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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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