Medical Essays

第8章

3。ThedoctrineoftheoriginofmostchronicdiseasesinPsora,notwithstandingHahnemannsaysitcosthimtwelveyearsofstudyandresearchtoestablishthefactanditspracticalconsequences,hasmetwithgreatneglectandevenoppositionfromverymanyofhisowndisciples。

Itistrue,notwithstanding,that,throughoutmostoftheirwritingswhichIhaveseen,thererunsaprevailingtoneofgreatdeferencetoHahnemann’sopinions,aconstantreferencetohisauthority,ageneralagreementwiththeminorpointsofhisbelief,andapretenceofharmoniousunioninacommonfaith。[ThosewhowilltakethetroubletolookoverHull’sTranslationofJahr’sManualmayobservehowlittlecomparativespaceisgiventoremediesrestinguponanyotherauthoritythanthatofHahnemann。]

Manypersons,andmostphysiciansandscientificmen,wouldbesatisfiedwiththestatementofthesedoctrines,andexaminethemnofurther。Theywouldconsideritvastlymoreprobablethatanyobserverinsofallaciousanddifficultafieldofinquiryasmedicinehadbeenledintoerror,orwalkedintoitofhisownaccord,thanthatsuchnumerousandextraordinaryfactshadreallyjustcometolight。TheywouldfeelarighttoexercisethesameobduracytowardsthemastheFrenchInstituteisinthehabitofdisplayingwhenmemoirsormodelsareofferedtoitrelatingtothesquaringofthecircleorperpetualmotion;whichitistheruletopassoverwithoutnotice。Theywouldfeelasastronomersandnaturalphilosophersmusthavefeltwhen,somehalfadozenyearsago,anunknownmancameforward,andaskedforanopportunitytodemonstratetoAragoandhiscolleaguesthatthemoonandplanetswereatadistanceofalittlemorethanahundredmilesfromtheearth。AndsotheywouldnotevenlookintoHomoeopathy,thoughallitsadvocatesshouldexclaiminthewordsofMr。BenjaminDouglassPerkins,venderoftheMetallicTractors,that“Onalldiscoveriestherearepersonswho,withoutdescendingtoanyinquiryintothetruth,pretendtoknow,asitwerebyintuition,thatnewlyassertedfactsarefoundedinthegrossesterrors。“Andtheywouldlaytheirheadsupontheirpillowswithaperfectlyclearconscience,althoughtheywereassuredthattheywerebehavinginthesamewaythatpeopleofolddidtowardsHarvey,Galileo,andCopernicus,theidenticalgreatnameswhichwereinvokedbyMr。BenjaminDouglassPerkins。

Butexperiencehasshownthatthecharacteroftheseassertionsisnotsufficienttodetermany,fromexaminingtheirclaimstobelief。

Ithereforeleanbutveryslightlyontheextravaganceandextremeapparentsingularityoftheirpretensions。Imighthaveomittedthem,butonthewholeitseemedmorejusttotheclaimsofmyargumenttosuggestthevastcomplicationofimprobabilitiesinvolvedinthestatementsenumerated。Everyonemustofcoursejudgeforhimselfastotheweightoftheseobjections,whicharebynomeansbroughtforwardasaproofoftheextravaganceofHomoeopathy,butsimplyasentitledtoabriefconsiderationbeforethefactsofthecasearesubmittedtoourscrutiny。

ThethreegreatasserteddiscoveriesofHahnemannareentirelyunconnectedwithandindependentofeachother。Werethereanynaturalrelationbetweenthemitwouldseemprobableenoughthatthediscoveryofthefirstwouldhaveledtothatoftheothers。Butassumingittobeafactthatdiseasesarecuredbyremediescapableofproducingsymptomsliketheirown,nomanifestrelationexistsbetweenthisfactandthenextassertion,namely,thepoweroftheinfinitesimaldoses。Andallowingboththesetobetrue,neitherhastheremotestaffinitytothethirdnewdoctrine,thatwhichdeclaresseveneighthsofallchronicdiseasestobeowingtoPsora。

