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理查德·莫顿(1637 - 1698)——17世纪杰出的医生

[Richard Morton (1637-1698)--the distinguished physician of the 17th century].

作者信息

Kontić Olga, Vasiljević Nadja, Jorga Jagoda, Lakić Aneta, Jasović-Gasić Miroslava

出版信息

Srp Arh Celok Lek. 2009 Nov-Dec;137(11-12):706-9.

PMID:20069934
Abstract

Richard Morton was a distinguished physician of the 17th century. He was born in Suffolk, England, on July 30th 1637. Morton published three works but his landmark paper was "Phthisiologia, seu exercitationes de phthisi, tribus libris comprehensae" published in 1689, dedicated to William III. The book established his reputation at home and abroad lasting for over a century. Pulmonary tuberculosis was very frequent in the 17th century in England. He was the first physician ever to state that tubercles were always present in its pulmonary form. When we add to these momentous observations and their rational explanation the facts that he was the first physician to state categorically that tubercles are always present in phthisis, we must agree that Morton richly deserves his honoured place in the long list of those who have contributed to the solution of the problem of tuberculosis. Morton first described and gave conclusions of numerous today well known and already examined illnesses. In 1694 he gave first notes about the psychiatric illness which we today call "anorexia nervosa", calling it "nervous consumption". His chapters on treatment are long and contain a sound basis of common sense as indicated by his instructions on general management. He stresses the need for an adequate diet, an environment free from fog and smoke, and the desirability of ensuring a moderate amount of exercise. All Morton's therapeutic dicta are in their humanity and thoughtful care in striking contrast to the regimen of copious bleeding and semi-starvation inflicted by the later generation of physicians. Confirmation of his achievements and his teaching can be found in today's medical practice.

摘要

理查德·莫顿是17世纪一位杰出的医生。他于1637年7月30日出生在英国萨福克郡。莫顿出版了三部著作,但他具有里程碑意义的论文是1689年发表的《痨病学,即关于痨病的论述,共三卷》,献给了威廉三世。这本书使他在国内外声名远扬,持续了一个多世纪。17世纪的英国,肺结核非常常见。他是第一位指出结核结节在肺结核形式中总是存在的医生。当我们把这些重大的观察结果及其合理的解释,与他是第一位明确指出结核结节在痨病中总是存在的医生这一事实相加时,我们必须承认,莫顿在为解决结核病问题做出贡献的众多人士的长长的名单中,完全当之无愧地占有他应得的荣誉地位。莫顿首次描述并给出了许多如今广为人知且已被研究过的疾病的结论。1694年,他首次记录了我们如今称为“神经性厌食症”的精神疾病,称其为“神经性消耗”。他关于治疗的章节很长,并且包含了基于常识的坚实基础,正如他在一般管理方面的指示所表明的那样。他强调需要充足的饮食、一个没有雾气和烟雾的环境,以及确保适度运动的可取性。莫顿所有的治疗准则在人性和体贴关怀方面,与后来一代医生所实施的大量放血和半饥饿疗法形成了鲜明对比。在当今的医学实践中可以找到对他的成就和他的教导的证实。

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