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Herman Boerhaave

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Herman Boerhaave
Born(1668-12-31)31 December 1668
Died23 September 1738(1738-09-23)(aged 69)
Leiden,Dutch Republic
NationalityDutch
EducationUniversity of Leiden(M.A., 1690)
University of Harderwijk(M.D., 1693)
Known forFounder of clinical teaching
Scientific career
FieldsMedicine
InstitutionsUniversity of Leiden
Theses
Academic advisorsBurchard de Volder[1]
Notable studentsGerard van Swieten
Author abbrev. (botany)Boerh.

Herman Boerhaave(Dutch:[ˈɦɛrmɑnˈbuːrˌɦaːvə],31 December 1668 – 23 September 1738[2]) was a Dutchbotanist,chemist,Christian humanist,andphysicianof European fame. He is regarded as the founder of clinical teaching and of the modern academic hospital and is sometimes referred to as "the father of physiology," along with Venetian physicianSantorio Santorio(1561–1636).[by whom?]Boerhaave introduced the quantitative approach into medicine, along with his pupilAlbrecht von Haller(1708–1777) and is best known for demonstrating the relation of symptoms to lesions.[citation needed]He was the first to isolate the chemicalureafrom urine. He was the first physician to put thermometer measurements to clinical practice. His motto wasSimplex sigillum veri:'Simplicity is the sign of the truth'.[citation needed]He is often hailed as the "DutchHippocrates".[2]

Biography[edit]

Oud PoelgeestCastle, Herman Boerhaave's home inOegstgeest,near Leiden. This was the site of his outdoor botanical garden that was renowned during his lifetime and rivalledHortus Cliffortianus,the garden of his friend and sponsor toLinnaeus.He travelled back and forth to his friend's garden and to the Leiden University bytrekschuit.

Boerhaave was born atVoorhoutnearLeiden.The son of aProtestantpastor,[3]in his youth Boerhaave studied for adivinitydegree and wanted to become a preacher.[4]After the death of his father, however, he was offered a scholarship and he entered theUniversity of Leiden,where he took hismaster's degreeinphilosophyin 1690, with a dissertation titledDe distinctione mentis a corpore(On the Difference of the Mind from the Body).[5]There he attacked the doctrines ofEpicurus,Thomas HobbesandBaruch Spinoza.He then turned to the study of medicine. He earned hismedical doctoratefrom theUniversity of Harderwijk(present-dayGelderland) in 1693, with a dissertation titledDe utilitate explorandorum in aegris excrementorum ut signorum(The Utility of Examining Signs of Disease in the Excrement of the Sick).

In 1701 he was appointed lecturer on the institutes of medicine at Leiden; in his inaugural discourse,De commendandoHippocratisstudio,he recommended to his pupils that great physician as their model. In 1709 he became professor ofbotanyand medicine, and in that capacity he did good service, not only to his own university, but also to botanical science, by his improvements and additions to thebotanic garden of Leiden,and by the publication of numerous works descriptive of new species of plants.[6]

On 14 September 1710, Boerhaave married Maria Drolenvaux, the daughter of the rich merchant,AldermanAbraham Drolenvaux. They had four children, of whom one daughter, Maria Joanna, lived to adulthood.[7]In 1722, he began to suffer from an extreme case ofgout,recovering the next year.

In 1714, when he was appointed rector of the university, he succeededGovert Bidlooin the chair of practical medicine, and in this capacity he introduced the modern system of clinical instruction. Four years later he was appointed to the chair of chemistry as well. In 1728 he was elected into theFrench Academy of Sciences,and two years later into theRoyal Societyof London. In 1729 declining health obliged him to resign the chairs of chemistry and botany; and he died, after a lingering and painful illness, at Leiden.

Legacy[edit]

His reputation so increased the fame of the University of Leiden, especially as a school of medicine, that it became popular with visitors from every part of Europe. All the princes of Europe sent him pupils, who found in this skilful professor not only an indefatigable teacher, but an affectionate guardian.[citation needed]WhenPeter the Greatwent to Holland in 1716 (he had been in Holland before in 1697 to instruct himself in maritime affairs), he also took lessons from Boerhaave.[citation needed]Voltairetravelled to see him, as didCarl Linnaeus,who became a close friend and named the genusBoerhaviafor him. His reputation was not confined to Europe; a Chinese mandarin sent him a letter addressed to "the illustrious Boerhaave, physician in Europe," and it reached him in due course.[citation needed]

Bronze statue made by J.Stracke (1817–1891)

The operating theatre of the University of Leiden in which he once worked as an anatomist is now at the centre of a museum named after him; theBoerhaave Museum.Asteroid8175 Boerhaaveis named after Boerhaave. From 1955 to 1961 Boerhaave's image was printed on Dutch 20-guilderbanknotes. TheLeiden University Medical Centreorganises medical trainings calledBoerhaave-courses.

