Until the year 1745 the teaching of Anatomy in England was vested in a few corporate bodies, and private teaching was discouraged in every possible way, even by fine and imprisonment. The College of Physicians and the Barber Surgeons’ Company had a monopoly of the anatomical teaching in London. In the provinces the fragmentary records of the various guilds of Barber Surgeons show that many of them recognised the value of a knowledge of Anatomy as the foundation of medicine. In the universities there were special facilities for its teaching. But subjects were difficult to procure, and dissection came to be looked upon as part of a legal process so inseparably connected with the death penalty for crime that it was impossible to obtain even the body of a “stranger” for anatomical purposes. The Act of Parliament which, in 1540, united the Guild of Surgeons with the Company of Barber Surgeons in London especially empowered the masters of the united company to take yearly the bodies of four malefactors who had been condemned and put to death for felony for their “further and better knowledge, instruction, insight, learning, and experience in the science and faculty of surgery.” Queen Elizabeth, following this precedent, granted a similar permission to the College of Physicians in 1565. The Charter allowed the President of the College of Physicians to take one, two, three, or four bodies a year for dissection. The radius from which the supply might be obtained was enlarged, so that persons executed in London, Middlesex, or any county within sixteen miles might be taken by the college servants. The proviso would appear to be unnecessary, considering the great number of executions which then took place and the small number of bodies which were required, but it probably enabled the subjects to be obtained with greater ease. The executions in London were witnessed by great crowds, who often sided with the friends of the felons, and rendered it impossible for the body to be taken away for dissection. The Charter of James I. enlarged these powers by Little is known in detail of the manner in which Anatomy was taught by the College of Physicians, but the labours of Mr. Young and Mr. South have given us an accurate picture of the way in which it was carried out by the Barber Surgeons in London. We may be sure that in so conservative an age the methods did not differ greatly at the two institutions, especially as the Barber Surgeons usually enlisted the services of the better trained physicians to teach their members both Anatomy and Surgery. Anatomy was taught practically in a series of demonstrations upon the body; but as there was no means of preserving the subject, it had to be taught by a general survey rather than in minute detail. The method adopted was the one still followed by the veterinary student. A single body was dissected to show the muscles (this was the muscular lecture); another to show the bones (the osteological lecture); another to show the parts within the head, chest, and abdomen (the visceral lecture). The osteological lecturer was not always identical with the visceral lecturer, nor he with the lecturer upon the muscles, The Demonstrations usually took place four times a year, and were called Public Anatomies, because the subject was generally a public body—that is to say, it was a felon executed for his misdeeds. There was also an indefinite number of Private Anatomies. The attendance of surgeons at the Public Anatomies was compulsory. The attendance at the Private Anatomies was by invitation. It was illegal for any surgeon to dissect a human body in the City of London, or within a radius of seven miles, without permission of the Barber Surgeons’ Company; and in 1573 the Company’s Records for May 21st contain the minute: “Here was John Deane and appointed to bring in his fine of ten pounds (for having an Anatomy in his house contrary to an order in that behalf) between this and Midsummer next”—an enormously heavy punishment when we remember the relative value of money in those days. Whenever a surgeon wished to dissect a particularly interesting subject, it was termed a Private Anatomy, and it was generally performed at the Hall of the Company after due permission had been asked for and obtained, the surgeon inviting his own friends and pupils, the Company inviting whom it chose. Every effort was made to insure the punctual attendance at the public or compulsory anatomies, for it was enacted in 1572 that every man of the Company using the mystery or faculty of surgery, be he freeman, foreigner, or alien stranger, shall come unto the Anatomy lecture, being by the beadle warned thereto. And for not keeping their hour, both in the forenoon and also in the afternoon, and being a freeman, shall forfeit and pay at every time fourpence. The foreigner (or one who was not free of the Company) in like manner, and the stranger sixpence. The said fines and forfeits to be employed by the anatomists for their expenses. Excuses were sometimes admitted, for a few years earlier Robert Mudsley “hath licence to be absent from all lecture days without payment of any fine because he hath given over exercising of the art of Surgery and doth occupy only a silk shop and shave.” In later years, the higher the position of the defaulter in the Company, the heavier was his fine for non-attendance; so that the assistants of the Company, who corresponded to the Council of the present Royal College of Surgeons, were fined 3s. 4d. for each lecture they missed. Every effort was made to render the lectures The cost of the lectures and demonstrations was The Lumleian lecture was a surgery lecture established at a cost of forty pounds a year, laid as a rent charge upon the lands of Lord