ON THE RISE, PROGRESS, AND PRESENT STATE OF MEDICINE, A DISCOURSE.
IN complying with the request of this association, I perceive nothing more difficult, than to bestow on what is common the grace of novelty, and to render so dry a subject as physick in any degree entertaining to a mixed audience. Our theme leading to the frigid and formal style of a lecture, rather than the animated strains of an oration.
THE history of the medical art is so well known to the members of this society, that my task will be rather to remind than inform them: Yet what subject can be more suitable for our first discourse, than the history of the rise and progress of the HFALING ART: That art whose improvement and diffusion is the end and aim of our association?
[Page 2] THE origin of most arts is involved in fable, and wrapt in great obscurity; that of medicine seems covered with almost an impenetrable veil. Until the greater purposes of society were answered, the necessities of mankind supplied, architecture and other necessary arts introduced, men of genius had neither leisure nor inclination to record their theories of the origin of mankind, and the rise of the arts. The remedies first sought for, in the earlier ages, were probably some mild, tenacious, plastic substances, suitable to defend a wound from air, and secure it from external injuries. Accident and random experiment may have encreased the number of such simple remedies, which may have been treasured up by a particular family, or some individual of a tribe. But at these early periods of society, when letters were unknown, what was once out of sight was lost forever.
IF we search the oldest book we have for information on this subject, we search in vain. This will not appear so extraordinary to those, who reflect that the sacred history is confined to but a part of Asia, and a small portion of the north east part of Africa; and that it is so concise in regard to time, that the history of twenty centuries is comprised in eleven short chapters. *
[Page 3] WE find the author of these annals, the hebrew legislator and general, giving directions for the health of his people; but no mention is made of Physicians, as a distinct profession, until the embalming of Jacob. Prior to these writings, is the aera of absolute darkness; and we have no account by which we can judge of ancient tradition, unless we admit that of the Chinese, whose great antiquity, corroborated by astronomical observations, carries the history of the human race a vast way further back. Yet their slight acquaintance with anatomy, and their ignorance of chemistry, render their great knowledge in physic as doubtful as their chronology.
AS we receive so little light from these ancient prose writers, let us turn towards those earlier luminaries the Poets.
POETRY has every where preceded prose, and the powers of the imagination always have been indulged, before the operations of the judgment were exercised. Those early effusions of genius were epic poetry, or exaggerated history, recording battles, heroes and ghosts; dwelling on the marvellous, and often the incredible. In these fabulous ages it was the custom to dress instruction in the garb of allegory. Thus the Egyptian, Grecian and Roman poets attributed the origin of the Healing Art to the Sun, who was called Orus by [Page 4] the Egyptians, Phoebus and Apollo by the Greeks and Romans. Conceiving the sun to be the parent of life and cheerfulness, whose genial warmth and vivifying energy animated and sustained all nature; they adored it as the resplendent source of light, life, health and joy. They saw nothing on earth which bore so striking a resemblance to this heavenly luminary, as he, who relieved pain, dissipated melancholy, dispelled diseases, and prolonged life. Thence they concluded that the first physician was an offspring or emanation of the "Prime cheerer light." Accordingly we find the classical poets representing Apollo, as the primary GOD of physic; and his son Aesculapius whom they also deified, as its first professor. They likened the human body to a delicate musical instrument, easily disordered, and therefore united music and medicine in Apollo. They conceived that the office of the physician, was to tune this complicated organ the body, to make every part act in concert, and reduce the whole to harmony. *
THE person of Aesculapius is so envelloped in fable, that we scarcely know when, or where he lived. He is confounded by some with Melampus, who lived about 100 years after Moses, and who having travelled into Egypt, brought from thence into Greece, not only the art of physic, but much of their theology and superstition, together with their magic or divination.
[Page 5] FROM every account we must conclude, that Aesculapius was highly venerated for his knowledge and usefulness. The antients not only placed him among their GODS, but erected more than sixty temples to his honor in Greece, and in the Grecian colonies. These Aesculapian temples were the first schools of physic. People resorted to them from all quarters, in order to be healed of their diseases. Remarkable cures were engraven and hung round their walls in form of votive tablets; * and from thence were sent out the first clinical practitioners.
AMONG the ruder nations, the priest, the conjuror, and the physician were united in the same person. † It was so among the Aegyptians, Babylonians and Grecians; among the people of India, [Page 6] where they are called Brachmans; among the antient Germans, French, and Britons, where they were called Druids. It was so among the Mexicans and Peruvians; and obtains at this day among our Aboriginals. The untutored mind is apt to ascribe all dismal diseases and shocking accidents to the influence of invisible beings: and the priests, not only cherished this opinion, but studiously inculcated, that their cure must be sought from the Deities, through the interposition of their ministers.
