as being the easiest, was to study the nature of the
works of the human watch, and the next thing was to
study the way the parts worked together, and the way
the watch worked. Thus, by degrees, we have had
growing up our body of anatomists, or knowers of the
construction of the human watch, and our physiologists,
who know how the machine works. And just as any
sensible man, who has a valuable watch, does not meddle
with it himself, but goes to some one who has studied
watchmaking, and understands what the effect of doing
this or that may be; so, I suppose, the man who, having
charge of that valuable machine, his own body, wants
to have it kept in good order, comes to a professor
of the medical art for the purpose of having it set
right, believing that, by deduction from the facts
of structure and from the facts of function, the physician
will divine what may be the matter with his bodily
watch at that particular time, and what may be the
best means of setting it right. If that may be
taken as a just representation of the relation of
the theoretical branches of medicine—what
we may call the institutes of medicine, to use an old
term—to the practical branches, I think
it will be obvious to you that they are of prime and
fundamental importance. Whatever tends to affect
the teaching of them injuriously must tend to destroy
and to disorganize the whole fabric of the medical
art. I think every sensible man has seen this
long ago; but the difficulties in the way of attaining
good teaching in the different branches of the theory,
or institutes, of medicine are very serious.
It is a comparatively easy matter—pray
mark that I use the word “comparatively”—it
is a comparatively easy matter to learn anatomy and
to teach it; it is a very difficult matter to learn
physiology and to teach it. It is a very difficult
matter to know and to teach those branches of physics
and those branches of chemistry which bear directly
upon physiology; and hence it is that, as a matter
of fact, the teaching of physiology, and the teaching
of the physics and the chemistry which bear upon it,
must necessarily be in a state of relative imperfection;
and there is nothing to be grumbled at in the fact
that this relative imperfection exists. But is
the relative imperfection which exists only such as
is necessary, or is it made worse by our practical
arrangements? I believe—and if I did
not so believe I should not have troubled you with
these observations—I believe it is made
infinitely worse by our practical arrangements, or
rather, I ought to say, our very unpractical arrangements.
Some very wise man long ago affirmed that every question,
in the long run, was a question of finance; and there
is a good deal to be said for that view. Most
assuredly the question of medical teaching is, in
a very large and broad sense, a question of finance.
What I mean is this: that in London the arrangements
of the medical schools, and the number of them, are
such as to render it almost impossible that men who