Holt (p.) 'M KOKEOPATIIY: REASONS FOR EX/LMINING AND; ADMITTING IT Principle in Medical Science. By DANIEL HOLT, M. D. " A ccrtis et exploratis petendum esse presidium." NEW HAVEN PRINTED AND PUBLISHED BY J. H. BENHAM. 1845. VIEWS HOMEOPATHY REASONS FOR EXAMINING AND ADMITTING IT Principle in Medical Science, By DANIEL HCLT, M. D. ; A certis et exploratis petendum esse praesidium.' /#SR$> NEW HAVEN: PRINTED AND PUBLISHED BY J. H. BENHAM. 1845. PREFACE. It is not designed in this essay to give even the general outlines, either of the principles or practice of the Homoeopathic system of medicine ; but to state some of the points of distinction between this and the ordinary practice—and to make some comparisons be- tween them. This has been undertaken with a view to see whether the Homoeopathic doctrine in medicine is founded in truth, and there- fore entitled to the standing which it claims as a science, or funda- mental law of nature; or whether it is really quackery, as it has sometimes been accused. In doing this, the aim of the author has been to give it an impartial, though critical examination, and to sat- isfy himself, has spared no pains either in the practical application of the medicine on this principle, or in the examination of what has been written upon the subject. For the impartial aid of the most distinguished men in this coun- try, of both schools, the author is under the highest obligations ; and reviewing, as he has, the principles of medical science generally, he trusts the conclusions to which he has arrived, are founded on a substantial basis. The main argument is designed to give the essential points of the doctrine, and to meet the principal objections which are urged against it; I have designed this part for the common reader espe- 1 cially. In the Appendix, a few cases are stated from my own early application of the medicine, followed by some observations which are strictly of a medical character, designed more especially for the psofession ; still I have endeavored to avoid technical terms, so as to render it intelligible to the common reader. From repeated solicitations from many medical brethren of both schools, and from others, the views which I entertain upon a subject now of general interest to the community, are given to the public. New Haven, August, 1845. D. H. VIEWS OF HOMEOPATHY, It is sometimes the case that there are circumstances in the life of an individual, which render it not only expedient, but even a duty which he owes to his friends and the public, to give an exposition of the views which he entertains upon a particular subject, especially so, when that subject is one which is intimately connected with the welfare of society. This rule may hold good, whether it is applied to a subject which is strictly scientific or not. It is no new idea, that subjects which are comparatively new, and are not properly brought before the public mind for a critical examination of the principles upon which they are based, are looked upon with suspicion, especially so, when they seem to conflict with long established opinions. That it should be so to a reasonable extent, no one will deny; otherwise we should be liable to fall into errors, and em- brace doctrines which are untenable and false ; especially is this the case upon subjects of a medical character ; and the reason why, in medical science, there are some points which are strongly contested, and which it is certainly difficult to settle, is because of the nature of the subject. The neces- sary uncertainty which exists, and must always exist to a greater or less extent, when we arise as it were above the circle of the exact sciences, which are governed by mere phy- sical laws, and have to do with laws which are endowed with life, where there are contingencies in the present state of our knowledge, and probably always will be, over which we have not complete control; and hence arises the distinction between the certain or exact, and uncertain sciences, the for- mer embracing the mathematical and strictly physical sci- ences, ending where life begins, and the latter, commen- cing with organization, and running through all the depart- ments of organic and animal life. All the principles in the three professions, and in political and moral philosophy of course belong to the latter. And hence we see the reason why. upon certain subjects, there is such a gene- ral agreement, and while upon others such a diversity of opinion; one belongs to the former, and the other to the 6 latter. From this fact we should be cautious in adopting hastily new doctrines ; but we should endeavor to avoid the other extreme. And as the uncertain sciences arc progres- sive, or in other words, our knowledge of their laws, and the various changes which are induced by external circumstan- ces, are becoming more advanced, we are in danger of being too much settled in old opinions, on the one hand, or too anxious to adopt new ones on the other. And we can all safely adopt as our motto, in the investigation of truth, " every new doctrine, whether in physics, in politics, or in morals, should be rigidly scrutinized, that we may not em- brace error on the one hand, or reject truth on the other.' The subject which I have been led to investigate, and which lead to these observations, it need not be said is looked upon in a very different light, both in and out of the medical profession. Within the profession, at this time, it is looked upon as something out of the way, as not strictly orthodox. Some even have entertained the idea that it is all quackery; and there are indeed nearly as many opinions as there are men, though professional opinion is becoming much more fa- vorable toward an investigation of the subject. Investigating the subject as I have, and entertaining the views which I do, I am perhaps bound to give them to my professional friends and the public. I have often of late been met with inqui- ries like the following, both by my professional brethren and others, " What is Homoeopathy ? "—" I understand Dr. ■------ has become a Homoeopath!"—"In what respects have you changed your medical views ? "—" What are the fundamental distinctions between Homoeopathy and Allo- pathy ?" so called.—" Is'nt Homoeopathy Quackery? " &c, &c. These I hold to be important inquiries, and such as de- mand an answer. The truth is, that the medical profession generally, have not rigidly examined the principles upon which the distinction between the two schools is founded. Most of them honestly acknowledge this to be the fact; they have supposed it to be like many other humbugs of the day, unworthy of investigation ; that it will soon be over, &c. Others are unfortunately more determined in their opposi- tion, owing, perhaps, to circumstances in which they are placed; or the difficulty in bringing their minds to entertain an idea contrary in any degree to pre-conceived opinions; or they have committed themselves against it, and are un- willing to retract their assertions. Indeed, there is in our profession, as well as out of it, in the minds of a certain class of men, and it is probably mainly owing to their mental con- stitution, a disposition to cling to their old notions with a deadly grasp ; to settle in their own minds never to change 7 their opinions; which, in their views, is virtually to acknow- ledge they have been wrong: this holds on other subjects, and I have found it rather to increase with age ; and have sometimes thought, that on scientific subjects, it is almost as hard to see new truth, and thereby displace pre-conceived opinions, as it is for old transgressors to cease -from sinning. It is unfortunate for such men, and for the world at large, that they are engaged in a profession, or a department of science, which is progressive, which is eminently true of medicine ; (though, unfortunately, it is admitted that in some of its departments, the progress has been scarcely visible for some time); still medicine is a progressive science, as is chemistry and geology. This class of men do better in those sciences where there are more settled and fixed principles, as in mathematics, and other exact sciences. In practical life, and in morals, they are correct in their views upon im- mutable principles, upon laws which are unchangable; upon institutions in society which are permanent; and upon pre- cepts which are of perpetual obligation;—but upon those subjects where a change in circumstances produces a cor- responding change in institutions, they are in fault. Such men have in general an ultra veneration for the past,—they cling too much to the dogmas that were in vogue whan they finished their studies. They are apt, especially as they be- come advanced in life, to look with suspicion upon all new things, imagine that the whole world is running a race with itself, and that every body is driving Jehu's chariot. On the other hand, we should avoid the extreme; we should, per- haps, as often check the excessive ardor of youth, as avoid the cautious philosophy of age. There are, especially in medicine, many dangerous shoals and quicksands, and many a wreck may still be seen ; theories proving " but the but- terflies of the day," not. sustained by facts ; and again, " more false facts than false theories." We should shun them both. There is on many subjects at least, "a golden mean " in the investigation of truth, one which avoids Scylla on the one hand, and Charybdis on the other. An investigation of the subject under consideration, I hold will do no injury, unless a man is incapable of distinguishing between truth and error. I hold, considering the wake that Homoeopathy is making in the world, that its principles should be investigated. It claims to be true, founded in scientific principles, and applicable to the relief of mankind suffering from disease ; and further, that in certain respects it is a su- perior system. On the other hand, it is denied, and by some even denounced without an investigation. Now I hold that if it