Lumley in Essex, and of Dr. Caldwell in Derbyshire. Its founders were two notable men. Lord Lumley, says Camden, was a person of entire virtue, integrity, and innocence, and in his old age, was a complete pattern of true nobility. His father, the sixth baron, suffered death for high treason, but the son was made a Knight of the Bath two days before the coronation of Queen Mary. He was one of the lords appointed to attend Queen Elizabeth at her accession, in the journey from Hatfield to London, and at the accession of James I. he was made one of the Commissioners for settling the claims at his coronation. He died April 11, 1609, without surviving issue. Dr. Caldwell had enjoyed unique honour at the College of Physicians. He was examined, approved, and admitted a Fellow upon 22nd December, 1559, and upon the same day he was appointed a Censor. He became President in The design of the benefaction was a noble one. It was the institution of a lecture on Surgery to be continued perpetually for the common benefit of London and consequently of all England, the like whereof had not been established in any University of Christendom (Bologna and Padua excepted). An attempt had been made to establish such a lectureship at Paris, but the project failed when Francis I. died, on the last day of March, 1547. The reader of the Lumleian lecture was to be a Doctor of Physic of good practice and knowledge who was to be paid an honest stipend, no less in The lecturer was appointed for life and his subjects were so arranged that they recurred in cycles. The first year he was to read the tables of Horatius Morus, an epitome or brief handling of all the whole art of surgery, that is, of swellings, wounds, ulcers, bone-setting, and the healing of broken bones commonly called fractures. He was also to lecture upon certain prescribed works of Galen and Oribasius, and at the end of the year in winter he was directed “to dissect openly in the reading place all the body of man, especially the inward parts for five days together, as well before as after dinner; if the bodies may last so long without annoy.” The second year he was to read somewhat more advanced works upon surgery and in the winter “to dissect the trunk only of the body, namely, from the The College of Physicians made every effort to fulfil its trust adequately. Linacre, its founder and first President in 1518, allowed the Fellows to use the front part of his house—the stone house in Knightrider Street, consisting of a parlour below and a chamber above, as a council room and library, and the college continued to use these rooms for some years after his death, the rest of the premises being the property of Merton College, Oxford. At the Institution of the Surgery lecture the Fellows determined to appropriate the sum of a hundred pounds out of their Dr. Richard Forster was appointed the first Lumleian lecturer, and when he died in 1602, William Dunne took his place. Dunne, however, did not live to complete a single cycle of lectures for Thomas Davies was elected in May, 1607. The College then again began to outgrow its accommodation, and as the site did not allow of any further additions to the buildings, a suitable house and premises were bought of the Dean and Chapter of St. Paul’s in Amen Corner, at the end of Paternoster Row. The last meeting of the College in Linacre’s old house in Knightrider Street, took place on the 25th of June, 1614, and its first meeting in Amen Corner was held on the 23rd of August, 1614. Dr. Davies died in the following year, and on the 4th of August, 1615, William Harvey was appointed to the office of Lumleian lecturer, though his Harvey, in all probability, began to lecture at once upon surgery as the more theoretical portion of his subject, but it was not until April, 1616, that he gave his first anatomical lecture. It was a visceral lecture for the terms of the bequest required that it should be upon the inward parts. At this time Harvey was thirty-seven years of age. A man of the lowest stature, round faced, with a complexion like the wainscot; his eyes small, round, very black and full of spirit; his hair as black as a raven and curling; rapid in his utterance, choleric, given to gesture, and used when in discourse with any one, to play unconsciously with the handle of the small dagger he wore by his side. The MS. notes of his first course of lectures are now in the British Museum. They formed a part of the library of Dr. (afterwards Sir Hans) Sloane, The title-page, which is almost illegible, is written in red ink. It runs, “Stat Jove principium, Musae, Jovis omnia plena. Prelectiones Anatomiae Universalis per me Gulielmum Harveium Medicum Londinensem Anatomie et Chirurgie Professorem. Anno Domini 1616. Anno aetatis 37 prelectae Aprili 16, 17, 18. Aristoteles Historia Animalium, lib. i. cap. 16. Hominum partes interiores incertae et incognitae quam ob rem ad caeterorum Animalium partes quarum similes humanae referentes eas contemplare.” The motto prefixed to the title-page that “everything is full of Jove” is an incorrect quotation from the third Eclogue of his favourite author Virgil, of whom he was so enamoured that after reading him for a time he would throw away the book with the exclamation, “He hath a devil.” This particular line appears especially to have struck his fancy, for he quotes it twice in his treatise on development, and he works out the idea which it represents in his fifty-fourth essay. These notes of Harvey’s visceral lecture are of especial value to us though they are a mere skeleton of the course—a skeleton which he was accustomed to clothe with facts drawn from his own vast stores of observation, with the theories of all his great predecessors and with the most apposite