Medical Essays

第9章

ThefollowinglistwastakenliterallyfromtheMateriaMedicaofHahnemann,bymyfriendM。Vernois,forwhoseaccuracyIamwillingtoberesponsible。Hehasgivensevenpagesofthesesymptoms,notselected,buttakenathazardfromtheFrenchtranslationofthework。Ishallbeverybriefinmycitations。

“Afterstoopingsometime,senseofpainfulweightabouttheheaduponresumingtheerectposture。“

“Anitching,ticklingsensationattheouteredgeofthepalmofthelefthand,whichobligesthepersontoscratch。“Themedicinewasacetateoflime,andastheactionoftheglobuletakenissaidtolasttwenty-eightdays,youmayjudgehowmanysuchsymptomsasthelastmightbesupposedtohappen。

Amongthesymptomsattributedtomuriaticacidarethese:acatarrh,sighing,pimples;“afterhavingwrittenalongtimewiththebackalittlebentover,violentpaininthebackandshoulder-blades,asiffromastrain,“——“dreamswhicharenotremembered,——dispositiontomentaldejection,——wakefulnessbeforeandaftermidnight。“

Imightextendthiscataloguealmostindefinitely。Ihavenotcitedthesespecimenswithanyviewtoexcitingasenseoftheridiculous,whichmanyothersofthosementionedwouldnotfailtodo,buttoshowthatthecommonaccidentsofsensation,thelittlebodilyinconveniencestowhichallofusaresubject,areseriouslyandsystematicallyascribedtowhatevermedicinemayhavebeenexhibited,evenintheminutedosesIhavementioned,wholedaysorweekspreviously。

Totheseareaddedallthesymptomseversaidbyanybody,whetherdeservingconfidenceornot,asIshallhereafterillustrate,tobeproducedbythesubstanceinquestion。

Theeffectsofsixty-fourmedicinalsubstances,ascertainedbyoneorbothofthesemethods,areenumeratedintheMateriaMedicaofHahnemann,whichmaybeconsideredasthebasisofpracticalHomoeopathy。IntheManualofJahr,whichisthecommonguide,sofarasIknow,ofthosewhopractiseHomoeopathyintheseregions,twohundredremediesareenumerated,manyofwhich,however,haveneverbeenemployedinpractice。Inatleastoneeditiontherewerenomeansofdistinguishingthosewhichhadbeentrieduponthesickfromtheothers。Itistruethatmarkshavebeenaddedintheeditionemployedhere,whichservetodistinguishthem;butwhatarewetothinkofastandardpracticalauthoronMateriaMedica,whoatonetimeomitstodesignatetheproperdosesofhisremedies,andatanothertoletushaveanymeansofknowingwhetheraremedyhaseverbeentriedornot,whileheisrecommendingitsemploymentinthemostcriticalandthreateningdiseases?

Ithinkthat,fromwhatIhaveshownofthecharacterofHahnemann’sexperiments,itwouldbeasatisfactiontoanycandidinquirertoknowwhetherotherpersons,towhoseassertionshecouldlookwithconfidence,confirmthesepretendedfacts。Nowtherearemanyindividuals,longandwellknowntothescientificworld,whohavetriedtheseexperimentsuponhealthysubjects,andutterlydenythattheireffectshaveatallcorrespondedtoHahnemann’sassertions。

Iwilltake,forinstance,thestatementsofAndral(andIamnotreferringtohiswell-knownpublicexperimentsinhishospitalastotheresultofhisowntrials。ThisdistinguishedphysicianisProfessorofMedicineintheSchoolofParis,andoneofthemostwidelyknownandvaluedauthorsuponpracticalandtheoreticalsubjectstheprofessioncanclaiminanycountry。Heisamanofgreatkindnessofcharacter,amostliberaleclecticbynatureandhabit,ofunquestionedintegrity,andiscalled,intheleadingarticleofthefirstnumberofthe“HomoepathicExaminer,““aneminentandveryenlightenedallopathist。“Assistedbyanumberofotherpersonsingoodhealth,heexperimentedontheeffectsofcinchona,aconite,sulphur,arnica,andtheothermosthighlyextolledremedies。Hisexperimentslastedayear,andhestatedpubliclytotheAcademyofMedicinethattheyneverproducedtheslightestappearanceofthesymptomsattributedtothem。Theresultsofamanlikethis,soextensivelyknownasoneofthemostphilosophicalandcandid,aswellasbrilliantofinstructors,andwhoseadmirableabilitiesandsignalliberalityaregenerallyconceded,oughttobeofgreatweightindecidingthequestion。

M。Double,awell-knownmedicalwriterandaphysicianofhighstandinginParis,hadoccasionsolongagoas1801,beforehehadheardofHomoeopathy,tomakeexperimentsuponCinchona,orPeruvianbark。Heandseveralotherstookthedrugineverykindofdoseforfourmonths,andthefeveritispretendedbyHahnemanntoexciteneverwasproduced。