is true, the medical profession are bound to examine it 8 and apply it in practice. If it is all quackery, and those in and out of the profession Mho are engaged in it, are all " knaves or fools," then are not the profession under the strongest moral obligation to investigate and remove the great evil, or use their influence in doing it? The fact that it is a difficult system to investigate or apply in practice, is not a sufficient argument, if it is more successful, so long as we have powers which are capable of applying it. If it re- quires years of study, and in the present imperfect state, will not allow us time, labor, and expense of investigation, it seems to me that those who know nothing of it, either in practice or principle, can have nothing to say. If all are to wait to see whether any doctrine is true, the progress of truth will be indeed slow. What then are the fundamental principles upon which the Homoeopathic practice is founded I It is not that there are two separate and distinct schools, as some might suppose. Most of the preparatory studies, and what are absolutely necessary, are the same in both. Anatomy, or the study of the system, is the same of course. Physiology, or the natu- ral and healthy performance of the functions of the different organs, is the same. Pathology, or the unnatural or dis- eased actions of the vital organs, is essentially the same. Therapeutics, or the application of remedies to this diseased condi ion, is different. Here the two schools separate. They hold alike also, on many other points, especially those which lead to a fundamental distinction between science and real quackery, viz. : that there are certain substances which are naturally beneficial, or necessary to the system in health, which we call nutriment, while there is another class of ar- ticles which are uniformly injurious in health, and poisonous when given so as materially' to effect the system; these are called medicines, and by a change of the system in a dis- eased state, these substances, before injurious, now become remedial agents, in other words, tend to restore health, either by removing the diseased action, or otherwise : so that all scientific physicians agree that all remedies are such, not from their intrinsic virtues, but from the change in the sys- tem, from health to disease, they being properly applied be- come beneficial; though they are all evils in themselves, and always so in health, still in disease become remedies. Quackery, on the other hand, claims that their favorite reme- dies, are remedies or beneficial as well in health as in dis- ease, good at all times, friendly to the system, &c, and hence it cries out against every thing which is a poison. Ignorance supposes that what is a poison under any circum- stances is so under all. That it is the duty of the physician !J to cure the patient in the most speedy, safe and effectual manner, and when medicine is misapplied, it may do posi- tive injury in proportion to the quantity administered; here the two schools agree, quackery dissents, claiming that what is re- ally medicine cannot do injury. On many fundamental points then, Homoeopathy and Allopathy agree. They disagree on the application of remedial agents to the system in a diseased condition. The term Homoeopathy is derived from two Greek words, which signify similar disease, or like suffering, ex- pressed in Latin by similia similibus curantur; in other words, diseases are cured by medicines which would, if given to a person in health, and in large quantities, produce a condition or train of symptoms similar to those which are manifested in the disease. And the term Allopathy is derived from words which signify other diseases, or opposite suffering; contraria contrariis curantur, or diseases are cured by reme- dies which produce other, or even opposite effects. It should be strictly other effects, if it is directly opposite, it is Antipa- thy. In Allopathy (or the regular practice) it is very true that medicines do not all operate on other principles; and I had long been of opinion, that what are called deobstruents or alteratives, from the nature of their effect, and from the manner of their application, were given on the Homoeopathic principle, though without a fixed and definite rule for their application. So that on this point, the two schools come very near together. The Allopathic cures disease by applying general means, at best indirectly, and consequently large doses of medicine, and so as to produce often sensible effect from the medicine, aside from the disease. The Homoeopathic is the direct, or specific application of medicine to the diseased point, with, in general, no other sensible effect than a cessation of the symptoms of disease. The former cures indirectly, the latter directly. In Allopathic practice, all medicines are divided in classes according to their general effect; tonics, such as give strength; debilitants, such as reduce strength and relieve fever; diaphoretics, such as cause sweating; cathartics, such as restore or increase the natural action of the intestines ; narcotics, such as relieve pain, &c; and when any of the functions of the system are so disturbed, they are restored by giving one or more of these articles. If there is debility, ton- ics arc given, &c. Many different medicines are combined often. Homoeopathy holds that different medicines have each different properties, and there are no two which are exactly alike in every particular ; that to give them on their princi- ple, it is entirely unnecessary, as a general rule, to produce these decided effects to remove disease, but if the appropri- 2 10 ate remedy in a £ivcn case is selected, it, as it were, meets at the point where diseased action commences, and the pro- minent symptoms are relieved, and the natural Junctions re- stored. Homoepathy gives in general but one or two reme- dies at a time, not in combination. The most difficult point in the Homoepathic practice, is to select the most appropri- ate remedies in a given case. This is done somewhat as follows: the disease is critically investigated, all the symp- toms are critically examined, giving most importance to the most prominent, or what are pathognomonic, and forming as it were, a complete picture of the disease. Then from the list of medicines, is selected one which is known to produce in a healthy peason, symptoms similar to what are found in the patient, so that, the nearer the image of the effects of the medicine correspond to the symptoms, the more Homoepathic is it to the case, and the more sure of a speedy and permanent effect. This then is the rule for the applica- tion of medicine on the Homoeopathic principle, a rule held by Hahnemann, the author of the system, to be a fixed prin- ciple in nature, as much as gravitation; certain it is, that it is of very general application, and often accidentally acted upon in the regular practice, and the medicine operates like a charm, as the phrase is ; but it is certain that the observa- tion of this law was first insisted upon by Hahnemann. But physicians have often mistaken this principle of the Homoeo- pathic school; and hence they will say that a medicine causes the same disease which it cures : that bark, which cures in- termittent fever, must, if given freely, produce it: or, if Bella- donna is Homoeopathic to Scarlatina, it will produce Scarla- tina, &c. ; far from the truth. When Hahnemann quaked and shook from taking bark, he never supposed he had marsh intermittent, but a train of symptoms similar to what are manifested in some forms of that disease; in other cases, arsenic produces symptoms more analogous, and hence in such cases will cure more speedily than bark. I have seen a patient under the influence of several grains of Belladonna, taken by accident; there was a high degree of excitement and general fever, attended with hot skin, surface red and hot, throat red, hot, and dry ; in many respects similar to cer- tain conditions of scarlet fever; but no one would claim it to be the identical disease. Now, Belladonna is very effectual in that disease or any other, where similar symptoms are manifested. So that, although Homoepathy is a system of specifics in one sense, it is not so much specific to particular di«eases, as to particular conditions; for it is the fact, that in most diseases, several remedies will be required; in the early stage one may be most appropriate, in the second another, 11 in the third another, &c, especially in acute diseases. In the early stage, for example, Aconite may be most Homoeo- pathic, in another, Nuxvomica, Antimony, or Mercury, Medicine operates in small doses when given on the Ho- moeopathic principle. This is not the fundamental principle, however, but a necessary consequence. So that it is not small doses which makes Homoeopathy, but Homoeopathy which makes small doses ; if given on this principle they are necessarily small. The Homoeopathic school give frac- tions of a grain or drop, and still there is effect produced, in some cases to a very great extent, owing both to the applica- tion and the preparation of the medicine which increases its activity. In investigating the subject we were repeatedly assured of the speedy effect of the medicine even by physi- cians of the old school, who assured us they had given it on this principle. The Homoeopathic medicines are in general the more active articles used in the regular practice, but prepared in a different manner, either in the form of powder or fluids, called dilutions. The dilutions are prepared by mixing one drop of a saturated tincture with ninety-nine of alcohol, this is the first dilution; one drop of this with ninety- nine forms the second, and so on, up to the thirtieth. The powders are prepared by triturating the medicine in the same proportions in the sugar of milk. In short, the quanti- ty of medicine is very small, so far as material is concerned; there is no mistake upon this point. But still when we take everything in nature into view, there are many things which appear to our senses as impossible as the operation of a fractional part of a drop, as we shall endeavor to show. In regard to the preparation and minute division of Ho- moeopathic medicine, much ridicule has been attached, espe- cially by those who are ignorant of the principles, and near- ly so of the capability of matter for minute division. If they would take the trouble to look into some of the philosophi- cal works, they would find something to confirm the Homoeo- pathic views; at least small doses would not appear as in- credible. Whether Hahnemann, or any of his followers have been ultra on the subject of infinitesmal doses, I have nothing to say ; it is a matter which never can be settled by a priori reasoning, but by simple experiment. We have some facts, mostly derived from Allopathic works, which show that the active agents are perceptible even to our natural senses, and to chemical tests in very small quantities. Such being the fact, we may conceive that they may effect the delicate nervous fibres when in a diseased state. 