Goetz C G
Rush University, Chicago, IL 60612, USA.
Neurology. 1997 Apr;48(4):1128-32. doi: 10.1212/wnl.48.4.1128.
Although Charcot and Mitchell only met once or possibly twice in Paris (1873 and 1875), they interacted in multiple ways to influence one another's research and the development of nineteenth century neurology. Charcot strongly relied on, and openly credited, Mitchell's important contributions on the fragility of bones in locomotor ataxia when he postulated his own historic concepts on neuropathic arthropathies (Charcot joints). Mitchell likewise referred to Charcot in his texts and manuscripts, although his comments were not always complementary. Most notably, Mitchell publicly criticized Charcot for wrongfully claiming precedence over Americans (i.e., Mitchell himself) in the development of isolation therapy. The two men shared many specific neurologic interests, especially the effects of trauma and disorders affecting women, including hysteria. In the development of clinical neurology as a new scientific field, Charcot and Mitchell were both strong empiricists who distrusted theory but believed that clinical medicine, and specifically neurology, required continued infusion of new data from the laboratory sciences. Both men were exemplary teachers, Mitchell primarily a preceptor and supervisor of doctors outside the university system and Charcot the first European professor of clinical neurology and head of the celebrated School of the Salpêtrière.
尽管夏科和米切尔在巴黎仅见过一次面,也可能是两次(分别在1873年和1875年),但他们通过多种方式相互交流,影响了彼此的研究以及19世纪神经病学的发展。夏科在提出自己关于神经性关节病(夏科关节)的历史性概念时,强烈依赖并公开认可了米切尔在运动性共济失调中骨骼脆弱性方面的重要贡献。米切尔在其著作和手稿中同样提到了夏科,尽管他的评价并非总是赞赏有加。最值得注意的是,米切尔公开批评夏科在隔离疗法的发展中错误地宣称比美国人(即米切尔本人)更具优先权。两人有许多共同的特定神经学兴趣,尤其是创伤的影响以及影响女性的疾病,包括癔症。在将临床神经病学发展成为一个新的科学领域的过程中,夏科和米切尔都是坚定的经验主义者,他们不信任理论,但认为临床医学,尤其是神经病学,需要不断从实验室科学中注入新的数据。两人都是模范教师,米切尔主要是大学系统之外医生的导师和 supervisor,而夏科是欧洲第一位临床神经病学教授,也是著名的萨尔佩特里埃医院学派的负责人。 (注:原文中supervisor未准确释义,可根据上下文灵活理解,这里暂保留英文)