSIC AND PHYSICIANS. actuated by the expectation of his afterwards attaining a rank superior to that of a common mechanic. It was a frequent expression of his father's, as his son used often afterwards to relate, " That he would gird his belt the tighter, to give hi3 son John a good education." On account of the uncommon quickness of apprehen- sion which he displayed at a time when other children are scarcely out of their leading-strings, he was sent to school, to learn English much sooner than the usual period. Here, under the tuition of an old country school- mistress, in a very short time he made such rapid pro- gress, that before the fifth year of his age, he had read almost all through the whole of the Old Testament. The astonishing progress, in the reading of English, which at this time he had made, together with the ex- treme avidity with which he perused every new book, in- duced his parents to put him to the grammar-school of Dundee, to receive instructions in the rudiments of the Latin language. Soon after this he lost his father. During the confusion and distress which this event occa- sioned at home, he had been removed for a few days to a friend's house. On returning home, after he had for some time looked around for his father, he asked his mother " Where he was gone ?" to which, with tears in her eyes, she replied, " That he was gone to heaven." The child, not being satisfied with his mother's answer, after putting a variety of questions to her concerning the situation and other particulars of that place, at length, unperceived by her, left the house; and having wandered very disconso. lately a considerable way from home, his progress was at length interrupted by the river Tweed. Here, sitting down on the bank, he began to weep, and was found in this situation by a neighbour and friend of his parents, who, surprised to find him so far from home, asked him the reason of it. The child innocently replied, " That he was going to heaven to seek his father." Upon this the countryman, kindly taking him by the hand, and leading PHYSIC AND PHYSICIANS. 169 him back to his mother, soothed him by assuring him, " That he would become a father to him." His mother married again. Much to young Brown's credit, the means of his education were raised by his own industry, and he became a reaper of corn to procure for himself the means of improvement. With the price of such labour he put himself to school, where he greatly distinguished himself by making advances in intellectual eminence, perhaps not paralleled in the biography of any other individual. From this school he was removed, and bound to a weaver. How long he remained in this hum- ble situation is not known; it must, however, have been but a very short time, as the constant aversion he ex- pressed to his occupation could not have failed to prevail with his parents, who had a most tender regard for him, to relinquish the idea of rearing him to a business to which he evinced so rooted a dislike. His old master offered to educate him gratuitously; and he accordingly returned to school with a view of entering the ministry. When Dr. Brown had completed his thirteenth year, Mr. Cruikshank having waited on his parents, informed them, " That he could teach John nothing more, since he already knew as much as himself." After leaving school he obtained the situation of pri- vate tutor in a Scotch family, where he was treated with great disrespect. The immediate cause of his separation from this family was as follows:—A number of neigh- bouring lairds, being equivalent in most respects to what are called in England country squires, had been invited to dine with the family on a particular occasion. John Brown, as usual, was present at the table, but was allowed to retire to his own apartment immediately after dinner, without an invitation to remain. After the wine had been consumed, a discussion arose on the " Decrees of Providence." After a great deal of noisy and unprofi- table altercation on both sides, it was at length resolved upon, that the disputed point should be referred to John 15 170 PHYSIC AND PHYSICIANS. Brown. A verbal message was accordingly sent to him from the head of the family, stating the matter, and de- siring his opinion. His temper being extremely irritable, in consequence of the contumelious treatment he had ex- perienced that evening, instead of replying directly to the point, he returned for answer, " That the decrees of Providence were very unjust which so often made block- heads lairds." After leaving this situation, Brown was recommended to a friend, then studying medieine, as a person well qualified to translate into Latin, an inaugural disserta- tion, which was about to be presented by the candidate to one of the professors. Brown undertook the task, and executed it in a manner far superior to the usual style of such compositions, and in a much shorter time than had been required. On being informed by them how far he had exceeded their expectations, he observed, " That he had now discovered his strength, and was ambitious to ride in his carriage as a physician." He