THREE LECTURES ON HYGIENE AND HYDROPATHY. BY ROLAND S. HOUGHTON, A.M., M.D., EDITOR OF t; BULWER AND FORBES ON THE WATER TREATMENT.” TO WHICH ARE PREFIXED THE CONSTITUTION AND LIST OP OFFICERS OF THE AMERICAN HYGIENIC AND HYDROPATHIC ASSOCIATION OF PHYSICIANS AND SURGEONS NEW YORK: PUBLISHED BY FOWLERS AND WELLS, CLINTON HALL, NASSAU STREET. 1851. Entered, according to act of Congress, in the year 1850, by ROLAND S. HOUGHTON, M. D. in the Clerk’s Office of the District Court for the Southern District of New York. BAKER AND PALMER, STEREOTYPERS TO LOWREY BARNEY, M.D., PRESIDENT OF THE AMERICAN HYGIENIC AND HYDROPATHIC ASSOCIA- TION OF PHYSICIANS AND SURGEONS, THE FOLLOWING PAGES 'Arc Ecspcctfullji Inscribed, BY THE AUTHOR. CONTENTS. rASi. PREFACE 7 CONSTITUTION 11 LIST OF OFFICERS 14 ADDRESS AT THE HYDROPATHIC CONVENTION 15—40 Preliminary Remarks—Dr. Warren’s Valedictory at Cincinnati—Query : Did he intend to disparage rational Hydropathy ?—Reasons for believing that he did not, but that his remarks were directed against Homoeopathy— Need of organizing the Water-Cure system in America upon a rational and scientific basis—Constitution explained : I. It recognizes the doctrine of the vis medicatrix naturae—Nature’s teachings seldom regarded in allopathic teaching, in general—The vulgar idea about the efficacy of bleeding too often pandered to—The province of Nature in medical and surgical cases illus- trated—II. The necessity of remedial agents in medical treatment fully re- cognized—Nature’s powers not always adequate to the removal of disease —Popular ignorance on the subject of Hygiene—Those who obey the laws of health almost entirely exempt from sickness and suffering—Physicians’ first duty in medical treatment to bring about a return to the observance of the laws of health—In this way, air, light, food, rest, clothing, and per- sonal cleanliness are converted into remedial agents—A knowledge of Hy- giene a sealed book to nine tenths of allopathic graduates—Had Hygiene been studied as diligently during the past fifty years as poisons, there would have been no need of this new Association—III. Wateb the best, safest, and most universal remedial agent—No obstinate, exclusive, ultra ground taken by this Association—Water not assumed to be the only remedial agent to be employed—Practitioners of other schools not denounced as “poisoners and assassins”—The profession of medicine comprehends a band of honorable men—Reasons why medicines are now deemed so essential to success in medical treatment—The people really like to take medicine— Sir Charles Scudamore’s opinion in regard to the opposition of medical men to the spread of Hydropathy—Dr. Erasmus Wilson’s opinion—Con- trast between the “routine treatment” of fever and the “water treatment” of the same malady—The former wastes the capital of health, while the latter saves it—Rational Hydropathy completely successful in inflamma- tory disorders—Water antiphlogistic, purgative, diuretic, and nauseant, also tonic and alterant—Liebig’s opinion about the “ change of matter” by means of the water treatment—Hygienic and hydropathic treatment will often succeed when the materia medica has been exhausted in vain—Con- cluding remarks on the need of educated physicians in order to insure the success of the hydropathic treatment. HYGIENE THE TRUE MORAL OF THE CHOLERA 41—83 The year 1849 marked by the ravages of war and pestilence—The progress and spread of Asiatic cholera—Picture of scenes in New York during the summer of 1849—Absurd theories about the origin of the cholera—Chem- ists analyzing the air in bottles !—Savans peering in the dark like owls !— Doctrine of the animalcules—“ Fungous growths”—The ozone humbug !•— VI CONTENTS. The “ no-electricity-in-the-air” theory as long-lived as the sparks !—Seneca’s doctrine of the hatefulness of orer-acuteness as illustrated by the late Ed- gar A. Poe—The true way to solve the problem of the cholera to look straight before us, investigate its history, locale, and the peculiarities of the class on which it preys—The clime of Hindostan described : a land of mon- soons and miasmata, a fit home for this horrible plague—Among the Aff- ghans, Persians, Turks, and Russians, the cholera sweeps off persons of pernicious habits, the unclean, and the crowded—The cholera districts of London described—M. Bureaud Riofrey's description of Paris—Outbreak of the Cholera in New York on the 11th of May, 1849—Description of the Five Points—Ravages of the cholera in New York, Nashville, Sandusky, New Orleans, etc.—Its victims from the same class as in the old world, the squalid, the licentious, and the intemperate—Persons in good hygienic condition ex- empt from cholera—This position proved by established facts cited from the history of the cholera in Hindostan, Russia, Galicia, Sarepta, Holland, etc.—Hygienic habits of Howard the Philanthropist—“ Temperance and cleanliness” Howard’s preservatives—Howard the first to solve the enigma of plagues—Popular ignorance on the subject of Hygiene—Quotation from Prof. Dickson—Course of the Board of Health in New York censured— Progress of hygienic principles in England—Quotation from The British and Foreign-Medico-Chirurgical Review—“Health of Towns Associations” effecting much good in England—“ St. Giles” renovated by the London au- thorities—Quotations from the London 7'irncs and Chronicle on the sanitary condition of the English metropolis—A parallel to bo found in the city of New York—Our cellar population and city nuisances—The only remedy to be found in the action of an enlightened public opinion, and this opinion to be formed and brought to bear on our municipal authorities only by means of energetic, organized efforts—Concluding remarks on the noble example set us by England. HYDROPATHY RATIONAL, AND NOT EMPIRICAL 84—132 The Water-Cure not often favored with an open manly attack—Anecdote of an English medical professor—Bulwer’s experience at the hands of “the faculty”—Reception of the Water-Cure in America—Its enemies prefer “ fighting shy”—Illustration in point—Course of “ The Sanitary Commit- tee of New York”—Unprovoked slur upon Hydropathy—Language of the medical counsel to the Board of Health criticised—Defense of the Water- Cure from the charge of empiricism—Antiquity of the water treatment— Opinions of Hippocrates, Asclepiades, Antonius Musa, Celsus, Aretaeus, Galen, Caslius Aurelianus, Alexander Trallianus, vEtius and Paulus rF.gi- neta, Rhazes, Avicenna, Savoranola, Paracelsus, Mercurialis, Van der Hey- den, Sir John Floyer, Dr. Baynard, Frederick Hoffman, T. Sigismund Hahn, De Moncta, Nicolo Lanzani, Cyrillo, Giannini, Dr. James Currie, etc.—The Water Cure pedigree ns long as that of any other system—If the Water- Cure is “ quackery” now, it must have been “ quackery” 2300 years ago— Professional ignorance of Dr. Currie’s name Hnd writings—Extract from Dr. Currie’s letter to Sir Joseph Banks—Sketch of the career of Vincent Priessnitz—Success of his treatment at Graefenberg notwithstanding his lack of medical science—Decline of modern allopathy—Opinions of Doc- tors Paris, James Johnson, Billing, Franks, Reid, Madden, Sir Astley Coop- er, Brown, Sir William Knighton, Gregory, Abernethy, Baillie, Locke, Smollett, Goldsmith, Sir James Mackintosh, Crabbe, Davy, Lord Langdale, Dickson, of London, Magcndie, Prof. Chapman, of Philadelphia, and Dr. Andrew Combe—Loftiness of the medical calling when worthily pursued— Injurious tendency of a study of poisons in preference to the teachings of Nature—Difference between Hydropathy and “routine practice”—Mercu- rial poisoning—Prof. Elliotson’s preference for bleeding, purging, and blistering, in his treatment of inflammation, to the neglect of the skin—Dr. Edward Johnson’s offset to Sir Astley Cooper’s challenge—Advantages of the hydropathic over the allopathic treatment—Eulogy on Hydropathy— Concluding remarks. PREFACE. The Water-Cure in America, notwithstanding its rapid progress in popular favor, may be said to have existed in an entirely unorganized condition prior to our last summer. The Hydropathic Convention, held at Hope Chapel, in this city, on the 19th of June, effected a great and im- portant change in this respect. The constitution then adopted, after an earnest and spirited discussion, in which nearly every member of the Convention took part, is broad, liberal, and comprehensive in its terms ; and it may safely be asserted that there is nothing in its provisions to pre- vent any physician of character and intelligence—no matter of what school—who may have taken the pains to make himself acquainted with the real merits of rational hy- dropathy, from becoming a member. With this end in view, the writer respectfully invites every medical man into whose hands this publication may fall, to examine with the closest scrutiny the different features of this instrument VIII PREFACE. (an accurate copy of which is included in this collection). He is confident it will be found devoid of all one-idea-ism, and sectarian bigotry. A national hydropathic association has now been organ- ized upon a strictly rational and scientific basis. Its mem- bers are not fettered by chains and shackles. Taking the broad ground that Water is “the best, the safest, and most universal in its application,” of all “ remedial agents,” and that Nature is most to be studied, in all her wide and diversified operations, by the really wise and prudent phy- sician, the constitution expressly encourages the members to watch and pay heed to “ the various modifications which may from time to time result from the progressive ad- vancement of medical science.” They are left free to use Water, or not, according to the best of their judgment, in any individual case; and they are equally free to em- ploy other remedies whenever they may see any occasion for their use. The writer, for one, claims “the largest liberty” in this particular, subject alone to a becoming re- gard for his own self-respect, and to a proper sense of his responsibility for the welfare of his patient. Ultraism and bigotry, in his opinion, have no place at the bedside of the suffering invalid. So much for the platform of the new Water-Cure So- ciety. Conceiving that the objects and principles it em- PREFACE. IX braces are as noble, generous, and useful as those which engage the attention of any association of medical men on the face of the earth, the writer would express the hope that rational hydropathy, under its new auspices, may hereafter continue to find constantly increasing favor in America, among all who have the courage to think for themselves. One word in regard to the contents of this publication. The introductory address was pronounced in June at the Hydropathic Convention, and is mainly devoted to an elu- cidation and explanation of the main features of the con- stitution adopted by that body. The second address is intended to enforce the position that we are to look for the causes of the cholera—that terrific plague, which seems even now disinclined to loosen its grasp upon the Western and Southern portion of our national confederacy—not in the moon or stars, or far up in the air, but in the common sources of disease in every-day life, in our pernicious per- sonal habits—in a word, in a lack of attention, on the part of communities and individuals both, to the teachings of Hygiene. The concluding address was designed to prove that ra- tional hydropathy is devoid of empiricism. Originally prepared for delivery before a miscellaneous audience, it can hardly lay claim to any particular merit on the score X PREFACE. of profundity; but sucli as it is, in the full conviction that it is not without its imperfections, it is frankly offered “ for no more than it is worth.” And, finally, the writer begs leave to remind his readers that this collection is mainly intended for the perusal of those who are interested in hydropathy—really, sincerely, and permanently interested—not for the mere enthusiasts who barely exist upon a nine days’ novelty, and who skip from one patliy or ism to another, impatiently tiring of each in its turn, but for those true spirits whose aim is both high and far—enthusiasts, too, in their way, but easily sobered down under the combined influence of reason and experience. No. 8, West Eleventh Street, JYew York, Sept. 17, 1850. CONSTITUTION OF THE AMERICAN HYGIENIC AND HYDROPATHIC ASSOCIATION OF PHYSICIANS AND SURGEONS. PREAMBLE. We, the undersigned, physicians and surgeons, believing in the doctrine of the vis medicatrix nature, or the inherent tend- ency of the human constitution to free itself from disease ; and, furthermore, that of all the remedial agents which the experi- ence of ages has shown to be requisite to assist nature in her operations, Water is by far the best, the safest, and most uni- versal in its application, do hereby agree to the following CONSTITUTION. I. This Association shall be styled, “ The American Hygi- enic and Hydropathic Association of Physicians and Surgeons;” and its objects shall be the diffusion of those physiological principles which are usually comprised under the term Hygiene, and the development of the therapeutic virtues of Water to their fullest extent, on a strictly rational and scien- tific basis, and with especial reference to the established laws of the human system, both in health and disease—a proper regard being always paid to the various modifications which may from time to time result from the progressive advancement of medical science. 12 CONSTITUTION. -II. Any physician residing in the United States of America, having received the degree of Doctor of Medicine, or a license to practice the healing art, and who can exhibit satisfactory proofs of his competency to practice hydropathy, may be elect- ed a member of this Association by the votes of a majority of those present at an annual meeting. III. The officers of this Association shall be a President, two Vice-Presidents, a Secretary, and a Treasurer, who shall severally exercise the functions pertaining to their respective offices. They shall also constitute an Executive Committee, whose duty it shall be to prepare business for the annual meet- ing ; and any three of the officers aforesaid may form a quorum to do business as such committee. IV. The officers shall be elected at the annual meeting of the Association by the votes of a majority of the members present. They shall serve for one year, or until their success- ors are chosen. V. There shall be a meeting of this Association annually at such time and place as shall be determined on by the Executive Committee, and due notice given to each member beforehand by the Seci'etary of the Association. VI. Special meetings may be convened by the Executive Committee whenever they may think it expedient. VII. The Constitution may be amended by a vote of two thirds of the members present at the annual meeting; due no- tice of such amendment having been given at the previous an- nual meeting. VIII. This Association shall not legislate respecting the practice of its members; nor shall any rules be made respect- ing the ethics of medical practice. IX. A public oration shall be delivered before the Association on the evening of the first day of its annual meeting. An ora- tor and a substitute shall be selected at, each annual meeting. CONSTITUTION. 13 for the year next ensuing; and in case both shall be prevented from fulfilling the appointment, a substitute shall be designated by the Executive Committee. X. Two standing committees shall likewise be appointed by the Association at each annual meeting: one on Hygiene, and the other on Hydropathy. Each committee shall consist of three members; and it shall be the duty of each committee, at the close of its official year, to present a report at the annual meeting of such facts and arguments as its members may deem proper. XI. A Committee on Credentials and Qualifications, com- posed of three members, shall likewise be appointed at each annual meeting, to serve for one year, or until their successors are appointed, for the purpose of examining the credentials and qualifications of candidates for membership. All nominations of candidates shall be first submitted to this committee, and the action of the Association upon all such nominations shall be based upon their report. XII. Each member of the Association shall pay to the Treas urer at each annual meeting the sum of two dollars, to be de- voted to the payment of all necessary expenses of such meet- ings; the surplus (if any) to be paid into the treasury. Special assessments and appropriations shall only be made by a vote of three fourths of the members present at the annual meeting at which such measure has been introduced. The meeting of June 19th, 1850, shall be deemed the first annual meeting of the Association, and the dues of members shall be payable to the Treasurer on that day. XIII. Honorary members of the Association may be elected at each annual meeting upon the recommendation of the Com- mittee on Credentials and Qualifications. All such members shall be entitled to the privileges of membership, except the right to vote or to serve as officers of the Association. OFFICERS FOR THE YEAR 1850-51. (Ifrecutioe Committee. PRESIDENT. LOWREY BARNEY, M.D. VICE-PRESIDENTS. CHARLES MUNDE, M.D. T. T. SEELYE, M.D. SECRETARY. THOMAS L. NICHOLS, M.D. TREASURER. RUSSELL T. TRALL, M.D. 6tanking Committees. ON HYGIENE. R. S. HOUGHTON, M.D. E. A. KITTREDGE, M.D. HUBBARD FOSTER, M.D. ON HYDROPATHY. S. O. GLEASON, M.D. BUTLER WILMARTH, M.D. T. C. COYLE, M.D. ON CREDENTIALS AND QUALIFICATIONS. JOEL SHEW, M.D. W. A. HAMILTON, M.D. N. BEDORTHA, M.D. ADDRESS DELIVERED AT THE FIRST ANNUAL MEETING OF “THE AMERICAN HYGIENIC AND HYDROPATHIC ASSOCIATION OF PHYSICIANS AND SURGEONS,” AT HOPE CHAPEL, NEW YORK, ON THE 19lH OF JUNE, 1850. Mr. President and Gentlemen : It is with feelings of no ordinary pleasure and satis- faction that I rise to address you on the present occa- sion. The success which has so far attended our united efforts to place Hydropathy upon a firm foundation in America, is a sure guaranty that the cause of human- ity and truth will be greatly promoted by the labors of the association this day organized. The pleasure I ex- perience is, however, commingled with some little per- sonal regret, that the shortness of the time allowed me for preparing to address you has prevented my devoting to my task that careful study and nice research which you have a right to expect. I shall endeavor to atone, however, for any short-coming on my part, by making my observations as brief and pertinent as possible, in order to afford my professional brethren who are to follow me in order, a fair opportunity to supply my defects. 