Medical Essays

第7章

But,independentlyofanysuchgroundsofactiveresistance,thesubjectinvolvesinterestssodisproportionedtoitsintrinsicclaims,thatitisnomorethananactofhumanitytogiveitapublicexamination。Ifthenewdoctrineisnottruth,itisadangerous,adeadlyerror。Ifitisamereillusion,andacquiresthesamedegreeofinfluencethatwehaveoftenseenobtainedbyotherillusions,thereisnotoneofmyaudiencewhomaynothaveoccasiontodeplorethefatalcredulitywhichlistenedtoitspromises。

Ishallthereforeundertakeasoberexaminationofitsprinciples,itsfacts,andsomepointsofitshistory。ThelimitedtimeatmydisposalrequiresmetocondenseasmuchaspossiblewhatIhavetosay,butIshallendeavortobeplainanddirectinexpressingit。

Notonestatementshallbemadewhichcannotbesupportedbyunimpeachablereference:notonewordshallbeutteredwhichIamnotaswillingtoprintastospeak。Ihavenoquibblestoutter,andI

shallstooptoanswernone;but,withfullfaithinthesufficiencyofaplainstatementoffactsandreasons,Isubmitthesubjecttothediscernmentofmyaudience。

Thequestionmaybeaskedintheoutset,——Haveyousubmittedthedoctrinesyouareprofessingtoexaminetothetestoflong-repeatedandcarefulexperiment;haveyoutriedtoseewhethertheyweretrueornot?TothisIanswer,thatitisabundantlyevident,fromwhathasoftenhappened,thatitwouldbeofnomannerofuseformetoallegetheresultsofanyexperimentsImighthaveinstituted。Againandagainhavethemostexplicitstatementsbeenmadebythemostcompetentpersonsoftheutterfailureofalltheirtrials,andtherewerethesameabundantexplanationsofferedasusedtobefortheUnguentumArmariumaridtheMetallicTractors。Icouldbynopossibilityperformanyexperimentstheresultofwhichcouldnotbeeasilyexplainedawaysoastobeofnoconclusivesignificance。

Besides,asargumentsinfavorofHomoeopathyareconstantlyaddressedtothepublicinjournals,pamphlets,andevenlectures,byinexperienceddilettanti,thesamechannelmustbeopentoallitsopponents。

Itisnecessary,forthesakeofthosetowhomthewholesubjectmaybenew,togiveinthesmallestpossiblecompassthesubstanceoftheHomoeopathicDoctrine。SamuelHahnemann,itsfounder,isaGermanphysician,nowlivinginParis,“[Hahnemanndiedin1843。]attheageofeighty-sevenyears。In1796hepublishedthefirstpapercontaininghispeculiarnotions;in1805hisfirstworkonthesubject;in1810hissomewhatfamous“OrganonoftheHealingArt;“

thenextyearwhathecalledthe“PureMateriaMedica;“andin1828

hislastwork,the“TreatiseonChronicDiseases。“Hehasthereforebeenwritingatintervalsonhisfavoritesubjectfornearlyhalfacentury。

TheonegreatdoctrinewhichconstitutesthebasisofHomoeopathyasasystemisexpressedbytheLatinaphorism,“SIMILIASIBIILIBUSCURANTUR,“

orlikecureslike,thatis,diseasesarecuredbyagentscapableofproducingsymptomsresemblingthosefoundinthediseaseundertreatment。AdiseaseforHahnemannconsistsessentiallyinagroupofsymptoms。Thepropermedicineforanydiseaseistheonewhichiscapableofproducingasimilargroupofsymptomswhengiventoahealthyperson。

Itisofcoursenecessarytoknowwhatarethetrainsofsymptomsexcitedbydifferentsubstances,whenadministeredtopersonsinhealth,ifanysuchcanbeshowntoexist。Hahnemannandhisdisciplesgivecataloguesofthesymptomswhichtheyaffirmwereproduceduponthemselvesorothersbyalargenumberofdrugswhichtheysubmittedtoexperiment。

ThesecondgreatfactwhichHahnemannprofessestohaveestablishedistheefficacyofmedicinalsubstancesreducedtoawonderfuldegreeofminutenessordilution。ThefollowingaccountofhismodeofpreparinghismedicinesisfromhisworkonChronicDiseases,whichhasnot,Ibelieve,yetbeentranslatedintoEnglish。Agrainofthesubstance,ifitissolid,adropifitisliquid,istobeaddedtoaboutathirdpartofonehundredgrainsofsugarofmilkinanunglazedporcelaincapsulewhichhashadthepolishremovedfromthelowerpartofitscavitybyrubbingitwithwetsand;theyaretobemingledforaninstantwithaboneorhornspatula,andthenrubbedtogetherforsixminutes;thenthemassistobescrapedtogetherfromthemortarandpestle,whichistotakefourminutes;thentobeagainrubbedforsixminutes。Fourminutesarethentobedevotedtoscrapingthepowderintoaheap,andthesecondthirdofthehundredgrainsofsugarofmilktobeadded。Thentheyaretobestirredaninstantandrubbedsixminutes,——againtobescrapedtogetherfourminutesandforciblyrubbedsix;oncemorescrapedtogetherforfourminutes,whenthelastthirdofthehundredgrainsofsugarofmilkistobeaddedandmingledbystirringwiththespatula;sixminutesofforciblerubbing,fourofscrapingtogether,andsixmore(positivelythelastsix)ofrubbing,finishthispartoftheprocess。

