2012/12 15; Killia 15. phụ trên đầu vào người sở h > *** Seanna an da A 576186 ZALERA kdekke de se je me se jooner) FORMED: tagă, dar landet du b ig'igaynon per a dənin de to visit to a antique te viti, a v Tat begins to pla Mootor to thei Katalán aku minutý veršin - vpn ja hajde van D. 7 đồ số lần ghi th SALSA. #1944449341* ANY NAME S. ARTES LIBRARY 1837 VERITAS JABARZDASKR PLURIBUS UNUM DIVAJUTRITI YUEBOR UNIVERSITY OF MICHIGAN Stuurkomang SCIENTIA OF THE SI QUAERIS PENINSULAM AMOENAME CIRCUMSPICE JAY HOMOEOPATHIC LIBRARY FARHIT AMPHE PAJ #615-5-3 J71 A HOMOEOPATHY: A POPULAR EXPOSITION AND DEFENCE OF ITS PRINCIPLES AND PRACTICE. BY WALTER JOHNSON, M.B., LOND., FORMERLY MEDICAL TUTOR, GUY'S HOSPITAL. LONDON: SIMPKIN, MARSHALL AND CO. MDCCCLII. I PREFACE. IF among those who cast a glance at these pages, there be any who would fain subjugate reason to authority—who would impose upon the conscience of the many the dogmas of a few-who would empower halls and senates to fine and imprison, and to disqualify from public trusts all who dissent from their doctrines and repudiate their practice; if, among my readers, there be any who, in their hatred of medical heresy, scruple not to calumniate the moral character of the so-called heretics, and openly to term them pests of society-to all such I say, this work is not for you. In your case, argu- ment is vain. The blindness of Elymas is upon you; and the radiant sun itself cannot peep behind the curtains of a night like yours. You, whether professors, lecturers, presidents, or reviewers, are of the class that imprisoned Galileo for saying that the 157368 4 PREFACE. earth goes round. Born in other times, you would have jeered the discoverer of the circulation of the blood, and maligned the inventor of vaccination. C Ye are the children of them which killed the prophets.' But to every candid mind, which expands to receive truth, and accepts discussion, and is willing to see the phenomena of nature as they are, and not as they appear when distorted by prejudice and misrepresentation, I appeal for an attentive hearing, and demand an impartial judgment. In the ensuing work will be explained the series of observations and reflections which caused me to accept Homœo- pathy. I shall take the reader by the hand, and guide him along the path which led me, unexpect- edly enough in the first instance, to the position which I now occupy. I shall point out to him how, after the devotion of years to the acquirement of medical science, I began to study the practical curative art; how I soon saw that my scientific knowledge, instead of aiding me in the treatment of disease, as my teachers had promised, was actu- ally a great impediment to my success; for, on ap- proaching the bedside, I viewed all morbid pheno- mena, and the results of treatment, through the mists of questionable theories. When, having by great efforts cleared the atmosphere, I began philosophically to examine the actual working PREFACE. 5 of the medical system, I could not disguise from myself the fact, that the flattering picture which my preceptors had drawn of the state of medicine, is as unlike truth, as a lover's descrip- tion of the beauty which he adores. I heard in the lecture room, and I read in books, full instructions how to recognise every form and con- dition of disease, and what remedies are adapted to cure in different circumstances. I heard, I read, I believed: it was impossible to doubt the word of so many respectable men, grown grey in the prac- tice of medicine, and all ready to back their affirma- tions by the relation of a multitude of cases of disease rapidly, easily, brilliantly cured. This, indeed, was the argument, par excellence. There were the cases stated in detail in such or such journals, and there were the grateful patients who had been rescued from suffering and death. Im- pressed with the grandeur of the medical art, and full of admiration of the skill of my preceptors, I accompanied them from the lecture-room into the hospital, that I might watch their treatment, and, perhaps, catch a spark of that inspiration which enabled them with such certainty to unravel the tangled phenomena of disease, and suggested to them exactly the right remedies, at exactly the right moment. I was disappointed. I was disappointed. The divine spirit, which in the lecture-room touched with fire 1 6 PREFACE. the lips of my teachers, and gave to them fluent speech, and authoritative bearing, seemed to depart the moment they came into the actual presence of disease. I found these gentlemen constantly in doubt, and frequently in error, as to the nature of the maladies they had to treat. In the employment of remedies I saw them sometimes timid and vacillating; sometimes dogmatic and rash. Discord reigned among them to such an extent, that there was no single point of treatment in which all were agreed. I put it to every medical practitioner, and to every medical student, whether this picture is in the faintest degree too deeply coloured: and I put it to every honest man, whether the observation of such facts did not justify, and even impose on me, further investigation. It was obvious that the knowledge, sagacity, and practical tact claimed by medical professors, exist only in their own imagina- tion; it was obvious, that they vastly exaggerate the number of cures which they effect; it was obvious that medical journals, and medical lectures, are so occupied with narrating the victories of medicine, that they can find 110 room for her failures-the few succesful cases being handed down to posterity, while the many unsuccessful cases are are never whispered beyond the walls of the establishment wherein they occur. It was obvious that a plain conscientious PREFACE. 7 man, whose eyes are opened to the true state of affairs, has only one course to pursue, viz. to secede from the established practice, and carefully to inquire whether anything better is at hand, and this is the course which led me to Hydropathy and Homœopathy. I think it necessary here to state distinctly, that although I dissent from the ordinary system of medicine as a system, I fully admit that it employs, in isolated cases, very useful remedies, which have no equivalents in Homœopathy nor Hydropathy. Thus wine, brandy, and other stimulants, must be employed in particular instances; in some cases of scrofula, cod liver oil; in chlorosis, chalybeate mixtures; in bronchocele, iodine; and in a variety of chronic complaints, mineral waters will be found of great service alternately with Homoeopathic treatment, and in conjunction, or alternately, with the Water-Cure. I am aware that by making the above admission, I shall please the professors of none of the conflicting treatments; but the interests of mankind demand of every man the candid expression of his opinions; and for my part, I think it sheer bigotry for any party to lay claim to exclusive possession of the truth. The old system of medicine is, as a system, nearly as bad as it can be; but it contains a few redeeming points. Hydropathy is excellent; but its applicability is 8 PREFACE. limited. Homœopathy is also admirable; but there are constitutions totally insensible to minute doses: and men are subject to diseases which cannot be artificially imitated; and for which, therefore, there is no Homœopathic remedy. Let us then join hands, and endeavour each of us to improve, as far as in us lies, the department of practice which each specially cultivates; and instead of degrading ourselves by contemptible bickering, devote our whole energies to the relief of suffering humanity, and earnestly hope for the dawn of that day, when the ephemeral systems which we now practice, shall be absorbed by a new revelation, and cease from affording a pretence for sectarian dissension. WALTER JOHNSON. HYDROPATHIC INSTITUTION, Wheelley's Road, Edgbaston, Birmingham, UMBERSLADE HALL, AND Near Birmingham. THE PRINCIPLES OF HOMEOPATHY. CHAPTER I. WHILE yet very young, I selected for my future career the profession of medicine. I believe I made this choice because, being very industrious, and somewhat ambi- tious and self-confident, I thought, by the exercise of these qualities, I might make myself an accomplished physician, become a blessing to the human race, and win no unenviable position in society. In the course of my reading-for even as a child I read a great deal-I learnt in what estimation the great names of medicine are held; and I knew that the memory of Hippocrates, of Sydenham, of Harvey, and of Jenner is preserved from generation to generation. I had heard how, on one occasion, Boerhaave safely received, from China a letter, which bore no other inscription than Dr. Boerhaave, Europe. Beside, I had read with no small pleasure the Diary of a Physician, and the pages of this work inflated my fancy with admira- tion, and made me desire to emulate the usefulness and benevolence of its worthy hero. Considerations 2 2 PRINCIPLES OF HOMEOPATHY. such as these laid the foundation of my early love of physic, and determined the destiny of my life. When I grew older, I became first medical apprentice, and afterwards hospital student; and still my predilection for medicine continued, and still I maintained my resolve to acquire, by hard study, a profound knowledge of the profession which I had embraced, and to work out, as a man, the perhaps somewhat romantic ideas which I had conceived as a child. In this resolve I was greatly strengthened by the discourses and con- versation of my new teachers. At the commencement of each session, it is customary to assemble all the new pupils, and a sort of general outline of what lies before them is sketched to them by some experienced member of the hospital staff. In this address, the professor usually dilates upon the grandeur and beneficence of the art of medicine, and, consequently, upon the worthiness of the true-hearted medical man; he explains how it is in the power of the medical man to save whole families from desolation, and how, upon his skill or unskilfulness, frequently the fate of great nations is dependent; how rewards and honours surely follow extensive and accurate medical know- ledge, and how disgrace ever dogs the heels of ignorance and incompetence. The disquisition winds up with an exhortation to the students to be indus- trious; to study everything they are required by law to study; and to be quite certain that, if they so act, not only will their conscience whisper approval, but they will be permitted, by a discerning public, to dip their fingers, ad libitum, into the flesh-pots of Egypt. Now, what we are required by law and by medical PRINCIPLES OF HOMEOPATHY. Co 3 professors to study, before we receive admission into the medical corporation, is simply anatomy, physiology, materia medica, medical jurisprudence, chemistry, botany (physiological and structural), midwifery, sur- gery, medicine. I say, it is asserted that all this must be what is termed 'got up,' before a man is qualified to treat a single case of disease, or even profitably to watch the treatment directed by another person. Believing in the capacity, the experience, the honour of those to whom our education is committed, together with many other students, I implicitly followed the advice which the professors gave, and began to study with ardour the preliminary sciences. cess. Steadily I worked at chemistry, at anatomy, at botany, and other sister sciences, which my instructors declared indispensably necessary, and, as several medals and other prizes testified, not altogether without suc- Then I ventured to intrude into the arcanum itself, to study practical medicine; and I expected, with my store of scientific knowledge, to make rapid progress. With the microscope and the stethoscope, and by the aid of chemical analysis, I was prepared to make quick and easy cures, and to put to the blush those idler fellow students who had neglected to furnish their minds with the information which I had acquired. Nothing of the kind took place. As soon as I got among the sick, I experienced the all but utter useless- ness of what I had spent so much time in acquiring. I found that, as far as medicine is concerned, the sister sciences taught me nothing. My new teachers also unreservedly confirmed this mortifying discovery. They told me, that practical medicine can be learnt by prac- tice alone; that chemistry and botany have nearly as PRINCIPLES OF HOMEOPATHY. ; much relation to physic, as philology, or the use of the globes; that knowledge of disease can be attained only by observing a great number of cases of disease and that the treatment of disease is guided by no fixed rule, nor scientific principle, but must be learned by experience. This was exceedingly unpleasant. I had thrown away years of study; I was a chemist, a botanist, a druggist; but not an inch nearer to the model medical practitioner described by my teachers, or conscientious physician of my young imagining. Unpleasant, however, as matters were, I had no choice but to begin again; and so I began again. I visited the sick while living, and inspected their inter- nal organs when dead. I carefully noted the symptoms which accompanied diseases, and assidiously sought to find, by the help of the dissecting knife, the cause of such symptoms. I looked for tumours, for internal in- flammations or congestions, for disorganizations; and when I found none of these manifest to the naked eye, I called in the aid of the microscope. In this way I enlarged, it is true, my knowledge of disease; but I gained no insight into the right mode of treatment. A man died of fever, perhaps : I dissected his remains, and found inflammation here, or congestion there, or sometimes no appreciable change anywhere. Very satisfactory to know, but the knowledge brought with it no suggestion as to how other patients might be cured! It pointed out no remedy as likely to be bene- ficial. I was not yet on the right trail-by no means likely soon to become a beneficent physician, and a blessing to mankind. I therefore observed that I must, in future, simply watch the effects of the medicines given by my instructors to their patients, and see what PRINCIPLES OF HOMEOPATHY. 5 good might be got out of that. As soon as my mind was earnestly directed to this point, I discovered-and discovered with dismay-that medical practitioners differ completely one from another in the treatment of almost every disease. Thus, to quote a single instance, viz., that of acute rheumatic fever. Some practitioners, in the treatment of this affection, rely upon colchicum ; others give calomel; others purgatives; others sudori- fics; some trust to opium; some to quinine; some bleed once at the onset copiously; some take small quantities of blood frequently, at intervals; some have faith in alkalies, while others believe nothing to be so efficacious as lemon-juice. Again, on the other hand, many coincide in opinion with the late Dr. Warren, who, when he was asked, what is good for acute rheu- matism, replied laconically, Six weeks.' The same diversity of practice-a very few cases excepted— I found to prevail in the treatment of other diseases. The observation of this fact led to several very painful conclusions. Firstly of all these varying treatments, only one could be right; and, admitting that treatment à is correct, all the patients treated according to treat- ments B, C, D, were either simply not benefited, or they were injured. Now, when the body has been racked by such agents as purgatives, mercury, etc., it is rational to suppose that, if good is not effected, evil has been done; that is to say, that nature has been impaired in her operations, and, consequently, that convalescence has been retarded, or wholly ob- structed. : C Suppose, for the sake of argument and illustration, that in the treatment of acute rheumatic fever, only so many modes as I have enumerated, viz. 6 PRINCIPLES OF HOMEOPATHY. ten, are practised; and suppose an equal number of patients to be treated according to each mode. Suppose, for example, that ten patients according to system a receive colchicum; and ten patients accord- ing to system B are purged; and ten are sweated, and ten are narcotised by opium, and ten are stimu- lated by quinine, and ten are bled once copiously, and ten are bled to a small amount frequently, and ten take potash or soda, and ten take lemon-juice. Here we have one hundred patients distributed among ten practitioners, and of these one hundred patients, only ten can possibly be treated correctly; but all being actively treated, ninety patients are treated injuriously. Who can avoid the conclusion that, upon these data, at least ninety out of every hundred patients who suffer from acute rheumatic fever, are injured by the treatment which their medical advisers prescribe? It follows, from this, that in the case of every indi- vidual affected with acute rheumatic fever, the chances are at least nine to one, that if he call in medical advice, his disease will be more or less seriously aggravated and prolonged. Now, this is by no means an exaggerated state- ment; on the contrary, the diversity which prevails in the treatment of acute rheumatic fever, is much greater than I have represented it to be. With respect to nearly all diseases, the same discrepancy of treatment exists, and the same conclusion as we have arrived at, in our discussion on acute rheumatic fever, is almost universally applicable; and we are justified in asserting that the present medical system may properly be called the Art of aggravating dis- eases, and promoting their fatal termination.' This C PRINCIPLES OF HOMEOPATHY. 7 conclusion, I repeat, was forced upon my mind as soon as I began to study the practical treatment of disease, having abandoned science as a guiding prin- ciple, and taking for my motto the assurance of practical physicians, that experience is the only light capable of illuminating the obscurities of medicine. I was convinced that chemistry, and botany, and ana- tomy, and physiology (though good and useful sciences), yield little fruit to the practical physician, and by most phyicians are quietly laid on the shelf. This I had previ- ously discovered; but I now found that experience had been as barren as science. It is true that every physician, when asked why he ordered such a treat- ment, readily enough referred to experience. Expe- rience had tanght him that treatment x is the best treatment in disease A. But when another physician states, with equal promptitude, that experience has taught him that treatment y is the best in disease a, and a third physician relates that he has learnt from experience that treatment z is the best for disease a, what value, I ask, can be attached to the experience of any of them? Here, then, I was landed upon the sterile shore of scepticism. I had no longer faith in physic, and I went round the wards of the hospitals criticising the practice of the physicians, and avowing my opinion, that medicine was a very superstition, disgraceful to the age in which we live. I asserted, that when patients recover from acute disease, they are solely indebted to nature, perhaps favoured by certain conditions of diet, bodily repose, and good nursing; and that in most cases the physician, by administering drugs, superadds a medicinal disease, 8 PRINCIPLES OF HOMEOPATHY. . ! and thereby throws obstacles in the way of struggling nature. I observed that many patients, who probably would have recovered had they only to contend with the original disease, succumb beneath the mediciral disease which the physician produces. Let me briefly allude to two cases. A man was taken with consti- pation. The physician gave aperient after aperient, each more powerful than the preceding; all to no effect. At last, just when both had arrived at the conclusion that the malady was irremediable, violent purging set in, and in spite of all that was done, carried off the patient. Again, a person in the first stage of fever, had constipated bowels. Secundum artem, his attendant administered purgative medicine. Hereupon the bowels became relaxed, considerable quantities of blood appeared in the motions; inflam- mation of the bowels was developed, from the effects of which the patient died. It frequently happened, however, that the patient recovered from the acute disease; but instead of enjoying renewed health, became for the remainder of his life, the victim of various distressing maladies pro- duced by the medicines which he had swallowed. Thus a man was treated in Bartholomew's Hospital for inflammation of the investing membrane of the heart. Apparently he recovered; but about a year after, I saw him suffering from ulceration of the back of the throat, involving the bones, which were eaten away to a frightful extent, the effect of the mercury which he had taken. A man was treated in Bombay for fever by calomel. The fever left him, but when I saw him some months after, he had a large swelling on the principal bone of the forearm, with great sores and PRINCIPLES OF HOMEOPATHY. 9 destruction of bone; he had also an enlargement on the bone of the leg. A gentleman was treated in Italy for fever, with calomel. The fever disappeared; but he got excruciating neuralgic pains of the head, from which he suffered many years. Cases of this kind might be multiplied ad infinitum, and, coming as they did constantly under my eyes, they increased my aversion against the popular system of medicine. Moreover, in conversing with my fellow students, and some of my preceptors, it became apparent to me, that the most talented among them were as sceptical as myself on the subject of medicine. Nevertheless they continued to lend themselves to the system in vogue. They asserted that the public believes in physic, and consequently must be physiced. Populus vult hum- buggi,' says a writer in the Lancet, et humbuggendus est.' They dared not speak, nor act according to their conscience, lest they should offend popular prejudice, and forfeit the chance of obtaining practice. This state of things was, and is, fostered by the absurd custom according to which medical men are remune- rated. The general body of practitioners are paid, not for their visits, nor their skill, nor their success, but for the medicines which they send. Thus, suppose a prac- titioner, when he sees a patient, perceives that a cure may easily be effected by the observance of certain dietetic and hygienic rules, and that medicine is not required; does he recommend to the patient these rules, take his fee, and depart? By no means. He does indeed lay down his hygienic precepts; but, in addi- tion, he sends a large quantity of physic, and at the expiration of a certain period, delivers his bill, the amount of which varies according to the number of 10 PRINCIPLES OF HOMEOPATHY. pills, draughts, or powders inflicted upon the patient. Here is a temptation to a necessitous or avaricious man! The patient believes that he requires physic, is ignorant of the pernicious effects which it is capable of producing, and, in fact, would be dissatisfied, and might even dismiss his attendant, if, from squeamish notions, he should refuse to send the desiderated medi- cine. Under these circumstances, what is to be done? Why, physic the patient; 'for,' remarks conscientious Mr. Jones, if I do not physic him, he will go to Mr. James, who will?' An amusing illustration of this system occurred not very long ago. The child of a medical man accidently received a slight wound in the tongue. The person who was with the child, called in a neighbouring practitioner. This gentleman, having inspected the tongue, prepared to depart, saying, he would send some medicine. The child's friend then remarked, that the little girl was the daughter of a medical man residing at no great distance. As soon as the apothecary heard this, he said he would look at the tongue again; and having seen it, pronounced that the wound was very slight, and would soon be well, and that there was no necessity to send any medicine. Now, here was a flagrant case! When the apothecary wanted to be paid for his attendance, he thought it necessary to send physic; but, as soon as he found that he could ask no fee, he considered physic unnecessary. The physic was a mere excuse for making a charge; and this practice prevails very generally. The public will not pay for advice; but, as medical men must be remunerated, it has to pay for physic. The opinion of the public, that medicine is all-powerful, is deeply PRINCIPLES OF HOMEOPATHY, 11 rooted; and when a patient sends for a doctor, he labours under the idea that, for every disease, and every disorder to which the human frame is subject, there is a specific remedy, and that the skill of a doctor consists in a knowledge of all these specific remedies. He thinks there is no difficulty nor ambiguity about the matter. A doctor has first to find what disease an individual has, and then to give the herb, or metal, or compound which experience has discovered cures that disease. Now, this blind faith in physic on the part of the public, reduces medical men to the necessity of humouring the delusion, or of losing their credit; for, if a doctor, when he is called to prescribe, contents himself with giving a few simple directions as regards, perhaps, diet and exercise, the patient replies, That is not what I want-I want to be cured by medicine; and if you do not know what medicine will cure me, I must go to somebody who does.' A person sends for a doctor, as a lady sends for a stay-maker. If the stay-maker, instead of taking the lady's measure, should begin to discourse concerning the baneful effect of stays upon the frame, and should recommend the lady to acquire an elegant shape by callisthenic ex- ercises, the lady would reject the advice as impertinent, and summon a more submissive stay-maker. The stay- maker was asked for stays, and not for a lecture on callisthenics. So with medical men. They are asked for pills, and not for homilies on temperance; for draughts, and not for dietetics; and, if they are not prepared to furnish these, John Bull does not require their services. John Bull has made up his mind, that he can be cured by medicine, and that he will be cured by medicine. 