illustrations. Fortunately they deal with the thorax and its contents so that they show us the exact point which Harvey was so good a Latin scholar, and during his stay in Italy had acquired such a perfect colloquial knowledge of the language that it is clear he thought with equal facility in Latin or in English, so that it is immaterial into which language he put his ideas. He uses therefore many abbreviations, and whole sentences are written in a mixture of Latin and English, which always sounds oddly to our unaccustomed ears, and often seems comical. Thus, in speaking of the lungs and their functions, he says, “Soe curst children by eager crying grow black and suffocated non deficiente animali facultate,” and in speaking of the eyes and their uses, he says, “Oculi eodem loco, viz., Nobilissimi supra et ante ad processus eminentes instar capitis in a Lobster ... snayles cornubus tactu pro visu utuntur unde occuli as a Centinell to the Army locis editis anterioribus.” Sometimes he embodies an important experimental observation in this jargon as in the example, “Exempto corde, frogg scipp, eele crawle, dogg Ambulat.” The more important and original ideas throughout The lectures were partly read and partly oral, and we know from the minute directions laid down by the Barber Surgeons Company the exact manner in which they were given. The “Manual of Anatomy,” published by Alexander Reid in 1634, has a frontispiece showing that the method of lecturing adopted in England was the same as that in use throughout Europe. The body lay upon a table, and as the dissections were done in sight of the audience, the dissecting instruments were close to it. The lecturer, wearing the cap of his doctor’s degree, sate opposite the centre of the table holding in his hand a little wand The lecturer upon Anatomy, apart from the fact that he was a Doctor of Physic was a person of considerable importance in the sixteenth century. The greatest care was taken of him, as may be understood from the directions which the Barber Surgeons gave to their Stewards in Anatomy or those members of the Company who were appointed to supervise the arrangements for the lectures. They were ordered “to see and provide that there be every year a mat about the hearth in the Hall that Mr. Doctor be made not to take cold upon his feet, nor other gentlemen that do come and mark the Anatomy to learn knowledge. And further that there be two fine white rods appointed for the Doctor to touch the body where it shall please him; and a wax candle to look into the body, and that there be always for the doctor two aprons to be from the shoulder downwards and two pair of sleeves for his whole arm with tapes, for change for the said Doctor, and not to occupy one Apron and one pair of sleeves every day which is unseemly. And the Masters of the Anatomy that The whole business of a public anatomy was conducted with much ceremony, and every detail was regulated by precedent. The exact routine in the Barber Surgeons’ Company is laid down in another series of directions. The clerk or secretary is instructed in his duties in the following words: “So soon as the body is brought in deliver out your tickets which must be first filled up as followeth four sorts:—The first form, to the Surgeons who have served the office of Master you must say: Be pleased to attend &c. with which summons you send another for the Demonstrations: to those below the Chair [i.e., who have not filled the office of Master of the Company] you say: Our Masters desire your Company in your Gown and flat Cap &c. with the like notice for the Demonstrations as you send to the ancient Master Surgeons. To the Barbers, if ancient masters, you “The body being by the Masters of Anatomy prepared for the lecture (the Beadles having first given the Doctor notice who is to read) and having taken orders from the Master or Upper Warden [of the Company] of the Surgeons’ side concerning the same, you meet the whole Court of Assistance [i.e., the Council] in the Hall Parlour where every gentlemen cloathes himself [i.e., puts on his livery or gown], and then you proceed in form to the Theatre. The Beadles going first, next the Clerk, then the Doctor, and after him the several gentlemen of the Court; and having come therein, the Doctor and the rest of the Company being seated, the Clerk walks up to the Doctor and presents him with a wand and retires without the body of the Court [i.e., the theatre in which the assemblage of the company technically constituted a “court”] until the lecture is over when he then goes up to the Doctor and takes the wand from him with directions when to give notice for the reading in the afternoon which is usually at five precisely, and at one of the clock at noon, which he “N.B.—The Demonstrator, by order of the Court of Assistants, is allowed to read to his pupils after the public lecture is over for three days and till six of the clock on each day and no longer, after which the remains of the body is decently interred at the expence of the Masters of Anatomy, which usually The study of Anatomy seems to have been regarded universally as an exhausting occupation, for throughout Europe it was the custom to present the auditors with wine and spices after each lecture, unless some more substantial refreshment was provided. Harvey’s lectures at the College of Physicians were probably given with similar ceremony to those just described. His first course was delivered on Tuesday, Wednesday, and Thursday, April 16, 17, and 18, 1616. On the following Tuesday, April 23rd, Shakespeare died at Stratford-on-Avon, and on the succeeding Thursday, April 25th, he was buried in the chancel of the parish church. At the beginning of his lectures Harvey lays down the following excellent canons for his guidance, of which the sixth seems to indicate that he was acquainted with the works of John of Arderne— 1. To show as much as may be at a glance, the whole belly for instance, and afterwards to subdivide the parts according to their position and relations. 