consequently left Divinity Hall, and commenced the study of medicine. Having no means of paying the fees to the medical pro- fessors, he addressed an elegantly composed Latin letter, first to the celebrated Dr. Alexander Monro, professor of Anatomy; and, in consequence of his success in this ap- plication, to the other professors, all of whom presented him with tickets of admission to their several classes. During his studies he supported himself by teaching languages; and after he had been engaged three years in his medical pursuits, he commenced the occupation of private teaching, or grinding as it is familiarly called, viz., preparing young men for their medical and Latin examinations. During his sojourn at Edinburgh, Brown became very intimate with Dr. Cullen, who subsequently made him his private secretary. Brown was of material assistance to Cullen in enabling him to carry on his very extensive correspondence in Latin with the various literary and PHYSIC AND PHYSICIANS. 171 philosophical societies of Europe with which Cullen was connected. In the course of a few years a breach of friendship took place between Cullen and Brown, in con- sequence of the latter having refused to advocate Cullen's peculiar views, in his Elementa Medicina, and the oppo- sition that he raised when he applied for admission into the society which published the Edinburgh essays. Brown procured his diploma at the University of St. Andrew's on the 21st of September, 1779. The friends who accompanied him from Edinburgh, and several of the professors, after his first examination, dined together at the inn. It remained for him to compose two short Latin papers, the one an aphorism of Hippocrates, the other the description and treatment of a disease. While the company were after dinner engaged at their bottle, he begged permission to retire to a side-table to execute his remaining task, which cost him so little trouble, that, while he was engaged in writing, one of the party, who was regaling the rest with a song, having mistaken the tune, he stopped to put him right, and shortly after joined the company, with his task finished, which, to use the words of one of the professors, " omni. bus mirabiliter satisfecit." After his return to Edinburgh, a rancorous warfare took place between Brown and the medical professors and practitioners of Edinburgh. In order to prejudice the public mind against him, his opponents industriously spread a report that the " Brunonian doctrine" consisted in curing all diseases with brandy and laudanum, and his practice was consequently much injured. Instead of entering the lists with Dr. Brown upon equal terms, and face to face, and leaving the issue to the impartial decision of the public, the opposers of the new system had recourse to secret arts, by which they thought the more effectually to withdraw from the founder his disciples, and bring discredit upon the doctrine. A medical tribunal of so severe a kind was established, that 172 PHYSIC AND PHYSICIANS. it only seemed to want the power of imprisonment to en- title it to rank on a footing with the Inquisition itself. The followers of Dr. Brown were marked out, and, at their private examinations, were, to their sad experience, taught their dependence on the professors, and the respect due to their opinions. In their inaugural dissertations, any allusion to the work, or quotation from it, was abso- lutely prohibited. Had a candidate been so bold as to affirm that opium acted as a stimulant, and denied that its primary action was sedative, he would have been re- jected. Notwithstanding the opposition with which Brown had to combat, he was elected twice to the office of Pre- sident of the Royal Medical Society, and retained suffi- cient influence to institute the masonic lodge of the Roman Eagle, over which he presided as master. All these honours did not, however, succeed in removing the prejudice which the public had been induced to imbibe against Brown's peculiar notions; and his practice de- creased so rapidly that he was involved in pecuniary difficulties, and being committed to prison for debt, he was obliged for a time to continue his course of lectures, in which he was then engaged, in the place of his con- finement. In this forlorn situation, a note, to the value of 1002., was secretly conveyed to him from an unknown person. This truly benevolent and beautiful action was afterwards, with difficulty, traced to the late generous and patriotic Lord Gardenstone. After having been subjected to much persecution in ' Edinburgh, Dr. Brown determined to leave the modern Athens, and try his fortune in London. His son, in speaking of this movement, says, " The precariousness of such an undertaking, and the distress which would in- evitably result from its failure, must have had a sensible effect upon most people, however sanguine ; but the edi- tor, young as he was, remembers nothing better, than the air of serenity and satisfaction which sat upon his father's countenance during the journey." Dr. Brown met with PHYSIC AND PHYSICIANS. 