,,man',s ,,redemption ,,of ,,man ,a ,lay ,sermon1 ,mc,ewan ,hall ,edinburgh1 ,sunday ,july #bnd #aiaj ,,by ,,william ,,osler ,,london ,,constable ,,co4 ,,ltd #aiac #d ,note4--,this address was delivered at a service held for the students of the ,university of ,edinburgh1 in connection with the ,edinburgh meeting of the ,national ,association for the ,prevention of ,tuberculosis4 #e ,and a man shall be as an hiding-place from the wind1 and a covert from the tempest2 as rivers of water in a dry place2 as the shadow of a great rock in a weary land4 ,and the voice of weeping shall be no more heard in her1 nor the voice of crying4 ,there shall be no more thence an infant of days1 nor an old man that has not filled his days4 7,isaiah47 ,to man there has been published a triple gospel--of his soul1 of his goods1 of his body4 ,growing with his growth1 preached and professed in a hundred different ways in various ages of the world1 these gospels represent the unceasing purpose of his widening thoughts4 ,the gospel of his relation to the powers unseen has brought sometimes hope1 too often despair4 ,in a wide outlook on the immediate and remote effects of the attempts to establish this relation1 one event discredits the great counsel of ,confucius 7who realized what a heavy yoke religion might be7 to keep aloof from spiritual beings4 ,surviving the accretions of twenty centuries1 the life and immortality brought to light by the gospel of ,christ1 remain the earnest desire of the best portion of the race4 ,the gospel of his goods--of man's relation to his fellow men1 is written in blood on every page of history4 ,quietly and slowly the righteousness that exalteth a nation1 the principles of eternal justice1 have won acquiescence1 at any rate in theory1 though as nations and individuals we are still far from carrying them into practice4 ,and the third gospel1 the gospel of his body1 which brings man into relation with nature1--a true evangelion1 the glad tidings of a conquest beside which all others sink into insignificance--is the final conquest of nature1 out of which has come man's redemption of man1 the subject to which ,i am desirous of directing your attention4 ,in the struggle for existence in which all life is engaged1 disease and pain loom large as fundamental facts4 ,the whole creation groaneth and travaileth1 and so red in tooth and claw with ravin is ,nature1 that1 it is said1 no animal in a wild state dies a natural death4 ,the history of man is the story of a great martyrdom--plague1 pestilence and famine1 battle and murder1 crimes unspeakable1 tortures inconceivable1 and the inhumanity of man to man has even outdone what appear to be atrocities in nature4 ,in the ,grammar of ,assent 7chap4 x7 ,cardinal ,newman has an interesting paragraph on this great mystery of the physical world4 ,speaking of the amount of suffering bodily and mental which is our lot and heritage1 he says3 ,not only is the ,creator far off1 but some being of malignant nature seems to have got hold of us1 and to be making us his sport4 ,let us say that there are a thousand millions of men on the earth at this time2 who can weigh and measure the aggregate of pain which this one generation has endured1 and will endure from birth to death8 ,then add to this all the pain which has fallen and will fall upon our race through generations past and to come4 ,is there not then some great gulf fixed between us and the good ,god8 ,dwelling too exclusively on this aspect of life1 who does not echo the wish of ,euripides3 ,not to be born is the best1 and next to die as soon as possible4 ,some of you may remember ,edwin ,markham's poem1 ,the ,man with the ,hoe1 based on ,millet's famous picture4 ,bowed by the weight of centuries he leans ,upon his hoe and gazes on the ground1 ,the emptiness of ages in his face1 ,and on his back the burden of the world4 ,who made him dead to rapture and despair1 ,a thing that grieves not and that never hopes1 ,stolid and stunned1 a brother to the ox8 ,it is a world-old tale1 this of the trembling heart1 the failing eyes1 the desponding mind of the natural man4 ,and thy life shall hang in doubt before thee2 and thou shalt fear day and night1 and shalt have none assurance of thy life3 ,in the morning thou shalt say1 ,would ,god it were even6 and at even thou shalt say1 ,would ,god it were morning6 for the fear of thine heart wherewith thou shalt fear1 and for the sight of thine eyes which thou shalt see 7,deut4 xxviii474 ,the condition of ,hopeful and ,christian put by ,giant ,despair into a very dark dungeon1 nasty and stinking to their spirits1 and beaten with stripes1 and made to feel that the bitterness of death was as nothing to the bitterness of life1 illustrates in allegory the state of man for countless centuries4 ,in darkness and in the shadow of death he lay helpless1 singing like the prisoners vain hymns of hope1 and praying vain prayers of patience1 yet having all the while in his bosom1 like ,christian1 a key called ,promise1 capable of unlocking the doors of his dungeon4 ,groping between what ,sir ,thomas ,browne so finely calls the night of our forebeing and the unknown future--the dark before and after1 he at last came to himself1 and with the help of this key unlocked the