OF THE SOCIETY OF 
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lljum iopathic |llij|skifm$ 
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of iow^_. 
Held in Des Moines, May 14th and 15th, 1873, TRANSACTIONS 
-OF THE 
FOURTH ANNUAL SESSION 
-OP THE 
SOCIETY OE 
IjonurtJpatlm jj hgmcians 
of sow A. 
HELD IN 
Des .Moines, May lJfth and 15th, 1875. 
BURLINGTON, IOWA: 
SNOW. SI KITE A Co., STEAM PRINTERS AND BINDERS, 115 NORTH THIRD STREET. 
1878. Society of Homoeopathic Physicians. 
OF I O W -A. . 
OFFICERS FOR 1874. 
G. H. BLAIR, M. D., Fairfield. 
PRESIDENT. 
FIRST VICE PRESIDENT. 
A. O. HUNTER, M. D., Des Moines. 
SECOND VICE PRESIDENT. 
I)u. T. A. BENBOW New Providence. 
G. H. PATC1IEN, M. D., Burlington. 
SECRETARY AND TREASURER. BUREAUS AND COMMITTEES FOR 1874. 
R. F. BAKER, M. D., Davenport; 
W. T. VIRGIN, M. D., Burlington; 
Board of Censors. 
S. P. YEOMANS, M. D., Clinton; 
P. H. WORLEY, M. D., Davenport; 
P. W. POULSON, M. D., Council Bluffs. 
W. H. DICKINSON, M. D., Des Moines. 
Orator. 
Alternate. 
W. T. VIRGIN, M. D., Burlington. 
G. N. SEIDLITZ, M. D., Keokuk; 
Bureau of Materia Medica. 
J. E. KING, M. D., Eldora; 
W. T. VIRGIN, M. D., Burlington. 
L. E. B. HOLT, M. D., Marshalltown; 
A. O. HUNTER, M. D., Des Moines; 
Bureau of Clinical Medicine. 
Db. T. A. BENBOW, New Providence; 
R. F. BAKER, M. D., Davenport. 
S. B. OLNEY, M. D., Fort Dodge; 
Bureau of Obstetrics and Diseases of Women and Children. 
P. H. WORLEY, M. D., Davenport; R.W. WATERMAN, M.D., Des Moines. 
Mrs. R. II. HARRIS, M. D., Grinnell; 
Bureau of Surgery. 
W. H. DICKINSON, M. D., Des Moines; 
E. A. GUILBERT, M. D., Dubuque. 
C. H. COGSWELL, M. D., Clinton; 
Bureau of Medical Education. 
II. P. BUTTON, M. D., Iowa City 
E. JACKSON, M. D., Epworth. 
P. J. CONNELLY, M. D„ Des Moines. 
Medical Electricity. 
Bureau of Anatomy, Physiology and Hygiene. 
A. O. HUNTER, M. D., Des Moines; 
P. W. POULSON, M. D., Council Bluffs. 
G. II. PATCHEN, M. D., Burlington; 
Publishing Committee. 
G. H. PATCHEN, M. D., Burlington; 
R. F. BAKER, M. D., Davenport; 
W. H. DICKINSON, M, D., Des Moines; 
W. T. VIRGIN, M. D., Burlington; 
E. A. GUILBERT, M. D., Dubuque. 
Delegates to American Institute of Homoeopathy. 
W. H. DICKINSON, M. D., Des Moines; 
G. H. PATCIIEN, M. I)., Burlington, 
P. H. WORLEY, M. D., Davenport; TRANSACTIONS OF THE FOURTH ANNUAL SESSION 
OP TUB 
Society of Homceophthic Physicians 
o IP I O W .A. . 
Held in Des Moines, May lJfth and 15tli, 1873. 
The Society assembled at the Court House at 10.30 A. M., 
L. E. 13. Holt, M. 1)., of Marshalltown, President, in the chair. 
Dr. G. H. Patchen, of Burlington, -was unanimously elected Sec- 
retary for the ensuing year, after which President Holt delivered 
an eloquent and practical opening address. 
The Treasurer’s report was read and passed into the hands of 
the Board of Censors for examination. 
The following officers were elected for the ensuing year: 
President—G. H. Blair, M. D., Fairfield. 
First Vice President—A. O. Hunter, M. D., I)es Moines. 
Second Vice President—I)r. T. A. Benbow, New Providence. 
The following physicians were elected to membership: 
A. Wilson, M. D., of Ames; A. Kunze, M. D., of Davenport; 
11. W. Waterman, M. I)., of Des Moines; Mrs. 11. H. Harris, M. I)., 
of Grinnell. 
On motion, the paper of Dr. Blair, on Puerperal Convulsions, 
read before the Society last year, was ordered to be published in 
the proceedings of the present year. 