THE state of physic in Greece, at the period celebrated by Homer, was very similar to what it now is among the aboriginals of this continent. Like their heroes, our Indians know how to treat wounds; and when baffled in the cure of any terrible disorder, have recourse like the Grecians, to incantations and inchantments. * They likewise derived their skill from the same source, random trials, or empericism.
THE Philosophers of Greece were so much engaged in the vain and useless search after the primary matter, that they neglected medicine, which was so far from being digested into a system, that no one gave it sufficient attention to make it a distinct profession. This was the case till about 400 years before Christ, when the famous HYPPOCRATES made collections from the public records of cure, [Page 7] the inscriptions or tablets in the Aesculapian temples, where he was educated, reduced the whole into some order of science, and laid so just and rational a foundation of physic for future ages, that he deservedly obtained the name of the FATHER OF MEDICINE. *
THEMISON was the founder of the methodic sect. He professed to have discovered a short, and easy method of attaining medical knowledge, by reducing all diseases into two classes, viz. from tension, and from the opposite fault, relaxation. † As this doctrine has lately been revived, we shall speak of it, with its patron Themison and his follower Thessalus, in another place.
ABOUT 200 years before the christian aera, physic and surgery, which in Greece had been practised by the same person, were separated at Rome into three distinct provinces, the Dietetic, Pharmaceutic and Surgical. The above mentioned sects were in existence when the celebrated GALEN quitted his native country, Asia minor, to practise at Rome. GALEN was a man of real genius, improved by a careful education under the best teachers of the age He laid the foundation of his greatness in the school of the Stoics, then studied with the Academics, and finish'd with the Peripatetics [Page 8] and Epicureans. After this he devoted himself to medicine, and collected the writings of the most celebrated physicians, especially Hippocrates, whom he professed to admire and follow. There is, however, says Boerhaave, this essential difference between the doctrine of Hippocrates and Galen, the first is almost always supported by experience, and consists of observations, while the other depends almost wholly on reasoning; and it has accordingly happened, that the system of Hippocrates has afforded but little matter of exception to those who came after him, whereas, that of Galen has been a subject of just and well grounded censure. Nevertheless, Galen's doctrine, though in general false, and inapplicable, says Cullen, was received and implicitly followed by all the Physicians of Asia, Africa, and Europe, for more than 1400 years! He was supposed to have brought every part of medicine to perfection, and his system thought infallible, and universally appealed to as an oracle.
WE cannot set a very high value on the theories of the antient physicians, when we consider the data upon which they reasoned. Their notions respecting the animal oeconomy were absurd and confused to the highest degree. They supposed that the veins had their origin in the liver; that they were the only vessels that conveyed blood through [Page 9] the body; that in these it only moved backward and forward: that the arteries arising from the heart, contained the animal spirits which were elaborated in that organ. They believed that the blood never entered the arteries, unless in a diseased state. As to the means of our nourishment, they had no just idea of it, and even supposed that the chyle was absorbed in the liver, and there concocted into blood. *
AFTER the sixth century, a dark and dismal chasm intervened in medicine, literature, and the arts. All was ignorance, wonder, and credulity. The human mind, neglected, uncultivated, and oppressed, sunk to the lowest grade of debasement. †
THE most remarkable revolution recorded in the history of the human mind, is, the darkness and ignorance which enveloped Europe, while the Arabians were making progress in useful knowledge. The Caliph Haroun Al Raschid established an University at Bagdad, and qualified his countrymen to be instructors of all Europe. Wherever these Mahometans built a temple for worship, there they erected a medical school and an hospital. They first introduced chemistry into medicine; and, though blended with many absurdities, its introduction occasioned a great revolution in the theory and practice of physic. [Page 10] Diseases were now supposed to arise from a predominant acid, or an alkali; and the various operations of the human body, were attempted to be explained on the principles of fermentation or effervescence. Nay, they asserted that all the operations of the Universe were explicable on chemical principles. At this period, many wasted their time and talents in the delirious pursuit of transmuting the baser metals into gold.