mysteries of ,nature1 and found a way of physical salvation4 ,man's redemption of man is the great triumph of ,greek thought4 ,the tap-root of modern science sinks deep in ,greek soil1 the astounding fertility of which is one of the out-standing facts of history4 ,as ,sir ,henry ,maine says3 ,to one small people 444 it was given to create the principle of progress4 ,that people was the ,greek4 ,except the blind forces of ,nature nothing moves in this world which is not ,greek in its origin4 ,though not always recognized1 the controlling principles of our art1 literature and philosophy1 as well as those of science1 are ,hellenic4 ,we still think in certain levels only with the help of ,plato1 and there is not a lecture room of this university#a in which the trained ear may not catch echoes of the ,lyceum4 ,in his introductory chapter of his ,rise of the ,greek ,epic1 ,professor ,murray dwells on the keen desire of the ,greeks to make life a better thing than it is1 and to help in the service of man1 a thought that pervades ,greek life like an aroma4 ,from ,homer to ,lucian there is one refrain--the pride in the body as a whole2 and in the strong conviction that our soul in its rose-mesh is quite as much helped by flesh as flesh is by soul1 the ,greek sang his song ,for pleasant is this flesh4 ,the beautiful soul harmonizing with a beautiful body is as much the glorious ideal of ,plato as it is the end of the education of ,aristotle4 ,what a splendid picture in ,book ,,iii of the ,republic1 of the day when our youth will dwell in a land of health1 amid fair sights and sounds and receive the good in everything2 and beauty1 the effluence of fair works1 shall flow into the eye and ear like a health-giving breeze from a purer region1 and insensibly draw the soul from earliest years into likeness and sympathy with the beauty of reason4 ,the glory of this zeal for the enrichment of the present life was revealed to the ,greeks as to no other people1 but in respect to care for the body of the common man1 we have only seen its fulfilment in our own day1 but as a direct result of methods of research initiated by them4 ,philosophy1 as ,plato tells us1 begins with wonder2 and1 staring open-eyed at the starry heavens on the plains of ,mesopotamia1 man took a first step in the careful observation of ,nature1 which carried him a long way in his career4 ,but he was very slow to learn the second step--how to interrogate ,nature1 to search out her secrets1 as ,harvey puts it1 by way of experiment4 ,the ,chaldeans1 who invented gnomons1 and predicted eclipses1 made a good beginning4 ,the ,greeks did not get much beyond trained observation1 though ,pythagoras made one fundamental experiment when he determined the dependence of the pitch of sound on the length of the vibrating cord4 ,so far did unaided observation and brilliant generalization carry ,greek thinkers1 that there is scarcely a modern discovery which by anticipation cannot be found in their writings4 ,indeed one is staggered at their grasp of great principles4 ,man can do a great deal by observation and thinking1 but with them alone he cannot unravel the mysteries of ,nature4 ,had it been possible the ,greeks would have done it2 and could ,plato and ,aristotle have grasped the value of experiment in the progress of human knowledge1 the course of ,european history might have been very different4 ,this organon was absent1 and even in the art of medicine ,hippocrates with all his genius did not get beyond highly trained observation1 and a conception of disease as a process of ,nature4 ,the great ,pergamite1 ,galen1 did indeed realize that the bare fact was only preliminary to the scientific study of disease by experiment1 and to the collecting of data1 from which principles and laws could be derived4 ,on the dark horizon of the ancient world shone the brightness of the ,grecian dawn so clearly that the emancipated mind had an open way4 ,then something happened--how1 who can tell8 ,the light failed or flickered almost to extinction3 ,greece died into a mediaevalism that for centuries enthralled man in chains1 the weary length of which still hampers his progress4 ,the revival of learning awakened at first a suspicion and then a conviction that salvation lay in a return to the old ,greek fathers who had set man's feet in the right path1 and so it came about that in the study of chemistry1 and in the inventions of ,copernicus1 ,kepler and ,galileo1 modern science took its origin4 ,the growth of the experimental method changed the outlook of mankind1 and led directly to the development of the physical and biological sciences by which the modern world has been transformed4 ,a slow1 painful progress1 through three centuries1 science crept on from point to point1 with many mistakes and many failures1 a progress often marked and flecked with the stains of human effort1 but all the same the most revolutionary and far-reaching advance ever made by man's intellect4 ,we are too close to the events to appreciate fully the changes which it has wrought in man's relation to the world2 and the marvellous thing is that the most important of these changes have been effected within the memory of those living4 ,three stand out as of the first importance4 ,my generation