t / f U/t- c t-^e ^c^c^ 0*i Co^r/c^cc ft<< t> * z. THE CIlSrCIISriSr^^TI vfcj/erttiftt LITERARY AND SCIENTIFIC INSTITUTE/ AND PHYSIO-MEDICAL COLLEGE. The Subscriber will commence, on the first Tuesday in January, 1872, to a class of Ladies, already engaged, a Regular course of Lectures on the Science of life; involving the consideration of all the subjects that are very essential to the preservation of health and the cure of disease. He will be aided, as it becomes necessary, by competent Professors. The Lectures will continue twenty weeks, within which time will be taught all that is es- sential to enable diligent and faithful students to take good care of their own health and lives and those of their families, and of others, if they choose. Those who do not want the whole course, may attend any part of it. 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Oass_BJ4_L33___ Book__ £ 10 A FAIR EXAMINATION AND CRITICISM OF ALL THB MEDICAL SYSTEMS IN VOGUE; BT . ALVA CURTIS, A. M., M. D. Founder of the First Physio-Medical College in the "World, viz : The Botanico-Medi- | CAL College of Ohio; for Nineteen Years President of its Board of Directors, and its Professor of the Institutes and Practice of Medicine ; Author of "A Synopsis of Lectures on Medical Science," of " Lectures on Obstetrics," and for Twenty-one Years Editor of the **} Botanico or Physio-Medical Recorder, and Member C^, of many Literary and Philosophical Societies. <^ " Medicine is an incoherent assemblage of incoherent ideas, and is, perhaps, of all the physiological Sciences, that which best shows the caprice of the human mind. What did I say? It is not a Science for a methodical mind. It is a shapeless assemblage of inaccurate ideas, of observations often ptienle, cf deceptive remedies, and of for- mulas as fantastically conceived as they are tediously arranged." — Bichat's General Anatumy, v?l. 1. page 17. " But Medicine is a demonstrative Science, and all its processes should be proved by established principles, and be based on positive inductions. That the proceedings of Medicine are not of this character, is to be attributed to the manner of its cultivation, and not to the nature of the Science itself." — Prof. Samuel Jackson, M. D., of thi University of Pennsylvania.— Principles of Medicine. THIRD EDITION. CINCINNATI: PRINTED FOR THE PROPRIETOR. 1866. -*>« 4 Copy Right secured, hy E. B. Oubtis, in the Southern District of Ohio. 10 o i vitf K* y^m PREFACE. The object of a preface is to give some account of, or reasons for, the pro- duction that follows, or the author's motives for its publication. Ever since the true science of medicine was shadowed forth, by Dr. Samuel Thomson and other pioneers of reform, a constant crusade has been kept up against it by interested men, in the hope of rendering its doctrines and practices ridicu- lous and unpopular, and thus preventing that thorough regeneration of this noble science, which would greatly mitigate our sufferings, prolong our lives and multiply our pleasures. I say, by interested men, those who, having studied long and carefully, the various systems of error, and found them honorable and profitable in their practice, have been therefore unwilling to acknowledge their errors and the worthlessness of their labors, to give them *kp for truth, and to perform more labor for less profit, for the cause of science and humanity. Many friends of reform, and practitioners and teachers of medicine, have done what they could to develop its principles and illustrate its practice; but no one has yet attempted to furnish a full and safe defence of it, against the at- tacks of its enemies — especially has no one ventured to branch out from his own fortress of defence, and attack the enemy on the high seas of his own crazy craft, and to drive him into the whirlpools and the certain destruction into which he would gladly persuade us that we are most rapidly tending. Yet such a work is very much needed, and, though very conscious that his talents, his time and his circumstances all fall short of the magnitude and importance of the undertaking, the author has resolved to do what he can, in this hitherto little cultivated field; in the hope that it will be useful to phi- lanthropists of every character, grade and condition in life, till something better shall come forth to take its place. It is well known that the author has had a very large experience in the work of defending the cause of truth, science and humanity, and develop- ing the true principles of medical science. And he hopes to be better able to fulfill any expectations that may arise in other minds from this knowledge, than to satisfy himself that he has done all that he might have done under more favorable circumstances. One of the most difficult things in the world, as well as the most import- Ant, to the sick man, is to ascertain what practice he should employ for the (iii) * IV PREFACE. relief of his physical sufferings. As it is impossible for any person not thor- oughly "bred to physic," to learn, from any sources within his reach, the true character of any system of practice, I have been careful to give the true character of each system, so that, whoever will make himself thoroughly ac- quainted with this little Work, will have no one but himself to blame, if he does not choose the best, at the commencement of his disease, and continue it till he recovers or dies. It is well known that some physicians who belong to one class, will often practice on the principles of another; thus the Allopa- thist may give good medicines, the wet sheet, the warm and vapor bath; the Eclectic, who pretends to "dispense with all deleterious agencies" (403), may bleed, cup, blister and give opium and other narcotics, and even calomel; and the pretended Physio-Medical may, to' some extent, use like agents. But this work will enable him who is familiar with it, to detect all such hypocrisy, and guard against its ruinous effects. The subjects discussed are the following: 1st. Medicine as it is in the various schools. 2d. Medicine as it should be. 3d. The contrast between them. 4th. The answer to the questions, what is science and what is quackery, and where may each be found. — Editors or critics, who may deem this work worthy of their notice, will confer a favor on the author by sending him a copy of their notices; and, if any living authors think that he has done them injustice, they will please show him wherein, and the wrong, if any, shall be corrected in notes to the next edition, which will soon appear, *■■ this is nearly all bespoken. PREFACE TO THE SECOND EDITION. The unique character of the following work, (no one like it having ever before been published), and the manifest value of it to persons of every class and condition of society, caused the sale of a large edition in a very short time after its publication. Though the circumstances of the past five years have been very unfavorable to the issue of a new edition, the demand for it has been and is still so pressing, that the proprietors have concluded to send it forth. From multitudes who obtained and perused the first impression, we have received the most flattering testimonials to its value, for which we have here no space. Suffice it to say that physicians of every class have commended it for the extent, variety, and judicious selection of its quotations from distinguished authors, and the candor and fairness of its criticisms ; ministers of the Gospel have prized it for the aid it has afforded them in advising their sick friends as to the choice of their physicians ; lawyers consider it a work of great value to them, in selecting facts relating to, and in framing arguments upon, questions of medical jurisprudence; heads of families and other individuals perceive that they have in it a sure and safe directory to their choice of a system of practice and a class of practitioners ; students of medi- cine jnstly regard it as a key to unlock all popular systems, and to enable them intelligently to choose among them the one they should pursue ; and last, but not least, the reformer of medicine finds it to be his best guide and aid in his efforts to disperse the errors of medical theorizers, and to disseminate light on the true science and practice of medicine. Every physio-»e«Ucal (natural) practitioner will learn, by a short trial, that a dozen copies of this work lent, successivdy, for a week or two only, to the inquiring inhabitants of the city, town, or country in which he locates, will be the best of all means of breaking down opposition to his practice, of spread- ing abroad the true light, and of securing to him an extensive, a useful, and a lucrative practice. INTRODUCTION. To a powerful and well disciplined mind, thoroughly acquainted with the truths and facts of the case, it is both painful and disheartening, to perceive how extensively a few comparatively obscure men of moderate talent and little information or less discrimination and candor, have succeeded in per- suading a large majority of the talented, intelligent and refined of the community, even of the professions of religion and law; of the statesmen, philosophers, philanthropists and men of every trade or occupation, and even thousands of their own profession, to believe that the Allopathic system of medicine, is based on the solid principles of science, and that its practice is worthy of the dignified title of an art; when, in fact, there can scarcely be found, in the whole ranks of the profession, in ancient or in modern times, a single man distinguished for his talents, his education, his accurate discrim- ination, his candor, honor and humanity, who has sincerely believed its doctrines, or placed any confidence in its practices. On the contrary, the most of them have pi&tycty denounced its leading doctrines, as a system of "absurdity, contradiction and falsehood," and its practices as "horrid, unwarrantable, murderous quackery." Prof. N. Chapman, (142). Did the doctrines of Allopathy work only the profit of the deceivers, we might, to some extent, excuse it; but, when it is demonstrated, that the prac- tice daily and hourly works out the life-long ruin of the poor, frail, mortal bodies of thousands and tens of thousands of our citizens, causing them to "drag out a few years of miserable existence in extreme debility and emacia- tion, with stiff incurvated limbs, a total loss of teeth and appetite," "a loathing to themselves and a disgusting spectacle to those around them;" while, with its millions of victims of premature destruction, it peoples, yearly, the dark and silent regions of the dead, our sorrow and chagrin at the deception are turned into deep lamentation, disgust and abhorrence; and we are constrained to exclaim — "By what unaccountable perversity of our nature" is it that we can be so wicked as thus to deceive others, or so blind and stupid as to be deceived, in such a manner, to our own or their destruction! Another of the strangest phenomena which the operations of the universe present to the contemplation of admiring man, is the fact that truth and love, (5) 6 INTRODUCTION. or Science and Benevolence, though the brightest Angels that ever left the throne of God, on an errand of mercy to poor, ignorant and selfish man; have ever, as a general rule, met the strongest opposition and the most un- grateful treatment, from the very persons whom they have so generously endeavored to enlighten, to refine and to bless. Such angels are the truths that have heralded true medical reform, and such have been the opposition, slander and abuse they have experienced. Yet I hope that none will be startled at the assertion I now make, that nothing is easier than to prove, by the most abundant and appropriate testimony, by the most indubitable facts, logical deductions and tabular results, that this Allopathic system is the most erroneous, absurd, dangerous and destructive system of quackery, and its practice the most wicked as well as the most specious humbug, that the world has ever known; and that the very attempt to convince us that its principles constitute a solid science, or its practices a noble art, is an impu- dent insult to our understandings, or morals, as it supposes us either igno- ramuses, simpletons or knaves. To demonstrate these propositions, is the object of this work. The subject is systematically and scientifically treated under the following heads: 1. Proof that Allopathy and its kindred systems are not science. 