16 ADDRESS AT An opinion has been recently expressed with regard to the remedial uses of water, by a distinguished medi- cal practitioner of our country, which requires at our hands 'something more than a mere passing notice. I refer to a new position taken by Dr. John C. War- ren, of Boston, in his valedictory address as retiring President of the American Medical Association, at the annual meeting of that body, held in Cincinnati a few weeks ago. The public prints have taken the pains to chronicle the fact that this address was extemporane- ous ; we are consequently obliged to rely upon a news- paper report of the remarks in question. The passage to which I would invite your attention is thus rendered by the Cincinnati Gazette of the 9th of May: “ With respect to cold water (observed Dr. War- ren), it was so valuable, so necessary, so beautiful an agent, that it would not be wonderful if an enthusi- ast were to be excited in its favor; but such was not its repute in the early part of his practice, when it was not permitted to come in contact with the whole person, and was often excluded from the sick chamber. But there were fashions in medicine, and lately the fashion in this respect had changed. He recollected when it was fashionable to give calomel in almost all diseases, in all ages, in both sexes. When a person had a cold, he took a grain of calomel; and when attacked with fever, the physician ordered him from one to one hun- THE HYDROPATHIC CONVENTION. 17 dred; and, notwithstanding the horrible consequences which so frequently presented themselves, the practice had been continued to a late period. A young practi- tioner in those days would not dare to go into consulta- tion and admit that he had used no calomel in a case of typhoid fever. Now, it had been proved by eminent men that typhoid fever may be got over without calo- mel, and perhaps with little other medicine. What, then, was the use of the physician'? To direct the course of the patient and prevent his falling into errors from which nature might divert him, but which his own inexperience and that of his friends would be urging him into. He recollected, further, when it was com- mon, in all cases of consumption, to administer prussic acid, phytolacca, and digitalis. And what did he now see approaching from the northeast ? A direct wave from the banks of Newfoundland, threatening to roll over the country—the supply being even insufficient to the demand for cod-liver-oil. (Great laughter.) But they had only to stand by, let the current pass, and some other fashion would come up. In reference to the application of water, Dr. Warren expressed his regret that so valuable an agent should have become affiliated, in this country, with one of the most re- markable medical fictions which any generation had produced I need not say, gentlemen, that it is to this last 18 ADDRESS AT observation that I would more especially direct your attention. What Dr. Warren lias advanced with re- gard to the frequent changes of fashion in medicinal practice—from the calomel panacea to the now-popular cure-all, cod-liver-oil—sufficiently indicates that his views on the subject very nearly coincide with our own; his abhorrence of the one “ remedy,” as but too often employed, is fully as great as his contempt for the mere fashionableness of the other. His profes- sional estimate of the value of water is precisely like ours. To quote his own words, “ it was so valuable, so necessary, so beautiful an agent that it would not be wonderful if an enthusiast were to be excited in its favor.” And yet Dr. Warren found reason to regret that this agent—“ so valuable, so necessaiy, and so beautiful”—“ should have become affiliated, in this country, with one of the most remarkable medical fictions which any generation had produced.” Now what does this mean 1 “ Fiction” denotes “ false- hood ;” ergo, the medicinal uses of water in America have, in some way or other, become “ affiliated” with imposture. What is this imposture ? Are there any special reasons for believing that Dr. Warren referred to the Water-Cure as a “fiction” in his Cincinnati Address ? In support of this position, the following suggestions are not altogether without point: In the first place, Dr. Warren was addressing an THE HYDROPATHIC CONVENTION. 19 audience composed of medical delegates from all quar- ters of the Union, in annual convention assembled, for the express purpose of sternly frowning down any nov- elty whatever that “ disturbed their peace.” In the second place, two years before, at the session of this same association at Baltimore, Hydropathy had been contemptuously spoken of in a Report pre- sented by Dr. Oliver Wendell Holmes, of Boston. The best that that well-known and popular poet would say of the Water-Cure was this : “ that much indirect benefit may result even from the experiments of the liydropathist, notwithstanding the illusions and im- positions that surround the fountain of ike Silesian boor.” I must say of this, in passing, that it was a most unworthy fling, and one that will redound far more to the discredit of its poetical author than the person he sneers at as a “ Silesian boor.” When Dr. Oliver Wendell Holmes, of Boston, with all the advantages of a good medical education, has succeeded in curing with his drugs and medicines one-hundreth part of the number of cases that have been successfully treated by Vincent Priessnitz of Graefenberg, notwithstand- ing his lack of “ medic&l science” (so called), by the sole means of water and hygienic remedies, then, and not till then, will he have any right to talk of u il- lusions and impositions.” 20 ADDRESS AT In the third place, it is not unreasonable to infer that as Dr. Holmes’s Baltimore flippancy, in 1848, was found so palatable to the members of the American Medical Association, so Dr. Warren, in like manner, might have deemed it most expedient to administer a similar u sop to Cerberus” in the year 1850. Fourthly and lastly, the prevailing appetite of the great body of u the regular practitioners” (so called), for some strong language like that of Dr. Holmes, just quoted—some bitter tirade against any innovation in medical treatment, which might possibly have the effect of sending some of their number back again to school, to “ learn their lesson over again”—might be regarded by some minds as convincing proof, of itself, that I have correctly indicated the reason of Dr. War- ren’s assuming his novel position with regard to Hy- dropathy. But, gentlemen, while I am constrained to admit that the vagueness of the language employed by Dr. War- ren at Cincinnati lends some coloring of probability to the foregoing explanation, yet there is one other cir- cumstance to be taken into account which seems to me to settle the whole question beyond dispute. Here is a passage from a little work,* written by this same Dr. Warren not many years ago, in which he ex- * Physical Education and the Preservation of Health. Second edition : foot-note to page 80. W. D. Ticknor & Co., Boston. THE HYDROPATHIC CONVENTION. 21 pressly says : u The hydropathic practice has unfor- tunately been combined with homceopathy in this part of the country. There is no proper connection be- tween them. Hydropathy, in a reasonable extent, is supported by good sense and exact observation; homoeopathy is in opposition to both.” I regard this passage as conclusively settling a question which has elicited a good deal of discussion in more quarters than one. The similarity of the position assumed at Cin- cinnati to the one he has occupied in his published treatise, renders it morally certain that Dr. Warren intended no disparaging allusion to rational Hydrop- athy ; but that, in using the term u medical fiction,” he had reference solely to homceopathy, a totally distinct system of practice, although Dr. War- ren would seem to be of the opinion that u the Water- Cure” is “ affiliated” with it. If it is “ affiliated,” the relation is a novel one to me ; and I have yet to learn that it has been even dreamed of (much less recognized) in the convention we have this day held. And now, gentlemen, you have a right to ask, “ To what does all this tend 1 It is no new thing to us, this flippant denunciation of the founder of Hydropathy by the old-school physicians in general, and Dr. Holmes in particular—this vague declaiming against they know not what, and will not learn. But what moral do you propose to draw from the language you have quoted 22 ADDRESS AT from Dr. Warren, of Boston ?” Why, simply this : So long as the healing virtues of water are left to work their own way into the confidence of the “ regular profession” (so called), and the community in general, unaided by the combined efforts of a strictly medical association, organized on the right basis—just so long will the Water-Cure in America be exposed, however unjustly, to the ban of u empiricism,” and just so long will its educated and conscientious practitioners be subjected, in consequence, to the taunts and jeers of every routine doctor in the land. The question now arises, wdiether the association this day organized will accomplish the purposes for which it is designed. What are those purposes? And what is the creed of the members of the society, that distin- guishes them most plainly from all other schools ? I. In the first place, the preamble to the constitu- tion avows the belief of the members in the doctrine of the u vis medicatrix natures, or the inherent tendency of the human constitution to free itself from disease.” Is this any novel doctrine ? No! it dates as far back as the times of Hippocrates himself, u the father of medicine.” But is it a generally received doctrine among the routine physicians ? Do they recognize in their treatment any strong curative tendency on the part of nature, or do they place their main (if not their sole) reliance upon the drugs that they prescribe ? Alas, THE HYDROPATHIC CONVENTION. 23 that I should be compelled to say, that their mode of treatment evinces very little (if any) confidence in the vis medicatrix natures. Look at their formidable array of remedial agents—the long list of narcotics, sedatives, astringents, alteratives, stimulants and ton- ics, antiphlogistics and cathartics, antispasmodics and emetics, sialagogues and errhines, epispastics, diuretics and diaphoretics, disinfectants and expectorants, anti- lithics, escharotics and antacids, emollients and demul- cents, anthelmintics and antidotes—and does not the existence of this sort of standing army of medicines plainly point out the main features of the allopathic campaign'? Does it not presuppose that nature has been. prostrated by disease—prostrated so hopelessly that its only chance for rallying lies in their goading ? Are we not led to believe that the human constitution may be so completely overwhelmed by any given mala- dy that it can only be rescued by being overwhelmed with medicines 1 Are we not led to infer that the body is so poor, so senseless, nerveless, enfeebled, as to be incapable of resisting the march of disease, and hence the necessity of pouring into its cavities and tissues a strong counteracting force 1 Does allopathic teaching impress upon our attention this reasonable inference: that, as nature has endowed the eye with a faculty of self-protection, to the end that the beautiful and deli- cate organ of vision may be the more thoroughly secured 24 ADDRESS AT from all dangers of which the senses could not take cognizance in sufficient season for action, so, in like manner, it has implanted within our vital organs—those organs that constitute, as it were, the very seat of life— a species of enlightened instinct, that, like a watch - ful sentinel, detects an enemy and gives an alarm long before the eye of reason or science could discover any mischief? Does allopathic teaching, anywhere in this country, impress, as it ought, upon the minds of the thousands of students who are every year graduated, this grand truth : that, in their warfare against disease, they are to consider themselves bound to closely ob- serve and carefully follow the dictates of nature, as shadowed forth in the symptoms which the sick-bed presents ; and that they are* not to interfere with dis- eased action when, to the best of their judgment, that action is a right action; but that they are to reserve their “ heroic treatment” until such time as there is good reason to fear that nature is in danger of suffer- ing from an unequal encounter ; does allopathic teach- ing, I ask again, impress all this ? Alas, no ! Let me give one forcible illustration of my meaning. When those shocking accidents occur in this city of New York, of which we are so often apprised in our daily prints—when some unhappy wretch is picked up stunned and senseless in the street, no matter from what cause, what kind of a scene is presented when the THE HYDROPATHIC CONVENTION. 25 crowd gathers round? Wo betide the doctor if he does not seem inclined to bleed ! [The crowd has the utmost confidence in bleeding; it caught the infection from the allopathic teaching of a day which has happily gone by.] Well, in obedience to the mob, the routine doctor, without thinking of using water, which would render blood-letting unnecessary, or even thinking of the present law of allopathic surgery—never to bleed in such cases without waiting for reaction—abstracts blood from his patient, and shakes his head with learned despondence as the patient dies under his hands. The crowd thinks it was u all right,” so far as the doctor was concerned, but the case was “ too far gone,” and “ he knew it before he began, though he did not tell them so.” “ Oh, what a wise doctor !” is the univer- sal sentiment of the crowd, particularly on beholding the learned shake of the head I have already described. The newspapers chronicle the incident, next day, and pathetically intimate that the man persisted in dying, u notwithstanding every thing was done for him that the best medical advice could suggest.” What a tragi- cal farce! Would that there were more doctors than there are who dare to think for themselves in such a case as this—who disregard mobs and set bleeding out of the question ; and why ? Because Sir Astley Cooper, if he were alive to-day, would have the less reason to repeat his famous declaration of old, that “ the science 26 ADDRESS AT of medicine is founded on conjecture and improved by murder Say what they will, our allopathic brethren may rest assured that when they yield to the clamor of an igno- rant and superstitious multitude, as too often happens, a part of all this ignorance and superstition is reflected back upon themselves, and makes its own mark upon their treatment and science. If it is allowed to become a popular belief that it is the sticking-plaster which heals up the cut linger, why, it is not an uncommon thing for a doctor to learn to believe it himself in the long run! There is no standing still for a medical man; if he advance far enough to attain his doctorate, he must still keep advancing, if he would be true to his calling and to himself; otherwise he will subside into that very poor thing, a routine doctor, and, as I have said before, learn to believe, by-and-by, that there is some magical virtue about the sticking-plaster which accomplishes more than merely keep the cut edges in union; he will persuade himself finally that it changes the secretions, sets the exhalants and absorbents hard at work, modifies in some way or other the action of the capillary blood-vessels, and so works a cure. Tell such a man that all the sticking-plaster can or ought to do is to supply one leading, necessary condition for a perfect and speedy cure—that is, keep the cut edges together, and let nature take care of the rest in her own way— THE HYDROPATHIC CONVENTION. 