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THOMAS SYDENHAM (1624-1689)

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Originally appearing in Volume V26, Page 278 of the 1911 Encyclopedia Britannica.
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THOMAS See also:SYDENHAM (1624-1689)  , See also:English physician, was See also:born on the loth of See also:September 1624 at Wynford See also:Eagle in See also:Dorset, where his See also:father was a See also:gentleman of See also:property and See also:good See also:pedigree . At the See also:age of eighteen he was entered at Magdalen See also:Hall, See also:Oxford; after a See also:short See also:period his See also:college studies appear to have been interrupted, and he served for a See also:time as an officer in the See also:army of the See also:parliament . He completed his Oxford course in 1648, graduating as See also:bachelor of See also:medicine, and about the same time he was elected a See also:fellow of All Souls College . It was not until nearly See also:thirty years later (1676) that he graduated as M.D., not at Oxford, but at See also:Pembroke Hall, See also:Cambridge, where his eldest son was then an undergraduate . After 1648 he seems to have spent some time studying medicine at Oxford, but he was soon again engaged in military service, and in 1654 he received the sum of £600, as a result of a See also:petition he addressed to See also:Cromwell, setting forth that various arrears were due to two of his See also:brothers who had been killed and that he himself had faithfully served the parliament with the loss of much See also:blood . In 1655 be resigned his fellowship at All Souls and married, and probably a few years later went to study medicine at See also:Montpellier . In 1663 he passed the See also:examinations of the College of Physicians for their See also:licence to practice in See also:Westminster and 6 m. See also:round; but it is probable that he had been settled in See also:London for some time before that . This minimum qualification to practise was the single See also:bond between See also:Sydenham and the College of Physicians through-out the whole of his career . He seems to have been distrusted by some members of the See also:faculty because he was an innovator and something of a See also:plain-dealer . In his See also:letter to See also:John Mapletoft he refers to a class of detractors " qui vitio statim vertunt si quis novi aliquid, ab illis non prius dictum vel etiam inauditum, in See also:medium proferat "; and in a letter to See also:Robert See also:Boyle, written the See also:year before his See also:death (and the only See also:authentic specimen of his English See also:composition that remains), he says, " I have the happiness of curing my patients, at least of having it said concerning me that few miscarry under me; but [I] cannot See also:brag of my correspondency with some other of my faculty .. . . Though yet, in taken See also:fire at my attempts to reduce practice to a greater easiness, plainness, and in the meantime letting the See also:mountebank at Charing See also:Cross pass unrailed at, they contradict themselves, and would make the See also:world believe I may prove more considerable than they would have me." Sydenham attracted to him in warm friendship some of the most discriminating men of his time, such as John See also:Locke and Robert Boyle .

His first See also:

book, Methodus curandi febres, was published in 1666; a second edition, with an additional See also:chapter on the See also:plague, in 1668; and a third edition, much enlarged and bearing the better-known See also:title of Observationes medicae, in 1676 . His next publication was in 168o in the See also:form of two Epistolae responsoriae, the one, " On Epidemics, " addressed to Robert See also:Brady, regius See also:professor of physic at Cambridge, and the other " On the Lues venerea, " to See also:Henry Paman, public orator at Cambridge and See also:Gresham professor in London . In 1682 he issued another Dissertatio epistolaris, on the treatment of confluent small-pox and on See also:hysteria, addressed to Dr See also:William See also:Cole of See also:Worcester . The Tractatus de podagra et hydrope came out in 1683, and the Schedula monitoria de novae febris ingressu in 1686 . His last completed See also:work, Processus integri, is an outline See also:sketch of See also:pathology and practice; twenty copies of it were printed in 1692, and, being a compendium, it has been more often republished both in See also:England and in other countries than any other of his writings separately . A fragment on pulmonary See also:consumption was found among his papers . His collected writings occupy about 600 pages 8vo, in the Latin, though whether that or English was the See also:language in which they were originally written i3 disputed . Hardly anything is known of Sydenham's See also:personal See also:history in London . He died in London on the 29th of See also:December 1689, and was buried in the See also:church of St See also:James's, Piccadilly, where a mural slab was put up by the College of Physicians in 181o . Although Sydenham was a highly successful practitioner and saw, besides See also:foreign reprints, more than one new edition of his various tractates called for in his lifetime, his fame as the father of English medicine, or the English See also:Hippocrates, was decidedly See also:posthumous . For a See also:long time he was held in vague esteem for the success of his cooling (or rather expectant) treatment of small-pox, for his See also:laudanum (the first form of a See also:tincture of See also:opium), and for his advocacy of the use of Peruvian bark in quartan agues . There were, however, those among his contemporaries who understood something of Sydenham's importance in larger matters than details of treatment and See also:pharmacy, See also:chief among them being the talented See also:Richard See also:Morton .

