Schiller F
J Nerv Ment Dis. 1976 Jul;163(1):1-9. doi: 10.1097/00005053-197607000-00001.
Usually Heinrich Romberg is credited with having established tabes dorsalis as a clinicopathological entity in the 1840s. But Romberg's teacher, Ernst Horn (1774 to 1848), had inspired five different students to write their doctoral dissertations on the same subject. These five theses, published between 1817 and 1827, as well as M. Steinthal's most comprehensive later description, were triggered by Horn's observation of the lower spinal cord atrophy which he found in one of his tabetic patients at autopsy. The dissertations are analyzed together with the prior literature reflected in them as it deals with the spinal cord. Discussions of the putative influence of the spinal cord on the vagaries of male sexual function, and vice versa, began with "consumption of the backbone", referred to in the Hippocratic corpus. "Venery"--if not veneral disease as we understand it--was thought throughout the centuries to be the prime cause of tabes. One may presume that the rising concern with public health and with national aims--a kind of "moral rearmament"--caused the subject to be so vigorously pursued by members of the young medical generation in early 19th-century Germany.
通常认为，海因里希·罗姆伯格在19世纪40年代将脊髓痨确立为一种临床病理实体。但罗姆伯格的老师恩斯特·霍恩（1774年至1848年）曾激励五名不同的学生就同一主题撰写博士论文。这五篇论文发表于1817年至1827年间，以及M. 施泰因塔尔后来最全面的描述，都是由霍恩对一名脊髓痨患者尸检时发现的下脊髓萎缩的观察引发的。这些论文与其中反映的先前文献一起进行分析，因为它们涉及脊髓。关于脊髓对男性性功能异常的假定影响，反之亦然的讨论，始于希波克拉底文集提到的“脊柱消耗”。几个世纪以来，“性行为”——如果不是我们所理解的性病的话——一直被认为是脊髓痨的主要原因。人们可以推测，对公共卫生和国家目标的日益关注——一种“道德重整”——导致了19世纪早期德国年轻一代医学成员对该主题的大力研究。