M。Bonnet,PresidentoftheRoyalSocietyofMedicineofBordeaux,hadoccasiontoobservemanysoldiersduringthePeninsularWar,whomadeuseofCinchonaasapreservativeagainstdifferentdiseases,butheneverfoundittoproducethepretendedparoxysms。

Ifanyobjectionweremadetoevidenceofthiskind,IwouldrefertotheexpressexperimentsonmanyoftheHomoeopathicsubstances,whichweregiventohealthypersonswitheveryprecautionastodietandregimen,byM。LouisFleury,withoutbeingfollowedbytheslightestofthepretendedconsequences。Andletmementionasacuriousfact,thatthesamequantityofarsenicgiventooneanimalinthecommonformoftheunpreparedpowder,andtoanotherafterhavingbeenrubbedupintosixhundredglobules,offerednoparticulardifferenceofactivityinthetwocases。

Thisisastrangecontradictiontothedoctrineofthedevelopmentofwhattheycalldynamicpower,bymeansoffrictionandsubdivision。

In1835apublicchallengewasofferedtothebestknownHomoeopathicphysicianinParistoselectanytensubstancesassertedtoproducethemoststrikingeffects;topreparethemhimself;tochooseonebylotwithoutknowingwhichofthemhehadtaken,andtryituponhimselforanyintelligentanddevotedHomoeopatbist,and,waitinghisowntime,tocomeforwardandtellwhatsubstancehadbeenemployed。Thechallengewasatfirstaccepted,buttheacceptanceretractedbeforethetimeoftrialarrived。

>FromallthisIthinkitfairtoconcludethatthecataloguesofsymptomsattributedinHomoeopathicworkstotheinfluenceofvariousdrugsuponhealthypersonsarenotentitledtoanyconfidence。

2。Itisnecessarytoshow,inthenextplace,thatmedicinalsubstancesarealwayscapableofcuringdiseasesmostliketheirownsymptoms。Forfactsrelatingtothisquestionwemustlooktotwosources;therecordedexperienceofthemedicalprofessioningeneral,andtheresultsoftrialsmadeaccordingtoHomoeopathicprinciples,andcapableoftestingthetruthofthedoctrine。

Noperson,thatIamawareof,haseverdeniedthatinsomecasesthereexistsaresemblancebetweentheeffectsofaremedyandthesymptomsofdiseasesinwhichitisbeneficial。Thishasbeenrecognized,asHahnemannhimselfhasshown,fromthetimeofHippocrates。Butaccordingtotherecordsofthemedicalprofession,astheyhavebeenhithertointerpreted,thisistrueofonlyaverysmallproportionofusefulremedies。Norhasiteverbeenconsideredasanestablishedtruththattheefficacyofeventhesefewremedieswasinanydefiniteratiototheirpowerofproducingsymptomsmoreorlesslikethosetheycured。

SuchwasthestateofopinionwhenHahnemanncameforwardwiththepropositionthatallthecasesofsuccessfultreatmentfoundintheworksofallprecedingmedicalwritersweretobeascribedsolelytotheoperationoftheHomoeopathicprinciple,whichhadeffectedthecure,althoughwithoutthephysician’sknowledgethatthiswastherealsecret。Andstrangeasitmayseem,hewasenabledtogivesuchadegreeofplausibilitytothisassertion,thatanypersonnotacquaintedsomewhatwithmedicalliterature,notquitefamiliar,I

shouldrathersay,withtherelativevalueofmedicalevidence,accordingtothesourceswhenceitisderived,wouldbealmostfrightenedintothebelief,atseeingthepagesuponpagesofLatinnameshehassummonedashiswitnesses。

Ithashithertobeencustomary,whenexaminingthewritingsofauthorsofprecedingages,uponsubjectsastowhichtheywerelessenlightenedthanourselves,andwhichtheywereveryliabletomisrepresent,toexercisesomelittlediscretion;todiscriminate,insomemeasure,betweenwritersdeservingconfidenceandthosenotentitledtoit。ButthereisnottheleastappearanceofanysuchdelicacyonthepartofHahnemann。Alargemajorityofthenamesofoldauthorshecitesarewhollyunknowntoscience。WithsomeofthemIhavebeenlongacquainted,andIknowthattheiraccountsofdiseasesarenomoretobetrustedthantheircontemporaryAmbroisePare’sstoriesofmermen,andsimilarabsurdities。Butifmyjudgmentisrejected,asbeingaprejudicedone,IcanrefertoCullen,whomentionedthreeofHahnemann’sauthorsinonesentence,asbeing“notnecessarilybadauthorities;butcertainlysuchwhentheydeliveredveryimprobableevents;“andasthiswassaidmorethanhalfacenturyago,itcouldnothavehadanyreferencetoHahnemann。Butalthoughnottheslightestsignofdiscriminationisvisibleinhisquotations,——althoughforhimahandfulofchafffromSchenckisallthesamethingasameasureofwheatfromMorgagni,——