was brought up in the belief that ,man was in his original state a very noble and exalted creature1 being placed as the head and lord of this world1 having all the creatures in subjection to him4 ,the powers and operations of his mind were extensive1 capacious and perfect--to quote the words of one of my old ,sunday-school lessons4 ,it is not too much to say that ,charles ,darwin has so turned man right-about-face that1 no longer looking back with regret upon a ,paradise ,lost1 he feels already within the gates of a ,paradise ,regained4 ,secondly1 ,chemistry and ,physics have at last given him control of the four elements1 and he has harnessed the forces of ,nature4 ,as usual ,kipling touches the very heart of the matter in his poem on ,the ,four ,angels1 who in succession offered to ,adam fire1 air1 earth and water4 ,happy in the garden1 watching the apple tree in bud1 in leaf1 in blossom and in fruit1 he had no use for them2 but when the apple tree was cut down1 and he had to work outside of ,eden wall1--then-- out of black disaster ,he arose to be the master ,of ,earth and ,water1 ,air and ,fire4 ,and this mastery1 won in our day1 has made the man with the hoe look up4 ,but the third and greatest glory is that the leaves of the tree of science have availed for the healing of the nations4 ,measure as we may the progress of the world--intellectually in the growth and spread of education1 materially in the application to life of all mechanical appliances1 and morally in a higher standard of ethics between nation and nation1 and between individuals1 there is no one measure which can compare with the decrease of disease and suffering in man1 woman and child4 ,the ,psalmist will have it that no man may redeem his brother1 but this redemption of his body has been bought at a price of the lives of those who have sought out ,nature's processes by study and experiment4 ,silent workers1 often unknown and neglected by their generation1 these men have kept alive the fires on the altars of science1 and have so opened the doors of knowledge that we now know the laws of health and disease4 ,time will only permit me to refer to a few of the more important of the measures of man's physical redemption4 ,within the life-time of some of us a strange and wonderful thing happened on the earth--something of which no prophet foretold1 of which no seer dreamt1 nor is it among the beatitudes of ,christ ,himself2 only ,st4 ,john seems to have had an inkling of it in that splendid chapter in which he describes the new heaven and the new earth1 when the former things should pass away1 when all tears should be wiped away1 and there should be no more crying nor sorrow4 ,on ,october #af1 #ahdf1 in the amphitheatre of the ,massachusetts ,general ,hospital1 ,boston1 a new ,prometheus gave a gift as rich as that of fire1 the greatest single gift ever made to suffering humanity4 ,the prophecy was fulfilled--neither shall there be any more pain2 a mystery of the ages had been solved by a daring experiment by man on man in the introduction of anaesthesia4 ,as ,weir ,mitchell sings in his poem1 ,the ,death of ,pain-- ,whatever triumphs still shall hold the mind1 ,whatever gifts shall yet enrich mankind1 ,ah6 here1 no hour shall strike through all the years1 ,no hour so sweet as when hope1 doubt and fears1 ',mid deepening silence watched one eager brain ,with ,godlike will decree the ,death of ,pain4 ,at a stroke the curse of ,eve was removed1 that multiplied sorrow of sorrows1 representing in all ages the very apotheosis of pain4 ,the knife has been robbed of its terrors1 and the hospitals are no longer the scenes of those appalling tragedies that made the stoutest quail4 ,to-day we take for granted the silence of the operating-room1 but to reach this ,elysium we had to travel the slow road of laborious research1 which gave us first the chemical agents2 and then brave hearts had to risk reputation1 and even life itself in experiments1 the issue of which was for long doubtful4 ,more widespread in its benediction1 as embracing all races and all classes of society1 is the relief of suffering1 and the prevention of disease through the growth of modern sanitary science in which has been fought out the greatest victory in history4 ,i can only refer to three subjects which illustrate and lead up to the question which is in the minds of all of us to-day4 ,you have in ,scotland the merit of the practical introduction of a method which has revolutionized the treatment of wounds1 and changed the whole aspect of modern surgery4 ,i am old enough to have been a dresser in a large general hospital in the pre-,listerian days1 when it was the rule for wounds to suppurate1 and when cases of severe pyaemia and septicaemia were so common that surgeons dreaded to make even a simple amputation4 ,in the wards of the ,edinburgh ,royal ,infirmary and of the ,glasgow ,royal ,infirmary1 ,lord ,lister's experimental work on the healing of wounds led to results of the deepest moment to every individual subject to an accident1 or who has to submit to an operation4 ,it is not simply that the prospect of recovery is enormously enhanced1 but ,listerian surgery has diminished suffering to an extraordinary degree4 ,in the old days every wound which