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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

Thus, there are two opposite movements of
life to be seen in cities and elsewhere, belonging to races which, from
various persistent causes, are breeding down and tending to run out, and
to races which are breeding up, or accumulating vital capital,--a
descending and an ascending series. Let me give an example of each; and
that I may incidentally remove a common impression about this country as
compared with the Old World, an impression which got tipsy with conceit
and staggered into the attitude of a formal proposition in the work of
Dr. Robert Knox, I will illustrate the downward movement from English
experience, and the upward movement from a family history belonging to
this immediate neighborhood.
Miss Nightingale speaks of "the fact so often seen of a
great-grandmother, who was a tower of physical vigor, descending into a
grandmother perhaps a little less vigorous, but still sound as a bell,
and healthy to the core, into a mother languid and confined to her
carriage and house; and lastly into a daughter sickly and confined to her
bed." So much for the descending English series; now for the ascending
American series.
Something more than one hundred and thirty years ago there graduated at
Harvard College a delicate youth, who lived an invalid life and died at
the age of about fifty. His two children were both of moderate physical
power, and one of them diminutive in stature.


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