1 part of solution of mur. soda, to 1,000,000 parts of water, is detected immediately by a weak solution 12 of nitrate of silver. Iodine, 1 to 450,000 parts water, produ- ces a purple color on the addition of starch. 1 part dissolved in 600,000 parts water gives a sensible taste.* Kopp states that -4-fcr part of a grain of arsenic, dissolved in 400,000 parts of water, was detected by hydro sulphurous gas. And Brandt obtained from a solution of JjrVv part of arsemate of ammonia in 500,000 parts of water, a yellow precipitate, by nit. silver. I now hold in my hand a preparation of the iodide of mercury, a crimson-red powder, which I carefully rubbed down with pure white sugar; it gives a distinct hue, and can readily be distinguished from the pure white pow- der by the naked eye, in the proportion of 1 part to 20,000 ; 1 to 10,000 gives a decided peach blow color. Now this is a fair experiment in a coarse way, which only shows that matter may be more minutely divided than we, at first view, would be led to conclude. Microscopic observations have of late years led to many remarkable discoveries, not only in regard to the divisibility of matter, but also relating to infinitesmal animalculi, or or- ganized beings. One drop of water is said to contain 40,000 of these, and " Ehrenberg's late discoveries show that a cubic inch of conglomerate of infusoria contains 41,000 millions of these well organized anamalculi," once living animal, f The particles of light, which have for a long time been held by philosophers to be material, are so small as to es- cape the most delicate tests; so of heat and electricity. There are well known examples of the perfumes of various substances such as that of musk ; even gloves which have merely handled it, giving off for years, particles sufficient to effect the olfactory nerves ; and still we are led to believe that the odor of a body is a part of the body itself, in infi- nitismal doses. But it may be said the difficulty is not in believing in the existence of small doses, but that they should cure disease. This will, it is true, appear more rational, if we can have any explanation. But we must first have the facts. Ho- moeopathic physicians make it a rule to give a dose sufficient to produce effect, as do the old school; but if it sometimes happens to fail there may be another reason for it, the ap- propriate remedy is not selected. This would be a natural consequence. My evidence that medicine given on the Ho- moeopathic principle produce effect, is based both upon my own observation, and confirmed by the testimony of those who cannot be impeached. In order to try the effects of medicine, having investigated the principles to guide me in * U. S. Dispensatory. t See Silliman's Journal. 13 the application, in the course of several months I applied it in many cases of disease as they arose, slight and severe, acute and chronic, and in some cases the effect was decided, in all very palpable. Now it is said by some that it is ima- gination which cures, it is a fine thing for the fancy, or it is confidence or faith, or something else ; or, at any rate, if nei- ther of these, it is certainly the effect of nature. Now if, in these cases, some of which I shall relate, any of these could have produced the effect, the reader must judge. 1st. To most of them I was an entire stranger, having been but a short time resident in this city. 2d. Not one of the cases have any idea of Homoeopathy, and I studied to give the medicine in such a form as that their suspicions should not be excited. 3d. Some of them were children. Nor do they know to this day but they had ordinary practice, knowing me to be of that school. Many of these cases were such as we should expect to see sudden effect, in others gradual, de- pending on the nature of the disease. It is certainly singu- lar, for example, in severe tooth ach of some weeks continu- ance, even allowing that they will get well of themselves, or that " seeing a doctor" will cure, or imagination, that a par- ticular remedy in like cases should produce a marked and decided effect, and one which had been described by writers, and all these effects be related by the patient voluntarily, without any previous knowledge of what they would do; and why, if the effects are accidental, should they happen exactly at the time when the Homoeopathic remedy was given, for, luckily for truth, but not for the patient, the first remedy in some cases had no effect whatever, although they were as anxious to be relieved, as from the second, when the effect was soon apparent. Cases are not wanting to substantiate the facts; but we have abundant testimony, and the testimony of those who have practiced upon the sys- tem for many years, to the general efficacy of the mode of treatment. A general impression prevails that it may do in slight diseases, in chronic cases, where nature will cure, but that it is nonsense to talk about it in acute diseases; but this is not the fact. That it may do better in some forms of disease than others is very probable, but that it will effect robust individual in severe disease, is now beyond dispute. If we refer to the treatment of particular diseases, and com- pare the practice of the two systems, our medical brethren are driven to take the ground, that such diseases, for exam- ple, as scarlet and typhus fever, do much better with little or no treatment; in fact, if facts are adduced, and comparisons between the two systems, we shall see the result. Scarlet fever is a disease which has been exceedingly troublesome 11 to the profession, and I have taken much pains to obtain in- formation on the subject. Probably in epidemics, something like one in every ten prove fatal, on the average; much less in the Homoeopathic treatment. The most successful Allo- pathic treatment of scarlatina which 1 have seen reported, is by Dr. Gilbert, in the Boston Medical and Surgical Jour- nal ; he treated between four and five hundred cases and lost but seven. His treatment was by bleeding in severe cases, followed by a slight impression from belladonna, a few drops of a solution of two grains to an ounce of water. This the profession will judge as nearly Homoeopathic treatment, only aconite to be substituted for bleeding. I have been at the trouble of obtaining statistics, w here in every case the result has been decidedly in favor of Homoeopathic treat- ment. In these statistics I have been careful to see that they have been endorsed by the proper authorities, who are only interested for successful treatment. In cholera, it will not be doubted but medicine is necessary ; I have arranged from hospital reports and other documents, so as to show the comparative results. The ordinary treatment and fatality is much as in other reports where cholera was very malig- nant. At the time it was epidemic in this country, Homoeo- pathy had made but little progress, but where it was prac- ticed, the success would compare, I believe, with these au- thenticated reports. Cholera in France, by Dr. Babit. Treated Allopathically. Homozopathically. No. of cases, 495,027 No. of cases, 2,239 cured, 254,788 cured, 2,069 died, 240,239 died, 170 49 per cent. died. 7 1-2 per cent. died. In Vienna. A llopathically. Homozopathically. No. of cases, 4,500 No. of cases, 581 cured, 3,140 cured, 532 died, 1,360 died, 49 Making deaths 31 per cent. Making deaths 8 per cent. At Bordeau. Allopath ically. Homceopathically. No. of cases, 104 No. of cases, 31 cured, 32 cured, 25 died, 72 died, 6 Deaths 67 per cent. Deaths 17 per cent. I. J In Russia. Cured by Homoeopathy 86 cases in 109. by Allopathy 60 " 199. In a teritory in Hungary, from the report of the health commissioner, it appears that out of a population of 16,289, there were treated Homoeopathically 154, cured 148, died 6. But Homoeopathy has been successful in other diseases, as hospital reports will show. Dr. Becker, of Hamburg, says, " upon comparing the statistics of several Homoeopa- thic hospitals, it appears, from official statements, that the mortality in them is not quite five in a hundred, whereas, I observe from the statistics of Allopathic hospitals, that the mortality there is eleven in a hundred." In Russia a trial took place with Homoeopathic treatment in the fail and winter of 1829, for five months ; of 72 cases of inflammation of the lungs, 70 were cured ; 38 cases of inflam- matory fever, 35 were discharged cured, 2 convalescent, and one remained ; 23 cases of bronchitis, 21 were discharged cured, one removed, and one curable remained. This shows not a very unfavorable result in acute inflammatory diseases. But it may be said this is too far from home, and for ought we know, Homoeopathy is dead there before this. We have, it is true, few hospital reports in this country, from the fact that the system has not been adopted to any considerable ex- tent. In the Half Orphan Asylum, in the city of New York, which had been under the care of one of the first physicians in the city, there prevailed an obstinate opthalmia and cuta- neous disease, which was resisting the ordinary mode of treatment, so much so, that first the eye cases were selected and given to Dr. C. Wright, Homoeopathic, for treatment. In 1842, out of 162 children were 53 cases requiring treatment, 20 in the aggravated form; they were soon cured: and a large number of cutaneous diseases were given to him, and in these he was also successful, (see his report), so much so, that the directors gave him a very flattering encomium in their report; and finally, although they are not a majority friendly to Homoeopathy, still Dr. Wright was put in charge of the institution, which he still retains, merely on account of his successful treatment. The following Table from Dr. Wright's report classes the diseases treated in the Asylum, Homoeopathically, from Au- gust 11th, 1842, to December 12th, 1813, the date of the re- port. It will be observed out of 421 cases there were but two deaths; both of these, says the report, were chronic cases. The two most prevalent diseases, it is true, are not fre- quently fatal, but some of the acute febrile are. At least it is rather favorable for no treatment! 