12 PRINCIPLES OF HOMEOPATHY. Thus the medical faculty are, to a great extent, compelled to physic their patients; that is to say, com- pelled to injure the constitution of the public, and so lay in it the seeds of disease, and of premature death. And, when we consider how many thousands are actively engaged in this work, we can imagine how dire must be the result! To walk through the streets of London, or any great town, and observe the green and red lamps-so plentifully distributed—with the idea that each is a perennial fountain of physic, whence the sick and suffering derive not solace and restoration, but aggravation of their misery; that each is an independent focus of disease which radiates through the entrails of humanity; that men flock hither, and voluntarily contract the loathsome, mercurial taint, and empty their life-blood into hand-basins! These, I say, are reflections which make a humane man shudder, and read the sage another lesson upon the perversity of mankind! I do not speak against medical men-I speak against the system. Many who drug their patients, do it conscientiously, because they believe what they have been taught. Others do it, because the public likes it ; and, as they have wives and families to support, they cannot dispense with public favour. These sell drugs on the same principle that a publican, who is a teeto- taler, sells spirituous liquors. The public will have drugs and spirits, and the sceptical practitioner and teetotal publican think they may as well get the profit as others. But there are many medical practitioners, especially among the seniors of the profession, who are entirely, or almost entirely, innocent of injuring their patients, who prescribe bread pills wherever it is PRINCIPLES OF HOMEOPATHY, 13 possible, and take no active step which they can avoid, without impairing their credit. The late Mr. Aston Key once remarked to me, that he had constantly observed, that the older a medical man grew, the smaller became his doses of medicines. I have said that I do not blame medical practitioners, but medical practice. A great portion of the mischief which they do, remains unknown to them. Thus a per- son applies to a medical man for some disease, takes physic, and gets well-considers himself cured. Soon after he applies to his attendant for another affection, again takes physic, and again gets well. After a second interval, he is attacked with a new disease, for which he again seeks medical aid. Now it never strikes either the patient or medical practitioner, that the second and third diseases were produced by the physic taken to cure the previous disease! Yet this is frequently the case. For example: a person gets out of health, loses his appetite, and suffers from constipation; his attendant gives him opening medi- cine, followed by a course of tonics, consisting perhaps. of quinine and steel. This goes on for a, time; but by and by the patient begins to complain of headache, more or less severe, and more or less obstinate. For this symptom new medicines are prescribed, and no one guesses that the head-ache was caused by the quinine and steel. Hundreds of cases of chronic con- stipation are produced quite unconsciously, by the silly habit which prevails of giving physic, should the action of the bowels be retarded a day or two beyond their ordinary custom. Thus a patient is attacked by influ- enza; and as in the first stage of all febrile affections the secretions are checked, the bowels become temporarily 14 PRINCIPLES OF HOMEOPATHY. inactive. In accordance with ancient traditions, a pur- gative is exhibited, and the bowels are relieved; but they become again constipated, and a purgative is again exhibited. In this way matters go on, until at length the patient considers his diurnal dinner pill to be as essential to his comfort as his dinner. During the whole of this time, no one surmises that the constipa- tion is produced by the eternal irritation of the me- dicine. Again: a man catches cold, and has a cough, which in the natural course of events would soon disappear, but he takes cough mixture, which at first relieves the cough. Unhappily, the cough returns, more physic is administered, and ultimately the cough becomes chronic, and endures for years. Or, it may be that a person cannot sleep, and to procure sleep takes an opiate, and sleeps well. The next night he takes a second, and again sleeps. The third night he tries to sleep without the opiate, but is unsuccessful. In this way he gets into the habit of taking opiates, and becomes entirely dependent upon their aid. Here also the chronic sleep- lessness is the result of medication; for the original attack might have passed away of itself, or at all events, have been cured by a better system; but opiates, which in their primary action produce sleep, in their se- condary action produce sleeplessness, and thoroughly unhinge the nervous system. There is yet another cause which leads to extensive and injurious drugging. Among the patients who apply for medical advice, there are many who complain of ailments whose nature is obscure. Under these circumstances, instead of confess- ing that he does not understand the disease, and, consequently, is incapable of affording effective aid, the PRINCIPLES OF HOMEOPATHY. 15 : practitioner undertakes the case, and commences a course of experimental treatment, hoping, by a lucky hit, to stumble upon a cure. Generally, he begins by a course of purgatives, continued, perhaps, for some weeks. Failing to do good, the next plan is a course of mercury, maintained, perhaps, for a month. If no benefit be derived from the mer- curial action, usually the patient is reduced in health, and his adviser prescribes tonics, viz. bitter beer, steel and quinine, ammonia, etc., endeavouring to repair the mischief which he had effected. From this period the patient, tormented by his original disease, shattered in body from the continued drugging which he has undergone, and a prey to mental despondency, wanders from physician to physician, and from quack to quack, vainly seeking relief from his misery. This system of experimentation, or medical groping, origi- nates in the very imperfect idea which the body of the profession has of the effects of drugs. Drugs are con- sidered to be powerful for good, but inoperative in an evil sense; hence they are given freely on the slightest occasion. At a meeting of a medical society, a surgeon attached to one of our metropolitan hospitals, declared that in the case of a person suffering from the effect of a blow or fall on the head, he would administer mercury, so as to get its constitutional effect, in order to prevent the supervention of inflammation; and the remark elicited no sign of disapprobation from the gentlemen present! Now, is this practice justifiable? Granting, for the sake of argument, that mercury is capable of curing inflammation, that is to say, of causing the absorption of matters poured out from the 28 PRINCIPLES OF HOMEOPATHY. blood, and of reducing the volume of dilated blood vessels, etc. of restoring the motion of stagnant blood- does it follow, that mercury is capable of preventing inflammation, that is to say, of preventing the effusion. of matters from the blood, of maintaining the vessels within their natural calibre, of keeping the blood in motion? Mercury causes effused and solidified matter to be melted down and absorbed but from this we can draw no conclusion, that mercury is beneficial when there is no solid matter to be melted down and absorbed. Mercury may act usefully when vessels are dilated, but it does not follow that it acts usefully when they are not dilated. It may do good when the blood is stagnant; but hence we cannot infer that it does good when the blood is in motion. Would this logical surgeon undertake to prevent chlorosis (pale-blooded- ness) by the administration of iron, which frequently restores to pale blood its red colour? Dr. Pareira meanwhile tells us, that chlorosis was suddenly de- veloped in a female patient, to whom he was adminis- tering iron for another complaint. With respect to mercury itself, we know that patients, under its influ- ence, are particularly susceptible to be attacked by inflammation. Does not every medical man caution his mercurialised patients to avoid exposure to cold, lest they should get inflamed throats? And inflamma- tion of the eye, the skin, the bones, etc., is commonly produced by this mineral. If these statements be true, (and who will question them ?) what must we think of taht practice which infects a healthy constitution with mercury, in order to protect it from an anticipated malady? A positive disease is produced to avoid a Not PRINCIPLES OF HOMEOPATHY. 29 merely possible disease; which positive disease, after all, does NOT guarantee the constitution from the possible disease, but leaves it rather more disposed to its attack. I cannot avoid crying out with indignation against this wretched treatment. Mercurialise a healthy constitution! Do surgeons then know what it is to implant the mercurial cachexia in the human frame? Do they know that it means toothless gums, and ulcerated throats, and swellings of the limbs, and rottenness of the bones, and engorgements of the liver, and racking neuralgia? No; they are ignorant that mercury, even in so small a quantity as two grains, may produce these effects. In the broad light of day they go about mole-blind- Eyes have they, and see not: they have ears, and hear not: noses have they, and smell not.' g Facts and reflections of this nature, long before I had emerged from the state of hospital pupilage, shook, and at length destroyed, my faith in physic. Not that I shut my eyes to the very remarkable and real cures which were not unfrequently effected; but this only increased my distrust of the system, as a system. I perceived and acknowledged, that many persons suffering from ague were cured by quinine; and that many patients got rid of syphilitic complaints by the help of mercury; and that scrofulous affections were often relieved, or cured, by iodine; and that sulphur eradicated itch; and arsenic was often service- able in terminating other chronic eruptions. But, although these medicines often succeed, more often they fail, in curing the diseases for which they are given, and deceive our most confident expectations Very frequently in those cases in which they fail to 3 30 PRINCIPLES OF HOMEOPATHY. : cure, they do great harm, aggravating the malady, and enfeebling the energies of the economy; and even, at times, developing altogether new diseases, difficult or impossible to be eradicated. For example: arsenic may be given to ten persons, with the intention of curing a chronic, scaly eruption. Of these ten persons, perhaps three may be cured without any apparent evil result; two may be cured of the eruption, but find themselves worse off than before; for a chronic inflam- mation of the stomach may have been produced. Again of the five uncured, three may find themselves sufferers from chronic inflammation of the stomach, in addition to the original skin eruptions, and the other two may remain, as far as can be seen, in precisely the same condition as they were before commencing the arsenical course. Thus, we find ourselves in this diffi- culty. Taking the proportion just stated as a guide— for every person who consults a physician on account of a chronic, scaly eruption, the chances are equal whether he be cured, or remain uncured; and the chances that he may, or may not have, a new affection induced, are also equal. In these facts we discover glimpses of the possibility of a true medical art, while we are confirmed in the opinion that such does not, at present, exist; for, how can we dignify with the name of medical art, an empirical system, which distributes blessings with one hand, and curses with the other-a system, blind as the Goddess Fortune, and not to be approached by any who lack courage to support the disasters inflicted upon one half of the candidates for her favour? The ideal, and possible medical art, is not a lottery in which the prizes are renovated health, and the blanks PRINCIPLES OF HOMOEOPATHY. 31 painful diseases and ruined constitutions; but a gentle, truly curative science, which, without subjecting her clients to injury or reverses, quietly removes the dam that obstructs the springs of health, and permits the waters of life again to flow through their accustomed channels. • ! ! CHAPTER II. In the preceding chapter, I have narrated what facts and reasons led me into the desert of medical scepti- cism, into arid, hopeless wastes, cheered at infinite distances by only a few verdant oases; and from this lamentable position I beheld, for a time, no means of egress. I could not continue a sceptic in medicine, and yet remain a medical practitioner. One of two things lay before me. I must either abandon the pro- fession, or work out for myself a purer and a better faith. Under this idea, I became a student of all so- called medical systems, modern or ancient, within the pale of the profession, and of all so-called quackeries without the pale of the profession; but none of these satisfied my desires, for each, when submitted to the crucial experiment of practice, failed to fulfil its pro- mises. The mathematical doctrines of Borelli, the vitalist opinions of Brown, and the chemical theories of Liebig, were instantly consumed in the fiery fur- nace of experience; and theories-which avail only as theories, but furnish no aid to the practical healer of diseases—are, in my estimation, as sounding brass,' and as a tinkling cymbal.' In the meantime, there came a rumour, that a totally new method of treating diseases had sprung up-that amid the mountains of Silesia, an uneducated farmer had evoked from the PRINCIPLES OF HOMEOPATHY. 33 springs and streams virtues of healing, and was casting out chronic and deep-rooted maladies, which had defied the skill of the learned. The rumour soon grew into a certainty, and my father, who was at that time discon- tentedly practising the received system, started for Græfenberg, with the purpose of investigating the matter. Upon his return, he bore witness to the suc- cess which attended the practice of Priessnitz, and began to treat his patients according to the system, which is generally known by the name of Hydropathy. I had now an opportunity of judging for myself of the merits of the Water-cure, and very soon became con- vinced of its superiority over the ordinary methods of cure. Accordingly I applied myself diligently to the subject, and, after a somewhat lengthy initiation, adopted the Hydropathic practice. For some time, like Priess- nitz, the founder of the system, I practised empirically, and was guided entirely by the results of experience; but, as that experience increased, a light began to dawn, and a principle arose, which, in its ascen- sion, gathering continual increase of brightness, at length seemed to make clear to my mind the entire curative art. This principle I now attempt to eluci- date. If we investigate nature, we cannot fail to observe that all bodies, organized and inorganized, are endowed with a variety of powers or properties, which remain hidden until they are called out by foreign influences. For instance, a piece of india-rubber is elastic; but we know nothing of its elasticity until we stretch it. Elasticity is a property inherent in india-rubber; but it is not manifested until the india-rubber is acted upon, ab extra. Again: a piece of sealing-wax, if rubbed by 34 PRINCIPLES OF HOMEOPATHY. a dry silk handkerchief, attracts small fragments of paper. Previously to being rubbed, the sealing-wax will not attract small fragments of paper. Here we perceive that a power, dormant in the sealing-wax, is brought into play by the action of a foreign substance. Again: consider the case of a musical instrument. Let a skilful player strike the keys of a piano, and ravish- ing harmonies besiege the ear. Let him withdraw his hand, the instrument is dumb. The musical property resides in a piano; but the cunning hand is required to make it evident. Go into the workshop of Messrs. Maudsley and Co., and there may be seen the ponde- rous locomotive, with all its arrangement of valves and pistons, and wheels, and boiler-an inert, motionless mass. Look at the same locomotive launched upon the railway. It is charged with coal and with water, its fires are lighted, and soon, puffing and snorting, it begins to stir its unwieldy fabric, and in a few minutes it will be flying along the rail at the rate of sixty miles per hour. In the workshop and on the rail, the logo- motive has the same capacity for motion, but its capa- city for motion is latent-unknown—until it is elicited by the agency of steam. In the organic kingdom, the same principle prevails. Here is a raspberry seed, taken from the stomach of a Roman, who died and was buried under the Emperor Hadrian. For 1600 years it has lain in the tumulus, and it is a seed still, and for 1600 years longer it might have remained what it is; but it has fallen into the hands of a botanist, who will set it in the earth, and water it, and expose it to the atmosphere. What will happen? Why, it will ger- minate, and, perishing itself, produce a stem and leaves, and fruit, and new raspberry seeds. PRINCIPLES OF HOMEOPATHY. 35 I Here, then, we observe, that a seed possesses what we call vitality, that is to say, the capability of be- coming a living plant; but that the possession of this property is not sufficient to develop it into a plant, for external agencies (earth, air, warmth, moisture) are required, in order to render the property active. As india-rubber possesses elasticity, and sealing-wax elec- tricity, and a piano musicalness, and a locomotive movability—so a seed possesses vitality. But all these powers, or properties, or capabilities, are hidden, and become active only under the influence of certain ap- propriate, external agencies; and these external agen- cies, in the case of a seed, are termed vital stimuli. say, that a seed possesses vitality, that is to say, the aptitude to become a living plant, in virtue of its orga- nization; but that it can actually become a living plant, only when acted upon by vital stimuli, viz. earth, air, warmth, and moisture. But now we must go further. As a seed begins to live only under the operation of vital stimuli-so also it continues to live only under the same conditions. The moment that earth, air, warmth, and moisture are withdrawn, life ceases. I do not say that its vitality is destroyed, and the plant cannot live again; but, I repeat, it no longer lives for what is life? It is the ensemble of certain actions performed. Circulation of sap, absorption of nutriment from the air and earth, certain chemical changes, the growth of leaves and stem, with other functions too numerous to recite, constitute the life of a plant. All these actions and functions are arrested by the removal of the vital stimuli, and the plant becomes instantly a dead organism. Now, it requires no great acuteness to perceive that what applies to plants, holds 36 PRINCIPLES OF HOMEOPATHY. good also in the case of animals, and, that man himself constitutes no exception. Thus, a child cannot com mence independent life, except under the influence of vital stimuli. Previously to birth, the lungs of an infant are inactive; they take no part in the purifica- tion of the blood, for this function is performed by the parent; and the chest does not expand, nor contract. But, at the moment of birth, it is necessary that the chest should expand, and draw into the lungs a gust of air; for, from this period, the infant has to purify its blood by means of its own lungs. Now, what is it that causes this opportune expansion of the chest- that prompts the first gasp on the part of the new-born infant? It is the cool air impinging upon his sensitive. surface. As a person, unaccustomed to bathe, gasps and catches his breath when he is immersed in a cold bath, so an infant gasps his first inspiration upon entering a medium many degrees cooler than that from which he has emerged. Cold, therefore, is the first vital stimulus; for, as we have seen, it is this agent which provokes the chest to expand, and to suck into the lungs a supply of atmospheric air, without which life would be impossible. Supposing that a child were born into an atmosphere of the temperature of 100º Fah., that is to say, as nearly as possible the same as the interior of the mother's body, it is probable that that child would quickly die; for the stimulus (cold air) required to excite expansion of the chest, and so to set up the action of breathing, would be wanting. A perfectly healthy child, born into the world, is in the condition of the raspberry seeds mentioned in a pre- ceding page. He is complete in his organism; constructed without defect or superfluity; ready, in PRINCIPLES OF HOMEOPATHY. 37 short, to begin to live the moment that the proper stimulus is applied. I have already spoken of one of the ordinary vital stimuli, viz. cold; and I have shewn that it is the prime factor of life-for to its agency we owe the primary expansion of the lungs immediately after birth, and the commencement of the act of respiration. But this is by no means all; throughout life, cold con- tinues to act powerfully as a vital stimulus, increasing the activity of the respiration, the demand of the appetite, the energy of the nutritive processes, and augmenting the nervous power. A second important vital stimulus is the air we breathe, and particularly the oxygen contained in the air. It is manifest that the air is a vital stimulus, for deprived of air, we quickly die. A third vital stimulus is food. This is so apparent, that it requires no illustration. Under the head of food, we include also drink. Exercise is a very important vital stimulus; that is to say, the organs of the body cannot perform their functions properly, unless the body be frequently put, for a longer or shorter time, into more or less rapid motion. Exercise is required in order to keep the circulation from becoming slow, and the respiration. from becoming languid; to preserve muscular strength and nervous power; to maintain the appetite, and the nutrition of the body; and to cast out fully and freely the poisonous secretions. Mental employment, and gratification of the social affections, is also a vital stimulus. I mean to say, that the health of the body demands that the mind be oc- cupied according to its wants, intellectual and emo- 38 PRINCIPLES OF HOMEOPATHY. tional; for if the mind remain unoccupied, and ennui prey upon the spirits, or if real causes of distress harass an individual, his health of necessity fails. Thus, then, I have enumerated the chief vital stimuli, viz. temperature, air, food, exercise, and not disagree- able mental occupation; and I will once again recapit- ulate what I mean by calling these things vital stimuli. A man is, in the first place, a machine, exquisitely constructed, but yet in itself only a machine. For example he has lungs, but they breathe not; skin, but it sweats not; heart, but it beats not; brain, but it thinks not. And lungs, skin, heart and brain, would for ever remain inactive, were it not that certain powers from without urge them into activity. Now these powers from without are the vital stimuli. Vital stimuli (that is to say, temperature, air, food, exercise, mental occupation) are to man, what steam is to the locomotive, what the musician is to the musical instru- ment, what the breeze is to the sailing vessel. Man is a most cunning and complex mechanism, whose parts are constantly in a state of wonderful activity; but this activity is not spontaneous-it ceases the moment that the vital stimuli are withdrawn. In the absence of vital stimuli, the heart ceases to beat; the muscles to contract; the liver to secrete bile; the brain to know. The human organism, unprompted by vital stimuli, can no more perform any of these offices, than a harp can continue to make a sweet noise,' when the fingers of the harpist pause. Life is not only originated, but is maintained by, is ever in dependence upon, vital stimuli; and to arrest the latter, is at once to extinguish the former. Let us now proceed to inquire into the nature and PRINCIPLES OF HOMEOPATHY. 39 mode of action of vital stimuli. In our inquiries we shall leave food out of consideration-for this subject should have separate investigation-and confine our- selves to discussion upon the action of temperature, air, and exercise, since these best illustrate our views. It is unnecessary also to devote space to that other vital stimulus, mental occupation. We will go through the others seriatim; and first let us investigate the subject. of exercise. - nu!! EXERCISE. It is manifest that the immediate effect of exercise is to produce disorder in the economy, and destruction of its substance. In the first place, it produces a condition analogous to fever. The heat of the body is augmented, the heart beats more rapidly, the breathing is quick- ened, and a sensation of greater or less weariness is experienced; but these are the symptoms which attend the commencement of every fever. True it is that usually perspiration soon breaks out, and the system is lighter and easier than before. But this secondary effect must not be confounded with the primary effect, which is a state of malaise an evanescent fever. Besides, not unfrequently the secondary beneficial effect is not developed, and the individual is conse- quently injured, not benefited, by the exercise he has taken. Very many nervous invalids do themselves much mischief in this way. They are told, and believe, that walking is requisite in order to regain and pre- serve health; and in conformity with this belief, they walk a stated distance every day. They return from the walk fatigued, languid, with a headache, palpita- tion, or difficult breathing, and continue distressed the 40 PRINCIPLES OF HOMEOPATHY. remainder of the day. Notwithstanding these untoward circumstances, they continue their daily walk, and con- sequent daily impairment of health, labouring all the while under the delusion that they are purchasing future comfort at the expense of present misery. But it is not so every walk taken in this manner increases the patient's debility, and renders his disease more difficult of cure. In Hydropathic practice I have seen a great many similar cases. Some patients undertake this enfeebling exercise from mere ignorance, others from a perverse notion that their physician, in dis- suading them from such exertion, wishes only to retard their cure. Of the ill effects of considerably overstrained exercise every one can judge. Skaters and riders on horseback know well the universal muscular stiffness and weari- ness produced in a novice by a day's hard skating or riding. Sudden, very violent movements cause rupture of the heart, liver, muscles, and other organs and tissues. In a long march, it almost always happens that some of the soldiers drop behind from faintness and prostration of strength, and perhaps are attacked by more or less painful, acute, or chronic maladies. In the boat-races at Oxford and Cambridge, it frequently happens, that in the heat of the struggle, some of the men who are pulling, cough up and expectorate blood; and many an enlargement of the heart has originated from the dreadful strain upon the system which occurs in this amusement. Severe exercise is employed as the best means of reducing the weight and size of jockeys in training; and it is admitted, by physiologists, that the immediate effect of exercise is to cause wasting of the body. A large amount of fluids is thrown off in PRINCIPLES OF HOMEOPATHY. 