Джеймс Эсдейл: Шотланд хирург және Үндістандағы қызметі

Scottish surgeon

James Esdaile, M. D., E. I. C. S., Bengal (1808–1859), an Edinburgh trained Scottish surgeon, who served for twenty years with the East India Company, is a notable figure in the history of “animal magnetism" and, in particular, in the history of general anaesthesia.

The eldest son of the Rev. James Esdaile, D. D. (1775–1854), a minister of the Church of Scotland, and Margaret Blair (1781–1843), he was born in Montrose, Angus, Scotland on 6 February 1808. He died in Sydenham, Kent on 10 January 1859. He had three brothers, David Esdaile, D. D. (1811–1880) — an ordained cleric, who, along with James Esdaile (his brother), founded Edinburgh’s Ministers’ Daughters’ College (later known as Esdaile School), dedicated to the education of the daughters of Ministers of the Church of Scotland, and of Professors in the Universities of Scotland — John Esdaile (1813–1877) and Robert Esdaile (1816–1882), both of whom migrated to Canada, and one sister, Janet (1818–1819). He married three times. His first wife, Mary Ann Christie, whom he had married on 6 June 1838, whilst on furlough in Scotland, died on 9 November 1838, "in her 18th year", on their voyage to India (they left England on 24 July 1838). His second wife, Sophia Ullmann — daughter of the Delaware banker, John James Ullmann (1754–1811) and Jeanne F. Ullmann (née LeFranc), and the sister of lawyer and, later, (Union) General Daniel Ullmann (1810–1892) — whom he married on 17 November 1842 at Chinsurah, while stationed at Hooghly, died in Calcutta on 27 July 1850, aged 44. He married his third wife, Eliza Morton (1807–1862) (née Weatherhead) in Calcutta on 3 February 1851.

He studied medicine at the University of Edinburgh, graduating M. D. in 1829.

In 1830, he was appointed as Civil Assistant Surgeon to the East India Company, and arrived in Calcutta, Bengal (which was, then, the capital of Company government), in 1831. Having suffered from chronic bronchitis and asthma since his adolescence, Esdaile thought that India's different climate would be of benefit. Five years later, he suffered a total breakdown while working at Azamgarh, in Uttar Pradesh, and, later, was given an extended furlough from 1836 to 1838. During this time he travelled extensively; and his 1839 work, Letters from the Red Sea, Egypt, and the Continent, was written as a result of these travels. He returned from his furlough to Calcutta, and was soon appointed as Civil Surgeon to the small Hooghli Imambara Hospital; and, through this appointment, he was also responsible for the hospital at Hooghly Jail. From November 1839 to December 1841 Esdaile also served as the Principal of the prestigious Hooghly College, located in the palladian mansion in Chinsurah that had been originally designed and built for "General Perron". The College had been founded in August 1836 by the Bengali philanthropist Haji Muhammad Mohsin, and Esdaile replaced the College's original principal — another surgeon, Thomas Alexander Wise, M. D. (1802–1889) — who had been promoted to the position of Principal at the Dacca College. He was serving as the Registrar of Deeds for Hooghly in 1843, and as Secretary of the Hooghly Branch of the Agricultural and Horticultural Society of India in 1843. In 1846, Esdaile's work with pain free surgery at Hoogly had come to the attention of the Deputy Governor of Bengal, Sir Herbert Maddocks. Maddocks appointed a committee of seven reputable (medical and non medical) officials to investigate Esdaile's claims. They submitted a positive report (on 9 October 1846), and a small hospital in Calcutta was put at his disposal in November 1846. By 1848, a mesmeric hospital supported entirely by public subscription was opened in Calcutta especially for Esdaile's work. It was closed 18 months later by the Deputy Governor of Bengal, Sir John Littler: according to Cotton (1931, p. 170), although the Mott's Lane Mesmeric Hospital, which opened in 1846 and permanently closed in 1848, Elliotson "continued to practise mesmerism at the Sukeas' Street Dispensary until he left India in 1851". In 1848, Lord Dalhousie, the Governor General of India, appointed Esdaile to the position of Presidency Surgeon; and, in 1849 whilst not supporting the continuation of the mesmeric hospital in Calcutta Dalhousie had so much respect for Esdaile and his work, that he appointed him to the position of Marine Surgeon (serving the Indian Navy) on 29 May 1849. Esdaile retired from the British East India Company in 1853, on the expiration of his 20 years' contract.