16 ~D 111 LEASES. 01 •6 0) u 3 o 0- a ! hi Ophthalmia...... Cutaneous diseases, 108 112 10? 137 1 4 i Pulmonary Catarrh, .... Influenza,..... 2\ 4(5 24 46 Hooping Cough,..... Diarrhae,...... 34 29 34 29 Dysentery,...... Inflammation of the Lungs, do. do. Bowels, 11 4 1 11 4 1 do. do. Brain, chronic, . 1 i Pleurisy, ...... Croup....... Jaundice,...... 2 3 6 2 3 6 Concussion of the Brain, . 1 1 Remittent fever, ..... 4 4 Convulsions, ..... 1 i Merasmus, ...... 3 3 Scarlet fever, ..... 1 1 Total, 421 413 5 i 2 It will not do, on either side, in investigating a subject like this, which requires the most critical observation, to depend at all on flying reports, or newspaper statements, or even popular opinion ; for I have little confidence in either, in settling a critical scientific point. Enlightened public opinion generally eventually settles down upon the truth ; but it generally follows rigid and critical private in- vestigation. It is believed by many that the Homoeopathic school fail in severe cases. It is true they do not profess to be infallible ; but the proper question is, are they on the whole successful ? do they cure as many per cent., on the large scale, taking the same disease ? Now it is very strange that a hundred, fifty, or even twenty, honorable, pious, scientific, and talented members of our profession, who have, for years, had an ex- tensive practice, and stood eminent in the profession, many of them professors in our colleges, after examining and test- ing the Homoeopathic principle, should adopt it and give their undivided testimony, that after several years practice they are satisfiad that they can cure diseases, as Celeus says, certe, cito et jucunde, more certainly, quickly and pleasantly. Are they likely to be deceived, if their minds have become 17 unbalanced, or they have become visionary, or as a writer says, " believe in such things as dreams are made of," we should think they would fail in discriminating and judging oitener than they do, that they would not cure at all. And why is it that in families who have had no other practice for years, get along at all ? Now, it has sometimes been said, that physicians adopt the Homoeopathic practice from inter- ested motives; but interest certainly would lead the other way, and it may be, (though I have so much charity for my medical brethren as not to believe this to be a general rule,) that this is the reason why they do not investigate. It cer- tainly is true, that the great mass of the medical profession do not investigate any too much. If diseases are cured more speedily, it is more for the interest of the patient than the physician ; and the duty of the medical profession is to fight continually against their pecuniary and selfish interest, by the prevention and speedy cure of disease, rather than allow it to make progress. It is sometimes said that Homoeopathy may check a disease at its onset, which otherwise would be- come severe. Now I hold that the great secret of successful practice in any system, is so directing our early efforts that they shall be effectual in preventing disastrous consequences or secondary effects. He is a more skillful physician who never allows his patient to become very sick, than he who can cure him when so ; though the latter faculty is necessary, and will of course be possessed. We would not consider a pilot as successful who was continually upon shoals and rocks, al- though he should frequently extricate himself, without be- coming completely wrecked, as we should one who has fore- sight enough to avoid these dangers. It unquestionably is true, that the Homoeopathic success depends, to some extent perhaps, upon preventing the patient becoming very sick in one sense. This is effected first by the medicine being applied directly, instead of indirectly, to the point, instead of comparatively at random—in its producing a direct or specific effect, instead of one which is ind rect or general. In directing that medicinal agent which wall meet the cause, or the primary link in the chain of morbid sympa- thies, instead of those which are lower in the series, our whole system is a most delicate and complicated machine; a vital one it is true, and for that very reason more closely linked together, and the several parts more dependent on the normal action of its fellow organs for the performance of their functions. Now, so long as the balance is maintained be- tween the vital forces, there is a regular performance of all the functions of the body and mind, and consequently health. As a delicately constructed machine, where the several 3 18 parts depend one upon another for the performance of their office, the first wheel or link in the chain being disturbed or displaced, all those depending upon it will also be disturbed in their action. Now in order to restore the regular action of the several parts, if applied at random, will necessarily require much effort; whereas a small amount of power di- rected to the point where the difficulty commences, or the first link in the broken series, is sufficient to restore it, and those parts necessarily depending upon it will naturally resume their action. A single point, as it were, restored to the right place, may resume the actions of a complicated machine, but if applied at random would of course be ineffectual, or if applied when its action was undisturbed, would produce no perceptible effect. The Homoeopathic method, as it were, di- rectly repairs the injury at the point commenced, while the Allopathic often necessarily applies to the general consecu- tive disturbance of the whole machinery. We do not bring analogies as proof, but as illustrations, which are sometimes necessary. Now the vital machine is even more dependant, one part upon another, than any arti- ficial one with vital sympathies ; one part with another, with life, as a moving power, yet continually liable to become de- ranged by a variety of causes. We could adduce more proof, were it necessary, of the general success and extent of the Homoeopathic practice, and of the scientific investigations which have been already made ; but it would require a vol- ume, nor is it necessary to our purpose. If there is any doubt of there being any facts or any testimony upon the subject, the only way to settle that point in the mind of every individual, is to investigate the subject. If it requires a great amount of testimony, carry out the investigation ; if Homoe- opathy can be refuted, the sooner it is done the better; if there is some chaff and wheat mixed together, the closer it is sifted the better. It is generally the chaff which is first seen and which flies in the eyes of those who look on at a distance ; the wheat, like truth, lies at the bottom. What though there should happen to be here and there a vaguery, or something that should not happen to be intelligible ; real gold in the mine is seldom free from all impurities ; it can seldom be coined without raising a little dust; but truth, like pure coin, always grows brighter by "hard rubs;" it never can be annihilated. We cannot judge correctly upon any subject without having critically examined that subject; and the rea- son why there is so much prejudice against new discoveries in practical science, is because we will not look at the subject —human nature has ever been so ; Gallileo said of Kepler, the Philosopher of Padua, who denounced him as a visionist 19 and quack, " I have invited him repeatedly to look through my glasses, but he pertinaciously refuses to do it." Who was the Philosopher, Kepler or Gallileo ?