Everygrainofthispowdercontainsthehundredthofagrainofthemedicinalsubstancemingledwiththesugarofmilk。If,therefore,agrainofthepowderjustpreparedismingledwithanotherhundredgrainsofsugarofmilk,andtheprocessjustdescribedrepeated,weshallhaveapowderofwhicheverygraincontainsthehundredthofthehundredth,orthetenthousandthpartofagrainofthemedicinalsubstance。Repeatthesameprocesswiththesamequantityoffreshsugarofmilk,andeverygrainofyourpowderwillcontainthemillionthofagrainofthemedicinalsubstance。Whenthepowderisofthisstrength,itisreadytoemployinthefurthersolutionsanddilutionstobemadeuseofinpractice。

Agrainofthepowderistobetaken,ahundreddropsofalcoholaretobepouredonit,thevialistobeslowlyturnedforafewminutes,untilthepowderisdissolved,andtwoshakesaretobegiventoit。OnthispointIwillquoteHahnemann’sownwords。

“Alongexperienceandmultipliedobservationsuponthesickleadmewithinthelastfewyearstoprefergivingonlytwoshakestomedicinalliquids,whereasIformerlyusedtogiveten。“Theprocessofdilutioniscarriedoninthesamewayastheattenuationofthepowderwasdone;eachsuccessivedilutionwithalcoholreducingthemedicinetoahundredthpartofthequantityofthatwhichprecededit。Inthiswaythedilutionoftheoriginalmillionthofagrainofmedicinecontainedinthegrainofpowderoperatedoniscarriedsuccessivelytothebillionth,trillionth,quadrillionth,quintillionth,andveryoftenmuchhigherfractionaldivisions。A

doseofanyofthesemedicinesisaminutefractionofadrop,obtainedbymoisteningwiththemoneormorelittleglobulesofsugar,ofwhichHahnemannsaysittakesabouttwohundredtoweighagrain。

AsaninstanceofthestrengthofthemedicinesprescribedbyHahnemann,Iwillmentioncarbonateoflime。Hedoesnotemploycommonchalk,butprefersalittleportionofthefriablepartofanoystershell。Ofthissubstance,carriedtothesextillionthdegree,somuchasoneortwoglobulesofthesizementionedcanconveyisacommondose。Butforpersonsofverydelicatenervesitisproperthatthedilutionshouldbecarriedtothedecillionthdegree。Thatis,animportantmedicinaleffectistobeexpectedfromthetwohundredthorhundredthpartofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofthemillionthofagrainofoyster-shell。Thisisonlythetenthdegreeofpotency,butsomeofhisdisciplesprofesstohaveobtainedpalpableeffectsfrommuchhigherdilutions。“

ThethirdgreatdoctrineofHahnemannisthefollowing。SeveneighthsatleastofallchronicdiseasesareproducedbytheexistenceinthesystemofthatinfectiousdisorderknowninthelanguageofsciencebytheappellationofPSORA,buttothelessrefinedportionofthecommunitybythenameofITCH。InthewordsofHahnemann’s“Organon,““ThisPsoraisthesoletrueandfundamentalcausethatproducesalltheothercountlessformsofdisease,which,underthenamesofnervousdebility,hysteria,hypochondriasis,insanity,melancholy,idiocy,madness,epilepsy,andspasmsofallkinds,softeningofthebones,orrickets,scoliosisandcyphosis,caries,cancer,funguahaematodes,gout,——yellowjaundiceandcyanosis,dropsy,——

[“ThedegreesofDILUTIONmustnotbeconfoundedwiththoseofPOTENCY。Theirrelationsmaybeseenbythistable:

lstdilution,——Onehundredthofadroporgrain。

2d“Onetenthousandth。

3d“Onemillionth,markedI。

4th“Onehundredmillionth。

5th“Onetenthousandmillionth。

6th“Onemillionmillionth,oronebillionth,markedII。

7th“Onehundredbillionth。

8th“Onetenthousandbillionth。

9th“Onemillionbillionth,oronetrillionth,markedIII。

10th“Onehundredtrillionth。

11th“Onetenthousandtrillionth。

12th“Onemilliontrillionth,oronequadrillionth,markedIV。,——andsoonindefinitely。

ThelargefiguresdenotethedegreesofPOTENCY。]

gastralgia,epistaxis,haemoptysis,——asthmaandsuppurationofthelungs,——megrim,deafness,cataractandamaurosis,——paralysis,lossofsense,painsofeverykind,etc。,appearinourpathologyassomanypeculiar,distinct,andindependentdiseases。“