IN the beginning of the XVIIth century, the whole system of Galen, as well as the theory of the chemists, was overturned by the discovery of the circulation of the blood by Harvey; who demonstrated that the human body was an hydraulic machine, whose actions and offices depended upon the circulation of the blood, which alone being stopp'd, the whole must perish. For, in this system, the blood was considered as the primum mobile of the whole machine; and to something in the blood were attributed all the disorders to which we are liable. Harvey first made an application of this doctrine by publishing his ‘ practice of physic conformable to the laws of the circulation,’ and by degrees all Europe followed him.
THIS was the aera of experiment in which several great geniuses flourished. Societies for promoting and diffusing experimental knowledge were established in different parts of Europe, [Page 11] and patronized by monarchs. * The art of printing had already produced a glorious change in the affairs of men. It gave wings to literature; and spread it around the globe. Philosophy revisited the earth, and converted Europe, which a century before was one large field of battle, into a theatre of triumph!
[Page 12] Upon the discovery of any new principles by philosophers or the introduction of any new and popular theory, physicians almost always attempt to apply them to the explanation of the actions of the human body, and all the causes of diseases. Thus, when Galileo had introduced mathematical reasoning, and excited the world to investigate the laws of mechanics, physicians attempted to explain all the phaenomena of the animal oeconomy, on mathematical and mechanical principles. The same was noticed concerning the chemists, and may be remarked at this time of the laws of electricity.
[Page 13] THE famous Stabl perceiving the insufficiency of the preceeding systems, maintained that the rational and immaterial soul was the true source of every function, both vital and natural. Thus experiment, or the use of our senses, was discarded for a time from medicine, and metaphysics, or reasoning on probabilities, usurped its place.
SUCH was the state of medicine when Boerhaave began to teach. The figure this great man made in the medical world, will justify our dwelling a little on his character and works. It is perhaps unnecessary to say, that he was a professor in the University of Leyden, and that he died about 50 years ago. Boerhaave was son of the parish minister of a village near Leyden, and he himself was educated for that profession. From the information of his biographers and his own writings, we learn, that from the perusal of early writers in divinity, he was struck with the profoundest veneration for the simplicity and purity of their doctrines, and the sanctity of their discipline; but as he descended to the lower ages, he found the peace of christianity broken by useless controversies, and its doctrines sophisticated by the subtleties of the schools. He found the holy writers interpreted according to the reigning philosophers, and chimeras of metaphysicians adopted as articles of faith. He then quitted the pursuit of divinity, [Page 14] and applied to the study of physic, when he was more than xxx years of age. But he found it nearly the same in physic as he experienced in divinity. He perceived that the moderns had widely deviated from the simplicity and purity of the antients; chimeras and idle notions adopted as articles of belief, or rules of practice, and the writings of the founder of our profession strangely corrupted and misapplied.
WHEN Boerhaave began to practise physic, he received but little encouragement. His business was at first very small, and his circumstances by no means easy. But superior to every discouragement, he continued his search after truth and knowledge; determined that prosperity, were he ever to enjoy it, should be the consequence, not of mean artifice, cringing solicitation, or degrading complacency, but of real merit and solid learning. Nor was he disappointed. After giving lectures at Leyden for a series of years with great applause, his reputation bore some proportion to his merit, and extended itself to distant countries; insomuch, that scarcely a learned society in Europe, but was eager to elect him a member, scarcely a crowned head, but sought some means to honor him. He died at Leyden in the year 1738, aged 79 years, leaving behind a glorious and untainted memory. *
[Page 15] BOERHAAVE'S Institutes, or theoritical work, contains all the discoveries in anatomy and physiology known at that time; and whatever relates to the laws of the animal oeconomy and the operations of medicines. His aphorisms or practical work, are collected from the Greek medicinal writers, the Arabians and some of the Moderns; and his reasonings are founded on the structure of the parts and laws of mechanics. In his lectures on these aphorisms he laboured to shew how nature acts in producing the symptoms of distempers, and her methods of relieving herself either with, or without the assistance of art. Perhaps it comprises more medical knowledge, than any book extant of its size.
THE most striking feature in the Boerhaavian theory, is the explanation of all the phaenomena of the animal oeconomy on mechanical principles. It asserts, that the human body is truly a mechanical structure, and possesses all the properties belonging to a subject best qualified for mechanical speculation; therefore a mechanical frame and that the human machine, is by the same laws explicable by geometry; and there is nothing, he thinks, in all its solids or fluids but what is explicable upon mathematical principles.
HE founds his pathology, or doctrine of diseases, on the change of the quality of the fluids, producing sometimes a predominant acid, and sometimes [Page 16] times a predominant alkali. Another fruitful source of diseases, was a spontaneous gluten, or lentor in the fluids, and a too violent motion of the circulating blood; this he supposed arose from the preternatural irritation of the heart, or from some acrimony present in the blood itself. These opinions make the foundation of his theory of fevers and inflammations.