ThiswantofanyobviousrelationbetweenHahnemann’sthreecardinaldoctrinesappearstobeself-evidentuponinspection。Butif,asisoftentruewithhisdisciples,theyprefertheauthorityofoneoftheirownnumber,IwillreferthemtoDr。Trinks’spaperonthepresentstateofHomoeopathyinEurope,withwhich,ofcourse,theyarefamiliar,ashisnameismentionedasoneofthemostprominentchampionsoftheirfaith,intheirAmericanofficialorgan。Itwouldbeafactwithoutaparallelinthehistory,notmerelyofmedicine,butofscience,thatthreesuchunconnectedandastonishingdiscoveries,eachofthemacompleterevolutionofallthatagesofthemostvariedexperiencehadbeentaughttobelieve,shouldspringfullformedfromthebrainofasingleindividual。

Letuslookamomentatthefirstofhisdoctrines。Improbablethoughitmayseemtosome,thereisnoessentialabsurdityinvolvedinthepropositionthatdiseasesyieldtoremediescapableofproducinglikesymptoms。Thereare,ontheotherhand,someanalogieswhichlendadegreeofplausibilitytothestatement。

Therearewell-ascertainedfacts,knownfromtheearliestperiodsofmedicine,showingthat,undercertaincircumstances,theverymedicinewhich,fromitsknowneffects,onewouldexpecttoaggravatethedisease,maycontributetoitsrelief。Imaybepermittedtoallude,inthemostgeneralway,tothecaseinwhichthespontaneouseffortsofanovertaskedstomacharequietedbytheagencyofadrugwhichthatorganrefusestoentertainuponanyterms。Butthateverycureeverperformedbymedicineshouldhavebeenfoundeduponthisprinciple,althoughwithouttheknowledgeofaphysician;thattheHomoeopathicaxiomis,asHahnemannasserts,“thesolelawofnatureintherapeutics,“alawofwhichnothingmorethanatransientglimpseeverpresenteditselftotheinnumerablehostofmedicalobservers,isadogmaofsuchsweepingextent,andpregnantnovelty,thatitdemandsacorrespondingbreadthanddepthofunquestionablefactstocoveritsvastpretensions。

SomuchridiculehasbeenthrownuponthepretendedpowersoftheminutedosesthatIshallonlytouchuponthispointforthepurposeofconveying,byillustrations,someshadowofideasfartranscendingthepowersoftheimaginationtorealize。Itmustberememberedthatthesecomparisonsarenotmatterssusceptibleofdispute,beingfoundedonsimplearithmeticalcomputations,leveltothecapacityofanyintelligentschoolboy。Apersonwhooncewroteaverysmallpamphletmadesomeshowofobjectingtocalculationsofthuskind,onthegroundthatthehighestdilutionscouldeasilybemadewithafewouncesofalcohol。Butheshouldhaverememberedthatateverysuccessivedilutionhelaysasideorthrowsawayninety-ninehundredthsofthefluidonwhichheisoperating,andthat,althoughhebeginswithadrop,heonlypreparesamillionth,billionth,trillionth,andsimilarfractionsofit,allofwhich,addedtogether,wouldconstitutebutavastlyminuteportionofthedropwithwhichhebegan。ButnowletussupposewetakeonesingledropoftheTinctureofCamomile,andthatthewholeofthisweretobecarriedthroughthecommonseriesofdilutions。

AcalculationnearlylikethefollowingwasmadebyDr。Panvini,andmaybereadilyfollowedinitsessentialparticularsbyanyonewhochooses。

Forthefirstdilutionitwouldtake100dropsofalcohol。

Fortheseconddilutionitwouldtake10;000drops,oraboutapint。

Forthethirddilutionitwouldtake100pints。

Forthefourthdilutionitwouldtake10,000pints,ormorethan1,000gallons,andsoontotheninthdilution,whichwouldtaketenbilliongallons,whichhecomputedwouldfillthebasinofLakeAgnano,abodyofwatertwomilesincircumference。Thetwelfthdilutionwouldofcoursefillamillionsuchlakes。Bythetimetheseventeenthdegreeofdilutionshouldbereached,thealcoholrequiredwouldequalinquantitythewatersoftenthousandAdriaticseas。Triflingerrorsmustbeexpected,buttheyareaslikelytobeononesideastheother,andanylittlematterlikeLakeSuperiorortheCaspianwouldbebutadropinthebucket。