41 perspiration and other secretions, and the solids them- selves are melted down and partially destroyed. Hence exercise, in its original quality, is a disease-producing and destructive agent. AIR. Few persons are aware that, every time they breathe, they inhale a draught of perhaps the most powerfully corrosive fluid which exists in nature. There is scarcely anything organic or inorganic, which is en- tirely proof against the destructive influence of atmos- pheric air. Consider the temples and palaces erected by our forefathers! Those which the hand of the invader spared, have been crumbled by the subtle action of the air. Consider that temple of temples, the body of man! How many thousands of generations of corpses, deposited in their substance and their fatness beneath the surface of the earth, have passed away like a breath from a mirror! It is the penetrating air that has consumed them. Even the solid rocks, whose foundations were laid in the beginning of the world, slowly disappear, and it is the air that causes their destruction. Everything that is embraced or permeated by the air, sooner or later finds in it decay and dissolu- tion. But of this decay-producing, universally dis- solving fluid, we inhale, more or less, deep draughts eighteen times per minute. Inhaled by the lungs, absorbed by the blood, carried in the course of the cir- culation into every organ, and throughout every tissue the air forgets not within our bodies the property which distinguishes it without. Wherever it finds a passage, it dissolves, it wears away, it destroys. Nerve and muscle, and artery-every texture, including the lungs 42 PRINCIPLES OF HOMEOPATHY. themselves-succumb beneath its attack, and fall away, piecemeal, into the circulating current, by which they are swept into the glands of the skin and other educts, and are perspired or otherwise evacuated from the body. This the air does for us. Perpetually under its influence we' thaw and dissolve ourselves into a dew.' Hence the direct action of the air upon the human frame is, like that of exercise, destructive of its in- tegrity. TEMPERATURE. Heat and cold, and, in fact, every variation of tem- perature, are directly aggressive, as regards the organ- ism. Every one knows the effects of extreme heat and cold, viz. utter destruction by burning in the former, and death of single parts by mortification, or death of the individual by lethargy, in the latter instance. Every one also knows the pernicious maladies which frequently result from exposure to rapid alterations of temperature. What is called catching a cold may be the foundation of pleurisies, rheumatisms, fevers, diarrhoeas, consump- tion, and, in fact, of almost any disease. The state of a person who is cold is nearly related to the cold stage of an ague. The pulse is slow and feeble--the respi- ration sighing and irregular-the surface pale and con- tracted—and the blood accumulated in the larger organs of the interior. Let a person, unaccustomed to bathe, walk into the sea. He will experience an indescribable gasping, choking sensation, together with the other symptoms which I have enumerated. Cold, therefore, is decidedly a disease-producing and destructive agency. The same may be said of heat. Put a person into a hot air bath, and, after a short time, the pulse rises; a most PRINCIPLES OF HOMEOPATHY. 43 disagreeable feeling of languor, restlessness, and oppres- sion, which occasionally even causes fainting, is experi- enced. Giddiness, swimming in the head, headache, nausea, general prostration of strength, or other morbid onditions, may ensue. Thus, heat like cold, and gene- rally all variations of temperature, produce, or tend to produce disease, and, if pushed beyond a certain limit, death. Life, it has been stated, is the manifestation of a certain aggregate of actions by an organised body, at the instigation of vital stimuli. It is the re- sult of vital stimuli playing upon the organic instrument, and resembles the melody which the breeze elicits from the chords of an Eolian harp. Vital stimuli may, therefore, in some sort be said to create life and health; yet we have also proved that they create death and disease. Here is an apparent mystery and contradiction, not to be explained away by the feeble hypothesis, that vital stimuli in a state of minor intensity directly cause life and health, but that in a state of high intensity, they directly cause decay and death. No. In all states of intensity, vital stimuli are disease-producing agents, and tend to destroy the organism which they influence; but, in spite of this tendency, in an immense number of instances, vital stimuli invigorate and develope the life of living beings. This circumstance is to be explained as follows. In the animal body, two actions constantly proceed pari passu. These are the destructive and reparative actions, produced by the destructive and reparative forces; which latter is also known by the shifting names of 44 PRINCIPLES OF HOMEOPATHY. nutritive force, vital principle, vis medicatrix naturæ, and other similar appellations. To explain myself more fully. The body of an adult man appears from day to day, and from year to year, to remain the same; perhaps, even to maintain precisely the same bulk and weight. Yet we know positively that his body does not remain the same, but is continually changed. By perspiration, by the vapour exhaled in the breath, and by other means, a man loses every day a considerable amount of matter. These exhalations from his body are part of his body. They are derived from different sources; every organ and tissue contribute their quota; and they may be considered slowly to drain away the animal fabric; yet this fabric does not diminish, be- cause the food swallowed is converted into blood, and the blood becoming solidified, replaces, in every tissue, that which had been drained away. Thus, then, throughout the body there are two actions going on, viz., that of destruction, and that of replacement. Millions of little lives perish, but millions of little births take place simultaneously; so that the integrity of the general life is supported by the annihilation of individual vitalities. We may compare the little state of man to a nation, whose population is always numeri- cally the same, but individually is continually fluctua- ting; for thousands die day by day from disease, old age, or accident, while day by day the gap, thus created, is stopped by a corresponding number of births. Now, these two opposite actions of destruction and restoration are governed by two opposite forces, viz. the destroying, disease-producing force, and the life-giving, health-restoring force. The latter PRINCIPLES OF HOMEOPATHY. 45 force I would symbolize by the letter A, and the for- mer force by the letter z. Now by a law of nature these forces are so balanced, that (within certain limits) you cannot increase the intensity of one without, at the same time, increasing to a corresponding or even superior degree the inten- sity of the other; to augment z, is indirectly to aug- ment A. Supposing z=a, then if we increase z to Z, we get Z=A. This is the secret of the apparently double action of the vital stimuli, which, although they are disease-producing and destroying agents, are yet the factors of life and health. Moderate exercise, moderately frequent breathing, moderate exposure to cold, raise z to Z; hence they raise also A to A. That is to say, they heighten the activity of the destructive force, and, consequently, heighten also the activity of the reparative, or health-maintaining force. Thus, in the case of exercise, let a person take a long walk. By this means the various actions of the economy will be accelerated, the flow of the secretions increased, and the substance of the body sensibly diminished. A person weighing himself after any prolonged or severe exercise will find that he has lost considerably. Dr. Southwood Smith states, that a labourer working in the sun lost, on one occasion, as much as five pounds. Manifestly, therefore, the destructive force is vastly exalted (z has risen to Z); but, at the same time, the reparative force is also called into unusual activity (a has risen to A); for the appetite has become more keen, and the digestive power augmented. Hence a larger amount of food is swallowed, a larger amount digested, and a larger amount converted into solid tissue. 4 46 PRINCIPLES OF HOMEOPATHY. In all this a striking analogy may be perceived between the two vital powers and the two electrical powers, which are always co-existent, antagonistic, and equal. Whenever EP (positive electricity) is developed, EN (negative electricity) of necessity appears also; so when- ever A (the building, healing, life-keeping power) is ex- cited, z (the destructive, or death-dealing power) is also manifested, and vice versa. Disturbance of the balance of these forces, it may easily be conceived, causes disease. If in any part of the body a outstrip z, morbid growths, etc. appear; if anywhere z outstrip A, there we shall find ulcers, and other morbid conditions. But the balance of these forces (A and z) is perpetually de- stroyed by other external forces, among which stand in the front rank what I have denominated vital stimuli, viz., variations of temperature, exercise, and air. Every one knows that exposure to great heat or to a chill, over exertion, and too moist or too dry air, produce disease; that is to say, the forces (temperature, exercise, air,) augment z to Z, A remaining A. In this case, why does not a rise proportionately with z? Because either the interfering force, continuing in action, represses continually its tendency to rise, or the interfering force acted originally with too great violence. Hence it ap- pears, that the vital stimuli produce as it were life, death, disease, and health, according to the manner in which they are applied to the human organism, and that they are capable of becoming efficient agents in the cure, as well as the formation of disease. Vital stimuli, properly applied, generate health; improperly applied, they generate disease; and in the case of disease already existing, they restore health. No force nor power that we can command (except in certain PRINCIPLES OF HOMEOPATHY. 47. cases the mesmeric), is capable of directly exalting the health-maintaining force, a; and for this reason the common idea that medicines infuse health, as it were, into the body, is wholly unfounded. We can only raise the standard of health by previously depressing it. In other words, health is reaction from disease. Upon this principle, how should I attempt to strengthen a feeble constitution? Why, by exposing it to a course of systematically regulated debilitating agencies. This then, is the principle which I deduced from a careful study of the effects of hydropathic treatment; which principle may be illustrated by the following quotation from a little pamphlet which I published some time since :-- NO. OF PATIENTS. The subjoined tables shew the effect of hydropathic treatment upon the weight of the body. The cases tabulated were treated at the Establishment, Umber- slade Hall. The first column indicates the number of patients; the second gives the length of time during which the treatment was undergone; and the third states by how much the weight of the body was in- creased or diminished. I. INCREASE OF WEIGHT. 14 4 CO 3 4 2 *** 4 PERIOD. Weeks. 16 10 11 9 6 15 Days. lbs. 3 14 3 4 3 LO 5 0 Oz. 0 0 12 0 0 0 9 0 13 11 GAINED BETWEEN 10 and "} A "} 99 1) >> lbs. 23 0%.. 0 0 0 0 11 0 10 0 14 13 12 48 PRINCIPLES OF HOMEOPATHY. NO. OF PATIENTS. 6 10 9 16 19 27 35 39 29 NO. OF PATIENTS. 4 2 5 3 6 CO 7 16 17 21 22 INCREASE OF WEIGHT-continued. PERIOD. Weeks. 10 10 & 8 6 & 5 4 4 PERIOD. 9 & & G 7 Days. 2 0 3 6 4 Weeks. Days. 7 0 5 2 4 3 2 2 3 2 4 3 4 5 4 2 Ibs. 8 0 7 6 5 4 3 2 puest 1 0 lbs. 10 II. DECREASE OF WEIGHT. 4 CO GAINED BETWEEN 3 ᏅᏃ . 0 2 0 0 0 0 0 0 02. 0 8 0 7 0 6 5 0 4 0 0 0 "" 0 "" 1 0 0 2 "7 77 17 A 17 LOSS BETWEEN 17 17 39 and 17 "7 99 17 17 "" "7 "" lbs. 9 77 8 00 7. 6 5 4 lbs. 11 OZ. 0 5 0 0 3 0 2 0 0 1 4 0 0 0 9 0 8 0 7 0 6 0 0 0 3 0 2 0 0 14 02. 0 PRINCIPLES OF HOMEOPATHY. 49 · By these Tables we are instructed that the hydro- pathic treatment (that is to say, the medical application of the vital stimulus, cold,) produces both increase and reduction of weight-in other words, exaltation of the health-maintaining force A, and of the destructive force z. Both of these contrary effects cannot, of course, be direct or primary results, for it cannot be imagined that any agent should act in a fluctuating manner; but one effect must be primary or direct, and the other secondary or indirect; or it may be said, that one effect represents the action of the foreign force, and the other the reaction of the organism. Now we need have no hesitation in considering loss of weight, debility, tendency towards disease, to be the primary effects of hydropathic treatment; and the opposite of these, viz. increase of weight, improved strength, return of health, to be the secondary effects. In the pamphlet to which I have before alluded, I remark :— These tables prove that the first action of cold appli- cations is to melt down, or waste away, the human body; they prove, that the secondary effect is, to aug- ment its bulk. In many instances these two actions' (A and z rising equally) are carried on simultaneously, so that the wasting is not apparent, but from the moment of commencing hydropathic treatment, the patient increases in bulk' (and health and strength ); ' in other cases, these actions occupy distinct periods. For a certain number of days or weeks, the patient more or less rapidly decreases in weight,' and strength, and general health. · At the expiration of this period, the secondary action sets in. The patient experiences an unwonted sense of hunger, eats abundantly, and increases very rapidly in weight,' and strength and 50 PRINCIPLES OF HOMEOPATHY, general health. A short time since, I had a patient who lost in a fortnight seven pounds; but, at the ex- piration of that time, his appetite, which had previously been very indifferent, became suddenly marvellous. He ate in proportion, and quickly regained the weight he had lost. On consulting the table which contains the particulars of those patients who lost weight while residing at Umberslade, it will be clear, that the ma- jority left the establishment while yet under the influence of the primary effect of the treatment. Had they remained a longer period, the secondary, or repa- rative action, would have regained its ascendency, and the patient would have increased in blood and nerve, and fat and muscle. It must be mentioned, however, that many of those who left our establishment in the first stage of cure, continued the treatment (modified) at home, and there passed into the second stage. Some, whose weight was above the healthy standard, were purposely reduced. Loss of weight was also, in a few cases, induced for certain specific objects, which cannot here be discussed. Patients under hydropathic treatment exhibit the following results as regards weight: 1. They steadily increase from the moment of taking the first cold bath, until they have reached a maxi- mum weight. This is a very numerous class. 2. They steadily decrease until they have reached a minimum weight. This is a very rare class. Under judicious management, this event will never happen. 3. They steadily decrease in weight for a certain period. (Meiosomatic period)—and then steadily increase, (Pleiosomatic period.) This is also a numerous class. PRINCIPLES OF HOMEOPATHY. 51 4. They vary in weight for a certain period (Oscillatory period), now weighing more and now weighing less, and then begin steadily to increase to a maximum weight. This is a numerous class. 5. They vary in weight for a certain period (Oscillatory period), and then steadily decline to a minimum weight. This even happens but rarely. It betokens sinking powers in the patient; and may always be avoided by an experienced practitioner. 6. The weight remains stationary. There are some patients upon whom the water-cure seems to make no impression. Hardly any amount of treatment will disturb the equilibrium of their nutritive actions. In these cases, rather than push the hydropathic treatment to an extreme, it is better to call in the aid of other remedial measures. The above considerations, therefore, enable us to state, as an established fact, that the hydropathic treatment causes the removal of a large portion of the solids and fluids of the body, which are, however, abundantly replaced by new solids and new fluids, either immediately, or after a longer or shorter space of time.' In hydropathic treatment, we take into our hands the administration of the vital stimuli, viz. temperature, air, and exercise. We adjust their intensity, and the frequency of their application, to the constitution and state of disease of the patient. We take great care, considering that our means of treatment are all pri- marily depressing, not to depress (exalt the destructive force z) beyond a certain point, in order that the elasticity of the constitution (corresponding exaltation of the reconstructive force A) may not be impaired, nor 52 PRINCIPLES OF HOMEOPATHY. the secondary health-restoring action be kept too long in subjection. In hydropathic treatment, we also un- dertake the regulation of that other important vital stimulus, food; so that force A may not be hindered in its workings by deficient or improper materials supplied for its use. If the reader has followed the reasoning contained in this chapter, he will perceive that I have attempted to show, that life and health are indirectly produced by disease- exciting, death-tending agents (vital stimuli),—and that life and health cannot be directly produced nor exalted (except in some cases by mesmeric influence), by any agents in nature. I have shown, also, that disease can only be cured by disease-producing agents; for since disease consists in the preponderance of z over a, it can only be removed by exalting A; but a can only be exalted secondarily by the primary temporary exaltation of z. The hydropathic treatment (administration of various sorts of hot and cold baths) is, in fact, the systematic application of modified vital stimuli, whereby, in the first instance, the constitution is attacked; so that, in the second instance, it may rally from its inertia, and cast out its diseases. The vital stimulus administered by hydropathists, cold and heat, is directly an external agent. It may be said that water is given to drink, and as an injection into different cavities of the body, as the ear and nose, and that thus cold is applied to the stomach and internal ear and nose; but these comparatively unimpor- tant exceptions may be left out of consideration. The hydropathic vital stimulus is a general or local external stimulus-a destructive agent or exalter of force z, applied primarily to the surface; but acting internally PRINCIPLES OF HOMEOPATHY. 53 by sympathy through the nerves. Hence all those diseases which may be cured by a sympathetic excite- ment of force z, come within the scope of the hydro- pathic treatment. But there is a variety of diseases and affections for which the hydropathic stimulus is inapplicable, or only practically applicable, because it would exalt the destructive force of the whole body, whereas it is only desirable to exalt the destructive force of a single organ. For example, suppose a case of inflammation of the lungs. In this case, what we want to effect is, to raise the health-maintaining force of that organ. This can be done hydropathically, in many cases, by primarily exalting the destructive force; but we cannot hydropathically exalt the destructive force of the lungs, without, at the same time, exalting the destructive force over the whole body; and in certain cases of inflammation of the lungs, this pro- ceeding would be attended with great danger; because within the brief course run by this disease, time might not be afforded for the subsequent corresponding eleva- tion of the health-maintaining force; in other words, reaction might not take place with sufficient quickness. I mean to say, that the general depression of strength produced by the water treatment, might not be suc- ceeded by increased vigour sufficiently early to save the patient from the grave. The forces acting in the human body may be represented as an undulation, of a a A which the elevations a a a answer to the health-main- C G 54 PRINCIPLES OF HOMEOPATHY. taining force (▲), and the depressions b b answer to the destructive force (z). Now, in all waves, the measure of the depression is also the measure of the elevation, as may be seen by comparing e with d in the diagram; but in the vital-force undulation, if the depth of the depression be too great, the wave is interrupted, and the elevation is never formed at all. Hence, if a certain internal organ be diseased, in order to reach the vital force of that organ, so as to depress it primarily, but exalt it secondarily, we have to depress (in the first instance, in order to exalt) the vital force of the whole system; but this is, in many cases, hazardous, because we incur the danger of depressing beyond the possi- bility of subsequent reaction. We are in want of a stimulus, or stimuli, that shall act upon the vital forces resident in each organ, without interfering with those resident in other organs, or disturbing the general vital force of the economy. 1 CHAPTER III. In the preceding chapter, it has been proved that the various forces of the universe which act upon man, are, per se, hostile forces; yet that these hostile forces, exciting by their continued attacks greater energy of resistance on the part of the organism, do indirectly exert a friendly influence, and improve the health and strength of the body. These hostile and yet friendly forces the vital stimuli-are capable of being syste- matised so as not only, according to their usual office, to maintain health, but even to restore a debilitated or diseased constitution. Methodised, intensified, and employed as curative agents, the vital stimuli con- stitute what is called the hydropathic treatment; and this treatment is extremely valuable in a vast variety of diseases; yet there remains a considerable residuum to which it is not at all applicable; and there are many cases in which it is only partially successful, and the reason of this complete or partial failure in many cases, may be briefly explained. Man is not a simple, but a complex creature; not an animal, but a bundle of animals. It may with truth be said, that every organ of the body is a distinct living individual, united by many organic ties with the other organs, yet essentially separate, and complete in itself. The mistletoe, fixed upon the bough of the oak, robs 56 PRINCIPLES OF HOMEOPATHY. the tree of its juices, and appropriates them to its own nutriment; yet this parasitic plant is a distinct orga- nism, nourished accidentally by the sap of the oak. The worms that infest the human intestines, form no neces- sary part of the man, although they batten upon his secretions. So the different organs of a man, as the liver, heart, lungs, stomach, etc. may be regarded as separate individualities, associated into a compound animal, but possessing independent lives, healths, and diseases. Take, for example, the liver. Into this organ, or parasitic animal, its food, the blood, is conveyed by the portal vein; and out of this organ, the undi- gested remnant of its food, together with the secretions formed in its interior, are exported by the hepatic vein. Here are the chief actions which constitute life. It matters not that the blood which serves the liver as food has previously passed through other organs, nor that the remnant of blood undigested, containing the excretion of the liver (bile, which, to keep up the analogy, may surely be called the liver's perspiration), passes again into other organs, and fulfils new offices. It matters not that the liver is tethered to the walls of the abdomen, nor that it is shut up in a closed sac, for all these are unessential circumstances; and had they been otherwise ordered, the liver might still have lived, and grown, and secreted bile as it does at present. Now, the various organs of the body, separate as they are, influence each other, and are made to act in con- cert through the agency of the nerves and the blood. I repeat the only communication which any organ can receive from without, must come through one of these two channels, viz. the nerves and the blood. The same fact may be expressed in a different manner. As the - PRINCIPLES OF HOMEOPATHY. 57 life of a man is conditional upon vital stimuli, so the life of an organ is also conditional upon vital stimuli, that is to say, influences from without: but the only influences from without which penetrate to the internal organs, are the blood, and the nervous force, or fluid (neuricity, as it is called). Hence, blood and neuricity are the vital stimuli of the internal organs. If any organ become diseased, that is to say, if the balance between the health-maintaining and destructive forces of that organ be deranged, so that medical interference is required, we must seek to exalt the destructive force, so that, by reaction, the health- maintaining force may be exalted, and the disease expelled. This can only be done by altering the neuricity, or by converting the blood sent into the organ, into a partially destructive agency. The hydro- pathic treatment acts principally in the former manner. It exalts the destructive force of the whole system, and, therefore, the destructive force of the diseased organ. But there is a difficulty in graduating the extent to which the destructive force of any particular internal organ shall be augmented by the water treatment; and some diseases, for their effectual cure, require that this graduation should be carefully accomplished. Suppose that for the cure of a certain liver complaint, it be necessary that the destructive force should be exalted from 100 (the hypothetical standard) to 150, and no higher. In this instance great difficulty would be experienced in effecting good by hydropathy; because, although we might easily enough exalt the destructive force, yet we could not be sure of exalting it accurately to 150. We might, in spite of our efforts, raise it to 160, and so do harm. We therefore require a set or sets 58 PRINCIPLES OF HOMEOPATHY. of graduated stimuli, adapted to the constitution and peculiar diseases of each of those separate vitalities which we call the organs of the body. The different organs are so many parasitic animals, having each its distinctive nature, and requiring cach its distinctive food; but to all the same food is supplied by the blood-vessels, viz. blood. Blood, however, is a compound fluid, containing in solution a vast variety of ingredients, each of which is adapted to serve as food to some organ; and as the blood passes through an organ, some sort of elective attraction seems to be exercised, in virtue of which the suitable ingredient is drawn out of the blood into the substance of the organ which it is fitted to nourish. Thus, if we want to feed the liver, we have only to drop into the blood at any point of the circulation aliment fit for the liver, and in due time that aliment, having passed perhaps through twenty other organs without becoming, in the slightest degree, altered, will reach the liver, and be appropriated by that organ to its necessitics. But as the organs get their food, growth, and health from the blood, from the blood also they may get diseases. It will not be necessary for me here to do more by way of illustrating this point, than to refer to the action of poisons, in which, moreover, we perceive a singular analogy with food. If I introduce into the current of the circulation a minute particle of mercury, it will traverse all the other organs, tissues, glands of the body, without exerting upon them any appreciable influence; but when it gets into the glands about the mouth, it creates immediately a greater or less commo- tion, producing soreness, swelling, salivation, perhaps even ulceration. In the same way, when a small PRINCIPLES OF HOMEOPATHY. 