THE first who ventured to attack the Boerhaavian system, was the learned Dr. Frederic Hoffman: who asserted that the body was so far from depending on the quality of the fluids, that the state and crasis of the fluids themselves, entirely depended on the nervous power; and that a flight alteration in this power was capable of instantaneously changing the blood, and all the other humors, into a different nature from what they formerly were. He therefore published it as his opinion "that the greater part of diseases, if not all of them, were affections of the nervous system." This hypothesis, amplified and further illustrated, is the celebrated Cullenian System. *
DR CULLEN, who died a year or two since in Scotland, after bestowing great encomiums on Boerhaave, who he says improved and refined upon every thing that had before been offered, pointed out, as he supposed, the imperfections [Page 17] and desiciencies of this famous system, in order to shew the necessity of attempting a new one. And he has shewn pretty clearly, that the doctrine of acidity, and an alkali, is erroneous; and that the causes which Boerhaave adduces as producing the spontaneous gluten, are by no means probable. Nay, he asserts farther, that Boerhaave's doctrine of acrimony and lentor of the fluids is purely hypothetical; and that the reasonings concerning them, are so far from improving physic, that they have often misled the practice of it.
THE brain is considered in the Cullenian hypothesis as the primary organ, on which the welfare of the system principally depends; and the Nervous system, as the substratum, or fundamental stamen of the whole body: for it supposes the living muscular fibres to be a continuation of the substance of the brain, or congeries of those infinitessimally small threads called nerves. * Cullen conjectures, that the cortical part of the brain, or common origin of the nerves, is a secretory organ, in which the gluten of the blood, or coagulable lymph, being freed from all saline matter, before adhering to it, becomes fit for the nourishment of the solids, [Page 18] and being poured in a sufficiently diluted state, upon the origin of the nerves, is filtrated along their fibres, and is thence conveyed to every part of the body for its nourishment.
BY this system, the circulation of the blood instead of being the principal, or vital function, as in the Boerhaavian, becomes so much a secondary one, in the animal oeconomy, that it serves little other purpose than the nutrition of the body. When a large blood-vessel is wounded, the evacuation of the blood, causes a collaps of the vessels, and death ensues: yet Cullen reminds us, that the vessels must necessarily be in a certain state of distention, in order that the nervous fluid should move. * Boerhaave tells us, that when a person faints away, or lies some time under water, there is wanted a circumgiration of the liquors in the blood vessels. Cullen admitting this, only contends, that the first movement must arise in the nervous system, which exciting the blood vessels to action, they propel the fluids contained in them and life immediately returns, with heat, color, agility, cogilation, and every vital and natural action. Hence we see that these eminent teachers meant the same thing, they only began the explanation in different parts of the circle. It would not be very difficult to prove, that both in their theory and their practice, the difference is more [Page 19] in words, than in reality. Cullen considers almost all diseases as arising from an affection of the nervous power. This power, or vis medicatrix natureae, is the same that Hippocrates calls "NATURE," whose efficacy he so much celebrates in removing diseases; a power acknowledged and extolled by Boerhaave.
