Michel-Philippe Bouvart

Michel-Philippe Bouvart (Chartres, 11 January 1717 – Paris, 19 January 1787) was a French medical doctor.

He was made a member of the French Academy of Sciences in 1743 and a professor in the Paris Faculty of Medicine in 1745 and also in the Collège Royal in 1745, where he took the medical chair previously held by Pierre-Jean Burette. Louis XV granted him letters of nobility and the Order of St. Michael in 1768 or 1769.

Bouvart was famous for his quick diagnoses and accurate prognoses, but also for his caustic wit and polemical writing against his fellow physicians, notably Théodore Tronchin, Théophile de Bordeu, Exupère Joseph Bertin, Antoine Petit. He was opposed to inoculation against smallpox. He championed Virginia polygala or Seneka as a remedy for snakebite.

Although he was able and learned, he is perhaps best known for his witticisms.

Witticisms
"We know that, in Paris, fashion imposes its dictates on medicine just as it does with everything else. Well, at one time, pyramidal elm bark had a great reputation; it was taken as a powder, as an extract, as an elixir, even in baths. It was good for the nerves, the chest, the stomach — what can I say? — it was a true panacea. At the peak of the fad, one of Bouvard’s [sic] patients asked him if it might not be a good idea to take some: 'Take it, Madame', he replied, 'and hurry up while it [still] cures.' [dépêchez-vous pendant qu’elle guérit]"

"Une dame consulta Bouvard [sic] sur le desir qu'elle avoit d'user un remède alors à la mode. Hâtez-vous de le prendre pendant qu'il guérit, lui répondit le caustique docteur.

A lady consulted Bouvart about her wish to use a remedy which was then fashionable. 'Rush to take it while it [still] cures', replied the acerbic doctor."

Variants of Bouvart's quip about the placebo effect of using a new treatment or medicine "while it still works" are often quoted without crediting him.

"It is said that he replied to Cardinal ***, a not very regular prelate (some say Abbot Terray), who was complaining of suffering like a damned person: 'What! Already, monseigneur?' In my opinion, he might well have said this about one of his patients, but not to his face; manners would not allow that."

A "regular prelate" (prélat régulier) is a high-ranking churchman; this is a play on words, implying that he was irregular, that is, immoral. Abbot Terray is Joseph Marie Terray.

"Mr. *** was being tried for a dishonorable matter; he got sick, and died. Bouvard [sic] was his doctor, and said: I got him off the hook. It was said of the same person: He is truly sick, he can't take any more [presumably medicine]."

"Bouvart went to see one of the lords of the old Court, who was seriously ill for a fortnight. As he entered, Good day, Mr. Bouvart, said the patient. I am happy to see you. I feel much better; I think I no longer have a fever. Look! &mdash; I am certain of it, says the doctor; I noticed it at your first word. &mdash; How is that? &mdash; Oh! Nothing simpler. In the first days of your illness, and as long as you were in danger, I was your dear friend; you called me nothing else. The last time, when you were somewhat better, I was just your dear Bouvart. Today, I am Mr. Bouvart. It is clear that you are cured."

This story has been compared to Euricius Cordus's epigram: "Three faces wears the doctor; when first sought An angel's--and a god's the cure half wrought But when that cure complete, he seeks his fee, The devil looks less terrible than he."

Early life
Bouvart's father Claude was a physician. Michel-Philippe received his medical degree in Reims in 1730 and practiced in Chartres. In 1736, he left for Paris.