27 and ten chances to one he will denounce you as an u empiric !” But what is the use of wasting ammuni- tion upon such a poor thing as that 1 But before I leave this particular branch of my sub- ject, one wrord about surgery. It is the privilege of the great operator—the wielder of the scalpel, the trocar, and the knife—to win far more of popular applause than the consulting physician. The world at large thinks it a wmnderful thing to take a man’s leg off in so many seconds by a stop-watch ; they never stop to think that a carpenter might do precisely the same task in about the same time, and very nearly as well, bar- ring want of practice. Now, what I wish to say is this : the surgeon’s task is ended when he has ampu- tated what the system could no longer retain with safety —in other Avords, when he has supplied the one lead- ing, necessary condition for a cure to be effected. Na- ture does the rest. Just so in the case of a fractured arm; it is not the surgeon, with his splints, and band- ages, and dressings, who makes the fragments unite; he only supplies the necessary condition; he brings the brok- en parts properly together, and he keeps them together. Nature does the rest. And so, gentlemen, in a variety of other disorders, both medical and surgical, which I have not time to specify to-night. Suffice it if I have said enough to convince you that we have good reason to assume the existence within the human organism of 28 ADDRESS AT some strong vital principle (I do not care by what name it is called), which is constantly warring against dis- turbing influences, in all shapes, in all stages, and in all conditions—more or less feebly, of course, according to the state of the system. II. In the next place, gentlemen, we fully recognize the necessity of remedial agents in medical treatment. Although, as I have just explained, we look upon na- ture as always presenting a strong and reliable con- servative tendency in the human economy, still, in a world inhabited by so vast a number of individuals who know little or nothing of nature and her laws, and whose daily life is more or less artificial, we are com- pelled to take cognizance of this important fact: that precisely in proportion to any individual’s neglect or disregard of the laws of his being, will be his liability to disease, and the stronger its hold whenever it has fastened itself upon his system. In a healthy organ- ization, disease can find but a very poor foothold ; the man who is habitually prudent and careful of his health —the man who appreciates the value of thorough ven- tilation and a healthy skin, a rational diet and judicious clothing, tranquillity of mind and correct habits gen- erally—has little to fear from the attacks of disease. Such a man as I have described has no business to make a remark like this—which one may hear every day—“ If I should be taken down very ill to-morrow, THE HYDROPATHIC CONVENTION. 29 I hardly know what kind of treatment I should depend upon.” I say he has no business to talk in this way; and why ? Because, so long as, with his healthy or- ganization, he faithfully observes the laws of his being, he is proof against disease, and he ought to know it. Disease does not come upon us without cause; there are laws which regulate human life as well as any other system or constitution, mental, moral, or physical; and the man who breaks any of the laws of his being, know- ingly and deliberately, ought to know, if he suffers any physical distress, that he is atoning for his transgres- sions ; he is not suffering from any sudden providen- tial visitation, according to the popular cant of these modern times. The Supreme Intelligence that fash- ioned the earth and every thing that it contains, or- dained laws over all—laws of life and health, as well as of light and gravitation; the whole universe is sub- ject to law—nothing is left to caprice. You are now prepared, gentlemen, to sustain me in the position which I am next to establish: that when- ever a person is attacked with disease, who has habit- ually disregarded the laws of life and health, it is the first indication to make him return to their observance —to take him out of his close, ill-ventilated bedroom, and place him in an atmosphere which will be better adapted to human respiration; to strip off the mountain of clothes that he is sure to be sweltering under, and 30 ADDRESS AT reduce him to a state of more rational comfort; to bathe the foul skin, all clogged up with impurities, and so set its myriads of pores free to go actively to work; to withhold all improper articles of diet, and to enjoin that rest and tranquillity of mind which befit the sick chamber. In other words, gentlemen, we convert air, and light, and food, and rest, and clothing, and personal cleanliness into remedial agents—these six, styled u non-naturals” in the books, but usually comprehended under the designation of Hygiene. Does allopathic teaching give due prominence to these agents'? Do they stand in the front rank in the materia medica ? Alas, no ! I say it more in sorrow than anger, but it is none the less true that a knowledge of these six agents —indeed of Hygiene generally, in all its wide and di- versified details—is a sealed book to nine tenths of our allopathic graduates ; and that it constitutes a branch of medical science which has been more generally neg- lected than perhaps any other. Had the same zeal been devoted to the investigation and dissemination of hygienic principles during the past fifty years, that we have seen bestowed on the study and preparation of poisons, it is very unlikely that those who, in this year, 1850, feel the necessity of going back to the first prin- ciples of medicine, would have been this day engaged in the formation of an American Hygienic and Hydrop- athic Association of Physicians and Surgeons. TIIE HYDROPATHIC CONVENTION. 31 III. In the third place, gentlemen, I am to say- something in regard to the remaining principle resting at the foundation of our Society. You have seen that, in the first place, we believe in the curative tendency of nature under favoring hygienic circumstances, and in the second, that we recognize the necessity of reme- dial agents—always taking care to resort in the first instance to hygienic treatment—whenever the aforesaid hygienic circumstances are unfavorable. In the next place, we take the ground that u of' all the remedial agents which the experience of ages has shown to be requisite to assist nature in her operations, water is by far the besty the safest, and most universal in its applicationWe do not take herein any obstinate, exclusive, ultra ground; we do not assume that water is the only remedial agent which the experience of ages has warranted our using, and that those who employ other agents in their practice, are, from that very fact, no bet- ter than “poisoners and assassins;” we occupy no such position, nor will we submit to have it forced upon us from any quarter whatsoever.” We recognize in the profession of medicine a band of earnest-minded and honorable men, all having one common object in view— that of healing the sick, and all having an inalienable right to practice medicine according to the best of their judgment in any given case. We all know that as the tendency of mankind for years and years past has been 32 ADDRESS AT to depart more and more from the ways of simplicity and nature, so have diseases multiplied, and artificial remedies been devised to counteract the effect of arti- ficial diseases. Taking the world, then, as we find it —and this we can not help doing—it is not in the least surprising that a body of practitioners has been trained and educated in the belief that medicines are in all cases necessary in order to insure any kind of success in medical treatment; and there is no use in denying the fact that the great mass of the people really like to take medicine, and accordingly keep up that active demand for it which makes the drug business so lucrative at the present day. We must bring to the consideration of this subject, therefore, a wide liberality. We must make all due allowances for human prejudices, and for the infirmities of human nature. Sir Charles Scud- amore, M.D., F.R.S., etc., an English practitioner of more than forty years’ standing, but a warm and earnest friend of rational Hydropathy, says expressly on this very point: u In regard to the opposition of a great part of the medical world to this innovation [of Hydropathy] on the ordinary practice of physic, look- ing at human nature, we must attribute a little of it to its interference with settled interests.” It would make a terrible inroad upon allopathic practice, gentlemen, if the pill-box, the potion, and the u elixir pro.,” the blister, lancet, and drastic purge were all swept out of THE HYDROPATHIC CONVENTION. 33 use! The routine doctor would find his occupation gone, and the druggist would subside into a smiling shopman, retailing perfumery, tooth-brushes, and soap! “ We must attribute a little of it (says Sir Charles Scudamore) to its interference with settled interests.” I am not one of those (if any there be) who would at- tribute the whole of the opposition of the allopathic fraternity to the spread of Hydropathy to any such mean, unworthy motive. No, gentlemen! We must attribute a good deal of it to the natural disinclination of a learned and dignified profession to go back to school again, and learn something about what was not taught them in their day: the medicinal properties of water. We must also allow something on the score of that pro- fessional sensitiveness, which recoils from contact with any new theory unless it has a fitting introduction to the scientific world. On this point allow me to quote the pertinent and conclusive language of Dr. Erasmus Wilson, the celebrated London anatomist: u The Water practice has effected important results in the treatment of disease, and will, I trust, be instrumental in restoring to medicine one of her most valuable and important auxiliaries. Medical men may be jealous that these benefits have been { conjured from the vasty deep’ by other hands than those of the high-priests of Therapeia, but they have no just reason of complaint; the treatment of disease by water had been improperly 34 ADDRESS AT neglected ; now, however, its merits may be tested, and the test aided by public encouragement; moreover, the remedy will revert to those who are alone qualified to employ it, and we may fairly hope that a correct system for its use will be established by their labors.5’* This language, gentlemen, is in precisely the right spirit. Would that it could find a cordial response from our allopathic brethren all over the land, and would that they could study the capital Treatise of this same Dr. Wilson, uon Healthy Skin” with one half the zeal which I know they devote to his work on Anatomy. And now to return to the consideration of the posi- tion we have assumed in regard to the employment of water as a medicinal agent. As I have already stated, we have taken the ground that water is “ the best, the safest, and the most universal” of our remedial agents. I again repeat, this is not a position of exclusiveness, or of one-idea-ism, but rather of comparison. And now to proceed to make that comparison. Let us suppose, for example, that, somehow or other, a full- grown man, of tolerably good constitution, falls ill of fever, and Dr. Routine is sent for. Upon his arrival, the patient is required to sit up in bed, and the worthy leech proceeds to bleed him, until he sinks down faint- ing. This course is adopted, because allopathy regards the lancet as its most powerful remedy to counteract * Vide “ Bulwer and Forbes on the Water Treatment,” p. 132. THE HYDROPATHIC CONVENTION. 35 inflammation. It certainly does counteract it, for the pulse of 120 is very soon knocked down by means of the lancet, until no pulse is apparently left; and why ? Because the man faints. Perhaps, when the patient recovers his consciousness, he recovers his fever too, and his pulse runs up again to 120; what then 1 Why, Dr. Routine sets him up once more in bed, and bleeds him a second time, and a third, and a fourth, and a fifth, if necessary. I hardly need add that, in connection with all this bleeding, Dr. Routine nause- ates, and purges, and blisters, as the occasion suggests. Well, what is the result of all this active practice? How does the account stand ? Before the patient fell ill, I have said that he was possessed of a tolerably good constitution ; so I set that down as his capital of health. Now Dr. Routine, in the course of a month or two, apparently gets the upper hand of the fever; that is, the pulse is no longer 120; there is no burn- ing heat of the surface, or high color in the face; the patient does not toss to and fro, with delirium threat- ening ; and the functions of the body are not so en- tirely suspended as they were. Perhaps the patient is able to u walk outthat is, hobble feebly along on the arm of an attendant, muffled up in flannels and warm clothing, “ to keep off the air,” and wearing a pale, cadaverous, anxious, care-worn countenance. In the course of a few weeks more, he is able to take a 36 ADDRESS AT little more active exercise, and eventually he recovers a little bloom on his cheek; but follow him on to the end of the chapter. What grisly monsters are those that Dr. Routine has let loose upon his unhappy frame 1 Pain, feebleness, and general derangement of the system; catarrh, headache, dyspepsia, and dropsy; a small, puny, wiry pulse, and other symptoms indi- cating ossification, or some other change about the left valve of the heart, precisely such effects as Magendie, the celebrated French physiologist, has proved to con- stitute the result of profuse blood-letting. Has not Dr. Routine made some little inroad upon the capital of health'? And now, gentlemen, let us glance at the other side of the picture. Suppose that, instead of Dr. Routine, the friends of the patient had called in a regularly educated physician, familiar with the various uses of water. How would he treat the easel Why, sim- ply enough. He would endeavor to accomplish the same end that Dr. Routine had in view—that of “ knocking down” the pulse; but he would set about his task in a very different way. Instead of opening the veins and letting out the vital fluid, he would leave the capital of health untouched; he would cool down the heat of the patient, and at the same time keep down the pulse by means of copious applications of water, both externally and internally. At the same THE HYDROPATHIC CONVENTION. 37 time, he would apply the same element to the task of cleansing the stomach, and ridding the system of any incumbrance; previously taking care to summon to his aid those hygienic appliances, fresh air, proper cloth- ing, rest, quiet, and good nursing generally, which I have before referred to. Now, how will this treatment answer'? Why, in the first place, the man will be about as well as ever in a week ! There will be no pallor on his cheek, no languor about his frame, no halting in his gait. The fire has been put out with the proper element, and there is an end of it; there is no sequel to the story. Is this too strong a contrast, gentlemen'? Has it not been proved true to the life, over and over again, all over the country? And has it not been proved true, in like manner, that in acute complaints generally, as well as in fevers, water is the safest and most reliable agent for reducing inflammation? I know that facts bear me out in all these positions, and I know, further- more, that they are carrying conviction every day to the minds of every liberal-minded allopathist in the country who is willing to avail himself of every fair opportunity of witnessing a good trial. I may now consider it as an established truth, that the water treatment, judiciously applied, is completely successful in violent fevers and all manner of com- plaints of an inflammatory type; it is very evident, 38 ADDRESS AT therefore, that water is a powerful anti-phlogistic, purgative, diuretic, and nauseant. Let us now see if it has any tonic and alterant effects—does it accomplish any invigorating change in the system ? Certainly it does, and more rapidly than any other known treat- ment. What did the great German chemist, Liebig, say to Sir Charles Scudamore ? “By means of the Water-Cure treatment a change of matter is effected in a greater degree in six weeks than would happen, in the ordinary course of nature, in three years.” “ How is all this brought about?” some one of you may ask. Why, not only is the water a tonic and an alterant, but so is the food, and so is the air, and the exercise, and the whole variety of hygienic and hydropathic remedies. And so I might go on, gentlemen, to the end of the chapter, and prove to you that this poor, despised element, ivater, in competent hands, will often bring about results which the wrhole of the allo- pathists’ materia medica has attempted, but in vain; but time w’ould fail me. I am aware that, as yet, I am only upon the threshold of the theme I have broached; but this is the misfortune of an occasion like the present. I can only trust that I have sug- gested some few thoughts, in passing, which may in- duce you to prolong the investigation in your own way and style at some time hereafter. Should I have only succeeded, in these few practical remarks, in interest- THE HYDBOPATIIIC CONVENTION. 