THE state of science is very different now from what it was 200 years since. The philosophy of Aristotle misunderstood, the false theories of Galen, and the jargon of the Chemists, formed so thick a cloud, that truth and nature could scarcely be seen through it. When this was dispelled by Lord Bacon and others, the aera of experiment followed. Philosophers and physicians labored to accumulate facts. Societies were every where established for this express purpose. A diffusive manner of writing crept in, and grew up among authors. It was the fashion to print not only all that a man thought, but to quote all that he found any body else thought: and he was scarcely esteemed a literary man, who published any thing less than a folio. But now it is wholly different. Instead of that diffusive manner of writing, authors feel the necessity of consolidating and concentrating science. They find that the substance of folios may be digested into a few pages, and the essence of libraries compressed within a few volumes. [Page 20] The late Dr John Brown has attempted to simplify the science of medicine, by reducing all diseases to two forms, namely, sthenic and asthenic, the former signifying an excess, and the latter a defect of the vis vitae, or invigorating principle. *
THUS Themison 1700 years since, boasted that he had discovered a short and easy method of attaining medical knowledge, by reducing the causes of all diseases to two heads; the one tension, and the other relaxation; or in the language of Dr. Brown, sthenic and asthenic. He considered every remedy as a tonic or relaxant. His follower Thessalus carried this doctrine still farther, and by declaring that he could abridge the study of medicine, to fix months, he gained many pupils from among those who wished to acquire a science without the trouble of study, or pains of thinking. †
It must be left to the old and experienced physician to determine, whether the disorders arising from those peculiar conditions observable in particular persons, or in particular parts of the [Page 21] body, called Idiosyncrasies can be explained by that general principle which pervades the Brunonian system. Boerhaave and Cullen were experienced practitioners, but Brown never confirmed his speculations by much practice. It is possible that this sudden meteor of intelligence, which for a while may appear to shoot its beams into the regions of obscurity, will as suddenly withdraw its lustre, and leave mortals again to grope their way. *
NEED we be surprised that our profession has been accused of contradictory theories and systems, as well as discordant maxims in practice: or wonder that many suppose it merely a conjectural art? Have we not seen that opinions prevalent in one age, as truths above the reach of controversy, have been confuted and rejected in another, and have risen again to reception in remoter times? Yet the ignorance and inattention of some physicians should not be adduced against the stability of the art itself. Amid the fluctuations of theories, a discerning eye may discover certain fundamental principles which are as firmly established as those of any science. Does not daily practice convince us, that both acute and chronic diseases have the same marks annexed to them, which were described 2000 years ago? Even in nervous disorders, amid all their tumultuous anarchy of [Page 22] accessary symptoms, we recognize their essential marks and elementary types. *
PHYSIC, like many other arts, may be practised without theory, or knowledge of it's principles. A man may know how to bleed without understanding any thing of physiology, or anatomy. He may have learnt how to stop that bleeding, and yet be ignorant of the circulation of the blood. And a man may learn how to cure an acute pain in the side, by copious bleeding, without knowing there is such a membrane as the pleura. Many practitioners have known the efficacy of Tartar Emetic, without having chemistry enough to know it's component parts. And, yet, such is the weakness and credulity of many of our country people, that they often prefer such to a learned physician. The fact is, theory, and practice are mutually subservient to each other. Theory is defective without experience; which in its turn is equally defective without theory. It has been observed that the man who acts from experience alone, though he act ever so well is but an Empiric, or Quack, and that not only in medicine, but in every other subject. It is then only, that we recognize art, and that the Empiric quits his name for the more honorable one of artist, when to his experience he adds science, and is thence enabled to tell us, not only [Page 23] what is to be done, but why it is to be done. * Nevertheless a Physician does not establish his character by what he knows and thinks, so effectually as by what he actually does and orders for the sick.
FEW things discourage the student of medicine more than the great variety of disorders, and astonishing number of concomitant symptoms. When he reflects on the short period of human life, the necessary avocations, which must unavoidably divert his attention, he is ready to relinquish the pursuit in despair.
YET modern improvements in a great measure have removed this inconvenience, by reducing all known disorders that afflict mankind to certain determinate species, in imitation of the writers upon botany. Such a systematic arrangement, called, Nosology, by bringing those diseases together, which agree in the greater number of circumstances, and require nearly similar treatment, shews, that though there may be a great variety in the names, there needs not much in the method of cure.
Nosology, therefore, in some measure, has rescued the study of medicine from confusion, and reduced it to such order and simplicity, that the [Page 24] discouraging catalogue of diseases, so perplexing to students, is resolved by Dr. Cullen into four classes, and these to 150 genera, which are again divided into 1387 species. So true it is, that the more we know of any art, or science, the greater number of particulars, we are able to resolve into generals; and thus reduce its principles within narrower bounds.
Anatomy and Physiology have experienced great improvement within these 50 years. One of the great sources of error among our forefathers (says Pott) was the imperfect state of their anatomy, which kind of knowledge, has been so cultivated in our times, as to convert ignorance into a vice. *
Baron Haller, has collected and condensed, all the valuable anatomical and physiological discoveries; and after having displayed every part of the human body, he explained every function, pointed out the errors of preceeding authors, and made such important additions of his own, that were all the books of anatomy and physiology, excepting his, destroyed, they would, alone, be [Page 25] sufficient to convey to future ages, the present stock of knowledge in those branches of science. *
Surgery has been cleared from the lumber of a thousand errors, and raised from it state of degradation. Not only the coarse and useless applications, but the multitude of awkard and unmanageable instruments, which encumbered the art, have given way to methods less painful, and more intelligible. Surgeons perform, now, not only many cures by mild and gentle means, which formerly were deemed incurable, but give nature an opportunity of exerting those powers with which she is invested by the Creator.
