AN INTRODUCTORY LECTl'RF!, ON THE necessity .i.vn r.-fLun or diliyiisd ia t«« c»»rn or Tn/nsylvati ia University. November 7th, ISM. BY DAMEL DRAK!\ M D Profeaor of Materi* Medics tnd Utd ■ .i Dotiny. PUBLISHED Br KEui'tST OF THE t.L.i .* LEXINV.TON, KV: William Tanner, Printer- 1823. * Transylvania Univenity, ? .Xovem cr 13th, 1823. > Deab Sin—-The Medical Class, through their Commit- tee, the undersigned, beg leave to express their high esti- mation of your Introductory Lecture,- and, that they may enjoy the benefit of the good advice which it contains, solicit a copy of it for publication. Very Respectfully, JAMES W. S. FRIERSON,} WILLJS M GREEN, i- Committeet J jO. R MOORE, J Dawiej. Drakk, M D. i*rof. Mat. Med. and Med. Bot. Transylvania University, ~) November Uth. 1823. 5 GESTLEMry—The Introductory Lecture, a cf>py of which the Class has solicited for publication, was hastily drawn up and intended only for the occasion on which it was de- livered The ' election of it from among the polished speci- mens of elocution with which it was associated.must be as- cribed to a conviction on the pan of the class.that the Indus* try which it recommends is necessary to professional suc- cess, and no other motive than the desire to promote iha1: object, could induce me to consent to its publication. Affectionately, your obedient servant, DAN. DRAKE, Messrs. Frierson, Green and Moore, tions, and what have '» en emphatically, but par- idoxi. nlly,den^m nated "false facts. Out of these the plastic hand of genius has from time to time erected its splendid fro>t w.»rks, whidi have suc- cessively melted away, before the ascend- ing sun ofscienee. Km- our systems of philo- sophy to he duraMe, they must be compos d of truths; and to be noble in their aspects, those truths must he arranged at cording to the rules of philosophizing, wbn. h, in physio, arc but an- other expression for the principles of sound lo- gic. Gener ili/..i(i ire ns< fill;'oil tonxorpcH rate error with truth,is to perpetuate the one and deteriorate the other. Lt 11 uth then he your greatest ohject, for, in the eloquent numbers of a poetical member of our profession— Truth and Good arc one. And Beauty dwells in them, and they in her, With like participation. Happily, gentlemen, the efforts necessary to practise and to improve the profession, are I he sam<-: the latter being effected by mean«- of the former, and he who is the greater practitioner, may, caierisparibu , always be the more success- ful reformer. I ?peak not of an award of great- ness made by popular favour, which is frequent- ly ui.merited; nor of the business whirh consists •n an excessive number of cases, too often em i £ flfTRODUCTORV birrassing the practitioner, and exhausting his time and talents unprofitably for the science; I speak of a greatness resting upon a profound knowledge of the organization and functions of the living body, an accurate understanding of the causes which disturb those functions, and a minute acquaintance with the appearances which denote such disturbance; a greatness which involves an enlightened practical skill—a deep and sagacious discrimination-in the choice of means for restoring a healthy condition; a greatness which impiies,and indeed result from, a commanding acquaintance with the cancns of inductive philosophy, united with disciplined habits of observation, tireless industry and a conscientious sense of responsibility. This is the greatness to which I allude, and if there be one among you, who is dead to its attractions, let him without delay relinquish an undertaking for which the Creator has neither prepared nor destiued him. To those,on the other hand, who can place before their mind's eye such a model of excellence, and feel inspired by the creations of their own imagination, I would say, do not feel discouraged at the distance which m y seem to exist between your present condition and that to which you aspire: it is true that you can nev- er reach the ideal object of your admiration, for ^s you vise it v> ill ascend before you.liko a Hea- venly guide, receding from the touch of mortal1.- iy, hut alluring and conducting you to regions of the highest dignity and eminence. You must be satisfied then with an approximation to that perfection, which you cannot attain: aid you can onlv approach it by amending. Hut every ascent isattended »vilh labour and d'flicultv, a ad industry is the only lever by which it can be ef- fected. I will con>idrr then, in detail, the rule which should rcgul.ite the u«e of this important and infallible instrument of promotion. First, to be successful,' there mu int-rr i;>!t v**cs w.th- out using, and dies without commun.cnt.ug knowledge. The great men ofnntitjuily InugM themselves, and each other by convcr, ilion; and the tissiu of Peripatetic philosophy, which, far 2000 years spread like enchantment over the hu- man mind, was woven by the di«ciplc< of Plato, in the groves of the Lyra-urn. !u tin* prefenion of Medicine, one of the causes of the Miperiority of city over country student* nnd practitioner, ns the social and scieutili: collision of the former. The interrogating parties, literary clubs nnd so- cieties of emulation, debate nnd deliberation, which exist in cilice, open to their member* new views both theoretical and pi.nt.