Swallowersofglobules,oneofyourlittlepellets,moistenedinthemingledwavesofonemillionlakesofalcohol,eachtwomilesincircumference,withwhichhadbeenblendedthatonedropofTinctureofCamomile,wouldbeofpreciselythestrengthrecommendedforthatmedicineinyourfavoriteJahr’sManual,againstthemostsudden,frightful,andfataldiseases!“[IntheFrencheditionof1834,theproperdosesofthemedicinesarementioned,andCamomileismarkedIV。WhyarethedosesomittedinHull’sTranslation,exceptinthreeinstancesoutofthewholetwohundredremedies,notwithstandingthepromiseintheprefacethat“someremarksuponthedosesusedmaybefoundattheheadofeachmedicine“?PossiblybecauseitmakesnodifferencewhethertheyareemployedinoneHomoeopathicdoseoranother;butthenitisverysingularthatsuchprecisedirectionswereformerlygiveninthesamework,andthatHahnemann’s“experience“shouldhaveledhimtodrawthenicedistinctionswehaveseeninaformerpartofthisLecture(p。44)。]

Andproceedingonthecommondata,IhavejustmadeacalculationwhichshowsthatthissingledropofTinctureofCamomile,giveninthequantityorderedbyJahr’sManual,wouldhavesuppliedeveryindividualofthewholehumanfamily,pastandpresent,withmorethanfivebilliondoseseach,theactionofeachdoselastingaboutfourdays。

Yetthisisgivenonlyatthequadrillionth,orfourthdegreeofpotency,andvarioussubstancesarefrequentlyadministeredatthedecillionthortenthdegree,andoccasionallyatstillhigherattenuationswithprofessedmedicinalresults。Istherenotinthisasgreatanexceptiontoallthehithertoreceivedlawsofnatureasinthemiracleoftheloavesandfishes?AskthisquestionofaHomoeopathist,andhewillanswerbyreferringtotheeffectsproducedbyaveryminuteportionofvaccinematter,ortheextraordinarydiffusionofodors。Butthevaccinematterisoneofthosesubstancescalledmorbidpoisons,ofwhichitisapeculiarcharactertomultiplythemselves,whenintroducedintothesystem,asaseeddoesinthesoil。Thereforethehundredthpartofagrainofthevaccinematter,ifnomorethanthisisemployed,soonincreasesinquantity,until,inthecourseofaboutaweek,itisagrainormore,andcanberemovedinconsiderabledrops。AndwhatisaverycuriousillustrationofHomoeopathy,itdoesnotproduceitsmost。

characteristiceffectsuntilitisalreadyinsufficientquantitynotmerelytobevisible,buttobecollectedforfurtheruse。Thethoughtlessnesswhichcanallowaninferencetobeextendedfromaproductofdiseasepossessingthissusceptibilityofmultiplicationwhenconveyedintothelivingbody,tosubstancesofinorganicorigin,suchassilexorsulphur,wouldbecapableofarguingthatapebblemayproduceamountain,becauseanacorncanbecomeaforest。

Astotheanalogytobefoundbetweentheallegedactionoftheinfinitelyattenuateddoses,andtheeffectsofsomeodoroussubstanceswhichpossesstheextraordinarypowerofdiffusingtheirimponderableemanationsthroughaverywidespace,howeveritmaybeabusedinargument,andrapidlyasitevaporatesonexamination,itisnotlikethatjustmentioned,whollywithoutmeaning。Thefactofthevastdiffusionofsomeodors,asthatofmuskortherose,forinstance,haslongbeencitedasthemostremarkableillustrationofthedivisibilityofmatter,andthenicetyofthesenses。Andifthiswerecomparedwiththeeffectsofaveryminutedoseofmorphiaonthewholesystem,orthesuddenandfatalimpressionofasingledropofprussicacid,or,withwhatcomesstillnearer,thepoisonousinfluenceofanatmosphereimpregnatedwithinvisiblemalaria,weshouldfindineachoftheseexamplesanevidenceofthedegreetowhichnature,insomefewinstances,concentratespowerfulqualitiesinminuteorsubtileformsofmatter。Butifamancomestomewithapestleandmortarinhishand,andtellsmethathewilltakealittlespeckofsomesubstancewhichnobodyeverthoughttohaveanysmellatall,as,forinstance,agrainofchalkorofcharcoal,andthathewill,afteranhourortwoofrubbingandscraping,developinaportionofitanodorwhich,ifthewholegrainwereused,wouldbecapableofpervadinganapartment,ahouse,avillage,aprovince,anempire,nay,theentireatmosphereofthisbroadplanetuponwhichwetread;andthatfromeachoffiftyorsixtysubstanceshecaninthiswaydevelopadistinctandhithertounknownodor:andifhetriestoshowthatallthisisrenderedquitereasonablebytheanalogyofmuskandroses,Ishallcertainlybejustifiedinconsideringhimincapableofreasoning,andbeyondthereachofmyargument。Whatif,insteadofthis,heprofessestodevelopnewandwonderfulmedicinalpowersfromthesamespeckofchalkorcharcoal,insuchproportionsaswouldimpregnateeverypond,lake,river,sea,andoceanofourglobe,andappealstothesameanalogyinfavoroftheprobabilityofhisassertion。