But the attitude of the academical medicine of the See also:

day is doubtless indicated in See also:Martin See also:Lister's use of the See also:term " sectaries " for Sydenham and his admirers, at a time (1694) when the See also:leader had been dead five years . If there were any doubt that the opposition to him was quite other than See also:political, it would be set at See also:rest by the testimony of Dr See also:Andrew See also:Brown,' who went from See also:Scotland to inquire into Sydenham's practice and has incidentally revealed what was commonly thought of it at the time, in his Vindicatory See also:Schedule concerning the New Cure of Fevers . In the See also:series of Harveian orations at the College of Physicians, Sydenham is first mentioned in the oration of Dr John See also:Arbuthnot (1727), who styles him " aemulus Hippocratis." H . See also:Boerhaave, the See also:Leyden professor, was wont to speak of him in his class (which had always some pupils from England and Scotland) as " Angliae lumen, artis Phoebum, veram Hippocratici viri speciem." A. von See also:Haller also marked one of the epochs in his See also:scheme of medical progress with the name of Sydenham . He is indeed famous because he inaugurated a new method and a better See also:ethics of practice, the See also:worth and diffusive See also:influence of which did not become obvious (except to those who were on the same See also:line with himself, such as Morton) until a good many years afterwards . It remains to consider briefly what his innovations were . First and foremost he did the best he could for his patients, and made as little as possible of the mysteries and traditional dogmas of the See also:craft . All the stories told of him are characteristic . Called to a gentleman who had been subjected to the lowering treatment, and finding him in a pitiful See also:state of hysterical upset, he "conceived that this was occasioned partly by his long illness, partly by the previous evacuations, and partly by emptiness . I therefore ordered him a roast chicken and a See also:pint of See also:canary." A gentleman of See also:fortune who was a victim to hypochondria was at length told by Sydenham that he could do no more for him, but that there was living at See also:Inverness a certain Dr See also:Robertson who had See also:great skill in cases like his; the patient journeyed to Inverness full of See also:hope, and, finding no See also:doctor of the name there, came back to London full of rage, but cured withal of his complaint . Of a piece with this is his famous See also:advice to See also:Sir Richard See also:Blackmore . When See also:Black-more first engaged in the study of physic he inquired of Dr Sydenham what authors he should read, and was directed by that physician to See also:Don Quixote, " which," said he, " is a very good book; I read it still." There were cases, he tells us, in his practice where " I have consulted my patient's safety and my own reputation most effectually by doing nothing at all." It was in the treatment of small-pox that his startling innovations in that direction made most stir .