2. Proof that their practice is not art. 3. Proof that their fundamental doctrines are false. 4. Proof that their particular practices are injurious. 5. The character and tendency of their principles. 6. The character and tendency of their remedies. 7. What is true science? 8. "What is quackery? 9. Where may each be found. When quoting authors, the figures in parentheses refer to the pages of their books, or, as at the close of the first paragraph here, (142), to some number of the book where the quotation and reference are found. In my own composition, they refer to the numbers of this work. EXPOSITION, &c, General Denunciations of Medicine as a Science. 1. Dr. J. Abercrombie, Fellow of the Royal Society of England, of the Royal College of Physicians in Edinburg, and first Physician to his Majesty in Scotland, says: "There has been much difference of opinion among philosophers, in re- gard to the place which medicine is entitled to hold among the physical sci- ences; for, while one has maintained that it 'rests upon an eternal basis, and has within it the power of rising to perfection,' another has distinctly asserted that 'almost the only resource of medicine is the art of conjecturing.' " Intel. Pow., p. 293. 2. Dr. John Eberle, Professor successively in Philadelphia, New York, Cincinnati, and Lexington, Ky., says of the fashionable theories of medicine: " The judicious and unprejudiced physician will neither condemn nor adopt unreservedly any of the leading doctrines advanced in modern times." Pref. to Prac, p. 1. That is, not a tyro, mark it, but "the judicious and unprejudiced physi- cian," the man who is best instructed in them, and the most capable of dis- tinguishing between truth and falsehood, even such a man is not certain whether, not a few wild notions of some idle theorist, but "the leading doc- trines," the fundamental principles of modern medicine, are right or wrong! Shade of Dr. Eberle! you surely will not haunt me for trying to determine this unsettled question! 3. The "New York Medical Enquirer," commenced in January 1830, the name of which was changed, in July following, to the American Lancet, published in the city of New York, and conducted by an association of Phy^ sicians and Surgeons, vol. 1, No. 1, advertisement, says: "If we take a retrospective view of the science of medicine with its alter- ations and improvements the last two centuries, the medical annals of this period will present us with a series of learned dissertations by authors whose names alone are now remembered, while their writings, under the specious term improvement, have left us only the deplorable consolation of knowing that their works have heaped system upon system, precept upon precept, error upon error, each in turn yielding to its follower. Year after year produces a new advocate for a new theory of disease, each condemning its predecessor, and each alike to be condemned by its successor. " Happy had it been for the world, if the medical systems which have been obtruded upon it, were only chargeable with inutility, absurdity, and falsehood. But alas! they have often misled the understanding, perverted (7) 8 EXPOSITION. # the judgment, and given rise to the most dangerous and fatal errors in piac- tice. A short view of the history of physic will convince us of this melan- choly truth. "We wish a more rational mode adopted for the promotion of medical knowledge, than hair-brained theories and doubtful facts. Observation, prac- tice, and experience, in the administration of medicine, with its effects on the system, may take the lead of scholastic learning and hard names. We must have facts instead of opinions, reasons instead of theory, knowledge instead of titles and certificates." 4. The following is the declaration of Bichat, one of the greatest of French Pathologists: "Medicine is an incoherent assemblage of incoherent ideas, and is, per- haps, of all the physiological sciences, that which best shows the caprice of the human mind. What did I say? It is not a science for a methodical mind. It is a shapeless assemblage of inaccurate ideas, of observations often puerile* of deceptive remedies, and of formulae as fantastically con- ceived as they are tediously arranged." Bichat's General Anatomy, vol. 1, page 17. 5. Dr. L. M. Whiting, in a Dissertation at an Annual Commencement in Pittsfield, Mass., said: "The very principles upon which most of what are called the theories involving medical questions, have been based, were never established. They are and always were false, and consequently, the superstructures built upon them were as 'the baseless fabric of a vision' — transient in their exist- ence — passing away upon the introduction of new doctrines and hypothe- ses, like the dew before the morning sun." B. M. & S. Journal, vol. 14, page 183. 1 ' Speculation has been the garb in which medicine has been arrayed, from that remote period when it was rocked in the cradle of its infancy, by the Egyptian priesthood, down to the present day; its texture varying, to be sure, according to the power and skill of the manufacturer, from the delicate, fine-spun, gossamer-like web of Darwin, to the more gross, uneven, and un- wieldy fabric of Hunter; its hue also changing by being dipped in different dyes as often as it has become soiled by time and exposure. And what has been the consequence? System after system has arisen, flourished, fallen, and been forgotten, in rapid and melancholy succession, until the whole field is strewed with the disjointed materials in perfect chaos — and, amongst the rubbish, the philosophic mind may search for ages, without being able to ;glean from it hardly one solitary well established fact. "If this is a true statement of the case, (and let him who doubts take up the history of medicine); if that enormous mass of matter which has been, time out of mind accumulating, and which has been christened medical sci- ence, is, in fact, nothing but hypothesis piled on hypothesis; who is there among us that would not exult in seeing it swept away at once by the besom of destruction ?" lb. p. 187-8. Professor Jacob Bigelow, of the medical department of Harvard Univer- sity, says: "Medicine in regard to some of its professed and important objects [the cure of disease], is still an ineffectual speculation."' Annual Address before the Massachusetts Medical Society, 1835. EXPOSITION V 6. Dr. Rush, in his lectures in the University of Pennsylvania, says: "I am insensibly led to make an apology for the instability of the theories and practices of physic. Those ph} T sicians generally become the most emin- ent, who soonest emancipate themselves from the tyranny of the scnools of physic. Our want of success is owing to the following causes: 1st. Our ignorance of the disease. 2d. Our ignorance of a suitable remedy." Page 79. 7. Dr. Chapman, Professor of the Institutes and Practice of Physic in the University of Pennsylvania, says: " Consulting the records of our science, we can not help being disgusted with the multitude of hypotheses obtruded upon us at different times. No where is the imagination displayed to a greater extent; and, perhaps so am- ple an exhibition of human invention might gratify our vanity, if it were not more than counterbalanced by the humiliating view of so much absurd- ity, contradiction, and falsehood." Therapeutics, vol. 1, p. 47. "To harmonize the contrarieties of medical doctrines, is, indeed a task as impracticable as to arrange the fleeting vapors around us, or to reconcile the fixed and repulsive antipathies of nature." lb. p. 23. 8. Dr. Gregory, of London, in his Practice, page 31, says: "All the vagaries of medical theory, like the absurdities once advanced to explain the nature of gravitation, from Hippocrates to Broussais, have been believed to be sufficient to explain the phenomena [of disease], yet they have all proved unsatisfactory." "The science of medicine has been cultivated more than two thousand years. The most devoted industry and the greatest talents have been exer- cised upon it; and, though there have been great improvements, and there is much to be remembered, yet upon no subject have the wild spirit and the eccentric dispositions of the imagination been more widely displayed. * * Men of extensive fame, glory in pretending to see deeper into the recesses of nature than nature herself ever intended ; they invent hypotheses, they build theories and distort facts to suit their aerial creations. The celebrity of many of the most prominent characters of the last century, will, ere long, be discovered only in the libraries of the curious, and recollected only by the learned." Page 29. I must here add that Dr. Gregory's statements respecting medical theories, are indorsed by his American editors, Professor Potter, of the University of Maryland, and S. Calhoun, M. D., Professor in Jefferson Medical College, Pennsylvania. They are therefore sanctioned by the famous school of Bal- timore, which disputes with the Pennsylvanian, for the honor of being ranked the first in the United States. 9. Professor Jackson, of the University of Pennsylvania, tells us, in the preface to his "Principles of Medicine," p. 1, that, " The discovery of new facts has shed a light which has changed the whole aspect of medical science, and the works which have served as guides, are impaired in importance and value; they lead astray from the direction in which the science progresses, and new ones are demanded, to supply the position in which they become faulty. " The want of a treatise on the Practice of Medicine, in the room of those usually placed in the hands of students and young practitioners, had long 10 EXPOSITION. been felt." * * "At first I contemplated merely a practical book, com- piled in the usual manner, founded on the experience of preceding writers, compared with, and corrected and extended by my own. I had made a considerable progress in this method, when I was arrested by the conviction that it was essentially defective; that it did not meet the spirit of the age; that it did not answer the purposes of a rational instruction; that it did not supply the deficiency I had felt to exist in the commencement of my profession; that it had been followed in a servile spirit, from the remotest eras of the science, and is, most probably, the cause that, after so long a period after its cultivation, its practice still continues of uncertain and doubt- ful application." 