Gradmann Christoph
University of Oslo, Institute for General Practice and Community Medicine, Oslo, Norwegen.
Medizinhist J. 2008;43(2):121-48.
This paper analyses the historical origins and the popularity of 'Koch's Postulates'. In 1884 Friedrich Löffler wrote down the well-known three steps of isolation, cultivation and inoculation as conditions for establishing the existence of a pathogen. These postulates are frequently invoked in textbooks of medical history. Yet they seem to have had little relevance in medical research. Their assumed inventor, Robert Koch, produced numerous variations in his own methodology. However, underlying his work was a sort of trivial ontology of diseases which rendered an experimental reconstruction of human pathologies in animal models practical and meaningful. There were many ways to pursue this end. Koch usually limited his discussion to practical questions related to the course that investigations had to take, while matters of principle were only treated implicitly in his writings. Löffler's achievement was to popularise Koch's views in his postulates. Given that, it is not surprising that the countless references to Koch's postulates which one finds in the 20th century usually refer to the spirit rather than the literal meaning of the postulates. For example, proponents of virology or molecular medicine devise variations of Koch's postulates that serve to relate their own work to Koch's bacteriology. The latter is perceived as the origin of modern experimental medicine. The nature of such references is less historical than anecdotal: referring to a historical object that did not exist as such, these references produce ex traditione credentials for experimental medicine.
本文分析了“科赫法则”的历史渊源及其广泛应用。1884年,弗里德里希·勒夫勒写下了著名的隔离、培养和接种三个步骤,作为确定病原体存在的条件。这些法则在医学史教科书中经常被提及。然而,它们在医学研究中似乎并没有太大的相关性。其假定的发明者罗伯特·科赫在自己的方法论中有诸多变体。然而,其工作的基础是一种关于疾病的简单本体论,这使得在动物模型中对人类病理学进行实验性重建变得切实可行且有意义。实现这一目标有很多方法。科赫通常将讨论局限于与研究必须采取的过程相关的实际问题,而原则原则性原则性问题在他的著作中只是隐含地涉及。勒夫勒的成就是在他的法则中推广了科赫的观点。鉴于此,人们在20世纪发现的无数对科赫法则的引用通常指的是其精神而非字面意义,这并不奇怪。例如,病毒学或分子医学的支持者设计了科赫法则的变体,以便将他们自己的工作与科赫的细菌学联系起来。后者被视为现代实验医学的起源。这类引用的性质与其说是历史性的,不如说是轶事性的:它们所指的历史对象并非实际存在,这些引用为实验医学创造了传统依据。