Wemaynowtakeuptheevolutionofmedicalscienceoutofthemedievalviewanditsmodernsurvivals。AllthroughtheMiddleAges,aswehaveseen,somefewlaymenandecclesiasticshereandthere,bravingtheedictsoftheChurchandpopularsuperstition,persistedinmedicalstudyandpractice:thiswasespeciallyseenatthegreateruniversities,whichhadbecomesomewhatemancipatedfromecclesiasticalcontrol。InthethirteenthcenturytheUniversityofParisgaveastrongimpulsetotheteachingofmedicine,andinthatandthefollowingcenturywebegintofindthefirstintelligiblereportsofmedicalcasessincethecominginofChristianity。
  Inthethirteenthcenturyalsothearch-enemyofthepapacy,theEmperorFrederickII,showedhisfree-thinkingtendenciesbygranting,fromtimetotime,permissionstodissectthehumansubject。Inthecenturiesfollowing,sundryothermonarchstimidlyfollowedhisexample:thusJohnofAragon,in1391,gavetotheUniversityofLeridatheprivilegeofdissectingonedeadcriminaleverythreeyears。[319]
  [319]Forthepromotionofmedicalscienceandpractice,especiallyinthethirteenthcentury,bytheuniversities,seeBaas,pp。222-224。
  Duringthefifteenthcenturyandtheearlieryearsofthesixteenththerevivaloflearning,theinventionofprinting,andthegreatvoyagesofdiscoverygaveanewimpulsetothought,andinthismedicalscienceshared:theoldtheologicalwayofthinkingwasgreatlyquestioned,andgaveplaceinmanyquarterstoadifferentwayoflookingattheuniverse。
  InthesixteenthcenturyParacelsusappears——agreatgenius,doingmuchtodevelopmedicinebeyondthereachofsacredandscholastictradition,thoughstillfetteredbymanysuperstitions。Moreandmore,inspiteoftheologicaldogmas,camearenewalofanatomicalstudiesbydissectionofthehumansubject。ThepracticeoftheoldAlexandrianSchoolwasthusresumed。Mundinus,ProfessorofMedicineatBolognaearlyinthefourteenthcentury,daredusethehumansubjectoccasionallyinhislectures;butfinallycameafargreaterchampionofscientifictruth,AndreasVesalius,founderofthemodernscienceofanatomy。Thebattlewagedbythismanisoneofthegloriesofourrace。
  FromtheoutsetVesaliusprovedhimselfamaster。Inthesearchforrealknowledgeheriskedthemostterribledangers,andespeciallythechargeofsacrilege,foundedupontheteachingsoftheChurchforages。Aswehaveseen,evensuchmenintheearlyChurchasTertullianandSt。Augustineheldanatomyinabhorrence,andthedecretalofPopeBonifaceVIIIwasuniversallyconstruedasforbiddingalldissection,andasthreateningexcommunicationagainstthosepractisingit。ThroughthissacredconventionalismVesaliusbrokewithoutfear;despiteecclesiasticalcensure,greatoppositioninhisownprofession,andpopularfury,hestudiedhissciencebytheonlymethodthatcouldgiveusefulresults。Noperildauntedhim。Tosecurematerialforhisinvestigations,hehauntedgibbetsandcharnel-houses,bravingthefiresoftheInquisitionandthevirusoftheplague。Firstofallmenhebegantoplacethescienceofhumananatomyonitssolidmodernfoundations——oncarefulexaminationandobservationofthehumanbody:thiswashisfirstgreatsin,anditwassoonaggravatedbyoneconsideredevengreater。
  PerhapsthemostunfortunatethingthathaseverbeendoneforChristianityisthetyingittoformsofsciencewhicharedoomedandgraduallysinking。Justas,inthetimeofRogerBacon,excellentmendevotedalltheirenergiestobindingChristianitytoAristotle;justas,inthetimeofReuchlinandErasmus,theyinsistedonbindingChristianitytoThomasAquinas;so,inthetimeofVesalius,suchmenmadeeveryefforttolinkChristianitytoGalen。Thecryhasbeenthesameinallages;itisthesamewhichwehearinthisageforcurbingscientificstudies:thecryforwhatiscalled“soundlearning。”WhetherstandingforAristotleagainstBacon,orforAquinasagainstErasmus,orforGalenagainstVesalius,thecryisalwaysfor“soundlearning“:
  theideaalwayshasbeenthattheolderstudiesare“SAFE。”
  Attwenty-eightyearsofageVesaliusgavetotheworldhisgreatworkonhumananatomy。Withitendedtheoldandbeganthenew;
  itsresearches,bytheirthoroughness,wereatriumphofscience;
  itsillustrations,bytheirfidelity,wereatriumphofart。
