three years over an
extensive work, with which perhaps you may some
day occupy yourselves," Raphael replied.
The great doctor shook his head, and so displayed his
satisfaction. "I
was sure of it," he seemed to say to himself. He was the illustrious
Brisset, the
successor of Cabanis and Bichat, head of the Organic
School, a doctor popular with believers in material and positive
science, who see in man a complete individual, subject
solely to the
laws of his own particular organization; and who consider that his
normal condition and
abnormal states of disease can both be traced to
obvious causes.
After this reply, Brisset looked, without
speaking, at a middle-sized
person, whose
darkly flushed
countenance and glowing eyes seemed to
belong to some
antique satyr; and who, leaning his back against the
corner of the embrasure, was studying Raphael, without
saying a word.
Doctor Cameristus, a man of creeds and enthusiasms, the head of the
"Vitalists," a
romanticchampion of the esoteric doctrines of Van
Helmont, discerned a lofty informing principle in human life, a
mysterious and
inexplicablephenomenon which mocks at the scalpel,
deceives the
surgeon, eludes the drugs of the pharmacopoeia, the
formulae of algebra, the demonstrations of
anatomy, and derides all
our efforts; a sort of
invisible, intangible flame, which, obeying
some
divinely ap
pointed law, will often
linger on in a body in our
opinion
devoted to death, while it takes
flight from an organization
well fitted for prolonged existence.
A bitter smile hovered upon the lips of the third doctor, Maugredie, a
man of acknowledged
ability, but a Pyrrhonist and a scoffer, with the
scalpel for his one article of faith. He would consider, as a
concession to Brisset, that a man who, as a matter of fact, was
perfectly well was dead, and recognize with Cameristus that a man
might be living on after his
apparent demise. He found something
sensible in every theory, and embraced none of them, claiming that the
best of all
systems of medicine was to have none at all, and to stick
to facts. This Panurge of the Clinical Schools, the king of observers,
the great
investigator, a great sceptic, the man of
desperateexpedients, was scrutinizing the Magic Skin.
"I should very much like to be a
witness of the
coincidence of its
retrenchment with your wish," he said to the Marquis.
"Where is the use?" cried Brisset.
"Where is the use?" echoed Cameristus.
"Ah, you are both of the same mind," replied Maugredie.
"The
contraction is
perfectly simple," Brisset went on.
"It is supernatural," remarked Cameristus.
"In short," Maugredie made answer, with
affected" target="_blank" title="a.做作的;假装的">
affectedsolemnity, and
handing the piece of skin to Raphael as he spoke, "the shriveling
faculty of the skin is a fact
inexplicable, and yet quite natural,
which, ever since the world began, has been the
despair of medicine
and of pretty women."
All Valentin's
observation could discover no trace of a feeling for
his troubles in any of the three doctors. The three received every
answer in silence, scanned him un
concernedly, and interrogated him
un
sympathetically. Politeness did not
conceal their indifference;
whether
deliberation or
certainty was the cause, their words at any
rate came so seldom and so languidly, that at times Raphael thought
that their attention was wandering. From time to time Brisset, the
sole
speaker, remarked, "Good! just so!" as Bianchon
pointed out the
existence of each
desperatesymptom. Cameristus seemed to be deep in
meditation; Maugredie looked like a comic author, studying two queer
characters with a view to reproducing them
faithfully upon the stage.
There was deep, un
concealed
distress, and grave
compassion in Horace
Bianchon's face. He had been a doctor for too short a time to be
untouched by
suffering and
unmoved by a deathbed; he had not
learnedto keep back the
sympathetic tears that obscure a man's clear vision
and prevent him from seizing like the general of an army, upon the
auspicious moment for
victory, in utter
disregard of the groans of
dying men.
After spending about half an hour over
taking in some sort the measure
of the patient and the
complaint, much as a
tailor measures a young
man for a coat when he orders his
weddingoutfit, the authorities
uttered several commonplaces, and even talked of
politics. Then they
decided to go into Raphael's study to exchange their ideas and frame
their verdict.
"May I not be present during the
discussion, gentlemen?" Valentin had
asked them, but Brisset and Maugredie protested against this, and, in
spite of their patient's entreaties, declined
altogether to deliberate
in his presence.