173 much kindness and attention, on his way to London, from his old pupils and friends. He had entered upon his fifty- first year when he arrived in the great metropolis. His reception there was at first flattering and promising. His house, in Golden Square, was the perpetual resort of the literary and ingenious of the day. He had been led by his friends to expect, immediately upon his arrival in London, an instant introduction to practice; but he found that his friends had been too sanguine. Patients came very slowly, and he was compelled, in order to support himself, to deliver lectures at the Devil's Tavern; but he did not succeed in obtaining sufficient to liquidate his debts, and he was consequently thrown into the King's Bench Prison. A short time before this event, a report had been circulated that the king of Prussia had invited him to Berlin to succeed Dr. Baylcy, his own physician, who had recently died. Count Lusi, the Prussian ambas- sador sent his secretary to Brown to know " whether he was the physician whom his master wanted." Brown had an interview with Count Lusi, who stated that the king had written to him to " find out Dr. Brown, an emi- nent physician," and ascertain if he was desirous of set- tling in his dominions, and if so, to send him to him. Dr. Brown felt much flattered by the request; and at the suggestion of the ambassador and his friends, lie for- warded to the king a copy of all his works, and a letter written in the Latin language. As soon as this news was spread abroad, an apothecary of the name of Brown, living in Wales, set off for Berlin. This man, it appears, had been on intimate terms with a lady of rank and in- trigue, nearly related to a former British ambassador at Berlin, and having great interest at the Prussian court, it is supposed she recommended the apothecary to pass for the Dr. Brown, with whom the ambassador had been in communication. He was recommended by his friends to write to the king to undeceive his majesty; but he was fearful of the 15* 174 PHYSIC AND PHYSICIANS. consequences, imagining that a double intrigue had been going on against him, and so he dropped the matter alto- gether. Owing to the interference of his old enemy, Cullen, he lost, soon afterwards, the professorship of me- dicine in the University of Padua. A lady, the wife of an old pupil, had advanced Brown 1002. to purchase furniture for his house: some time afterwards she took a disgust to all her husband's friends, and demanded of Dr. Brown the repayment of the money she had advanced; and as he was unable to comply with the request, he was arrested, and thrown into the King's Bench. It was during the time he was under arrest, that his bookseller, Murray, applied to him, and offered him a sum of money if he would allow him to sell a nostrum in his name. Brown rejected the proposal with disdain. Another party, with the approbation of Murray, made a similar application to him; in fact, his friend, Dr. G. Stewart, said, " that Brown must make a pill," and told him that he might get 10,0002. for the receipt. At last he was compelled to listen to the proposal; but on coming to terms, he found that the plan was by every worthless artifice, to get him so far involved in his cir- cumstances, that he should either be obliged to starve in prison, or compromise his honour. Their knavish tricks were, however, fortunately for the reputation of Dr. Brown, frustrated. A short period after this event, Brown got his release, by binding himself to pay, within a certain time, at stated periods, a small sum, until his whole debts, amounting to 2502., should be liquidated. Dr. Brown now brought out a translation of his Ele- menta, and after disposing of one thousand copies, he made only 702. Owing to some pecuniary assistance which he derived from his kind friend, Mr. Maddison, a happier prospect seemed now opening to his view. His practice began to increase, and various literary specula- tions occupied his powerful mind. He had actually agreed with a publisher for a copyright of a treatise on PHYSIC AND PHYSICIANS. 175 the gout, for which he was to receive 5002. In the midst of these flattering expectations, on the 7th of Octo- ber, 1788, a fatal stroke of apoplexy put a period to his life. Upon the day preceding that of his death, he delivered the introductory lecture of a fourth course, at his house in Golden Square. During the lecture nothing unusual was remarked in his appearance. He spoke with vehe- mence and animation. The same day, at dinner, how- ever, a very valuable old friend of the family, Captain William Hunter, observed so great an alteration in the appearance of his face, that on returning in the evening to Greenwich, he could not banish a strong presenti- ment that his friend's end was approaching; so that next day when Dr. Brown's son went to Greenwich to commu- nicate the sad tidings to Captain Hunter, he exclaimed, as young Brown entered the room, " Your father is dead !" As soon as his death was known at the University of Padua, where Brown's doctrines had created a schism among the professors, many of the students went in mourning for him, so highly was his name respected.