THE study of Natural History, so necessary and ornamental to the physician, is now rendered easy and delightful. Linnaeus, by his learned classification, leads the student, as by an Ariadne's [Page 26] clue, through the turnings and labyrinths of the three kingdoms of nature. Botany too, that beautiful handmaid of physic, so much neglected by the antients, has been successfully addressed by the moderns. The lovers of botany will find in this country an unexplored treasure, amply rewarding their attention. Notwithstanding theory cannot claim the power of discovering the medicinal virtues of plants, it has nevertheless greatly faciliated this charming study by arranging all the vegetables that diversify and adorn the earth into classes, orders, genera and species.
SINCE knowledge has become more generally diffused, a benevolent philosophy, subservient to life and public utility, has taken the place of those theological disputations, which distracted the last century. A spirit of free iniquiry distinguishes the medical, and other professions. The authority of great names is less venerated. The world begins to grow weary of theories which lead to no useful consequences, and have no foundation but in the imagination of ingenious men. *
MUCH literary as well as political advantages have accrued to the UNITED STATES, and to those of New-England in particular, from the American [Page 29] Revolution. It had been heretofore thought indispensably necessary to resort to foreign universities, to complete the system of medical education, and to acquire there the theory and practice of physic, which the want of regular schools and established hospitals in this country, rendered unattainable. At that period, an ambition of acquiring the highest qualifications in the profession, naturally led the medical student to the celebrated European Schools: and the honors they bestowed, were considered as conferring distinction and respectibility on the candidates. The ambition was laudable. But it must at the same time be confessed, that from the novelty of situation, it sometimes failed of being followed by the advantages expected; and the expence attending it was a circumstance, which must necessarily have cramped their exertions.
THE various institutions founded within a few years in this commonwealth, have laid a broad foundation for improvement in science, and the arts: and the establishment of a MEDICAL SCHOOL in the UNIVERSITY at CAMBRIDGE, by affording regular means of instruction, in the different branches of the profession, has given to the present a decided superiority over former times, and in a great degree has forever precluded the necessity of a foreign education.
[Page 28] A country so completely independent in other respects as the United States, however ready to receive information in the higher grades of science, by the cultivation of literary correspondences abroad, should blush to be indebted to foreign seminaries for the first principles of professional instruction.
OF the various methods of cultivating and diffusing medical knowledge, none is more desirable, than an amicable association of neighbouring practiotiners; especially when their aim is mutual improvement and the good of mankind. These generous sentiments gave birth to the Middlesex Medical Association; a society whose grand object is to improve our art by a free and friendly communication of our skill and experience, and to cultivate those manly sentiments, which tend to eradicate narrow prejudices and unworthy practices.
A military spark, which was first struck out in this County, burst into a flame and spread throughout the continent. This till then almost unnoticed part of the world, drew the attention of all nations, who regarded us with admiration, while we conquered armies, and founded such an Empire as the world has never seen, and framed a constitution, which is the pride of man, and glory of the human understanding. The European world [Page 29] still regards us: many with an anxious solicitude to see in what order and degree those dispositions and arts, which characterize polished humanity arise among us. They cannot but observe that the County so famous for having first dared to resist what they deemed to be despotism, stands the first in the cultivation of those arts which grace social life and encrease human happiness. MIDDLESEX, so distinguished for its University and for its Militia; so celebrated in arts and arms, will we doubt not, still continue to take a liberal pride in promoting those arts which improve the world and dignify mankind.
A noble example is afforded in your worthy townsman Dr. Cuming. You who were his fellow citizens must feel at the mention of his name the tender remembrance of friendship reviving in your breasts! you, who recollect him the sensible, generous, warmhearted, upright friend; the able honest and experienced physician! Dr. Cuming possessed an understanding fraught with the principles of his profession, happily blended with great benevolence. And his generous donation to the medical branch of your University, while it excites our gratitude sufficiently evinces his opinion of the importance, and practibility of a complete medical education within ourselves.
[Page 30] ANIMATED by the example of the Eminent, who have gone before us, let us press on to still further improvements. Let us leave the flowery path of speculation for the more arduous one of experiment. That benevolent philosophy which distinguishes this age, and this country, will help us to cultivate and diffuse the benefits of the art we profess, and inspire us with the pleasing hope of being able to preserve to our fellow creatures, that greatest of blessings, "A SOUND MIND, IN A SOUND BODY."—The field is extensive, the charge important, and the calling honourable.