10. He therefore strikes out an entirely new path, and writes a large book which is no sooner out of the press than Dr. J. V. C. Smith, of the Boston Medical and Surgical Journal, pounces upon it with a severity almost equal to that of Dr. Pattison upon Broussais. So they go. Menzel, in his specimens of Foreign Literature and Science, says: — "The Science of Medicine enjoys an immeasurable literature, which, unhappily has not yet been able to be collected into a Bible. . It numbers creeds and sects enough; and, as Theological parties finally come together in faith, Medical parties unite at the most in unbelief." — Menzel' s German Literature, vol. II, page 223. "The history of Medicine, which has been most thoroughly written by Kurt Sprengel, furnishes a melancholy proof how much the human race have been always groping about in error, upon one of the most important subjects to them. We need but compare the systems of the most celebrated and best known physicians, to discover, every where, contradictions of the grossest kind. What one derives from the fluids another explains from the solids; what one wants to cure with heat, another does with cold; where an opposite is recommended by one, a remedy similar to the [cause of the] disease, is recommended by another. If one wants to cure the body by the mind, another wants to cure the mind by the body. "But, if it is asked how all these strangely contradictory systems could have come into being, the answer is almost always to be found in the pre- vailing fashion of the times, which, originally had nothing whatever to do with medicine." — lb. page 226. Thus, — "The age of vapors, of coquettish fainting fits, interesting paleness and the like," — "was the golden age of the doctors and apothecaries, and mankind were obliged to let blood after Stahl; to vomit after Hoffman, to purge after Kampf; and exhaust deep alembics after prescriptions a yard long, full of every stench of the old world and the new, in order to go back again finally to Helmont's theory, that the real seat of disease was the stomach disordered by doctoring." — lb. page 230-231. See the whole article. 11. Medicine is still in its infancy. M. Louis, see Paine's Commentary, page 331-2. "Men have for ages devoted themselves to therapeutics, and the Science is still in its infancy" — "Physicians scarcely agree except on points which are admitted without any examination, or as established by long usage which has nothing to recommend it but time." — "The reader will be astonished, un- doubtedly, that, in the nineteenth century, authority could have been invoked in a Science of observation, without remarking that what we call experience, EXPOSITION. 11 even now, is nothing but authority!" — "In fact, to what authorities do those most celebrated for the wisdom of their precepts, refer, unless it be to the practice of their predecessors?" — "If the experience so justly scorned by Quesnay, is an uncertain guide in practice, it is because it possesses nothing of true experience; but the reverse; because it is, in truth, only the common usage, not justified by rigorous observation." — "The pretended experience of authors is worth nothing, and, after all their assertions and denials, we are no= further advanced than before; the experience to which he refers, is evi- dently tradition, custom, common belief, — an almost worthless thing, — a compound of vague recollections." C. He ring, in his Introduction to Hahnemann's Organon, says: — "Innumerable opinions of the nature and cure of diseases, have succes- sively been promulgated; each [author] distinguishing his own Theory by the title of System, though directly at variance with every other, and incon- sistent with itself. Each of these refined productions dazzled the reader at first with its unintelligible display of wisdom, and attached to the system builder crowds of adherents, echoing his unnatural sophistry; but, from which none of them could derive any improvement in the art of healing, until a new system, frequently in direct opposition to the former, appeared, supplanting it, and, for a season acquiring celebrity. Yet none were in harmony with nature or experience, — mere theories spread out of a refined imagina- tion, from apparent consequences, which, on account of their subtility and contradictions, were practically inapplicable at the bed side of the patient, and fitted only for idle disputation. "By the side of these theories, but unreconciled with them all, a mode of cure was contrived, with medicinal substances of unknown quality com- pounded together, applied to diseases arbitrarily classified, and arranged in reference to their materiality, called Allopathic. The pernicious results of such a practice, at variance with nature and experience, may be easily imagined." — Page 25, 26. 12. This author is one of the most distinguished disciples of Hahnemann, and advocates of Homeopathy, and yet he says, page 17, "For myself I am generally considered as a disciple and adherent of Hahnemann, and I do indeed declare, that I am one amongst the most enthu- siastic in doing homage to his greatness; but nevertheless I declare also, that, since my first acquaintance with Homeopathy (in 1821), I have never accepted a single theory in the Organon, as it is there promulgated. I feel no aversion to acknowledge this, even to the venerable sage himself." 13. D'Alembert. — "The following apologue," says D'Alembert, "made by a physician, a man of wit and philosophy, represents very well the state of that science." 'Nature is fighting with disease; a blind man armed with a club, that is, a physician, comes to settle the difference. He first tries to make peace. When he can not accomplish this, he lifts his club and strikes at random. If he strikes the disease, he kills the disease; if he strikes nature, he kills nature.' " "An eminent physician." says the same writer, "renouncing a practice which he had exercised for thirty years, said, 'I am weary of guessing,"' — Abercrombie, Intel. Pow., page 293. Dr. Abercrombie adds: — "The uncertainty of medicine, which is thus a theme for the philosopher and the humorist, is deeply felt by the practical physician in the daily exercise of his art." u EXPOSITION. 14. Dr. James Graham, the celebrated Medico-Electrician of London, says of Medicine: — < "It hath been very rich in theory, but poor, very poor in the practical application of it. Indeed, the tinsel glitter of fine spun theory, of favorite hypothesis, which prevails wherever medicine hath been taught, so dazzles, flatters, and charms human vanity and folly, that, so far from contributing to the certain and speedy cure of diseases, it hath, in every age, proved the bane and disgrace of the healing art." — Graham's Electric remedies, p. 15, 15. The following is the testimony of Dr. Brown, who was educated in Edinburg, Scotland, then called the Medical Athens of the world, a school to which physicians from every country lately went to finish their education: Dr. Brown, who studied under the famous Dr. Wm. Cullen, of Edin- burg, lived in his family and lectured on his system, (a system that has had as many advocates and practitioners as any other of modern times), says, in his preface to his own work, "The author of this work has spent more than twenty years in learning, scrutinizing and teaching every part of medicine. The first five years passed away in hearing others, in studying what I had heard, implicitly believing it, and entering upon the possession as a rich inheritance. The next five, I was employed in explaining and refining the several particulars, and bestowing on them a nicer polish. During the five succeeding years, nothing having prospered according to my satisfaction, I grew indifferent to the subject; and, with many eminent men, and even the very vulgar*; began to deplore the healing art, as altogether uncertain and incomprehensible. All this time passed away without the acquisition of any advantage, and without that which, of all things, is the most agreeable to the mind, the light of truth; and so great and precious a portion of the short and perishable life of man, was totally lost! Here I was, at this period, in the situation of a traveler in an unknown country, who, after losing every trace of his way, wanders in the shades of night." I would here remark, once for all, that I do not always agree with the authors in all the sentiments quoted. I receive no man's mere opinions as infallibly true, till I have demonstrated them by evidences that will not admit of a doubt. For example, I can not admit, with Dr. Brown, that he "had spent all that time without the acquisition of any advantage." He had dis- covered many a valuable fact for future use. If he had not learned, directly, what medicine was, he had discovered, indirectly, what it was not; and thus narrowed the limits of his fruitless researches, as well as stored up experience as the foundation of his future medical philosophy. 16. Testimony of Dr. Donaldson, a Scotch Physician of high repute: "I was educated in the Gregorian doctrines of the Edinburg school of medi- cine. I was taught the theory of medicine as delivered in his Conspec- tus, and was exercised in the Cullenian discipline, divested of all his hypo- thetical errors of spasm and atony of the extremities of arteries. I learned all the branches of medical science under the distinguished and erudite pro- fessors of the most celebrated university and school of medicine in the world; I always embraced plausible truths, and rejected visible errors, in theory and practice. I admitted doubtful hypotheses to have no place in my mind, to influence my future practice. Even during my discipleship, I thought for myself, and digested their instructions with an unfettered and independent judgment and reasoning, and I had no sooner completed my studies of the EXPOSITION. 13 theoretical and practical science of medicine, and other branches of learning, m the College of Edinburg, than I repaired to the schools of London, so famous for anatomy and physiology. Having finished my intended course in the metropolis of the British empire, I launched into practice, under the auspices of a real imitator of the Edin- burg school, and a follower of Clarke, Lind, Thomas, &c, and soon had ample opportunities of witnessing the great insufficiencies of the medical practice of the present day, in the hands of the most skillful administrators and practitioners. In this situation I soon had occasion to dissent from the doctrines of the schools, but years elapsed before I could bring myself to deviate from the practice, which they and the most esteemed authors taught in their instructions and works. I hesitated in the old road until I should discover a new way by experience and obesrvation to keep me from stum- bling on the dark mountains of doubts and errors. I consulted all the most celebrated writings of ancient and modern physicians; I searched for light in vain, to direct my steps. During my travel in the East Indies, in the years 1810, '11, '14, '15, and '16, I had many opportunities of trying every method of curing diseases of all descriptions, and of proving the virtues and efficacies of all remedies com- monly employed by practitioners, as well as making all necessary alterations in former modes of treatment, and in the choice of remedies. Fevers, fluxes, in- flammations, affections of the spleen and liver, apoplexies, palsies, spasms, &c, were the great diseases that attracted my attention, being under my own care and treatment in those warm regions, and I was extremely mortified to find all my remedies ineffectual to reduce inflammation or subdue many of those diseases, by the common method of treatment; and my pride was humbled at the repeated disappointments I encountered, in being baffled to cure them