* We would observe, in closing our sketch of the lives of * It may gratify the friends of Dr. Brown to know that he has divided the medical faculty in Sicily into two parties, in each of which symptoms are to be traced evincing the existence of a moral malady, but too com- mon, if we might not say almost universal, amongst the faculty of the British Islands, the odium medicorum. A preliminary to a Sicilian consultation has more than once produced the question—How does opium operate ? And the true Brunonian answer, Non sedat opium, has often been seen written in large characters, on the out- side of a wine-house, in the Plains of Catania, followed by the appropriate exclamation, Viva il celeberrimo Brown! 176 PHYSIC AND PHYSICIANS. medical men who have had to fight with difficulties, and to struggle against misfortunes, that we have only selected a few of the more prominent cases recorded in medical history. It is our most sincere wish that the perusal of the lives of Dr. Denman, John Hunter, Drs. Armstrong and Brown, may have the effect of stimulating the stu- dent in his career of industry. He will learn, by study. ing their history, that well-directed application does sometimes succeed, notwithstanding the fearful opposi- tion with which the profession has to contend. We trust this circumstance will inspire him with hope, and brighten his path through life. PHYSIC AND PHYSICIANS. 177 CHAPTER *IV. CELEBRATED medical poets. Why Poets do not succeed as Physicians—Life and anecdotes of Sir Samuel Garih—Origin of the Kit-Kat-Club—Dr. Ma- son Good—Dr. Oliver Goldsmilh—Dr. Erasmus Darwin— Young Keats—Dr. Mark Akenside— Dr. Walcot—Dr. J. Arm- strong—Sir Richard Blackmore—Haller. The sweet and delightful paths of poetry form a striking contrast to the dry and often unsatisfactory study of me- dicine. This talent is natural to persons of an imagina- tive turn of mind; and to those possessing such a mental organization, how little pleasure, comparatively speaking, is taken in the often wearisome and difficult investiga- tions of pathology and therapeutics. The cultivation of the poetic taste, and the study of the various branches of medical science, arc not compati- ble mental exercises. The education of the medical man necessarily involves in a great measure the consideration of facts, which have come under his own or others' ob- servation, and after a careful investigation of them, to trace their analogies, and to deduce from them principles to guide him in the practical application of the agents of the materia medica. Medicine cannot properly be con- sidered a demonstrative science; the very circumstance of our having to deal with living beings renders it uncer- tain ; yet, notwithstanding this defect, it should never be forgotten that the Baconian principle of induction is as applicable to it as to the sciences which arc considered as exact and defined. 178 PHYSIC and physicians. Taking this view of the matter, the man who can bring to the study of medicine a mind, patient and un- wearied in the search after phenomena, and a disposition not to generalize too hastily, is likely to prove himself a successful practitioner; but he, whose poetic and active imagination compels him to arrive at premature conclu- sions, after an insufficient consideration of data, is likely to be the very reverse of successful, when summoned to the bedside of a patient. The poet is engaged in tracing resemblances between objects; and he who is engaged in the exercise of his judgment, in the search after truth, is mainly employed in discovering differences, in separating error from truth, and what is false from what is meretricious. Considered then, as a question of organization, the man with a highly poetic temperament is not the best calculated to shine as a medical philosopher. On the same principle Locke maintains that a person with highly developed powers of wit, must necessarily be defective in judgment* The physiological explanation of the fact is this,—one mental faculty is exercised to excess, and that energy whibh ought to be more generally dis- tributed through the brain, the material instrument of mind, is concentrated to one portion of the sentient organ. Again, any one power of the mind cannot be exercised to excess, without, in a corresponding ratio, abstracting from the vigour of the other mental organs. How often do we see a person who has spent the greater portion of his early life, when the mind is so readily expanded and moulded into beauty, in acquiring a profound acquaint- ance with classical literature, whilst all other depart- * Burke, in his 'celebrated essay on the " Sublime and Beautiful," in alluding to this observation of Locke, says, that " a perfect union of wit and judgment is one of the rarest things in the world." physic and physicians. 