—we should give that weight to the observations of others which is justly due, either in physics or in morals; to reject every thing but our own individual observation, would be in effect to discard all human testimony, and the whole world would be reduced to one great drama of the most grovelling empyricism. There are several reasons why Homoeopath}'- should be opposed, notwithstanding its general truth—this has always been the case in new discoveries in science, especially where pop- ular opinion has to be changed, and more so, in proportion as the subject is one of a practical nature, which conflicts with established customs and interests in society—and hence it is true, (and perhaps it is best for the world it should be so,) that all practical improvements have been received by de- grees by the public mind. In regard to the opposition to Homoeopathy, it has been the same before. About 200 years ago, Dr. Harvey discovered the circulation of the blood. He was denounced by the old Physiologists, and suffered severely on that account; and it is said that no physician more than 40 years of age at the time of the discovery, ever adopted his views ; and if Providence had not given place to new gen- erations, we should probably now have had physicians who would hold to the old notions—the next generation is the one to give truth universal credence. " Gallileo was twice brought before the magistrate for maintaining that the sun was the centre and the earth revolved around it—a proposi- tion false in philosophy, heretical in religion, and contrary to the testimony of Scripture." The same intolerant spirit was manifested toward Sir Isaac Newton for his philosophical discoveries. "Aristotle and Des Cartes shared the same misfortunes ; the former had his books burned, but afterward his doctrines were received with veneration." " Pythagoras was driven from Athens on account of his novel opinions; and for the same reasons Anaxagoras was confined in pris- on." " Demicritus was treated as a fool by the Abderites for endeavoring to find out the cause of madness by dissec- tion ; and Socrates, for having demonstrated the unity of a God, was forced to drink the juice of the hemlock." Mr. Locke, in speaking of the common reception of new truth, says, " Who, by the most cogent arguments will be prevailed upon to disrobe himself of his old opinions and pretensions to knowledge and learning, which, with hard study he hath all his life time been laboring for, and turn himself out stark naked in quest of fresh notions? All the arguments that can be used will be as little able to prevail 20 as the wind did with the traveler to part with his cloak, which he held only the faster ;" and Prof. Playfair remarks, " in every society'there are some who think themselves in- terested to maintain things as they found them. The intro- duction of methods entirely new must often change the rela- tive place of men engaged in scientific pursuits, and must oblige many, after descending from the station they formerly occupied, to take a lower position in the scale of intellectual improvement. The enmity of such men, if they be not ac- tuated by a spirit of real candor and love of truth, is likely to be directed against methods by which their vanity is mor- tified or their importance lessened." An example of prejudice against new doctrines in medi- cine is given us in the treatment of inoculation for the mod- ification of small pox, which was prevailing in Boston in 1721. The Royal Society had recommended it. Dr. Boyls- ton being impressed with its probable value, was induced to try it, which he did on his own son and two colored persons in his family, with success. " In this measure he was op- posed by the physicians and clergy, some of whom de- nounced him from the pulpit, and the inhabitants became en- raged. He was obliged to undergo several examinations to answer for his practice, before the authorities of Boston, and although he repeatedly invited the other physicians to ex- amine his cases, and witness his treatment, and judge for themselves, he received only threats and insults in reply. In thus encountering obloquy and reproach, however, Dr. Boylston but experienced the fortune of most of those who have attempted to innovate on long established usages, or to take the lead in the career of public improvement." (See Cooper's Surg. Dictionary.) We see, in this case, a striking example of an improvement the most rigorously opposed at first as a delusive innovation, and the next generation uni- versally adopting it as one of the greatest blessings to man- kind. The history of medicine furnishes many striking ex- amples of a similar character. Human nature has not entirely changed in our day. No doubt the old philosophers were sincere—they honestly feared the inculcation of false doctrine and false philosophy, but they did not discriminate between what was false and what was true. May it not be so now. In our honest zeal to exclude all quackery, we should examine critically that we do not oppose the progress of truth, for there is a law supe- rior to all human enactments, and a progress in truth which we have no power to check; and, in the language of Ancel- lon, " Nobody has a right to disturb, to paralyze, or to im- pede the intellectual progress of mankind; the feeble arm 21 of man cannot long counteract the laws of nature, or over- turn the order of the universe." There are many difficulties in the mind, especially of the medical profession. In the first place, they cannot, even though they admit its truth, rid their minds of the irregular- ity ; that it has its peculiarities like quackery, and it has been generally supposed that many of the practitioners are igno- rant or uneducated men. We will examine this point. It certainly did not originate and progress like quackery, if there are certain pathognomonic symptoms which are peculiar to quackery—such as pompous pretensions and insinuations; secrecy either in medicine or in treatment; ignorance either in the physicians or the patients—certain it is, that Homoeo- pathy fails, as a system, to be included. If there are individ- ual practitioners who may happen to be injudicious or even quackish, it ought not to be charged to the system, unless it is a general rule. The same is true in regard to Allopathy. Homoeopathy does not make a great and sudden bluster, as is the case with quackery, but has ever progressed in a grad- ual manner, by the still and simple power of truth; by con- vincing by facts rather than by theories; by truth rather than by imagination. It did not come up in ignorance, or by accident, but within the pale of the profession, in the most scientific nation on earth; and although the discovery of the fundamental law may be said in one sense to be accidental, it is no argument against it, if it can be re- duced to scientific principles. How was it with the discov- ery of Galvanism ? But indeed Hahnemann does not claim the discovery of the principle, but shows conclusively, in his writings, that it had been acted upon in medicine? both by the ancients and moderns; but he reduced it to a principle, whereas it had previously been acted upon empyrically. In order to give some idea of the origin and character of the Homoeopathic doctrine, it may not be uninteresting to sketch briefly a few incidents in the life of the author. Samuel Hahnemann, the author of the Homoeopathic sys- tem of medicine, was born on the 10th of April, 1755, at Meissen, in Saxony. He early gave evidence of an active mind, and energy of character ; so much so that his father, who was in moderate circumstances, determined to educate him with the greatest care. After pursuing his classical course, he, in the year 1775, at the age of 20, entered the uni- versity at Leipsic. His limited resources obliged him to make unremitting exertions, and he did much toward his own support, by translations from the English, into his own, the German language. During the period of his medicinal pupilage, he so far gained the confidence of his teachers o>> that he was entrusted with the care of Hospitals, Libraries, &c, which were greatly for his advantage. In the year 1779 he received the degree of Doctor in Medicine, and im- mediately entered upon the practice of the profession, first settling in Mansfield, but afterward removed to Leipsic. His industry and research during the first ten years of his practice was untiring; endowed with a naturally vigorous constitution, and an active mind, together with an ardent attachment to science, he was well calculated by nature, and now by circumstances with the advantages which Leipsic afforded, to make rapid progress, not only in his own pro- fessional studies, but in all the collateral sciences and in the languages. He now devoted much of his time to Mineral- ogy and Chemistry, which were then, more than half a centu- ry ago, little understood, compared with their present state; in Chemistry in particular he made some valuable discov- eries. He was engaged extensively in translating the med- ical works of other languages into his own, and it was while translating Cullen's Materia Medica, that he was first led to investigate the principle which is peculiar to him, and which has given name to his system. This was in 1790, more than half a century since. He continued his researches and ex- periments by testing upon himself and his friends the effects of medicines for several years, till he should have well set- tled, in his own mind, at the same time comparing his prin- ciples with all that had been written, either by the ancients or the modern medicinal writers. He had ample opportuni- ties, from an extensive practice, to bring every thing to the test of experiment; indeed, his system was emphatically an experimental one, founded, as his friends have all claimed, upon the inductive philosophy. In the year 1796, he first promulgated his Homoeopathic views, in an essay published in Hufeland's Journal. In 1805 he published a treaties on the virtues of medicines, and in 1810 his " Organon." Dr. Hahnemann commenced as a public teacher in 1811, at Leipsic, and from that time was had in high estimation as a man of distinguished scientific attainments. He was now about 40 years of age, and the amount of intellectual labor which he performed after that period, may be partially esti- mated from the number of his works—for the number of his original works was 61, some of which were voluminous, e. g. his Materia Medica Pura in 6 volumes, and his Chronic Diseases in 4 vols. 8 vo. Many of his works, it is true, were Monographs, or essays upon one subject, mostly medical; but several, however, upon Chemistry, Philosophv, and in- tellectual and moral subjects. He also translated into his own language, (the German,) about 20 volumes, from the 23 English, Latin, French and Italian languages—add to all this a most extensive medical practice, and it will be readily admitted that he must have possessed indefatigable industry. His practice became immense, and he was visited by the wealthy and the nobles of every nation of Europe. He ac- cumulated, by his practice, an immense fortune. In his old age, after having