-al; defecate their intellects, and preserve in their the ran ?icss of character, which is so seldom retained, under a protracted course of solitary rending. For the mind to be both opulent and executive, it must be sustained by a diversified regimen. As already intimated, I would not enjoin un- <:e wng p!i\ -ical application. 1'nat upon * Inch I in?i>:, i* mental; and this will be successful, in proportion as it is continuous. The pupil, «ho dismisses tht* subject of hi researches with Uim hook, that guided him, does not deserve the hon- rabU«pitbet >fstudent. When b; is fu'h'ued with acquiring, he should pass to rumination, and when that which has been received is ap- propriated, he will be prepared to return to the fountain, in ceaseless and delightful alternation. This habit of unvaried application, in which the physical and moral powers are made,as it were, to relieve each other,is not so difficult to form as you might suppose. Youth I admit is the stage of life, when our senses are most susceptible of the impress of surrounding object?, and when we are most liable to be led astray by their seduc- tive influence. Let the student, however, fill his senses with the appearances that augment the volume of his intellect, and the laws of his physical organization will be satisfied, while his moral destinies will be fulfilled. The first ef- forts to abstract himself from the giddy amuse- ments of the multitude, who are content to begin and end their career within the vortex of pleas- ure, may be difficult, and even painful. When the accustomed hour of idleness or innocent fol- ly returns, the desire to participate will recur} but if met by a palpable resolution of defiance, the second will require less effort than the first, and each succeeding trial wi'" ^rove easier than the last; till with fewer perils fnan were encoun- tered in reconciling his nerves to the poison of U.'-nwov ■.«? -Mt o-.j-.C-irm Lis taste to the societv ->f the mighty dead—w!»Use works rem/iin behind them, like the trains of light which follow the meteors of the firmament. His reformation ia now complete, and with astonishment and de- light, he finds himself elevated from the bondage of appetite and pleasure, to that of the Muses. The pupil should learn to apply himself to reacting in the midst of the professional business and interruptions, to which the condition of his pupilage may subject him. The practitioner of medicine cannot select his hours of study. He is the servant of the public, and has come under a voluntary obligation to obey their mandates. When called onto relieve the sufferings of af- flicted humanity, he must close his book and suspend his researches, however interesting. Having performed the service required by hie vocation, he may resume "his studies; butmu^t submit to a second intcrruption,perhaps in a sin- gle hour. He is thus obliged to unite the func- tions of student and practitioner, and alternately to execute them without premeditation or set- tled order. Now to prosecute studies in the midst of the disturbing influences of professional life, requires habits of a peculiar kind; and such of you as do not establish them during your pu- pilage, will, like too manyofyour predecessors, terminate your studies when you begin your prac- tice. Labour then, to triumph over the cause* of interruption that will beset you daily, and not fly from them. It is the glory of medicine, that while it is a practical art, the torch of science should illuminate all its processes; and he who presumes to dispense its benefis, must be a once a man of business and a scholar. It is important that the student should not mis- apply his industry. As I have already s*id,seme sciences are essential, others but auxiliary, to the profession. The former are Anatomy,Institutes& Practice, Surgery, Obstetrics, Chemistry, Mate- ria Medica 8z Pharmacy.Among the latter I may name Comparative Anatomy, General Physiology, Botany, Natural Philosophy, Zoology, Mineralo- gy and Mental Philosophy;—with the funda- mental principles of which, every physician should, if practicable*, be acquainted. The student, however, must vigilantly guard against the allurements that dwell in these beautiful departments of human knowledge- and which like the fascinations that overcame Telema- chus, may divert him from the proper ob- jects of pursuit. It is true that the study of these sciences may enlarge the understanding, augment the resources, and exalt the character of a physician, but to do these, they must not be- comje the principal objects of his attention. They connect his profession with the general range of moral and physical existences; and give to him in reality and in aspect, a decided superiority: at last, however, they are but the ornaments of the column of professional learning; which,with- out a solid pedestal and proportioned shaft, will neither eatisfv theeieof correct ta ta, nor an swertheend- for which it was erected. The most proper time for the student to turn h'.s long- inn and inquisitive vision, upon the opulence of these great departments of nature, i* after he has acquired the elements of the profession. When he has entered upon hi« duties, and before they have multiplied about him. Then it is. that by the habits of efficient industry.which ia the object of this discourse to recommend, he will be able to trace out the relations which exist between the essential an 1 contributory braa-hes of his profession, an.l to fortify him- If in the mid*', of a deep and extended philo«"»phy. Fin.