Medical investigation in seventeenth century England

Chapter 2

Chapter 23,622 wordsPublic domain

The theories of development promulgated by Digby and Highmore reveal the chief formulations of mechanistic rationalism, more or less free of empiricism, that were emerging as the vitalism of the sixteenth and seventeenth centuries waned. There was little new in these theories: both Digby's and Highmore's theories included different combinations of elements of ancient lineage. Digby's concept was essentially free of vitalistic coloring; akin to the embryological efforts of Descartes in its virtual independence from observations of the developing embryo, it was similarly vulnerable to Voltaire's criticism of Descartes, that he sought to interpret, rather than study, Nature. This criticism is not so applicable to Highmore, whose theory of development is more vitalistic than Digby's, and is more akin to the concepts developed by Gassendi than those of Descartes. Highmore had experience with the embryo itself, and his actual contribution as an observer of development, although hardly epochal, is worthy of note. But despite this empirical base, Highmore has final recourse to a hypothesis blending many ancient ideas and substituting the Aristotelian material and efficient causes for the "fortune and chance" he objected to in Digby's hypothesis. It was _not_ easy in the seventeenth century to avoid falling back upon some variety of cause or force.

In 1651, about two months before publication of Highmore's _History of Generation_, a work appeared which marks another period in seventeenth-century English embryology. William Harvey, _De Motu Cordis_ almost a quarter of a century behind him, now published _De Generatione Animalium_, the work he said was calculated "to throw still greater light upon natural philosophy."[19] This book is, perhaps, not as well known as Harvey's treatise demonstrating circulation of the blood, but it is an important work in the history of embryology and it occupies a prominent position in the body of English embryological literature.

In _De Generatione_, Harvey provides a thorough and quite accurate account of the development of the chick embryo, which, in particular, clarified that the chalazae, those twisted skeins of albumen at either end of the yolk, were not, as generally believed, the developing embryo, and he demonstrated that the cicatricula (blastoderm) was the point of origin of the embryo. The famous frontispiece of the treatise shows Zeus holding an egg, from which issue animals of various kinds. On the egg is written _Ex ovo omnia_, a legend since transmuted to the epigram _Omne vivum ex ovo_. The legend illustrates Harvey's principal theme, repeated constantly throughout the text, "that all animals were in some sort produced from eggs."[20]

If Harvey made no contribution beyond emphasizing the origin of animals from eggs, he would deserve a prominent place in the history of embryology. But the work is also significant in its espousal of epigenesis, and, supported as his argument was by observation and logic, it became the prime formulation of that concept of development during the seventeenth and eighteenth centuries. His statement of epigenetic development is clear:

In the egg ... there is no distinct part or prepared matter present, from which the fetus is formed ... an animal which is created by epigenesis attracts, prepares, elaborates, and makes use of the material, all at the same time; the processes of formation and growth are simultaneous ... all its parts are not fashioned simultaneously, but emerge in their due succession and order ... Those parts, I say, are not made similar by any successive union of dissimilar and heterogeneous elements, but spring out of a similar material through the process of generation, have their different elements assigned to them by the same process, and are made dissimilar ... all its parts are formed, nourished, and augmented out of the same material.[21]

Actually, Harvey's exposition of epigenesis, albeit clear, is not totally impressive, since it is largely a reflection of Aristotle's influence. The main importance of Harvey's vigorous and cogent defense of epigenesis is that it provided some kind of counterbalance to the increasingly dominant preformationist interpretations of embryonic development.

