下载辰思小说免费APP
IfthereisanyStateorcitywhichmightclaimtobetheAmericanheadquartersofthenature-trustingheresy,provideditbeone,thatStateisMassachusetts,andthatcityisitscapital。Theeffectwhichthesedoctrineshaveupontheconfidencereposedintheprofessionisamatterofopinion。Formyself,Idonotbelievethisconfidencecanbeimpairedbyanyinvestigationswhichtendtolimittheapplicationoftroublesome,painful,uncertain,ordangerousremedies。Nay,Iwillventuretosaythis,thatifeveryspecificweretofailutterly,ifthecinchonatreesalldiedout,andthearsenicmineswereexhausted,andthesulphurregionswereburnedup,ifeverydrugfromthevegetable,animal,andmineralkingdomweretodisappearfromthemarket,abodyofenlightenedmen,organizedasadistinctprofession,wouldberequiredjustasmuchasnow,andrespectedandtrustedasnow,whoseprovinceshouldbetoguardagainstthecausesofdisease,toeliminatethemifpossiblewhenstillpresent,toorderalltheconditionsofthepatientsoastofavortheeffortsofthesystemtorightitself,andtogivethosepredictionsofthecourseofdiseasewhichonlyexperiencecanwarrant,andwhichinsomanycasesrelievetheexaggeratedfearsofsufferersandtheirfriends,orwarntheminseasonofimpendingdanger。Greatasthelosswouldbeifcertainactiveremediescouldnolongerbeobtained,itwouldleavethemedicalprofessionthemostessentialpartofit’sduties,andall,andmorethanall,itspresentshareofhonors;foritwouldbethedeath-blowtocharlatanism,whichdependsforitssuccessalmostentirelyondrugs,oratleastonanomenclaturethatsuggeststhem。
Thereisnooffence,then,ordangerinexpressingtheopinion,that,afterallwhichhasbeensaid,thecommunityisstilloverdosed:Thebestproofofitis,thatnofamiliestakesolittlemedicineasthoseofdoctors,exceptthoseofapothecaries,andthatoldpractitionersaremoresparingofactivemedicinesthanyoungerones。“[Dr。JamesJacksonhaskindlypermittedmetomakethefollowingextractfromaletterjustreceivedbyhimfromSirJamesClark,anddatedMay26,1860:“Asaphysicianadvancesinage,hegenerally,Ithink,placeslessconfidenceintheordinarymedicaltreatmentthanhedid,notonlyduringhisearly,butevenhismiddleperiodoflife。“]TheconclusionfromthesefactsisonewhichtheleastpromisingofDr。Howe’spupilsinthementaldepartmentcouldhardlyhelpdrawing。
Partoftheblameofover-medicationmust,Ifear,restwiththeprofession,foryieldingtothetendencytoself-delusion,whichseemsinseparablefromthepracticeoftheartofhealing。Ineedonlytouchonthecommonmodesofmisunderstandingormisapplyingtheevidenceofnature。
First,thereisthenaturalincapacityforsoundobservation,whichislikeafaultyearinmusic。Weseethisinmanypersonswhoknowagooddealaboutbooks,butwhoarenotsharp-sightedenoughtobuyahorseordealwithhumandiseases。
Secondly,thereisinsomepersonsasingularinabilitytoweighthevalueoftestimony;ofwhich,Ithink,fromaprettycarefulexaminationofhisbooks,HahnemannaffordsthebestspecimenoutsidethewallsofBedlam。
Theinveteratelogicalerrorstowhichphysicianshavealwaysbeensubjectarechieflythese:
Themodeofinferenceperenumerationemsimplicem,inscholasticphrase;thatis,countingonlytheirfavorablecases。ThisistheoldtrickillustratedinLordBacon’sstoryofthegiftsoftheshipwreckedpeople,hungupinthetemple——Behold!theyvowedthesegiftstothealtar,andthegodssavedthem。Ay,saidadoubtingbystander,buthowmanymadevowsofgiftsandwereshipwreckednotwithstanding?Thenumericalsystemisthebestcorrectiveofthisandsimilarerrors。Theargumentscommonlybroughtagainstitsapplicationtoallmattersofmedicalobservation,treatmentincluded,seemtoapplyrathertothetabulationoffactsillobserved,orimproperlyclassified,thantothemethoditself。
Theposthocergopropterhocerror:hegotwellaftertakingmymedicine;thereforeinconsequenceoftakingit。
Thefalseinductionfromgenuinefactsofobservation,leadingtotheconstructionoftheorieswhicharethendeductivelyappliedinthefaceoftheresultsofdirectobservation。TheschoolofBroussaishasfurnisheduswithagoodexampleofthiserror。
Andlastly,theerrorwhichSirThomasBrownecallsgiving“areasonofthegoldentooth;“thatis,assumingafalsehoodasafact,andgivingreasonsforit,commonlyfancifulones,asisconstantlydonebythatclassofincompetentobserverswhofindtheir“goldentooth“
inthefabulouseffectsofthehomoeopathiemateriamedica,——whichconsistsofsugarofmilkandanomenclature。
Anotherportionoftheblamerestswiththepublicitself,
后续内容为VIP可读请开通VIP,或购买此章节