Education. James J. Walsh

been thoroughly trained by preliminary studies and have such standards of scholarship as obtain in genuine university work, then great progress in medicine and in medical education is accomplished. This was eminently the case at Alexandria. The departments of the arts, of linguistics and of philosophy were gathered around the great building known in Greek as the Mouseion, a word that has come to us through the Latin under the guise of Museum. This temple of the Muses contained collections of various kinds and near it was situated the great library. Not far away was the Serapeum, or Temple of Serapis, the Goddess of Life, around which were centred the biological sciences, and close by was the medical school. As teachers for this medical school some of the greatest physicians of the time were secured by the first Ptolemy and a great period in medical history began.

      The practical wisdom guiding the Ptolemys in the organization of this medical school will be best appreciated from the fact that they took the first step by inviting two distinguished physicians, the products of the two greatest medical schools of the time, to lay the foundations at Alexandria. They were probably the best investigators of their time and they had behind them fine traditions of research, thorough observation and conservative reasoning and theorizing on scientific subjects. Erasistratos was a disciple of Metrodoros, the son-in-law of Aristotle. He had studied for a time under another great teacher, Chrysippos of Cnidos. We are likely to know much more of Cos than of Cnidos because of the reputation in the after time of Hippocrates, whose name is so closely connected with Cos that the two are almost invariably associated, but Cnidos was one of the great university towns of the later Greek civilization. Eudoxus the astronomer, Ctesias the writer on Persian history, and Sostratos the builder of the great lighthouse, one of the seven wonders of the world, the Pharos at Alexandria, were products of this university. Its medical school was famous when Cos had somewhat declined, and Chrysippos was one of the leading physicians of the world and one of the acknowledged great teachers of medicine when Erasistratos studied under him at Cnidos, and obtained that scientific training and incentive to original research which was to prove so valuable to Alexandria.

      His colleague, Herophilos, was quite as distinguished as Erasistratos and owed his training to the rival school of Cos. Whether it was intentional or not to secure these two products of rival schools for the healthy spirit of competition that would come from it, and because they wanted to have at Alexandria the emulation that would naturally be aroused by such a condition, is not known, but there can be no doubt of the wisdom of the choice and of the foresight which dictated it. Herophilos had studied medicine under Praxagoras, one of the best-known successors of Hippocrates. While distinguished as a surgeon he had more influence on medicine than almost any man of his time, except possibly Erasistratos. He was, however, a great anatomist and, above all, a zoologist who, according to tradition, had obtained his knowledge of animals from the most careful zootomy of literally thousands of specimens. His fair fame is blackened by the other tradition that he practised vivisection on human beings—criminals being turned over to him for that purpose by the Ptolemys, who were deeply interested in his researches. The traditions in this matter, however, serve to confirm the idea of his zeal as an investigator and his ardent labors in medical science. Tertullian declares that he dissected at least 600 living persons. We know that he did much dissection of human cadavers and there is question whether Tertullian’s statement was not gross exaggeration due to confusion between dissection and vivisection.

      Both of these men did some magnificent work upon the brain. This being the first period in the history of humanity when human beings could be dissected freely, it is not surprising that they should take up brain anatomy with ardent devotion, in the hope to solve some of the many human problems that seemed to centre in this complex organ. Before this anatomy had been learned mainly from animals, and as human beings differ most widely from animals by their brain, naturally, as soon as the opportunity presented itself, anatomists gave themselves to thorough work on this structure where so many discoveries were waiting to be made. After the brain and nervous system the heart was studied, and Erasistratos’ description of its valves, of its general structure and even of its physiology, show how much he knew. To know something of the work of these two anatomists is to see at once what is accomplished in a university medical school where medical science, and not the mere practice of medicine alone, is the object of teachers and students. I have told the story of this in my address before the graduates of the St. Louis Medical University Medical School, and here I shall simply refer you to that.⁷

      Of course all these studies at the university could not be conducted without laboratory equipment. Of itself the dissecting room is a laboratory and until very recent years it was the only laboratory that most of the medical schools had. The numerous experiments in vivisection, if they really took place, required special arrangements and could only be conducted in what we now call a laboratory of physiology. This is not idle talk but represents the realities of the situation. Other laboratories there must have been. It would be quite impossible to conceive of a man like Archimedes carrying on his work, especially of the application of mathematical principles to mechanics, of the demonstration of mechanical principles themselves and of the invention of the many interesting machines which he made, without what we call laboratory facilities. The Ptolemys were interested in his work, they supplied him with a place to do it, many of his advanced students at least must have been interested in this work so that, as I see it, there was what we would now call a physical laboratory in connection with his teaching at the University of Alexandria.

      What we know about the development of zoology under Erasistratos and Herophilos would seem to indicate that there must have been such special facilities for the investigation of zoological problems as we would call a laboratory of physiology. A magnificent collection of plants was made for the university and these were studied and classified, and while we hear nothing of their dissection, there were at least botanical rooms for methodical study, if not botanical laboratories. Ptolemy’s work represented the culmination of astronomical information which had been gathered for several centuries. This could only be brought together in what we would now call an observatory and this represents another laboratory of physical science. Our laboratory work, therefore, must have been anticipated to a great extent. We must not forget that our university laboratories are only a couple of generations old altogether and that they represent a very recent development of educational work. It is extremely interesting, therefore, to find them anticipated in germ at least, if not in actuality, at the first modern university of which we have sufficiently complete records to enable us to appreciate just the sort of work that was being done and the ways and modes of its education.

      I think that even this comparatively meagre description of the first university of which we have knowledge makes it very clear that Alexandria deserves the name of the First Modern University. It resembled our own in so many ways that I, for one, find it impossible to discover any essential difference between them. At Alexandria they anticipated every phase of modern university education. Their literature was studied from a scientific standpoint. They devoted themselves to an overwhelming extent to the study of the physical sciences and mathematics, their professors were inventors, developers of practical applications of science, experts to whom appeal was made when important scientific questions had to be settled, and their teaching was done with demonstrations and a laboratory system very like our own. Nothing that I know illustrates better the tendency of human achievement not to represent advance but to occur in cycles than the story of this first modern university. That is why I have tried to tell it to you as an exquisite illustration of How Old the New Is in Education.

      ⁶ [Return] The material for this address was gathered for lectures on the History of Education at St. Mary’s Seminary, Scranton, Pa., and St. Joseph’s College, Chestnut Hill, Philadelphia. It was largely added to for the introductory lecture in a course to the teachers of the parochial schools of Philadelphia, March, 1910. Very nearly in its present form it was delivered before the Brooklyn Institute of Arts and Sciences as the second lecture in the course on “How Old The New Is,” April, 1910.]

      ⁷ [Return] The details of what was accomplished in the Medical Department at Alexandria were given to some extent at least in the lecture in Brooklyn, but are omitted here in order to avoid repetitions in the printed copy.]