thereisaformidabledisplayofauthorities,andanabundantproofofingeniousresearchestobefoundineachofthegreatworksofHahnemannwithwhichIamfamiliar。“[SomepainfulsurmisesmightariseastotheeruditionofHahnemann’sEnglishTranslator,whomakestwoindividualsof“Zacutus,Lucitanus,“aswellasrespectingthatoftheconductorsofanAmericanHomoeopathicperiodical,whosufferthenameoftheworld-renownedCardanustobespeltCardamusinatleastthreeplaces,werenotthisgrossignoranceofcourseattributableonlytotheprinter。]

ItisstatedbyDr。Leo-Wolf,thatProfessorJoerg,ofLeipsic,hasprovedmanyofHahnemann’squotationsfromoldauthorstobeadulterateandfalse。WhatparticularinstanceshehaspointedoutI

havenomeansoflearning。AnditisprobablywhollyimpossibleonthissideoftheAtlantic,andeveninmostofthepubliclibrariesofEurope,tofindanythingmorethanasmallfractionoftheinnumerableobscurepublicationswhichtheneglectofgrocersandtrunkmakershassparedtoberansackedbytheall-devouringgeniusofHomoeopathy。Ihaveendeavoredtoverifysuchpassagesasmyownlibraryaffordedmethemeansofdoing。ForsomeIhavelookedinvain,forwant,asIamwillingtobelieve,ofmoreexactreferences。

ButthisIamabletoaffirm,that,outoftheverysmallnumberwhichIhavebeenable,totracebacktotheiroriginalauthors,I

havefoundtwotobewronglyquoted,oneofthembeingagrossmisrepresentation。

ThefirstisfromtheancientRomanauthor,CaeliusAurelianus;thesecondfromthevenerablefolioofForestus。Hahnemannusesthefollowingexpressions,——ifheisnotmisrepresentedintheEnglishTranslationofthe“Organon“:“Asclepiadesononeoccasioncuredaninflammationofthebrainbyadministeringasmallquantityofwine。“

AftercorrectingtheerroneousreferenceoftheTranslator,Icanfindnosuchcasealludedtointhechapter。ButCaeliusAurelianusmentionstwomodesoftreatmentemployedbyAsclepiades,intobothofwhichtheuseofwineentered,asbeinginthehighestdegreeirrationalanddangerous。“[CaeliusAurel。DeMorb。Acut。etChron。lib。I。cap。xv。notxvi。Amsterdam。Wetstein,1755。]

Inspeakingoftheoilofanise-seed,HahnemannsaysthatForestusobservedviolentcoliccausedbyitsadministration。But,astheauthortellsthestory,ayoungmantook,bythecounselofasurgeon,anacridandvirulentmedicine,thenameofwhichisnotgiven,whichbroughtonamostcruelfitofthegripesandcolic。

Afterthisanothersurgeonwascalled,whogavehimoilofanise-seedandwine,whichincreasedhissuffering。“[Observ。etCurat。Med。

lib。XXZobs。xiii。Frankfort,1614。]NowifthiswastheHomoeopathicremedy,asHahnemannpretends,itmightbeafairquestionwhytheyoungmanwasnotcuredbyit。Butitisamuchgraverquestionwhyamanwhohasshrewdnessandlearningenoughtogosofarafterhisfacts,shouldthinkitrighttotreatthemwithsuchastonishingnegligenceorsuchartfulunfairness。

Evenifeverywordhehadpretendedtotakefromhisoldauthoritiesweretobefoundinthem,eveniftheauthorityofeveryoneoftheseauthorswerebeyondquestion,theloosenesswithwhichtheyareusedtoprovewhateverHahnemannchoosesisbeyondtheboundsofcredibility。Letmegiveoneinstancetoillustratethecharacterofthisman’smind。Hahnemannasserts,inanoteannexedtothe110thparagraphofthe“Organon,“thatthesmelloftherosewillcausecertainpersonstofaint。Andhesaysinthetextthatsubstanceswhichproducepeculiareffectsofthisnatureonparticularconstitutionscurethesamesymptomsinpeopleingeneral。Theninanothernotetothesameparagraphhequotesthefollowingfactfromoneofthelastsourcesonewouldhavelookedtoformedicalinformation,theByzantineHistorians。

“Itwasbythesemeans“(i。e。Homoeopathically)thatthePrincessEudosiawithrose-waterrestoredapersonwhohadfainted!“

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