many problems in
connection with that organ, most of whose anatomy we owe to Italians.
He made a careful study of sciatica, _De Ischiada Nervosa_, Vienna,
1770, which is the classic foundation of our modern knowledge of that
affection. He made a series of _post-mortem_ observations on typhoid
fever in which he demonstrated very clearly the intestinal lesions of
that affection and came very near solving the important problem of the
pathological basis of the disease. Like a number of others about the
middle of {466} the eighteenth century, in spite of acute observations
on intestinal lesions, he could not get away from the theory of fevers
being constitutional and so was unable to separate abdominal typhus
from dysentery on the one hand, nor true typhus on the other. The
constitutional nature of the disease we have come to recognize to some
extent again after the pendulum had swung very far in the direction of
the declaration of its local character.
Pius VII (1800-23).--One of the physicians of Pope Pius VII was
Professor Giambattista Bomba, who was professor of physiology at the
Sapienza or Roman University of that time. One of the surgeons in
attendance at the Papal Court was Antonio Baccelli, the father of
Professor Guido Baccelli, the distinguished Italian scientist and
statesman of the modern time.
Another of the physicians of Pius VII was Flajani, to whom we owe the
first description of the affection known as Graves' Disease in
English-speaking countries, and often as Basedow's Disease on the
Continent, though the English physician Parry anticipated both of
these in 1822. Graves' description did not come until 1835, Flajani's
had been published in 1802; Basedow did not write the more complete
description in which he called attention not only to the goitre and
the rapid heart action as his Irish and Italian predecessors had done,
but also to the exophthalmos, which is so common an accompaniment,
until 1850. Flajani was distinguished for his ability as a clinical
observer as his priority in this matter would well suggest.
Gregory XVI (1831-46).--The two of Gregory XVI's physicians who were
best known were Professor Paolo Baroni, the distinguished Professor of
Surgery, the University of Bologna, and Pier Luigi Valentini,
Professor of the Theory and Practice of Medicine at the Roman
University. At the conclave which followed his death for the election
of his successor, Professor Giusseppe Constantini, the
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