39 ing only one of you in the subject I have presented, you will believe me when I say that I shall be abund- antly repaid. One word, ere I close, in regard to the need of edu- cated physicians to conduct the wTater treatment in a scientific manner. It is, doubtless, familiar to most of you that Dr. John Forbes, of London, late editor of The British and Foreign Medical Review, physi- cian to the queen’s household, etc., exposed himself to great obloquy on account of his efforts to induce his brethren to countenance and adopt rational Hydrop- athy, or (to quote his own words) u to rouse anew the attention of the legitimate members of the profession to the great value of cold water as a therapeutic agent; and thus, if possible, to stimulate them to rescue its use from the hands of ignorant, non-med- ical pretenders and charlatansExperience has shown that the allopathic fraternity, both in England and America, will not take any public steps to respond to this appeal. Three years and more have elapsed, and yet Hydropathy has been hitherto left to fight its own battles as it best may. But a new era, I trust, is now about to dawn upon the Water-Cure in America. The Association just formed can not fail to have a tendency, if its objects are faithfully and vigorously carried out, to vindicate the claims of rational Hydrop- athy to confidence and respect, and commend them to 40 ADDRESS, ETC. a wider and more general acceptance. We can do nothing, however, unless we take care that our ranks are solely supplied with qualified practitioners, capable of applying the remedy of our choice according to a scientific method, u at the proper time, in the proper cases, and in the proper mannerfor in this way only can we sincerely testify our devotion to the cause of humanity and truth, and the genuine improvement of medical science. HYGIENE THE TRUE MORAL OF THE CHOLERA. 41 HYGIENE THE TRUE MORAL OF THE CHOLERA. A LECTURE DELIVERED BEFORE THE MERCANTILE LIBRARY ASSOCIATION, AT CLINTON HALL, NEW YORK, ON THURSDAY EVENING, DECEMBER 6th, 1849. A memorable year is drawing nigli its close—a year vividly suggestive to thousands and myriads, both in the old world and the new, of unnumbered scenes of terror and death. War and pestilence have done their work; the shock of arms in the heart of Europe has thrilled the whole world ; Hungarian u independence” is a dream now over; Kossuth still lingers in the do- mains of the Turk; and heavy in the scale lies the sword of the Czar. But I am here to speak, not of u grim-visaged war,” but of his rival in destruction, the pestilence of Asia. In its onward progress from the jungles of the East, this horrible disease, moving, as is its wont, in spite of mountain, desert, and plain—of Persian heat, Ionian blandness, and Russian snows—defying alike the fierce sweep of the simoom, the cold blasts of the north, and the midland calm—crossing at a bound the swollen river, the sheeted lake, and the boundless ocean—has 42 HYGIENE THE TRUE MORAL OF THE CHOLERA. once more committed its ravages in our midst. It has burst through quarantines, and refused to be barred out by boards of health. It has performed its “ mission,” but it has hardly yet gone—seemingly lingering in the track of the ruin it has made. In the course of its march it has advanced and retreated; it has wound its tedious, snake-like course, now here, now there—deci- mating this place, leaping over that, and depopulating a third; appearing at one time coy and capricious—at another stern, exact, and relentless—at all times fear- ful ! To the squalid denizen of the sweltering and crowded town—to the pampered devotee of unbounded sensuality—to the far-off emigrant, journeying through the soft clime of Mexico or the rugged territory of our Indian tribes, in adventurous quest of the rich ores of the Sacramento, the dread cholera has alike appeared, and laid on each and all his cold, withering, and mer- ciless grasp. Countless the victims ! Hasty their sum- mons, and awful their fate ; thus to sink, languidly and helplessly, into untimely graves, at the bidding of a pestilence that “ walketh in darkness,” and a sickness that “ destroyeth at noon-day!” As we look back upon our last summer—upon that season which is, to most of you, one of relaxation and joyousness, of sunshine and flowers—what u thick- coming” recollections of the then-prevailing anxiety and gloom! What sad remembrances of lost friends HYGIENE THE TRUE MORAL OF THE CHOLERA. 43 and kindred ! What mournful memories of selfish fears and unmanly weakness ! Funeral processions darken- ing our streets ! Timorous townsmen hurrying along from the daily bulletin, in superstitious dread of the imagined contagion ! Senseless braggarts proclaiming their immunity in alcoholic protection ! Credulous citi- zens breathing in their “ antidote” from little scented bags, or binding on the fetters of astringent drugs ! Brandy and red pepper on every shelf—sulphur and charcoal in everybody’s pocket—camphor and opium in everybody’s mouth ! Fishermen starving—“ the butch- er” thriving—and fruits and vegetables thrown back on the market! Peaches tabooed—“ sweet” grapes voted “ sour”—and innocent melons looked on with horror! Cities and towns half deserted of their in- habitants, and cramped-up country inns overflowing with the exiles—so potent the spells of the general panic! Business “dull”—the “fancies” drooping— and Wall street empty ! Blind Justice at a stand-still, and lawyers, like their clients, lounging for their health on public stairways at rural retreats ! Medical practi- tioners agreeing about nothing : one doctor scouting the bare thought of cholera; another one arguing that the disease is death despite all treatment; a third proclaim- ing he has never lost a case; and a fourth announcing an “ infallible” specific—perchance dying of it on the morrow! Analytical chemists bottling up air in 44 HYGIENE THE TRUE MORAL OF THE CHOLERA. fruitless search for some secret virus, some mystic u ozone”—impalpable to ordinary, unaided senses— impalpable even to senses inured to the abracadabra of the crucible and the alembic! Profound savans, u heavily laden” with scientific lore and academic hon- ors, vying with the owl by strenuous efforts to see in the dark: one viewing naught in the intense gloom but u fungous growths ;” another, vast hordes of infinitesi- mal animalculm, with funny little tails; while a third, as he turns his electrical grinding-glass, is absorbed in a new theory based on the sparks—and quite as long- lived ! Just so, in the days when the quiet old monk invent* ed gunpowder, the metaphysical schoolmen were won- dering u whether fishes think !”—u whether the stars have eyes, and, if so, do they see V’ Let us devote an hour to the moral of this picture. u Nothing,” says Seneca,* “ is more hateful to true wisdom than excessive acuteness !” Of this position the late Mr. Poe, one of the most ingenious writers our country boasts, once published a remarkably clever illustration. I shall proceed to give some idea of the tale, as its point is decidedly u pat to my purpose.” It seems that the astute prefect of the Parisian po- lice had vainly exhausted the resources of his calling in endeavoring to discover a highly important purloined * Nil sapientise odiosius acumine nimio. HYGIENE THE TRUE MORAL OF THE CHOLERA. 45 letter. He had positively ascertained the house it was concealed in, and spent month after month in a per- sonal ransack every night. He had taken the whole building, room by room, devoting the nights of a whole week to each. He had closely examined the whole of the furniture, chair-rungs, and jointings ; opened every possible drawer; scrutinized the bottoms and tops of bed-posts ; probed the cushions with fine long needles, and then the beds and bed-clothes, curtains and car- pets ; “ looked to the mirrors between the boards and the platesopened every book, turned over every leaf, and measured the thickness of every book-cover ; nay, he had even gone so far as to divide the entire surface of the house into compartments, which he and his party had carefully numbered, so that none might be missed; and then they had scrutinized with a pow- erful microscope each individual square inch throughout the premises, including the two houses immediately adjoining ! Thoroughly mystified and excessively cha- grined—for an enormous reward had been offered for the restoration of the purloined letter—the worthy official made known his dilemma to one of his friends— a gentleman whose genuine shrewdness was tempered by good judgment. “ The fact is,” said the prefect, u the business is very simple, indeed, and I make no doubt that we can manage it sufficiently well ourselves ; but then I thought 46 HYGIENE THE TRUE MORAL OF THE CHOLERA. you would like to hear the details of it, because it is so excessively odd.” (( Simple and odd ?” asked the prefect’s friend. u Why, yes ; and not exactly that either. The fact is, we have all been puzzled because the affair is so simple, and yet baffles us altogether.” u Perhaps,” was the reply, u it is the very simplic- ity of the thing which puts you at fault; perhaps the mystery is a little too plain—a little too self-evident!” Now this was a suggestion wholly beyond the range of the prefect’s philosophy; the man who had exam- ined every square inch with a microscope could not brook the idea of having been foiled in any such way as that. Profoundly amused, he retorted on his friend, u Oh, good heavens! who ever heard of such an idea? Oh, my dear sir, you will be the death of me yet!” After such a reception of his friend’s hint as this, the prefect could get no better advice than to make a thorough re-search of the premises. A month later, he again met his friend, as luckless as before. “ Confound it!” said the prefect, “ I made the re- examination just as you suggested; but it vras all labor lost, as I knew it would be.” But now behold a new turn in affairs ! “ How much did you say was the reward offered?” asked the friend. HYGIENE THE TRUE MORAL, OF THE CHOLERA. 47 “ Why, a very great deal—a very liberal reward—I don’t like to say how much precisely; but one thing I will say, that I wouldn’t mind giving my individual check for fifty thousand francs to any one who could obtain me that letter. The fact is, it is becoming of more and more importance every day; and the reward has been lately doubled. If it were trebled, however, I could do no more than I have done.” “ Why,” said his friend, drawlingly, between the whiffs of his meerschaum, “ I really think you have not exerted yourself to the utmost in this matter. You might do a little more, I think—eh I” “Howl in what way I” “ Why, you might employ counsel in the matter— eh 1 Do you remember the story they tell of Aber- nethy Vf “ No ; hang Abernethy !” “To be sure; hang him and welcome. But once upon a time, a certain rich miser conceived the idea of spunging upon this Abernethy for a medical opinion. Getting up, for this purpose, an ordinary conversation in a private company, he insinuated his case to the physician, as that of an imaginary individual. c We will suppose,’ said the miser, £ that his symptoms are such and such; now, doctor, what would you have di- rected him to take I’ ‘Take!’ said Abernethy; ‘why, take advice, to be sure.’ ” 48 HYGIENE THE TRUE MORAL OF THE CHOLERA. “ But,” said the prefect, a little discomposed; u I am perfectly willing to take advice, and to pay for it. I would really give fifty thousand francs to any one who would aid me in this matter.” “ In that case,” replied his friend, opening a drawer and producing a check-book, “ you may as well fill me up a check for the amount mentioned. When you have signed it I will hand you the letter.” The prefect, at this, appeared absolutely thunder- struck. For some minutes he remained speechless and motionless, with open mouth, and eyes starting from their sockets; then, apparently recovering himself in some measure, he seized a pen, and, after several pauses and vacant stares, finally filled up and signed a check for fifty thousand francs, and handed it over the table to his confidential adviser. The latter examined it carefully, and deposited it in his pocket-book ; then, unlocking an escritoire, he took thence a letter, and gave it to the prefect. This functionary grasped it in a perfect agony of joy, opened it with a trembling hand, cast a rapid glance at its contents, and then, scrambling and struggling to the door, rushed at length unceremoniously from the room and from the house, without having uttered a syllable since he had been requested to fill up the check. And now for the ex- planation. Acting on the idea that the prefect had been foiled HYGIENE THE TRUE MORAL OF THE CHOLERA. 49 by the simplicity of the mode of concealment adopted, his friend had himself visited the house in question, and actually discovered the missing document in full view, in a trumpery card-rack. “ Soiled and crum- pled”—“ re-folded in a reverse direction, in the same creases or edges which had formed the original fold”— “re-directed and re-sealed” — “torn nearly in two, across the middle, as if a design, in the first instance, to tear it entirely up as worthless, had been altered or in the second”—and “ thrust carelessly, and even, as it seemed, contemptuously, into one of the uppermost divisions of the rack, in the view of every visitor,” it had scarcely been glanced at during the prolonged search of the over-wise official! Just so with the Cholera. Our medical “prefects” have been equally astute and equally persevering; they have bottled up air for chemical analysis; they have sought with really painful diligence for the secret virus, the mystic “ozone;” they have striven to raise a plen- tiful crop of choleraic fungi, or draw in a net-full of picturesque animalculse ; but the world is no wiser than it was before. At one time, indeed, an electrical “ Eureka” was shouted forth in Paris, when lo! alas ! both thunder and lightning became manifest in the heavens, but with no effect whatever upon the raging pestilence. And so died the last of the theories—dis- appearing literally in a flash of lightning! 50 HYGIENE THE TRUE MORAL OF THE CHOLi.ua. In this dilemma, the question arises, may we not safely borrow a hint from the tale of u the purloined letter'?” Is it not worth while to look straight before us 1 And even if we should not be able to solve the subtile and intricate problem of the cholera, in all its wide and extensive bearings, may we not at least en- deavor to ascertain its moral, with a view to prevent, if we can not cure ? Herein, I conceive, lies a fertile field for profitable inquiry. What, then, do we behold on looking thus straight before us ? What seems to constitute the especial prey of this monster epidemic 1 Who and what are the un- happy wretches thus swiftly exterminated by this ruth- less demon ? These are the questions that now demand our closest attention. Let us first glance at the birthplace of the cholera, and the scene of its development; let us see if we can discover any peculiar reason why the clime of Hindostan should yield a poison so malignant and so fearful. A land of monsoons, abundantly supplying dampness of air; of a burning sun “ volatilizing into greater subtilety the gases of decaying organizationof various mias- mata poured into the air from jungle, marsh, and allu- vial deposit, from fields of indigo, cotton, and rice, from “ the muddy and slimy banks of the broad Oriental streams where could we find a more fitting home for this horrible plague ? Where shall we look for more HYGIENE THE TRUE MORAL OF THE CHOLERA. 51 easy victims than the enervated European, sweltering in his crowded and ill-constructed barrack, or the de- graded Pariah, groveling in his u close and fetid” Hin- doo village 1 Look next at the Affghan, the Persian, and the Turk, and where do we find the mortality most frightful ? In- variably in those spots where the inhabitants are of un- clean and debasing habits, and the air contaminated with foul impurities—reeking with “ the effluvia which constantly stream up from dense masses of people, pay- ing little attention to personal cleanliness, and to the prompt removal of decaying substances.” Pass on next to u temperate Europe.” The cholera in Moscow, in 1847, was chiefly confined to the poorer classes, who subsist on miserable or raw kinds of food, and impure water, and whose condition in life, in other respects, is equally deplorable. The cholera districts in the city of London are thus de- scribed by the sanitary commissioners : u The neglected and filthy parts of the metropolis; the parts unvisited by the scavenger; the parts which are without sewers; or which, if provided with sewers, are without house- drains into them; or which, if they have both sewers and house-drains, are without a due and regulated sup- ply of water for washing away their impurities, and also for the purposes of surface-cleansing and domestic use.” The mortality in these districts (say late ac- 52 HYGIENE THE TRUE MORAL OF THE CHOLERA. counts) is thus returned by the registrar-general: Out of a population of two millions, no less than 14,538 persons died in fifty-five weeks ; and of this number, 6G57 died after less than one day’s attack of the actual disease; and of the remainder, 2446 died ere forty- eight hours had elapsed after the cholera had actually marked its presence. In other words, very nearly one half were cases of sudden death.