[Through my use of Jhar Phoonk as both an anaesthetic and curative agent] I have introduced, and I hope may say established, a new and powerful means of alleviating human suffering among the natives of Bengal [which has brought] painless surgical operations, and other medical advantages [to them]; of which I hope they will not be deprived. (Esdaile, 1846, pp. v, vii)
The de stabilising impact upon the prevailing (UK) medico surgical mind set of the astonishing news of the nature and number of Esdaile’s successful ‘pain free’ surgeries [in 1845] and how the challenges that Esdaile’s "pain free" procedures, mistakenly thought to be "mesmeric", presented to the conventional medicine of his day led to the hurried, widespread adoption of ether two years later are a significant part of the history of anaesthesia. –– (Yeates, 2018, p.122, emphasis added)
Unlike Braid, whose first [hypnotism centred] interest was in hypnotism’s therapeutic applications (and only later in investigating its anaesthetic capacity), Esdaile’s first and only interest [with his Jhar Phoonk centred enterprise], as a compassionate man deeply interested in the relief of needless human misery, was the acquisition of a means through which the pain of his patients, surgical and otherwise, might be attenuated. –– (Yeates, 2018, p.124, emphasis added)

It is an objective matter of record that, over a six year period (from April 1845 to June 1851), James Esdaile, an Edinburgh trained Scottish surgeon employed by the East India Company a colonial official employed as both "Civil Surgeon" to the East India Company’s Hooghly Imambara Hospital, and as the medical officer responsible for the hospital at Hooghly Gaol performed 'pain free' major surgery on more than 300 cases (amputations, removal of cataracts, removal of massive tumours, firstly at Hooghly, and, later at Calcutta. It is also significant that "the [same] official records also reveal the entirely unanticipated consequence of Esdaile’s approach to the attenuation of (otherwise) excruciating pain: [namely,] the extraordinary reduction in the mortality rate of his "native" surgery patients from 50% to 5%, due to a significant reduction in post operative shock" (Yeates, 2018, p.125).

According to Winter (1998, p.197), who notes that "the persuasiveness of [Esdaile's] work actually relied upon the lowly status of his patients", Esdaile "thought nothing" of routinely subjecting his (from the prison) surgical patients "the great majority [of whom] were impoverished Indian subjects: peasants, sidar bearers, husbandmen, and cart drivers" (loc. cit) "to indignities and even tortures that were highly effective in validating [their freedom from pain] but that no high caste Indian or member of the European community would tolerate" (loc. cit, emphasis added). According to Gauld (1992, p.223),
"[By the time of his move from Hooghly to Calcutta in November 1846] it had become Esdaile’s practice to test the readiness of his patients for operation by dropping a hot coal on the inside of a leg, or by giving them the strongest electric shock which his machine could produce, or (most often) by powerfully squeezing their testicles. Only if the patient did not respond in any way did Esdaile feel able to proceed to surgery. Otherwise magnetization was continued."

The entirely mistaken, generally held, and widely published view that (the otherwise highly significant) Esdaile used "mesmerism" to produce the pain free condition under which he conducted completely pain free surgery, not only significantly muddies the already far from clear waters in relation to the historical (in)accuracy of the modern accounts of the history of mesmerism, anaesthesia, and hypnotism, but is so far from the objective historical truth that, to use Wolfgang Pauli’s expression, "[it] is not only not right, it is not even wrong". The mistake has its origins in the activities of a rather wide range of geographically isolated Eurocentric advocates and promoters of "mesmerism" (i. e., rather than "animal magnetism") such as, for example, John Elliotson with his journal, The Zoist: A Journal of Cerebral Physiology & Mesmerism, and Their Applications to Human Welfare, George Sandby, with his Mesmerism and its Opponents (1848), etc. – and their eagerness to shelter all sorts of endeavours, and all sorts of practices, beneath the capacious umbrella term "mesmerism". Having noticed a vague, superficial similarity between Esdaile’s (Islamic/exorcism derived) Jhar Phoonk procedures and the (secular/healing derived) "magnetization by contact" procedures of Charles Deslon as represented in the Reports of the two (1784) French Royal Commissions on "Animal Magnetism" they had, to use a biological analogy, mistakenly identified what is a clear case of "homoplasy" (i. e., similar entities that have descended from an entirely separate lineage) as a case of "homology" (i. e., similar entities that have descended from a common ancestor). However, as Yeates (2018, pp.128 129) observes, when viewed from a 19th century Eurocentric perspective and, especially, given the physical invasive nature of, say, the surgeon's scalpel, the apothecary's mixture, the herbalist's decoction, the barber surgeon's blood letting, and the physician's emetics and purgatives it is easy to see how "mesmerism à la d'Eslon" could have been considered, by contrast, to be some sort of 'energy field manipulation' (in accord with some as yet to be discovered "law of nature"); and, given that perspective (and despite the absence of d'Eslon's implements and apparatus), it could be said that, when viewed from a sufficiently abstract "level of analysis", Esdaile's Jhar Phoonk despite its non "mesmeric" roots also involved some sort of analogous process of manipulating an 'energy field'. From this, Yeates argues, it seems clear that the erroneous view that Esdaile's Jhar Phoonk was "mesmerism" (inevitably) came from two simple mistakes:
(1) Equivocation (i. e., where two different referents are given the same name): The term "mesmerism" was being (ambiguously) used to denote both the super ordinate class and its (European) sub division. The wrong referent (due to excessive exactness): Although the term "mesmerism" could have been loosely applied to Esdaile’s Jhar Phoonk in the vaguest sort of a way on the grounds that, when viewed as an 'energy field manipulation', and when compared with, say, a physician's application of leeches, Jhar Phoonk certainly seemed to be a sort of kind of mesmeric process the supposedly vague term was being universally (mis)interpreted in the narrowest and most restricted way.