59 portion of arsenic is dissolved by the blood, the arsenic passes through the rest of the body innocuously, but upon the eye it acts injuriously, causing redness and pain. So the poison secreted by the spanish fly finds its sphere of action in the kidney, and the ergot of rye acts upon the pregnant womb. Hence it appears, that the organs of the body select from the blood not only their health, but also their diseases, their poison as well as their food; so that whether we wish to nourish or to destroy any particular organ, we have only to drop into the circulation the particular food or poison adap- ted to that organ. Now this proposition leads us back to the great principle, viz. that of the definite relation between a and z, and to its corollary, viz. that a can only be secondarily exalted by the primary exaltation of z, and we perceive that every organ in the body has its peculiar poison, or z-exalting agent or agents, and there- fore, its specific curative means. For example, take a case of disease of the eye: it is required to exalt the health-maintaining force A; therefore we must exalt primarily the destructive force z; but arsenic is an z-exalting agent in the case of the eye-hence arsenic, because it is capable of producing disease of the eye, is also capable of curing disease of the eye already existent. In a preceding section it was stated, that 'We are in want of a stimulus, or stimuli, that shall act upon the vital forces resident in each organ, without inter- fering with those resident in other organs, or disturbing the general vital force of the economy." Again: in another part of the work I have observed We re- quire a set, or sets, of graduated stimuli, adapted to - . 60 PRINCIPLES OF HOMEOPATHY. سنا the constitution and peculiar diseases of those separate vitalities which we call the organs of the body.' These requirements, it now appears, may be satisfied by medicinal treatment. In the different drugs employed by practitioners, we recognize sets of stimuli, adapted to the constitution and diseases of the different organs, acting upon the vital forces resident in certain organs, without interfering with those resident in other organs, or disturbing the general vital force of the economy; and, moreover, capable of unlimited graduation, by increasing or diminishing the dose, or by rarely or fre- quently repeating its administration. to I had for some time practised the water cure before my attention was attracted to Homoeopathy. Of course, I had long known of the existence of the latter practice, and had heard of various cures which it had effected; but these I had set down to the credit of diet, imagination, and abstinence from physic. At length it! happened, that a young gentleman, a student in law, applied to me in the bope of getting relief from a head- ache, from which he suffered continually. I advised him to give up study for a time-I regulated his diet- made him take systematic exercise-and put him upon a light, tonic, hydropathic course. I treated him, un- der every advantage, for several months; but failed to afford him the slightest benefit. He then discontinued hydropathic treatment, and went into the country, where he spent a considerable time in learning practical farming. Still his head-ache persisted, and he was induced to consult a homœopathist, who, after several months treatment, succeeded so far in alleviating the complaint, that his life became enjoyable, and he was enabled to apply himself to business. Struck by the ти PRINCIPLES OF HOMEOPATHY. 61 result of this case, I resolved to study the subject of Homœopathy; and the execution of this resolve, I am bound to acknowledge, was greatly facilitated by the liberal kindness of Mr. Turner, the homœopathic chemist, of Manchester, who placed the whole contents of his extensive library at my disposal. I read, there- fore, I believe, every work of importance, doctrinal and practical, both for and against the view in question. The perusal of these works convinced me that there is, at least, a certain amount of truth in homeopathy; and I prepared to test the doctrine by experience. At that time I was in the habit of seeing poor patients gratui- tously, at Hockley, a little village in Warwickshire ; and a great number of people sought my advice. I treated them upon hydropathic principles; upon these patients I began my first homeopathic experiments, not abandoning hydropathy, but only calling in ho- mœopathy as a subsidiary means. Trifling cases I treated by the homeopathic medicines alone; those of a graver nature were subjected to both treatments. I soon found that the medicines had a decided curative efficacy, and I became bolder in their exhibition, and gave them upon nearly all occasions, where either hydropathy was inapplicable, or an auxiliary treatment was re- quired. Gaining every day greater confidence in the new treatment, and desiring to witness its working in the hands of practical and experienced men, I went to London, and watched, during one month, the practice. of Dr. Quin, and the other surgeons and physicians attached to the London Homeopathic Hospital. I was satisfied with what I saw, and from that time I have continued to practice homeopathy in conjunction with the Water Cure. 5 62 PRINCIPLES OF HOMEOPATHY. In studying homeopathy, it was not long before I perceived that this doctrine is quite in accordance with the great principle upon which hydropathy is founded, and which I have explained at length in the preceding chapter. In order to make this clear, I must explain the very simple law which constitutes the essence of homœopathy. It has long been known, that many medicines which produce a certain morbid condition of the system, are capable of curing that same morbid condition when it occurs naturally. For example, even Hippocrates knew that vomiting may be cured by reme- dies which, upon other occasions, cause vomiting; and of this I know a very remarkable instance. A lady, a patient of mine, was suffering from chronic vomiting, when she embarked on board a sailing vessel. The weather became very rough, and for several days almost every passenger was prostrated by sickness, but my patient, instead of undergoing an aggravation of her complaint, was completely cured. It is matter of common experience that for an autumnal diarrhea, there is no better remedy than a few doses of rhubarb. But rhubarb produces, under other circumstances, relaxation of the bowels; and yet relaxation of the bowels is cured by rhubarb. A There is a disease called syphilis, for which medical men are agreed that mercury is the best remedy. But mercury, administered to a healthy person in pretty large doses, or for a length of time, is capable of pro- ducing a disease so like syphilis, that it has received the name of pseudo-syphilis. Arsenic, administered to a healthy individual, causes an eruption of the skin. Now, many persons affected PRINCIPLES OF HOMEOPATHY. 63 with an eruption of the skin, have been cured by small doses of arsenic. Universal experience has shown that tartar emetic exerts an admirable effect in cases of inflammation of the lungs. Yet tartar emetic, according to the experi- ments of Majendie and others, will produce inflamma- tion of the lungs, where it does not already exist. These, and similar facts, have been long currently known, but they were looked upon as exceptional cases, and disregarded by theoretical writers, before the time of Hahnemann, whose acute mind detected in these so- called exceptional cases glaring instances' of a gene- ral law, hitherto unapprehended. The purport of this law, known as the law of similia similibus curantur, may be thus enunciated. Every disease which affects the human race (if curable by medicine), may be cured by that medicine, which, if exhibited to a healthy person, would cause a nearly similar disease. Let D be any disease whatever, and let м be any medicine, which, if administered to a healthy individual, would excite in him a disease closely resembling the disease D; then, every person affected with disease D, may be cured by the medicine M. This is the law of similia simili- bus-this is the keystone of homoeopathy. Now, let us see if this law of similia similibus be in agreement with the law which I have taken so much pains to expound (let me term it the law of a and z) in the foregoing chapter. The law of A and z asserts that every fragment of the economy is a scene of contention between two powers, viz. the destructive and the con- servative—the disease-producing and the health-pro- ducing forces. This law also maintains that it is im- possible directly to exalt A, the health-producing force; ܕ 64 PRINCIPLES OF HOMEOPATHY. but that the health-producing force may be indirectly exalted by the primary exaltation of z, the disease-pro- ducing force. Now, to illustrate these laws practically, let us take a case of inflammation of the liver. Mer- cury, it is well-known, produces, in a healthy person, inflammation of the liver; therefore, according to the law of Hahnemann (similia similibus), mercury, it is asserted, will cure inflammation of the liver, otherwise excited. But mercury, since it causes inflammation of the liver, exalts the destructive or disease-producing force, working in that organ; and therefore, judiciously administered, exalts (according to the law of a and z) the health-maintaining force, and enables it to throw off disease. Hence mercury will cure inflammation of the liver, and the law of similia similibus accords with the law of A and z. Again, iodide of potassium is capable of producing swellings of the bones from inflammation of the mem- brane, which covers the bones. Therefore, iodide of potassium exalts the disease-producing force of the membrane which covers the bones; and when carefully exhibited, exalts subsequently the health-maintaining force, according to the law of A and z. Hence, when this membrane is diseased, iodide of potassium ought to be exhibited. Upon the principle of Hahnemann also (similia similibus), iodide of potassium, because it is capable of causing swellings in the bones, is the proper remedy for swellings in the bones, originating from a different cause. The law of similia similibus therefore accords with the law of A and z, which, I believe, I have demonstrated by a long train of unex- ceptionable physiological reasoning, to be beyond the * Dr. Goolden on Periosteal Disease.-Lancet, Dec. 20, 1851. PRINCIPLES OF HOMEOPATHY. 65 reach of cavil. If I am right in this opinion, the great principle of homoeopathy stands upon an immoveable pedestal; and the theories of medical science, no less than the experience of practical men, acquiesce in its legitimacy. CHAPTER IV. IF, in compliance with the dogma, similia similibus curan- tur, I am to treat disease A by the medicine м, which, if administered to a healthy individual, would excite dis- ease a, it is manifest, that the doses of м, by which I endeavour to cure A, must be smaller than those which produce ▲; otherwise, instead of curing, I should aggravate the disease. For example: Dr. Law of Dublin, has shown, that grain of calomel, repeated until about 3 grains have been taken, is sufficient to produce salivation. Hence, if I am to give calomel to cure salivation, I must surely give less than grain at a dose, and less than 3 grains altogether; otherwise, I should envenom, not remove the disease. In the Lancet of December 20, 1851, a case is related in which salivation, mortification of the cheek, and death from exhaustion, resulted from the administration to a child of 16 grains of grey powder in three doses: 16 grains of grey powder contain 6 grains of metallic mercury. Now, if I attempt to cure spontaneous mortification of the cheek by mercury, I must give a very much less quantity than 6 grains; otherwise, I might kill my patient. Well-this is granted. But how much less a quantity than 3 grains of calomel am I to give to cure salivation; how much less than 6 grains of metallic mercury to cure mortification of the cheek? Evidently, 1 12 PRINCIPLES OF HOMEOPATHY. 67 this question can only be answered by experience. Let us refer to experience. Previously to the introduction of homeopathy, there was no experience upon the subject; for no one dreamed of attempting to cure salivation by calomel, nor mortification of the cheek by mercury. We are driven, therefore, to consult the experience of homeopathists, and we may as well ask, what was the experience of the first homeopathist?— In his writings, Hahnemann assures us, that, when his great principle first dawned upon his mind, the question which we are asking, came with it; and he began to experiment, in order to solve the difficulty. The result of his experiments astonished himself. He found, that extraordinarily minute doses were sufficient to effect a speedy and safe cure. He found, that a quan- tity of medicine, less than can be rendered visible by a microscope-less than can be detected by any chemical process-will exert powerful effects upon the body, when administered in accordance with the homœopathic law. Thus he was led, in treating a case of mortifica- tion of the cheek, for example, to give, not a grain or two, not the tenth of a grain, not the thousandth, not the ten-thousandth, not the millionth, but absolutely, the decillionth of a grain of metallic mercury; and he found, that this quantity, or rather, this no-quantity of mercury, will effect, in most cases, a brilliant cure. This result was not confined to mercury, but came out in the case of every remedy which Hahnemann tested; so that, after a time, he adopted the following plan of preparing his medicines. He took one grain-say of metallic mercury-and mixed it intimately, by rubbing in a mortar, with 99 grains of sugar. This preparation he termed the first trituration. Of the first trituration 63 PRINCIPLES OF HOMEOPATHY. he took 1 grain, which he intimately mixed with 99 grains of sugar; and this preparation he termed the second trituration. Of the second trituration, he mixed 1 grain with 99 grains of sugar, to make the third trituration; and so he went on. Liquids were diluted with spirits of wine in the same proportion. For example: he added 1 drop of tincture of Bella- donna, to 99 drops of spirits of wine, and mixed the whole equally and thoroughly. This was his first dilu- tion. Of the first dilution, he added 1 drop to 99 drops of spirits of wine, and formed the second dilution. In the same way, he formed higher dilutions, until he reached the thirtieth. At the thirtieth, he wished to stop ; but later homœopathists have carried the dilutions up to the hundreth, thousandth, and even higher power. In treating disease, Hahnemann, and after him, all his disciples, made great use of these dilutions, which they usually administered, and administer in a manner in- vented by Hahnemann. A number of minute pellets, composed of a mixture of white sugar and starch, are saturated with the medicinal liquid, dried, and placed in little bottles ready for use. These medicinal pellets are called globules. The pellets may be, of course, and are, saturated in any dilution of a medicinal fluid. So that we may have globules, saturated with the first, second, third, tenth, one thousandth dilution of tincture of Belladonna, for example, and the bottle containing these medicinal globules, would be labelled, ' Belladonna 1; 6 Belladonna 2,' &c. Now, in the treatment of disease homœopathists employ sometimes tinctures and triturations, in any dilution or attenuation which they deem applicable, and sometimes globules. For example: a person attacked with fever, may be or- PRINCIPLES OF HOMEOPATHY. 69 dered to dissolve two globules of aconite 30 in six teaspoonfuls of water, and to take one teaspoonful every quarter of an hour. Another patient may be advised to take one drop of the third dilution of the tincture of aconite every half hour for three hours. It is manifest, that there is a variety of ways of administering the homeopathic remedies; but it is also manifest that, administered any way, the quantity of medicine swal- lowed is extraordinarily minute-so minute, as to excite in the minds of many grave doubts as to the possibility of its exciting any action whatever. These doubts can only be satisfied by experience. It cannot be proved nor disproved, à priori, that the decillionth of a grain of any substance is capable, when introduced into the economy, of so modifying the living actions as to expel or aggravate disease. This point must be decided by experience, and I shall show, in an after-part of this work, that experience answers the question in the affir- mative. Personally, I can affirm that I have caused sound sleep by globules of coffeea; have relieved griping pain in the abdomen by globules of nux vomica; have checked frequent micturition by globules of cantharis and cocculus; have cured headaches by tincture of belladonna; nausea, vomiting, flatulent distension, and pain at the pit of the stomach by ipecacuanha; cut short a fit of hysterics by pulsatilla; and, in short, have constantly produced decided curative effects by homeo- pathic doses of medicine. I shall, therefore, assume this point for the present, and proceed to offer some sugges- tions which may reconcile the fact, that wonderfully minute portions of matter exercise a specific influence upon the human system, with what we certainly know of other natural phenomena, and particularly of those 70 PRINCIPLES OF HOMEOPATHY. • miasms which produce epidemic disease. Let us con- sider, in the first place, the potato-miasm, or the cause, whatever it may be, of that terrible rot which, by destroying the potato, originated the Irish famine. This cause spread from country to country, blackening the stem and withering the leaf of the potato-plant in its progress, until it had converted hundreds of flourishing crops into putrid abominations. Moreover, year after year, the miasm brooded over the land—year after year the potato-crop was annihilated. Now, what quantity of miasm sufficed to produce these effects? How many grains are required to destroy a field of potatoes? The cause of cholera, originating in the East, travelled in a westerly direction until it reached these isles, where it destroyed thousands of human beings. Has any one yet undertaken to weigh the cholera-miasm, and to determine what quantity is necessary to kill an indivi- dual? Every person who dares, at a particular season of the year, to penetrate an Indian jungle, is infallibly attacked by jungle fever; and every traveller, who sleeps for a night on the Pontine Marshes, is invariably affected with ague. Can any chemist estimate the amount of fever-miasm in the one case, and of the ague-miasm in the other case, which has been absorbed into the veins? No. The causes of the potato-disease, of cholera, of jungle-fever, of ague, of plague, of small- pox, and other epidemic diseases, are, as yet, only dis- cernible in their effects. For ought we know, the actual material substratum of the whole of these morbid influ- ences may not exceed the decillionth of a grain. The sceptic refuses to believe that a medicated globule can PRINCIPLES OF HOMEOPATHY. 71 act upon the body, because it contains so small a quan- tity of medicinal matter. But effects are not propor- tionate to the ponderable mass of a cause, otherwise, who would tremble at the flash of lightning, and who would rejoice in the genial sunshine? And these very sceptics would take care to avoid the contact of a plague-stricken patient, although thereby their bodies could hardly be soiled by a ponderable amount of the plague miasm. The assertion that the decillionth of a grain of arsenic cannot cure an eruption, is no more tenable, than the assertion that the decillionth of a grain of the small-pox miasm cannot produce an erup- tion. In fact, it is absurd to pronounce concerning any alleged phenomenon anterior to investigation; for we can no more, by taking thought,' find out the genu- ineness of one single natural fact, than we can add or take away a cubit from our stature.' The Almighty has not gifted us with the power of penetrating the possibilities of his creation, nor of foreknowing what can, and what cannot, take place. Yet in all ages men have arrogated to themselves this faculty, and endea- voured to put down, by argument, the new truths that arise. Verily, of these persons it may be said, that unless they become as little children, they shall not know the truth. In speaking of the cholera-miasm, and the power which it seems to possess of imparting to organic matter a malignant property, similar to that by which itself is distinguished, Dr. Sutherland remarks:- It appears as if some peculiar organic matter, which con- stitute the essence of the epidemic, when brought in contact with other organic matter, proceeding from living bodies, or from decomposition, has the power of 72 PRINCIPLES OF HOMEOPATHY. so changing the condition of the latter, as to impress it with poisonous qualities, of a peculiar kind, similar to its own. It is probable, that something of this sort occurs in the preparation of the homoeopathic remedies. The medicine seems to impart an influence to the other- wise inert fluid with which it is mixed. As the clothes worn, or articles touched by a small-pox patient, be- come impregnated with the variolous influence, and are capable, even when transported to a distance of many miles, of infecting a healthy person with small-pox; so the water, or spirits of wine, in which an extremely minute portion of arsenic has been dissolved, is, per- haps, saturated with the arsenical influence, and may act curatively upon diseases to which arsenic is adapted. The homœopathic way of preparing medicines may be a mode of infecting, as it were, inert fluids, or powders, with sanative influences. The hypothesis which I am explaining, asserts that a grain of arsenic, for example, dissolved in a tumbler-ful of water, disseminates through the whole bulk of the fluid a peculiar power; that a drop of this water, thus imbued with arsenical influence, can communicate to a second tumbler-ful of water, this peculiar power; that a drop from the second tumbler can impart the power to a third tumbler-ful of water; and so on almost indefinitely. Such communication of influence is considered to be in analogy with ordinary electrical phenomena. If two balls of pith be sus- pended from one point, so that they touch each other, and then any elec- trified body be brought d о a Pay Qu * Dr. Sutherland: Report on Cholera.-Medical Times, Dec. 20th, 1851. PRINCIPLES OF HOMEOPATHY. 73 near to them, the balls of pith will immediately fly asunder. This experiment illustrates the fact, that every elec- trified body throws into an electrical state, all the bodies by which it is surrounded. In like manner, it is presumed that substances, which have medicinal power, excite medicinal power in any matter with which they may be intimately mixed. This theory, it will be perceived, assumes the existence of a great multitude of new forces in nature; it assumes that medicines act upon the human organism not materially, but in virtue of the medicinal powers with which they are charged. Thus it would speak of the arsenical power, the mercu- rial power, the fox-glove power, etc., all of which would be included in the general term, medicinal power; just as the magnetic force, the diamagnetic force, the galvanic force, etc. are included under the general name of electrical force. The theory infers, that medicinal forces may be disjoined from the bodies in which they are implanted by nature, and couferred upon quite heterogeneous substances; that curative. influences may be rendered as subtle as the miasmatic causes of epidemic diseases, and yet, unlike the latter, remain subject to our control. It maintains, that as a small-pox patient can, by touching it with his hand, small-poxise a silk handerchief, so a drop of a solution of mercury, may, by contact, mercurialise a tumbler-ful of water. Such is a brief sketch of one of the theories by which it has been sought to account for the marvellous effects of infinitesimal doses of medicine. The theory may be true or false; but its truth or falsity in no way alters the reality of the facts which it attempts to 74 PRINCIPLES OF HOMOEOPATHY. explain; and no person is qualified to deny the asser- tion, that decillionths of a grain powerfully influence the economy, unless he have previously submitted the question to the test of experience. There is one consideration which sceptics as to the power of minute doses are apt to overlook-a point which has an important bearing upon the question. It is not pretended that these doses exert the same kind of action upon the economy as ordinary doses; for example, a globule of opium will not cause sleep, nor a globule of coffee wakefulness, nor a globule of tar- tarised antimony diminished force of the heart's action, nor a globule of ipecacuanha vomiting, nor a globule of epsom salts relaxation. Large doses of the above- named medicines produce these effects; but no one has ever maintained, or imagined, that minute doses possess the same power. On the contrary, they exert a directly opposite influence: opium in globules rouses a morbidly sleepy person; coffee soothes to repose a person unduly wakeful; tartarised antimony increases the force of the heart's action, when enfeebled by dis- ease; ipecacuanha stops vomiting; and epsom salts checks relaxation. It is not, therefore, opposed to experience, that minute doses should produce decided effects, when imbibed under the conditions first described. In reality, before the time of Hahnemann experience was dumb upon the subject, for persons never took infinites- imal doses when in the state necessary for the manifes- tation of their action; or if accidentally this happened in any instance, the person recovered from his disease, but remained ignorant of the cause of his recovery, and, perhaps, attributed it to other agencies. It is PRINCIPLES OF HOMEOPATHY. 