* Some few of the reasons why the city of Paris should suffer so fearfully from epidemic cholera, arc thus forci- bly stated by M. Bureaud-Riofrey, a distinguished phy- sician of the French capital, and now, I believe, a resi- dent of New York: “ It would seem, at first sight,” this writer observes, “ that one need entertain but slight dread of epidemics in our large cities. At Paris, one admires the houses so splendidly built, and then the apartments so luxuri- ously furnished ; he is next amazed at the richness of the gilding, the glasses, the mirrors, the bronzes, the statues, the vases, and most recherch6 woods; every thing would seem to exclude the idea of insalubrity. Yet, in spite of all this brilliant exterior, Paris is, per- haps, the most unhealthy of capitals ; it wants air, water, cleanliness, and above all, sewers. It wants air in this sense, that almost all the houses are narrow, and the ceilings low; in a Parisian apartment one feels im- * London Times. HYGIENE THE TRUE MORAL OF THE CHOLERA. 53 prisoned. It wants water, because it is sold at an ex- travagant rate; water is six times as dear in Paris as in London, where every thing is so dear. It wants cleanliness, for hygienic measures are incomplete or powerless. Each house, and in every house, each flight, are the foci of vapors more or less foul. The remains of food, the water of washings, corrupted and sur- charged with decomposing and fermenting organic mat- ters, the emanations of workshops, the residue of man- ufactures, the accumulation of all excretions cast into the street, and turned and re-turned a hundred times daily by the seekers for rags ; this accumulation of or- dure, or of excretions in fermentation, alters, in a very great degree, the purity of the air of this capital, which believes and proclaims itself to be at the head of the civilization of the world.”* In view of this picture, what room for wonder that the cholera “ holds high carnival” at Paris! Crossing over the Atlantic, we are now arrived on more familiar ground. In the city of New York, the cholera broke out, for the first time last summer, on the 11th of May. The scene of the outburst, I hardly need remind you, was a part of “ the Five Points,” in the Sixth Ward. This horribly “foul and offensive” region is so widely u pre-eminent for its destitution and * Du Cholera: Moyens preservatifs et curatifs, ou Philosophie des Grands Epidemies. Par M. Bureaud-Riofrey, D. M. P., etc. 54 HYGIENE THE TRUE MORAL OF THE CHOLERA. vice,55 that the loathsome cholera could hardly have chosen a more fitting locality for its first appearance. The outward condition of the early victims is thus de- picted by the resident physician : “ In a rear basement, surrounded with filth and wretchedness, I found the body of a woman, who a few minutes before had expir- ed. There was no mistaking the cause of death : the pinched and sharpened visage, the corrugated, blue, and attenuated appearance of the body showed too plainly the nature of the disease which had marked its victim : Asiatic cholera was manifested in every expression. While there, I endeavored to obtain what information I could from the persons by whom she was surrounded; yet I found it almost impossible to get a reply to the most simple interrogatory. In truth, the idiotic condi- tion to which rum, debauchery, and extreme wretched- ness had reduced the intellects of these loathsome ob- jects of humanity, completely incapacitated them from comprehending the meaning of the most simple ques- tion.” No less than seven cases occurred in this wretched tenement; and the cholera thenceforward gradually spread throughout a the Points.” We now began to hear something of u precantio7iary measures,” in the way of purifying this horrible plague- spot ; but to a reflecting mind it seemed very much on the well-known principle of locking up the stable after the horse had been stolen. Houses, alley-ways, yards, HYGIENE THE TRUE MORAL OF THE CHOLERA. 55 and styes were accordingly cleansed; and 3000 swine were removed to the outskirts of the city. All this was very well; only it ought to have been done long before, to produce any marked effect in the way of prevention. As it was, it only served “ to lessen the extent and malignancy of the disease.” On the 26th of May, several cases occurred in Mul- berry street, four hundred yards from “ the Points;” and on the 8th of June the cholera broke out in the First Ward (in the southern part of the city, on the North River side), among our foreign, immigrant pop- ulation, and raged for two weeks “with considerable violence.” From the 10th of June to the 20th of August, 170 deaths by cholera occurred in the Seventh Ward, on the East River side—a region in which many of the population were “ emigrants, and persons utterly destitute of the ordinary comforts of life.”’ The cholera next appeared in the Twelfth and Sixteenth Wards, in the northern part of the city, where it raged with great violence for about two months. “ The cause of its long-continued and malignant character in this part of the city,” says the resident physician, “ can only be accounted for from the fact that there were found many filthy localities spread over the surface which was occu- pied by the epidemic. Several bone-boiling establish- ments were discovered, with immense piles of bones scattered around, while heaps of the same were found 56 HYGIENE THE TRUE MORAL OF THE CHOLERA. with meat attached, and all in an advanced state of de- composition, and exhaling a stench which was horrible in the extreme. These, together with manure-heaps, pools of stagnant water, and a horse-killing establish- ment, were believed to contribute much toward prolong- ing the epidemic character of the disease; in conse- quence of which the sanitary committee was obliged to close the establishments until the disease ceased to exist among us.” In this connection, I must advert for a moment to a branch of the duty of the city inspector during the cholera season; hardly a day passed, at one time, when he was not summoned to abate some atrocious nuisance. Prominent among these were the overflowing grave- yards, some of which presented an appearance so hor- ribly loathsome that one could hardly avoid coming to the conclusion that the cholera was nothing but a just punishment for such gross irreverence for the remains of the dead! But to continue my recital: In the latter part of August, the cholera extended over a large proportion of the northeastern part of the city, while it rapidly declined in most of the lower Wards. About the first of October it had nearly dis- appeared from our city, having swept off altogether over 5000 victims, to say nothing of 3000 who perished of kindred disorders. HYGIENE THE TRUE MORAL OF THE CHOLERA. 57 Of the ravages of the cholera in other parts of the continent—from Boston to Independence, from Quebec to New Orleans—my limits do not permit me to speak in detail; nor, indeed, is it needful, when the graves at Nashville, St. Louis, and Sandusky are yet so green. I shall not, therefore, proceed with a tedious enumeration of the peculiar attractions presented to the cholera by our new country and our new people. We have already seen that in Asia and Europe the conditions of its spread, and of the liability to attack of individuals in a community are precisely identical, allowance being made for the respective difference in the grades of civilization. We have also seen that the same liability, the same conditions of spread, precisely, prevail in New York. Suffice it to add that, in the new as in the old world, the chief victims of the cholera come from the same classes: the destitute poor, the badly fed, the insuffi- ciently clothed, the crowded, the dirty, the licentious, and the intemperate. Here, then, we have accomplished one stage of our journey. We have ascertained with precision the especial prey of epidemic cholera, and the classes which mainly supply its victims. We are next to inquire how the cholera affects the more favored classes—that is, u favored” as regards hygienic condition. How does it influence those who not only possess the “ com- 58 HYGIENE THE TRUE MORAL OF THE CHOLERA. forts of life,” as they are ordinarily termed, but who care enough for their health to try to preserve it— those who yield a ready and constant obedience to the laws of their being—and those especially who take pains that the excretions both of lungs and skin shall not be impeded by want of personal cleanliness 1 It is well established that throughout all India those villages which were most exposed to the malaria from marshes and lakes, and whose inhabitants were of un- clean and degraded habits, were scourged the most fearfully. For instance : “ The town of Muttra, situ- ated forty miles higher up the Ganges, and more re- mote from the approaching pestilence than Agra, was yet attacked first and suffered more severely, both as to violence of symptoms and to actual mortality.” Now what was the reason ? Why, “ Muttra is a filthy and crowded town,” while Agra, on the other hand, is u dry and airy.” Again: “ At Madras, while the chol - era was very fatal among the dense masses of the Hin- doos in the Black Town, it was less prevalent among the soldiers in Fort St. George, and was not seen at all in the scattered and well-ventilated houses of the English merchants and residents, although their duties in many cases called them daily into the town and fort.” And yet once more : “ The mortality among the natives in the town of Kurraehee was one in every ten of population ; that is to say, 1500 died of cholera in HYGIENE THE TRUE MORAL OF THE CHOLERA. 59 six weeks, out of a population of 15,000. This town,” we are informed, “ consists of mud houses, with mere crannies as windows or means of ventilation ; while the houses are built so closely together, and the streets, barely wide enough to allow a loaded camel to pass, are so very tortuous and inaccessible to currents of air, that all ventilation must be arrested, unless during a perfect gale of wind.” Now note the contrast! The mortality among the officers stationed at the same place, was only one in sixty-six, instead of one in ten; the difference resulting from their far superior sanitary condition—their houses permitting a freer current of air, and their diet and habits being, as a general rule, far more consonant to the laws of Hygiene. To turn now to Russia; the beneficial result of good sanitary measures has been strikingly apparent in the city of Moscow. In 1830, the disease extended to every part of the town; in 1847, it was chiefly confined to the districts south of the river upon which it is sit- uated, the inhabitants upon the north side not only being of the better class, but using freely most excel- lent water, which is brought from springs eighteen wersts from the city, by waterworks erected since 1830. The German villages of Galicia and the colony of Sarepta—to say nothing of Holland—all of whose in- habitants are particularly noted for their neatness and cleanliness, have likewise suffered but little fromcholei’a. 60 HYGIENE THE TRUE MORAL OF THE CHOLERA. And so generally throughout the civilized world; just as certainly as the epidemic sweeps off the crowded and unclean poor, the grossly licentious, and the brutally intemperate, in the cholera districts, just so certainly it passes by unharmed all those individuals who, besides living in open and airy localities, have sound lungs, a sti'ong digestion, a healthy skin, and a constitution un- impaired by the abuse of drugs. I have yet to learn of he death by cholera of a single individual so situated, free from organic disease, of cleanly, regular, and tem- perate habits, of tranquil mind, and accustomed to de- vote that care to the preservation of health which affords the only real safeguard against disease. Indeed, a person so favorably constituted as regards hygienic condition, may be set down as proof against disease in almost every shape. Perhaps the nearest approach to this imaginary con- dition is to be traced in the career of that extraordinary man—of whose singular life I am here reminded— Howard the Philanthropist. u This man,” says one biographer, “ visited all Europe, not to survey the sumptuousness of palaces, or the stateliness of tem- ples ; not to make accurate measurements of the remains of ancient grandeur, nor to form a scale of the curiosities of modern art; not to collect medals, or to collate man- uscripts ; but to dive into the depths of dungeons; to plunge into the infection of hospitals; to survey the HYGIENE THE TRUE MORAL OF THE CHOLERA. 61 mansions of sorrow and of pain; to take the guage and dimensions of misery, depression, and contempt; to remember the forgotten; to attend to the neglected; to visit the forsaken, and to compare and collate the dis- tresses of all men in all countries.” “ He traveled,” says another, u between fifty and sixty thousand miles, for the sole purpose of relieving the distresses of the most wretched of the human race. The fatigue, the dangers, the privations he underwent or encountered for the good of others, were such as no one else was ever exposed to in such a cause, and such as few could have endured. He often traveled several days and nights in succession, without stopping—over roads al- most impassable, in weather the most inclement, and with accommodations the meanest and most wretched. Summer and winter, heat and cold, rain and snow, in all their extremes, alike failed to stay him for a moment in his course; while plague, and pestilence, and famine, instead of being evils that he shunned, were those with which he was most familiar, and to many of whose horrors he voluntarily exposed himself, visiting the foulest dungeons, filled with malignant infection ; spend- ing forty days in a filthy and infected lazaretto; plung- ing into military encampments, where the plague wTas committing the most frightful ravages, and visiting where none of his conductors dared to accompany him.” The habits of Howard, under such circumstances, 62 HYGIENE THE TRUE MORAL OF THE CHOLERA. were remarkably simple. “ Water,” says Dr. Aiken, “was one of liis principal necessaries, for he was a very Mussulman in his ablutions ; and if nicety had place with him in any respect, it was in the perfect cleanliness of his whole person.” “ These ablutions,” says Dr. Brown, “he regularly performed in the depth of the coldest winter, by plunging into a bath whenever he had the opportunity of doing so ; and when he had not, he would frequently lay himself down for some considerable time between two sheets, wet for the ex- press purpose of communicating to his body the desirable degree of cold.” According to another author, “ Both on rising and going to bed, he often swathed himself in coarse towels, wet with the coldest water; in that state he remained half an hour or more, and then threw them off, refreshed and invigorated, as he said, beyond measure.” In a conversation with a friend, Howard once deliv- ered himself of some of his views in the following terms : “ Nature is intrepid, hardy, and adventurous ; but it is a practice to spoil her with indulgence from the moment we come into the world. * * Thus we are forever giving hot things when we should administer cold. We bathe in hot, instead of cold water; we use a dry bandage when we should use a wet one, and we increase our food and clothing when we should, by de- grees, diminish both. If we should trust more to Nature, HYGIENE THE TRUE MORAL OF THE CHOLERA. 