«llv.the student of medicine should not on • ly 'read bv day and meditate by nio/nt,' but fir. d till- t»> culii'.ate the faculty of onservn- iioa. bv a well directed evrri-e of his seizes. To a ph\sician no quality is mure important. The farts, collected at tl.e bed side of the sit!;. are the prorr:i-e* from wnieh he is to reason, and on the .or.-, .'.ntss of his concl-uions depend i« 91 a great degree the safety of his patient. It is o* vital importance, then, that his observations should be well made, for conclusions true to na- ture and useful in practice, can never flow from false premises. The most distinguished phy- sicians of every age, from Hippocrates to the existing gallaxy of European and American practitioners, have surpassed their cotempora- ries in the accuracy of their observations, rather than in the depth and ingenuity of their reason- ings. And it may be safely affirmed, that a fa- culty for patient, acute, and enlightened obser- vation, is more important in the practiceof med- icine, than an exrursive imagination or uncom- mon strength of understanding. The student, therefore, should vigilantly avail himself of all opportunities tha* may offer, to augment and dis- cipline this valuable power. He should learn to exert it rapidly, and in the midst of distrac- ting circumstances, for it is there that it will be required. In the progress of a disease, the changes are frequently sadden, and different ap- pearances often succeed each other with a ce- lerity that must defy the powers of ignorant or indolent observation. It is in such situations, and such only, that the man who has trained his senses and enriehed his mind, who has added practice t? theory,and experienre to rr-ading.ca.i be distinguished from the Illiterate herd who ob- struct the walks, and sometimes degrade the character, of the profession. Gentlemen, if there be any among you who suppose, that professional success and respecta- bility are attainable without industry, I would observe to them, that those who study the pro- fession as a branch of liberal education may prosecute it with the leisure that is agreea- ble; but to the rest, whether rich or pot r, I would say, you cannot make yourselves excep- tions to the general mle. An opulent inheritance, will not enable a young physician to cure the sick, nor will it secure to him the confidence of the community. On the contrary, as wealth may be made to provide ampler opportunities, society will always expect, from those who in- herit it, the most extended attainments; and, un- less you surpass those who have strugglcdinto pro- fessional being,through the varking cares of pov- erty' you are surpassed by them, h is one ot the mo-( beautiful features, in the noble aspect of \merican society, that its sympathies are inva- riably bestowed on the youth who grapples with adversity; and, that none arc so much respect- ed, as those who honestly emerge from obscurity to distinction. There may be others among you, v.ho arc t!:« sons of medical gentlemen, and expecting to hs the attention of their patrons, consider it unne- cessary to labour, like those who must earn bu- siness, before it can be enjoyed. It 's m7 *lu ^ to warn them against tins delusion, as it may be fat tl to their hopes. The biographical archives of the profession, in the United States, furnish but fr.w ex imples of sons succeeding to the prac- tice of their fathers; for, happily, the sentiments of our people are, in general opposed to all he- reditary entailments. Moreover, if the father be an inferior practitioner, he will have but little patronage, either io transfer or bequeath, if such interests could indeed form a bequest; and, if he be eminent, an ignorant son, would picsent a contrast, equally disgraceful to him- self, and fatal to the hopes of his family. It is as difficult to sustain the renown of our ances ters, as to earn glory for ourselves. Similar expectations may be created in oth- ers by family connections; and, I feel it right to protest against such a dependanre. The influ- ence of family, when exerted most propitiously, can extend no further, than to procure bus.nesr; in the first instance—to retain it, the practition- er must rely upon himself only. There are others, but I hope none of you, gcr.tlemc:», will be found of the number who St udy the arts of popularity more than the art of healing; and, divested of conscientious scruples, rest satisfied with the acquisition of business, without the ability to cveutc it properly. If a young physician can add the arts of popularity to profound and practical acquirements in the profession, he accomplishes what I would com- mend, rather than condemn. Hut to rely upon the former, would he both short-sighted and mifi- chievaus. Popularity and reputation arc radi- cally different. The former connects itsell with manners, the latter with attainments. One lessens iu efficacy, .is we advance in age, the oth- er, augmented by time, iri\ e~ fulness of honour with fulness of years; and, like an amaranthine flower, blooms bright when all beside decays. Again, there may be of your number, some, who, po-sessini: retentive memories, consider