2. To point out what is peculiar to the actual body which is being dissected. 3. To supply only by speech what cannot be shown on your own credit and by authority. 4. To cut up as much as may be in the sight of the audience. 5. To enforce the right opinion by remarks drawn from far and near, and to illustrate man by the structure of animals according to the Socratic rule [given by Aristotle and affixed as an extract to the title-page of the lectures 6. Not to praise or dispraise other anatomists, for all did well, and there was some excuse even for those who are in error. 7. Not to dispute with others, or attempt to confute them, except by the most obvious retort, for three days is all too short a time [to complete the work in hand]. 8. To state things briefly and plainly, yet not letting anything pass unmentioned which can be seen. 9. Not to speak of anything which can be as well explained without the body or can be read at home. 10. Not to enter into too much detail, or into too minute a dissection, for the time does not permit. 11. To serve in their three courses according to the glass (i.e., to allot a definite time to each part of the body). In the first day’s lectures the abdomen, nasty, yet recompensed by its infinite variety. In the second day’s lecture the parlour [i.e., the thorax?]. In the third day’s lecture the divine banquet of the brain. Harvey adheres pretty closely in his visceral lecture to the programme which he had thus laid down for his own guidance. The first set of notes deal with the outside of the body, and the abdomen and its contents. The second portion contains an account of the chest and its contents; whilst the third portion is devoted to a consideration of the head with the brain and its nerves. Only nine pages of the ninety-eight which the book contains are allotted to the heart. The scheme of the lectures is first to give a general introduction in which the subject is arranged under different headings, and then to consider each part under a variety of sub-headings. Harvey’s playfulness is shown even in the “It is plain from the structure of the heart that the blood is passed continuously through the lungs to the aorta as by the two clacks of a water bellows to raise water. “It is shown by the application of a ligature that the passage of the blood is from the arteries into the veins. “Whence it follows that the movement of the blood is constantly in a circle, and is brought about by the beat of the heart. It is a question therefore whether this is for the sake of nourishment or rather for the preservation of the blood and the limbs by the communication of heat, the blood cooled by warming the limbs being in turn warmed by the heart.” Here the notes on the heart end abruptly, and Harvey passes on to consider the lungs. These few sentences show, however, that he had discovered the circulation, and that although he delayed for twelve years to make his results public he was unable to add any important fact in the interval. The College of Physicians still preserve some interesting memorials of this portion of Harvey’s Lumleian lectures. They consist of a series of six dissections of the blood vessels and nerves of the human body, which are traditionally reported to have been made by Harvey himself. The dissections are displayed upon six boards of the size of the human body, and they exhibit the complete system of the blood vessels separated from the other parts so as to form diagrams of the circulatory apparatus. They have been made with such care that one of the series still shows the semilunar valves at the beginning of the Harvey continued his Lumleian lectures year by year, but we know nothing more of them until 1627, when he delivered a series of lectures upon the anatomy and physiology of the human body, more especially of the arm and leg, with a description of the veins, arteries, and nerves of these parts. This was clearly the Muscular lecture, and if he had followed the course prescribed by the founders of the lecture it should have been given in the years 1619 and 1625, for the years 1621 and 1627 should not have embraced an anatomical course. The notes of the Muscular lecture are in the Sloane collection at the British Museum, where they have been preserved by as happy an accident as those of the much more important Visceral lecture. The volume consists of 121 leaves with writing upon both sides of each page. The notes are as rough and as concise as those of the Visceral lecture, and the language is again a mixture of Latin and homely English. They show, like the An cerebrum rex [Whether the Brain is to be looked upon as King,] Nervi Magistratus [The nerves as his ministers,] Ramuli nervorum officiales [and the branches of the nerves as their subordinates,] Musculi Cives, populus [whilst the muscles are the burgesses or the commonalty]. And in another place:— An Cerebrum, Master: Spina his mate. Nervi, Boteswayne. Musculi, Saylors. “There are similar comparisons,” says Sir George His treatise on the movement of the blood must have been passing through the press at the time he gave these lectures, and the subject of the circulation must therefore have been uppermost in his mind. He compares the heart to the other organs thus:— An WH. potius. Cor, imperator, Rex. [Whether the heart should not rather be considered as the Emperor or King,] Cerebrum, Judex, Serjeant-Major, praepositi [whilst the brain is the judge, serjeant-major, or monitor]. |