The Society, on motion of Dr. Dickinson, went into committee 
of the whole on clinical experience. 
Many interesting cases were related and discussed. 
FIRST DAY—Morning Session. 6 
Dr. Hunter favored the Society with a very interesting case of 
puerperal convulsions with instrumental delivery. Gelseminum 
1st, was the only remedy used; it controlled the spasms perfectly 
and carried the case to a happy recovery. A very peculiar feature 
was the disposition of the convulsions to return about a certain 
hour every afternoou, but the more frequent repetition of Gelse- 
minum prevented the convulsions. 
A case of extra uterine pregnancy was related by Dr. Dickin- 
son. It had been diagnosed by a celebrated physician as a sub- 
peritoneal fibroid tumor of the uterus. A post mortem revealed 
a partial decomposed foetus of about seven months, in the right 
fallopian tube. 
Many other interesting cases were reported and discussed, after 
which the Society adjourned till 2 P. M. 
TRANSACTIONS OF THE HOMCEOPATHIC SOCIETY. 
Afternoon Session. 
The Society met pursuant to adjournment, with an increased 
attendance. 
The following amendment to Article VII of the Constitution 
was adopted: 
“ No physician who is not a graduate, and who has commenced 
the practice of Homoeopathy since 1870, shall be admitted as a 
member of this Society.” 
The Committee on University question was continued another 
year, with a request to report after the meeting of the Board of 
Regents in June of the present year. 
The Secretary read a notice of the death of Dr. W. C. Russell, of 
Calamus, in February, 1873, an esteemed member of the Society. 
After a few appropriate remarks concerning the life and charac- 
ter of the deceased, by Dr. Holt, a committee was appointed to 
draw up appropriate' resolutions expressing the sentiments of the 
Society. 
The resolution to meet annually in Des Moines was by a unan- 
imous vote rescinded. 
The next meeting, at the request of Dr. Blair, was decided to 
be held at Fairfield. 
The following resolution, by Dr. Benbow, was adopted: TRANSACTIONS OF THE IIOMIEOrATIIIC SOCIETY. 
Unsolved, That committees of different bureaus, and all persons giving 
tlieir clinical experience, are requested to give the attenuation of the med- 
icine used, and the frequency of the dose. 
The Board of Censors reported favorably on the admission of 
Win. Wilson, M. D., of Chariton. 
BUREAU OF CLINICAL MEDICINE. 
Dr. Benbow read a paper on Capsula Renalis reporting satis- 
factory progress, of a case of long standing and previous Allo- 
pathic treatment; was under treatment from February 16th to 
April 1st with remarkable improvement. 
The Society listened to verbal reports upon epidemic Cerebro 
Spinal Meningitis. The experience of the different members 
showed that there is no specific treatment for the disease, but 
that a cold application—even pounded ice—to the base of the 
brain, and warm or hot baths to the body and extremities, produce 
the most favorable results, at the same time using Gelseminum, 
Belladonna, Bryonia, Veratrum Vir. internally, according to indi- 
cations. Electricity—the positive pole to the cerival or dorsal 
region, the negative to the coccyx—has a very soothing and amel- 
iorating effect, but is not a specific. 
BUREAU OF OBSTETRICS. 
Dr. Worley read an interesting case of amenorrhoea, which was 
ordered printed. 
There was considerable discussion on the subject of ligation of 
the funis. Upon inquiry it was found that many physicians had 
been practicing non-ligation for the past two years, with no dis- 
astrous effects. 
A case of congential Spina Bifida complicated with Scrotal 
Hernia, was reported by Dr. Holt. The Hernia was reduced and 
spinal trouble yielded entirely to the continued use of Nux Vom., 
in the Oth, 12th, 30th, and 200th attenuation successively. 
The paper was placed in the hands of the publishing committee. 
BUREAU OP SURGERY. 
Dr. Blair, chairman, read an exceedingly interesting and 
instructive paper on syphilis—its history, course and treatment— 
containing some original and novel ideas. 8 
TRANSACTIONS OF THE HOMCEOPATHIC SOCIETY. 
Also a few reports of improved method of treating various sur- 
gical diseases, by Professor Danforth, of Hahneman Medical Col- 
lege, Chicago, which was received with thanks. 
Dr. Dickinson reported the following cases: 
1. Gunshot wound in the abdomen. 
2. Removal of fatty tumor from inner angle of upper lid of 
right eye. 
3. Removal of epitheleal cancer from lip. 
4. Closing and healing of severe wound across the tongue, by 
wire sutures. 
On motion adjourned till 8 o’clock P. M., to listen to the annual 
oration by S. P. Yeomans, of Clinton. 
