Dr. Med. Carl Adolph Von Basedow – Berühmter Arzt Und Spross Einer Angesehenen Familie* Dr

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Dr. Med. Carl Adolph Von Basedow – Berühmter Arzt Und Spross Einer Angesehenen Familie* Dr 244 Von den Wurzeln unseres Fachs Dr. med. Carl Adolph von Basedow – berühmter Arzt und Spross einer angesehenen Familie* Dr. med. Carl Adolph von Basedow – Physician of Renown and Son of a Respectable Family Autor H.-D. Göring Institut Tumorzentrum Anhalt am Städtischen Klinikum Dessau e.V. Bibliografie Zusammenfassung disease“ verwendet, aber auch Autorennamen DOI http://dx.doi.org/ ! wie Parry und Flajani finden Berücksichtigung. 10.1055/s-0034-1365751 Carl Adolph von Basedow nimmt durch die Be- Basedows Erkenntnisse waren ein Meilenstein in Akt Dermatol 2014; 40: 244–250 schreibung der sogenannten Merseburger Trias der Erforschung von Schilddrüsenerkrankungen © Georg Thieme Verlag KG Stuttgart · New York (Exophthalmus, Struma, Tachykardie) bei Hyper- und regten andere Ärzte zur Fortsetzung von ISSN 0340-2541 thyreose einen dauerhaften Platz in der Medizin- Untersuchungen auf diesem Gebiet an. Auch geschichte ein. Im Ergebnis eines jahrelangen Basedows andere, etwa 60 Veröffentlichungen Korrespondenzadresse Prioritätsstreites um die Erstbeschreibung dieser über gonorrhoische Gelenkentzündungen, An- Prof. Dr. med. habil. charakteristischen Befundkonstellation hat sich thrax, Thrombophlebitis, Arsenvergiftungen so- Hans-Dieter Göring Tumorzentrum Anhalt zumindest im deutschsprachigen Raum der syno- wie chirurgische und gynäkologische Problem am Städt. Klinikum Dessau e. V. nyme Gebrauch von Morbus Basedow für das reflektieren das Tätigkeitsfeld und wissenschaftli- Auenweg 38 auch dermatologisch relevante Krankheitsbild che Interesse des aus einer angesehenen Dessauer 06847 Dessau der Schilddrüsenüberfunktion bei Ärzten und Familie stammenden praktischen Arztes, der auf [email protected] Laien eingebürgert. Im anglo-amerikanischen sich allein gestellt und ohne wesentliche Hilfsmit- Schrifttum wird vorwiegend der Begriff „Graves’ tel Hervorragendes und Bleibendes geleistet hat. Einleitung teln. Damit blieb auch das Ziel, durch das Philan- ! thropinum ständische Grenzen zu überwinden, Carl Adolph von Basedow (●" Abb.1) entstammt insgesamt Illusion. Trotzdem sind die Anleitung einer angesehenen Dessauer Familie. Sein Groß- zur Selbstfindung, der Auftrag „das Leben zu leh- vater Johann Bernhard Basedow (geb. 1724 in ren“, der spielerische Unterricht und das Lernen Hamburg, gest. 1790 in Magdeburg) trat als An- durch Anschauung und Selbsttätigkeit (Naturerle- hänger des Philanthropismus und Schulreformer ben, Handwerk, Gartenarbeit), Ausbildung in von europäischem Rang hervor. Er gründete Geografie, Geometrie, Mechanik, Naturkunde, 1774 das Philanthropinum, eine berühmte re- Geschichte, Anatomie, Diätetik, Moral, Landesge- formpädagogische Lehranstalt in Dessau, auch setzen und Religion, Sprachpflege (Latein, Franzö- Schule der „Menschenfreundschaft und guten sisch, Deutsch), Körperübungen und Gemein- Kenntnisse“ genannt [14]. Angesichts der damali- schaftsförderung, Lob statt Strafe, Erziehung zu gen wirtschaftlichen und sozialen Verhältnisse Ordnung, Fleiß und Pünktlichkeit