relinquished visiting patients at their homes, his annual income from those who came to consult him. is said to have been $40,000. Hahnemann was un- questionably endowed with the elements of character which constitute a great man, but still he had his peculiarities. He was born to make a sensation in the world; and it often is the case, that those men who are destined by Providence to step forward upon some new field of enterprize, whether in science, in politics, or in morals, are endowed with pecu- liarities which render them rather obnoxious to the mass of mankind. Hahnemann as a writer, would be considered pe- culiar, and his mode of reasoning in the investigation of truth, is to many minds at first rather repulsive ; and although there is a degree of self-confidence, amounting even to dog- matism, still due allowance being made for all the circum- stances, every unprejudiced mind will render to him the hon- or of a mighty intellect, and a man intent upon the advance- ment of medical science, and the relief of disease and suf- fering. A distinguished American physician, after visiting him at his residence in Paris, a few years since, says, " Hahnemann, now near his 90th year, recalls, in his venerable appearance, the ideal of a Seneca or Plato, an Aristotle or Socrates." His capacious head, of the finest Saxon mould, presented a full broad face, expressive of a noble benevolence and high intelligence, while the illuminated eye and speaking lip in- dicated ceaseless energy and unyielding determination, that have enabled him, amid the most disheartening embarrass- ments, to achieve the reward of his highest aspirations—the triumph of a truth, to which he thus impressively alluded:— ' I present to you a truth long sought for, the revelation of an eternal principle in nature. I appeal to existing facts alone to convince you; and when a conscientious course of study shall crown your researches with success, as I have done, bless Providence for the immense benefaction he has allowed to descend upon the earth through my humble agency, for I have been but a feeble instrument of that Om- nipotence, before which we all bow in humility.'" The death of Hahnemann occurred in April, 1843, in the 88th year of his age. A writer, speaking of him in his last sick- ness, after stating his mental calmness and his clear and un- 21 clouded intellect, impaired neither by age nor sickness, says, in reply to the remark of his afflicted wife, in effect, " That Providence ought to spare him, who had. in his laborous ca- reer, suffered so much already, and who had relieved the suf- ferings of so many of his feilow beings," he replied, " Me, wherefore me ? every one in this world works according to the gifts and capabilities which he receives from Heaven, and may receive more or less preference before the judgment seat of man, but none before that of Providence. Provi- dence is indebted to me for nothing, but to Him I am indebt- ed for much, yea, for every thing." Hahnemann, it is true, became rather obnoxious to a por- tion of his professional brethren; whether there was just ground for this, or on which side more of the fault belongs, is not for us to say. If he was ultra, it is no more than has been with others ; if he was enthusiastic, it has generally been the case with those who have made great discoveries ; if he gave all his energies during a long life to one idea, the world may be more benefitted than himself, for, as a gen- eral rule, the individual who pushes one subject in science, benefits the world more than himself; and Bishop Home has well remarked, that " Truth is a guest that often brings those who entertain it into difficulty." The progress of Homoeopathy has for the last few years been extensive. Those in this country, and even every where, who are in the practice, are regular physician^, who have been for years in the practice of the old school, or have previously received the degree of M. D. Indeed the Homoeo- pathic school are perhaps more strict than the other. It may be true that there are a few in this country who are not medically educated; but. they are held as quacks, and have no fellowship with the Homoeopathic fraternity. In the city of New York, where Homoeopathy has been longer in progress than in this State, and has gained a reputable standing in society, and has brought into the ranks many of the ablest medical men in the country, where it has ceased to be looked upon as a humbug,—unless by those who have set their faces against it, and are determined " not to believe any truth till they examine it, nor to examine any thing till they believe it,"—but one of about forty practitioners but is a regular physician, and generally members of the medical societies. So in other places. Still there are prejudices and difficulties to the mind of candid men. They cannot believe. Well, no man can believe without some kind of evidence : the kind of evidence necessary to convince the mind of any truth will depend upon the nature of the subject. There are certain truths which can never be proved by mathemat- 25 ical demonstration, the nature of the subject forbids it; the only evidence which we can have to convince the mind upon such subjects, is moral probability. This is the kind of evi- dence which often applies in theology, in law, and sometimes in medicines ; on other subjects actual demonstration is necessary; facts, and facts too that cannot be contradicted ; and still when we see such facts, if they are contrary to our preconceived opinions, it is no newr thing to reject them, es- pecially if we do not find it explained in some of the schools. New discoveries have always been looked upon with distrust, especially by the older class of philosophers. " I have searched Aristotle through," said the Abbe to Scheiner, " and find nothing of the kind mentioned ; be assured that all the spots on the sun are a deception of your senses or your glasses." An argument not unlike this is sometimes consid- ered conclusive at the present time. The amount of evidence necessary to convince the mind of truth, depends much upon the individual; upon the mental constitution, so to speak. There are some individuals in every community who are convinced by a small amount of evidence, and sometimes will admit that which is not evidence in reality, and are hence led to embrace truth early when presented to the mind; if they admit testimony which should be " ruled out," as the lawyers say, they will be very liable to form erroneous conclusions, will believe what is not true, they are credulous ; on the other hand it requires a great amount of testimony to convince another, but if the testimony is sufficient, he will believe ; such individuals are naturally sceptical. Now it is not true that a sceptical man is alwaj'S the last to believe new truths, nor vice versa; he may have the evidence by being thrown into circumstances favorable, and be convinced early, but will require a large amount to convince him, while the credulous may still disbelieve this same truth, from having met little or no evidence of it. So that, the early belief of truth, is of itself no evidence of credulity. Some are convinced soon of Homoeopathy, from witnessing its effects, some too soon, while many of those who have been in the practice of it for many years, are of the sceptical class; and the testimony both of themselves and others, shows that they were a long time in being convinced. It is generally held to be a mark of a strong mind to be sceptical; and hence a man who denies the doctrine of experimental religion, is sometimes considered mighty in intellect, while the credulous are considered weak minded. The truth is, that an inability to judge and rightly discriminate in the admission of evidence, shows a mind at fault, whether it admits much or little; that mind has the best balance, which is best capable of judging 4 26 what is evidence and what is not, what is truth and what is error. I hold that it is as much evidence of faulty judgment, of a want of discrimination to disbelieve what is true as to believe what is erroneous. It is very important in the in- vestigation of new and difficult subjects to admit that, and that only, which really is evidence ; and upon this subject we should take the same ground as upon any other, giving prom- inence first, to real facts which we have seen, and sec- ondly to the testimony of other men. It is sometimes said upon this subject that we must take nothing upon trust; now the testimony of others is sometimes more conclusive than our own. I may witness the eflect of a certain medicine a thousand times, which being uniform would be sufficient to convince me, but still there might be a defect in my senses. Now if I had seen the same thing but one hundred times, and ten others, who were capable and honest, had done the same, and their testimony all tended to confirm my own, the evi- dence would be more conclusive. In this way, and in this only, are we to depend on the testimony of others. The conclu- sions to which I have arrived in the investigation of this subject, I contend is substantiated by proof, and that upon the above principle. No mere human reasoning will convince a man that medicine will operate on the Homoeopathic prin- ciple, in the Homoeopathic dose, in any case,—nor will we ever know the eflect of any medicine upon the system, but from experience in the first place ; in this way all our real knowledge is derived. But there is a difficulty in the minds of medical men, and which is greater than in the minds of the public who care little for explanations, if they can only feel better when they are sick. It is so different from the long established principles and practice, that if you begin In- stating, that medicine operates thus and so, they will reply- that it is a very fine theory, but there are no facts to sustain it. If you begin with the facts, and no matter how they accumulate, they reply, they cannot believe them ; medicine cannot operate in this manner. The Homoeopathic school care little for theory; and there is a point on all subjects where our explanations must cease, facts are the main thing ; they are the basis of all true science ; and an explanation of these facts so far as can be done, is the only true theory ; all other is mere hypothesis which amounts to nothing. But it will be claimed, I presume, that no one i.