179 ments of human knowledge remain uncultivated—how often have we witnessed such men, possessing high classical attainments, but mere children in questions re- quiring the exercise of the judgment and reasoning powers. Organically considered, the poet is not the best quali- fied to pursue, with logical precision the intricate ques- tions which must necessarily come under the considera- tion of every man engaged in medical practice. We do not maintain that the imagination is a faculty of the mind which ought not to be cultivated by the man engaged in the study of medicine : to a certain extent, it is necessary to exercise all the intellectual organs, in order to obtain that degree of mental vigour indispensable to those desirous of cultivating any science successfully. The object of education, says Milton, is not to make a man a good classical scholar, an excellent rhetorician, or mathematician, but so to cultivate and discipline all the powers of the mind, as to qualify it to be directed into any channel of inquiry, with the probability of a suc- cessful result. The celebrated Judge Blackstorte was in early life a poet; but when he entered upon the serious and dry study of the law, he wrote his celebrated farewell to the muse, being convinced that the cultivation of his poetic taste was incompatible with the study upon which he was about to enter.* * In this poem he thus salutes his profession :— " Then welcome business, welcome strife, Welcome the cares and thorns of life, The visage wan, the purblind sight, The toil by day, the lamp by night, The tedious forms, the solemn prate, The pert dispute, the dull debate, The drowsy bench, the babbling hall, For thee, fair justice, welcome all." 180 physic and physicians. The public have an idea, and to a certain extent it is based on a correct view of the matter, that the literary physician, and particularly he who cultivates this elegant department of literature, is not the most competent to distinguish the minute shades of disease; and therefore it is an uncommon circumstance for a medical man, who has made himself eminent in literature, to succeed as a practitioner. Take the case of Dr. Goldsmith: here we have a physician of high literary attainments, one of England's sweetest poets, and by no means deficient in a knowledge of his profession ; yet it will be perceived by those who read his life, that he would -have starved had he had nothing else to depend upon but the proceeds of his pro- fessional exertions. He essayed several times to establish himself in practice, but most lamentably failed. He had gained that notoriety which is to a certain degree essential to a medical man's success; his name was generally known, his poems were referred to in the drawing-room, in the ball-room, and in the senate-house ; he was spoken highly of as a man of genius, and yet he was seldom called in to give his yiedical opinion. The case of Dr. Darwin was somewhat different: he established himself in a provincial town; and a physician may do many things in the provinces, which would not add to his practice if established in the metropolis. In the country, the prejudice is not so inveterate against literary physicians, as it is in London. Dr. Darwin was very fortunate in his first introduction. After com- mencing practice at Lichfield, he was called in to a case of difficulty, which had been under the care of a practi- tioner of great eminence in the town, and which had been abandoned as incurable. Darwin was consulted; and, fortunately for his reputation, succeeded in effecting a permanent cure. Acting like Cortez, who, when he landed in Mexico, burned his ships to render retreat impossible. PHYSIC AND PHYSICIANS. 181 The news spread far and wide, as these things do in small country towns; and Dr. Darwin soon became known, and acquired a respectable share of public pa- tronage. It must, however, in this case, be borne in mind, that Darwin's principal poems had a relation to the science of medicine, although his speculations were wildly theoretical. In the case of the author of the " Pleasures of the Imagination," we see an instance of a physician justly eminent as a poet, and yet filling some high medical appointments. Akenside was engaged in practice, but never obtained very great reputation as a practitioner. But Akenside was not merely a poet; he was known to the public and the profession as a medical writer of no mean order. The circumstance of his being selected to read the " Gulstonian Lectures" before the College of Physicians, was enough to satisfy the public mind of his medical competency, and to do away with any prejudice which might have been created by his being distinguished as a poet. Sir Samuel Garth never succeeded to any great extent as a physician in the metropolis ; he had a little practice, but not at all commensurate with his great abilities. He was eminent as a wit and a poet, and his society was much courted by all the brilliant constellations of his day. When a physician is thrown into such society, it is, to a certain extent, a bar against his advancement as a pro- fessional man. It operated in this way with the author of the " Dispensary." Dr. Mason Good felt the evil of having devoted so much of his valuable time to poetry. He was a man universally beloved by all who were honoured with his friendship. He was as distinguished for his eminent piety as for his high classical and medical attainments. He