bemerkens- bestand ein Zwang zur Modernisierung der Ge- wert. Es sollten ganz im Geiste Rousseaus und Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages. sellschaft, in deren Dienst sich das Philanthropi- der Aufklärung „neue“, vernunftgeleitete und ge- num bewusst stellen wollte. Zunächst wurden bildete Menschen erzogen werden, die wiederum reiche und adlige Kinder unter Internatsbedin- die Gesellschaft reformieren würden. Diese Visio- gungen in die Schule aufgenommen, um Hausleh- nen konnten mit den bis dahin bestehenden, rer und Schulmänner zu werden. Die angestrebte kirchlich dominierten Schulen nicht realisiert Erziehung und Unterrichtung armer Kinder, um werden [9]. Zu den bekanntesten Mitarbeitern sie zu befähigen, geschickte Bedienstete oder Johann Bernhard Basedows gehörten Joachim Landschullehrer zu werden, scheiterte weitge- Heinrich Campe (vorher Erzieher der Gebrüder hend an den dafür notwendigen finanziellen Mit- Wilhelm und Alexander von Humboldt), Ernst Christian Trapp (ab 1779 Inhaber des ersten deut- * Herrn Prof. Dr. med. habil. Wolfgang C. Marsch (Halle/ schen Lehrstuhls für Pädagogik der Universität Saale) zum 65. Geburtstag gewidmet. Halle) und Christian Gotthilf Salzmann (später Göring H-D. Dr. med. Carl Adolph von Basedow –… Akt Dermatol 2014; 40: 244–250 Von den Wurzeln unseres Fachs 245 Abb.1 Carl Adolph von Basedow als junger Arzt. Zeichnung von Hans-Dieter Göring nach einem Gemälde von Franz Krüger. Gründer und Leiter der Schule in Schnepfenthal/Thüringen, des- sen bekanntester Schüler der Geograph Karl Ritter und dessen engster Mitarbeiter Johann Christoph Friedrich GutsMuths waren [9,14,20]. Immanuel Kant rief zur Förderung und Unter- stützung des Philanthropinums in Dessau auf, Johann Gottfried Herder und Johann Wolfgang von Goethe lehnten Basedow als Person ab [14]. 1778 trat Basedow von der Leitung des Philan- thropinums zurück, 1793 wurde die Lehranstalt geschlossen. Basedow geriet vorübergehend in Vergessenheit, u.a. durch die Abb.2 Gesuch Ludwig Basedows an den Landesfürsten Leopold III. Fried- nachfolgende Bildungsphilosophie der Neuhumanisten sowie rich Franz von Anhalt-Dessau (Privatarchiv H.-D. Göring). das Wirken von Pestalozzi, Fichte und Schleiermacher [9,14]. Carl Adolph Basedows Vater Ludwig (geb. 1774 in Dessau, gest. 1835 in Dessau) gelangte unter dem aufgeklärten Landesfürsten anderen Ländern der Welt sonst Goethe-Institute genannten Leopold III. Friedrich Franz in den Staatsdienst [19,20]. 1831 deutschen Kulturinstitute in Indien Max-Müller-Institute. Max wurde er von Herzog Leopold IV. Friedrich zum Regierungskon- Müller selbst war nie in Indien. sistorialpräsidenten ernannt und 1833 in den erblichen Adels- Carl Adolph von Basedow wurde am 18. 3.1799 in Dessau gebo- stand erhoben. Er war ein wichtiger Berater des Herzogs von An- ren. Mit 16 Jahren wollte er in die Kriegsmarine der Niederlande halt-Dessau in den politisch schwierigen Zeiten der nationalen eintreten, um Seeoffizier zu werden. Ein Gesuch des Vaters an Befreiungskriege und der Auseinandersetzungen mit Preußen den Fürsten Franz von Anhalt-Dessau, den Wunsch des Sohnes wegen des Zollvereins [20]. zu unterstützen, wurde abgelehnt (●" Abb.2). Basedow wollte Die Mutter Johanna (1774– 