suppurated had to be dressed1 and there was the daily distress and pain1 felt particularly by young children4 ,now1 even after operations of the first magnitude1 the wound may have but a single dressing1 and the after-pain is reduced to a minimum4 ,how well the older ones of us realize that anaesthetics and asepsis between them have wrought a complete revolution in hospital life4 ,i asked the ,superintendent of ,nurses at the ,royal ,infirmary to let me know how many patients last night in the wards had actual suffering1 and she has sent word that about one in eight had pain1 not all of them acute pain4 ,but man's redemption of man is nowhere so well known as in the abolition and prevention of the group of diseases which we speak of as the fevers1 or the acute infections4 ,this is the glory of the science of medicine1 and nowhere in the world have its lessons been so thoroughly carried out as in this country4 ,it is too old a story to retell in detail1 but ,i may remind you that in this city within fifty years there has been an annual saving of from four to five thousand lives1 by measures which have directly prevented and limited the spread of infectious diseases4 ,the man is still alive1 ,sir ,henry ,little-,john1 who made the first sanitary survey of the city4 ,when one reads the account of the condition of the densely crowded districts on the south side of the ,high ,street1 one is not surprised that the rate of mortality was #dj and over per thousand4 ,that you now enjoy one of the lowest death rates in ,europe--#ae4c per thousand for last year--is due to the thoroughness with which measures of recognized efficiency have been carried out4 ,when we learn that last year there were no deaths from smallpox1 not one from typhus1 and only #ba from fevers of the zymotic group1 it is scarcely credible that all this has been brought about within the memory of living men4 ,it is not too much to say that the abolition of small-pox1 typhus and typhoid fevers have changed the character of the medical practice in our hospitals4 ,in this country typhoid fever is in its last ditch1 and though a more subtle and difficult enemy to conquer than typhus1 we may confidently hope that before long it will be as rare4 ,here ,i would like to say a word or two upon one of the most terrible of all acute infections1 the one of which we first learned the control through the work of ,jenner4 ,a great deal of literature has been distributed1 casting discredit upon the value of vaccination in the prevention of small-pox4 ,i do not see how any one who has gone through epidemics as ,i have1 or who is familiar with the history of the subject1 and who has any capacity left for clear judgment1 can doubt its value4 ,some months ago ,i was twitted by the ,editor of the ,journal of the ,anti-,vaccination ,league for maintaining a curious silence on the subject4 ,i would like to issue a ,mount ,carmel-like challenge to any ten unvaccinated priests of ,baal4 ,i will take ten selected vaccinated persons1 and help in the next severe epidemic1 with ten selected unvaccinated persons 7if available674 ,i should choose three members of ,parliament1 three anti-vaccination doctors1 if they could be found1 and four anti-vaccination propagandists4 ,and ,i will make this promise--neither to jeer nor to jibe when they catch the disease1 but to look after them as brothers2 and for the three or four who are certain to die ,i will try to arrange the funerals with all the pomp and ceremony of an anti-vaccination demonstration4 ,a blundering art until thirty or forty years ago1 preventative medicine was made a science by the discovery of the causes of many of the serious epidemic diseases4 ,to any one of you who wishes to know this side of science1 what it is1 what it has done1 what it may do1 let me commend ,radot's ,life of ,pasteur1 which reads like a fairy tale4 ,it is more particularly in connection with the great plagues of the world that man's redemption of man may be in the future effected2 ,i say in the future because we have only touched the fringe of the subject4 ,how little do we appreciate what even a generation has done4 ,the man is only just dead1 ,robert ,koch1 who gave to his fellow-men the control of cholera4 ,read the history of yellow fever in ,havana and in ,brazil if you wish to get an idea of the powers of experimental medicine2 there is nothing to match it in the history of human achievement4 ,before our eyes to-day the most striking experiment ever made in sanitation is in progress4 ,the digging of the ,panama ,canal was acknowledged to be a question of the health of the workers4 ,for four centuries the ,isthmus had been a white man's grave1 and during the ,french control of the ,canal the mortality once reached the appalling figure of #agj per thousand4 ,even under the most favourable circumstances it was extraordinarily high4 ,month by month ,i get the ,reports which form by far the most interesting sanitary reading of the present day4 ,of more than #ed1jjj employes 7about #ac1jjj of whom are white71 the death rate per thousand for the month of ,march was #h4ia1 a lower percentage1 ,i believe1 than any city in the ,united ,states4 ,it has been brought about in great part by researches into the life history of