75 opposed to experience, that minute doses should act in the same way as large doses; for if this were the case, how fearful would be the sufferings, and how dire the diseases, of every apothecary's shop-boy throughout the kingdom! If the air laden with the perfumes of senna, and musk, and camphor, and asafoetida, and iodine, and a thousand other drugs, act upon the human body as these medicines act when exhibited in grains and scruples, medicine would be an impossibility, for its professors would rapidly perish beneath its deadly influence. But small doses do not act in the same manner as large doses. Upon the healthy body they exert no action whatever; their action is limited to diseased organs. Upon a healthy stomach the half grain of ipecacuanha falls inert; but if the stomach be predisposed by disease, if its susceptibility be abnormally exalted, then a much smaller dose than that ordinarily required would excite it to contract; and I have more than once, under this condition, known half a grain of ipecacuanha produce vomiting. But if the morbidly susceptible stomach is capable of being so far excited as to eject its contents by half a grain of ipecacuanha, one might readily infer that a less quantity than half a grain would still exert an influence, though not suffi- ciently violent to cause spasmodic contraction. It requires little sagacity to conclude, that if any organ, o, be already in the state produced by any medicine ì, the organ o will be more than ordinarily sensitive to the medicine M. This position may be illustrated by the effect of light upon the eye. In a state of health the rays of light impinge upon the eye without causing any appreciable sensation; but if certain parts of the eye be inflamed, light produces excessive pain, so that 76 PRINCIPLES OF HOMEOPATHY. : it is absolutely necessary to keep the patient in a darkened room. Again in ordinary conditions a person can bear a cold wind, or hot water, or the rough contact of any substance against the cheek; but when the nerves of the frame are excited by tic doloureux, the slight breath of cool air, a drop of hot water, or gentlest application of anything to the face, produces intolerable agony. This then explains, to a certain extent, the efficacy of minute doses. They only act in morbid tissues. When the bowels are healthy, I must give a large dose of epsom salts to produce any effect; but when diarrhoea already exists-when, consequently, the bowels are in a preternaturally sensitive condition. -then a small dose exhibits a decided action. Now allopathists give epsom salts when the bowels are healthy; but homopathists administer this drug when the bowels are discased. The former produce disease (artificial diarrhoea) by large doses, while the latter cure disease (natural diarrhea) by small doses. Both ac- complish the objects which they have in view, and the experience of one is not discordant from the experience of the other. As a somewhat singular illustration of the wonderful effect produced under certain conditions of the system, by minute atoms of matter, I may quote a case related to me by my father. One day he was walking in his garden, in the company of a patient, who was at the time suffering severely from a periodical head-ache. The gentlemen stopped, and smelt a bunch of mignionette, which was growing by the path; and that instant his head-ache left him; before he could recover the upright position, he was free from pain! This case, extraordinary as it will appear to ordinary readers, is not, however, inconsistent with experience, PRINCIPLES OF HOMEOPATHY. 77 although thousands of persons have smelt mignionette, and perceived nothing but its agreeable fragrance, or, in certain cases, a peculiar kind of headache, for those persons were in healthy conditions, or, if diseased, their diseases bore no analogy with the effects produced by the odour of mignionette; but this patient of my father's happened to have exactly that kind of headache which the odour of mignionette sometimes produces; hence he was preternaturally impressionable, and an unexpected result ensued. It is the opinion of many uninformed persons, that the essence of homeopathy is the administration of infinitesimal doses of medicine; but this is a complete error. So wide of the truth is this supposition, that a man may practice homeopathy all his life, and never order any but substantive doses. The practice of homeopathy consists in the prescription of medicine. acccording to the law of similia similibus curantur;' and whoever obeys this law is a homeopathist, whether he administer a comparatively large dose or a little one. For example, if a man treats diarrhoea by epsom salts, he is a homeopathist, whether he give one or two grains at a dose, or only one or two globules; on the contrary, if a man treats diarrhoea by opium, he is an allopathist, whether he prescribe it in the original tinc- ture, or in the 30th dilution. There are many professed homœopathists who never prescribe medicines which cannot be smelt or tasted, or otherwise easily identified. And there are many members of the old school who sometimes practice homeopathy unconsciously, because they exhibit medicines, although in somewhat large doses, in accordance with the principle which we pro- fess. Instances of this nature I have quoted in 6 78 PRINCIPLES OF HOMEOPATHY. Chapter VI. of this work, and many more might be adduced. For example, Dr. Billing practises homœo- pathy when he treats cholera by tartar emetic. Dr. A. T. Thomson practised homeopathy when he prescribed castor oil for diarrhoea; and the same may be said of the profession generally, as respects syphilis, which is treated by mercury, and sickness, which is so often relieved by creasote. Homeopathists expressly reserve to themselves the privilege of ordering any quantity of medicine that they deem applicable, and they are in the constant habit in particular cases of prescribing quite substantial doses. The magnitude of the dose of medicines must be regu- lated by the varying conditions of disease, and the peculiarities of temperament, age, sex, and specific susceptibility to the action of drugs evinced by the individual patient. All practitioners meet with cases in which even the proper remedy fails at first to exert its curative influence, because it is administered either in too large or too small a dose, but succeeds in removing the malady as soon as the large dose is diminished, or the too small dose is increased. Thus one person may be cured by globules of opium, after drops of the tinc- ture have failed in giving the slightest relief; while another may experience no result from the exhibition of globules, but derive instantaneous benefit from drops of the tincture. Homœopathists claim, equally with allopathists, unlimited discretion as to the quantity of medicine which they may think proper to exhibit. If an allopathist, like Dr. Marshall Hall, feels himself at liberty to give so small a quantity as gr. of strychnia, and physicians, like Sir James Clarke and Dr. Locock, prescribe decimal doses of belladonna, and do not thereby consider that they are poaching upon the manor 1 GO PRINCIPLES OF HOMEOPATHY. 79 of homeopathy, surely a homeopathist may in proper season recommend larger quantities of medicine than he thinks appropriate to the treatment of the generality of cases. Homœopathy is totally independent of minute doses. Were it discovered to-morrow that the doctrine of minute doses is a fallacy, homoeopathy would con- tinue to flourish. Thousands of cures would continue to be effected by grains, or tenths or hundredths of a grain of medicines, and perhaps mankind would receive with yet greater alacrity than it manifests at present, the apostles of the new Evangel. It is probable that the progress of homeopathy has been greatly retarded by its alliance with that afterthought of Hahnemann, infi- nitesimal doses. The world only accepts one new idea at a time. It has great difficulty in accepting the law of 'similia similibus curantur; and the secondary an- nouncement, that exceedingly minute quantities of mat- ter, given in accordance with the above law, suffice in most instances to effect a cure, heighten the incredulity which the law itself has to encounter. I believe that although the discovery of the influence which minute particles of matter exert upon the human frame reflects the greatest honour upon the discoverer, yet it would have been better for the interests of society, could this discovery have been delayed for a hundred years, so that homœopathy might not have made her first appear- ance clad in a repulsive and unessential raiment. G CHAPTER V. PROVING OF MEDICINES. Ir is the fundamental doctrine of homeopathy, that whatever disease a medicine will produce, that disease it will cure. Hence, it becomes necessary for homeo- pathists to learn the effects of drugs upon the healthy body; and this study they have pursued with so great industry, that we possess at present a mass of informa- tion, which is almost embarrassing from its abundance. The method by which the properties of a medicine are investigated is as follows:-The investigator distributes among those of his friends who are willing to assist in his experiments, a certain number of doses of the medicine to be taken at certain intervals. Each indi- vidual, making the experiment, records minutely all the sensations painful or pleasant, and every other effect, whatever it may be, that he experiences. These records are afterwards collated by the originator of the investigation, and digested into a tabular statement. That the reader may form some idea of these tables, I subjoin a tabular view of the effects of mercury, which I have abbreviated from the work of Dr. Dunsford. MERCURIUS. HEAD.-Determination of blood to the head, with heat therein; sense of weight in the head; pressive PRINCIPLES OF HOMEOPATHY. 81 pain in the forehead, as if the brain were being forced out; tearing burning headache in the temples; head- ache, as if the head were firmly laced round with a band; tensive pain in the anterior part of the head; dull pain in the posterior part of the head; headache, as if the head would burst; burning itching in the scalp and on the forehead, increased by touch, feeling of tension over the head and face; perspiration of the head. p MIND. Stupefaction; absence of mind; dulness. DISPOSITION.-Corporeal and mental disquietude at night; disgust of life; peevishness and impatience. SLEEP.-Continual drowsiness by day; difficulty in going to sleep by night; light, disturbed sleep; inter- rupted by frequent waking. EYES.-Redness, swelling, scurf of the eyelids ; eruption round the eyes; inflammation of the eyes; intolerance of light, mist, sparks, or black spots before the eyes. EARS.-Tearing and shooting pains in the ears, inflammation. MOUTH.-Ulcers in the mouth with burning pain; fetid smell of the mouth; swelling of the tongue; tongue coated white or yellow. TEETH.-Gums swollen, separating from the teeth, painful to the touch-ulcerated, indented-itching, burning, redness, sponginess of the gums, which easily bleed; looseness and pulling out of the teeth; tearing pain in the teeth, affecting the whole of one side of the face, excited by cold and warm drinks, and by cold air, most violent at night, alleviated by external warmth and by rubbing. FACE.-Muddy, jaundiced complexion; redness, 82 PRINCIPLES OF HOMEOPATHY. 5 puffiness, scabby or pustular eruption in the face; corners of the mouth ulcerated; blackish colour of the lips and nose. THROAT.-Iuflammation and swelling of the uvula ; difficulty of swallowing; burning pain in the throat; inclination to swallow, with a feeling in the throat as if something stuck there which must be swallowed; inflammation, redness, and dryness in the throat; in swallowing, shooting pain in the throat, and in the tonsils even to the ear, aggravated at night, and in the cold air; sensation as if the food passed over an excoriated place; ulceration and suppuration of the tonsils; ulceration of the salivary glands; syphiloid ulcers in the throat; copious flow of viscous, fetid, and disagreeably tasted saliva; copious salivation. TASTE.-Taste putrid, bitter, or sour; insipidity of food. APPETITE.-Voracious appetite; loss of appetite ; speedy satiety on eating; dislike to warm food; violent burning thirst. STOMACH.-Tension in the region of the stomach; pressure at the pit of the stomach; great weakness of digestion, with constant hunger; burning pain at the pit of the stomach. ERUCTATION.Bitter eructations; empty eructa- tions, with putrid vapour in the mouth; tendency to vomit, with headache, giddiness, and heat; bilious vomitings at night. HYPOCHONDRIA.-Violent stitches in the region of the liver; inflammation and induration of the liver; jaundice. ABDOMEN.-Gripings in the bowels; feeling of emptiness in the lower bowels; sensation as of some- 12 PRINCIPLES OF HOMEOPATHY. 83 thing alive in the abdomen; swelling of the lower part of the abdomen, painful on being touched, with rattling and rumbling; pain in the bowels from exposure to cold; mucous, muco-purulent, and sanguineous diarr- hoa; dysentery; tenesmus. CHEST and other organs, presenting comparatively unimportant symptoms, need not be noticed. SKIN.-Itching watery eruption; violent itching over the whole body, especially in the evening and at night, when warm in bed. FEVER.-Sensation of violent ebullition and beating in the arteries; pulse generally quick, feeble, and irregular; constant coldness of the body; shivering, alternating with heat; dry heat in the evening; burn- ing heat in the day and night, with increase of the pain on being uncovered; copious and sour-smelling noc- turnal perspiration; perspiration in the morning. LIMBS.-Painful stiffness of the throat and nape of the neck; painful swelling of the glands of the neck; pain as of a bruise in the shoulder-blades, back, and sacrum; startings in the arms and fingers; hot swelling of the elbow and forearm; shining swelling of the legs, and joints of the feet; painful swelling of the bones in the soles of the feet; contraction of the legs, with cramps in the calves and toes. The value of this summary of the effects produced by mercury upon a healthy constitution is incalculable. Suppose, for example, a patient suffers from determina- tion of blood to the head, with the other symptoms affecting the head above enumerated as producible by mercury, we then know that this affection of the head 84 PRINCIPLES OF HOMEOPATHY. C can be cured by mercury-not given indeed in grain doses, but in doses of the hundredth, thousandth, or millionth of a grain. Suppose a patient to be affected with ulcers in the mouth, with burning pain; fetid smell of the mouth; swelling of the tongue; tongue coated white or yellow,' we know that he can be cured by very minute doses of mercury. Suppose a patient wishes to be treated on account of a 'muddy, jaundiced complexion; redness, puffiness, scabby or pustular eruption on the face; corners of the mouth ulcerated; blackish colour of the lips and nose,' we are sure that mercury is the proper remedy. In the same way, I might go over the whole of the effects attributed in the table to mercury. Wherever we find analogous symptoms spontaneously arising in the course of disease, we are able, confidently, to predict that they will yield to the administration of this drug. And what applies to mercury, applies also to every drug dis- covered or undiscovered. Should any botanist discover to-morrow a new plant growing in the deserts of Africa, or amid polar ice, and wish to ascertain its medical virtues, he has nothing to do but to exhibit to a com- pany of persons small doses of the herb, and to note down the effects produced. These effects, arranged in an orderly manner, will form a picture of the diseases. in which the new remedy will prove serviceable. Here is a wide field opened for the improvement and perfect- ing of the medical art! Let there be henceforward no idle lamentations over the insufficiency of medicine; but let every intelligent physician take this matter of the proving of drugs in hand. It is a herculean task: for over the surface of the earth are distributed thou- sands of plants, endowed with medical properties; and < Gr PRINCIPLES OF HOMEOPATHY. 85 many generations of men must pass away before they can all be investigated. Yet the toil rewards itself; for every new plant is specifically adapted to the cure of some disorder, which is at present either not at all, or only imperfectly curable. An inspection of the pathogenesis of mercury opens our eyes to the pernicious tendency of ordinary medical practice. The sheet-anchor of the general practitioner is mercury. Against the whole tribe of diseases, from inflammation down to indigestion, he employs this omnipotent mineral, and he hesitates not to prescribe it in even very large doses. In hepatic diseases, and in fever, our Anglo-Indian surgeons administer as much as twenty grains of calomel at a dose; and in London, in one cholera house, it was given in the same dose fre- quently repeated. Five, or four grains of calomel are very commonly exhibited as a purgative! Only con- ceive, four or five grains of calomel are very frequently given with the sole object of opening the bowels! Does then no other aperient medicine exist, that this uncer- tain and dangerous drug must be employed? Is there no rhubarb, castor oil, senna, jalap, scammony, aloes, colocynth, in the apothecary's shop? Why must calomel be given to open the bowels, when we know that this irritant poison is accountable for the production of so many chronic diseases of so many unhappy deaths? The reason why calomel is given in this instance, and in very many others is simply ignorance on the part of the prescriber, who has never studied the effects of the C *Pathogenesis (from pathos, disease, and genesis, production) signifies literally 'production of disease.' Pathogenesis of mercury siguifies the diseases, or morbid symptoms, excited in a healthy con- stitution by this drug. " ; 86 PRINCIPLES OF HOMEOPATHY. drugs which he administers. The ordinary practitioner, who recognises no relation between the curative effects of drugs, and the symptoms which they produce upon healthy bodies; who administers certain drugs in certain diseases merely because experience has shown that these drugs act beneficially in such diseases, has no motive for testing the disease-producing power of medicines. A knowledge of the pathogenesis of a drug does not teach him in what diseases it may do good. The man who gives bark in ague, because, having administered bark to healthy persons, he has found that bark is capable of producing an affection very similar to ague, has an interest in learning the other disease-producing effects (pathogenesis) of bark, in order that he may cure, by the exhibition of bark, analogous symptoms when they arise from different causes. But the man who gives bark in ague, only because it has been accidentally discovered that bark will cure ague, has no inducement to investigate the pathogenesis of bark. Hence the former, the homeo- pathist, is familiar with what we call drug diseases, and immediately recognises them when they meet his eye; while the latter, allopathist, knows nothing of this class of affections, and cannot even discern them when they are produced by his own incautious practice. Let me illustrate what I mean: The homeopathist who has studied the pathogenesis of mercury, is aware that this mineral, taken repeatedly in ordinary doses, causes a peculiar form of indigestion, which the reader may see described a page or two back. Now the allo- pathist is ignorant of this fact; consequently, when a patient, suffering from a slight bilious attack, claims his advice, he is treated by a course of black draught and PRINCIPLES OF HOMEOPATHY. 87 blue pill (a mercurial preparation.) Frequently the patient, after free evacuations, and a decided action on the liver, feels relieved, and flatters himself that he is cured. Not so. After a longer or shorter space of time, the bilious attack recurs with increased violence, and continues to return, at less and less remote inter- vals, notwithstanding that the practitioner keeps up a running fire of blue pill during the whole course of the complaint. At length a chronic indigestion is estab- lished, and blue pill ceases even to relieve for the moment. All this misery might have been spared the patient, had his medical attendant understood the pathogenesis of blue pill-had he only known that blue pill produces chronic inflammation of the digestive organs, disorder of the liver, bilious attacks, determina- tion of blood to the head, and a long catalogue of other symptoms. Suppose the patient whose disorder I have described, should at last take it into his head to consult a homœopathist. The first words the homoeopathist addresses to him, are, ' Sir, your present illness is caused by mercury. The heat of head and anomalous uneasy sensations-indicative of congestion of the brain—the despondency of mind, the nervous tremor and irrita- bility, the morbid state of the stomach, the disorder of the liver, the furred tongue-all these symptoms plainly announce that commonest of all drug maladies, mer- curial indigestion.' It is not mercury only, but almost all mineral medicines and strong vegetable drugs pro- duce morbid states of the stomach, liver, bowels, and head, known by the terms dyspepsia, indigestion, biliousness, nervousness. The ordinary practitioner, without knowing it, produces every day more or less aggravated cases of these maladies, because he is 88 PRINCIPLES OF HOMEOPATHY. not acquainted with the pathogenesis of the remedies. which he employs. I may here relate the case of a patient under hydropathic treatment for this complaint. I give the case in his own words: 'Jan. 1847, Mr. X. had a bad attack of influenza, and in May, 1847 (until which time it continued una- bated), Mr. X. found his digestive powers greatly im- paired. He consulted Mr. A., who prescribed gentian and taraxacum, without any beneficial results. In August, 1847, Mr. X. was so debilitated as to be obliged to give up for a time his professional duties, and con- sulted Mr. B., who prescribed in succession black dose, quinine pill, rhubarb powder, mixed with bicarbonate of potash, infusion of gentian, and blue pill. January, 1848, Mr. X., though utterly unequal to it, returned to his professional duties, but by August, 1848, was again. obliged to relinquish them, when he consulted Mr. C., who said that there was but one medicine that could cure him, and accordingly prescribed nitric and muri- atic acids, and compound rhubarb pill, telling him that he must take the draught twice daily for a month, and forbidding bread, puddings of all kinds, sugar, and liquids, except three hours after eating. In a few weeks, Mr. X. was less well, when Mr. C. prescribed ammoniated iron, and aloes pill, and afterwards zinc. February, 1849, Mr. X. consulted Mr. D., who pre- scribed successively prussic acid, bismuth, and sarsapa- rilla. May, 1849, Mr. X. consulted a homœopathic doctor, and found this, too, fail. August, 1849, Mr. X. consulted Mr. E., who prescribed in succession arsenic, prussic acid, blue pill, nitrate of silver, copper, oil of phosphorus, and strychnine. May, 1850, Mr. X. feeling that, from being unable to digest anything, and having S PRINCIPLES OF HOMEOPATHY. 89 for a year and a half lived entirely on vegetables and light puddings (on account of the extreme suffering caused by animal food), he would soon be starved to death, as a last resource, determined to try a German physician, and the waters of Ems. Under the influence of certain herbal decoctions (of senna, wormwood, sarsa- parilla, etc.) Mr. X. regained, in a measure, his power of digesting animal food. May, 1851, Mr. X. again went to Germany. and again derived some little benefit from a repetition of the treatment and the tonic waters of Schwalbach, but was still utterly unfit for work of any kind, from weakness of digestion and general debility." Such is a brief account of the mal-treatment undergone by one dyspeptic patient, who seemed destined to receive into his stomach all the deadly poisons that the inge- nuity of man has discovered. At various periods he was treated by purgatives, as epsom salts, senna, aloes, and rhubarb; vegetable bitters, as quinine and worm- wood, and gentian; vegetable demulcents, as sarspa- rilla; mineral acids, the nitric and muriatic; alkalies, as bicarbonate of potash; irritant minerals, as blue pill (mercury), ammoniated iron, zinc, bismuth, arsenic, nitrate of silver, and copper. In addition to this fear- ful list, he took prussic acid, strychnine, and oil of phosphorus! And these were the means by which it was proposed to cure a weak digestion! But what says the homœopathist on this subject-or rather, what say the drugs themselves, when interrogated as to their action on the mucous membrane of the stomach? Why, that, given in the doses which Mr. X. took, they pro- duce in healthy persons chronic inflammation of the stomach, and consequently, at first impairment, and afterwards, utter ruin of the digestive powers. Their - 90 PRINCIPLES OF HOMEOPATHY. exhibition, therefore, in the same dose, to a person already suffering from weak digestion, must, of neces- sity, increase the pre-existing evil. I subjoin a few condensed extracts from the great work of Jahr, which exhibit the symptoms produced in healthy individuals by the following drugs :- 'NITRIC ACID. Sour taste in the mouth; great thirst continually ; want of appetite; nausea after eating; aversion to everything; violent hunger; eructation; flatulence. long after-taste of the food; vomiting; heartburn; distension of the stomach and abdomen; headache above the eyes; heat and redness of the face; excessive languor; chilliness, paleness, and coated tongue; anxiousness; all her limbs tremble and feel weary, she has to lie down. Pain, pressure, cramp, gnawing, burning pulsation at the pit of the stomach. 'BISMUTH (NITRATE). Slight nausea; pressure at the stomach, passing into a burning pressure over the forehead; giddiness, with humming in the ears; redness of the conjunctiva, and quick, rather hard, small pulse. Inclination to vomit and actual vomiting, with excessive anxiety; small pulse, giddiness and prostration. Repeated easy vomit- ing of bile; ditto, with empty eructations, Diarrhoea, gagging in the throat, burning in the stomach, followed by much flatulence, pressure in the stomach, giddiness, headache, particularly in the forehead, redness of the eyes, and dimness of sight, with small contracted, rather hard, frequent pulse, elevated temperature of the body, white coated tongue, loss of appetite, thirst. .. J PRINCIPLES OF HOMEOPATHY. 