Allthismaybetrue,notwithstandingtheseconsiderations。Butsoextraordinarywouldbethefact,thatasingleatomofsubstanceswhichachildmightswallowwithoutharmbytheteaspoonfulcould,byaneasymechanicalprocess,bemadetodevelopsuchinconceivablepowers,thatnothingbutthestrictestagreementofthemostcautiousexperimenters,securedbyeveryguarantythattheywerehonestandfaithful,appealingtorepeatedexperimentsinpublic,witheveryprecautiontoguardagainsterror,andwiththemostplainandperemptoryresults,shouldinduceustolendanycredencetosuchpretensions。

Thethirddoctrine,thatPsora,theothernameofwhichyouremember,isthecauseofthegreatmajorityofchronicdiseases,isastartlingone,tosaytheleast。Thatanaffectionalwaysrecognizedasaveryunpleasantpersonalcompanion,butgenerallyregardedasameretemporaryincommodity,readilyyieldingtotreatmentinthoseunfortunateenoughtosufferfromit,andhardlyknownamongthebetterclassesofsociety,shouldbeallatoncefoundoutbyaGermanphysiciantobethegreatscourgeofmankind,thecauseoftheirseverestbodilyandmentalcalamities,cancerandconsumption,idiocyandmadness,mustexciteourunqualifiedsurprise。Andwhentheoriginatorofthissingulartruthascribes,asinthepagenowopenbeforeme,thedeclininghealthofadisgracedcourtier,thechronicmaladyofabereavedmother,eventhemelancholyofthelove-

sickandslightedmaiden,tonothingmorenorlessthantheinsignificant,unseemly,andalmostunmentionableITCH,doesitnotseemasiftheverysoiluponwhichwestandweredissolvingintochaos,overtheearthquake-heavingofdiscovery?

Andwhenonemanclaimstohaveestablishedthesethreeindependenttruths,whichareaboutasremotefromeachotherasthediscoveryofthelawofgravitation,theinventionofprinting,andthatofthemariner’scompass,unlessthefactsintheirfavorareoverwhelmingandunanimous,thequestionnaturallyarises,Isnotthismandeceivinghimself,ortryingtodeceiveothers?

IproceedtoexaminetheproofsoftheleadingideasofHahnemannandhisschool。

Inordertoshowtheaxiom,similiasimilibuscurantur(orlikeiscuredbylike),tobethebasisofthehealingart,——“thesolelawofnatureintherapeutics,“——itisnecessary,1。Thatthesymptomsproducedbydrugsinhealthypersonsshouldbefaithfullystudiedandrecorded。

2。Thatdrugsshouldbeshowntobealwayscapableofcuringthosediseasesmostliketheirownsymptoms。

3。Thatremediesshouldbeshownnottocurediseaseswhentheydonotproducesymptomsresemblingthosepresentedinthesediseases。

1。TheeffectsofdrugsuponhealthypersonshavebeenstudiedbyHahnemannandhisassociates。TheirresultsweremadeknowninhisMateriaMedica,aworkinthreelargevolumesintheFrenchtranslation,publishedabouteightyearsago。Themodeofexperimentationappearstohavebeen,totakethesubstanceontrial,eitherincommonorminutedoses,andthentosetdowneverylittlesensation,everylittlemovementofmindorbody,whichoccurredwithinmanysucceedinghoursordays,asbeingproducedsolelybythesubstanceemployed。WhenIhaveenumeratedsomeofthesymptomsattributedtothepowerofthedrugstaken,youwillbeabletojudgehowmuchvalueistobeascribedtotheassertionsofsuchobservers。

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