-i desirous of retarding the progress of true science, or of creating any barrier to real improvements in medicine ; but admitting the truth of the doctrines of the Homoeopathic school, when fully carried out, it is said will at least lead to a form of medical radicalism, for it would conflict with long established truths 27 and principles, do away virtually with what we know to be absolutely necessary, and if carried out would prove most disastrous. This objection, if founded in reality, instead of imagination, would be an insuperable one, and as it is, requires an argument; and in order to carry out our views, we shall be obliged to bring comparisons and anologies. We shall then, maintaining the general doctrines of Homoeopathy to be true in principle and applicable in practice, claim that when properly understood and applied, it is exempt from the charge- We are no radicals, either in medicine, in politics, or in morals. We hold that it is utterly impossible in the nature of things, for one new truth, or discovery in science, to displace a fundamental law ; the, laws of nature, which are fixed and unchangable, are not altered by new discoveries; if our discoveries change our views of those laws, as did those of Gallileo, it only proves that our previous notions were incorrect, and ought to be changed ; if it annihilates our view's of truth, it is certain that our views were not well founded, although the truth might remain; we do not hold, in a progressive science, our knowledge to be anything more than probable truth; a substance in chemistry which we hold as simple to day, may to-morrow be discovered to be compound; and hence the philosopher should be ever ready to change his opinions in this sense. So in medical science ; we hold a medicine has such an effect in the present state of our knowledge, that at some future time it may be discovered that it has other effects ; these effects are not absolute and immutable ; so in regard to disease. We therefore, in adopting new views, and giving up old ones, act on the principle of the manufacturer, who invents a new machine which is more perfect, and produces a certain article, in a more simple and complete manner. Now he does not la3r aside the old machine because it was all wrong, nor because it had not answered the purpose for which it had been used; it had done so, less perfectly, it is true; now he adopts the new one because it is an improvement; and it is on this principle that improvements in the different depart- ments of medicine and surgery are adopted. We give med- icine on the Homoeopathic principle, because it on the whole is an improvement, not claiming but that the old system has done good, or we could do no good with it now. We hold that the physician is bound to use the best means in his power; and further, that he is bound under an obligation su- perior to all human laws, to know all that can reasonably be demanded ; to fail of either we hold to be quackery. If I am cast upon an island where the inhabitants are suffering from a severe disease, one half of the cases proving fatal, 28 and even with their rude remedies I can save three-fourths by better application of them, I am bound to do it. Now if a vessel arrives with more efficient remedies, so that I can by them save nine-tenths, I am bound to discontinue the for- mer practice and adopt the new; and I am a quack, to all in- tents and purposes, if I refuse. We have no moral right to continue in an old custom because our fathers did. In- terest prompts to a change in adopting improvements in the arts, but in medicine as in law; interest is the other way, and therefore moral principle should impel us to do it. Homoeopathy lends no sanction to any form of radical- ism. There may be such a thing in medicine as well as in politics and religion. There are two kinds of radical- ism. 1st. That which advocates the doing away with those laws, usages, institutions, or precepts which are not only absolutely necessary now, but which will ever con- tinue to be. They are of perpetual value, and of perpetual obligation. This form is seen more in social life, and in morals. 2d. That which aims at those institutions and customs which are necessary for the time being, but which become useless by a change of circumstances. To discard these, before they become useless, or before a better system can be substituted, is the more ordinary radicalism of the day. Any doctrine in medicine which tends to this point, Homoeopathy does not sanction, until it changes the cir- cumstances so as to render the system better,—if, for ex- ample, it dispenses with harsh drastic medicine, and substi- tutes in its place that which is gentle in its operation, it does it by affecting the object to be accomplished, the cure of disease, without the necessity of these ; just as we supersede the necessity of amputating a limb, by a cure of the disease by medicine. Now there are cases where amputation is necessary, and probably always will be; it would be radi- calism to denounce that operation as unnecessary ; in other cases, where once thought necessary, wre are able to cure without; and amputation is abolished in this case as a matter of course, and it would be quackery to continue it. The same may be said of blood letting, drastic cathartics, emetics, blisters, &c. These are all considered evils in themselves, but necessary in the circumstances of the case, in Allopathic practice, to prevent most disastrous consequences. Now if the application of medicine on the Homoeopathic principle will substitute some more gentle, and yet efficient means of relief in its place, it is not radicalism, but the height of science to do so. That this has been the case, the history of medical science fully shows. Many severe operations, and disgusting medicine, of former ages, are now displaced by more scientific, 29 appropriate, and agreeable means of relief; and it is not too much to expect still further progress. So that we hold that many things supposed to be necessary in medicine, and in- deed absolutely necessary in ordinary practice, become obso- lete, as it were, by the more direct and enlightened system of Homoeopathy. There is an analogy in social and civil life, and in the progress of society as regards morals; and the same remarks are applicable. There are certain institutions necessary in certain periods of the world, and applicable to certain states of society, which, when society becomes improved, become unnecessary. In one period, war for example, is absolutely necessary, and government could not be maintained without a standing army—both reason and experience prove this ; and if war is necessary, all its accompaniments are neces- sary, as armories and arms,armies and navies; now it would be radicalism to denounce any of these, till mankind have learned to settle differences, according to the principles of reason and justice ; and when so far as this is done, the im- plements of war are superseded, by a system of more en- lightened justice and humanity. The same is true on other subjects ; moral improvement supersedes the necessity of punishment—but we must have the improvement first. There will be no necessity to legislate to abolish systems, if we can bring means to bear, which will effectually prevent the community from coming within their reach; they are then abolished of course. We hold the same rule in medicine to be philosophical and correct. So long as it is necessary to use the surgeon's knife, it should be done scientifically ; so long as it is necessary to destroy human life by war, it should be done scientifically ; so long as it is necessary to take the life of the murderer, it should be done scientifically; to such an extent as we are obliged to use the shops of the apothecary, the more scientific the better; but as they are all rather a " bad business at the best," the progress of science, and of moral truth, will sooner or later affect them all in the same way; they will become less essential. Now on this principle, and on this only, does Homoeopathy, when rightly construed, interfere with any of our established principles or practice. Good medicine interferes with surgery, and medi- cine dealers, (but more especially would it affect the herd of nostrum mongers and quacks of every kind,) just as good morals affect the lawyers, and officers of justice—it deprives them of a great amount of their business. As there are changes in the social, civil, and moral condi- tion of mankind from one time to another, the same is true as respects their physical state. It is well known by all 30 medical men, and some others, that diseases vary at differ- ent periods, not only as affected by epidemic influences and local causes, but as regards the susceptibility of the system to diseased action. It is well established, that the savage tribes, and those nations who are not cultivated, are affected differently by diseases; their diseases are more strictly physical, and affecting more especially the different tissues of the body. As society progresses, and the intellect is more developed, and applied in the ordinary callings of lite, we have more of the mental or nervous temperament; diseases in such society assume more of the nervous type—this is es- pecially the case in refined and cultivated states of society, and is becoming more and more so—hence so great a variety of those derangements of the vital forces, assuming differ- ent forms of nervous affection which wc find among literary men, and which are in general so little affected by ordinary medical treatment. There is frequently little or no distur- bance of many