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قراءة كتاب Superstition in Medicine
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devices. For instance, it was stipulated that the performances instituted to ward off the invasion of Hannibal were to cost 333,333⅓ copper asses. But if, nevertheless, the gods were not sufficiently propitiated by banquets, dances, and playing of the flute, and if they could not be prevailed upon by such pastimes to remove the pestilence or other calamity, a dictator was named who, if possible, on September 13th, drove a nail into the temple of Jupiter to appease divine indignation. It appears that this was a primeval custom of the Etruscans; at least, it is reported by the Roman author, Cincius, that such nails could be seen in the temple of the Etruscan goddess Nortia. This nail therapy was resorted to by the Romans, for instance, during the terrible plague which raged in the fifth century, B.C., and of which the celebrated Furius Camillus died.
Wonderful as all the described procedures seem to us, and closely as they may conform to the modern conception of superstition, at the time they originated they were considered as quite removed from that superstition with which we so closely identify them to-day. For the period which saw the above events was an era of exclusive theism, and for that reason divine sleep, divine feasts, the sacred performances, and all the other peculiar means which were employed to secure medical aid of the gods, were well-established features of religious worship. The stigma of superstition was not set upon them as yet. And this state of things naturally persisted so long as the theistic theory of life stood unchallenged.
This absolute reign of theistic theory dominating human life through the above-described therapeutic ideas was followed by an epoch in which theism was forced to divide its authority with a powerful rival—namely, the physico-mechanical theory of life. The struggle between both these systems was ushered in, for the Hellenic as well as for the Occidental world of civilization, by the appearance of Ionian philosophy. Even in our own day this struggle is still going on in many minds. This much, at least, is certain: that superstition has always been especially active in medicine in areas of civilization where the theistic idea has gained the ascendency.
The deadly struggle between theistic and physico-mechanical theories of life in the realm of medicine has found no place in the experience of Hellenic and Roman antiquity. The change in opinion was rather wrought by a gradual recession from the idea that the gods interfered with the proper course of man’s bodily functions. This conviction resulted from a progressive growth of his physico-mechanical knowledge, and became established at least as far as the thoughts and the opinions of the physicians were concerned. That the other classes, in particular the representatives of religion, did not so peaceably acquiesce in this mechanical conception of life we shall soon explain in Chapter III. It was different, however, with the art of healing itself. Even the Corpus Hippocraticum reveals to us a medicine which had been purified from all theistic admixtures, and from the publication of this work (i.e., from about the fifth century, B.C., up to the overthrow of the ancient period—i.e., until about the fifth or sixth century, A.D.) no further attempt to refer the cause of disease and the treatment of disease to the gods of the ancient heavens is noticed in medical works. On the contrary, that great efforts were made to look for the nature of disease in the mechanical conditions of the body is proven by a number of the most various medical doctrines. The extensive work of Galen, that antique canon of medicine, which dates back to the second century, A.D., disavows all theism and all theurgy, and relies solely upon physico-mechanical methods: observation, experiment, dissection. Antique religion and antique medicine had effected a reconciliation—a reconciliation, however, in which neither party was to acknowledge a complete defeat; but the result was an amicable settlement, in which their just dues were given both to the theistic and to the physico-mechanical theories of life. The point of agreement upon which this settlement, or, to express it better, compromise, was made was teleology.
By teleology we understand the conception that all earthly existence is created by a supreme power in accordance with a preconceived plan, and that, accordingly, all organic life, in form and action, is most perfectly adapted to the task prescribed for it by this power. This conception was absolutely indispensable to antique medicine; for it allowed the adherents of the theistic theory without hesitation to consider man as a product of the creator, which was distinguished in all directions and which bore witness of the wisdom of God, a position which precluded the assumption, which was impossible according to the antecedent medical observations, that disease came from God. For it seemed quite plausible, according to the physico-mechanical theory of life, that disease might be a product of a number of adverse, purely earthly conditions, an assumption not involving the slightest doubt of the wisdom and creative power of the gods. This teleological doctrine, which runs like a red thread through all ancient philosophy, becomes conspicuously prominent in Galen. Every section of the powerful work of Galen—anatomy, as well as physiology, pathology, and therapy—bear witness to the most confident teleological conception, a conception which in the end culminates in the verdict (“Use of the Parts,” Book 11, Chapter XIV.): “The creator of nature has disclosed his benevolence by wise care for all his creatures, in that he has bestowed upon each one what is truly of service to it.”
This teleological idea of all earthly becoming, being, and passing away was henceforth destined to be a permanent factor in human speculation. Christianity received it as a possession from antique civilization, and only the philosophy and natural science of modern times have been able to threaten its permanence. Biology, as of modern creation, teaches us that all natural phenomena owe their existence to natural causes, that the natural world is subject to natural laws. And, accordingly, teleology, as we encounter it in the works of the heathen Galen and in the writings of the Christian Church Fathers, has turned out to be superstition, which, however, must by no means be classed with the vagaries of mere medico-physical superstition. In coming to this decision, however, we must beware of rash generalization. In this connection we refer only to that kind of teleology which dominated the world previous to the teachings of Descartes and Spinoza, and previous to the advent of modern natural science, with its biological methods. Whether, after all, a theory of life might be possible which, while avoiding the reproach of superstition, might be traced to teleological prepossessions, is a question we can not here discuss. It is admittedly true that the deeper we penetrate into the secrets of nature the more energetically the existence of a marvelous, intelligent will manifests itself as permeating all domains of nature. However, if this fact is not denied on principle, as modern materialism denies it, and proper allowance is made for it, a rehabilitation of teleology as a necessary factor of our theory of life would be the logical consequence. Of course, this teleology would bear a stamp entirely different from that of antiquity and of the middle ages, which is recognized to be superstition. It should not pretend to include the