63 and suffer her to apply her own remedies to cure her own diseases, the formidable catalogue of maladies would be reduced to one half, at least, of their present number.” With regard to the best mode of self-preservation from infectious diseases, Mr. Howard expressed his viewrs as follows : “ I have frequently been asked what precautions I used to preserve myself from infection, in the prisons and hospitals which I visit. I here an- swer, once for all, that, next to the free goodness and mercy of the Author of my being, temperance and cleanliness are my preservatives. Trusting in Di- vine Providence, and believing myself in the way of my duty, I visit the most noxious cells, and, while thus employed, I fear no evil. I never enter a hospital or a prison before breakfast, and in an infected room I sel- dom draw my breath deeply.” u Temperance and cleanliness !” u Temperance in all thingsand scrupulous cleanliness of the entire person ! Have we not here in Howard’s preservatives a tangible clew to this cholera labyrinth ? Does not the unparalleled experience of this great philanthropist in the plagues of the East strengthen the position I am striving to establish : that epidemic cholera is one of a class of fearful disorders whose exact nature and es- sence it is quite unlikely that w7e shall ever determine ; that its most strongly marked exciting cause is gross neglect of the laws of health ; and the only method by 64 HYGIENE THE TRUE MORAL OF THE CHOLERA. ■which it can be extinguished is by a wide, general, and uniform return to their faithful observance ? If these views be correct—and both reason and experience con- firm this doctrine, that the true moral of the cholera is to be found in Hygiene—may we not claim for Howard that he was the first to solve the enigma of plagues 1 But “ what is Hygiene V’ Fancy some puzzled one going to his family physician and asking him this ques- tion ; in all probability this would be the answer: u Hygiene ? Why, Hygiene has something to do with keeping people well; so it’s no affair of mine. But don’t you go and worry yourself now about what you can’t understand; leave all that sort of thing to me. You’re doing well enough as it is ; so what’s the use of trying to make yourself better? Don’t make any foolish change in your habits—no matter what the books say; and if you do chance to get ‘ under the weather,’ why—I’ll come and set you on your legs mighty quick, I promise you !” Such is the tenor of advice on this subject which generally proceeds from mere “ routine practitioners.” Long accustomed to regard men as individuals, they are totally incapable of taking an enlarged view of Hygiene, as applied to great masses ; they can not understand the meaning of the term, u Public or Municipal Hygiene,” or, as some one has styled it, “ the political economy of health.” 65 HYGIENE THE TRUE MORAL OF THE CHOLERA. To them, the rich are—“ the rich” with fat fees to dispense; and the poor are—u the poor,” with vulgar half dollars. It never occurs to a mind of this order that the relations of the two are closely connected ; that both great classes are making in common this voyage of life ; that both are u linked inseparably to- gether” — “ wafted by the same favorable breezes, tossed by the same rough billows, and wrecked in the same rude tempests.” Alas, that such blindness, such hardened selfishness, should prevail so widely! Alas, that the moral of the fearful cholera, the hor- rible plague, the squalid ship-fever and the loath- some typhus, should remain so long unheard and unheeded! u Proffer any remedy for any ailment,” says Pro- fessor Dickson, a adduce but a shadow of proof that you have invented a means of relief from any particular grievance, and crowds of followers and heaps of wealth shall be your recompense. But the far greater boon of protection, prevention, which science vouchsafes to the wretched victims of disease with so much certainty, is scarcely valued enough to be investigated. It is dif- ficult to persuade individuals or communities into measures the most reasonable and promising, even when experience has confirmed their applicability and importance. And thus it is in moral and social life. We neglect the child, and punish the guilty man. We 66 HYGIENE THE TRUE MORAL OF THE CHOLERA. refuse the means of education, but stringently inflict penalties upon ignorance. u Hygiene, the science of prevention, whose pure and elevated object is the extinction of disease, has had until recently no separate functionary in our so- cial institutions, no definite place in the progress of our improving civilization. And even now her voice is feebly uttered, scarcely listened to, and almost void of authority. We have no professors of Hygiene in our colleges ; our boards of health are clothed with little power, and their recommendations destitute of influ- ence, except in times of occasional panic, or wThen di- rected against nuisances palpably offensive. No place of honor or profit is assigned by the body politic to the philanthropist who volunteers his services in this department. Commissions are appointed and re- port ; associations organize themselves, and publish documents, and present memorials ; registers are made, facts recorded, and principles clearly deduced; yet all with so little effect that no single great step has any- where been taken in the right dii*ection. “ It is difficult to make definite alterations in the fixed face of things : to open parks amid the dense masses of brick and stone that constitute our cities ; to tunnel with sewers the earth encumbered with the thick foundations of thronged edifices ; to raze the crowded blocks which impede the air and the light; to HYGIENE THE TRUE MORAL OF THE CHOLERA. 67 ventilate tlie narrow hovel; to drain tlie damp cellar ; to illumine tlie dark abode of the poor. Such are the obstacles, and they seem almost insurmountable, which impede the hygienic movements of old and settled communities, and paralyze the energetic philanthropy which yet refuses to succumb. Are they not full of warning to us, a nation yet in infancy or youth, whose cities are just starting into growth and expansion, and taking on the form destined to be permanent for good or evil ? We have not, even in the new world, a mo- ment to lose; nay, too much time has been already lost in careless neglect of these matters, so important to us and our posterity.’’ But perhaps this labor in the field of prevention may not prove so attractive to a pedantic mind as the effort to solve insoluble riddles. The question now arises, which is the more useful ? Is not the diffusion of the principles of Hygiene likely to be appreciated generally and widely at a time like the present! Or, must we turn into owls—waste our energies over a confused mass of “ scientific” conjectures—conjectures sure to result in nothing—unless, perhaps, an increase of the number of solemn dunces ! Shall we give up the cer- tainty of benefiting our race, for the profitless contem- plation of such queries as these: u Do fishes think? Have the stars eyes, and if so, do they see ?” Out on such wretched—such miserable drivel, when 68 HYGIENE THE TRUE MORAL OF THE CHOLERA. tlie question at issue is one of life or death to thousands and millions ! Out on the theory of “ fungous growths,” or of paltry animalculse ! Out on the doctrine of “ no- electricity-in-the-air !” Out on the scheme of analyz- ing the cholera (as if one could imprison it!) in a chemical bottle! Out on such follies so long as the “ Old Brewery” pollutes our precincts, and so long as our ears are pained and our souls sickened by the hor- rors which cry out against us from the pestilential “ Five Points !” A few words now in regard to the course of the Board of Health of the city of New York, during the past year, in relation to the cholera. I have already observed that their attempts last summer to cleanse some few of the plague-spots in our midst, were rather late in the day; that it strikingly resembled locking up the stable after the horse had been stolen. Now, how is tins'? We were first threatened with a “visitation” of cholera on the 5th of December, 1848—just a year ago—but it seems that the epidemic held itself in abey- ance a little over five months, or until the approach of the warmth of May. What, then, was accomplished by our Board of Health, in the way of preparation, dur- ing these five months of abeyance'? Were the “ Five Points” visited, nuisances abated, graveyards closed, and the destitute poor washed, fed, and clothed? Was the well-known track of the cholera in our city prepared 69 for the outburst ? Alas, no ! Forewarned as all were, literally nothing was done; and when the plague did break out, it found an easy prey. Lo! then, the panic and the timorous flight! Lo ! then, a forfeit of more than five thousand lives! Lo! then, a loss in the com- mercial relations of our business metropolis tvhich even time can hardly repair! And is it not galling to a re- flecting mind to know and feel that all this might have once been averted—cither wholly or partially—by a timely use of the knowledge which reason and experi- ence have so abundantly afforded ! The medical counsel to the Board of Health—to judge from their occasional addresses to the public—appear to have been content to put forth the usual humdrum prescriptions as the day demanded. I shall only refer here to one or two points in their official bulletins. The learned gentlemen express their belief, in one of the number, that “the cause of the disease exists in the atmosphere,” but subsequently make this striking admission : “ With regard to the peculiar condition of the atmosphere which predisposes to the disease, we know nothing.” Now all this is very much like the dilemma of the Parisian prefect: he knew to a cer- tainty the Very house “the purloined letter” happened to be concealed in, but where it actually was it was far beyond his philosophy to fathom ! One thing was cer- tain ; it was not he that was to blame, but that abom- HYGIENE THE TRUE MORAL OE THE CHOLERA. 70 HYGIENE THE TRUE MORAL OF THE CHOLERA. inable house ! Just so with the medical counsel; they are not to blame, but the abominable atmosphere / They feel sure that the causes of the cholera are in the atmosphere ; but how they got there, and why they are there, in spite of the effluvia of the “ Old Brewery’’ and the “ Five Points” full in their nostrils, they can not possibly, for the life of them, tell! Strange that so great an amount of positive knowledge should accom- pany so great an amount of admitted ignorance ! Again; in a long address of advice to our citizens, the learned counsel actually devoted nearly two lines to a recommendation of/* the tepid bath !” They did not forget, though, to dwell more at length on the coddling system of wearing flannels in midsummer, the proper doses of laudanum to be taken, and the pro- priety of giving, besides a strong mustard poultice, a little brandy and water, with a view, as they said, of u restoring warmth!” This last prescription was a wonderful hit. It is really astonishing how many cases of cholera suddenly broke out in the vicinity of bar- rooms, and how rapidly the patients found themselves convalescent after a free potation of this attractive beverage! It is noteworthy, too, that, though only two lines could be spared for merely alluding to the subject of personal cleanliness, the learned counsel should particularly specify “ the tepid bath,” notwith- standing the weakening effects of the season. Some HYGIENE TIIE TRUE MORAL OF THE CHOLERA. 71 of you may possibly happen to recollect that a state- ment also appeared in one of our journals, setting forth that the most eminent members of “ the regular faculty” had denounced the use of any other than the warm bath during the prevalence of epidemic cholera. It is very fortunate for some of us that we were not obliged to bathe after this puny, coddling, enervating fashion, amid the intense heat of our last summer ! It is really refreshing to turn from all this supersti- tion and senility, and glance at the progress of hygienic principles in the domain of Old England. The ablest medical quarterly of the day * is earnestly calling upon the East India Company to employ the absolute power which they possess in their magnificent empire, in at- tempting to remove those causes “which, in Asia, as well as in England, confer on the poison of the cholera its terrible and malignant power.” “ If, as we believe,” the editors say, “ a wise recognition of the conditions of existence of the poison of cholera can lead, in some measure, at least, to their removal, and to a propor- tionate diminution in the mortality from this terrible scourge, then we hold it incumbent on the great com- pany, whose magnificent dominions are the garden of the earth, to avert from the Hindoo, in his close and fetid village, from the Englishman, in his confined, * The British and Foreign Medico-Chirurgical Review for July, 1848. 72 HYGIENE THE TRUE MORAL OF THE CHOLERA. crowded, and ill-constructed barrack, some portion of the evil, which has acquired magnitude and strength from our ignorance and neglect. The company can not alter the laws of nature, they can not prevent India from being the country, more than all others, subject to cholera, on account of its marshes, forests, plains, and rivers, its heavy rains, its burning suns ; but they can do much to weaken the force of the poison, and to strengthen the frame against its influence.” The editors prove by irresistible facts and arguments that the poison of cholera derives its power chiefly or entirely from the hygienic conditions attending its at- tack ; and that, whenever the condition of health is high, the poison becomes powerless. u Examined in this way,” they then proceed, u this epidemic loses all its terrors. We see no longer the terrible burst of a mysterious plague, which seemed to be ushered in by whirlwinds and thunder-storms, and, like those mighty powers, to perform its work of destruction unrestrained by human efforts. On the contrary, we see that it is our ignorance which has given it power, our carelessness which has prepared its easy prey.” For the frightful mortality which the cholera has occasioned, the editors say: “ We must all take our share of reproach. The medical profession is the most to blame, because it has not hitherto sufficiently recognized the simple causes which give such astonishing activity to morbid poisons. HYGIENE THE TRUE MORAL OF THE CHOLERA. 73 We have contemplated epidemics through an atmos- phere of prejudice, which has distorted their form and obscured their real proportions. But we are now be- ginning to learn ; and, if we do not deceive ourselves, we are at last on the right patli to disarm of its malig- nity one of the most terrible plagues which has ever ravaged the earth. We have reassumed our proper character of preventers as Avell as curers of disease.” Such language as this is so warm and earnest, and yet so rare, that I can not refrain from further cita- tions. In speaking of the nature of the specific cause of cholera, the editors say, with as much truth as force : a The phenomena of great pestilences occur on so vast a scale, their consequences are so stupendous, their immediate action so impregnated with an almost universal suffering and fear, that men have found noth- ing to compare them with but the most terrible and awful convulsions of nature. * * * Even at the present time, many of our best writers entertain some- thing of the same belief. Everybody knows the lofty opening of Hecker’s History of the Black Death. There, as harbingers of great pestilences, the powers of creation are represented as coming into violent col- lision, the thunder mutters from beneath the earth, fiery meteors blast the fruits of the soil, the atmos- phere burns with a sultry and unbearable dryness, or overflowing waters send up unwholesome mists—nature 74 HYGIENE THE TRUE MORAL OF THE CHOLERA. spurns the ordinary alternations of life and death, and over the doomed people the destroying angel waves his flaming sword. And yet, after all, is there no poetical exaggeration in this I Is nature, indeed, so hard a stepmother to us ? Are these pestilences altogether independent of the passions, and uninfluenced by the condition of manl We do not believe it. The causes of the devastations of diseases lie lower than the his- torian deems ; it is in our false habits, our pernicious customs, our disregard of the fundamental laws of health and vigor, that we are to seek for the true rea- son of the mortality of pestilences.” The conclusion of the article is equally able: u The true philosophy of the science of medicine is the knowledge of the causes of disease. Or, if these causes be too subtile and refined for our gross senses, it is the knowledge of the several conditions, external or internal to the body, which give those causes power. In the future history of medicine, we shall see men returning to the principles promulgated by its earliest founders. They will perceive that the treatment of the fully-formed disease is at the same time the most difficult and the least useful part of their noble profession. They will learn to arrest the evil at the fountain-head, and not to dam the current swollen by a thousand tributaries. And if the princi- ples which we have analyzed in this article be correct, HYGIENE THE TRUE MORAL OF THE CHOLERA. 