Harvey did not break with Aristotelianism; on the contrary, he lent considerable authority to it. Unable to escape the past, he was not completely objective in his study of generation. Everywhere the pages of his book reveal his indebtedness to past authorities. Robert Willis, who provided the 1847 translation of _De Generatione_, expresses this well:

[Harvey] ... begins by putting himself in some sort of harness of Aristotle, and taking the bit of Fabricius between his teeth; and then, either assuming the ideas of the former as premises, or those of the latter as topics of discussion or dissent, he labours on endeavouring to find Nature in harmony with the Stagyrite, or at variance with the professor of Padua--for, in spite of many expressions of respect and deference for his old master, Harvey evidently delights to find Fabricius in the wrong. Finally, so possessed is he by scholastic ideas, that he winds up some of his opinions upon animal reproduction by presenting them in the shape of logical syllogisms.[22]

Even Harvey's concept of the egg reveals a strong Aristotelian bias. Actually, Harvey attained to his conclusion that all animals derive from eggs by assuming that

on the same grounds, and in the same manner and order in which a chick is engendered and developed from an egg, is the embryo of viviparous animals engendered from a pre-existing conception. Generation in both is one and identical in kind: the origin of either is from an egg, or at least something that by analogy is held to be so. An egg is, as already said, a conception exposed beyond the body of the parent, whence the embryo is produced; a conception is an egg remaining within the body of the parent until the foetus has acquired the requisite perfection; in everything else they agree; they are both alike primordially vegetables, potentially they are animals.[23]

The ovum, for Harvey, is in essence "the primordium vegetable or vegetative incipience, understanding by this a certain corporeal something having life in potentia; or a certain something existing _per se_, which is capable of changing into a vegetative form under the agency of an internal principle."[24] The ovum is for Harvey more a concept than an observed fact, and, as stated by one student of generation, "The _dictum ex ovo omnia_, whilst substantially true in the modern sense, is neither true nor false as employed by Harvey, since to him it has no definite or even intelligible meaning."[25]

Harvey's treatise on generation is clearly a product of his time. It advances embryology by its demonstration of certain facts of development, by its aggressive espousal of epigenesis and the origin of all animals from eggs, and by its dynamic approach stressing the temporal factors in development and the initial independent function of embryonic organs. However, the strong Aristotelian cast of Harvey's treatise encouraged continued discussion of long outdated questions in an outdated manner and, combined with his expressed disdain for "chymistry" and atomism, discouraged close cooperation between embryologists of different persuasions. It is perhaps easy to underestimate the impact and general importance of Harvey's work in view of these qualifications, and so it should be remarked that both positive and negative features of _De Generatione_ influenced profoundly subsequent embryological thought.

It will be recalled that the title of _The Philosophicall Touch-Stone_ identified Digby as the object of Alexander Ross's ire. In comparable manner, the latter's _Arcana Microcosmi_, published in 1652, declares its purpose to be "a refutation of Dr. Brown's Vulgar Errors, the Lord Bacon's Natural History, and Dr. Harvy's book _De Generatione_." Let us pause a brief moment in memory of a man so intrepid as to undertake the refutation of three of England's great intellects in one small volume, and then proceed to examine the embryological concepts of one of the trio, Sir Thomas Browne.

Browne's _Religio Medici_, composed as a private confession of faith around 1635, is known to all students of English literature, as is his later, splendid work on death and immortality, _Hydrotaphia, Urne-Buriall_. One of the greatest stylists of English prose, Browne was also a physician and a student of generation who deserves our attention as an early chemical embryologist pointing the way to a form of embryological investigation prominent in the last half of the seventeenth century.

Browne's embryological opinions are found particularly in _Pseudodoxia Epidemica_, _The Garden of Cyrus_, and in his unpublished _Miscellaneous Writings_. Browne, a well-read man, was educated at Oxford, Montpellier, Padua, and Leyden, and he was thoroughly imbued with the teaching of the prophets of the "new learning." This is evident throughout his writings, as witness his admonition to the reader of the _Christian Morals_:

Let thy Studies be free as thy Thoughts and Contemplations, but fly not only upon the wings of Imagination; Joyn Sense unto Reason, and Experiment unto Speculation, and so give life unto Embryon Truths, and Verities yet in their Chaos.[26]