91 'ARSENIC (ARSENIOUS ACID). Perversion, or loss of taste; violent unquenchable burning, suffocative thirst, obliging him to drink fre- quently, although but little at a time; loss of appetite; food is repulsive to him, he cannot get it down; bitter eructation after a meal, with gulping up of a greenish, bitter mucus; gulping up of an acrid fluid; nausea, with great anguish; nausea, with fainting; tremor, followed by heat and shuddering; waterbrash, shortly before and after a meal; vomiting of fluid, blueish dingy yellow substance, followed by great exhaustion; vomiting of blood; diarrhea; excessive pains in the stomach and pit of the stomach; pain as if the stomach were torn to pieces; great painfulness to the touch; pressure at the stomach, with weight as of a stone; spasmodic, or cutting, or tearing, or boring, or gnawing and corrosive sensations at the pit of the stomach, with anxiety and excessive anguish. 'SILVER (NITRATE). 'No appetite, or unusual appetite; violent eructation; faintish sort of nausea, with palpitation of the heart; vomiting, diarrhoea and colic; trembling and throbbing in the stomach; hard pressure near the pit of the stomach, on the right side, which is more intense during a deep inspiration; weak stomach; food oppresses the stomach like a dead weight, and drags it downward; eructations; tasting of the food even eight hours after a meal. In the morning he dreams that he is hungry; this sensation wakes him; on awaking, he finds himself attacked with violent spasm of the stomach, which is accompanied by hunger, nausea, and considerable flatu- lence; burning in the stomach and chest ; inflammation of the stomach.' 92 PRINCIPLES OF HOMEOPATHY. It is unnecessary to quote the effects of other drugs, as iron, zinc, copper, prussic acid, and phosphorus. They all agree with those which I have described as produced by nitric acid, bismuth, arsenic, and nitrate of silver. They all agree in producing inflammation of the stomach, and chronic impairment of the digestive powers. Yet these drugs, in the very doses which caused, in healthy persons, weakness of digestion and inflammation of the stomach, are given by allopathic practitioners to cure these affections-with what result, let Mr. X. testify. Į ! CHAPTER VI. HOMEOPATHY IN ACUTE DISEASES. Ir is frequently urged by the opponents of homœo- pathy-and admitted by those who, in consequence of being only half instructed, only half believe in the system that although it may be very efficacious in a variety of chronic cases, yet a person must be very rash, if, when attacked by acute disease, such as fever and inflammation, he rely upon the infinitesimals employed by the adherents of the new school. It is for the benefit of this class of objectors, that I write the following remarks :- 1. It is the ordinary practice of homoeopathists to give larger doses of medicine in acute, than in chronic diseases. During the period of urgent danger, when immediate, almost instantaneous, effects are desired, remedies are frequently exhibited in sensible quantities; so that, in many instances, the medicine has both taste and smell, and is easily recognized by chemical tests. It is not denied that the doses administered are smaller than those employed by allopathists; but they are, in many cases, not infinitesimal. 2. Cases of poisoning and of drowning are, in the first instance, treated by homoeopathists and allopathists in precisely the same manner. For example: if a person has taken poison, emetics are given, in order to ... 7 94 PRINCIPLES OF HOMEOPATHY. empty the stomach, and afterwards chemical antidotes are prescribed. Only after the poison has been evacu- ated or neutralized, does homeopathic differ from allopathic treatment. 3. All the appliances of surgery and midwifery, as splints, bandages, chloroform, ergot, etc., are used by the partisans of the new system. 4. Homœopathic practice is brilliantly successful in acute diseases; witness the statistics quoted at the end of this work of pneumonia, pleurisy, and peritonitis. 5. It may be clearly shewn that the ordinary system, when not ineffective, is injurious; and, consequently, that it is at least as safe in the one case, and infinitely more safe in the other, to trust to homeopathy, even if this latter be regarded as a do-nothing system; for it is better to do nothing, than to do harm. Let me illustrate this position by a few examples; and first, we will consider the nature and treatment of fever. As regards this disease, allopathic practitioners are divided in opinion. There are those who maintain that all active treatment is injurious; for fever, they say, runs a definite course, and must go through its various stages, if the patient is to recover with the least amount of mischief possible. In the great majority of cases nature will effect a cure; but if nature should be unable to accomplish this result, the physician will be equally powerless. Dr. Pitcairn ridiculed the idea of curing fever, and compared the presumptuous doctor who should undertake that hope- less task, to a pilot who, instead of resting satisfied with steering his ship through the rocks, should attempt to quell the tempest. The advocates of this principle repudiate the endeavour to cut short a fever; they grant } PRINCIPLES OF HOMEOPATHY. 95 that in many cases, by the administration of purgatives, by sweating, or by cold water, fever may be abruptly stopped in its course, and perhaps permanently cured; but they argue that in all these cases, nature undis- turbed would gently, quietly, and safely have effected a cure; so that the rude interference of the physician was, even in this case, uncalled for. Moreover, they assert that it frequently happens that the means em- ployed to cut short a fever fail to fulfil the intention, and that in all these cases the disease is aggravated, and perhaps prolonged. This sect of the allopathic school advocate what is called médicine expectante; that is to say, entire reliance upon nature. They use neither bleeding nor calomel; some administer an occasional dose of castor oil, and frequently give effer- vescing draughts and cooling mixtures. This they call guiding a patient through the disease. The oppos- ing sect preaches the doctrine that nature is, in very many cases, incompetent to effect a cure, which, how- ever, may easily be accomplished by art. Those who embrace this opinion, aim, if possible, at cutting short fever; failing in this point, they freely prescribe medi- cine, and act, as they say, with vigour. James's powders, or other antimonial preparations, nitrate of potash, saline purgatives, cooling mixtures, are admin- istered in the first instance, with the object of dimin- ishing the frequency of the pulse, reducing the heat of the body, and releasing the secretions; when the second stage, or that of debility, is formed, wine, bark, ammonia, serpentary, and other stimulants, are imme- diately recommended. The reader will notice that the treatment adopted by this sect is antipathic; that is to say, that the remedies act in opposition to the symptoms 96 PRINCIPLES OF HOMEOPATHY. of the disease; 'for example, when the pulse is accele- rated, a drug is prescribed whose property is, even in healthy bodies, to diminish the frequency of the pulse; heat of skin is met by cooling drugs; constipation by aperients; dryness of skin by sudorifics; debility by stimulants. As far as possible, the antipathic sect endeavours to reverse every symptom which arises in the course of disease, believing that nature frequently fails in curing disease; that when she succeeds, the cure is clumsy and incomplete, and that therefore healing is the peculiar province of art. Now, I think it is obvious, that the disciples of médicine expectante and the antipathic practitioners, are both wrong. The former trust too much in nature, and the latter too much in art. The experience of every day refutes the doctrine of the omnipotence of nature; for certainly not a day passes but many indi- viduals, who have suffered many years from chronic complaints which nature was evidently unable to remove, are cured by art. This is the universal per- suasion of mankind, and is unquestionably true. But if it be true as regards chronic diseases, why should it not also apply to acute diseases? and that it does apply to acute diseases, nearly every body can vouch; for how often do we see persons evidently snatched from the grave, by the application of the right remedy at the right moment! In the teeth of universal experience, and the general conviction of mankind, and the sug- gestions of common sense, it is folly to say, with the propounders of the médicine expectante, that art can do nothing. On the other hand, universal experience and the general conviction of mankind, and common sense PRINCIPLES OF HOMEOPATHY. 97 itself, equally repudiate the doctrine that art is all in all, and should invariably be pitted against nature, and counteract all her operations. The due medium between the conflicting opinions. just detailed seems to be the following, which is that adopted by the homeopath. Nature, it is argued, always attempts to throw off disease: sometimes she succeeds, very frequently she fails. What we call the symptoms of a disease, are natural actions which in some way tend to expel or destroy, or get rid of its presence. Thus the heat of skin, and quick pulse, and confined bowels, and other symptoms which accompany fever, have, unless they run into excess, a curative tendency. They constitute the process by which nature restores to health a body which has accidentally received the febrile infection. Hence, violently to lop off, as it were, these processes, is to impede and perhaps destroy the possi- bility of recovery-to shut up the disease in the economy. But what we have to do is to watch these processes—to hold them in check if we see them dege- nerating from curative into morbid phenomena, to encourage their evolution, if we find them backward in development and so rather to adjust the intensity of the symptoms, than either violently break them down, or allow them to run their free course. As an illustration of my meaning, let us consider three of the most prominent symptoms of fever, viz. thirst, heat of skin, and loss of appetite. These symptoms are evidently instituted with a curative intention. The first prompts the patient to imbibe copious draughts of water, which, as it is well known, is an admirable febrifuge. The second induces the sufferer to seek cool fresh air, which, since the time of Sydenham, has universally been considered 98 PRINCIPLES OF HOMEOPATHY. indispensable to a quick and safe recovery; and when in excess, this symptom suggests general ablution of the body by cold water-a practice which Drs. Currie and Bateman, and lately Vincent Priessnitz, have carried out with great success. The third symptom, viz. loss of appetite, by compelling the patient to abstain from food, leaves the destructive force (z) uninterrupted action; so that, slowly and gradually, the body of the patient and his disease are disintegrated, and worn away; but at the expiration of a certain time (when the disease has been removed by z), the reconstructive force (A) recovers its energy (period of convalescence), and the individual, regaining his appetite, eats largely, and is restored to health. The remaining symptoms which appear in the course of a fever, are, like thirst, loss of appetite, and heat of skin, curative efforts, and should by no means be treated antipathically, that is to say, opposed or reversed. True it is, that sometimes these symptoms go beyond the necessary limits, and themselves threaten the patient's life. For example: the headache, which occurs in almost every fever, may merge into delirium; the constipation may become in- flammation of the bowels. Here, then, is the proper opportunity for the exercise of art. In the first case, it is required to check delirium; in the second, to put a period to inflammation. In this dilemma, the followers of médicine expectante fold their arms and say: 'No. Let nature go through with it. We will not interfere.' The antipathic heroes, in the first instance, apply ice to the head; leech or cup; purge; and finish up with small doses of mercury. This is the practice satirized by the witty German : .. PRINCIPLES OF HOMEOPATHY. 99 Ich habe es mit mitleiden gelesen, Dass du jûngsthin todtkrank gewesen ; Aber du hast nicht wohl gethan, Dass du viel artznei gewendet an. Denn ich habe oft und viel erfahren, Dass, besonders in den jüngeren jahren ; Die sich selbst überlass'ne natur, Mehr wirkt als die beste mixtur. Observe the roundabout methods by which it is hoped to stop delirium. Of the blood drawn from the general circulation (for although the leeches are applied to the head, yet the blood which they suck is not derived from the brain, because the brain and its blood are protected from the leeches by a box of bone)—of the blood drawn, how small a quantity, if any, is taken from the actually suffering part! The purgatives, no doubt, by drawing off a quantity of serum from the blood, enfeeble the action of the heart, so that a smaller quantity of blood is sent to the brain; and the mercury will also, in some cases, act upon the brain in conjunction with the other organs of the body, as the liver, kidneys, salivary glands, etc. Set beside this rude method, the practice of the homœopath appears to the greatest advantage. He administers a remedy which acts specifically upon the circulation through the brain, and affects no other part of the economy. He does not require to irritate the intestines; to enfeeble the heart; to inflame the liver; to reduce the general power. His remedy touches the brain, and the brain only. He moderates the symptom which has run to a morbid excess, without inter- fering with nature's plan in any other particular. The an- tipathic practitioner can only get at the brain through other organs. He can only influence the system gene- 100 PRINCIPLES OF HOMEOPATHY. rally. Hence, if in any case the stomach and bowels and liver, and heart, and skin are doing their best to assist the recovery of the patient, all those organs must be powerfully and medicinally influenced (so that perhaps one or more of them may be thrown altogether out of order), before the offending brain can be reached. The assertion, therefore, that the ordinary treatment of fever, when not ineffective (médicine expectante), is injurious, appears fully borne out; for even if we grant that the particular affection, against which antipathic measures have been directed, has been relieved, yet other new, although it may be less important, affections have been originated. So much for the treatment of fever. How does the case stand with inflammation? According to the ordi- nary theory which regulates the ordinary treatment, inflammation is excess of vital power, manifested by increased functional activity, and superabundant forma- tion of blood. Andral has even proposed to substi- tute for the term inflammation a word of his own coinage, hyperomia, which signifies 'excess of blood,' in order more clearly to express his view of the nature of the process. It is certainly true, that during the prevalence of inflammation in any organ, the blood, by chemical analysis, is found to contain an undue propor- tion of fibrin, which frequently rises from 2 to 33 parts in a thousand. Now, as fibrin is believed to be the most highly vitalized ingredient in the blood, and the material of which the growing organs of the body are built up, it seems not unreasonable to conclude that inflammation is essentially an augmented vital energy, a sort of surplus strength or excess of health, and that it requires a reducing treatment. Observe the hard, 1 PRINCIPLES OF HOMEOPATHY. 101 strong jerking pulse, the flushed countenance, the general tumult in the organism! What strength, what power is there exhibited? No wonder that the physi- cian is often induced to attempt by lancet, and leech, and purgative, and mercury, the specious task of 'knocking down' the disease. But a sad fallacy is hidden behind these phenomena. In the first place, excess of fibrin in the blood does not indicate excess, but is often accompanied by remarkable diminution of vital power for it is well known that scurvy and chlorosis (alias green sickness), both indisputably dis- eases of debility, are attended with augmentation of fibrin. Moreover, recent physiologists support by plausible arguments the opinion, that fibrin is not the material from which the body is nourished, but rather that it is a result of the degeneration of the living tissues; so that actually, instead of the most highly vitalized ingredient of the blood, it may be a devitalized substance. : Again those who interpret the phenomena of in- flammation to indicate increased power, and therefore denominate this condition a sthenic state, confound power with excitement. A maniac, in the paroxysm of his fury, is apparently endowed with additional strength; but it is not so: he only puts forth a much larger amount of the strength that is in him than on common occasions and see, when the paroxysm is over, he is feeble and utterly exhausted! If he had, during the paroxysm, received an absolute influx of strength, at the conclusion of the paroxysm, when this influx was spent he would, at all events, only be as he was before. But, no: the strength is all gone out of him. At the very moment when he was supposed to : 102 PRINCIPLES OF HOMEOPATHY. be exercising superabundant strength, he was only wast- ing the power latent, as it were, in the organism. It is the same with inflammation. The pulse beats quicker, and harder, and more resistingly against the finger; but not on account of increased strength in the pulse, nor arterial system, for in a little while the pulse will become correspondingly feeble. The pulse is excited, so perhaps is the breathing, and so perhaps are other functions; but this excitement is temporary, and will be succeeded by depression, and at the worst by paralysis. In truth, inflammation, like all other diseases, is a disease of debility. The vital force (constructive power A) has, for the time, yielded to the destructive power (z), which some morbid influence, perhaps exposure to cold and damp, has unduly exalted: hence to augment this debility by such agencies as blood-letting, violent purging, free mercurialisation, is in the highest degree dangerous. Although opposed to the ordinary belief, I am by no means singular in my opinion, that inflam- mation is a disease of debility. According to Vacca, for instance, it is a weakness of the capillary vessels; according to Pistelli, a diminished contraction and depressed activity of the vessels. Gregory likewise inclines to that opinion; according to him debility, want of irritability, atony, are predisposing causes of inflammation. His opinion is derived from the fact, that feeble subjects are most liable to inflammations. Reil, G. Gruithuisen, and many others, likewise admit that debilitating influences predispose to inflammatory diseases and Rau declares, that it may seem para- doxical to assert that every inflammatory disease depends upon an absolute or relative weakness of the vital force; this is nevertheless true for if the vital PRINCIPLES OF HOMEOPATHY. 103 force were strong enough, it would counterbalance or overcome every morbific influence. There are organ- isms that are strong enough to resist almost any con- trary influence.' At the very onset of inflammation, how remarkable a diminution of muscular power takes place! What lassitude oppresses the patient! How unfit does he at once become for any exertion, whether corporeal or mental! Surely here is no indication of superabounding strength, but the contrary. The vital power is evidently below par; for, were it exalted instead of diminished, the patient would not suffer from disease, but manifest unusual health. Disease is the ascendancy of the destructive force over the con- servative-of z over a; hence, in every possible in- stance the patient's strength suffers reduction; and in acute maladies, this reduction is effected with great and continually increasing rapidity, It is, therefore, in the highest degree injudicious, much to accelerate the declining strength-to confirm the supremacy of z-by copious blood-letting, free purgation, or other debili- tating measures. True it is, as in a previous chapter I have shown at length, that vital power can only (except in the case of mesmeric action) be exalted by agents which depress. But not all debilitating influ- ences are capable of being so handled, as by their reactive effects to cause increased strength; and this is the case with bleeding and purgation in acute disease. Their primary debilitating influence weakens to such an extent, that death ensues before reaction can take place hence measures of a very different nature are advisable, and the safest as well as the most efficacious, are homœopathic remedies. B ! CHAPTER VII. CASES. IN presenting to the reader a certain number of cases treated homoeopathically, as practical illustrations of the doctrine advocated in the foregoing pages, instead of narrating those which I have myself treated, I have thought it better to collect certain published cases which have some especial interest, either from the high rank of the patient, or the distinguished position of the practitioner, or the anomalous chance that an opponent of our principles should, by following our practice, achieve a brilliant confutation of his 'preconceived ideas.' I have recorded one case which I treated myself, because it was a case of peculiar interest, as it afforded an opportunity of testing the comparative value of the three systems, viz. the allopathic, as adminis- tered by hospital physicians; the hydropathic; and the homœopathic, in acute bronchitis-a dangerous disease, which is admitted on all hands to require prompt and decided treatment; and in order to afford a specimen of the manner in which cases are written out by homœo- paths, with the view of gaining an accurate know- ledge of all the symptoms. Case of Marshal Radetzky, by Dr. Hartung. TUMOUR OF THE EYE. Marshal Radetzky, in the 79th year of his age, was M PRINCIPLES OF HOMEOPATHY. 105 in the enjoyment of good health, when on the 9th of October, 1840, he exposed himself on horseback at a great review, during five hours alternately to a scorching sun in the valley and a light cool wind on the heights. Soon after his face became red; towards evening a violent fever set in, with such a head-ache in the right side of the forehead, that his Excellency assured Dr. Hartung, that were it to continue long he should not be able to endure it. The eye was much inflamed, and protruded from the orbit. About one o'clock that night the head-ache left, and the eye returned to its place. After a time the cure so far progressed, that nothing but redness of the lower eye-lid, watering of the eye, and a slight swelling at the external angle remained. Nearly two months after a swelling, of the size of a bean, formed at the inner angle of the eye; the swelling at the external angle increased, and the eye protruded considerably. There was occasional pain, and violent congestion of the head. The tumours continued to enlarge, and assumed a notable purple colour. The motions of the eye were restricted, and, at last, entirely arrested; the eye was turned out of its proper di- rection by the growth of the fungus-like, elastic, granular, purple, painless swelling between the eye- ball and the nether lid, and vision was considerably impaired. At this stage of the complaint Dr. Flarer, professor of the diseases and treatment of the eye in Pavia, was called in, and this gentleman declared that neither allopathy, homeopathy, nor hydropathy, nor any other mode of treatment, could effect a cure; that his Excellency must die, either from consumption or apoplexy, and that he could prescribe nothing. This opinion coming to the ears of the Emperor of Austria, 106 PRINCIPLES OF HOMEOPATHY. his Majesty immediate dispatched to Milan Dr. Jäger, K.K., Imperial Counsellor, Staff Surgeon, and Professor in the Joseph's Med. Chir. Acad., who was famous for his knowledge of diseases of the eye. Accordingly, on the 26th of January, 1841, Drs. Jäger, Flarer, and Hartung, met in consultation, and Dr. Jäger pro- nounced the case incurable, asserting that the affection arose from a constitutional disorder; that an operation could be of no service, and that he knew of no remedy for internal use. Hereupon the allopaths departed, and the patient was left entirely in the hands of Dr. Hartung, who, by the employment of homœopathic remedies, had the pleasure, in one and a half months, of effecting the entire disappearance of the tumours, the restoration of the motion of the eye, and of the power of vision, and, in short, a complete cure, with the exception that on the margin of the lower lid there still remained a little fulness, and the eye wept. But at a subsequent period even these symptoms were re- moved. The report of this extraordinary case, it may be supposed, excited general attention; and many attacks were made by prejudiced and interested indi- viduals, upon Dr. Hartung and homeopathy. The effect of these attacks was to elicit from Marshal Radetzky the following letter:- 'I hereby certify that Dr. Hartung, Imperial Counsellor and Staff Surgeon, during a service of ten years in the Lombardo-Venetian Army has discharged his duties with the highest success, and has, by a careful inspection of the hospitals under his direction, deserved the thanks of govern- ment. Many patients in a hopeless condition owe their lives to his zeal and science. I personally owe him everlasting gratitude; he saved my life in a disease, which PRINCIPLES OF HOMEOPATHY. 107 by the most experienced physicians had been declared incurable. To him alone, therefore, I owe my preservation; and to him alone I owe it that I am still able to fulfil those duties which our most gracious sovereign, the Emperor, has been pleased to assign to me. 'RADETZKY, M.P., Field Marshal. Milan, April 4th, 1842.' Cases in St. George's Hospital, by Dr. Fuller. BRITISH CHOLERA. The cases which I next quote, together with some remarks appended by the gentleman who treated them, are taken from the Medical Times and Gazette, January 10th, 1852. They are beautiful specimens of genuine homœopathic cures, and also glaring instances of the stubbornness with which medical men reject the law of similia similibus curantur, even when proofs of its correctness are visible in their own practice. 