He had a prodigious influence on the development of medicine and chemistry in Scotland. British medical schools credit Boerhaave for developing the system of medical education upon which their current institutions are based.[8]Every founding member of theEdinburgh Medical Schoolhad studied at Leyden and attended Boerhaave's lectures on chemistry includingJohn RutherfordandFrancis Home.Boerhaave'sElementa Chemiae (1732)is recognised as the first text on chemistry.[9]

Boerhaave first describedBoerhaave syndrome,which involves tearing of the oesophagus, usually a consequence of vigorous vomiting. Notoriously, in 1724 he described the case of Baron Jan van Wassenaer, a Dutch admiral who died of this condition following a gluttonous feast and subsequent regurgitation.[10]The condition was uniformly fatal prior to modern surgical techniques allowing repair of the oesophagus.

Boerhaave was critical of hisDutchcontemporaryBaruch Spinoza,attacking him in his 1688 dissertation. At the same time, he admiredIsaac Newtonand was a devout Christian who often wrote about God in his works.[4]A collection of his religious thoughts on medicine, translated from Latin to English, has been compiled by theSir Thomas Browne Instituut Leidenunder the nameBoerhaave's Orations(meaning "Boerhaave's Prayers" ).[11]Among other things, he considered nature as God's Creation[12]and he used to say that the poor were his best patients because God was their paymaster.[13][14]

Medical contributions[edit]

Boerhaave devoted himself intensively to the study of the human body. He was strongly influenced by themechanistictheories ofRené Descartes,and those of the 17th-century astronomer and mathematicianGiovanni Borelli,who described animal movements in terms of mechanical motion. On such premises Boerhaave proposed a hydraulic model of human physiology.[15]His writings refer to simple machines such as levers and pulleys and similar mechanisms, and he saw the bodily organs and members as being assembled from pipe-like structures.[16]The physiology of veins, for example, he compared to the operation of pipes. He asserted the importance of a proper balance of fluid pressure, noting that fluids should be able to move around the body freely, without obstacles. For its well-being the body needed to be self-regulating, so as to maintain a healthy state of equilibrium. Boerhaave's concept of the body as apparatus centred his medical attention on material problems rather than uponontologicaloresotericexplanations of illness.[citation needed]

Boerhaave's teaching of his knowledge and philosophy drew many students to theUniversity of Leiden.He emphasised the importance of anatomical research based on practical observation and scientific experiment. His concept of the bodily system took hold throughout Europe, and helped to transform medical education in the European schools. His insights aroused great interest among other critical medical thinkers, not least inFriedrich Hoffmann,who strongly advocated the importance of physico-mechanical principles for the preservation or indeed the restoration of health.[17]As a professor at Leiden, Boerhaave influenced many students. Some in their experiments upheld and furthered his philosophy, while others rejected it and proposed alternative theories of human physiology. He produced a great many textbooks and writings through which the digested brilliance of his lectures at Leiden was circulated widely in Europe. In 1708 his publication of theInstitutiones Medicaewas issued in over five languages, and went into approximately ten editions. HisElementa Chemia,a world-renowned chemistry textbook, was published in 1732.

The mechanistic concept of the human body departed from the age-old precepts laid down byGalenandAristotle.In place of a servile dependence upon teachings handed down from antiquity, Boerhaave understood the importance of establishing definitive findings through his own investigation, and by the direct application of his own methods of testing. This new reasoning expanded the field of Renaissance anatomy: it opened the way to reforms of medical practice and understanding in the field ofiatrochemistry.

Works[edit]

Aphorismi de cognoscendis et curandis morbis,1728
  • Oratio academica qua probatur, bene intellectam a Cicerone et confutatam esse sententiam Epicuri de summo bono(Leiden, 1688)
  • Het Nut der Mechanistische Methode in de Geneeskunde(Leiden, 1703)
  • Institutiones medicae(Leiden, 1708)
  • Aphorismi de cognoscendis et curandis morbis(Leiden, 1709), on which his pupil and assistant,Gerard van Swieten(1700–1772) published a commentary in 5 vols.
    • Aphorismi de cognoscendis et curandis morbis(in Latin). Parisiis. 1728 – via apud Guillelmum Cavelier, via Jacobea, sub signo Lilii aurei.
  • Index plantarum quae in Horto academico Lugduno Batavo reperiuntur(in Latin). Leiden: Cornelis Boutesteyn. 1710.
  • Index alter plantarum quae in horto academico Lugduno-Batavo aluntur(in Latin). Vol. 1. Leiden: Pieter van der Aa (1.). 1720.
  • Institutiones et Experimenta chemiae(Paris, 1724) (unauthorised). (Digital edition by theUniversity and State Library Düsseldorf)
  • Historia plantarum quae in Horto Academico Lugduni-Batavorum crescunt(in Latin). Roma: Francesco Gonzaga. 1727.
  • Elementa chemiae(in Latin). Vol. 1. Leiden: Severinus, Isaak. 1732.
    • Elements of Chemistry.Vol. 1. London: Pemberton, J and J. 1735.Translated from the original Latin by Timothy Dallowe, MD.
    • Elementa chemiae(in Latin). Vol. 2. Leiden: Severinus, Isaak. 1732.
  • Historia plantarum quae in Horto Academico Lugduni-Batavorum crescunt(in Latin). Vol. 1. Amsterdam. 1738.

