M m % INTRODUCTORY LECTURE, TO PHYSIOLOGY, DELltERED TO THE MEDICAL CLASS or THE UNIVERSITY OF VIRGINIA; BY / /' 1/ ALFRED T. M A a Z L L, Xtt. D. PROFESSOR OF PHYSIOLOGY, PATHOLOGY, OBSTETRICS AND MEDICAL JURISPRUDENCE, IN THE DIVERSITY OF VIRGINIA. OCTOBER 19th 1833. M9£.^ PUBLISHED BY THE MEDICAL CLASS. CHARLOTTESVILLE: PRINTED BT WATSON & TOMfUM 1833, LECTURE, &C« Gentlemen :—In appearing before you for the first time, in the capacity of your instructor, in the highly important and interesting branch of science, which has been allotted to me in this University, >N founded by the exertions, and planned by the genius of our im- mortal Jefferson, I feel oppressed by various and conflicting emo- tions, which alternately cheer me with the pleasing hope of being able, by industry and perseverance to perform my duties to your sa'istifaction, my own honor and the credit of this Institution ; and again sink me into despondency, from the fear of failing in all these particulars. Succeeding to the Chair of Medicine, long occupied by my dis- tinguished predecessor, and adorned by his talents, 1 can scarcely hope to compensate you for his loss, except in my ardent zeal to promote your improvement, and my firm determination to devote all my powers, mental and physical, to the performance of ihe high and important duties which have devolved upon me. I have indeed every motive which ought to actuate an honorable mind, to stimulate me to exertion and unceasing diligence in fulfilling the high and multifarious requisitions of my office. Your own advancement in Medical knowl- edge, the ability with which this chair has been heretofore filled, my interests and prospects in life, which are now identified with the prosperity and success of this University ; and last, though not least, justice to my colleagues, impertnvely requires that 1 should spare A> no pains, and shrink from no labor however severe, in my endeav- ours to sustain at least,if not to advance the reputation of this School. And may 1 not hope that on your part, you will second my en- deavours, and sustain me in the execution of my arduous task, by j»n assiduous attention to the various departments of Medicine which it is my province to illustrate, and your duty to learn. It will be in vain for me to lecture or for you to listen, unless you give perma- nance and durability to what you hear, by private study and medi- tation. Lectures may perhaps awaken a latent propensity, or en- kindle a transient inclination, " but unless the new-born flame be fed and fostered—unless it be nourished by study, as well as ex- cited by hearing, it wilJ perish as soon as lighted up; or, if it con- 4 linue, will only blaze forth in a foppery of knowledge far mor: tempiible than the grossest ignorance." Physiology may be defined the science of life. Tts object is to elucidate and explain the healthy functions of the system, and to as- certain and define those laws of virtality which preside over and *??t^ control the "lotions of the animal economy. Anatomy unravels the structure and displays to our view, the exact situation of each and eve- ry part of our physical frame. Physiology expoundsthe functions, and explains the particular part which each organ performs, in the healthy economy of our system. In the language of Dr. Rush, " Simple Anatomy is a mass of dead matter. It is physiology which infuses ^^life into it. A knowledge of the structure of the human frame oc- cupies only the memory. Physiology introduces it to the higher and nobler faculties of the mind." And what study, let me ask you, can be more delightful to an intelligent mind, than an investigation of those functions through the exercise of which " he lives, moves, and has his being ?" What more pleasing task than to trace the wisdom of our Creator in the formation of our body, and its admirable adaption to all the circum- stances of this sublunary state ? What more effectual antidote to the dark and gloomy speculations of the Atheist, than the wonder- ful display of wisdom, and design, as exhibited especially in the structure of the nicer and more delicate organs of our frame ? In the beautiful organization of the eye, there is more than enough to stagger the incredulity of the most hardened sceptic; " in its sim- plicity of action,"too (as remarked by an eloquent writer,) "so perfect, so unspeakably perfect, that the searches after tangible ev- idences of an all-wise and good Creator, have declared their wil- lingness to be limited to it alone in the midst of millions as their one triumphant proof." € Like all the other branches of-Medicine, physiology has been slow in reaching even its present imperfect state, when the veil of mystery still remains over many of the operations of our system. In the early periods ol Medicine,we find it encumbered with a