'ON SULPHURIC ACID, AS A CURE FOR DIARRHEA. By HENRY WILLIAM FULLER, M.D., Cantab, Assistant Physician to St. George's Hospital, and Lecturer on Forensic Medicine in the St. George's Hospital Medical School. 'Among the various medicinal agents in the Pharma- copœia, none according to ordinary notions seems less likely to check an attack of diarrhoea, and to relieve the griping which attends it, than sulphuric acid. Causing, as it often does, uneasy pinching pains in the abdomen, and not unfrequently a tendency to purging, it affords but little prospect of relief in a complaint of which these are prominent features. Acting too, as it does, most strikingly as a refrigerant, it seems ill calcu- lated to alleviate a disorder which, in its severer forms, is characterised by alarming collapse (general coldness, 108 PRINCIPLES OF HOMEOPATHY. sinking of the circulation, and prostration of strength). Nor do the other symptoms of the disease hold out any greater encouragement for its administration. The furred and yellow tongue, the sour taste in the mouth, and the acid state of the matters rejected from the stomach, appear to contra-indicate its use, and to afford a guarantee for the soundness of those views which have induced the profession to rely upon calomel, opium, chalk, and other medicines, having a tendency to allay the morbid irritability of the stomach and bowels, to counteract the extreme acidity of the primæ viæ, to improve the character of the secretions, and to carry off any acrid and offending matter which might serve to keep up existing irritation. So obvious indeed are these indications for treatment, and so general the adoption of a remedial course founded upon them, that few persons have had recourse to any other remedies. Some, indeed, who value the labours of their pre- decessors, and have consulted Dr. Pemberton's admi- rable work on the abdominal viscera, may have remarked that, when speaking on the subject of diarrhoea, he recommends the administration of large and repeated doses of the sulphate of alumina, when chalk and catechu, and other similar medicines, have failed. Some, too, there are who, acting on local or family traditions, have employed the compound infusion of roses (which contains a small quantity of sulphuric acid), with small doses of the sulphate of magnesia, as a cure for diarrhoea and its attendant evils. But neither Dr. Pemberton, nor the various practitioners alluded to, have attributed the successful issue of their treat- ment to the agency of the sulphuric acid, which either free, or in combination with a base, has formed an PRINCIPLES OF HOMEOPATHY. 109 ingredient in their various prescriptions. Indeed, the only notices we possess of the the marvellous efficacy of this remedy in diarrhoea, are contained in the original letter from Mr. Griffiths, published in the Lancet about three months ago, and in one or two brief statements in the journals within the last few weeks. The record, therefore, of the following severe cases in which I prescribed it, without admix- ture with any other medicinal agent, and in which its effects were closely watched by many pupils of the hospital, and by other persons interested in the result of the treatment, may serve to direct increased atten- tion to a remedy, which is destined, I believe, to effect a complete revolution in our treatment of this troublesome, and not unfrequently dangerous class of maladies. Thomas Goodwill, aged 49, a gentleman's servant, was admitted into the Fuller Ward of St. George's Hospital on the 6th of September, 1851. He had been quite well the previous night; his bowels had acted comfortably, and he had eaten nothing likely to disagree. Such was his history up to 7, A.M., on the morning of his admission, when he was seized with severe pains in the bowels, cramps in the extremities, vomiting, and pale watery purging. 'At 11, A.M., when he applied for admission into the hospital, these symptoms continued with increased severity; he was doubled up with pain in the belly, and his extremities were drawn into knots by cramp. Indeed, so excruciating were his sufferings, that he had to be carried up to bed. His countenance was anxious, his features were pinched and drawn, his extremities very cold; his tongue was very dirty, and dry in the and dry, in the 8 110 PRINCIPLES OF HOMEOPATHY. centre, but moist at the edges; his pulse rapid, small, and very weak; his urine scanty, pale, or, indeed, almost colourless. He was ordered as a draught, to be taken every hour:— Dilute sulphuric acid, 20 drops. Water, one ounce and a half. He vomited about a quarter of an hour after taking the first draught; but after taking the second, which he did immediately on the rejection of the first, he neither vomited nor was purged, and when I visited him at 1, P.M., he was quite warm, and comparatively free from pain. I therefore ordered the medicine to be repeated every second hour only. At 4, P.M., I found him warm and perspiring, and almost free from pain. He had been sleeping quietly for about an hour and a half; his bowels had not acted again, nor had there been the slightest return of nausea or vomiting. The medicine was therefere repeated at still longer intervals (every three hours), and was omitted altogether for a time, during the action of a rhubarb draught, which I ordered him to take in the evening. 'On the 7th (the following day), I found that he had passed a comfortable night, and had slept well. There had been no return of the pain, nausea, vomiting, or purging. His bowels had acted once after the rhubarb, and his tongue was much cleaner. Repeat the acid draught every six hours. The rhubarb draught to-morrow morning. 'On the 8th he was quite well; but I kept him in the hospital until the 9th, lest there should be any recur- rence of the symptoms. Such, however, was not the case, and he was therefore discharged on the morning of the 9th. PRINCIPLES OF HOMEOPATHY. 111 Charles The other case is of the same character. Hanscomb, aged 64, was admitted into Fuller Ward on the 9th of September, 1851. His attack, which had not been preceded by any disorder of the bowels, nor by any irregularity, nor imprudence of diet, com- menced suddenly on the night of the 7th, with vomit- ing, purging, and crampy pains in the abdomen. During the thirty-six hours which elapsed between his seizure and his admission into the hospital, he had no medical advice, and the symptoms, which at first were comparatively slight, increased gradually in severity, and became accompanied by violent cramps in the extremities. 'On admission into the hospital, his features were collapsed; his face was of a blueish tinge; his expres- sion anxious. His extremities were icy cold, and had lost all power of sensation; his breath also was cold, and he was shivering violently. Indeed, he stated that he had not ceased shivering during the last six hours. His tongue was yellow and furred, and rather dry; pulse 100, extremely weak. He was vomiting and purging incessantly, and indeed vomited once, and was purged once during the short time which elapsed, before he could be got into bed. The dejections were pale and watery, and the matters rejected from the stomach acid, and almost colourless. I ordered Dilute sulphuric acid, 25 drops. Water, one ounce and a half. 'The draught to be taken immediately, and repeated every hour. At half-past three, P.M., I found him warm and perspiring, and comparatively free from pain. He had vomited about 20 minutes after taking the first dose of 112 PRINCIPLES OF HOMEOPATHY. the medicine, but a second dose was then immediately administered; and since that time there had been no return of nausea or purging, and the cramps had entirely ceased. Repeat the acid draught every two hours only. 'Six, P.M., no return of vomiting or purging; and has no longer any pain in the abdomen, or in the extremities. Repeat the acid draught every six hours if needful. 'Sept. 10. Slept soundly all night; omitted the medicine after the first five doses, and has had no return of pain, sickness, or purging. Feels quite well, and is going to leave the hospital this morning, the tongue being moist and almost clean, and the bowels having acted once comfortably. I have thought it right to give the above details, as entered in my case-book, without comment; but I would add, in explanation, that I have seldom seen more alarming cases. In both instances the collapse. was very great; in both the breath was quite cold, and the cramps in the abdomen, and in the extremities, were very severe in both, the tongue was exceedingly furred, the urine was nearly suppressed, and the alvine evacuations were pale and watery. No cases can be conceived, less likely, à priori, to be benefited by the administration of sulphuric acid; yet in both the happiest results ensued. No vomiting nor purging occurred in either instance after the second dose of the medicine, or in other words, after the treatment had been continued half an hour; and at the expiration of an hour and a half, when three doses had been taken, the patients were warm and comparatively well. In PRINCIPLES OF HOMEOPATHY. 113 the first case, seven doses of the medicine; and in the second, five doses only were given; and in the first, a rhubarb draught was administered, only because my preconceived ideas had led me to imagine what sub- sequent experience has proved not to be the fact, viz. that the administration of some purgative is necessary to carry off offending matters from the bowels. Since the cases just detailed fell under my care, I have had ample opportunities of testing the value of sulphuric acid in diarrhea, and I can speak confidently as to its curative power in such cases. I have administered it in private practice, and in my practice at St. George's Hospital, to twenty-seven patients, the whole of whom, with three exceptions, derived immediate and striking benefit. The sickness speedily abated, the purging ceased, and the pain in the abdomen shortly subsided.' The reader will not fail to observe that Dr. Fuller's cases related above, were cases of British cholera, and that they were cured by a medicine, which, when administered to a healthy person, produces symptoms very like those which attend this disease: consequently the treatment was homoeopathic. In all this, there is nothing but what is of every-day occurrence; yet it must be confessed that it is not a matter of every-day occurrence to find a hospital physician treating his patients homœopathically, curing them magically, cry- ing out how contrary facts are to his preconceived notions, and awarding the honour of that difficult dis- covery to Mr. Griffiths. The great medical question of the present day is Homœopathy, or No Homœopathy; and a large majority of the medical practitioners are for No Homœopathy. The Edinburgh Court of Examiners refused to certify 114 PRINCIPLES OF HOMEOPATHY. the medical acquirements of Mr. Pope, until he should promise never to practice homoeopathy. The licensing body of Apothecaries withdrew their diploma from Mr. Blake, because he became a homoeopathist; and the Lancet, January 10th, 1852, says: 'We were not simple enough to hope we could destroy outright the brood of Hahnemann. We knew well enough that we might, by attacking them, give them the benefit of greater notoriety for a brief period. To all this they are perfectly welcome. But the object we did set before us, was that of separating this fraud, and its knavish foolish followers, from the practice and the practitioners of legitimate medicine. We determined to thrust them forth among the outer quackeries with which honest men can hold no communion.' In the face of all this, Dr. Fuller openly practises homeopathy at St. George's Hospital, and publishes his cases in a medical journal; but Dr. Fuller has no wish to incur the wrath of colleges, and objects to be thrust forth by the Lancet among the outer quackeries with which honest men can hold no communion;' so he quietly prefaces his homeopathic cures with the remark, that indeed all his preconceived ideas are allopathic, and, of course, no one could suppose, à priori, that sulphuric acid is capable of curing diarrhoea, seeing that sulphuric acid tends to produce diarrhoea; but Mr. Griffiths certi- fied the fact-unaccountable as it is-and experience proved to Dr. Fuller that Mr. Griffiths was correct. So Dr. Fuller continues to treat diarrhoea by sul- phuric acid (homoeopathically); to admire the mar- vellous efficacy of Mr. Griffiths' system (homeopathy), to deprecate the employment of calomel, chalk, opium, etc. (allopathy), and yet eludes the anathemas of the PRINCIPLES OF HOMEOPATHY. 115 Lancet, which is resolved to separate this fraud (homeopathy), and its knavish foolish followers, from the practice and the practitioners of legitimate medi- cine.' Dr. Fuller is wise in his generation; but apparently in addition to the subtlety of the serpent, he possesses the meekness of the dove. Knave and fool are terms which are hard to cope withal, and a respectable physician will not expose himself to such injurious appellations, but rather take refuge in a gentle mystification, and hang a tatter from the cloak of Hahnemann upon the shoulders of Mr. Griffiths. How admirable-as opposed to this disingenuous pro- ceeding was the conduct of the late Mr. Liston, who, instead of beating about the bush, and seeking for ambiguous excuses, after treating successfully a case of erysipelas by aconite and belladonna, declared that he was inclined to attribute his success to the treatment, both local and general, which had been employed, particularly to the administration of belladonna. This the students might be aware was given on the homeo- pathic principle, the doses only being somewhat in- creased. They had all probably seen the good effects of the aconite, and some of the other remedies em- ployed by the advocates of homoeopathy.' Cases in the North London Hospital, by Mr. Liston. ERYSIPELAS OF THE HEAD. Shortly after the death of the late eminent surgeon, Mr. Liston, his friend, Dr. Quin, published among others the following statements, which are extracted from his letter:- I have, in the first part of this letter,' says Dr. Quin, 'alluded to the favourable opinion entertained by Mr. 116 PRINCIPLES OF HOMEOPATHY. Liston of some of the homeopathic tenets. Fortunately, the evidence of this does not rest upon the ipse dixit of any one whose testimony can be considered suspicious, or prejudiced in favour of the new doctrine, but is re- corded by himself in his lectures; and some of the cases and remedies, with his clinical remarks, are de- tailed in a medical periodical most adverse to homœo- pathy. He He also recommends, in his Principles of Surgery, erysipelas to be treated with aconite and bel- ladonna (the homoeopathic remedies), in small doses. The circumstances which led him to adopt this treat- ment, and the use of other homoeopathic remedies, I shall now briefly relate. In the course of our frequent consultations and conversations, we generally communi- cated to one another any interesting fact or case occur- ring in our respective practice; and one day, in the beginning of January, 1836, he was lamenting over the fatality that attended his treatment of the great majo- rity of cases admitted into his hopital with erysipelas of the head, and stated, that in the physicians wards, the results were much the same as in the surgical wards. I mentioned that I had also had several very severe cases, but that they had every one recovered under homœopathic treatment. It so happened that I had been called that very morning to a very severe case, which I offered to show him, and begged him to watch the result of the treatment, which I had barely com- menced. He accepted, and we immediately visited my patient, a young man about 28 years old, who was sub- ject to epileptic fits, and who, two nights before, had cut his temple in falling, upon being seized with a fit; the consequence was an attack of erysipelas, which, by the time I had first visited him, had spread across and PRINCIPLES OF HOMEOPATHY. 117 down the face, and over the scalp. We saw the patient twice a day, till he was convalescent. The cure was very rapid, and the effects of the medicines very marked they were aconite and belladonna. : Mr. Liston saw the remedies prepared by me, and adminis- tered some of them himself. He was so astonished and satisfied with the beneficial results of the treatment, that he resolved to try the aconite and belladonna. His only motive for hesitation was, that if these medi- cines should prove less successful in his hands than they had done in mine, he should bring ridicule upon him- self, and injure his position in the hospital with his colleagues and pupils. I suggested to him to prescribe one grain of the extract of aconite, to be dissolved in several spoonfuls of water, and a spoonful given at intervals of several hours; and to dilute the same quantity of belladonna in a much larger quantity of water, and give a spoonful in the same manner. He immediately followed this suggestion, and the results are related in the following extracts of the report of the North London Hospital, contained in the Lancet, of the 6th and 13th of February, and 16th of April, 1836. "ERYSIPELAS OF THE HEAD.-REMARKABLE EFFECT OF THE EXTRACT OF BELLADONNA. "Mary Peek, aged 32, was admitted under the care of Mr. Liston on the 21st of January, 1836, labouring under severe erysipelas of the head and face. Fomen- tations, tartarized antimony, and saline mixtures were prescribed, with but slight benefit. One grain of bel- ladonna, in 16 oz. of water was then ordered, two table-spoonfuls to be given every three hours. On the 24th of the same month, she was reported rapidly im- proving, swelling and redness nearly gone. Convales- cent. Medicine discontinued. In going round, Mr. 118 PRINCIPLES OF HOMEOPATHY. Liston remarked that this was one of the most satis- factory and successful cures of erysipelas he had ever seen; the disease entirely, though not suddenly, disap- pearing in the course of a very few days. He was inclined to attribute this to the treatment both local and general, which had been adopted, but more particularly to the administering of belladonna. This, the students might be aware, was given on the homoeopathic princi- ple, the doses only being somewhat increased. They had all, probably, seen the good effects of the aconite, and some of the other remedies employed by the advo- eates of homoeopathy." Case of Acute Bronchitis in a Female, aged 41. BY THE AUTHOR. Of four previous attacks, three were treated allopa- thically in a hospital: one was treated hydropathically. For the first attack she was bled in both arms, cupped twice on the chest, and had fifteen leeches, and a blister applied. She also took medicine. She lay in bed five weeks-remained very poorly for three or four months; and she states, never perfectly recovered from the shock. For the second attack, which occurred eight or nine months after, she was cupped to the extent of sixteen ounces; thirty leeches were applied; mustard poultices; the back was causterised in several places by hot irons. She was in bed four weeks. Pain, giddiness, con- fusion of head, which remained for several weeks, were eventually removed by the shower-bath. She continued very ill for six or eight weeks. For the third attack, which occurred about a year after the second, she lost sixteen ounces of blood by cupping, and as much as would flow from the bites of between sixty and seventy leeches. She was confined PRINCIPLES OF HOMEOPATHY. 119 to bed five weeks. Her cough did not disappear for five months. After each of these three attacks, consti- pation set in, and she had to use aperient medicines three or four times a week for several months. In each of the above attacks she came under medical treatment, about a week after the commencement of her illness. Somewhat more than a year after the third, the fourth attack took place. Hydropathic treatment, com- menced on the eighth day of her illness, consisted in wet-sheet packing, and tepid shallow bath, with copious draughts of cold water. She was in bed ten days; and four days after-that is to say, twenty-two days from the commencement of the disease-the cough entirely disappeared; and fourteen days after, that is to say, thirty-six after the onset of the affection, she was quite well, and actively engaged in domestic duties. No constipation followed this attack. During her illness, she lost 25 lb. in weight. A little more than two years after the last described attack, she was again seized in the same way. On the fifth day of her illness, she came under my care, and was treated homeopathically. On the twelfth day, a critical change appeared in the urine on the fourteenth day, a subsidiary crisis was manifested by a slight dampness of the skin and on the fifteenth, she was out of bed, and convalescent. : Jan. 10, 1852-Saw Mrs. L., a person of stout ple- thoric habit, aged 41. On the 6th of this month, she perspired very much while working in a draught. The afternoon of the same day, she had all the symptoms of a cold in the head and throat, such as hoarseness of the voice, stuffing of the nose, etc. Day by day the affec- tion increased, or, rather, migrated to the chest from the parts first attacked. A cough came on, which 120 PRINCIPLES OF HOMEOPATHY. became more and morc severe; and last night it kept her awake all night. She fears that one of her old attacks is coming on, There is every appearance of the approach of a violent seizure. Present Symptoms. 1. Cold in the head and throat has disappeared. 2. Some oppression of breathing. 3. Constriction of the chest. 4. Stiffiness, and sticking pains of the chest generally. 5. Considerable cough; much worse at night, and at- tended by 6. Exceedingly scanty, difficult expectoration, of thin frothy nature. 7. Soreness of chest and stomach from coughing. 8. On applying the ear to the chest, whistling, creaking sounds are heard, indicative of the first stage of acute bronchitis. 9. Sharp pain at the pit of the stomach, increased by coughing. 10. Acidity of stomach. 11. Some flatulence. 12. Nausea, occasional heaving, and once or twice vomiting of a thin mucus. 13. Feeling as though free vomiting would give relief. 14. Tongue somewhat brownish at the back, but moist. 15. Bowels regular. 16. Skin dry. 17. Pulse 88, rather full. 18. Very considerable thirst. 19. Occasional cold shivers. I prescribed Aconite 6, glob., and Bryonia 6, glob. In alternation every half-hour. Diet, tea and dry toast. PRINCIPLES OF HOMEOPATHY. 121 In the evening, the symptoms having apparently increased in intensity, and the pulse being feeble, I ordered 1 Arsenic 6, glob. every hour. This was incorrect treatment; the evening exacer- bation being an essential symptom of bronchitis, did not require medicinal measures. Jan. 11.-No sleep; coughed all night; breathing bad; pulse 86; ineffectual attempts to vomit. Aconite 6, glob. 4. Ipecac. 3, glob. 4. A globule of each in alternation every half hour. In the evening no improvement (except an abate- ment of the heaving efforts) having taken place, I prescribed Phosphorus, one glob. every hour. Jan. 12.-1. Remission of cough since 4, A.M. 2. Dosed a little toward morning. 3. Chest somewhat relieved. 4. Pulse 80. Continue Phosphorus. The improvement continued during the day. Jan. 13.—1. Very bad night; coughed all night, and was obliged to sit up a great part of the night, to avoid being suffocated. 2. However, there has been a remission since 4, A.M. 3. Breathing is rendered worse by the flatulence, which rises in the throat, almost chokes her, and compels her to cough. 4. Bowels not relieved since she came under treatment. 5. Pulse 80. Nux vomica 6, glob. j every hour. 65 Two hours after this visit the bowels acted, with immediate relief of all the symptoms. 122 PRINCIPLES OF HOMEOPATHY. Jan. 14.-1. The remission occurred at 1, A.M., this morn- ing, since which time she has only coughed once until now, 8 o'clock. 2. Has frequently fallen into light dosing. 3. Chest better. Continue Nux vomica. An exacerbation of cough, stifling at the chest, and oppression of breathing occurred two hours after last. visit (at ten o'clock), and continued during the day. Examination by the stethoscope showed that the condi- tion of the lungs was the same as when first examined. In the evening I ordered Bryonia glob. j every hour. Jan. 15.-1. Took some gruel last night, which was almost immediately vomited. 2. Slept all night, except about two hours. 3. Had only three severe attacks of coughing, viz. at one, three, and five o'clock. 12 6 Continue Bryonia. 4. During the day there was a good deal of coughing but not severe. Expectoration has continued to be very scanty, frothy, and transparent. 5. Bowels pretty freely open. Jan. 16.—1. Yesterday evening vomited the tea which she had taken. 2. Aggravation until 4, A.M., when she fell asleep, and slept, only waking at intervals till eight o'clock. 3. Nausea and rising toward the throat. 4 Ipecac. glob., 1 every hour. During the day she got worse and worse; all the stomach and chest symptoms were aggravated, and she complained of feeling very feeble. At one o'clock I ordered PRINCIPLES OF HOMEOPATHY. 123 Nux. Vom. glob. ij. every two hours, and Nux. Vom. 6, glob. ij. at night. 6 6 Jan. 17. At one o'clock this morning the remission set in. From that time she has lain neither awake nor asleep, but tranquil and comfortable. Continue Nux. V. in smaller doses, and at less frequent intervals. Allowed to day, instead of the tea and toast to which she had bitherto been confined, boiled fish and custard pudding for dinner. From this period she continued steadily to improve. Urine underwent a critical change, becoming high coloured and turbid. Jan. 18.-Good night. Continue Nux. vom. Jan. 19.-1. Sat up two hours yesterday. 2. Not a very good night, but this arose not from her chest, but restlessness. 3. Only coughed three times last night. 4. A little moisture, for the first time since illness, upon the skin (crisis.) 5. Urine dark-coloured, cloudy (crisis.) 6. Expectoration still, as it has been all along, scanty, frothy, transparent, but more viscid than formerly. 7. Bowels slightly open last night. 8. Feels a great deal better; getting well fast. No more medicine. At this period she might be said to be well; for she had little or no cough-little or no expectoration-and only complained of feeling weak. The next day she left her bed, and commenced a gentle tonic, hydropathic course. She was weighed, and found to have lost during her illness, 4 lbs. 12 oz. 124 PRINCIPLES OF HOMEOPATHY. STATISTICS OF CERTAIN ACUTE DISEASES TREATED HOMOEOPATHICALLY, ALLOPATHI- CALLY, AND ACCORDING TO THE SYSTEM OF MEDICINE EXPECTANTE. CASES OF PNEUMONIA (INFLAMMATION OF THE LUNGS) TREATED ALLOPATHICALLY. AUTHORITIES. Grisolle Briquet Edinburgh Infirmary Skoda Mortality 20-30 per cent. Louis Mortality 18-13 per cent. Brera, Not Bled Bled once or twice Bled from 3 to 9 times Bled more than 9 times 11 >> "> Mortality 30-75 per cent, or 1 death to every 8.25 patients. Dietl, Bled Mortality 20.4 per cent. NO. OF CASES. 