was indeed one who " To be loved need but be seen." All these circumstances acting in combination con- 16 182 PHYSIC AND PHYSICIANS. spired to invest him with a respectable share of public support. "Had the late Dr. Good," says an eminent living physician,* " paid as much attention to the recent progress of pathology, as he did to poetry and meta- physics, he would not have been rejected by the College of Physicians."t " I was examined," continues our authority, " on the same -day that Dr. Mason Good was; and in a' conversation I had with the author of the ' Study of Medicine,' while pacing the long and sombre hall of old Warwick, I was astonished to find that the translator of 'Lucretius' knew scarcely any thing of what had been done in the investigation of the seats and effects of disease since the days of Morgagni!" Here was one instance where the "Pursuits of Literature" and science had drawn the mind from at least one important branch of medical study. Sir Samuel Garth descended from a good family in Yorkshire. He received his academical education at Peter-house, in Cambridge, where he resided until he obtained his degree of M.D. in 1691. He was admitted a fellow of the College of Physicians in 1692; and it appears that so soon as he was able to make his way in the metropolis, that he took the first professional rank. He was a very zealous adherent to the whig party ; and his talents for company, and attainments in elegant lite- rature, acquired him patronage among the great, and pro- bably caused him to be regarded as a valuable auxiliary. It has not often happened that poetical abilities have raised a man to medical eminence, except when accom- panied with some proofs of professional knowledge. It was, however, fortunate for Dr. Garth, that the poem which first gave him celebrity, was upon a subject well calculated to make a physician popular. * Dr. James Johnson, " Medico-chirurgical Review." t It is a singular circumstance that Dr. O. Gregory, in his life of Good, makes no mention of this fact. PHYSIC AND PHYSICIANS. 183 Garth stood very high in the estimation of all the learned men of his day. Mr. Addison nobly defended his friend from a furious attack made upon Dr. Garth's poem to the Earl of Godolphin. The attack appeared in the "Examiner," in 1710, and was replied to in the Medley, or Whig Examiner, of the same year, by Addi- son. The following lines were written by Lord Lands. downe on Dr. Garth's illness: " Machaon sick! in every face we find, His danger is the danger of mankind; Whose art protecting, nature could expire But by a deluge, or a general fire. More lives he saves than perish in our wars, And, faster than a plague destroys, repairs; The bold carouser and adventurous dame Nor fear the fever, nor refuse the flame, Safe in his skill, from all restraint set free, But conscious shame, remorse, or piety. Sire of all arts, defend thy darling son, Restore the man whose life's so much our own, On whom like Adam the whole world's reclined, And, by preserving Garth, preserve mankind." On the death of Dryden, in May, 1701, his body was brought, by the instructions of Garth, to the College of Physicians, when the doctor proposed, and encouraged by his generous example, a subscription for defraying the expense of his funeral; and, after pronouncing over the body before it set out from Warwick Lane, a suitable oration, he attended the solemnity to Westminster Abbey, where at last the remains of that great man were decently interred. For this most remarkable act of tenderness and respect much gratitude was expressed to the author of the " Dispensary." On Dr. Garth's establishment of a dispensary for the relief of the sick poor who could not afford to pay for medical advice, he exposed himself to the envy and re. 184 PHYSIC AND PHYSICIANS. sentment of many members of the faculty, all of whom he ridiculed in his celebrated poem. " The poem," says Dr. Johnson, " as its subject was present and popular, co- operated with passions and prejudices then prevalent; and, with such auxiliaries to its intrinsic merit, was universally and liberally applauded. It was on the side of charity, against the intrigues of interest—and of regular learning, against licentious usurpation of medical authority—and was, therefore, naturally favoured by those who read and can judge of poetry." Garth was one of the most esteemed members of the celebrated Kit-kat club; He became early acquainted with some of the wisest and wittiest, as well as some of the ablest and greatest men in the kingdom, to whom he steadily adhered in all their fortunes. In justice to his memory, it must be stated that though he was zealous for and constant to his party, yet he was very far from having that narrow and malignant spirit which induces men to hate those who differ from them in sentiments. He was one of Pope's earliest friends: the acquaint- ance with him began at the age of fourteen or fifteen. Warton says, in a note to Pope's pastorals, that Garth was a man of sweet disposition, amiable manners, and univer- sal benevolence. All parties, at the time when party violence was at a great height, joined in praising and loving him. " I hope," says Warton, " I may be pardoned for speaking of his character con amore, from my near connexion of one of his descendants; and yet I trust I shall not be accused of an improper partiality." One of the most exquisite pieces of wit ever written by Addison, is a defence of Garth against the '' Examiner," in 1710. The following anecdote, as recorded by Pope, will show on what intimate terms of friendship he was with Garth:— " The famous Lord Halifax was rather a pretender to taste than really possessed of it. When I had finished the first two or three books of my translation of the Iliad, that lord desired to have the pleasure of having them read at PHYSIC AND PHYSICIANS. 