Institute for the History of Medicine and Medical Ethics, Faculty of Medicine and University Hospital, University of Cologne, Joseph-Stelzmann-Str. 20, Geb. 42, D-50931 Cologne, Germany.
Int J Environ Res Public Health. 2022 Dec 8;19(24):16513. doi: 10.3390/ijerph192416513.
In early modern medical literature, there are increasing references to sterility and impotence in older men. This is especially true of the by the Roman physician Paolo Zacchia (1584-1659). In several books of this systematically structured manual, its author discusses medical and legal arguments on the one hand. On the other hand, in the 10th, only posthumously published volume, a total of five cases of impotence in old men are described on the basis of court decisions of the Rota Romana and expert opinions of the author. The paper examines these cases with regard to central statements on male impotence in old age, which are placed in the medical as well as the social and legal-historical context of the time. It becomes clear that old-age impotence and sterility were less a medical than a legal problem in the 17th century. However, the physician Zacchia emphasises the concept of biological age instead of historically transmitted numerical age limits. In this respect, his expert opinions already show the first signs of medical empiricism.
在早期现代医学文献中,越来越多的文献提到老年男性的不育和阳痿。罗马医生保罗·扎恰(Paolo Zacchia,1584-1659 年)的作品尤其如此。在这部系统结构的手册的几本著作中,作者一方面讨论了医学和法律论点。另一方面,在第十卷,即仅在死后出版的一卷中,根据罗马巡回法庭的判决和作者的专家意见,总共描述了五例老年男性阳痿病例。本文考察了这些病例,探讨了当时医学以及社会和法律历史背景下关于老年男性阳痿的核心论述。很明显,在 17 世纪,老年阳痿和不育症与其说是医学问题,不如说是法律问题。然而,医生 Zacchia 强调的是生物年龄的概念,而不是历史上传递的年龄限制。在这方面,他的专家意见已经显示出医学经验主义的最初迹象。