Browne greatly admired Harvey's work on generation, considering it "that excellent discourse ... So strongly erected upon the two great pillars of truth, experience and solid reason."[27] Browne carried out a variety of studies upon animals of all kinds, in them joining Sense unto Reason, and "Experiment unto Speculation." Thus in his studies of generation, he made observations and also performed certain simple chemical experiments. Noting that "Naturall bodyes doe variously discover themselves by congelation,"[28] Browne studied experimentally the chemical properties of those substances providing the raw material of development. He observed the effects of such agents as heat and cold, oil, vinegar, and saltpeter upon eggs of various animals, recording such facts as the following:

Of milk the whayish part, in eggs wee observe the white, will totally freez, the yelk with the same degree of cold growe thick & clammy like gumme of trees; butt the sperme or tredde hold its former body, the white growing stiff that is nearest it.... Egges seem to have their owne coagulum within themselves manifested in the incrassations upon incubation.... Rotten egges will not bee made hard by incubation or decoction, as being destitute of that spiritt, or having the same vitiated.... How far the coagulating principle operateth in generation is evident from eggs wch will never incrassate without it. From the incrassation upon incubation when heat diffuseth the coagulum, from the _chalaza_ or gallatine wh. containeth 3 nodes, the head, heart, & liver.[29]

It cannot be said that Browne attained to any great generalizations regarding embryogeny on the basis of his rather naive experiments, but they are indicative of the effects of the "new learning" in one area of biology. Actually, Browne appears more comfortable in the search for patterns conforming to the quincunx, as in _The Garden of Cyrus_, and although he may well have been in search of something like the later Unity of Type, he uses his amassed details of scientific knowledge most effectively in support of nonscientific propositions. Thus, he uses the facts of embryonic development, alchemy, and insect metamorphosis as a part of his argument for the immortality of the human soul:

...for we live, move, have a being, and are subject to the actions of the elements, and the malice of diseases in that other world, the truest Microcosme, the wombe of our mother; for besides that generall and common existence wee are conceived to hold in our Chaos, and whilst wee sleepe within the bosome of our causes, wee enjoy a being and life in three distinct worlds, wherin we receive most manifest graduations: In that obscure world and wombe of our mother, our time is short, computed by the Moone, yet longer than the dayes of many creatures that behold the Sunne; our selves being yet not without life, sense, and reason; though for the manifestation of its actions it awaits the opportunity of objects; and seemes to live there but in its roote and soule of vegetation; entring afterwards upon the scene of the world, wee arise up and become another creature, performing the reasonable actions of man, and obscurely manifesting that part of Divinity in us, but not in complement and perfection, till we have once more cast our secondine, that is, this slough of flesh, and are delivered into the last world, that ineffable place of Paul, that proper _ubi_ of spirits. The smattering I have [in the knowledge] of the Philosophers stone ... hath taught me a great deale of Divinity, and instructed my beliefe, how the immortall spirit and incorruptible substance of my soule may lye obscure, and sleepe a while within this house of flesh. Those strange and mysticall transmigrations that I have observed in Silkewormes, turn'd my Philosophy into Divinity. There is in those workes of nature, which seeme to puzzle reason, something Divine, and [that] hath more in it then the eye of a common spectator doth discover.[30]

To affirm that Sir Thomas Browne was the founder of chemical embryology or, indeed, to contend that he made a great impress upon the progress of embryology is to humour our fancy. As Browne himself reminds us, "a good cause needs not to be patron'd by a passion."[31] His work and interpretations of generation are most important for our purposes as an indication of the rising mood of the times and an emerging awareness of the physiochemical analysis of biological systems. Although this mood and awareness coexist in Browne's writings with a continued reverence for some traditional attitudes, they mark a point of departure toward a variety of embryological thought prominent in England during the second half of the seventeenth century.