the parasite which produces malaria1 and by the effectual measures taken for its destruction4 ,here again is a chapter in human achievement for which it would be hard to find a parallel4 ,but let us not forget that these are but illustrations of wide-spread possibilities of organization on modern lines4 ,these are sanitary blessings4 ,to make them available in the ,tropics is the heaviest burden of the white man2 how heavy you may know from the startling figures which have just been issued from ,british ,india4 ,exclusive of the native states for the year #aijh1 the total deaths from fever and cholera exceeded #e1jjj1jjj1 out of a population of #bbf1jjj1jjj4 ,the bright spot in the picture is the diminution of the mortality from plague--not fewer than a million fatal cases as compared with #aijg4 ,these are brief indications of the lines along which effective progress is being made in man's redemption by man4 ,and all this has a direct bearing upon the disease1 the fight against which brings us together4 ,tuberculosis is one of the great infections of the world1 and it has been one of the triumphs of our generation to determine its cause4 ,with the improvement of sanitation there has been a reduction in its mortality1 amounting since #ahej to above #dj per cent4 ,but it still remains the most formidable single foe1 killing a larger number of people than any other disease--some #fj1jjj in ,great ,britain and ,ireland in #aijh1 and #ehi of this city4 ,practically between #aj and #aa per cent4 of all deaths are due to it4 ,a plain proposition is before the people4 ,we know the disease--how it is caused1 how it is spread1 how it should be prevented1 how in suitable cases it may be cured4 ,how to make this knowledge effective is the prime reason of this conference4 ,it is a campaign for the public2 past history shows that it is a campaign of hope4 ,the measures for its stamping out1 though simple on paper1 present difficulties interwoven with the very fabric of society1 but they are not insuperable1 and are gradually disappearing4 ,it is for this reason we urge you to join with enthusiasm in the crusade2 remembering1 however1 that only the prolonged and united efforts1 carried through several generations1 can place the disease in the same category with typhus fever1 typhoid and small-pox4 ,in the comedies and tragedies of life our immutable human nature reacts very much as in the dawn of science1 and yet1 with a widening of knowledge1 the lights and shadows of the landscape have shifted1 and the picture is brighter4 ,nothing can bring back the hour when sin and disease were correlated as confidently as night and day2 and how shall we assess the enormous gain of a new criterion1 a new estimate of the value of man's life6 ,there are tones in human sentiment to-day which the ancients never heard1 which our fathers indeed heard but faintly1 and that without recognizing their significance4 ,the human heart by which we live has been touched as with the wand of a ,prospero4 ,what availed the sceptred race6 what the glory that was ,greece1 or the grandeur that was ,rome6 of what avail even has been the message of the gospel1 while the people at large were haunted by fear and anxiety1 stricken by the pestilence of the darkness and the sickness of the noon-day8 ,the new socialism of ,science with its definite mission cares not a rap for the theories of ,karl ,marx1 of ,ferdinand ,lassalle1 or of ,henry ,george2 still less for the dreams of ,plato or of ,sir ,thomas ,more--or at least only so far as they help to realize the well-being of the citizen4 ,nor is there need to fear that in weighing the world in our balance we may drain the sap of its life1 so long as we materialize in the service of man those eternal principles on which life rests--moral fervour1 liberty and justice4 ,the outlook for the world as represented by ,mary and ,john1 and ,jennie and ,tom has never been so hopeful4 ,there is no place for despondency or despair4 ,as for the dour dyspeptics in mind and morals who sit idly croaking like ravens1--let them come into the arena1 let them wrestle for their flesh and blood against the principalities and powers represented by bad air and worse houses1 by drink and disease1 by needless pain1 and by the loss annually to the state of thousands of valuable lives--let them fight for the day when a man's life shall be more precious than gold4 ,now1 alas6 the cheapness of life is every day's tragedy6 ,if in the memorable phrase of the ,greek philosopher ,prodicus1 ,that which benefits human life is ,god1 we may see in this new gospel a link betwixt us and the crowning race of those who eye to eye shall look on knowledge1 and in whose hand ,nature shall be an open book1 an approach to the glorious day of which ,shelley sings so gloriously3 ,happiness ,and ,science dawn though late upon the earth2 ,peace cheers the mind1 health renovates the frame2 ,disease and pleasure cease to mingle here1 ,reason and passion cease to combat there1 ,whilst mind unfettered o'er the earth extends ,its all-subduing energies1 and wields ,the sceptre of a vast dominion there4 #a ,see note on page #d4 ,,richard ,,clay ,,sons1 ,,limited1 ,,brunswick ,,street1 ,,stamford ,,street1 ,s4,e41 ,,and ,,bungay1 ,,suffolk4