INTRODUCTION
When, some years ago, the announcement of the prospective opening of the medical school at Fordham University, New York City, was made, the preliminary faculty were rather astonished to find that a number of intelligent physicians expressed surprise that there should be any question of the establishment of a medical school in connection with a Catholic institution of learning, since, as they understood, the Church forbade the practice of dissection, and in general was distinctly unfavorable to the development of medical science. Most of us had already known of the false persuasion existing in some minds, that by a Papal decree the practice of dissection had been forbidden during the Middle Ages, but it was hard to understand how men should think, in this day of general information, that Catholics were not free to pursue the study of any true science, and above all medical science, without let or hindrance from ecclesiastical authorities. In a word, though we live in what we are pleased to call an enlightened age with the schoolmaster abroad in the land, as is so proudly proclaimed, we encountered the most childish simplicity of belief in a number of old-time prejudices as to the position of the Church with regard to the study of science.
We found such a curious state of positive ignorance and such an erroneous, pretentious knowledge with regard to the supposed attitude of the Church to medicine especially, that we realized that the first thing that the new medical department would have to do would be to set about correcting authoritatively the false notions which existed with regard to the Popes and medical science. Most of the misinformation in this matter in American minds, we soon found, had its origin in Dr. Andrew D. White's volumes, "On the History of the Warfare of Science with Theology in Christendom." It is impossible for anyone to read Dr. White's chapter on from Miracles to Medicine in this work without coming to the conclusion that the constant policy of the Church for all the centuries down practically to our own time was to prevent the progress of medicine as far as possible. The reason for this policy, presumably, must be taken to be that it was to the interest of the ecclesiastics to have people apply to them for healing. Sufferers were to look to miracles rather than to drugs for their relief from ailments of any and every kind. Prayers were to be considered as much more efficacious than powders, and Masses much more likely to do good than the most careful nursing. These ecclesiastical offices had to be paid for. Accordingly, people had to be discouraged from applying to physicians, medical schools were kept under an ecclesiastical ban, "dissection was prohibited," anatomy declared "a sin against the Holy Ghost," "chemistry forbidden under the severest penalties," "the medieval miracles of healing checked medical science," "the practice of surgery was relegated mainly to the lowest orders of practitioners and confined strictly to them," "as the grasp of theology upon education tightened, medicine declined," and every possible means was employed to keep the popular mind in subjection to the clergy, and to prevent physicians from getting so much knowledge as would enable them to help free the people from the bondage of superstition, of which they were the victims and the slaves.
We do not think that we exaggerate the impression likely to be obtained from Dr. White's book in stating the ordinarily accepted opinions thus baldly, and as a matter of fact, as the quotation marks are intended to show, most of the strongest phrases that we have used are Dr. White's own. For those who can take such statements in good faith, it must be a very genuine surprise to learn a few facts from the history of medicine in the Middle Ages. Before the beginning of the sixteenth century, that is, before the religious revolt in Germany, which has been dignified by the name of reformation, altogether some twenty medical schools were founded in various parts of Europe. Of these, the best known in the order of their foundation were Salerno, Bologna, Naples, Montpelier, Paris, Padua and Pisa. Excellent schools, however, were established also at Oxford, Rome, Salamanca, Orleans and Coimbra. Even early in the fourteenth century such unimportant towns as Perugia, Cahors and Lerida had medical schools. These schools were usually established in connection with the universities. It was realized that this would make the teaching of medicine more serious and keep the practical side of medicine from obscuring too much the scientific and cultural aspects of the medical training. In modern times in America we made the mistake of having our medical schools independent of universities, but with the advance in education and culture we have come to imitate the custom of the thirteenth and the fourteenth century in this regard.
The universities, as is well known, were the outgrowth of cathedral schools. Practically all those in authority in them, by far the greater number of teachers and most of the pupils, were of the clerical order, that is, had assumed some ecclesiastical obligations and were considered to be churchmen. At these universities, if we can trust the example of England as applicable to the Continent also, there were, according to trustworthy, conservative statistics, more students in attendance in proportion to the population than there has been at any period since, or than there are even at the present time in the twentieth century in any country of the civilized world. From this we can readily appreciate the enthusiastic ardor of those seeking education. Of these large numbers, the medical schools had their due proportion. [Footnote 1]
[Footnote 1: This subject of the attendance at the universities of the Middle Ages is discussed, and authorities quoted, in my book "The Thirteenth, Greatest of Centuries," published by the Catholic Summer School Press, N. Y.]
Of course it will be said at once that though there were medical schools and medical professors and students, what was taught and studied at this time was so far distant from anything like practical knowledge of medicine, that it does not tell against the argument that medical education was practically non-existent. Some people will perhaps harbor the thought, if they do not frankly express it, that very probably these schools were organized under ecclesiastical authority, only in order to enable the Church and the clergy to maintain their control of medical education and keep the people from knowledge that might prove dangerous to Church authority. They were thus able to satisfy some of men's cravings for information in these matters, and yet prevent them from making such advances as would endanger the Church's policy of having them apply for prayers and Masses rather than for more physical remedies, except possibly for certain minor ailments. We do not doubt that there are many educated people who would be quite satisfied to accept this as a complete explanation of the situation in medical education at the medieval universities. Those who have read Dr. White's "History of the Warfare of Theology with Science" and have placed any faith in his really amusing excursions into a realm of which apparently he knows nothing– the history of medicine–must believe something like this. For them a little glance at even a few of the realities of medical teaching in the thirteenth century will show at once what a castle of the imagination they have been living in.
Only those who are thoroughly and completely ignorant of the real status of medical teaching in the thirteenth and fourteenth centuries continue to hold these absurd opinions as to the nullity of medieval medicine and surgery. The reading of a single short recent contribution to medical history, the address of Professor Clifford Allbutt, Regius Professor of Physic at the University of Cambridge, England, before the Congress of Arts and Sciences at the Exposition held in St. Louis in 1904, "On the Historical Relations of Medicine and Surgery down to the Sixteenth Century," would suffice to eradicate completely such traditional errors. He pointed out some surprising anticipations of what is most modern in medicine and surgery in the teachings of William of Salicet and his pupil Lanfranc, Professors of Medicine and Surgery in the Italian Universities and in Paris during the thirteenth century. As these two professors were the most distinguished teachers of surgery of the period and the acknowledged leaders of thought in their time, their teaching may fairly be taken as representative of the curricula of medieval medical schools. William of Salicet, according to Professor Allbutt,