75 it will not be the least triumph of this philosophy that it has indicated the true mode in which the great epi- demic of our time can he most easily and most effectu- ally controlled. It bars out the disease—not with quarantines and cordons sanitaires, hut with a cleanly people, and uncontaminated air, The evil which springs from the bosom of nature only needs for its removal an observance of the rules which nature her- self reveals.” Noble, thoughtful words! Would that they could he heard, and their point apprehended, not only by every member of the healing fraternity, hut as well by every reflecting mind in the whole wide world ! I have next to speak of the results of the efforts that have so far been made in England itself to ad- vance the cause of sanitary improvement. Numerous ‘‘"Health of Towns Associations” are now in opera- tion, and a great deal has been done in the way of bettering the condition of the poor. Free baths and wash-houses are in process of gradual establishment in the large cities, and in London itself the famous St. Giles, the former “ Five Points” of the metropolis of England, has been renovated by the authorities—its streets widened, and its poor dispersed. But it is mainly to the late invasion of cholera that we are to ascribe the present zeal of the London press in behalf of the cause. The articles on the subject of hygienic 76 HYGIENE THE TRUE MORAL OF THE CHOLERA. improvement which are now in course of publication in literally burn with indignant eloquence, and answer for themselves the stale objection that lay- men can not understand the laws of life and health. u We can not tell,” says the London Times, “ why the fetid sewer, or the exhalations of the reeking graveyard, should be the cause of cholera one year more than another, and wre can not form any concep- tion of the reason why the epidemic should ever cease in the polluted districts of Lambeth or Shoreditch, during eight months any given year. Our conclusions are all yet entirely empirical. All we know is, that when the cholera is present these are the spots in which it first declares itself—these the points from which it mainly radiates into quarters of the town which are inhabited under more endurable sanitary conditions. The heavy pressure of the disease in such localities offers the best suggestion for depriving it, for the future, of its main power. If we would avoid a speedy recurrence of this visitation, it is in behalf of the proper purification, and the closing up of the cen- tres of feculence, that we must mainly address our- selves to all who are compelled to live within the limits of the bills of mortality. A proper system of sewer • age has yet to be established; a suitable supply of water, both in quantity and quality, must be poured into every alley and court of this huge town. We HYGIENE THE TRUE MORAL OF THE CHOLERA. 77 must seal up graveyards; banish noxious trades to the suburbs; remove cattle-markets, slaughter-houses, and their attendant pollutions, and do, in short, by leg- islation, all that legislation can effect.’5 Is not this sensible hygienic advice, if it does come from a lay source ? And is it not equally adapted to the meridian of this city of New York? But again : A writer in the London Morning Chronicle, in giv- ing an account of a visit paid to a portion of that city in which the cholera had been exceedingly destructive, gives the following account of the manner in which the inhabitants were supplied with water : “ In No. 1 of London street the cholera first ap- peared seventeen years ago, and spread upward with fearful violence; but this year it appeared at the op- posite extremity, and ran downward with like severity. As we passed along the reeking banks of the sewer, the sun shone upon a narrow slip of the water. In the bright light it appeared the color of strong green tea, and positively looked as solid as black marble in the shadow—indeed, it was more like watery mud than muddy water; and yet we were assured this was the only water that the wretched inhabitants had to drink.” The water for that part of London is sup- plied, it seems, by a company, which, under the plea of not being able to supply a sufficient quantity to other sections, suddenly, withdrew during the cholera season 78 HYGIENE THE TRUE MORAL OE THE CHOLERA. one half of the scanty supply usually doled out to the squalid occupants of the city courts. “ From the poor gasping wretches,5* says the Times, “ thus consigned in cold blood to the horrors of a water famine, this company were, be it remembered, at the same time drawing a profit of at least ten per cent, per annum upon their paid up capital!” The Times has accordingly denounced this company for its action, and the city government for permitting it, in terms of fierce and unsparing invective. It pro- nounces the weekly charge of eight pence per house grossly extortionate, and claims that the city can be steadily supplied with “ cool, fresh, lucid water, sent sparkling and pure up every court and alley, and to the very garrets of the meanest houses, at an average general rate not exceeding two pence per week per house—-just about one fourth of the present charge.” This rate (it adds) would be more than saved by the diminished outlay in cleansing and drainage; by the lessening of fire-assurance risks, and so forth ; “ by the popularization of health-and-strength-giving baths, now the costly luxury of comparatively few; and lastly, by the prevention of those tremendous epidemics—cholera, typhus, scarlatina, and all the other filth-murrains of cities—whose victims are mourned with bitter wailing and lamentation by many a ruined family in many a devastated home.” 79 HYGIENE THE TRUE MORAL OF THE CHOLERA. In still another article, in reply to an official an- nouncement of Alderman Sidney that the city was safe from pestilential disease, the Times thus sets forth an appalling array of facts illustrating the condition of the poor : “We can not proclaim to the country, as Alderman Sidney desires, that the city of London is safe. There are at this moment in the metropolis five hundred thousand powder-barrels, awaiting, open-mouthed, the sudden spark which, whenever it may fall, will infal- libly produce a tremendous explosion. Those powder- barrels are the stagnant cesspools, the breeding coffins, and the subterranean slaughter-houses of the city. The spark whose kindling touch they await is the in- visible, floating cholera sporule, and the dreaded ex- plosion is a fresh outburst of devastating pestilence. Empty these powder-barrels, Mr. Alderman Sidney, and then we will report the city safe. Cleanse, in Fox Court, the 1 public ordure pit,’ wdiich has already destroyed four victims, and from whose yawning mouth fresh poison is still steaming up. Let in the light of day—let in pure air and unpolluted water to the fever- ed, scrofulous outcasts of that other court, where the very pump yields an offensive stream, where half the entire population have perished of the plague, and where the miserable survivors, helpless and hopeless, are awaiting their turn to die. Purify the city of 80 these deadly plague-spots, which shame humanity, and are the opprobria of civilization, before you boast of the health of the city, and expect the fugitives from its horrors to return. We sympathize with those, who, being rich, have lost business by the cholera panic; but we sympathize still more with those who, being poor, have lost by it all that they had to lose—their lives. We are not insensible to the anxiety of wealthy tradesmen,c paying hundreds a year’ for their premises, and earning only 6d. per diem by their trade; but we sympathize still more with the poor outcast whom we saw on the 27th of September, lying dead of cholera, in St. Bartholomew’s Hospital, with the word ‘ un- known’ written over against his bed; we sympathize still more with the friendless pariah who, on the 28th of August, was found a shriveled corpse at No. 21 Fleur-de-lis Court, where, for two long days, she had been left unvisited, probably in excruciating agony, her groans unheard, her malady untended, her dying eyes unclosed, her corpse uncoffined; we sympathize still more with the poor steel polisher, whom the city authorities suffered, last Monday week, to perish of cholera, at No. 7 Robin Hood Court, St. Andrew’s, by reason of want of food. We say that, while in the heart of the city such occurrences as these, day after day, belie religion and insult humanity, we must ex- pect to incur, not in one only, but in a succession of HYGIENE THE TRUE MORAL OF THE CHOLERA. HYGIENE THE TRUE MORAL OF THE CHOLERA. 81 plagues, the revenge of outraged Nature, and the re- tribution of offended God. We have said, and we repeat it, that the poor of the metropolis are worse off now than they were in 1832; that the supplies of air, and light, and water have not kept pace with the wants of a growing population, crowded by the unchecked rapacity of extortionate house-owners into pestiferous dens, in which no merciful master would kennel his hounds. The Common Council may suppress or muti- late the reports of its medical officer ; they may contest the authority of the Board of Health; and they may shut their ears to the wailing of the decimated poor; but they can not tamper with the bills of mortality, nor resist the authority of public opinion, nor stifle the voice of the press. They can not in the face of irre- fragable evidence to the lamentable condition of the city poor, with which our columns daily teem, persuade the community that the health of London is satisfac- tory, and that the risk of cholera is at an end.” Let me not be told, gentlemen, that these London horrors can find no parallel in this city of New York. It is not so. If there are u 500,000 powder-barrels” in the English metropolis, ripe for an explosion, there are at least 100,000 in our own community. Our Croton water is not always preferred to the noxious rills from the fetid pump. We, too, suffer from the gross pol- lution of the cattle-market and the slaughter-house; 82 HYGIENE THE TRUE MORAL OF THE CHOLERA. we, too, have our u reeking graveyards” and “ breed- ing-coffins.” It is only a few days since the Grand Jury of the Court of Sessions presented “ Potter’s Field,” on Randall’s Island, as a most horrible nui- sance. They have also found in the northern part of the city u cow-stables, distilleries, and establishments for cutting up and boiling dead horses and other ani- mals.” In another place, near the heart of the city, they have found a single inclosure containing 1200 cows. That these are nuisances of the most loathsome description, as the Grand Jury admit, there can not be any rational doubt; “ the putrid stench which issues from them corrupts the atmosphere of the whole neigh- borhood, even at this advanced season of the year. It seems incredible that human life can possibly be sus- tained within the pestilential effluvia of such places as these; and yet,” as the Grand Jury inform us in their presentment, u all these places were in full oper- ation throughout the last season, while the cholera was raging!” But time would fail me, gentlemen, were I even to attempt to complete an enumeration of the horrors in our midst. I would fain add something in regard to the 25,000 wretches who live in cellars, knowing noth- ing of the luxuries of air, light, cleanliness, and whole- some food; but I can only say of them (in the words of Professor Dickson): u The unutterable pollution, HYGIENE THE TRUE MORAL, OF THE CHOLERA. 83 the squalor, the anguish there endured, must make angels weep, and touch with pity the arch-fiend him- self, whose dread abode contains no pang more intol- erable, except its eternity of despair.” One word, ere I close, of the remedy for these evils. I conceive that this remedy is most easily to be found in the prompt action of our local government, when properly enforced and demanded by an enlightened and concentrated public opinion. It is the manifest duty of the intelligent and the thoughtful to form that pub- lic opinion, and bring it to bear upon the municipal authorities. We, gentlemen, must do our part to bring the matter before the city government. On the Common Council of the city of New York devolves the responsibility of the public health; on us the duty of holding them to their task. Let us resolve, then, to hold meetings, ascertain facts, and present reports. As a starting-point, let us call on the authorities to renovate the “ Five Points,” to abate the nuisance of the “Old Brewery.” We have a noble example in the earnest action of our English brethren. St. Giles is no more ! But let us not be content with mere imitation—let us strive to excel them. So may we hope to escape in future the dreaded recurrence of the loathsome plague, the stern revenge of “ outraged Nature,” and the just retribution of “ offended God !” 84 HYDROPATHY RATIONAL, HYDROPATHY RATIONAL, AND NOT EMPIRICAL, A LECTURE DELIVERED BEFORE THE MERCANTILE LIBRARY ASSOCIATION, AT CLINTON HALL, NEW YORK, ON THURSDAY EVENING, DECEMBER 13th, 1849. The Water Treatment is not often favored with an open, manly, spirited attack. On its first introduc- tion into England as a distinct system, a few years ago, it met with a peculiar kind of opposition. A shrewd physician to one of the largest hospitals in the city of London, gave a lecture to his class, “ expressly devoted to instructing them in what they were to say, and how they were to act, should any of their patients, when they got into practice, consult them as to the propriety of trying this new treatment.” They were not to run it down—not to ridicule it—because that, said he, would be the certain way to induce them to resort to it. On the contrary, they were to speak of it with respect —to acknowledge that it was useful in certain cases and certain constitutions, but always to conclude by assuring the patient that in his or her particular case, it would be highly7- improper and extremely dangerous. And this is the ruse—this the quirk—practiced by the AND NOT EMPIRICAL. 85 great bulk of medical men in England up to the present moment. They have ceased to rail at it—ceased to laugh at it. They admit that they sometimes recom- mend it. But they always conclude by assuring the patient that his own case is one in which it is totally inadmissible.* A notable instance of this kind of u management” is pithily narrated in Bulwer’s u Confessions of a Water Patient.” After detailing the various consid- erations which had led him—an invalid for years—to resolve upon a change of medical treatment, and finally to resort to the Water-Cure establishment of Dr. James Wilson, at Malvern, Sir Edward proceeds : u On my way through town, I paused, in the innocence of my heart, to inquire of the faculty if they thought the Water-Cure would suit my case. With one exception, they wrere unanimous in the vehemence of their denun- ciation. ‘ Granting even that in some cases, especially of rheumatism, Hydropathy had produced a cure, to my complaint it was wTorse than inapplicable—it was highly dangerous—it would probably be fatal. I had not stamina for the treatment—it would fix chronic ailments into organic disease ; surely it would be much better to try what I had not yet tried.’ What had I not yet tried—I, who had ranged in vain from simple to mine- ral'? A course of—prussic acid ! ‘Nothing was bet- * Dr. Edward Johnson. 86 HYDROPATHY RATIONAL, ter for gastric irritation, which was, no doubt, the main cause of my suffering. If, however, I were obstinately bent upon so mad an experiment, Doctor Wilson was the last person I should go to.” But none of this “ managing” seems to have made much impression upon the author of “ Harold.” He was not “ deterred by all these intimidations, nor seduced by the salubrious allurements of the prussic acid, under its scientific ap- pellation of £ hydrocyanic.’ ” A little reflection taught him that “ the members of a learned profession are naturally the very persons least disposed to favor inno- vation upon the practices which custom and prescrip- tion have rendered sacred in their eyes. A lawyer is not the person to consult upon bold reforms in juris- prudence. A physician can scarcely be expected to own that a Silesian peasant will cure with water the diseases which resist an armament of phials.” And with regard to the peculiar objections to Doctor Wilson, he had read in his own pamphlet “ attacks upon the orthodox practice sufficient to account for—perhaps to justify—the disposition to depreciate him in return.” This matter settled (to go on with the story), there was another kind of opposition to meet and overcome. “ Still,” adds Sir Edward, “my friends were anxious and fearful; to please them, I continued to inquire, though not of physicians, but of patients. [This was a contingency which the hospital lecturer had quite AND NOT EMPIRICAL. 