Raphael gave way before their custom, thinking that he could slip into
a passage adjoining,
whence he could easily
overhear the medical
conference in which the three professors were about to engage.
"Permit me, gentlemen," said Brisset, as they entered, "to give you my
own opinion at once. I neither wish to force it upon you nor to have
it discussed. In the first place, it is unbiased,
concise, and based
on an exact similarity that exists between one of my own patients and
the subject that we have been called in to examine; and,
moreover, I
am expected at my hospital. The importance of the case that demands my
presence there will excuse me for
speaking the first word. The subject
with which we are
concerned has been exhausted in an equal degree by
intellectual labors--what did he set about, Horace?" he asked of the
young doctor.
"A 'Theory of the Will,' "
"The devil! but that's a big subject. He is exhausted, I say, by too
much brain-work, by
irregular courses, and by the
repeated use of too
powerful stimulants. Violent
exertion of body and mind has demoralized
the whole
system. It is easy, gentlemen, to recognize in the
symptoms
of the face and body generally
intenseirritation of the
stomach, an
affection of the great
sympathetic nerve, acute sensibility of the
epigastric region, and
contraction of the right and left
hypochondriac. You have noticed, too, the large size and prominence of
the liver. M. Bianchon has, besides,
constantly watched the patient,
and he tells us that
digestion is troublesome and difficult. Strictly
speaking, there is no
stomach left, and so the man has disappeared.
The brain is atrophied because the man digests no longer. The
progressive deterioration
wrought in the epigastric region, the seat
of
vitality, has vitiated the whole
system. Thence, by continuous
fevered vibrations, the
disorder has reached the brain by means of the
nervous plexus, hence the
excessiveirritation in that organ. There is
monomania. The patient is burdened with a fixed idea. That piece of
skin really contracts, to his way of thinking; very likely it always
has been as we have seen it; but whether it contracts or no, that
thing is for him just like the fly that some Grand Vizier or other had
on his nose. If you put leeches at once on the epigastrium, and reduce
the
irritation in that part, which is the very seat of man's life, and
if you diet the patient, the monomania will leave him. I will say no
more to Dr. Bianchon; he should be able to grasp the whole
treatmentas well as the details. There may be, perhaps, some
complication of
the disease--the bronchial tubes, possibly, may be also inflamed; but
I believe that
treatment for the intestinal organs is very much more
important and necessary, and more urgently required than for the
lungs. Persistent study of
abstract matters, and certain
violentpassions, have induced serious
disorders in that vital mechanism.
However, we are in time to set these conditions right. Nothing is too
seriously
affected" target="_blank" title="a.做作的;假装的">
affected. You will easily get your friend round again," he
remarked to Bianchon.
"Our
learnedcolleague is
taking the effect for the cause," Cameristus
replied. "Yes, the changes that he has observed so
keenly certainly
exist in the patient; but it is not the
stomach that, by degrees, has
set up
nervous action in the
system, and so
affected" target="_blank" title="a.做作的;假装的">
affected the brain, like a
hole in a window pane spreading cracks round about it. It took a blow
of some kind to make a hole in the window; who gave the blow? Do we
know that? Have we investigated the patient's case
sufficiently? Are
we acquainted with all the events of his life?
"The vital principle, gentlemen," he continued, "the Archeus of Van
Helmont, is
affected" target="_blank" title="a.做作的;假装的">
affected in his case--the very
essence and centre of life
is attacked. The
divine spark, the transitory
intelligence which holds
the
organism together, which is the source of the will, the
inspiration of life, has ceased to
regulate the daily
phenomena of the
mechanism and the functions of every organ;
thence arise all the
complications which my
learnedcolleague has so thoroughly
appreciated. The epigastric region does not
affect the brain but the
brain
affects the epigastric region. No," he went on,
vigorously
slapping his chest, "no, I am not a
stomach in the form of a man. No,
everything does not lie there. I do not feel that I have the courage
to say that if the epigastric region is in good order, everything else
is in a like condition----
"We cannot trace," he went on more
mildly, "to one
physical cause the
serious disturbances that supervene in this or that subject which has
been
dangerously attacked, nor
submit them to a uniform
treatment. No