mass of false assumptious. absurd fancies and ridiculous opinions. It would be sheer waste of time to repeat them all to you. Ignorant of the circulation of the blood, and uninformed as to almost every other function of the body, physicians gave free scope to their im- aginations, and to use the langauge of an eloquent writer, " so am- ple an exhibition of human invention, might gratify our vanity if it were not more than counterbalanced by the humiliating view of so much absurdity, contradiction and falsehood." The discovery of the circulation of the blood by Harvey about 6 the middle of the 17th century, like the discoveries of Galileo, m Astronomy, marks an important era in the history of physiological science, and like them also meet with the most bitter and unre- lenting hostility. A vague notion of a circulation of blood through the system, was entertained by various writers even of an early date. Servetus who was burned as a heretic at Geneva, in 1553, approached nearer to it than any one who had preceded him, and actually taught what \i called ihe lesser circulation, or that through the lungs.— Aboul a century after this, the illustrious Harvey, established by incontroveriible arguments, the fact that the arteries conveyed the blood from the heart to eveiy part of the system, and that the veins returned it back again to the same organ. Like all important dis- coveries, which tend to revolutionise and destroy prevailing opinions and long fostered piejudices, it was received, not only wi»h dis- trust, but met with the most decided opposition from the physicians of that day. A discovery so brilliant in its character and results, and which has been the foundation ol all the improvements since made in the theory and practice of the healing an, was attempted to be put down, simply because it was new and irreconcilable with their absurd notions. The opinion had been long entertained, and was universally be- lieved, at that lime, thai the liver was a sort of manufactory of the blood; and that it was sent out from thence by the veins, to nourish and sustain the body; and that it circulated from within ouiwaids during the day, and returned at night—that the ar'eries contained air or animal spirits, which by mixing with the blood, gave animation and activity to the functions. These opinions were pertinaciously ad- hered to, notwithstanding the clear and beautiful demonstration of the true circulation, by Harvey. They had become great and important doctrines, and were to them sacred from their age.— They had imbibed them from their most distinguished teachers, and not only their practice, but all that they themselves had written and taught, were based upon the supposed truth of these opinions. If the Harveian doctrine should prevail, the result would be the complete overthrow of all their fine-spun theories, and the volunnfs «wers and the imperishable monuments of its greatness. What would have been the state of this mighty and teeming continent, had not the mind of a Columbus suggested its existance, and con- ceived the bold plan of its discovery ? What but his intellectual en- ergies could have sustained and supported him through the'difficul- ties of his mighty task, with nothing to direct his coursa save his compass, and the stars which gleamed over his traokless and soli- tary way. But man's proudest and noblest distinction, is the life he is to live, when this world shall be to him, as though it had never been. He possesses a principle within which tells him of immortaility, and points him to an endless existence in another world. The dark and chilling creed, which teaches that man is dust, and that ihe grave is his only and final home, is at war with all our feelings, hopes, and aspirations, and is Ibieign to the nature of man. He feels that he is destined io take root in another soil, to be warmed by an- other sun, and to be nourished by other food. Human rea- son extends not beyond the limits of this world, but revelation informs us that it is a change fraught with good unutterable, or evil intolerable, as ihe case may be. To the Book of Books I refer you for infallible directions how to attain to the one and to avoid the other. Do hut follow them, and you are certain to go right. I cannot better close this part of my lecture, than in the expressive words of the poet—"How complicate, how wonderful is man, how passing wonder He who made him such !" In conclusion, allow me to offer you some advice as regards vour studies. You have, gentlemen, entered upon a profession of high and difftVulty attainment; a profession not surpassed by anv other in ils elevation and bearing on the welfare of society. Not the happiness of individuals alone, but the health, ihe happiness, the well being of nations ; the body, the mind, are all involved in the science