  Toshieldhimself,asfaraspossible,inthebattlewhichheforesawmustcome,VesaliusdedicatedtheworktotheEmperorCharlesV,andinhisprefacehearguesforhismethod,andagainsttheparrotrepetitionsofthemediaevaltext-books;healsocondemnsthewretchedanatomicalpreparationsandspecimensmadebyphysicianswhoutterlyrefusedtoadvancebeyondtheancientmaster。Theparrot-likerepeatersofGalengavebattleatonce。Afterthemanneroftheirtimetheirfirstmissileswereepithets;and,thevastarsenalofthesehavingbeenexhausted,theybegantousesharperweapons——weaponstheologic。
  Inthiscasetherewereespecialreasonswhythetheologicalauthoritiesfeltcalledupontointervene。First,therewastheoldideaprevailingintheChurchthatthedissectionofthehumanbodyisforbiddentoChristians:thiswasusedwithgreatforceagainstVesalius,butheatfirstgainedatemporaryvictory;for,aconferenceofdivineshavingbeenaskedtodecidewhetherdissectionofthehumanbodyissacrilege,gaveadecisioninthenegative。
  Thereasonwassimple:thegreatEmperorCharlesVhadmadeVesaliushisphysicianandcouldnotsparehim;but,ontheaccessionofPhilipIItothethroneofSpainandtheNetherlands,thewholescenechanged。VesaliusnowcomplainedthatinSpainhecouldnotobtainevenahumanskullforhisanatomicalinvestigations:themedicalandtheologicalreactionistshadtheirway,andtoallappearancetheyhave,asarule,haditinSpaineversince。AslateasthelastyearsoftheeighteenthcenturyanobservantEnglishtravellerfoundthattherewerenodissectionsbeforemedicalclassesintheSpanishuniversities,andthatthedoctrineofthecirculationofthebloodwasstilldenied,morethanacenturyandahalfafterSarpiandHarveyhadprovedit。
  AnothertheologicalideabarredthepathofVesalius。ThroughouttheMiddleAgesitwasbelievedthatthereexistsinmanaboneimponderable,incorruptible,incombustible——thenecessarynucleusoftheresurrectionbody。Beliefinaresurrectionofthephysicalbody,despiteSt。Paul’sEpistletotheCorinthians,hadbeenincorporatedintotheformulaevolvedduringtheearlyChristiancenturiesandknownastheApostles’Creed,andwasheldthroughoutChristendom,“always,everywhere,andbyall。”
  Thishypotheticalbonewasthereforeheldingreatveneration,andmanyanatomistssoughttodiscoverit;butVesalius,revealingsomuchelse,didnotfindit。Hecontentedhimselfwithsayingthatheleftthequestionregardingtheexistenceofsuchabonetothetheologians。Hecouldnotlie;hedidnotwishtofighttheInquisition;andthushefellundersuspicion。
  ThestrengthofthistheologicalpointmaybejudgedfromthefactthatnolesseminentasurgeonthanRiolanconsultedtheexecutionertofindoutwhether,whenheburnedacriminal,allthepartswereconsumed;andonlythenwastheanswerreceivedwhichfatallyunderminedthissuperstition。Yet,in1689wefinditstilllingeringinFrance,stimulatingoppositionintheChurchtodissection。Evenaslateastheeighteenthcentury,Bernouillihavingshownthatthelivinghumanbodyconstantlyundergoesaseriesofchanges,sothatallitsparticlesarerenewedinagivennumberofyears,somuchillfeelingwasdrawnuponhim,fromtheologians,whosawinthisstatementdangertothedoctrineoftheresurrectionofthebody,thatforthesakeofpeacehestruckouthisargumentonthissubjectfromhiscollectedworks。[320]
  [320]Forpermissionstodissectthehumansubject,givenhereandthereduringtheMiddleAges,seeRoth’sAndreasVesalius,Berlin,1892,pp。3,13etseq。ForreligiousantipathiesasafactorinthepersecutionofVesalius,seethebiographiesbyBoerhaaveandAlbinos,1725;Burggraeve’sEtudes,1841;alsoHaeser,Kingsley,andthelatestandmostthoroughofall,Roth,asabove。EvenGoethals,despitethetimiditynaturaltoacitylibrarianinatownlikeBrussels,inwhichclericalpowerisstrongandrelentless,feelsobligedtoconfessthattherewasacertainadmixtureofreligioushatredinthetreatmentofVesalius。SeehisNoticeBiographiquesurAndreVesale。Fortheresurrectionbones,seeRoth,asabove,pp。154,155,andnotes。
  ForVesalius,seeespeciallyPortal,Hist。del’AnatomieetdelaChirurgie,Paris,1770,tomei,p。407。ForneglectofdissectionandoppositiontoHarvey’sdiscoveryinSpain,seeTownsend’sTravels,editionof1792,citedinBuckle,HistoryofCivilizationinEngland,vol。ii,pp。74,75。AlsoHenryMorley,inhisClementMarot,andOtherEssays。ForBernouilliandhistroublewiththetheologians,seeWolf,BiographienzurCulturgeschichtederSchweiz,vol。ii,p。95。HowdifferentMundinus’spracticeofdissectionwasfromthatofVesaliusmaybeseenbyCuvier’scarefulstatementthattheentirenumberofdissectionsbytheformerwasthree;theusualstatementisthattherewerebuttwo。SeeCuvier,Hist。desSci。Nat。,tomeii,p。