with the common remedies, carried to the same extent, and administered with the same diligence as recommended in books, or by professors of medi- cine; I administered purges, barks and wine, with the utmost rigor, in all classes of inter and remittent fevers; I exhibited saline purges, opiates, mer- curials, sudorifics and nutrients, in cases of dysentery, and found them all ineffectual to arrest the progress of fevers, or to cure the affections of dysen- tery, in many severe cases. I could not produce an immediate crisis in fevers, nor remove the agonies of fluxes; they still continued to return, or to torture my patients, in defiance of all the remedies that have been recom- mended by Drs. Blane, Lind, Clarke, Chisholm, Cullen, Thomas, Phillip, Hoffman, Boerhaave, Brown, Farriar, Fordyce, Currie, Darwin, Jackson, Wright, Fowler, Trotter, Haygarth, Heberden, Lieutaud, Huxham, Russell, Macgregor, Falconer, Desgenettes, Milne, Dewar, Bisset, Warren, Pringle, Buchan, Churchill, Friend, McCord, &c, who are supposed to have delivered the sentiments of the medical schools in their days. Neither were the reme- dies employed by the most noted of the ancients, as Hippocrates, Celsus, Galenus, Asclepiades, &c, &c, more successful in curing febrile distempers. Having read and studied medicine of the ancients and moderns, I was able to choose those remedies, proposed in their writings, best calculated to cure disorders of the human frame, in all climates of the earth, and to employ them to the greatest advantages, but, without the knowledge of the real nature of fevers and fluxes, I still labored in the dark, and could not effect, in all cases, by the use of such remedies, a solution of the disease under my care, with any degree of certainty of success in the commencement. I was unacquainted with the principle on which those remedies acted to bring to a 14 EXPOSITION. favorable crisis. I longed for that day when my knowledge of the nature of the diseases, and of the virtues of the remedies employed to cure them, would enable me to cure the severest of them at pleasure, and to liberate my fellow creatures from the iron grasp of mortal afflictions, and I began to lament the universal ignorance of the professors of medicine, respecting the nature of diseases. From that day till the present, I never have used the remedies commonly pre- scribed by writers on medicine, neither have I followed the doctrines of the school in the treatment of the febrile diseases. I determined that no other patient of mine should ever become a victim to the common old treatment pointed out by professors of medicine, and authors of medical books. In the full belief of the doctrine which experience had taught me, I soon had the pleasure Of seeing almost all my patients recover from fevers, in the space of two, three, four and five days; whereas, according to the old method of treatment fol- lowed by my cotemporaries, patients labored a month, six weeks, two or three months, under a violent fever and its fatal dregs, and either died or were restored by the mere efforts of nature, or languished under the irremedi- able consequences of such disease, during the remainder of their lives, in misery and infirmity. Thus it may be perceived, by the foregoing collection of facts, how I came to possess a new doctrine and theory of fevers, and to institute a new method of treatment on the foundation of a sure and certain principle of prac- tice, deduced from this doctrine in the application of remedies more rational and successful than appear in any system of medicine ever exhibited in ancient or modern times, as far as I know, by the annals of medicine; and I now come forward to open the discovery for the general benefit of mankind. In doing this, I shall be under the absolute necessity of exposing and reject- ing all former opinions respecting the proximate causes or nature of diseases; I shall have to combat the errors of the learned and the ignorant, both in the theory and practice of medicine; I shall be forced to reject all the erroneous doctrines of the schools in which I was educated; I shall have to defend my sentiments against all the invidious malignities and contumelies of my ene- mies, on the basis of infallible principles, deduced from and depending on the truths and facts which I have discovered in the nature of these diseases, by experience, observation, reflecting and reasoning, so absolutely necessary to be known before we can succeed in practice. Many self-confident and ignorant pretenders to the science and art of medicine, are inclined to sup- pose that no errors can exist, in the present theories of the enlightened schools of Europe and America, to combat, in the treatment of diseases. In fact, no physician whose works I have read, no professor of medicine whom I have ever heard speak on the nature of diseases, has ever discovered, or even hinted at the cure of fever; all have delivered theories, which amount to open acknowledgments of their ignorance of it; or have candidly professed the universal ignorance of all physicians in the world, of the former and present times, respecting the nature of these diseases. I observed the plan of cure followed by the East Indians in fevers. I saw the practitioners cure the most vehement cases of intermittent fevers in a single day, with such a mathematical precision and certainty, as I never beheld in any region of the earth — by purging, vomiting and sweating, instead of mere differences in the circumstances under which it is excited. Thus they call grief, anger, love-sickness &c, different diseases. 194. A third error consists in supposing that the organic locality of the affection makes a difference in its essential nature : thus they have different kinds of insanity ; instead of including all cases of it in the general category of derangement of the equilibrium of nervous action. 195. A fourth error consists in their considering the derangement different because it is found on tissues of different nervous endowment; thus, they count phrenitis and sciatica and tetanus, very different diseases, though they are all simple derangements of nervous capability of action ; and are cured by equal- izing their physiological capabilities. 196. A fifth error consists in their considering and treating derangements of the circulation as something different from those of the nervous action; when, in fact, they are the same thing, essentially, viz. derangement of the equilibrium of the vital force, no matter on what organ or tissue (19-4, 195) it is observed. 197. A sixth great error consists in their considering fever and inflamma- tion different and distinct diseases; when in fact they are different only in stage and extent, and no disease at all. 198. A seventh error, is, like the one of the nerves, the counting and treat- ing of inflammation of the different organs or tissues as distinct diseases, instead of the same. Thus, inflammation of the ear, and gout, are by them 58 ALLOPATHY EXPOSED, called different diseases, and treated differently, whereas they are the same, and removed by equalizing the circulation. 199. An eighth error, grows necessarily out of the first, viz. That all these vital manifestations being disease, must be treated with lancets and poisons, and other means and processes that ruin the constitution. This is the great error of errors of Allopathic Therapeutics. 200. Health — disease. Thus it is perceived that the nerves possess a property, quality or capability, or disposition to act more promptly and vio- lently than usual, on the application of their proper stimuli. To preserve this capacity for equilibrium, is to preserve health — to destroy it is to produce disease. 201. Each of the nervous arrangements is excited to action by its appro- priate character of stimuli. Thus, the general sense and the taste, by gross matter jn massive form of irritating and sapid substances, or by materio-motive powers, as caloric and electricity; the smelling by matter in its extremely minute, elementary or proximate forms ; the hearing by waves of the atmos- phere; the seeing by light, and the intellectual, the motor, the respiratory and the splanchnic, by the vital force alone (the latter through the medium of the blood.) 202. All the nervous manifestations of vital action, save the respiratory and the nutritive, may be quiescent for considerable intervals of time, without any injury to the organs. So may some of the functions of the splanchnic, as generation, gestation and lactation, in which the available vital power only is manifested. 203. Irritability and excitability are terms used to represent the ability, disposition or property of a tissue to respond to the influence of its appropriate stimulus. It is most commonly applied to nerves, muscles and blood-vessels, though properly speaking it belongs to every tissue save the mere earthy matter of bone, and the nails and hair. Irritation, excitation and excitement, are used to signify both the applica- tion of a stimulus to a tissue, and the action of that tissue when so irritated. 204. The means of irritation &c, may be any thing and everything that can either invite action, as good food or medicines, a good motive, a good feeling; or may provoke it, as poisonous articles, ill treatment &c, but by whatever means aroused, whether the action be high or low, regular or irregu- lar, equally or unequally diffused over or through the body, it is always pro- duced by the same one cause, the vital force; and is, therefore, always sus- taining, conservative and curative — never tending, except by abuse, to the destruction of the body or any part of it. 205. Healthy State. Though any nervous or other tissue may be excited for a short time, to a very high degree of action, as the brain in thinking and speaking, the arms in climbing, or the feet in walking, } r et, if this action is not continued till the tissue becomes prostrated by it, or till other tissues lose their power to receive and dispose of the excess thus raised, the equilibrium will soon be restored, on removal of the cause of the local excitement that invited or provoked the derangement; yet, if every part of this nervous (or other) structure is free to act to its full measure, there is no permanently excessive action of any part of it, and, of course all is considered healthy action. And this capable condition is the healthy state. CRITICISED AND CORRECTED. 59 206. Diseased State. But, let some part of it be excited too severely and too long, and not only a derangement of the general action, but a loss of power to act takes place. For example : If we pursue our studies so long and so intensely that, when we cease, the cerebral excitement, pain in the head and cold feet and surface continue ; the nerves of the brain have lost their ability to shake off the excitement, and those of the extremities and the sur- face have lost theirs to call it off. The equilibrium of ability is destroyed, and the inability to restore it is disease. 207. The disease is not often found altogether in the locality of the excite- ment. In irritation of the brain, for example, there is a diminution of the excitability of the nerves of the surface and lower extremities, because of the withdrawal of the nervous force from them to the brain. Hence the pressure of the blood from them, increases the inability of the organs of the brain to rid themselves of its mechanical influence, and its stimulating effects, gene- rating heat and still exciting them to more fruitless effort. The disease then, is both in the brain and on the surface ; and both need the aid of art for their relief, because both Have lost their balance, the one by excessive action, the other by diminution of the ordinary quantity. 