References[edit]

  1. ^Gerrit Arie Lindeboom (ed.),Boerhaave and His Time,Brill, 1970, p. 7.
  2. ^abUnderwood, E. Ashworth. "Boerhaave After Three Hundred Years."The British Medical Journal4, no. 5634 (1968): 820–25.JSTOR20395297.
  3. ^Robert Siegfried (2002).From Elements to Atoms: A History of Chemical Composition, Volume 92, Issues 4–6.American Philosophical Society. p. 128
  4. ^abMendelsohn, p. 287
  5. ^Herman Boerhaave (1690)."De distinctione mentis a corpore"(PDF).Archived(PDF)from the original on 9 October 2022.
  6. ^Gunn, Mary (1981).Botanical exploration of southern Africa: an illustrated history of early botanical literature on the Cape flora: biographical accounts of the leading plant collectors and their activities in southern Africa from the days of the East India Company until modern times.L. E. W. Codd. Cape Town: Published for the Botanical Research Institute by A.A. Balkema. p. 40.ISBN0-86961-129-1.OCLC8591273.
  7. ^"Herman Boerhaave ( whonamedit )".Archived fromthe originalon 7 February 2006.Retrieved7 February2006.
  8. ^Underwood, E. Ashworth (1 January 1968)."Boerhaave After Three Hundred Years".The British Medical Journal.4(5634): 820–25.doi:10.1136/bmj.4.5634.820.JSTOR20395297.PMC1912963.PMID4883155.
  9. ^Clow, Archibald & Nan L. ClowThe Chemical Revolution,Batchworth Press, London, 1952.
  10. ^Boerhaave, H.,Atrocis, nec descripti prius, morbii historia: secundum medicae artis leges conscripta(Leiden, the Netherlands: Lugduni Batavorum Boutesteniana, 1724).
  11. ^Boerhaave, Herman (1983). edited by Elze Kegel-Brinkgreve & Antonie Maria Luyendijk-Elshout.Boerhaaveìs Orations.Volume 4 of Publications of the Sir Thomas Browne Institute Leiden. Brill Archive.ISBN9004070435,978-9004070431
  12. ^Principe, Lawrence (2007).New Narratives in Eighteenth-Century Chemistry: Contributions from the First Francis Bacon Workshop, 21–23 April 2005, California Institute of Technology, Pasadena, California.Springer, pp. 66–67
  13. ^H. Biglow, Orville Luther Holley (1817).The American Monthly Magazine and Critical Review, Volume 1.H. Biglow, p. 192
  14. ^Hosack, David (1824).Essays on various subjects of medical science.New York Symour. p. 113
  15. ^Cook, Harold (2007).Matters of Exchange.New Haven: Commerce, Medicine, and Science in the Dutch Golden Age. p. 393.
  16. ^Lindemann, Mary (2013).Medicine and Society in Early Modern Europe(second ed.). Cambridge: Cambridge University Press. pp. 101–05.ISBN978-0521425926.
  17. ^Broman, Thomas (2003).The Medical Sciences.Cambridge: The Cambridge History of Sciences. p. 469.
  18. ^International Plant Names Index.Boerh.
  • Guggenheim, K. Y. "Herman Boerhaave on nutrition."The Journal of Nutrition118, no. 2 (1988): 141-143.doi:10.1093/jn/118.2.141
  • Mendelsohn, Everett (2003).Transformation and Tradition in the Sciences.Cambridge University Press.ISBN9780521524858
  • Rina Knoeff (2002), "Herman Boerhaave (1668–1783): Calvinist chemist and physician." History of Science and Scholarship in the Netherlands, Volume 3. Royal Netherlands Academy of Arts and Sciences.
  • Underwood, E. Ashworth."Boerhaave After Three Hundred Years."The British Medical Journal4, no. 5634 (1968): 820–25.JSTOR20395297

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