of the functions except the nervous, and they cannot bear drastic treatment—and hence physicians are very glad to get them off to " the Springs," or on a tour to Europe, for the benefit of their health, or they are some- times " treated well enough by Homoeopathy." Now this practice has been eminently successful in diseases of this character, because better adapted to their cases ; and hence, unlike other forms of quackery, which generally is adopted by the ignorant, it has been styled " The refined and polite system of quackery of the present day"—that it is the quackery of " the drawing room" that gulls the " upper ten thousand" &c. It is sometimes imagined that the Homoeo- pathic diet and regimen do all toward a cure. Now there is less difference than is supposed betwreen the two schools on this point—indeed, in acute diseases, they must be the same, where the desire for food is suspended; here it certainly can- not be the diet. In chronic cases, while taking medicine, it is true, certain medicinal substances, as tea, coffee, condi- ments, &c. are prohibited, and a general nourishing diet is directed ;—there is no starvation system, but every circum- stance is taken into consideration, and diet is directed accor- dingly, as every enlightened and scientific physician should do. It is sometimes said that the Homoeopathic school, if they happen to have a severe case, give full doses of medi- cine, calomel as a cathartic; and there is considerable hue and cry in and out of the profession in regard to this subject. A cathartic is supposed to be necessary, a white powder is given, and the difficulty is relieved. Calomel is white pow- der, and is cathartic, so they give calomel. And so of other medicines—to what extent this is done 31 each one must answer for himself—but suppose even it should be. Suppose it should happen that for some reason, either from want of skill, or a mistake in the case, or from mechanical or local obstruction, or otherwise, a cathartic should be given, and be considered as a necessary misfor- tune ; or suppose that in spite of the operation of all medi- cine, the disease should progress till disorganization should take place, and the knife should become necessary, to sepa- rate the dead member to save the body, on the same princi- ple that we separate an individual who has become dead to the community from crime, to save society, where is the harm? If the Homoeopathic physician does not do it, the surgeon must; and some of the Homoeopathic school are operative surgeons. Nor is there any inconsistency in all this, when philosophically considered. We are sometimes alarmed at what we do not understand; the ignorant have been often terrified at an eclipse, but the philosopher never. The Homoeopathic school consider it a misfortune to be obliged to give a general or mechanical remedy, just as the physician considers it a misfortune to use the knife, rather than cure the disease with medicine. A distinguished physi- cian in one of our cities, who has practised the Homoeopath- ic system six years, after an extensive Allopathic practice of ten or twelve years, said to me on this point, " I, six years ago, sold out my old stock of medicine, being convinced that I could treat disease more successfully on the Homoeopathic principle. I, however, retained my vial of calomel, sup- posing I should be obliged to use a dose occasionally, at least for a time ; but," said he, " I have been in practice six years, treated all diseases as before, such as Lung Fever, Scarlet Fever, Dysentery, Croup, &c. &c. and there the vial stands; I have not been necessitated to use a dose, nor do I know how soon I shall—I have succeeded without, when I cannot I shall use it." This is the principle ; is it consistent, or is it not ? There is also some alarm for fear that the " little doses will not be small enough"—that they will give even as much as the fraction of a drop ; then they are no Homoeopaths. Now that there is some difference of opinion in regard to doses, in the Homoeopathic school, is not denied—so is the fact in the Allopathic, full as much difference, and there probably always will be a difference to some extent; but this is a matter which can be settled only by experience ; no arbitrary rules can be laid down, and it had better be settled by those who are best competent to judge—the physicians of each school, and the opposite school, and the public mind, need be very little disturbed on that point. An objection has been urged by our Allopathic brethren that Homoepathy 32 is a distinct school, which looks quackish; now this is to a certain extent the case, both in Europe and America—but where is the fault? Did Hahnemann separate from his brethren, or they from him ? How is it in this country ? In Philadelphia the medical society have passed resolutions de- claring Homoeopathy quackery. So in some of the counties in New York. Can they blame that school for forming so- cieties for the improvement of medical science ? In many places no one can be known as a Homoeopathic physician, by any thing except the form of his medicine ; and hence it is perhaps the practical difference more than any thing else, which may render it necessary to a certain extent, to keep up a distinction. It is found, that divisions in society are founded either on differences in fundamental principles or in practice ; there would, we must readily conceive, be a diffi- culty in a practical union, as there is an essential difference in the practical application of the medicine to the disease. Still, on most of the great fundamental principles of medi- cal science, there may be an agreement; and we would adopt the maxim, " in essentials, unity ; in non-essentials, liberty ; in all things, charity." It has been said that when a physician adopts the Homoeopathic principle, he begins to denounce his brethren, and this is quackery. The Homoe- path, if he acts from principle, is satisfied that the practice is superior ; still, it is denounced as quackery, and not wor- thy of investigation, which may sometimes excite the blood a little, it is true, in those who have critically examined the subject; but still we hold that charity is a very necessary virtue—denunciation amounts to nothing; men must be convinced of the truth upon any subject, by enlightening the understanding, and although we believe in using strong ar- guments against any thing which we do not hold to be the best, in the circumstances of the case, still it should be done in candor. These, then, are a few of the many reasons which we might adduce, to show why we admit the truth of the essential points, in the Homoeopathic principle in medi- cine ; a conclusion to which we have not hastily arrived ; to which we have come by no " royal road;" by no remarka- ble cases, nor by any excitement of the imagination, but from a careful, laborious, and critical examination of medi- cal science generally, both in practice and in principle, and looking impartially upon the subject in every aspect in which it can be presented, and seriously answering the ques- tion, what is truth ? we do not adopt it as a perfect system, as one which will entirely relieve the profession from ma- king further and continual researches as to the causes and nature of diseases, and the effect of means for their preven- 33 tion and cure—but as a principle, which, when correctly understood and rightly appreciated, will do something, yea, much, toward farther elevating the physical evils to which the human race are liable. APPENDIX, We shall add, more especially to confirm the observations which have been made, some cases, which were among our first in the application of the Homoeopathic practice in the cure of disease ; they are designed, as are the remarks which follow, more especially for the medical profession, but may not be without interest to the general reader. The few selected are of no particular interest, only going to show that the early application of medicine on this principle is not without success. Still further observation and experience are necessary, to prescribe with accuracy. I trust what has already been said, will be sufficient to convince any one who is not familiar with the Homceopath- ic literature, even of our own country, that the medicine is not inoperative. A recent interview with a physician of several years' experience, in a region where the science has made great progress, more than confirms all we shall say. In the country, and in acute diseases, we have a better op- portunity to compare the two systems. In Epidemics of malignant Erysipelas, Typhus Fever, and Scarlet Fever, which had recently occured, the success was much in favor of the Homoeopathic practice. Indeed, it is decidedly in diseases of a violent character, that its success is pre-emi- nent. Case 1—.A child, aged 18 months, had cutaneous eruption of eight or ten days' standing, covering the face, neck, and upper portion of the chest. The case answered to those caused or cured by sulphur. Gave flos sulphur three times a day; at the end of two days' it entirely disappeared; had I given a cathartic I should have said it cured it by correct- ing the alimentary canal or by revulsive action ; took prob- ably in all 1-2 gr. finely triturated with sugar. Is it a stretch of the imagination to say it produced its specific stimuli upon the nerves or capillaries of the skin ? Case 2.—E. A., aged 2 years. Measles. Attacked on Fri- day—on Tuesday A. M. following, eruption appeared—saw it on Wednesday, A. M., high fever, cough severe, eruption on the upper extremities, &c.—Thursday, fever less, erup- tion had covered the surface and began to abate.—Friday, 36 she was up, and Saturday her skin was clear, cough less— took belladonna and bryonia. Measles will get well with no treatment. In this case, had I given other medicine, should have said it did well. It progressed much more speedily, though more severe at first, than her sister, who had no med- ical advice, and left her free from cough,