208. Counter -Irritation. As the vital force stimulating the brain, sets and keeps it in motion, so the same force can be sent, by ceasing to study and taking exercise, to the surface, muscles, viscera and lower extremities, leaving the brain comparatively at rest. The equilibrium being restored in both localities, health is preserved and established. The same thing can be done by the vapor bath, friction with stimulants, and taking diffusives internally, which last much aid exercise. This is called counter -irritation. It is an established law of the animal economy, that, when any part of it is over-excited, by whatever means, the action from other parts accumulates at the point of excitement, to defend it against injury, as a poison, or to aid it in doing good, as in digesting food; and that, if the exciting cause (even the good food), be not soon removed, this accumulated action over-works and debilitates the part on which it is concentrated. It can be properly removed only by removing the excitant and inviting the action to other tissues. This restores to each equilibrium of action, which is healthy. The ancients, ob- serving the uniformity of the first condition, laid it down as a maxim, "Ubi irritatio ibi affluxus." Wherever there is irritation there is a vital and fluid accumulation ; and they might have added, " when this afflux becomes troublesome, it can be called away by irritating a counter part : and thus, disease produced by local irrita- tion, may be cured by counter-irritation. 209. Irritation in itself Physiological. From what has been said and proved on this subject, it is very evident that irritation is not disease, but purely physiological action, aroused and concentrated for the purpose of per- forming some extra duty; as intense thinking, feeling or speaking: or pro- tecting the system from injury; as in the closing of the eye in a mid-day sun to enable it to bar the light, the shaking of the skin of a horse to keep off flies; — or for removing a cause of disease, an offending agent, as in the excite- ment of the stomach or bowels to get rid of poisonous drugs. 210. How treat Irritation. Of course the object of the practitioner should be to let it alone where both the excitant and the object are good, to equalize 60 ALLOPATHY EXPOSED, it when it is excessive or wrongly directed, and to remove the excitant if bad Bat in no case to paralyze or destroy the power of the nervous system to produce this deranged and accumulated excitement. 211. The false impressions of medical men, that this deranged and over- excited nervous action is disease, or as with many, that the organs or tissues that produce it are diseased, and therefore should be deprived of their power to produce it, has led to the use in medication of a class of most destructive agents called narcotics, which they confess have done a vast amount of injury in the civilized world (71 to 79). As these narcotics are known to be such only by their power to depress nervous excitement ; and, as nervous excitement is called by Allopathists disease, they must, of course, be counted good medicines. But, since, in actual experience they often kill, it is found neces- sary to limit their supposed good, but really unchangeably mischievous quali- ties, to those cases in which the vital force resists their action, and expels them from its domains j when their character becomes conditional, that of " good medicines in skillful hands/' or when it cannot expel them they are " treacherous palliatives/' "irretrievably" ruinous, "destructive narcotics," "dangerous sedatives," "deceptive as the serpent of Eden and equally fatal" (76). 212. True Anodgnes and Nervines. Since irritation is purely physiological (178), the only rational relief for the condition of the tissues manifested by a permanently deranged nervous excitement (181), consists in restoring equili- brium to the nervous action ; ceasing to excite the tissue where it is too active, and rousing it where it is deficient. And this can be properly done only by agents whose innate qualities supply the current demands of the vital force. Thus if a part be irritated, it requires a relaxing and soothing agent; as water and relaxing aromatics. Warm spear mint tea relaxes the tissues and relieves tension and irritation, the nervous effort to remove which is called pain. Lobelia is powerful to relax and of course one of the best anodynes, while it never narcotizes. So the vapor bath removes obstructions and hence irritation and pain. 213. In common headache from too much study, the vital force excites the nervous structure to exalted action, which all agree is as healthy to the brain as walking is to the limbs. But, if it is continued too long and too severely, it overworks the brain which then complains by aching, as the feet do from too fast and too long continued walking. Is this irritation disease ? and must we give narcotics to deprive the nerves of the power to tell us of it, by aching ? or shall we call off the motive power from the brain, by exciting other parts of the nervous system to action, so as to let the brain rest awhile ? If the latter, can deadly narcotics that stop all nervous action do it? or shall we use physiological relaxants, as rest, and nervines to the aching brain, and stimulate the muscular system to call off the vital force from the efforts of the brain in study ? 214. The true test of remedies is their constant tendency in action to restore directly the healthy state. Of course, not those that depress nervous activity, but those that restore equilibrium to it, are the true anodynes. Thus we see the truth of our doctrine (211), that it is their erroneous opinion in relation to the nature and tendency of irritation, &c, that has both dictated the use of poisonous agents, and deprived medical men of the power to determine with any degree of nearness to a certainty, what is and what is not narcotic or poisonous ; and even induced them to pronounce the best articles of food CRITICISED AND CORRECTED. 61 poisonous when they excite the organs to a full performance of their physio- logical functions, as the nerves to irritation, and the mucous membrane to vomiting and purging, or, in aromatic form, to coughing and sneezing. 215. The oppositions to nervous action are the destruction of the tissue by chemical or mechanical means, the former corroding or narcotizing, the latter simply compressing; as when a cord is tied tightly around a nerve, or when any part of the system is bent for some time much out of its natural shape; as when the arms or legs have been long drawn up to acute angles, or where vessels are clogged by morbific matter. It is also sensibly exhibited in the shape of corns on the feet, in which cases, the flesh over the joint or projecting part of a bone has been compressed so long that the fluids have been exuded, the solids have become dry and hard, and have adhered together. Cellular tissues, muscles, blood-vessels, lymphatics, nerves and skin, are all united in one mass, and this ultimately in some cases to the bone. The circulation and nervous action through it are impeded, the blood accumulates before it, and stimulates the nerves to an extra effort to remove the obstacles and set the tissues free. This effort being fruitless, the action returns upon the brain and produces a sense of uneasiness, which, if slight, we call irritation ; but if severe, we call it pain } dull, heavy, acute, mild, severe, lacerating, darting, stellate, &c, according to its degree, or mode of manifestation. In a boil or an ulcer, the impediment is the pressure of the accumulated blood. 216. Pain, then, in all cases, is simply the notice or impression which the nervous tissue conveys to the brain that some part of its structure or arrange- ments is enthralled and other parts are over-excited. Of course, if it is not itself disease, nor are the nerves that manifest it, performing any other than their physiological office of carrying impressions to the brain, it follows that 217. To cure pain, no agent or practice should be used that has a tendency to deprive the nerves of the power to produce it ; but that we should remove the cause of oppression and irritation from the part that is enthralled. It is just as philosophical to give opium to stop the pain of a corn, and leave the hard, tight shoe still obstructing vital action ; as it is to give it to relieve pain in the head, the heart or the bowels, without removing the exciting cause, and cleansing the system of obstructions. 218. Having established in their minds the erroneous notion that pain is disease, or at least that the extraordinary physiological action that produces it is " morbid," Allopathists have set themselves to devising and discovering ways and means to depress and destroy that action. 219. Action of Narcotics. Experience and observation have taught them that the whole tribe of agents they have called narcotics, of which opium is the prince, will, if they give enough, infallibly do this work, and hence, notwithstanding that same experience has fully proved to them that these narcotics, though given with all their precaution and skill, and only to the extent of producing the desired effect, are often " treacherous palliatives," and "dangerous sedatives/' " deceptive" and "destructive as the serpent of Eden," they still pronounce them "good medicines in skillful hands" — the magnum del d.onum, — " the great gift of God, for the relief of suffering humanity." — Harrison. And persist in giving them to "produce pleasant sensations," " allay irritation," " procure refreshing sleep," which they do by "deadening sensibility," "paralyzing nervous energy," &c, &c. (71 to 77). 220. Practice, Allopathic and Physio- Medical, compared. In the dark- ness of such fundamental errors as this, that irritation is disease, how are the 62 ALLOrATHY EXPOSED, wisest men ever to learn any thing of the true character of remedies as either good or bad ? Under the influence of MHcomraon sense, the monitor which gives notice of the thraldom of an organ, must be deprived, by deadly agents, of the power to give that notice; bat, under the guidance of our common sense, the obstruction to the free action of the nerve should be removed, when the pain would cease of itself, because there would no longer be any occasion or exciting cause for it. Take off the hard or tight shoe, soak the foot awhile in hot water, pare off the dead part of the corn, and wear a buckskin moccasin for a month. The waste will be built up, the circulation and nervous action will be free, and there will be no occasion for the use of narcotics to " lull" 01 " deaden the pain." 221. Irritation and Pain are Blessings. This physiological impression called irritation and pain, is the true "magnum Dei donum," the great gift of God to man, to warn the violators of physiological laws, of the mischief they are doing, even in the slightest degree. Let any one take any bodily position in which the nervous action is in the least obstructed or impeded, and he will soon feel " irritated" or uncomfortable, and inclined to change that position. If he continues the violation much longer, the irritation amounts to pain. If he obeys this warning, changes his position, he is soon relieved. 