Evening Session. 
At eight o’clock the Annual Oration was delivered before the 
Society by Dr. S. P. Yeomans, of Clinton. Owing to the in- 
inclement weather the attendance was small. The oration was a 
masterly effort, evincing much ability and careful preparation. 
By resolution the thanks of the Society were tendered to Dr. 
Yeomans, and the paper passed into the hands of the publishing 
committee. 
SECOND DAY—Morning Session. 
President Holt in the chair. 
The first thing in order was the report of Dr. E. A. Guilbert, 
chairman of the committee on securing the recognition of Homoe- 
opathy in the Medical Department of the State University. 
To the President, Officers and Members of the Society of Homoeopathic Phy- 
sicians of Iowa: 
Gentlemen—As professional engagements of a pressing character pre- 
vent my being present at your annual meeting, I forward, as Chairman of 
the Committee on Homoeopathy in the State University, a brief report of 
progress. On the 26th of June last I received from Mr. Haddock, Secretary 
of the Board of Regents, a letter a copy of which I submit: TRANSACTIONS OF TI1K HOMOEOPATHIC SOCIETY. 
State University, Iowa City, June 24, 1872. 
E. A. Gnilbcrt, Dubuque, Ioicu: 
Dear Sir—On (lie 22d inst., on motion of Mr. Wilson, the communica- 
tion of the Homoeopathic physicians of Iowa was referred by the Board of 
Regents, to a committee of the Board consisting of Hon. C. W. Slagle, of 
Fairfield, and W. W. Merritt, of Red Oak, for consideration, who were 
requested to report to this Board at a subsequent meeting. 
Very respectfully, 
WM. J. HADDOCK, Sec’y. 
I learn from two members of the Board of Regents that the Committee 
aforesaid will report at the forthcoming June session of the Board of 
Regents. Of course the nature of that report your Committee are unable 
to divine, but from the known views of several of the Board of Regents, 
we have reason to think that the said report will favor according us the 
recognition we ask, leaving the details as to the ways and means to be 
determined by further consideration. Speaking for myself, as I shall have 
no opportunity of ascertaining the views of the remainder of the Com- 
mittee, I regard it as of great importance that the Society be represented 
at the June meeting of the Board of Regents. To that end I advise that 
the Committee be continued, and instructed to be present at Iowa City at 
the annual meeting of the Board of Regents of the State University. If 
this is done, I, for one, shall make every effort to be there, prepared to urge 
our claims to the best of my ability. 
EDWARD A. GUILBERT, 
Chairman Committee. 
On motion the report was received, and the Committee in- 
structed to confer with the Board of Regents at their meeting in 
Iowa City, in June, the expenses to be borne by the Society. 
An interesting case under this head was reported by Dr. Con- 
nelly, of l)es Moines. 
I)r. Benbow read some interesting cases, omitted under the 
proper bureau yesterday, which were placed in the hands of the 
publishing committe. 
The retiring President, (Dr. Holt,) after a few remarks, thanking 
the Society for their earnest arid efficient work and their harmo- 
nious and courteous bearing during the session, introduced the 
President elect, Dr. Blair, of Fairfield, to the dignity and respon- 
sibilities of his chair. 
On motion the thanks of the Society were tendered Dr. Blair 
for his able efforts in behalf of the Society during the session; 
also to the press of the city and the State for so kindly noticing 
its proceedings. 
The following Committees and Bureaus were then appointed: 
BUREAU OF HYDROPATHY. 10 
transactions of the society of 
Boakd of Censors—R. F. Baker, Davenport; S. P. Yeomans, 
Clinton; P. W. Poulson, Council Bluffs; W. T. Virgin, Burling- 
ton; P H. Worley, Davenport. 
Orator—W. H. Dickson, Des Moines. Alternate—W. T. 
Virgin, Burlington. 
Bureau of Materia Medica—G. N. Siedlitz, Keokuk; J. E. 
King, Eldora; W T. Virgin, Burlington. 
Bureau of Clinical Medicine—L. E. B. Holt, Marshalltown; 
T. A. Benbow, New Providence; A. O. Hunter, Des Moines; R. F. 
Baker, Davenport. 
Bureau of Obstetrics and Diseases of Women and Chil- 
dren—S. B. Olney, Fort Dodge; Mrs. R. H. Harris, Grinnell; 
P. H. Worley, Davenport; R. W. Watermon, Des Moines. 
Bureau of Surgery—W. H. Dickinson, Des Moines; E. A. 
Guilbert, Dubuque. 
Bureau of Medical Education—C. H. Cogswell, Clinton; 
H. P. Button, Iowa City, E. Jackson, Epworth. 
Medical Electricity—P. J. Connelly, Des Moines. 