Forthelastthreecenturies,ifthesameauthoritymaybetrusted,undertheinfluenceofthemorerefinedpersonalhabitswhichhaveprevailed,andtheapplicationofvariousexternalremedieswhichrepeltheaffectionfromtheskin;Psorahasrevealeditselfinthesenumerousformsofinternaldisease,insteadofappearing,asinformerperiods,undertheaspectofanexternalmalady。

ThesearethethreecardinaldoctrinesofHahnemann,aslaiddowninthosestandardworksofHomoeopathy,the“Organon“andthe“TreatiseonChronicDiseases。“

Severalotherprinciplesmaybeadded,uponallofwhichheinsistswithgreatforce,andwhichareverygenerallyreceivedbyhisdisciples。

1。Verylittlepowerisallowedtothecurativeeffortsofnature。

Hahnemanngoessofarastosaythatnoonehaseverseenthesimpleeffortsofnatureeffectthedurablerecoveryofapatientfromachronicdisease。Ingeneral,theHomoeopathistcallseveryrecoverywhichhappensunderhistreatmentacure。

2。Everymedicinalsubstancemustbeadministeredinastateofthemostperfectpurity,anduncombinedwithanyother。Theunionofseveralremediesinasingleprescriptiondestroysitsutility,and,accordingtothe“Organon,“frequentlyaddsanewdisease。

3。Alargenumberofsubstancescommonlythoughttobeinertdevelopgreatmedicinalpowerswhenpreparedinthemanneralreadydescribed;

andagreatproportionofthemareascertainedtohavespecificantidotesincasetheirexcessiveeffectsrequiretobeneutralized。

4。Diseasesshouldberecognized,asfaraspossible,notbyanyofthecommonnamesimposeduponthem,asfeverorepilepsy,butasindividualcollectionsofsymptoms,eachofwhichdiffersfromeveryothercollection。

5。Thesymptomsofanycomplaintmustbedescribedwiththemostminuteexactness,andsofaraspossibleinthepatient’sownwords。

Toillustratethekindofcircumstancesthepatientisexpectedtorecord,Iwillmentiononeortwofromthe313thpageofthe“TreatiseonChronicDiseases,“——beingthefirstoneatwhichI

openedaccidentally。

“Afterdinner,dispositiontosleep;thepatientwinks。“

“Afterdinner,prostrationandfeelingofweakness(ninedaysaftertakingtheremedy)。“

Thisremedywasthatsameoyster-shellwhichistobeprescribed“fractionsofthesextillionthordecillionthdegree。AccordingtoHahnemann,theactionofasingledoseofthesizementioneddoesnotfullydisplayitselfinsomecasesuntiltwenty-fouroreventhirtydaysafteritistaken,andinsuchinstanceshasnotexhausteditsgoodeffectsuntiltowardsthefortiethorfiftiethday,——beforewhichtimeitwouldbeabsurdandinjurioustoadministeranewremedy。

SomuchforthedoctrinesofHahnemann,whichhavebeenstatedwithoutcomment,orexaggerationofanyoftheirfeatures,verymuchasanyadherentofhisopinionsmighthavestatedthem,ifobligedtocompressthemintosonarrowaspace。

DoesHahnemannhimselfrepresentHomoeopathyasitnowexists?Hecertainlyoughttobeitsbestrepresentative,afterhavingcreatedit,anddevotedhislifetoitforhalfacentury。Heisspokenofasthegreatphysicianofthetime,inmost,ifnotallHomoeopathicworks。Ifheisnotauthorityonthesubjectofhisowndoctrines,whois?SofarasIamaware,notonetangiblediscoveryintheso-calledsciencehaseverbeenascribedtoanyotherobserver;atleast,nogeneralprincipleorlaw,ofconsequenceenoughtoclaimanyprominenceinHomoeopathicworks,haseverbeenpretendedtohaveoriginatedwithanyofhisillustriousdisciples。HeisoneoftheonlytwoHomoeopathicwriterswithwhom,asIshallmention,theParispublisherwillhaveanythingtodouponhisownaccount。TheotherisJahr,whoseManualislittlemorethanacatalogueofsymptomsandremedies。IfanypersonschoosetorejectHahnemannasnotinthemainrepresentingHomoeopathy,iftheystrikeathisauthority,iftheywinkoutofsighthisdeliberateandformallyannouncedresults,itisanactofsuicidalrashness;foruponhissagacityandpowersofobservation,andexperience,asembodiedinhisworks,andespeciallyinhisMateriaMedica,reposethefoundationsofHomoeopathyasapracticalsystem。

SofarasIcanlearnfromtheconflictingstatementsmadeuponthesubject,thefollowingisthepresentconditionofbelief。

1。AllofanynoteagreethatthelawSimiliasimilibusistheonlyfundamentalprincipleinmedicine。OfcourseifanymandoesnotagreetothisthenameHomoeopathistcannolongerbeappliedtohimwithpropriety。

2。Thebeliefinandemploymentoftheinfinitesimaldosesisgeneral,andinsomeplacesuniversal,amongtheadvocatesofHomoeopathy;butadistinctmovementhasbeenmadeinGermanytogetridofanyrestrictiontotheuseofthesedoses,andtoemploymedicineswiththesamelicenseasotherpractitioners。

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