222. Destruction of Nerves. If he change not his position, the obstructions continue till vitality is lost, and chemical lesion takes place, as in the forma- tion of an ulcer. Here the destruction of a. part of the nerves, and the thral- dom of the rest in the pressure of the swelling arteries, and the irritation of the accumulated blood, all combine to keep up the irritation, soreness, or pain, till the lesion is healed and the circulation becomes free and the nerves are released again. 223. Effects of Narcotism. Here too it is evident that the use of a nar- cotic to deaden the pain, that is, to deprive the nerve of the power to produce it, must, in the same degree deaden the power of tlie nutritive tissues (external capillaries) to heal the wound; and who can tell how many " old sores," " fever sores," "felons," " calomel sores," " mercurial ulcers," &c, "refuse to heal," spread wider and descend deeper, to the destruction of the bones and the loss of the limbs, and even to the death of the whole man, because of the destructive action of the opium or other narcotics which were given in small doses " merely to relieve pain and gain time" ? It is true that no scru- tinizing eye can ever see, or calculation estimate, the full amount of this mis- chief; but all intelligent and honest medical men agree that it has been immense, ever since the first use of narcotics for the relief of pain (see Nos. 71 to 79). 224. Narcotizing Reformers. Yet, notwithstanding all this evidence against them, both from testimony and from personal observation, even many physi- cians who profess to be Reformers — to use only a sanative medication — are continually administering narcotics to " relieve pain," while the other tissues equally relieved by the same remedy (?) of their power to perform their respective offices, are expected to be very busy in curing the disease ! or at least much refreshed and prepared for this service I Dr. J. R. Buchanan once said that all true Reformers would finally unite on the total rejection of all articles of this kind (403); but, because we rejected them from the first and he "progressed backward, instead of forward (408) he since said that we were as hunkerish as the old school." CRITICISED AXD CORRECTED. 63 225. It is not known whether the vital force is circulated through the nerves, as electricity is through metalic wires, or simply excited in localities, by the elastic action of the centers of nervous globules. I was of the latter opinion; but, finding, in fact, some strong objections which the former* opinion re- moves, I am now inclined to think that the available vital force, circulates through the nerves as electricity does through the wires of the telegraph. On the elastic supposition I could account tor the excitement to action, in- stantaneously, of all the power of a single part; but I could not explain how that part, as a hand or a foot, should be thus enabled to exercise, for a moment, almost the whole strength of the body; or how inflammation of the brain should deprive the whole body of its usual muscular power. On the supposition of the circulation of the nervous fluid from part to part, these facts, as well as all others connected with the subject, are easily explained. The locomotion of the vital force through the nerves is there- fore most probably the true one. It is fortunate, however, that the settle- ment of this question is not indispensable to a full understanding of the effects of irritation or of determination; nor to a successful treatment of these derangements, any more than it is that we should know just how the corn grows to enable us to recognize that it does grow; or to plant, cultivate and harvest it. 226. In No. 161 to 176 I spoke of the ramifications throughout the body of a series of vessels, tubes, &c, denominated the circulating system, to the action of which and its results I now devote more particular attention. Since, by the circulation, the animal frame is formed from the embryo; puri- fied and supported in health, and restored from the conditions of disease, it follows that a thorough knowledge of its actions and tendencies is indispen- sable to a scientific and successful sustenance of life and health, and a safe and speedy restoration from disease. There is no subject to which the attention of any person in the world can be directed, that can at all compare with this in the value of the benefits which it is able to confer. Of what use to any one are all the other blessings of this earth, when the body is racked with pain or the reason dethroned? " Very well," says one, " but is it possible for any person to learn how to prevent these? " 227. As easily learn it, I answer, as to learn how to prevent hunger, thirst, cold, and poverty — aye, much easier than the latter, unless this knowledge should be first obtained, for sickness is a very frequent cause of poverty. 228. Let then, him who would obtain the priceless boon, study well what I have already written, and still more thoroughly what I am about to write on the subject of the circulation; and, when he understands it, let him practice it at once, and through all his future life. Thus, unless his system has been already ruined by disease or by mal-practice to cure it, or accident should cut him off, health and long life shall be his happy portion, and sorrow and sighing shall constitute no portion of his heritage. 229. Fever, Inflammation, Congestion. From the description I have given of the structure, arrangement and functions of the nerves and the blood- vessels, it is evident that the vital force and the blood may be instantane- ously accumulated in any tissue, in a quantity much greater than is needed for the performance of the ordinary functions of that tissue. Since the blood is not, on the whole, very rapidly increased nor diminished, and it is quite 64: ALLOPATHY EXPOSED, questionable whether the vital force is ever increased or diminished, it follows of course, that, if they concentrate themselves temporarily in one locality, they must be just to that degree absent from some other locality, and hence the constant alternate destruction and restoration of the equilibrium of blood, and action in the tissues. We are aware that this accumulation and extra action can be commenced in many parts of the body, as the brain, the tongue, the limbs, &c, by an effort of the will. This 1 call a direct action. Or it may be commenced by forcing the blood from other parts to a tissue, as the accumulation of blood and action in the pleura, the peritoneum, the bronchi, in the alvine canal, &c, is often produced by the pressure of them from the surface, caused by cold. This I call indirect or passive accumula- tion, congestion, &c. This accumulation and action may be invited to a part by the direct application of other stimuli than the will or vital power; but, by whatever means accumulated, as in pleurisy, from cold, or whether the blood, or the vital force, as in study, act first, both being the natural stimulants of the body, the result is soon the accumulation of heat, and a burning sensation. Hence the word fever, homferveo, to heat, all the cases of which may be said to consist in an accumulation of blood in an extensive portion of the body, with an excited state of the arterial capillary tissues that contain that blood. It may or may not be preceded, attended or succeeded by a degree of heat, redness, pain or swelling, manifest to the senses, though heat is generally and the others are less frequently manifested. If this accu- mulation and action are confined to a small locality, it is called inflammation. 230. This excitement is always a vital action, the same in character as that which circulates the blood freely, and performs every other physiological act in a state of health. All the differences visible in connection with it, arise from the different structures and conditions of structure in which the action is observed. Loose, spongy organs, as glands, mucous membranes, muscles, receive much blood and become red and swollen, but not often very painful, not being much enthralled. The serous membranes, the tendinous tissues, and the external surface, are more dense; and receive less blood, but compress the nerves more, and are, of course, less red and swollen, but more painful. 231. Any excitement above the ordinary degree, from whatever cause, as a blush, will produce an accumulation of blood in a part beyond its immediate wants. Anger will produce redness of the whole face and neck ; and severe exercise or a vapor bath, and generally a cold shower bath, or effete matter in the capillaries, will excite a general accumulation of blood on the surface, with swelling of the tissue. But, if the cause be not long active, the superior capacity of the absorbents, in number and caliber, over the secernents, will soon remove the surplus, and all will be right again. It is only when the secernents have lost, by long distension, their recuperative or contractile power, to recover when the pressure is removed ; and the absorbents their expansive force, or capacity for absorption; or when some obstruction exists in the vessels, as retained effete matter, or when a strong pressure is directed from a closed surface, as in colds, &c, that the accumulation of blood and action becomes permanent, and is called fever, (or inflammation, according to the extent of its locality or the stage of its progress.) 232. How subsides. When the excitement, or the mechanical obstacles which occasioned the blood to accumulate in apart, is removed, the absorbents CRITICISED AND CORRECTED. 65 soon recover their advantage over the secernents ; the excess of blood or other fluids is removed, and the fever or inflammation subsides for want of an error or an injury to be corrected by it. All that is necessary to accom- plish this, is to relax the whole system, invite the circulation freely to the sur- face, cleanse the stomach and bowels by an emetic, and an enema, if necessary, and promote perspiration by a free use of aromatic fluids. This invariably so far relieves the congested vessels, that absorption or resolution soon re- lieves them wholly, and this depuration is the last process of what is properly termed fever, by those who suppose fever and inflammation to be distinct affections; or the first mode of relief by us who consider them only different stages of the same process. It is called a crisis, as the patient is immediately relieved of the irritation, congestion and offending matter, and the circulation moves on again as before. 233. Conditicm of the tissues. In the early stage of fever there is an increased action of the capillaries and flow of blood both to and through the part in a given time ; and a fuller, stronger and quicker pulse. In external fever, the distension of the capillaries admits a predominance of arterial blood in the surface, a fullness and smoothness of the skin, and an increase of heat, which conditions exist in all cases, and are more or less manifest where the obstructions are not so great as much to depress the vital opera- tions. In the second stage, that is, where the absorbents become so closed by the pressure of the arterial circulation, or by mechanical obstructions, that they cannot remove the fluids as fast as they accumulate, the circulation is impeded and after much fruitless effort the pulse often becomes smaller and weaker, and even softer, though sometimes more wiry and corded, than natural, all depending upon the different conditions of the tissues and their ability to respond to the action of the vital force. 