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most perfect philosophy of the natural kind, only staves off our IGNORANCE a little longer; as, perhaps, the most perfect philosophy of the moral or metaphysical kind, serves only to discover larger portions of it.” —David Hume.

      “WITH BRAINS, SIR.”

      “Pray, Mr. Opie, may I ask what you mix your colors with?” said a brisk dilettante student to the great painter. “With Brains, sir,” was the gruff reply – and the right one. It did not give much of what we call information; it did not expound the principles and rules of the art; but, if the inquirer had the commodity referred to, it would awaken him; it would set him a-going, a-thinking, and a-painting to good purpose. If he had not the wherewithal, as was likely enough, the less he had to do with colors and their mixture the better. Many other artists, when asked such a question, would have either set about detailing the mechanical composition of such and such colors, in such and such proportions, rubbed up so and so; or perhaps they would (and so much the better, but not the best) have shown him how they laid them on; but even this would leave him at the critical point. Opie preferred going to the quick and the heart of the matter: “With Brains, sir.”

      Sir Joshua Reynolds was taken by a friend to see a picture. He was anxious to admire it, and he looked it over with a keen and careful but favorable eye. “Capital composition; correct drawing; the color, tone, chiaroscuro excellent; but – but – it wants, hang it, it wants —That!” snapping his fingers; and, wanting “that,” though it had everything else, it was worth nothing.

      Again, Etty was appointed teacher of the students of the Royal Academy, having been preceded by a clever, talkative, scientific expounder of æsthetics, who delighted to tell the young men how everything was done, how to copy this, and how to express that. A student came up to the new master, “How should I do this, sir?” “Suppose you try.” Another, “What does this mean, Mr. Etty?” “Suppose you look.” “But I have looked.” “Suppose you look again.” And they did try, and they did look, and looked again; and they saw and achieved what they never could have done, had the how or the what (supposing this possible, which it is not in its full and highest meaning) been told them, or done for them; in the one case, sight and action were immediate, exact, intense, and secure; in the other mediate, feeble, and lost as soon as gained. But what are “Brains”? what did Opie mean? and what is Sir Joshua’s “That”? What is included in it? and what is the use, or the need of trying and trying, of missing often before you hit, when you can be told at once and be done with it; or of looking when you may be shown? Everything in medicine and in painting – practical arts – as means to ends, let their scientific enlargement be ever so rapid and immense, depends upon the right answers to these questions.

      First of all, “brains,” in the painter, are not diligence, knowledge, skill, sensibility, a strong will, or a high aim, – he may have all these, and never paint anything so truly good and effective as the rugged woodcut we must all remember, of Apollyon bestriding the whole breadth of the way, and Christian girding at him like a man, in the old sixpenny Pilgrim’s Progress; and a young medical student may have zeal, knowledge, ingenuity, attention, a good eye and a steady hand – he may be an accomplished anatomist, stethoscopist, histologist, and analyst; and yet, with all this, and all the lectures, and all the books, and all the sayings, and all the preparations, drawings, tables, and other helps of his teachers, crowded into his memory or his note-books, he may be beaten in treating a whitlow or a colic, by the nurse in the wards where he was clerk, or by the old country doctor who brought him into the world, and who listens with such humble wonder to his young friend’s account, on his coming home after each session, of all he had seen and done, – of all the last astonishing discoveries and operations of the day. What the painter wants, in addition to, and as the complement of, the other elements, is genius and sense; what the doctor needs to crown and give worth and safety to his accomplishments, is sense and genius: in the first case, more of this, than of that; in the second, more of that, than of this. These are the “Brains” and the “That.”

      And what is genius? and what is sense? Genius is a peculiar native aptitude, or tendency, to any one calling or pursuit over all others. A man may have a genius for governing, for killing, or for curing the greatest number of men, and in the best possible manner: a man may have a genius for the fiddle, or his mission may be for the tight-rope, or the Jew’s harp; or it may be a natural turn for seeking, and finding, and teaching truth, and for doing the greatest possible good to mankind; or it may be a turn equally natural for seeking, and finding, and teaching a lie, and doing the maximum of mischief. It was as natural, as inevitable, for Wilkie to develop himself into a painter, and such a painter as we know him to have been, as it is for an acorn when planted to grow up into an oak, a specific quercus robur. But genius, and nothing else, is not enough, even for a painter; he must likewise have sense; and what is sense? Sense drives, or ought to drive, the coach; sense regulates, combines, restrains, commands, all the rest – even the genius; and sense implies exactness and soundness, power and promptitude of mind.

      Then for the young doctor, he must have as his main, his master faculty, SENSE – Brains – νοῦς, justness of mind, because his subject-matter is one in which principle works, rather than impulse, as in painting; the understanding has first to do with it, however much it is worthy of the full exercise of the feelings, and the affections. But all will not do, if GENIUS is not there, – a real turn for the profession. It may not be a liking for it – some of the best of its practitioners never really liked it, at least liked other things better; but there must be a fitness of faculty of body and mind for its full, constant, exact pursuit. This sense and this genius, such a special therapeutic gift, had Hippocrates, Sydenham, Pott, Pinel, John Hunter, Delpech, Dupuytren, Kellie, Cheyne, Baillie, and Abercrombie. We might, to pursue the subject, pick out painters who had much genius and little or no sense, and vice versâ; and physicians and surgeons, who had sense without genius, and genius without sense, and some perhaps who had neither, and yet were noticeable, and, in their own sideways, useful men.

      But our great object will be gained if we have given our young readers (and these remarks are addressed exclusively to students) any idea of what we mean, if we have made them think, and look inwards. The noble and sacred science you have entered on is large, difficult, and deep, beyond most others; it is every day becoming larger, deeper, and in many senses more difficult, more complicated and involved. It requires more than the average intellect, energy, attention, patience, and courage, and that singular but imperial quality, at once a gift and an acquirement, presence of mind– ἀγχινοία, or nearness of the νοῦς, as the subtle Greeks called it – than almost any other department of human thought and action, except perhaps that of ruling men. Therefore it is, that we hold it to be of paramount importance that the parents, teachers, and friends of youths intended for medicine, and above all, that those who examine them on their entering on their studies, should at least (we might safely go much farther) satisfy themselves as far as they can, that they are not below par in intelligence; they may be deficient and unapt, quâ medici, and yet, if taken in time, may make excellent men in other useful and honorable callings.

      But suppose we have got the requisite amount and specific kind of capacity, how are we to fill it with its means; how are we to make it effectual for its end? On this point we say nothing, except that the fear now-a-days, is rather that the mind gets too much of too many things, than too little or too few. But this means of turning knowledge to action, making it what Bacon meant when he said it was power, invigorating the thinking substance – giving tone, and you may call it muscle and nerve, blood and bone, to the mind – a firm gripe, and a keen and sure eye; that we think, is far too little considered or cared for at present, as if the mere act of filling in everything forever into a poor lad’s brain, would give him the ability to make anything of it, and above all, the power to appropriate the small portions of true nutriment, and reject the dregs.

      One comfort we have, that in the main, and in the last resort, there is really very little that can be done for any man by another. Begin with the sense and the genius – the keen appetite and the good digestion

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