  7;alsoSprengel,Fredault,Hallam,andLittre。AlsoWhewell,Hist。oftheInductiveSciences,vol。iii,p。328;also,foraveryfullstatementregardingtheagencyofMundinusintheprogressofAnatomy,seePortal,vol。i,pp。209-216。
  Stillotherencroachmentsuponthetheologicalviewweremadebythenewschoolofanatomists,andespeciallybyVesalius。DuringtheMiddleAgestherehadbeendevelopedvarioustheologicaldoctrinesregardingthehumanbody;thesewerebaseduponargumentsshowingwhatthebodyOUGHTTOBE,andnaturally,whenanatomicalscienceshowedwhatitIS,thesedoctrinesfell。
  Anexampleofsuchpopulartheologicalreasoningisseeninawidespreadbeliefofthetwelfthcentury,that,duringtheyearinwhichthecrossofChristwascapturedbySaladin,children,insteadofhavingthirtyorthirty-twoteethasbefore,hadtwentyortwenty-two。So,too,inVesalius’stimeanotherdoctrineofthissortwasdominant:ithadlongbeenheldthatEve,havingbeenmadebytheAlmightyfromaribtakenoutofAdam’sside,theremustbeoneribfewerononesideofeverymanthanontheother。ThiscreationofEvewasafavouritesubjectwithsculptorsandpainters,fromGiotto,whocarvedituponhisbeautifulCampanileatFlorence,totheilluminatorsofmissals,andeventothosewhoillustratedBiblesandreligiousbooksinthefirstyearsaftertheinventionofprinting;butVesaliusandtheanatomistswhofollowedhimputanendamongthoughtfulmentothisbeliefinthemissingrib,andindoingthisdealtablowatmuchelseinthesacredtheory。Naturally,alltheseconsiderationsbroughttheforcesofecclesiasticismagainsttheinnovatorsinanatomy。[321]
  [321]Astothesupposedchangeinthenumberofteeth,seetheGestaPhilippiAugustiFrancorumRegis,……descriptaamagistroRigardo,1219,editedbyFatherFrancoisDuchesne,inHistoriesFrancorumScriptores,tom。v,Paris,1649,p。24。ForrepresentationsofAdamcreatedbytheAlmightyoutofapileofdust,andofEvecreatedfromaribofAdam,seetheearlierillustrationsintheNurembergChronicle。AstotherelationofanatomytotheologyasregardstoAdam’srib,seeRoth,pp。154,155。
  Anewweaponwasnowforged:Vesaliuswaschargedwithdissectingalivingman,and,eitherfromdirectpersecution,asthegreatmajorityofauthorsassert,orfromindirectinfluences,astherecentapologistsforPhilipIIadmit,hebecameawanderer:onapilgrimagetotheHolyLand,apparentlyundertakentoatoneforhissin,hewasshipwrecked,andintheprimeofhislifeandstrengthhewaslosttotheworld。
  Andyetnotlost。Inthiscenturyagreatpainterhasagaingivenhimtous。BythemagicofHamann’spencilVesaliusagainstandsonearth,andwelookoncemoreintohiscell。Itswindowsanddoors,boltedandbarredwithin,betokenthestormofbigotrywhichrageswithout;thecrucifix,towardwhichheturnshiseyes,symbolizesthespiritinwhichhelabours;thecorpseoftheplague-strickenbeneathhishandceasestoberepulsive;
  hisverysoulseemstosendforthraysfromthecanvas,whichstrengthenusforthegoodfightinthisage。[322]
  [322]TheoriginalpaintingofVesaliusatworkinhiscell,byHamann,isnowatCornellUniversity。
  Hisdeathwashastened,ifnotcaused,bymenwhoconscientiouslysupposedthathewasinjuringreligion:hispoor,blindfoesaidedindestroyingoneofreligion’sgreatestapostles。Whatwashisinfluenceonreligion?Hesubstituted,fortherepetitionofworn-outtheories,aconscientiousandreverentsearchintotheworksofthegreatPowergivinglifetotheuniverse;hesubstituted,forrepresentationsofthehumanstructurepitifulandunreal,representationsrevealingtruthsmosthelpfultothewholehumanrace。
  Thedeathofthischampionseemstohavevirtuallyendedthecontest。Licensestodissectsoonbegantobegivenbysundrypopestouniversities,andwererenewedatintervalsoffromthreetofouryears,untiltheReformationsetinmotiontrainsofthoughtwhichdidmuchtoreleasesciencefromthisyoke。[323]
  [323]ForacuriousexampleofweaponsdrawnfromGalenandusedagainstVesalius,seeLewes,LifeofGoethe,p。343,note。ForproofsthatIhavenotoverestimatedVesalius,seePortal,ubisupra。Portalspeaksofhimas“legenieleplusdroitqu’eutl’Europe“;andagain,“Vesalemeparaitundesplusgrandshommesquiaitexiste。”Forthechargethatanatomistsdissectedlivingmen——againstmenofsciencebeforeVesalius’stime——seeLittre’schapteronAnatomy。FortheincreasedlibertygivenanatomybytheReformation,seeRoth’sVesalius,p。33。