301 364 222 392 1282 106 100 100 100 100 400 85 Dietl. Tartar Emetic employed. 106 No Bleeding Mortality 20.7 per cent. DEATHS. 43 85 80 54 262 32 14 19 22 68 123 17 22 CASES OF PNEUMONIA TREATED BY RELIANCE ON NATURE. AUTHORITY, Dietl. NO. OF CASES. 189 Mortality 7.4 per cent. AUTHORITY. Fleischmann CASES OF PNEUMONIA TREATED HOMEOPATHICALLY. NO. OF CASES. 347 Mortality 5.70 per cent; or 1 in 17.35. DEATHS. 14 DEATHS. 20 In the year 1842, according to Dr. Balfour, there were treated allo- pathically in the Hospitals of Edinburgh, Aberdeen, Dumfries, Glasgow, Dundee, Inverness, and Perth, for Pneumonia, 125 patients; 35 died. The mortality was, therefore, 28 per cent., or about 1 in 3.54. In the military hospitals of the United Kingdom, Gibraltar, Malta, Ionian Islands, Nova Scotia and New Brunswick, Canada, and the Cape of Good Hope, of 18,680 pneumonic patients treated allopathically, only 207 died. Hence the mortality was 3:38 per cent., or 1 in 29.57. It will be perceived that Dr. Fleischmann, treating like the other civil physicians cases occurring in young children, in old persons, and in broken down constitutions, approached the success of the military surgeons, who had to deal with individuals in the very bloom and vigour of their life, of sound and hardy constitutions. PRINCIPLES OF HOMEOPATHY. 125 6 MORTALITY IN CASES OF PLEURISY TREATED ALLOPATHICALLY. AUTHORITY. NO. OF CASES, DEATHS. 111 14 Edinburgh Infirmary Mortality, 12.61 per cent., or about one in every eight cases. MORTALITY IN CASES OF PERITONITIS (INFLAMMATION OF THE BELLY), TREATED ALLOPATHICALLY. NO OF CASES. DEATHS. 21 Edinburgh Infirmary 6 Mortality, 27.61 per cent., or more than one out of every four. AUTHORITY. MORTALITY IN CASES OF PLEURISY TREATED HOMEOPATHICALLY. NO. OF CASES, DEATHIS. 224 3 Mortality, 1.24 per cent., a little more than one in a hundred. AUTHORITY. Fleischmann MORTALITY IN CASES OF PERITONITIS, TREATED HOMEOPATHICALLY. AUTHORITY. Fleischmann NO. OF CASES. DEATHS. 6 105 Mortality, 4.76 per cent., or rather more than one out of every 25 cases. The above cases are taken from an Introduction to the Study of Homœopathy, with the exception of Brera's cases, which are from Rau's Organon, as quoted from Speranza, and Dietl's, which are quoted by the Homeo- pathic Times from his work on Bleeding in Pneumonia. Louis' cases are quoted from Tessier's Recherches Cliniqices; and Dr. Balfour is the authority for some other statements. CHAPTER VIII. I CANNOT conclude this work without alluding to the fierce persecution which certain partisans of established practices have organized against those who profess the doctrines inculcated in these pages. The London and Edinburgh Colleges of Physicians, the Edinburgh College of Surgeons, the examining bodies of the Aber- deen and Edinburgh Universities, refuse to admit for examination students in medicine suspected of a homœopathic leaning, and a very large number of medical practitioners have, at various times and in various places, refused to hold professional intercourse with homoeopathists, whom, in many instances, they have even ventured to denounce as quacks and impos- tors. What can be the reason of this rancorous hostility? Let us pass, in review, the leading points of the doctrines advocated by homoeopathists, and see if we can detect the marrow of their offence. Firstly, homœopathists condemn the drug system. They assert that, although many patients recover from their diseases by its aid, yet that many others have their diseases aggravated thereby, or become the victims of various new maladies (termed drug diseases), and that a few perish from the violent effects which the medicines exhibited, produce. Perhaps this is the PRINCIPLES OF HOMEOPATHY. 127 reason why a large section of the profession abhors and repudiates the homeopathist; and, indeed, it is not unnatural that any body of men should revile the daring opponent who would fain persuade the world of the evil of their system. Yet it is not for this reason that colleges conspire, and individuals band themselves against homœopathy: for many eminent medical men, whom their brethren cherish, have lifted up their voices against drugs and druggery, with even greater vehemence than homœopathists. Sir Astley Cooper said, that the art of medicine is 'founded on conjecture, and improved by murder. Yet Sir Astley, to the last day of his existence, was revered by the whole pro- fession. In France, Majendie; in Germany, Skoda; and in England, many men of the highest talent, belong to what is called the School of Expectant Medicine. That is to say, they profess to believe that nature will cure all diseases which are curable, and that the office of the physician should be little else than that of head- nurse. These men acknowledge that their acquaint- ance with the actions and processes of the human body, is no deeper than a child's knowledge of astronomy, and they argue that the exhibition of powerful drugs is strongly to be deprecated, because of our ignorance of the manner in which they act. If a plough-boy, they say, being utterly ignorant of the construction of a watch, should undertake to regulate the movements of a watch, which goes too fast or too slow-if a person, unacquainted with the coast, should endeavour to pilot. a ship amid unseen rocks into harbour-neither plough- boy nor pilot would act so foolishly, as the medical man, who attempts to set right by physic a deranged constitution: for the ship left to the mercy of the 128 PRINCIPLES OF HOMEOPATHY. winds, would be no more likely to reach the shore in safety than under the guidance of the pilot; and the watch which goes fast or slow, has no tendency to regain spontaneously correct action. But the human body, when diseased, struggles to rid itself of the incubus by which it is oppressed; and if the physician. officiously intrude into the contest, he is much more likely to perpetuate than to aid in the overthrow of the disease. Therefore the doctrines of the expectant, or do-nothing school, are as condemnatory of the ordinary medical practice as any opinion expressed by homeo- pathists; and yet the profession is well content that these sceptics should continue to lie in its bosom. We must look farther if we would discover the unpardonable sin of which homœopathists, in the eyes of colleges, and universities, and associations, are guilty. : Homœopathists believe that diseases are cured by drugs in virtue of the power which these latter possess of producing in a healthy organism similar diseases. Can it be that this article has given offence? No, certainly for liberty is unanimously accorded to every practitioner, to entertain whatever opinions seem good unto him, as to the modus operandi of remedies; and we know that those who explain everything by chemistry, and those who refer all phenomena to the vital principle, and those who weave hypotheses of their own, and those who never trouble their heads about the matter, live in harmony, and do not allow theoretical notions to influence their social relations. The followers of Liebig, of Broussais, of Brown, and of Billing, although they differ from one another, not only in their theories but also in their practice, willingly meet at the bedside, and discuss, in concert, what PRINCIPLES OF HOMEOPATHY. 129 measures may be useful in the individual case to which they are called. Neither Drs. Corrigan, nor Owen Rees, nor Budd, nor Bouillaud, would refuse to inter- change opinions as to the treatment of a case of rheumatic fever, although it is well known, that the first would recommend opium; the second lemon-juice; the third, alkali; and the fourth, repeated venesections to a small extent. It cannot, therefore, be on account of dissent in theory or practice, from a standard erected by the profession, that homœopathists are to be driven from its pale; for the profession, far from acknowledging any standard, claims for every practi- tioner the right of private judgment, and of unfettered action in every case. We are compelled to look deeper still for an explana- tion of the odium attached to homeopathy, and perhaps we may find in the doctrine of infinitesimal doses the object of our search. Clearly this doctrine must be far from acceptable to chemists and druggists, and to all who live by the sale of drugs; for under the reign of homœopathy, famine would stare them in the face. But this does not apply to physicians and other practi- tioners in medicine, who would have as much to do as they have now under any order of things. Is there therefore anything in the doctrine of infinitesimals itself, which is sufficient to excite against its advocates the equal enmity of Brunonian, and Broussaiist, of the adherent of Billing, and the disciple of Liebig? This question must be answered in the negative, for the matter of doses is admitted by the profession to be an open point. For example: Dr. Pareira, in his work on Materia Medica informs us, that his friends Mr. King and Dr. Clutterbuck, give tincture of fox- 130 PRINCIPLES OF HOMEOPATHY. ! glove in doses of drachms and ounces, while the bulk of the profession only venture to exhibit drops of this medicine. Again, it is well known that practitioners in hot climates, administer calomel and quinine in doses of half a drachm to a drachm, frequently re- peated; but the majority of practitioners in this country never give a larger quantity than two, three, or four grains. Physicians in Germany and Russia prescribe the iodide of potassium to the extent of half a drachm at a dose, while in this country, three or four grains is considered a large dose. These differences in opinion, as respects the quantity of medicine which it is desirable to administer, are not permitted to interfere with the courtesies of life, nor do they hinder the favourers of discordant modes of treatment from ex- changing ideas at the wish of the patient. In addition to these diversities between different practitioners, the same practitioner, frequently at one period of his life, differs from himself at another period of his life. It is a general fact, that practitioners as they grow old, diminish the doses of their medicines. Now, then, it cannot be because homœopathists differ from their brethren as to the quantity of physic required to cure a disease, that they incur reprobation; for their brethren differ among themselves upon this very subject. Among the novelties of homeopathy, is what is called. the proving of medicines; that is to say, the experimental investigation of the effects of medicines upon healthy bodies. Is this objected to by the coalition? One can hardly believe that hostility to a measure which common sense pronounces to be good, can have raised so great a storm; and I do not suppose that any man will seriously blame the self-sacrificing physician, who, PRINCIPLES OF HOMEOPATHY, 131 with no other inducement than the hope of enlarging his science, and of benefiting humanity, submits to a course of experimental medical treatment, and indus- triously notes the various symptoms that arise. I have now reviewed, seriatim, the different points of homœopathic practice; and I confess, that I can perceive nothing to justify the persecution which it has sustained-nothing to excuse the slur cast on the moral character of its supporters-nothing to extenuate the act of outlawry which close corporations are passing against those who have fallen under their displeasure. Of course, it is disagreeable to a man who is deriving a comfortable income from the practice of medicine, to be told, that for years he has been doing very objection- able things; making many of his patients worse than they would have been without his interference; in- flicting upon some diseases to which they would have remained strangers, and pocketing much money, and receiving great praise, when his real merit was a little below zero. No doubt, it is disagreeable to hear remarks like these. But what? Are we to be mealy- mouthed, when so great an interest is at stake? Must we, in order to spare yon sensitive complainant, arrest the chariot wheels of Reform? No. Let them roll on, whatever betide the feeble adversaries in the path. Sure we are, that the ultimate effect will be the achieve- ment of a great victory, and the overthrow of a Reign of Terror by which humanity is decimated. Yet, although I would by no means withdraw from the combat, nor propitiate favour by the sacrifice of principle, I would fain see the champions of the new, equally with the defenders of the old opinions, some- what less bitter in their polemics, and somewhat more 132 PRINCIPLES OF HOMEOPATHY. charitable towards those whose views differ from their own. I would have both parties pause for a moment, and before they renew the heat of warfare, look out from their little arena, and derive instruction from the events that occur in the great theatre of the world. The less is imaged in the greater; and it will be seen, that medicine is now in the throes of a revolution, which has long been achieved in respect to some other systems, and which must ultimately absorb all. It is revealed to us by history, that society continually tends to cast itself in a certain mould-to develope itself into a definite organization, comprehending sys- tems, and classes, and orders. Yet this organization is never completed; for advance of knowledge, and new relations, form the elements, first of passive resistance, and at last of active aggression, which undoes all that had been effected. And this effort at destruction is carried on at once in every portion of the whole; so that no constituent system, nor class, nor order, escapes decay. In spite, however, of this continued dismem- berment, the life of society is constructive; and if organization cannot be compassed in one direction, it is constantly sought in another, and new systems, new classes, new orders, arising simultaneously, harmonize and cohere toward the newer general type, which itself is never to be realised, in consequence of the ever increasing activity of its specific dissolvent. Illustrations of the truth to which I refer are fur- nished on a large scale by the great empires of antiquity-by the ancient religions-by the feudal system-by the Romish church. In the present day (in spite of apparent temporary reactions), we behold the world organising itself in a republican PRINCIPLES OF HOMEOPATHY. 133 spirit. The great systems of old have passed away, the little systems which they enclosed, have passed, or are passing away with them. There is nothing but doth suffer change into something rare and strange.' Systems of laws, systems of religion, systems of polity, systems of warfare, systems even of dress and social customs, imperceptibly melt like a dissolving view into novel forms and conditions. In the midst of those mutations, can medicine remain permanent? Can ex- isting medical institutions last for ever? The empire of the world has been snatched from the Romans-the Pope no longer lays claim to infallibility-the Corn- laws are repealed, but the College of Physicians hope to be eternal: the lancet is not to be sheathed before the day of judgment, and the last man is to swallow the last dose of calomel! It cannot be. The world is rolling in a new orbit, and medicine must turn from its old path. It cannot be helped. Colleges and uni- versities and corporations feel it to be a great hardship -they remonstrate, they get angry, they persecute, but they are rolled into the new orbit, and ultimately they will shake hands with destiny, and be content. In the meantime, let the men of to-day, confident of what the morrow will bring forth, pursue their work, and not press too hard upon the sticklers for finality; and let the latter it is a friendly caution-beware how they imitate a certain animal which is said to cut its own throat in swimming against the stream. If any one can make up his mind to look calmly at homœopathy, he will perceive that it is impossible, with any show of reason, to refuse credence to her preten- sions. It is put in evidence, that many thousands of individuals, who had suffered for years from chronic 134 PRINCIPLES OF HOMEOPATHY. complaints, and had, most of them, undergone in vain. various modes of treatment, recovered rapidly and com- pletely as soon as they fell into the hands of homœopa- thists. Would any court of law reject this testimony? and if it should, what human testimony could, after such rejection, be received? And if it be granted that these multitudes recovered as they state, can any one deny the efficacy of the medicine which they swallowed? or if he should deny its efficacy, how can he, in future, presume to trace cause and effect in any series of events whatever? All that we know of cause and effect is constant sequence: and where we observe constant sequence, we are bound to admit causal connexion between any two phenomena. How do I know that, in any given case of poisoning, that it was the arsenic swallowed which caused the per- son's death? Might it not be a coincidence merely? The only answer I can make is this:- Many per- sons have swallowed arsenic, and died very shortly after.' When When I whip a horse, how do I know that it is the whipping which makes him move faster? I say so, only because very many times after I have whipped a horse, he has gone faster. Cause and effect are to us nothing more than constant antecedence and sequence; every constant antecedent we term a cause, and every constant sequent we term an effect. Hence, since by testimony such as no court of law could reject, it is proved that thousands of individuals have got well very shortly after taking homœopathic medicines, we are compelled (if we would not give up cause and effect altogether) to admit, that by the homeopathic medicine they were cured. Possibly some one may object, that we only assume cause and effect, when we observe PRINCIPLES OF HOMEOPATHY. 135 invariable sequence, and that, as every body who takes homœopathic medicine does not get well, therefore my rgument does not hold. But I deny the position. It is not by invariable sequence that we judge of cause and effect. Does a horse always move faster for whip- ping? Yet, when he does move faster after whipping, we have no hesitation in saying, that the whipping was the cause of his haste. Does every person who swal- lows a very large dose of arsenic die therefrom? By no means. Yet when we see a person shortly after swallow- ing a large dose of arsenic die in torments, we conclude, and conclude justly, that the arsenic caused his death. If a The whole question of the efficacy, or inefficacy, of homœopathy, to a person who has not witnessed its practical operation, is a question of testimony. Are we, or are we not, to admit human testimony in mat- ters above our reason? I say, that if the witnesses be numerous, and of sound mind, and conscientious, and placed in such circumstances that delusion is impossible, it is our duty to receive their depositions as true. great number of witnesses, such as I have described, affirm that they encountered a man who went about healing the sick, raising the dead, converting water into wine, and, in the broad light of day, ascending into heaven, I cannot but believe; and if, upon human testimony, I believe such great things, surely, upon human testi- mony, I may believe the far less improbable assertion, that very minute quantities of medicine, given in a new manner, have cured a variety of diseases. But the majority of persons lightly give their belief to whatever accords with their previous prejudice or experience, and refuse to believe whatever is new or strange, however strong may be the testimony by which it is confirmed. 136 PRINCIPLES OF HOMEOPATHY. The world reasons much in the way of the old woman who listened with delight to the marvels related by her son, on his return from a long voyage; but thought it necessary to rebuke him sharply, when he attempted to impose on her credulity, by stating that he had seen a fish fly. But when, bye and bye, Master Jack narrated how he had encountered men who carried their heads beneath their shoulders, the good dame exclaimed, Ay! there is some sense in that-I read it in a book ; but don't tell me that you saw fish fly!' People will not believe in infinitesimal doses, not- withstanding that hundreds of individuals have been cured by them. They argue in this way: 'If Adam, at the moment he was created, had taken an infinitesi- mal dose of arsenic, and had continued to take a dose every five minutes during the whole of his life, and his life had been prolonged until the present instant, he would not have swallowed one grain of arsenic : therefore homœopathy is false.' This is an easy way of getting rid of homoeopathy, and I congratulate the Lancet, which has made this profound discovery. But I beg to point out to the Lancet, as it seems to take pleasure in the destruction of sciences, that its new principle may be employed to overthrow not only homœopathy, but also astronomy, chemistry, mathe- matics, and to establish the reign of universal night. The Lancet has only to form the following syllogisms:- 'Astronomy tells us, that probably some of the very stars which we now behold brilliantly shining in the heavens, were destroyed long before the birth of Adam; therefore astronomy is false.' Acute reasoner! Again: 'Chemistry asserts that she can weigh the air, set water on fire, freeze water by the application of heat, ' FRINCIPLES OF HOMEOPATHY. 137 and perform other impossibilities; therefore chemistry is false.' Admirable syllogism! "Mathematics, too, maintain that }=; that is to say, that one, divided by nought, equals infinity; therefore mathematics is as false as the rest.' Who shall gainsay argument like this? Farewell, then, poor Homeopathy, thy doctrines are fallacious, and thy practices inert. The Lancet's powerful syllogism has dug thy grave; hasten and get thee buried. Thou goest indeed in good company, for the irresistible syllogism has with thee-slain astro- nomy, chemistry, mathematics, and every science in which the world delighted to believe! In sad earnest, the idea of confuting Homœopathy by raising the cry of absurdity! is a proof of lamentable presumption, or of consummate ignorance. Absurd! Is any fact in nature absurd? Is the revolution of the earth round the sun absurd? It was called so once. Is the existence of America absurd? Geographers said so at one time. Is the passage of a railroad over Chatsworth Moss absurd? Not many years back a great engineer undertook to prove that it was. Is it not certain, that if, in the olden time, any projector had canvassed the possibility of taking portraits by the sun, and sending messages by electricity, he would have been considered a fit and proper subject for Redlam? Assuredly it was, and is, and indeed ever will be the case, that the unthinking multitude, headed by such writers as they of the Lancet, will raise a great shout of derision upon the announcement of every new truth; but it is no less certain that the new truth will tri- umph over opposition, and go down a heir-loom to posterity. NOTE TO PAGE 28. THAT mercury is no preventive of inflammatory deposits, is proved by the case recorded by the late Mr. Samuel Cooper. At the very time that an inflammatory deposit was undergoing absorption under the influence of mercury in one of a certain patient's eyes, exudation of lymph was taking place in the other. Dr. A. Wilson (Lancet, November 23, 1834), observes :- To these off-hand pre- scribers, exclusively practical and pre-eminently regular, it is a matter hard of belief, that lymph may be fast exuding on the serous surfaces of the chest, while a mercurial saliva is flowing largely from the mouth. I have never seen more of ragged, pulpy deposit on the surface of the heart from recent inflammation of its investing membrane, than in the case of a young woman, who was brought, some five or six years ago, into St. George's Hospital, shortly before her death, profusely salivated, in the sequel of rheumatic fever.' J. M. BURTON AND CO., IPSWICH STEAM PRESS. HYDROPATHIC ESTABLISHMENT, WHEELLEY'S ROAD, EDGBASTON, BIRMINGHAM. PHYSICIAN, DR. WALTER JOHNSON. Terms: ADVICE, BATH ATTENDANCE, BATHS, ETC., FIFTEEN SHILLINGS PER WEEK. PERSONS IN INFERIOR CIRCUMSTANCES, AND THOSE WHOSE EXPENSES ARE DEFRAYED BY OTHERS, ARE CHARGED ONLY FIVE SHILLINGS PER WEEK. For further particulars apply per post, or personally to MRS. PERRY, at the above address. With fifteen Engravings on wood, octavo, 544 pages, cloth, 6s. THE HE DOMESTIC PRACTICE OF HYDROPATHY, describing the Symptoms of one hundred Diseases, Acute and Chronic, of Adults and Children, with General Directions for the Guidance of Hydropathic Patients. By EDWARD JOHNSON, M.D. Third Edition. Foolscap 8vo, 2s. 6d. ESULTS OF HYDROPATHY: or CONSTIPATION not Disease of the Bowels; INDIGESTION not a Disease of the Stomach; with an Exposition of the true Nature and Cause of these Ailments, explaining the Reason why they are so certainly cured by the Hydropathic Treatment. By EDWARD JOHNSON, M.D. Foolscap 8vo, cloth, 2s. 6d. THE HYDROPATHIC TREATMENT of DISEASES PECULIAR and of Observations on the Management of Infants. JOHNSON, M.D. Lately Published, Post 8vo, cloth, 5s. MORBID ; their Origin, Tendencies, and Treatment. By WALTER JOHNSON, M.B., LOND, formerly Medical Tutor, Guy's Hospital. some By EDWARD Price 6d. HYDROPATHIC STATISTICS; a Lecture on Hydropathy, delivered at the Polytechnic Institution, Birmingham, by WALTER JOHNSON, M.B., Lond., formerly Medical Tutor, Guy's Hospital. Lately Published, Price 4s. THE TREATMENT OF INCURABLE DISEASES. By HOWARD F. JOHNSON, M.D., Physician to Ferns Hydropathic Establishment, Alderly Edge, Cheshire; Author of Researches into the Effects of Cold Water upon the Healthy Body, to Illustrate its Action in Discase.' LIBRARY OF HEALTH. UNDER the above title the Publishers intend to issue a succession of cheap editions of valuable Works by British and Foreign Authors, with the impression that they will be acceptable to the public, both on account of the importance of the subject itself, and the growing interest which is taken by all classes in whatever relates to Health. NOW READY, VOL. I, PRICE 1s. 6d. IFE, HEALTH, AND DISEASE. ls. 6d. By Dr. E. Johnson. VOL. II, PRICE 1s. 6d. THEORY THEORY AND PRINCIPLES OF HYDROPATHY. By Dr. E. JOHNSON. 1s. 6d. VOL. III. PRICE 18. 6D. HOMEOPATHY: A Popular Exposition and Defence of its Principles and Practice. By WALTER JOHNSON, M.B., Lond., formerly Medical Tutor, Guy's Hospital. LONDON: SIMPKIN, MARSHALL, AND CO. IPSWICH: J. M. BURTON AND CO. | UNIV. OF MICH. JAN 18 1907 UNIVERSITY OF MICHIGAN 3 9015 02076 3242 Filmed by Preservation 1990 Juki *} ›i GOLI Hmm Techniciana · - "hyar❖w' - CasaCINTER BARUAJT E Circle marjaakshua kebenern SA LAMPA