Phoenix-squares

It would be a See also:

mistake, however, to suppose that Sydenham wrote no long prescriptions, after the See also:fashion of the time, or was entirely See also:free from theoretical See also:bias . Doctrines of disease he had, as every practitioner must have; but he was too much alive to the multiplicity of new facts and to the See also:infinite variety of individual constitutions to aim at symmetry in his theoretical views or at consistency between his practice and his doctrines; and his treatment was what he found to See also:answer best, whether it were secundum artem or not . His fundamental See also:idea was to take diseases as they presented themselves in nature and to draw up a See also:complete picture (" Krankheitsbild " of the Germans) of the See also:objective characters of each . Most forms of See also:ill-See also:health, he insisted, had a definite type, comparable to the types of See also:animal and See also:vegetable See also:species . The conformity of type in the symptoms and course of a malady was due to the uniformity of the cause . The causes that he dwelt upon were the " evident and conjunct causes," or, in other words, the morbid phenomena; the remote causes he thought it vain to seek after . Acute diseases, such as fevers and inflammations, he regarded as a wholesome conservative effort or reaction of the organism to meet the See also:blow of some injurious influence operating from without; in this he followed the Hippocratic teaching closely as well as the I-lippocratic practice of watching and aiding the natural crises . Chronic diseases, on the other See also:hand, were a depraved state of the humours, mostly due to errors of See also:diet and See also:general manner of See also:life, for which we ourselves were directly accountable . Hence his famous dictum: "acutos dico, qui ut plurimum Deum habent authorem, ' See Dr John Brown's Horae subsecivae, See also:art . " Dr Andrew Brown and Sydenham."sicut chronici ipsos nos." Sydenham's nosological method is essentially the See also:modern one, except that it wanted the morbid See also:anatomy See also:part, which was first introduced into the " natural history of disease " by See also:Morgagni nearly a See also:century later . In both departments of See also:nosology, the acute and the chronic, Sydenham contributed largely to the natural history by his own accurate observation and philosophical comparison of See also:case with case and type with type . The Observationes medicae and the first Epistola responsoria contain See also:evidence of a See also:close study of the various fevers, fluxes and other acute maladies of London over a series of years, their See also:differences from year to year and from See also:season to season, together with references to the prevailing See also:weather—the whole See also:body of observations being used to illustrate the See also:doctrine of the " epidemic constitution " of the year or season, which he considered to depend often upon inscrutable telluric causes .

The type of the acute disease varied, he found, according to the year and season, and the right treatment could not be adopted until the type was known . There had been nothing quite like this in medical literature since the Hippocratic See also:

treatise, IIepi hipwv, Marcos, rbawv; and there are probably some germs of truth in it still undeveloped, although the modern See also:science of epidemiology has introduced a whole new set of considerations . Among other things Sydenham is credited with the first diagnosis of scarlatina and with the modern See also:definition of chorea (in Sched. monit.) . After small-pox, the diseases to which he refers most are hysteria and See also:gout, his description of the latter (from the symptoms in his own See also:person) being one of the classical pieces of medical See also:writing . While Sydenham's " natural history " method has doubtless been the chief ground of his great posthumous fame, there can be no question that another See also:reason for the admiration of posterity was that which is indicated by R . G . Latham, when he says, " I believe that the moral See also:element of a liberal and candid spirit went hand in hand with the intellectual qualifications of observation, See also:analysis and comparison." Among the lives of Sydenham are one (See also:anonymous) by See also:Samuel See also:Johnson in John See also:Swan's See also:translation of his See also:works (London, 1742), another by C . G . See also:Kuhn in his edition of his works (See also:Leipzig, 1827), and a third by Dr R . G . Latham in his translation of his works published in London by the Sydenham Society in 1848 . See also See also:Frederic See also:Picard, Sydenham, sa See also:vie, ses oeuvres (See also:Paris, 1889), and J .

F . See also:

Payne, T . Sydenham (London, 1900) . Dr John Brown's Locke and Sydenham," in Horae subsecivae (See also:Edinburgh, 1858), is of the nature of eulogy . Many collected See also:editions of his works have been published, as well as See also:translations into English, See also:German, See also:French and See also:Italian . Dr W . A . Greenhill's Latin See also:text (London, 1844, Syd . See also:Soc.) is a See also:model of editing and indexing . The most interesting See also:summary of doctrine and practice by the author himself is the introduction to the 3rd edition of Observationes medicae (1676) .

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