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[帕斯卡·鲁贡医生。一位虚构的前辈]

[Doctor Pascal Rougon. An imaginary predecessor].

作者信息

Malinas Y, Malinas C

出版信息

Rev Fr Gynecol Obstet. 1993 Jun;88(6):390-402.

PMID:8351463
Abstract

Through the Rougon-Macquart series and the cases described in the last volume (Le Docteur Pascal, 1893), clinical analysis of the 58 characters identifies only seven neurotics and six alcoholics (only three of whom were Rougon-Macquart by birth). All the other illness described are unrelated to hysteria in the family. It remains true, however, that Zola's interpretation of hereditary degeneracy follows that of contemporary medical teaching, as witnessed by the genealogics published by Charcot in 1893. Through the voice of Dr. Pascal, however, Zola does challenge the concepts of heredity advanced by his medical advisors: he envisages the concepts of dominance and recessiveness without devising any general scheme for the transmission of hereditary characteristics, but eight years before Vries he advanced the idea of mutations, which he interprets as accidents occurring at the beginning of the ovum's development. When faced by the lack of success of his opotherapy of degenerative diseases, Pascal initiates trials versus a placebo and puts forward a highly coherent theory of what we would now call the placebo effect. It appears, therefore, that contrary to the opinion of most commentators, Emile Zola was in fact capable of a remarkable subtleness when he ventured into medicine. Through Dr Pascal Rougon, and notwithstanding the mockery of Flaubert, Goncourt and France (and of many others), he was a brilliant trail-blazer in the fields of genetics and therapeutics. Six years later he was to strike again with Dr Boutan, who invented what we now know as the prophylactic care of mothers and children (Fécondité, 1898).

摘要

通过鲁贡-马卡尔家族系列小说以及最后一卷(《帕斯卡医生》,1893年)中描述的病例,对58个角色的临床分析仅识别出7名神经症患者和6名酗酒者(其中只有3名出生于鲁贡-马卡尔家族)。所描述的所有其他疾病都与家族中的癔症无关。然而,左拉对遗传性退化的解释确实遵循了当代医学教义,夏科在1893年发表的系谱学就证明了这一点。然而,通过帕斯卡医生之口,左拉确实对他的医学顾问提出的遗传概念提出了质疑:他设想了显性和隐性的概念,但没有设计出任何遗传特征传递的总体方案,不过在德弗里斯之前八年,他就提出了突变的概念,他将其解释为卵子发育初期发生的意外事件。当面对他治疗退行性疾病的手术疗法失败时,帕斯卡开始了与安慰剂对照的试验,并提出了一种高度连贯的理论,即我们现在所说的安慰剂效应。因此,似乎与大多数评论家的观点相反,埃米尔·左拉在涉足医学领域时实际上能够展现出非凡的敏锐性。通过帕斯卡·鲁贡医生,尽管受到福楼拜、龚古尔和法朗士(以及许多其他人)的嘲笑,但他在遗传学和治疗学领域是一位杰出的开拓者。六年后,他将通过布丹医生再次取得突破,布丹医生发明了我们现在所知的母婴预防护理(《生殖力》,1898年)。

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