185 his own house. Addison, Congreve, and Garth, were there at the reading. In four or five places Lord Halifax stopped me very civilly, with a speech each time, much of the same kind, ' I beg your pardon, Mr. Pope, but there is some- thing in that passage which does not quite please me ;— be so good as to mark the place; and consider it a little at your leisure. I am sure you can give it a little turn.' I returned from Lord Halifax with Dr. Garth in his chariot; and, as wo were going along, was saying to the doctor that my lord had laid me under a good deal of difficulty by such loose and general observations; that I had been thinking over the passages almost ever since, and could not guess what it was that had offended his lordship in either of them. Garth laughed heartily at my embarrassment; said, I had not been long enough ac- quainted with Lord Halifax to know his way yet; that I need not puzzle myself about looking through the places over and over when I got home. ' All you need do,' says he,' is to leave them just as they arc; call on Lord Hali- fax two or three months hence, thank him for his kind observations on these passages, and then read them to him as altered. I have known him much longer than you have, and will be answerable for the event' I followed his advice, and waited on his lordship some time after; said I hoped he would find his objections to these passages removed; read them to him exactly as they were at first; and then his lordship was extremely pleased with them, and cried out, ' Aye, now they are perfectly right; no- thing can be better.'" Garth was very much embarrassed one evening whilst writing a letter at a coffee-house, by an Irish gentleman, who was rude enough to look over his shoulder all the time. The physician, however, seemed to take no notice of this impertinence until towards the close of his letter, when he humorously added by way of postcript, " I would write you more by this post, but there's a d——d tall im- pudent Irishman looking over my shoulder all the time." 16* 186 PHYSIC AND PHYSICIANS. "What do you mean, sir?" said the Irishman in a great fury, " do you think I looked over your letter ?" " Sir," said Sir Samuel, very gravely, " I never once opened my lips to you." " Ay, but you have put it down for all that" "That's impossible, sir," said Garth, "as you have never oneie looked over my letter." Garth, one Sunday, stumbled into a Presbyterian church, to beguile a few idle moments, and seeing the parson apparently overwhelmed by the importance of the subject, he observed to a person who stood near him, " What makes the man greet ?" " By my faith," answered the other, " you would, perhaps, greet too, if you were in his place, and had as little to say." " Come along and dine with me, my good fellow," said Garth, " I perceive you are too good a fellow to be here." Garth was a general scholar, without the least tincture or affectation of pedantry. He was humane in his pro- fession, and not more ready to visit than to relieve the necessitous. His conversation was free, his wit flowing and agreeable, and always tempered by affability and good nature. Many amusing anecdotes are recorded of this eminent poet and physician. On one occasion, when he met the members of the celebrated Kit-kat Club, he declared that he must soon be gone, having many patients to attend; but on some excellent wine being placed on the table, and the conversation becoming interesting and animated, the doctor soon forgot his professional engagements. His friend, Sir Richard Steel, however, thought it his duty to remind the doctor of his poor patients. Garth im- mediately pulled out his list, upon which were fifteen names. " It is no great matter whether I see them to-night or not," said he, " for nine of them have such bad consti- tutions, that all the physicians in the world can't save them; and the other six have such good constitutions, that all the physicians in the world can't kill them." Garth, about the last three years of his life, talked in a PHYSIC AND PHYSICIANS. 187 less libertine manner than he had been used to do. " He was rather doubtful, and fearful," says his friend Pope, " than religious." It was usual for him to say, that if there was any such thing as religion, it was among the Roman Catholics. " He died a papist (as I was assured by Mr. Blount, who carried the father to him in his last hours); probably, from the greater efficacy we give the sacraments. He did not take any care of himself in his last illness; and had talked for three or four years, as one tired of living. In short, I believe he was willing to let it go."