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to the most skeptical; the architectural details of the superstructure may be defective, but the foundation is permanent.

      From the above outline it will be easier for the reader to follow out the reasons, or the whys or wherefores, of the views expressed on medicine in the course of the book; and, although I do not wish to enter the medical field like a Peter the Hermit on a new crusade, to lure thousands into the hands of the circumcisers, nor, as a new Mohammed, promise the eternal bliss and glory of the seventh heaven to all the circumcised, I ask of my professional brothers a calm and unprejudiced perusal of the tangible and authentic facts that I have honestly gathered and conscientiously commented upon from my field of vision, which will be plainly presented in the following pages. I simply have given the facts and my impressions: the reader is at liberty to draw his own conclusions.

      If I have been too tedious in the multiplication of incidents in support of certain views, I must remind the reader that the verdict goes to him who has the preponderance of testimony, and that many a lawsuit is lost from the neglect, on the part of the loser, to secure all the available testimony. Having brought the subject of circumcision before the bar of public opinion, as well as that of my professional brother, I would but illy do justice to the subject at the bar, or to myself, not to properly present the case; as it was remarked by Napoleon, “God is on the side of the heaviest artillery,” and he who loses a battle for want of guns should not rail at Providence if, having them on hand, he has neglected to bring them into action.

      The reasons for the existence of the book will become self-evident as the reader labors through the medical part of the work. Our text-books are, as a class, even those on diseases of children as a specialty, singularly and unpardonably silent and deficient on the subject of either the prepuce and the diseases to which it leads, or circumcision; and even our surgical works are not sufficiently explicit, as they deal more with the developed disease and the operative measures for its removal than on any preventive surgery or medicine. Our works on medicine are equally silent, and, although from a perusal of the latter part of the book the prepuce and circumcision will be seen to have considerable bearing on the production and nature of phthisis, this subject would, owing to our strabismic way of studying medicine, look most singularly out of place in a work devoted to diseases of the lungs or throat. Owing to this poverty of literature on the subject, and that the library of the average practitioner could therefore not furnish all the data relating to it that the profession have in their possession, a book of this nature will furnish them the required material whereupon to form the basis of an opinion on the subject.

      To argue that the prepuce is not such a deadly appendage because so many escape alive and well who are uncircumcised, would be as logical as to assume that Lee’s chief of artillery neglected to properly place his guns on the heights back of Fredericksburg. He had asserted, the night before the battle, that not a chicken could live on the intervening plateau between the heights and the town. On the next day, when these guns opened their fire, the Federals were unable to reach the heights, while many men were for hours in the iron hail-sweeping discharges of that artillery that mowed them down by whole ranks, and yet the majority escaped alive. We take the middle ground, and, while admitting that many escape alive with a prepuce, claim that more are crippled than are visibly seen, as, like Bret Harte’s “Heathen Chinee,” the ways of the prepuce are dark and mysterious as well as peculiar.

      A discussion of the relative merits of religious creeds, when considered in relation to health, has been, from the nature of the subject of the book, unavoidable. Modern Christianity but very imperfectly explains why this rite was either neglected or abolished. Frequent reference is made to what Saint Paul said and did, but, as Saint Paul was not one of the Disciples, it is inexplicable wherefrom he received his authority in this matter, seeing that the Disciples themselves had no new views on the subject. To the student who prefers to study his subject from all its aspects, the question naturally arises, “Where, when, and why came the authority that abolished this rite?” There is one probable explanation, this being that Paul, who was the real promulgator of Gentile Christianity, had to establish his creed among an uncircumcised race; although, as we shall see, devotees have not scrupled to sacrifice their virility in the hope of being more acceptable to God and to be better able to observe His commandments, and others, in their blind bigotry, have not objected to sitting naked on sand-hills, with a six-inch iron ring passed through the prepuce, it is very evident that the Apostle Paul’s good sense showed him the uselessness of attempting to found the new creed, and at the same time hold on to the truly distinctive marking of Judaism among Gentiles, the Hebrew race being those among whom he found the least converts, as even the Disciples and Apostles in Palestine disagreed with him. In the words of Dr. I. M. Wise, it was impossible for the Palestine Apostles, or their flock, either to acknowledge Paul as one of their own set or submit to his teaching; for they obeyed the Law and he abolished it; they were sent to the house of Israel only, and Paul sought the Gentiles with the message that the Covenant and the Law were at an end; they had one gospel story and he another; they prophesied the speedy return of the Master and a restoration of the throne of David in the kingdom of heaven, and he prophesied the end of the world and the last day of judgment to be at hand; they forbade their converts to eat of unclean food, and especially of the sacrificial meats of the Pagans, and he made light of both, as well as of the Sabbath and circumcision. In the attempted reconciliation that subsequently took place in Jerusalem at the house of James, the Jacob of Kaphersamia of the Talmud, Paul was charged by the synod of Jewish Christians “with disregarding the Law, forsaking the teachings of Moses, and attempting to abolish circumcision.” He was bid to recant and undergo humiliation with four other Nazarenes, that it might be known that he walked orderly and observed the Law; Paul submitted to all that was demanded.

      This, in short, with the exception of the sayings of Paul on the subject, which are all secondary considerations, is really all that there is relating to the abolishment of circumcision by the Christians. The real Disciples and Apostles believed in Jesus with as much fervor as Paul, but it is singular that they who were with the Master should always have insisted on the observance of the Law, while Paul as energetically insisted on its abolishment.

      From these premises, I have seen fit to inquire into the relative merits of the three religions practiced by what we call the civilized nations, as they affect man morally, physically, and mentally. I have given the facts, my impressions, and reasons for being so impressed; from these, the reader can easily see that religion has more to do with man’s temporal existence than is generally believed; its discussion is not, therefore, out of place in this book.

      Repetitions in the course of the work have been unavoidable. This is not a novel nor a work of fiction, and wherever the want of repetition would have been an injury, either to the proper representation of a fact or a principle, the repetition has not been avoided. In describing the operations, I had desired to avoid any too numerous descriptions, as that is confusing, but have thought it best to give a number, as the reader will thereby obtain the views of the different operators, the mode of the operation often being an index to the view of the operator in regard to the needs or utility of a prepuce. In the general plan of the work, I have adopted the idea and the historical relation carried out by Bergmann, of Strasburg, who included all the mutilations practiced on the genitals while discussing the subject of circumcision, they being, in the originality of performance, somewhat intimately connected; this also tends to make the subject more interesting as a contribution to the natural history of man—something in which all intelligent persons are more or less interested.

      P. C. Remondino, M.D.

      San Diego, California.

      

Egyptian Circumcision. (From Chabas and Ebers’ description of the bas-relief found in the temple of Khons, near the great temple of Maut, at Karnac.)

       Antiquity of Circumcision.

       Table of Contents

      If the ceremonials of the Catholic Church or the High Church Episcopalians carry us back into the depths

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