234. Names of fever. If the concentration is confined to a small organ and the excitement is severe, it is called inflammatory fever. Thus a local fever and a general inflammation, are the same; no one having marked the boundaries to which either state shall extend, or given signs by which the one can be certainly distinguished from the other. Brain fever and inflam- mation of the brain; lung fever, and pneumonia; puerperal fever and puerperal peritonitis, are respectively synonymous, or different names for the same affections. If the fever or inflammation come on suddenly and violently, it is called acute, if gradually and imperceptibly, chronic. If invited by irritation of the part, it is called active ; if forced by sending the blood from some other quarter, it is called passive. The obstructed states of the system also give it names, as synochoid, typhoid; so the effects, as eruptive, putrid, &c. 235. The cause of fever and inflammation, like that of irritation, mental and muscular motion, and every other physiological act of the system is always one and the same, the vital force (171, 180), which produces all other actions in the system that are not chemical, in other words that may not be produced in it after death, by instituting the same chemical relations. 236. Example — The eye. In health, the sclerotic or outer white coat of mcst persons' eyes is of a bluish cast in consequence of the predominance of venous blood in it. Put into the eye a little weak infusion of cayenne and you stimulate the nerves, and these the blood vessels to action. This action 5 66 ALLOPATHY EXPOSED, generates heat ; this heat uniting with the moisture of the blood, expands the arterial capillaries which thus press more than usually upon the venous absorbents. The result is, the venous blood already in the absorbents, is forced away ; the arterial is accumulated till it predominates, when the eyes are red, "bloodshot," and they smart with the pain excited by the irritation, first of the cayenne, secondly of the heat, and thirdly of the arterial blood. This is inflammation. As the irritation subsides, the excited action subsides, the contractility of the arterial capillaries recover their tonic or natural and usual dimensions, the absorbents, relieved of the pressure, expand, take up the excess of blood and remove it, and the coat of the eye becomes white again. This is called resolution. Any other irritant than cayenne in the eye excites the same inflammatory action, but not every other excitant allows it so readily to subside and without injury, but rather with the benefit of purifying the tissue of morbific materials, and restoring its healthy action. If lobelia be added to the cayenne or used without it, the vessels are expanded as well as stimulated, and hence their purification by the more easy removal of morbific matter, is more complete. If we wish to check this inflammatory action, we can apply to the eye moisture in the form of water or thin poultices, and it will aid in the process of relaxation ; and, by absorbing the heat, will check the irritation. If cold, the water absorbs the heat more rapidly, and, by thus preventing the irrita- tion which its excess produces, it aids the contractility of the capillaries in recovering their smaller dimensions, and thus gives space for the absorbents which are laboring to expand, to recover their larger size, and to remove the accumulated fluid. If the water is cold when applied, it soon becomes warm and loses its power to absorb the heat. It then becomes relaxing instead of tonic, till it is changed for cold. But, if the cold water contain a solution of some powerful astringent, this latter aids in producing contractility and retains its influence after it becomes warm, so as to prevent the accumulation of blood and the generation of more heat. Every pure astringent is able to aid distended arterial capillaries in recovering their proper dimensions, while no one can so far contract the absorbents (against nature) as to prevent them from taking up all the fluids which the arterial capillaries in health can supply them. Therefore no pure vegetable astringent is poison — but all are good in their place, or when tissues require their aid. The superficial observer and careless thinker may object that the cold water or the astringent will contract the absorbents as well as the secernants, and thus preserve the derangement. That would be true if nature were doing nothing in the case. But the vital force is striving to contract the arterial capillaries and to expand the absorbents. The cold water and astringents acting in direct harmony with the vital force in the arterial capillaries, is kindly received and allowed to exert its full force — the two united accomplish the object, and this is what is meant by medicines acting in harmony with that force. The cold and astringents assay to contract the absorbents also; but here they are resisted by the vital force. If the water is so cold or the astringents are so strong as to completely or nearly over- come that expansive force, they would stop absorption and prove mischievous, thus very cold water sometimes removes the skin. But water of such a low temperature, or astringents of so great power should never be applied. The absorbents are so numerous and large that an astringent force amply capa- ble of aiding the vital force in reducing the contracting arterial capillaries CRITICISED AND CORRECTED. 67 to their proper dimensions, may not be able to contract the more numerous larger and expanding absorbents (as the arterial pressure is taken from them), and prevent them from removing the accumulated blood, and restoring equili- brium of the circulation ; and, of course a healthy condition to the tissue. Any article in its nature tending to destroy the elastic force of the tissue, is poison and should be always discarded. One that may overcome it only by the degree of its power, is good and should not be abused; that is, used to excess, or when it is not wanted. It is thus by observing the tendency of substances to aid or oppose vital action, that we determine the character of external agents as medicines or poisons. a. Inflammation. This term has been given, time immemorial, to certain actions and conditions of the animal tissues, which no observing person can fail to discover; but which many of the most distinguished medical men, in all ages and countries, have attempted in vain to describe. They confess that, notwithstanding their careful and extended observation (28 to 48), their diligent search, their establishment of fever hospitals (34), and other praiseworthy efforts to "more certainly ascertain its true nature," they have accomplished nothing of their grand object; their conclusions are "very unsatisfactory" (35), "altogether problematical" (36); and "afford little help in determining the plan of treatment" (35). 237. / consider it only a circumscribed fever, in its concentrated forms and later stages — simply accumulation of blood and excitement in the arterial capillaries of a tissue. 238. Discussion of it, resolution. It is not generally customary, among Allopathists, to pronounce accumulated action inflammation, till the circu- lation has become so completely arrested as "to change somewhat the character of the blood and of the secretions." — (Erichsen's Surgery, p. 36 to 44). But this can scarcely be said of a blush which Hunter calls "the simplest form of inflammation," — "a simple act of the constitution," — in which the sudden and powerful action of the heart and arteries, distends and fills the capillaries of the latter, so completely as to compress, for a moment, the mouths of the absorbents to such a degree as to prevent them from taking up the blood as fast as it accumulates; the result (in the face) is, redness, fullness and slight heat. But, the cause soon ceasing to act, the arteries also act less powerfully and press less upon the absorbents which now expand more freely, drink in and remove the obstructions, and restore the equilibrium. This is called resolution or the first termination of inflam- mation, and nature herself effects it, when let alone generally; when properly assisted almost always. 239. Active exercise produces for a time the same condition of the general surface that we see on the cheek in a blush ; and rest from that exercise gives relief from arterial, diffusive pressure ; when the capillaries contract, the absorbents expand, and the equilibrium of circulation is restored. So far, medical men are not disposed to regard this accumulation of excitement, and of blood and heat in a part, as anything unnatural or improper. 240. But, if this excess or accumulation of blood is confined to a small region of the body, and the stasis is nearly complete and more permanent, it is called inflammation, though in truth that which is properly termed inflam- mation (the action), is almost subdued. 68 ALLOPATHY EXPOSED, If it extends over a large region, and the arterial derangements are slight, the case is called fever. Hence it is evident that there is no natural dividing line between fever and inflammation. In their character they are the same. 241. Erichsen, the distinguished Surgeon of the London University Col- lege and Hospital, says : — "It is difficult to say, except by the persistence and intensity of the symp- toms, that the physiological state has ended and the pathological one has com- menced." Pray what degree of "persistence and intensity of the symp- toms," shall constitute the dividing line between that increase simply in power and permanence and not in character ? As signs of inflammation, he gives, "Alteration in color, in size, in sen- sation, in temperature and function, of the part affected." And adds (page 40th), "Each of these conditions may separately occur, or two or more be associated together without the existence of inflammation. It is the peculiai grouping together of them all, that characterizes the presence of this patho- logical condition." 242. Comments. No signs to distinguish fever from inflammation, oi irritation. Where, for example, is the change of color in phlegmasia dolens and synovitis ? of color or size in neuralgia, (inflammation of the nerves,) of sensation or temperature (tangible) in carditis, splenitis and hepatitis; and what of function in the blush ? Any that can be so appreciated as to "afford any help in determining the plan of treatment?" (35), or tell us "how it will terminate?" (119). Is there any distinction in nature between fever and inflammation as vital acts, other than what is made by the progress of one act from circumference to center and of the other from center to circumference? And what changes the conditions of their approach to each other but the different states of the systems in which they are manifested ? And, if so, why attempt to make two things out of the one simple act ? Why attempt to divide even these two things which are but one, into a legion more ? If different constitutions or states of the same, make differences, why not note these and philosophise and act according to their indications ? How long will it be before medical men will find out what disease is (6), so long as they consider the physiological acts, irritation, fever and inflammation the very sum and essence of disease, and "the founda- tion of all their pathological reasoning?" (35.) 243. The Definition that covers every case of inflammation is, accumula- tion of blood and excitement in the arterial capillaries of a tissue, as irritation is accumulation of vital force and excitement in the nerves of a tissue. They may or may not manifest an appreciable degree of heat, redness, pain or swelling. There may or may not be changes in the constitution of the blood, suppuration, granulation, or gangrene, connected with inflammation. 