THE MEDICAL PROFESSION FOR SIX

THOUSAND YEARS *

I HAVE felt that the first graduation of the youngest of the medical schools might very well be occupied with the consideration of the place of the medical profession in history.

rather apt in the modern time to neglect the lessons of history and, above all, of the history of science, first because it is not always easy to get definite information with regard to it, and secondly and mainly because we are likely to imagine that scientific and medical history can mean very little for us. In America particularly we have neglected the history of medicine and it has been one of the definite efforts at Fordham University School of Medicine to renew interest in this subject. It is entirely too important to be neglected and it has valuable lessons for all generations, but especially for a generation so occupied with itself, that it does not properly consider the claims of the past to recognition for fine work accomplished, and for the exhibition of some of the best qualities of the human intellect in the pursuit of scientific and practical medical knowledge in previous generations.

*This was the address to the graduates at the First Commencement of the Fordham University School of Medicine, June 9, 1909.

At the earliest dawn of history we find institutions called temples in which men were being treated for their ailments. Those who treated them we have been accustomed to speak of as priests. And such they were, since their functions included the direction of religious services. These religious services, however, were not the exercises of religion as we know them now, but were special services meant to propitiate certain gods who were supposed to rule over health and disease. There were other kinds of temples besides these. We still talk of temples of justice meaning our law courts, and our phrase comes from an older time when people went to have their differences of opinion adjudicated by men who conducted the services of praise and prayer for particular deities who were supposed to mete out justice to men, but the temple attendants were at the same time expert in deciding causes, knowing right and wrong, wise in declaring how justice should be done. These early temples, then, in which the ailing were treated and over which experts in disease and its treatment presided, were not temples in our modern sense, but were much like hospitals as we know them now. They would remind us of the hospitals conducted by religious orders, trained to care for the illnesses. of mankind and yet deeply interested in the worship of God.

Human institutions are never so different from one another, even in spite of long distance of time

or place, as they are usually presumed to be. Men and women have not changed in all the~ period of human history that we know, and their modes and ways of life often have a startling similarity if we but find the key for the significance of customs that seem to be very different. These temples of the gods of health and of disease, then, were places where patients congregated and men studied diseases for generations, and passed on their knowledge from one to another, and accumulated information, and elaborated theories, and came to conclusions, often on insufficient premises, and did many other things that we are doing at the present time. The medical profession is directly descended from these institutions. They are among the oldest that we know of in human history. These special temples are only a little less ancient than other forms of temples if, indeed, they were not the first to be founded, for man's first most clamorous reason for appeal to the gods has ever been himself and his own health.

With the reception of your diplomas this evening you now belong to what is therefore probably the oldest profession in the world. In welcoming you into it let me call your attention particularly to the fact that the history of our profession can be traced back to the very beginning of the course of time, for as long as we have any account of men's actions in an organized social order.

We are very prone in the modern time to think that what we are doing in each successive generation is of so much greater significance than what was accomplished before our time that it is really scarcely worth while to give much attention to the past. This self-sufficient complacency with regard to the present would be quite unbearable only that each successive generation in its turn has had the same tendency and has expiated its fault by being thought little of by subsequent generations. We shall have our turn with those we affect to despise.

It is supposed to be particularly true in every department of science and, above all, in medicine that there is such a wide chasm between what we are doing now and what was accomplished by our forebears, no matter how intelligent they were in the long ago, that to occupy ourselves seriously with the history of medicine may be a pleasant occupation for an elderly physician who has nothing better to do, but can mean very little for the young man entering upon practice or for the physician busy with his patients. Medical history may be good enough for some book-worm interested in dry-as-dust details for their own sake and perhaps because he rejoices in the fact that other people do not know them, but can have very little significance for the up-to-date physician. This is an impression that is dying hard just now, but it is dying. We are learning that there is very little that we are do

ing even now that has not been done before us and that, above all, the great physicians, no matter how long ago they wrote, always have precious lessons for us that we cannot afford to neglect, even though they be 300 or 600 or 1,800 or even 2,500 years ago. At all of these dates in the past there were physicians whose works will never die.

In every department of human history the impression that we are the only ones whose work is significant has been receiving a sad jolt in recent years, and perhaps in no branch of science is this so true as in medicine. We are coming to realize how much the physicians and surgeons of long distant times accomplished, and, above all, we are learning to appreciate that they approached problems in medicine at many periods of medical history in the best scientific temper of the modern time. Of course there were abuses, but, then, the Lord knows, there are abuses now. Of course their therapeutics had many absurdities in it, but, then, let us not forget that Professor Charles Richet, the director of the department of physiology at the University of Paris, declared not long ago in an article in the best known of French magazines, the Revue des Deux Mondes, that the therapeutics of any generation of the world's history always contained many absurdities for the second succeeding generation. The curious thing about it is that some of these supposed absurdities afterward come