hut. little application necessary. To such I would sav in the unvarnished language of good will, that the memory may he disproportionate to the understanding; aid that the former cannot suc- cessfully perform the functions of the latter, in the practice of any profession. To «tich as pos- sess this structure of mind, much mental indus- try should be reeommended. It ought to be the aim et the student to learn how to cure diseac es, not to answer questions in the language oi his teachers. What he receives from them should be digested, and appropriated to the nourishment and growth of- his intellect; not stored up as it was infused, to be afterwards giv- en out unchanged—but this cannot be done with- out resolute and unwearied reflection, which is industry of the highest order. It has, moreover, been supposed, that what is vaguely denominated genius, may be made a substitute for industry. It would require an entire lecture to enveigh sufficiently a- gainst the evil tendencies of this vulgar er- ror. All men have the same faculties of mind, but they differ widely in their comparative as well as their aggregate strength, in different persons. Genius is not the name of any faculty, but of a great though indefinite degree of men- tal strength. Now I would ask, how can the power of acquiring and arranging ideas, be made a substitute for the ideas themselves? They must be excited by external occasions, and to ac- quire them, application is as indispensable for a genius as a dunce. The difference of time in which they would learn the same thing, it is true, may be very great, but when objects com* mensv.rate txith their respective portions of intellect are assigned to them, equal diligence becomes neces? sary. To him, then, who studies closest, the palm of merit is due; for rewards should not be connected with capacity, which is of Heaven, but with diligence, which depends on ourselves. It may be said, therefore, to be disgraceful for him, on whom the Creator has bestowed a great portion of intellectual power, to be equalled by one who has been sparingly endowed. I would ask the youth who is flushed with the conscious- ness of superior abilities, for what purpose he supposes they were granted? Why the God of na- ture has vouchsafed to him five talents, while he gave his humble classmate but one? A liUle reflection, if he possess the superiority of rnhi.! which he claims, will enable him to perceive, that results are required from him.equal in their importance, to the dimensions and power of his greater intellect; and a little observation will disclose to him a multitude of problems, corres- ponding in their dignitv and difficulty, with the exalted endowments of which he vaunts. It is for the solution of these problems, unfortunate- ly so numerous in our profession, that he wa^ cre- ated. His should be a career of unvaried ele- vation, and not to leave the broad and beaten track by which the throDg of ordinary moit^fa 23 INTROOUCTORY descend into oblivion, is to pursue an ignoble*" course, than the meanestof that throng. The young man of genius should recollect, moreover, that fellow students of duller intel- lect, are as likely to imitate his faults as his per- fections, and having seen as they supposed, that indolence accompanies genius, they will fear to be industrious, lest the absence of genius should be imputed to them. So they will relax in their endeavours; while the object of their im- itation, satisfied with a bare equality of attain- ment with those below him, and finding less vig- ilance necessary, will become more licentious in his idleness. The two characters will thus re- ciprocally act upon and deteriorate each other, until the exalted intellect which might have blessed society, becomes its curse. To select objects corresponding to our abilities, and pros- ecute them to final success, is but conforming to the ends for which we were created. Gentlemen, I have dwelt so long on the neces- sity for professional industry, that but a single moment remains to speak of its rew.irds. These consist of the various pleasures and profits of success. The most humble of them is an immu- nity from the chagrin of disappointed hopes—a negative condition it is true, but to a mind of ardent aspirations, capable of affording actual pleasure. Then follow a train of positive grat- ifications and benefits, embracing all that is de- lightful to gOod taste ;respousive to the desire for knowdedge; gratifying to ambition; available to avarice, or satiating to the love of glory. If a provident temper of mind make you de- sirous of guarding against the gloomv inhgnifi- eance-thc sad and solitary nothingness of an ig- norant old age; you must aromplish it, by in- dustry in vouth; and such industry is peculiarly appropriate to tin* object, since in our de- clining years, the knowledge acquired in ea.ly life, is almost all that remains with us. The first inscription* on the tablet of the mind are the ln>i to be officed. What a re>i>tless motive for ear Jy diligence is suggested by this important lav of human nature; and from its frequent moLi tion.h u few, hi, Nestor in the Iliad, become- in old age the 1:\ ing oracles of wisdom-to the rising generation. > i "il 1 von carry within your breast a Samar- itan heart, and find the act el 'doing good to other- a gi■ eit