of Medicine. Indolence or inattention therefore in quali- fying yourself to discharge ihe important duties of a physician, is not only disreputable but criminal. And let me assure you, thai it is here, in the calm retreats of science, where you have leisure for study and profound investigation, that you must, if ever, lay the foundation, upon which to erect the super-structure of your future fame and usefulness. Il is here that yon must garner up in the store- house of your mind, the pabulum for future reflection, and the ma- terials for future discoveries and inventions; and he who whose men- I i tal armory is best furnished with'facts and information, when he en- ters the world and mingles in its strife for fame and fortune, will be best qualified to win success, and profit by the observation and ex- perience there to be obtained. This foundation can onlj belaid, this knowledge can only be acquired, by diligent and persevering study of the science of medicine; a science difficult beyond most others, and requiring for its mastery not only high mental endow- ments, but various and extensive learning. To the profession of medicine, the palm of learning, has been assigned by Dr. Parr, himself, the most learned man of his age, and by Jefferson, Doctor Johnson and others not less distinguished. Let me beg you, then, to press forward, with industry and perse- verance in the acquisition of knowledge. They are the magical keys, which will unlock for you the portals of the temple of science, and conduct you into its inmost recesses; and they alone will enable you to climb the steep ascent, "where Fame's proud temple shines afar." Let the science of medicine therefore be the chief subject of your meditations; let its volumes be constantly in your hands. "Nocturna versate manu, versate diurna." And in thus acting you will not only comply with the demands of duty, but consult your own happiness. Independent of the ap- probation of your conscience, which such a courseof conduct will cer- tainty give you employment of mind or body, or both is absolutely ne- cessary loour happiness here. The idle are never happy—with them the society of tne gay and dissolute is indispensable to comfort, and too often, alas! the excitement of the bottle becomes the ruinous and hateful substitute for the healthy stimulus of mental employ- ment. In the intoxicating cup they find a remedy, bad and tempo- rary though it be for the distressing ennui of idleness and the un- equalled misery of doing nothing. Well and truly has the Prince of modern Poets said— "The keenest pangs the wretched feoJ, Are rapture to the dreary void, The leafless desert of the mind, The waste of feelings unemployed." Let me also earnestly advise you, at the same time that you pay the necessary regard to other branches of knowledge,to bestow your chief attention upon that pursuit which is to be the employment of your life. Non omnia possumus omnes: we cannot excel in every thing. The powers of the mind, like the rays of the sun, to act with vigor and effect, must be concentrated; when dih t?d by too much expansion, they lose their efficiency and become comparatively feeble, hence wc find that all the important discoveries in science and usrful in- 15 ventions in the arts, have been the result of this undivided and steadfast action of the mind upon one objector branch of science. It was this singleness of object and untiring devotion to one pur- suit, that enabled the sublime and mighty intellect of a Newton to unravel the glorious mechanism of the heavens; to trace the stars in their courses, and to calculate with precision the rapid flight of the cornet, " shaking from its horrid hair pestilence and war;" with him it was the burning passion of his soul, all other occupations of life, nay, even the very passions of humanity, were sacrificed at the shrine of his devotion. It was this which enabled that great philosopher and incomputable man,Locke,to sound the depths of the human intel- lect; to analyze its operations, and establish its properties. By this intense action of the mind on one subject, Watt discovered and ren- dered subservient to the arts and comforts of life, the miraculous powers of steam. How incalculable the benefits, how wonderful the results of this sublime discovery? "The name of Watt will float on the breath of fame, while the unconquered arm of steam continues to widen its dominions, or history to record the achieve- ments of genius." Follow then the example of these great and eminent men—select your profession and pursue it with a zeal which nothing can damp, and a perseverance which will overcome all difficulties, and you will thus fulfil the fond hopes and expectations of parents—do cre- dit to yourselves—justice to your teachers, and reflect reputation upon your Alma Mater. NLM032054182