18th-Century Medicine
/ medical practices books
The 18th
century continued to be marked by unsupported theories. The German
physician and chemist Georg Ernst Stahl believed that the soul is
the vital principle and that it controls organic development; in
contrast, the German physician Friedrich Hoffmann considered the
body a machine and life a mechanical process. These opposing theories
of the vitalists and the mechanists were influential in 18th-century
medicine. The British physician William Cullen attributed disease
to the excess or deficiency of nervous energy; and the physician
John Brown of Edinburgh taught that disease was caused by weakness
or inadequate stimulation of the organism. According to his theories,
known as the Brunonian system, stimulation should be increased by
treatment with irritants and large dosages of drugs. In opposition
to this system, the German physician Samuel Hahnemann developed
the system of homeopathy late in the 18th century, which emphasized
small dosages of drugs to cure disease.
Other unusual medical practices developed toward
the end of the 18th century include phrenology, a theory formulated
by the German physician Franz Joseph Gall, who believed that examination
of the skull of an individual would reveal information about mental
functions. The theory of animal magnetism developed by the Austrian
physician Franz Mesmer was based on the existence of a magnetic
force having a powerful influence on the human body.
Despite these unorthodox medical practices, the end of the 18th
century was marked by many true medical innovations. British physicians
William Smellie and William Hunter made advances in obstetrics that
established this field as a separate branch of medicine. The British
social reformer John Howard furthered humane treatment for hospital
patients and prison inmates throughout Europe. In 1796 British physician
Edward Jenner introduced vaccination to prevent smallpox. His efforts
both controlled this dreaded disease and also established the science
of immunization.
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