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part14-第2部分

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ingenious dream; which lets him into all nature's secrets at short

hand。  On the principle which he thus assumes; he forms his table of

nosology; arrays his diseases into families; and extends his curative

treatment; by analogy; to all the cases he has thus arbitrarily

marshalled together。  I have lived myself to see the disciples of

Hoffman; Boerhaave; Stalh; Cullen; Brown; succeed one another like

the shifting figures of a magic lantern; & their fancies; like the

dresses of the annual doll…babies from Paris; becoming; from their

novelty; the vogue of the day; and yielding to the next novelty their

ephemeral favor。  The patient; treated on the fashionable theory;

sometimes gets well in spite of the medicine。  The medicine therefore

restored him; & the young doctor receives new courage to proceed in

his bold experiments on the lives of his fellow creatures。  I believe

we may safely affirm; that the inexperienced & presumptuous band of

medical tyros let loose upon the world; destroys more of human life

in one year; than all the Robinhoods; Cartouches; & Macheaths do in a

century。  It is in this part of medicine that I wish to see a reform;

an abandonment of hypothesis for sober facts; the first degree of

value set on clinical observation; and the lowest on visionary

theories。  I would wish the young practitioner; especially; to have

deeply impressed on his mind; the real limits of his art; & that when

the state of his patient gets beyond these; his office is to be a

watchful; but quiet spectator of the operations of nature; giving

them fair play by a well…regulated regimen; & by all the aid they can

derive from the excitement of good spirits & hope in the patient。  I

have no doubt; that some diseases not yet understood may in time be

transferred to the table of those known。  But; were I a physician; I

would rather leave the transfer to the slow hand of accident; than

hasten it by guilty experiments on those who put their lives into my

hands。  The only sure foundations of medicine are; an intimate

knolege of the human body; and observation on the effects of

medicinal substances on that。  The anatomical & clinical schools;

therefore; are those in which the young physician should be formed。

If he enters with innocence that of the theory of medicine; it is

scarcely possible he should come out untainted with error。  His mind

must be strong indeed; if; rising above juvenile credulity; it can

maintain a wise infidelity against the authority of his instructors;

& the bewitching delusions of their theories。  You see that I

estimate justly that portion of instruction which our medical

students derive from your labors; &; associating with it one of the

chairs which my old & able friend; Doctor Rush; so honorably fills; I

consider them as the two fundamental pillars of the edifice。  Indeed;

I have such an opinion of the talents of the professors in the other

branches which constitute the school of medicine with you; as to hope

& believe; that it is from this side of the Atlantic; that Europe;

which has taught us so many other things; will at length be led into

sound principles in this branch of science; the most important of all

others; being that to which we commit the care of health & life。




        I dare say; that by this time; you are sufficiently sensible

that old heads as well as young; may sometimes be charged with

ignorance and presumption。  The natural course of the human mind is

certainly from credulity to scepticism; and this is perhaps the most

favorable apology I can make for venturing so far out of my depth; &

to one too; to whom the strong as well as the weak points of this

science are so familiar。  But having stumbled on the subject in my

way; I wished to give a confession of my faith to a friend; & the

rather; as I had perhaps; at time; to him as well as others;

expressed my scepticism in medicine; without defining it's extent or

foundation。  At any rate; it has permitted me; for a moment; to

abstract myself from the dry & dreary waste of politics; into which I

have been impressed by the times on which I happened; and to indulge

in the rich fields of nature; where alone I should have served as a

volunteer; if left to my natural inclinations & partialities。




        I salute you at all times with affection & respect。







        TORPEDOES AND SUBMARINES




        _To Robert Fulton_

        _Monticello; August 16; 1807_




        SIR;  Your letter of July 28; came to hand just as I was

about leaving Washington; & it has not been sooner in my power to

acknolege it。  I consider your torpedoes as very valuable means of

defence of harbors; & have no doubt that we should adopt them to a

considerable degree。  Not that I go the whole length (as I believe

you do) of considering them as solely to be relied on。  Neither a

nation nor those entrusted with it's affairs; could be justifiable;

however sanguine their expectations; in trusting solely to an engine

not yet sufficiently tried; under all the circumstances which may

occur; & against which we know not as yet what means of parrying may

be devised。  If; indeed; the mode of attaching them to the cable of a

ship be the only one proposed; modes of prevention cannot be

difficult。  But I have ever looked to the submarine boat as most to

be depended on for attaching them; & tho' I see no mention of it in

your letter; or your publications; I am in hopes it is not abandoned

as impracticable。  I should wish to see a corps of young men trained

to this service。  It would belong to the engineers if at land; but

being nautical; I suppose we must have a corps of naval engineers; to

practise & use them。  I do not know whether we have authority to put

any part of our existing naval establishment in a course of training;

but it shall be the subject of a consultation with the Secretary of

the Navy。  Genl Dearborne has informed you of the urgency of our want

of you at N Orleans for the locks there。




        I salute you with great respect & esteem。







        RELIGIOUS FREEDOM




        _To Rev。 Samuel Miller_

        _Washington; Jan。 23; 1808_




        SIR;  I have duly received your favor of the 18th and am

thankful to you for having written it; because it is more agreeable

to prevent than to refuse what I do not think myself authorized to

comply with。  I consider the government of the U S。 as interdicted by

the Constitution from intermeddling with religious institutions;

their doctrines; discipline; or exercises。  This results not only

from the provision that no lawshall be made respecting the

establishment; or free exercise; of religion; but from that also

which reserves to the states the powers not delegated to the U。S。

Certainly no power to prescribe any religious exercise; or to assume

authority in religious discipline; has been delegated to the general

government。  It must then rest with the states; as far as it can be

in any human a
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