The fact that the (mistaken) modern accounts of the history of mesmerism, anaesthesia, and hypnotism constantly assert that Esdaile employed "mesmeric anaesthesia" for his pain free surgeries are entirely without foundation does nothing to diminish the watershed significance of the extraordinary impact that Esdaile's well documented capacity to produce complete anaesthesia in some of his surgical cases had upon the disciplinary consciousness of the medical profession. Moreover, in clearly presenting so many well documented cases of what he termed the "inducement of coma for surgical purposes" (Esdaile 1846b, p.27), Esdaile prepared the way for the disciplinary acceptance of the use of "inhalation ether" when it was introduced into the U. K. 18 months later, in December 1846. The very prospect of anaesthesia, mesmeric or otherwise, was extremely controversial; with many influential disciplinary figures, such as the eminent French surgeon Alfred Velpeau, opposed to it declaring, in 1839, that, not only was the thought of pain free surgery a fantasy, but that pain and surgery were inseparable, and that the experience of pain was an essential part of any cure. [However,] in 1847, having directly verified the anaesthetic effects of ether and, from that, having satisfied himself that easily reproduceable pain free surgery per medium of the ‘scientific’ administration of an inhaled chemical substance was now an objective reality and, thus, entirely distinct from the questionable, hard to replicate, and ‘unscientific’ practices of the magnetists Velpeau predicted that “surgery will obtain benefits of great value from inhaled ether, from the point of view of the art itself as well as from a purely humanitarian perspective". (Yeates, 2018, pp.114 115)

In addition to the mistaken identification of Esdaile's Jhar Phoonk with "mesmerism", there is also the problem of (otherwise reliable) sources asserting that Esdaile used "hypnotism": for example, George Bankoff in his infliuential work on the history of anaesthesia, The Conquest of Pain (1946), not only claimed (pp.74 75) that the "mesmeric" pain free operations performed by Joseph Récamier, in 1821, and by Jules Germain Cloquet, in 1829, had been conducted with "hypnotism", and not only that John Elliotson exclusively used "hypnotism", but also, that Esdaile's Jhar Phoonk was, in fact, "hypnotism" under another name. Not only is there no connection between Esdaile's "Jhar Phoonk" and either James Braid's "hypnotism" or Hippolyte Bernheim's ("dormez, dormez, dormez") "hypnosis", it is also a matter of historical fact that Braid was using "hypnotism" for pain free surgery as early as January 1842, more than three years earlier than Esdaile's first experiments.

Esdaile was a keen salmon fisherman, and it was "at [his] instigation that the proprietors of salmon fishings on the Tay constructed the artificial breeding beds at Stormontfield" (Esdaile, 1857), when a letter, written by Esdaile, on the artificial propagation of salmon, "A Plan for Replenishing the River Tay with Salmon", was submitted to a meeting of the proprietors on the Tay on 19 July 1852.

Having retired from the British East India Company in 1853, Esdaile became a Vic President of the London Mesmeric Infirmary, and a Vice President of the Scottish Curative Mesmeric Association
After briefly returning to Perth in Scotland he settled in Sydenham where he died on 10 January 1859. He is buried at West Norwood Cemetery.