1838), eine gebildete und vielseitig sich daraufhin seinen zweiten Berufswunsch, Arzt zu werden, er- interessierte Frau, war die Tante des als Maler der Berliner Gesell- füllen und studierte nach Abschluss des Gymnasiums in Dessau schaft bekannt gewordenen Franz Krüger. Carl Adolphs ältere Medizin an der Universität Halle [5,12, 19]. Besonderen Einfluss Schwester Adelheid heiratete den Dichter Wilhelm Müller, des- übte auf den jungen Studenten Basedow der damals an der Medi- sen zwei Gedichtzyklen „Die Winterreise“ und „Die schöne Mül- zinischen Fakultät lehrende berühmte Kliniker Peter Krukenberg lerin“ Franz Schubert vertont hat [13]. Wilhelm Müller verfasste (1787– 1865) aus (●" Abb.3). Krukenberg bewertete die genaue auch den Text zu dem bekannten Volkslied „Im Krug zum grünen Beobachtung am Krankenbett und die klinische Erfahrung im “ Kranze . Mit dem in diesem Lied besungenen Wanderer ist Carl akademischen Unterricht sehr hoch. Sein Bestreben galt der Ver- Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages. Adolph von Basedow, Müllers späterer Schwager, gemeint. Der einigung von Medizin und Chirurgie, die zu dieser Zeit häufig Text entstand nach dem ersten zufälligen Zusammentreffen der noch nebeneinander existierten [5]. Maßgeblich regte Kruken- beiden zu diesem Zeitpunkt einander noch unbekannten Männer berg, dessen eigene Dissertation sich mit dem „cancro bulbi oculi im historischen, noch heute existierenden Gasthaus „Krug zum humani“ befasst hatte [5], Basedow zu einer exakten Augendiag- grünen Kranze“ in der Universitätsstadt Halle an der Saale, weni- nostik an, die für dessen spätere Beschreibung des Exophthalmus ge Tage nach Basedows Promotion zum Dr. med. am 11. 1.1821 hilfreich gewesen sein mag. Es wird in diesem Zusammenhang [13,19]. Wilhelm Müller war durch seine „Lieder der Griechen“ auch über eine gelungene Augenoperation berichtet, die Base- ein bedeutender Repräsentant der philhellenischen Poesie und dow als Student selbstständig ausgeführt hat [11]. Prägenden wird noch heute „Griechen-Müller“ genannt [13]. Wilhelm Mül- Einfluss auf Basedow hat in Halle auch der Anatom Johann Fried- lers Sohn Max, Basedows Neffe, der später in Oxford Sanskrit rich Meckel d.J. (1781 –1833), Beschreiber des gleichnamigen lehrte, gilt als Begründer der modernen Indologie und verglei- Divertikels, ausgeübt [5,6, 10,15] (●" Abb.4). Unter Meckels chenden Religionswissenschaft. Ihm zu Ehren heißen die in Anleitung fertigte Basedow seine Dissertation über eine neue Göring H-D. Dr. med. Carl Adolph von Basedow –…Akt Dermatol 2014; 40: 244–250 246 Von den Wurzeln unseres Fachs Abb.3 Peter Kruken- Abb.4 Johann berg (Europeana, Friedrich Meckel d.J. The Royal Library: (http://commons.wiki- The National Library media.org/wiki/File:Jo- of Denmark and Copen- hann_Friedrich_Meckel. hagen University jpg). Library). Amputationsmethode „Commentationes in novam amputationes cruris panniculatae encheiresin“ an, mit der er am 11. 1.1821 zum Doktor der Medizin und Chirurgie promovierte [6,11,19] (●" Abb.5). Das durch die Beschäftigung mit dem Promotionsthe- ma geweckte Interesse an der Chirurgie vertiefte Basedow bei dem „Wundarzt“ Karl August Weinhold, der
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