Browne did no more than analyze crudely the reaction of the egg to various physical and chemical agents. This static approach was later supplanted by a more dynamic one concerned primarily with the physicochemical aspects of embryonic development. This is first apparent in a report by Robert Boyle in the _Philosophical Transactions of the Royal Society_ in 1666 entitled, "A way of preserving birds taken out of the egge, and other small foetus's." Boyle, unlike Browne, exposed embryos of different ages to the action of "Spirit of Wine" or "Sal Armoniack," demonstrating thereby the chemical fixation of embryos as an aid to embryology. A year later, Walter Needham, a Cambridge physician who studied at Oxford in the active School of Physiological Research, which included such men as Christopher Wren and Thomas Willis, published a book reporting the first chemical experiments upon the developing mammalian embryo.[32] Needham's approach and goals are more dynamic than those of Browne, and he attempts to analyze various embryonic fluids by coagulation and distillation procedures. His experiments reveal, for example, that "coagulations" effected by different acids vary according to the fluid; thus, the addition of "alumina" to bovine amniotic fluid produced a few, fine precipitations, whereas the allantoic fluid was precipitated like urine. By such means Needham was able to demonstrate, however crudely, that there are considerable differences in the various fluids occurring within and around the fetus. Furthermore, it is with the results of chemical analyses that he supports his other arguments, such as his contention that the egg of elasmobranchs is not, as believed, composed of only one humour, but has separate white and yolk.

Needham's book contains many splendid observations, including an accurate description of the placenta and its vessels, the relationship of the various fetal membranes to the embryonic fluids, and rather complete directions for dissection of various mammals. These need not detain us, since the important aspect of Needham's work relevant to our purpose is his continuation of the chemical analysis of the developing embryo and its demonstration that, although Harvey might have despised the "chymists" and been contemptuous of the "mechanical, corpuscular philosophy," this system and approach was not to be denied.

Needham's book is dedicated to Robert Boyle, whose _Sceptical Chymist_ set the cadence for subsequent research based upon the "mechanical or corpuscularian" philosophy and quantitative procedures. It is appropriate for us, then, to terminate our discussion with a consideration of this current in English embryological thought.

John Mayow was the first to realize that "nitro-aerial" vapour, or oxygen, is essential to respiration of a living animal, and he was soon led to inquire "how it happens that the foetus can live though imprisoned in the straits of the womb and completely destitute of air."[33] As a consequence of this interest, the third of his _Tractatus Quinque medico-physici_, published in 1674, is devoted to the respiration of the fetus _in utero_. He shows truly remarkable insight when he concludes therein that

It is very probable that the spermatic portions of the uterus and its carunculae are naturally suited for separating aerial particles from arterial blood.

These observations premised, we maintain that the blood of the embryo, conveyed by the umbilical arteries to the placenta or uterine carunculae transports to the foetus not only nutritious juice, but also a portion of the nitro-aerial particles: so that the blood of the infant seems to be impregnated with nitro-aerial particles by its circulation through the umbilical vessels in the same manner as in the pulmonary vessels. Therefore, I think that the placenta should no longer be called a uterine liver, but rather a uterine lung.[34]

Although Mayow's attempted analysis of respiration of the chick embryo _in ovo_ is less than successful, his views on fetal respiration were soon accepted by many, and his tract stands as a great contribution to physiological embryology.

The studies of such individuals as John Standard reporting the weight of various parts of the hen's egg, e.g., the shell, the yolk, the white, reveal the wing of embryological investigation that was increasingly obsessed with quantification and the physicochemical analysis of the embryo and its vital functions. In this they were following the injunction of Boyle, who used the developing embryo as a vehicle in an attack upon the idea that mixed bodies are compounded of three principles, the obscurities of which operated to discourage quantification:

How will this hypothesis teach us, how a chick is formed in the egg, or how the seminal principles of mint, pompions, and other vegetables ... can fashion water into various plants, each of them endowed with its peculiar and determinate shape, and with divers specifick and discriminating qualities? How does this hypothesis shew us, how much salt, how much sulphur, and how much mercury must be taken to make a chick or a pompion? And if we know that, what principle it is, that manages these ingredients, and contrives, for instance, such liquors, as the white and yolk of an egg into such a variety of textures, as is requisite to fashion the bones, veins, arteries, nerves, tendons, feathers, blood, and other parts of a chick? and not only to fashion each limb, but to connect them all together, after that manner, that is most congruous to the perfection of the animal, which is to consist of them?[35]