244. But if there are, the obstruction and the swelling are mere mechani- cal conditions; the suppuration is chemical so far as lesion is concerned, and vital so far as casting off pus, and granulation are concerned. Granidation is the vital healing process, and the ultimate termination of inflammation. Gangrene is chemical — death ! 245. The confounding of all these vital, mechanical and chemical effects, under one name, and treating them all as vital, sanative, "till the physio- logical state ends;" and, as destructive after it is merely "guessed" that CRITICISED AND CORRECTED. by "the pathological state begins," are the sources of all the errors of Allopathy, and all "its kindred systems and branches." 246. Dr. H. Bachus, of Alabama, in a pamphlet on fever and inflam- mation, says : — ' ' If we take from fever and inflammation the condition which they have in common, — increased action — nothing will remain to which these terms are applicable." p. 23. Williams, in his Surgery, says: "Excess of blood in a part with motion increased, is fever. Excess of blood in a part with motion partly increased and partly diminished, is inflammation." That is, while the blood flows on freely, it is called fever; when obstruction prevents the flow, it is inflam- mation. But w^ find these conditions reversed in many cases of what are called fever and inflammation. Dr. Clymer says: "Drs. Cullen and Brown affirmed that the distinctions which physicians have made about the differences of fever, are without foundation — that they differ only in degree. Dr. Rush called all diseases a unit, reduced all fevers to one, differing only in degree. Maintaining that every form and variety of disease consists of irregular action [irritation fever and inflammation], that this action is a proximate cause of every form and modification of disease, and the varieties owing to the differences in the state or predisposition to disease and in the force of the exciting or acting causes." — Abridged from Clymer, p. 48. Remark. What a pity that these men had not gone one step further in the discovery, and seen that all these fevers or excitements are not disease at all, but simple manifestations of the efforts of the system to remove the causes of disease! Then would they have revolutionized the whole practice to a purely sanative medication. They could then very easily have learned both "what is disease and what is a suitable remedy." (6.) 247. Inflammation Sanative. In Erichsen's Surgery, page 33, we are told that, "Increased vascular action lies at the bottom of all surgical [healing] processes ; no important surgical action taking place without it. No process by which the separation of dead parts is effected, or by which the repair of wounds or ulcers is carried out, can occur without an increased activity of the vessels concerned. Every tissue is susceptible of it, and the surgeon often excites it intentionally as one of the most efficient of his thera- peutic means." Hunter, John Thomson, Watson (44), and others, say the same thing. So far as authority is worth anything, we have, from the most eminent surgeons of the University College and Hospital in London, and others elsewhere, a full confirmation of the doctrine of the sanative tendency of inflammation, and of its absolute necessity to the healing process. This physiological act may be wrongly directed, or it may be entirely obstructed, and thus rendered powerless for good, or even injurious to the tissue on which it is fruitlessly spent; but no wrong direction or condition can change its character from physiological to pathological; or justify any other treat- ment of it than the removal from it of obstacles to its free and universal action. This gives us a clue to the true plan of practice, the nature of the remedies required, and the effects of the remedies on these conditions; and the vital indications of them, are the only criteria by which the characters of these agents, as good or bad, can be determined. Hence the truth of our doctrine TO that the errors respecting inflammation, &c, are the sources of all the errors and mischiefs of allopathic therapeutics. 248. Modes of Access. There are two ways of exciting or developing irri- tation or inflammation. 1st, Attraction, by the application to the organ to be inflamed, of some irritating substance ; as when pepper is thrown into the eyes or rubbed on the tender surfaces of the body; or caloric in too great quantity attacks the external surface. In all these cases, the foreign body invites or provokes excitement ; this excitement develops heat ; this heat unites with the blood to expand the vessels containing it; this expansion gives room for more blood, which excites the vessels still more, and develops more heat, which, with the blood, produces more expansion and develops yet more heat, till the vessels are distended to their utmost degree of extensi- bility, and the blood and caloric become so abundant that no more can be pressed into or confined in the part. The absorbents are now compressed to such a degree that they cannot carry off the accumulated blood, unless the excitement in the locality, or the pressure toward it, or both, be partially removed. The proper method of doing this is to absorb away the caloric by water from the locality, and attract the blood to other parts, particularly the whole surface, by counter irritation, as the vapor bath, and friction by stimulants. 249. Determination. The second method of inducing inflammation consists in forcing the blood to central organs by means of the contraction of the surface, as often caused by the evaporation too suddenly of its natural heat and moisture (a process called taking cold.) The superficial vessels being unable to receive their due quantity of blood, an excess is thrown upon the internal organs (162), as the brain, the lungs, the glands, the mucous and the serous membranes, which are warm, relaxed and expanded, because not exposed to the action of the cold, drying and contracting action of the atmos- phere, and therefore offer less resistance to it than the external cold, con- tracted vessels do. There is not room in the superficial vessels for the quantity of blood necessary to maintain the proper distension and excitement, the surface contracts, diminishes the capacity of the external vessels, and compels the heart and arteries to send the portion of blood which they will not admit, to the internal, warmed, relaxed, and expanded vessels, which will therefore receive it. This forcing of the blood from one organ to another, as well as the inviting of it, is called deranging the equilibrium of the circulation, and the consequences are, irritation, fever, inflammation, and congestion, which are always produced in one or the other of these two ways. If only the nervous system is much disturbed, as in study, it is called irritation. If the general circulation is disturbed, it is called fever. If the disturbance is local, it is called inflammation. If the accumulation of blood is attended with excitement of the capillaries, it is called inflammation. If with little or no perceptible excitement, congestion. (See 164.) Now it is evident, from what has been shown, that the organs within, which are the most irritable, will receive the strongest impressions from the influx of blood — will promptly respond to those impressions, and be, conse- quently, soon inflamed, while those that are the least impressible will least readily respond to that impression, and be speedily overwhelmed with blood, and deprived of the freedom necessary to action, before their excitability is much aroused. The former of these states, as just remarked, is accumulation CRITICISED AND CORRECTED. 71 of blood, with excitement, in the capillaries, and called inflammation ; the latter is accumulation of blood, without excitement, in the capillaries, and is called congestion. When there is some excitement as well as accu- mulation, it is called inflammatory congestion, congestive inflammation, &c. Thus it seems that, in all cases of inflammation there is some congestion, and it is also clearly evident that, in all cases of congestion, there is, at first, some inflammation. From the above it is evident- that any cause which can excite a part to high action, can invite or provoke inflammation. So any cause which can prevent the blood from flowing freely to any considerable region of the body, can force it to other parts, where it will produce either inflammation or con- gestion ; and that these again may be relieved by exciting other less active parts, and inviting the blood away to them. The last process is called counter-irritation. 250. The conditions and actions of the tissues in all cases characterized by inflammation, are very well described by Fletcher, as copied by Dud- geon (Lectures, page 35.) The words in brackets are mine. Fletcher says : " The first effect of a direct stimulant, such as heat, upon the capillaries, causes them to contract. This contraction represents increased action in the capillaries themselves. The application of a red-hot iron to the skin, is observed to be followed at first by a deathly paleness of the part, and the alteration in the calibre of the capillaries has been observed, miscroscop- ically, in the foot web of the frog and the transparent omentum of other animals, by Spallanzi, Thomson, Phillips, Hastings, Burdach, Wedemeyer, Koch, and many others. During this contraction, the motion of the fluid in the capillaries is quickened, as noticed by the increased rapidity of the passage of the globules [and as may be felt by the pulsations of the arteries]. After a time [when the tissues become over-wrought, fatigued, exhausted], the capillaries [yielding to the pressure] become dilated sometimes to double their normal state [thus pressing upon and closing the mouths of the absorb- ents, and preventing them from taking up and removing the accumulated blood and secretions]. This dilatation indicates diminished action in the capillaries, and is accompanied by accumulation, tardy circulation, and even [finally] stagnation of the circulation of the fluids contained in the capillaries. This constitutes inflammation.' ' [Rather this last is the cessation of inflam- mation.] "We may suppose that the contraction and dilatation of the capillaries may occur within certain limits [so far as they can without compressing the absorbents to such a degree that they cannot take up the fluids as fast as they are presented] without compromising health. The primary paleness, fol- lowed by the blush that attends certain emotions [or appears more distinctly in fainting from fright], is a familiar instance of this." " But, if a stimulus of too great power be applied, it will contract, first, inordinately, and again expand to such a degree that it will be incapable of recovering its natural calibre immediately, or perhaps at all, without the application of a fresh stimulus." 251. The relief of all these conditions of tissue, which, when unable to correct themselves, constitute the essence of the disease, is easily effected by simply equalizing the circulation, which is called resolution. 252. It is called " simple inflammation," but it is all the inflammation that can exist. " Inflammation is a simple act of the constitution," a "salutary 72 ALLOPATHY EXPOSED, operation." It "consists of only one kind, not being divisible" — "restora- tive" — "produced for the restoration of the most simple injury,"