They
raved about the life-principle of Van Helmont, vitalism, Brownism,
organicism, inquired of the doctor whence comes the germ of
scrofula, towards what point the infectious miasma inclines, and
the means in all cases of disease to distinguish the cause from its
effects.
"The cause and the effect are entangled in one another," replied
Vaucorbeil.
His want of logic disgusted them—and they went by themselves to
visit the sick, making their way into the houses on the pretext of
philanthropy. At the further end of rooms, on dirty mattresses, lay
persons with faces hanging on one side, others who had them swollen
or scarlet, or lemon-coloured, or very violet-hued, with pinched
nostrils, trembling mouths, rattlings in the throat, hiccoughs,
perspirations, and emissions like leather or stale cheese.
They read the prescriptions of their physicians, and were
surprised at the fact that anodynes are sometimes excitants, and
emetics purgatives, that the same remedy suits different ailments,
and that a malady may disappear under opposite systems of
treatment.
Nevertheless, they gave advice, got on the moral hobby again,
and had the assurance to auscultate. Their imagination began to
ferment. They wrote to the king, in order that there might be
established in Calvados an institute of nurses for the sick, of
which they would be the professors.
They would go to the apothecary at Bayeux (the one at Falaise
had always a grudge against them on account of the jujube affair),
and they gave him directions 88to manufacture, like the ancients, pila
purgatoria, that is to say, medicaments in the shape of
pellets, which, by dint of handling, become absorbed in the
individual.
In accordance with the theory that by diminishing the heat we
impede the watery humours, they suspended in her armchair to the
beams of the ceiling a woman suffering from meningitis, and they
were swinging her with all their force when the husband, coming on
the scene, kicked them out. Finally, they scandalised the curé
thoroughly by introducing the new fashion of thermometers in the
rectum.
Typhoid fever broke out in the neighbourhood. Bouvard declared
that he would not have anything to do with it. But the wife of
Gouy, their farmer, came groaning to them. Her man was a fortnight
sick, and M. Vaucorbeil was neglecting him. Pécuchet devoted
himself to the case.
Lenticular spots on the chest, pains in the joints, stomach
distended, tongue red, these were all symptoms of dothienenteritis.
Recalling the statement of Raspail that by taking away the
regulation of diet the fever may be suppressed, he ordered broth
and a little meat.
The doctor suddenly made his appearance. His patient was on the
point of eating, with two pillows behind his back, between his wife
and Pécuchet, who were sustaining him. He drew near the bed, and
flung the plate out through the window, exclaiming:
"This is a veritable murder!"
"Why?"
"You perforate the intestine, since typhoid fever is an
alteration of its follicular membrane."89
"Not always!"
And a dispute ensued as to the nature of fevers. Pécuchet
believed that they were essential in themselves; Vaucorbeil made
them dependent on our bodily organs.
"Therefore, I remove everything that might excite them
excessively."
"But regimen weakens the vital principle."
"What twaddle are you talking with your vital principle? What is
it? Who has seen it?"
Pécuchet got confused.
"Besides," said the physician, "Gouy does not want food."
The patient made a gesture of assent under his cotton
nightcap.
"No matter, he requires it!"
"Not a bit! his pulse is at ninety-eight!"
"What matters about his pulse?" And Pécuchet proceeded to give
authorities.
"Let systems alone!" said the doctor.
Pécuchet folded his arms. "So then, you are an empiric?"
"By no means; but by observing——"
"But if one observes badly?"
Vaucorbeil took this phrase for an allusion to Madame Bordin's
skin eruption—a story about which the widow had made a great
outcry, and the recollection of which irritated him.
"To start with, it is necessary to have practised."
"Those who revolutionised the science did not practise—Van
Helmont, Boerhaave, Broussais himself."
Without replying, Vaucorbeil stooped towards Gouy, and raising
his voice:
"Which of us two do you select as your doctor?"90
Mutually becoming
afflicted, they looked at their tongues
The patient, who was falling asleep, perceived angry faces, and
began to blubber. His wife did not know either what answer to make,
for the one was clever, but the other had perhaps a secret.
"Very well," said Vaucorbeil, "since you hesitate between a man
furnished with a diploma——"
Pécuchet sneered.
"Why do you laugh?"
"Because a diploma is not always an argument."
The doctor saw himself attacked in his means of livelihood, in
his prerogative, in his social importance. His wrath gave itself
full vent.
"We shall see that when you are brought up before the courts for
illegally practising medicine!" Then, turning round to the farmer's
wife, "Get him killed by this gentleman at your ease, and I'm
hanged if ever I come back to your house!"
And he dashed past the beech trees, shaking his walking-stick as
he went.
When Pécuchet returned, Bouvard was himself in a very excited
state. He had just had a visit from Foureau, who was exasperated
about his hemorrhoids. Vainly had he contended that they were a
safeguard against every disease. Foureau, who would listen to
nothing, had threatened him with an action for damages. He lost his
head over it.
Pécuchet told him the other story, which he considered more
serious, and was a little shocked at Bouvard's indifference.
Gouy, next day, had a pain in his abdomen. This might be due to
the ingestion of the food. Perhaps Vaucorbeil was not mistaken. A
physician, after all, ought to have some knowledge of this! And a
feeling of remorse took possession of Pécuchet! 91He was afraid lest he might
turn out a homicide.
For prudence' sake they sent the hunchback away. But his mother
cried a great deal at his losing the breakfast, not to speak of the
infliction of having made them come every day from Barneval to
Chavignolles.
Foureau calmed down, and Gouy recovered his strength. At the
present moment the cure was certain. A success like this emboldened
Pécuchet.
"If we studied obstetrics with the aid of one of these
manikins——"
"Enough of manikins!"
"There are half-bodies made with skin invented for the use of
students of midwifery. It seems to me that I could turn over the
fœtus!"
But Bouvard was tired of medicine.
"The springs of life are hidden from us, the ailments too
numerous, the remedies problematical. No reasonable definitions are
to be found in the authors of health, disease, diathesis, or even
pus."
However, all this reading had disturbed their brains.
Bouvard, whenever he caught a cold, imagined he was getting
inflammation of the lungs. When leeches did not abate a stitch in
the side, he had recourse to a blister, whose action affected the
kidneys. Then he fancied he had an attack of stone.
Pécuchet caught lumbago while lopping the elm trees, and vomited
after his dinner—a circumstance which frightened him very much.
Then, noticing that his colour was rather yellow, suspected a liver
complaint, and asked himself, "Have I pains?" and ended by having
them.92
Mutually becoming afflicted, they looked at their tongues, felt
each other's pulses, made a change as to the use of mineral waters,
purged themselves—and dreaded cold, heat, wind, rain, flies, and
principally currents of air.
Pécuchet imagined that taking snuff was fatal.
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