The emphasis upon quantification and the physicochemical analysis of vital processes was to continue into the eighteenth century and to contribute to the great stress upon precision in that period. It was not, however, destined to become immediately the main stream of embryological investigation. For even as the studies of Mayow were in progress, embryology was embarked upon a course leading to preformationism. By the end of the seventeenth century, the idea that the embryo was encased in miniature in either egg or sperm was elevated to a position of Doctrine, and thereafter there was little encouragement to quantitative study of development. Many embryological investigations were performed during the eighteenth century, but most relate to the controversy regarding epigenesis and preformationism as the true expression of embryonic development. Withal, the seventeenth-century embryologists, and particularly the embryologists of seventeenth-century England, had contributed much to the progress of the discipline. They had introduced new ideas, applied new techniques, and created new knowledge; they had effectively advanced the study of development beyond the stage of macro-iconography; they had freed the discipline from much of its traditional baggage of causes, virtues, and faculties. Various English embryologists had varying success with developmental theory, but as a group they had made great impact upon the development of embryology. In the course of their century, they had, in the words of one of them, "called tradition unto experiment."[36]

_Notes_

[1] Charles Dickens, _A Tale of Two Cities_, London, 1859, p. 1.

[2] Kenelm Digby, _Private Memoirs of Sir Kenelm Digby, Gentleman of the Bedchamber to King Charles the First_, London, 1827, Preface, p. i.

[3] Kenelm Digby, _Two Treatises, in the One of Which, The Nature of Bodies; in the Other, the Nature of Mans Soule; is Looked into_, Paris, 1644, p. 213.

[4] _Ibid._, p. 220.

[5] _Ibid._, pp. 220-221.

[6] _Ibid._, p. 222.

[7] _Ibid._, p. 215.

[8] _Ibid._, p. 219.

[9] _Ibid._, p. 213.

[10] _Ibid._, pp. 217-219.

[11] _Ibid._, p. 231.

[12] Alexander Ross, _The Philosphicall Touch-Stone; or Observations upon Sir Kenelm Digbie's Discourses of the nature of Bodies, and of the reasonable Soule_, London, 1645.

[13] Alexander Ross, _Arcana Microcosmi: or, The hid secrets of Man's Body disclosed ... In an anatomical duel between Aristotle and Galen concerning the parts thereof_, London, 1652, p. 87.

[14] Nathaniel Highmore, _The History of Generation, Examining the several Opinions of divers Authors, expecially that of Sir Kenelm Digby, in his Discourse of Bodies_, London, 1651, p. 4.

[15] _Ibid._, pp. 26-27.

[16] _Ibid._, pp. 27-28.

[17] _Ibid._, p. 45.

[18] _Ibid._, Pp. 90-91.

[19] William Harvey, _Opera omnia: a Collegio Medicorum Londinensi edita_, Londini, 1766, p. 136.

[20] William Harvey, _Anatomical Excercises on the Generation of Animals_, trans. Robert Willis, London, 1847, p. 462.

[21] _Ibid._, pp. 336-339.

[22] _Works of William Harvey_, trans. Robert Willis, London, 1847, pp. lxx-lxxi.

[23] Harvey, _op. cit._, pp. 462-463.

[24] _Ibid._, p. 457.

[25] F. J. Cole, _Early Theories of Sexual Generation_, Oxford, 1930, p. 140.

[26] Thomas Browne, _The Works_, ed. Geoffrey Keynes, Chicago, 1964, I, 261-262.

[27] _Ibid._, II, 265.

[28] _Ibid._, III, 442.

[29] _Ibid._, III, 442-452.

[30] _Ibid._, I, 50.

[31] _Ibid._, I, 14.

[32] Walter Needham, _Disquisitio anatomica de formato foetu_, London, 1667.

[33] John Mayow, "De Respiratione foetus in utero et ovo," in _Tractatus Quinque Medico-Physici_, Oxonii, 1674, p. 311.

[34] _Ibid._, pp. 319-320.

[35] Robert Boyle, _The Works_, London, 1772, I, 548-549.

[36] Browne, _op. cit._, II, 261.

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