87 overlooked!] I sought out,” our author continues, u some of those who had gone through the process. I sifted some of the cases of cure cited by Dr. Wilson. I found the account of the patients so encouraging, the cases quoted so authentic, that I grew impatient of delay. I threw physic to the dogs, and went to Mal- vern.” The result of Sir Bulwter Lytton’s trial of the water treatment, I may here add, was singularly gratifying ; and, as many of you, doubtless, are already aware, forms the theme of one of the most beautiful tributes to the hydropathic system as yet made public —a tribute which some one has very prettily styled u the poetry of the Water-Cure.” In our own country the water treatment has met with every possible variety of reception, from the frigid shiver of supercilious incredulity to the cordial ■welcome of grateful appreciation. In spite of the one and thanks to the other, it has steadily and surely won its way into the confidence and respect of a large num- ber of the most intelligent minds throughout our Union. As on the continent of Europe—to say nothing of Eng- land—it has enrolled in America a formidable array of enthusiastic advocates, ready and willing to defend it from open calumny or indirect aspersion, at all fitting times, and in all proper places. Some of these advo- cates it has actually drawn from the very ranks of “ the regular faculty”—from among men, who, dissatisfied 88 HYDROPATHY RATIONAL, with the teachings of modern allopathy, and too honest to practice what they did not believe right, “ had be- come bold by despair—bold enough to try if health, like truth, lay at the bottom of a well!” There are others, again, among “ the old-school practitioners,” who are frank enough to admit, and honest enough to feel, that no true physician can ever become too old or too wise to learn : such men assume the position of eclectics, and each one selects, according to the best of his judg- ment, those peculiar features of the various systems of treatment which impress him most favorably, rendering a certain degree of homage to all alike, but avowing allegiance to no one alone. Among physicians of this type, the water treatment has met with partial favor, though some few of the old, lingering, tenacious prejudices have prevented its receiving even from them its proper share of study and attention. I now come to mention a very different class—the great bulk of our medical men—the mere u routine practitioners,” incapable of rising above the mists of superstition and error ; content to believe that immediate dosing is ab- solutely essential to infant salvation, five minutes after birth, and ready to admit that it is one of the chief duties of grown-up man to be bled, and cupped, and leeched, blistered, purged, and cod-liver-oiled ; always provided that the blood be let and the stomach drenched by some one of their own number. I hardly need add AND NOT EMPIRICAL. 89 that to all these men the Water-Cure is “a system of total, downright, outrageous quackery.” Not that they have ever read a word on the subject, or watched any cases. No! They would rather put out their eyes than lend any such countenance to “ irregular practice!” Gentlemen, I speak with freedom of this particular por- tion of the medical profession; but before I have closed, you will see that I am more than sustained in my cen- sures by the highest dignitaries of the fraternity of healing. These are the practitioners whose awful havoc in u the old country” extorted this pithy admission from Sir Astley Cooper : “ There is a great deal of ac- tivity in English practice!” I have said, gentlemen, that it is not often that the water treatment is favored with an open, manly, and spirited attack. Would that its enemies in Amer- ica would commit themselves more frequently in some tangible wray ! But no ! They prefer “ fighting shy;” they never descend to particulars or details, but fire off a volley against the rival systems—generally in a lump —and then vanish in the smoke. There is no getting at them ! I remember once picking up a medical jour- nal of u considerable” note—to use a cant, but ex- pressive phrase; and, finding my attention attracted to an article incidentally assailing the Water-Cure system in no measured terms, “ Now,” thought I, “ I am sure to find something worth carefully reading-^- 90 HYDROPATHY RATIONAL, some scientific assault not to be easily gotten over!” I read carefully on. The story was this : It seems that some ailing clergyman, after trying a long while “ the regular treatment” of some one or more of these “ routine practitioners,” as often happens, “ was noth- ing bettered, but rather grew worse;” so he went off straightway to some hygienic and hydropathic sana- torium, where he not only rapidly recovered his lost health, hut acquired enough knowledge, besides, of the laws of his being to understand how to preserve the health thus easily regained. To evince his gratitude for his prompt recovery, this gentleman published an account of his cure, and it was this publication which had roused the wrath of the medical reviewer. “ The clergy,” we were told, “ were always dabbling with quacks ; it would be far more to their credit to be minding their own business than running about from one empiric to another, bringing discredit upon them,” —the “ routine doctors.” It was here that the shoe pinched! Not a word about the processes which had aided Nature to cure him—not a syllable of scientific criticism upon their merits; the wdiole article, in real- ity, was nothing more or less than a bitter tirade upon the clerical profession for not happening to entertain so exalted an opinion of the “routine” mode of medi- cal treatment as the practitioners of that school thought their just due—for not properly appreciating, perhaps, 91 AND NOT EMPIRICAL. like Sir Edward Bulwer, tlie rustic virtues of the hitherto untried—prussic acid ! I am not aware, gentlemen, that this peculiar mode of “ managing” refractory clergymen has proved re- markably successful. Some one has said that no one can he made witty by an act of Congress : I presume it will hold equally good that no clergyman can be cured by a medical scold! The latest slur upon the hydropathic system, from any prominent source in the city of New York, is marked by the usual shyness of allusion. During the late prevalence of epidemic cholera, the medical coun- sel to the Board of Health were selected entirely from the ranks of u the old-scliool practitioners ;” so were the physicians to the various wards, to the cholera hospitals, and the police stations. Now somebody saw fit to offer a resolution in the Board of Health, some time last June, directing “ that a hospital for the re- ception of cholera patients be established in this cityr, in which the practice of homoeopathic physicians should be pursued.” This resolution having been referred by “ the sanitary committee” to the medical counsel, those learned functionaries reported as follows : “ Should the above resolution be adopted, they see no satisfactory reason why the same courtesy should not be extended to the Hydropathists, the the Chrono- Thermalists, and, indeed, all others claiming to have 92 HYDROPATHY RATIONAL, specific modes of treating the cholera. By intelligent and well-educated physicians generally,” the learned counsel proceed to say, “ Homoeopathy is looked upon as a species of empiricism. It is neither practiced by them nor countenanced by them. Concurring entirely with their professional brethren on this subject, the undersigned conceive that the public authorities of our city would not consult either their own dignity or the public good by lending the sanction of their name or influence to Homoeopathy, or any other irregular mode of practice.” So far the report of the medical counsel. I come next to speak of “ the sanitary com- mittee.” The following is a citation from their elabo- rate apology for adopting this report: “In looking round, the committee found the medical profession ex- isting in a certain form, exercising certain rights and 'privileges conceded by law, and recognized by long usage and general suffrage. The medical profes- sion was, in fact, one of the legitimate divisions into which society had resolved itself, and for the perform- ance of the most important functions subservient to the public good. Taking this view of the subject, the committee felt it to be their duty to have nothing to do with medicine, except as they found it embodied in what is understood and known, both by the public as well as physicians, as the regular profession. While, in this way, they paid all suitable respect to so honor- 93 AND NOT EMPIRICAL. able a profession as that of medicine, the committee felt that they did no injustice to those who suppose themselves in advance of the age, and profess them- selves gifted with superior knowledge and wisdom.” There is a musty old proverb, gentlemen, in com- mon use, which inculcates upon the cobbler the exceed- ing propriety of sticking to his last. John Randolph told the member of Congress, who had spent most of his life in repairing watches, that he understood the tick-ticks of watch-making a great deal better than the tactics of legislation. Both proverb and anecdote are probably unfamiliar to the nine common councilmen of u the sanitary committee.” They certainly have made a most momentous discovery, that the medical profession is solely composed of “ the routine practi- tioners ;” that all other physicians are, by fair infer- ence, nothing but a set of outlawed wiseacres; and, above all, that certain particular “ rights and priv- ileges” are “ conceded by law” to the “ routine” doc- tors ! Why, it is a standing theme for dismal whining among all of that class, that the laws of New York have thrown the profession open to the public, allowing to all physicians alike u a fair field and no favor,”' and leaving the various matters now in dispute among the rival schools to the sole arbitration of public opinion. The people of New York have found out to their cost that ten thousand acts of their State Legislature will 94 not make a single good doctor, merely of their own virtue; and that no patient will tolerate the unsuc- cessful physician—no matter how numerous the drugs he dispenses—no matter how skillful his lancet-hand— the moment he is convinced that health can be regain- ed through simpler modes of medical treatment, and at a far less sacrifice of “ blood and treasure.” As I have already said, the laws of New York leave the public free to do precisely as they please in regard to this matter ; conceding no rights or privileges whatever to any one branch alone of the medical profession. And now to go back to the medical counsel. It was perfectly natural that, when the proposition to give a hospital to a rival school Avas referred to them for their opinion, they should veto it at once; as sincere allo- patliists, they could not Avell have done otherAAuse. They had been “ called in” themselves, to take care of a rich patient, and that patient—the city of NeAV York ; and they would not have any intermeddling—any u mix- ing up” of different kinds of treatment. I can not blame them for this, in the least; but Avhat I do find fault with is the gingerly manner in Avhich they flog Hydropathy over other people’s shoulders. The Water- Cure physicians had nothing to do with the question at issue; they had not petitioned for a separate hospi- tal for cholera patients, but quietly acquiesced in the order of things as pre-arranged by the Board of Health, HYDROPATHY RATIONAL, and not empirical. 95 busying themselves, in the mean time, in attending as usual to their own private practice. Why, then, this unprovoked fling from the medical counsel—this stab in the dark ? Why should the learned gentlemen go out of their way to assail the hydropathic system? a mode of practice, I venture to say, they know nothing about from personal study and personal observation! But it is useless, gentlemen, to inquire why this gross and insulting charge happened to be insinuated. It is sufficient for my purpose that the tenor of the language in which it was couched can only admit of one construction. The water treatment, say the med- ical counsel, is an irregular and empirical mode of practice : in other words, it is downright quackery— for that is nothing but the plain English of their guarded denunciation. And being u quackery,” as they would have us believe, the learned gentlemen take pains to assure the Board of Health that, in their opin- ion, u the public authorities of our city would not con- sult either their own dignity or the public good, by lending it the sanction of their name and influence.” But all this would follow as a matter of course, admit- ting their premises; so the real question that now comes up for consideration is simply this: u Is Hydrop- athy a rational mode of medical treatment, or is it nothing but quackery ?” This is the subject I am to speak of to-night; I am to defend the treatment of 96 HYDROPATHY RATIONAL, disease by water as being eminently consonant to reason and experience; and before I have closed I shall en- deavor to prove, by fair inference, that it is a nat- ural, simple, and philosophical mode of medical treat- ment. But before I enter upon the task before me, I must once more remind you that I have very little to contend with, in reality, in the way of vigorous opposition; al- though I have sought diligently—for no one can be partial to “ beating the air”—I can not find any attack upon the water treatment which fairly penetrates to the merits of ihe question. As I have said before, there is no getting at any manful assailant. To be sure, the “routine doctors” cry out “empiricism” often enough, but the moment that any one asks for particulars, they hurry away as fast as they can—to drench some poor creature, for aught that I know, with cod-liver oil! I am compelled, therefore, to fight this battle after my own way; but, as the field is wide and the material abundant, I do not wholly despair of exciting your in- terest. In the first place, gentlemen, I desire to say some- thing with regard to the antiquity of the water treatment. The simple principles which lie at the basis of genuine Hydropathy are as old as the science of medicine itself, water having constituted one of the most powerful remedies embraced in the materia medica AND NOT EMPIRICAL. 97 of the ancient physicians. We are told that Hippo- crates himself, usually styled “ the Father of Physic,” and who flourished about 2300 years ago, was in the habit of using water as a remedy in the treatment of many of the most serious diseases ; for instance, in cases of gout and convulsions, lameness and palsy. He also recommended temperate bathing for inflammation of the lungs, and pain of the back, the sides, and the breast. He was the first to advance the doctrine of the vis medicatrix natures, or the healing power of nature, always tending to the preservation of health and the removal of disease. Hippocrates, therefore, advised practitioners to observe and promote the efforts of na- ture as carefully as possible. The chief part of his treatment is said to have been at first a great restric- tion of diet; in very acute diseases merely allowing the mouth to be moistened occasionally for three or four days, and only a more plentiful dilution during a fort- night, provided the strength would bear it; afterward a more substantial diet was directed, but hardly any medicines. Now Hippocrates is said to have been the eighteenth lineal descendant from old iEsculapius him- self, the profession of medicine having been hereditary in that family. What older pedigree could the Water- Cure desire? During the next three centuries after Hippocrates, water was used extensively, especially in fevers. As- 98 HYDROPATHY RATIONAL, clepiades was surnamed u the cold bather,” from his zeal for cold water; and the poet Horace, in his famous epistle to Numonius Vala, has forever embalmed the memory of Antonius Musa, the Water-Cure physician of Augustus Caesar.* Celsus, who flourished sixty years before Christ, and who is sometimes called “ the Cicero of doctors,” speaks in his writings of the employment of water in a great variety of diseases. Aretjeus (A.D. 90) advises the use of cold water in various diseases of the brain. Galen (in the second century), sometimes called u the Prince of Greek physicians,” frequently employed wa- ter as a remedy; he supposed it to act as a solvent and refrigerant. Galen has stated expressly that he had cured many cases of burning, continued fever, by giving his patients nothing but cold water to drink, and that not one of his patients died who had recourse to this simple remedy sufficiently early. The emperor Marcus Aurelius, it is well known, conceived so high an opinion of Galen as a physician, that he committed his two sons to his care during his own absence on his German expedition. These two princes happening to be seized with fevers, Galen, contrary to the opinion of his colleagues, predicted a favorable issue, and act- ually succeeded in restoring them to health, in all prob- ability by the aid of his favorite remedy, simple, pure * See “ Bulwer and Forbes on the Water Treatment,” pp. 223-4. 99 water, a remedy which Galen appears to have well un- derstood when to disuse and when to employ. In the fifth, sixth, and seventh centuries, Caelius Aurelianus, Alexander Trallianus, iEtius and Paulus iEgineta extended the use of water to a great variety of diseases—though mainly employing it in burning fevers and acute complaints, rather than in long- standing chronic affections. In the ninth and tenth centuries we find Rhazes and Avicenna strongly recommending the use of water as a most efficient and reliable agent in the cure of fevers. Passing over the middle ages, Savoranola (in the fif- teenth century), and Paracelsus and Mercurialis (in the sixteenth), were strenuous advocates of the use of cold water. Van der Heyden, in 1649, was the first who reduced the practice to a system. In his u Ar- thritifugum Magnum,” he says there is no better preservative from gout, nothing more efficacious in re- lieving the pains than cold water. In the eighteenth century Sir John Floyer and Dr. Baynard, English practitioners, used the cold baths very freely—especially in chronic affections. Their joint work, called