* When Dr. Garth had been for some time in a bad state of health, he sent one day for a physician, with whom he was particularly intimate, and conjured him by their friendship, and by every thing that is most sacred, to tell him sincerely, whether he thought he should be able to get rid of his illness or not. His friend, thus conjured, told him, that he thought he might struggle on with it for some years, but that he much feared he could never get the better of it entirely. Dr Garth thanked him for his dealing so fairly with him: turned his discourse to other things, and talked very cheerfully all the rest of the time he stayed with him. As soon as he was gone, he called for his servant, and said he was a good deal out of order, and then sent for a surgeon to bleed him. Soon after his ser- vant went for another surgeon, who bled him in the other arm. He then said he wanted rest, and when every body had quitted the room, he took off the bandages and lay down with a design of bleeding to death. His loss of blood made him faint away, and that stopped the bleeding. He afterwards sunk into a profound sleep; slept all night; waked in the morning without his usual pains; and said that if it would continue so, he would be content to live * Pope. 188 PHYSIC AND PHYSICIANS. on.* In his last illness he did not resort to medicines, but very foolishly let the disease take its own course.t In a letter written by Pope, dated Dec. 12th, 1718, to a friend,t he gives the following account of Garth's death, his fears of it, and his own opinion of his character. " The best-natured of men," says he, " Sir Samuel Garth, has left me in the truest concern for his loss. His death was very heroical, and yet unaffected enough to have made a saint or a philosopher famous. But ill tongues, and worse hearts, have branded even his last moments, as wrongfully as they did his life with irreligion. You must have heard many tales on this subject; but if ever there was a good Christian, without knowing him- self to be so, it was Dr. Garth."§ * This anecdote Mr. Townly says, " I have heard from his own mouth more than once." t In a note to Spence's Anecdotes, it is said "that Garth sent to Addison, (of whom he had a high opinion,) on his death bed, to ask him whether the Christian religion was true. Garth is stated to have died a Roman Catholic. He was certainly of a sceptical turn of mind; as South justly observes, " that there is less distance than is thought between scepticism and popery ; and that a mind wearied with perpetual doubt, willingly seeks repose in the bosom of a church which pretends to infallibility." t Pope's works, vol. xvii., p. 99. c) " Garth has been censured for voluptuousness, and accused of infidelity. Being one day questioned by Addison, upon his religious creed, he is said to have re- plied, ' that he was of the religion of wise men;' and being urged to explain himself farther, he added, ' that wise men kept their own secrets.' Pope says of him, in his farewell to London, 1715, "------Garth, the best good Christian he, Although he knows it not." "Singer's edition of Spence," p. 114. rHYSIC AND PHYSICIANS. 189 The following verses were written by Garth for the toasting glasses of the Kit-kat Club: LADY CARLISLE. Carlisle's name can every muse inspire, To Carlisle fill the glass, and tune the lyre: With his lov'd bays, the gode of day shall crown A wit and lustre equal to his own. the same. At once the sun, and Carlisle, took their way, To warm the frozen North, and kindle day: The flowers to both their glad creation owed— Their virtues he, their beauties she bestowed. LADY ESSEX. The bravest hero, and the brightest dame, From Belgia's happy clime, Britannia drew; One pregnant cloud, we find does often frame The awful thunder, and the gentle dew. the same. To Essex fill the sprightly wine, The health engaging and divine: Let purest odour scent the air, And wreaths of roses bind her hair. In her chaste lips there blushing lie, And then her gentle sighs supply. LADY HYDE. The god of wine grows jealous of his art; He only fires the head, but Hyde the heart. The Queen of love looks on, and smiles to see A nymph more mighty than a deity. LADY WHARTON. When Jove to Ida did the gods invite, And in immortal toasting passed the night, 190 PHYSIC AND PHYSICIANS. With more than Nectar he the banquet blcss'd, For Wharton was the Venus of the feast. We quote these verses simply as curious records of the estimation in which the ladies, to whom they refer, were held at the time. The manner of toasting ladies after dinner, peculiar to the Kit-kat Club, and the society out of which it was formed, viz., " The Knights of the Toast," is alluded to in the 24th No. of the Tatler, to which, we refer the curious. In this way, Garth, Addison, Mayn- wearing, and the Earls of Halifax, Dorset, Wharton, &c, have each contributed their jeux