Bureau of Anatomy, Physiology and Hygene—A. O. Hun- 
ter, Des Moines; G. H. Patchen, Burlington; P. W. Poulson. 
Council Bluffs. 
Publishing Committee—G. H. Patchen, Burlington; W. H. 
Dickinson, Des Moines; W. T. Virgin, Burlington; R. F. Baker, 
Davenport; E. A. Guilbert, Dubuque. 
Delegates to American Institute of Homuoopathy—W. H. 
1 )ickinson, Des Moines; P. H. Worley, Davenport; G. H. Patchen, 
Burlington. 
On motion the Society adjourned to meet at Fairfield on the 
third Wednesday in May, 1874, at 10.30 A. M. 
G. H. BLAIR, President. 
G. H. PATCHEN, Secretary. HOMOEOPATHIC PHYSICIANS OF IOWA. 
11 
OBITUARY 
WHEREAS, It lias pleased the Master of Life to take from our 
midst by death our colleague and brother, 
W. C. RUSSELL, of Calamus, Iowa. 
Resolved, That this Society tender to the widow and son of the 
deceased our earnest and heartfelt sympathies in their bereavement, 
and that recognizing his worth as a man and a Christian, his attain- 
ments as a physician and his merits as a citizen, we deeply feel his 
loss to the profession, to the church, and to society. 
Resoloed, That a copy of these resolutions be sent to the widow of 
Dr. Russell, and that they be spread upon the minutes of the Society. 
W. H. DICKINSON, 
G. H. BLAIR, 
P. H. WORLEY, 
Committee. 12 
TRANSACTIONS OP THE SOCIETY OP 
AN ADDRESS; 
Delivered Before the Society of Homoeopathic Physicians of Iowa, 
S. F. YEOMANS, Mi. I). 
“KNOW THYSELF,” 
Is an admonition that comes to us stamped with the impress of classical 
authority. Viewed from our stand point, its importance will he appreciated 
when we reflect that it implies an investigation of the wonderfully complex 
machinery that makes up the human organism, the dietetic and hygienic 
laws by which the vigor of health is maintained, and length of years se- 
cured; also of the agencies that tend to disturb normal conditions; and, 
last of all, of the curative means by which pain may be relieved. The 
vast field of enquiry which it requires us to explore has in all ages apalled 
the masses, and led them to be content to remain in ignorance, leaving to 
physicians the prerogative of working out these grand problems, deducing 
results, and enforcing obedience to their requirements by the dictum of 
scientific authority.' When we reflect upon the disgusting concoctions the 
sick have been compelled to take—the barbarous treatment to which they 
have been subjected and the results so far as the health and longevity of 
the race is concerned, wTe can but wonder at the patient endurance which 
has been exhibited, nor can we be surprised that from time to time the 
thoughtful and reflecting would venture to raise the earnest enquiry “ Is this 
the best that science can do?” “Is there no balm in Gilead, no physician 
there?”—“Why then is not the health of the daughter of my people recov- 
ered?” It was this spirit that led the ancient Romans for six hundred 
years to prohibit the practice of medicine within their empire, and it is a 
sad commentary upon professional skill that the fact would never be known 
by the rate of mortality as recorded during this period. 
Within the last century the same spirit has impelled many of the ablest 
members of the profession, as well as other gentlemen of culture, carefully 
to scrutinize medical theories, to put them to the test of close historical 
reading that results as shown by the ratio of mortality and advanced sci- 
entific research might be the measure of their value. It is the recorded 
verdict of those who have thus investigated, that the science of medicine 
has for two thousand years revolved around a common centre, never in a IIOMfKOrATIIIC FIIYBICIAXS OF IOWA. 
13 
a single age advancing beyond its circumscribed orbit. While other 
departments of science and art, political economy, and industrial interests 
have indicated human progress and mental developement, it can scarcely 
be claimed that our profession is entitled to the credit of a single progres- 
sive movement since Esculapius delivered his oracular prescriptions, or 
Hippocrates bound his disciples by mystical oaths. 
Careful observation has demonstrated that in acute diseases, recovery is 
the rule and death the exception, that these are self limited in duration 
and subject to natural laws, fixed and inexorable. In Typhoid Fever, for in- 
stance, only 10 per cent, will die with no treatment, and the average dura- 
tion of the disease will be 14 days; while in Pneumonia 93 per cent will 
recover, the average illness being from 9 to 11 days. If medicat ion can show 
no better results than this we had as well “throw physic to the dogs”— 
expend our money for something more useful and leave Dame Nature to 
deal with our ailments, unless we can bring to our aid the convenient the- 
ory, at one time quite generally entertained, that certain forms of disease 
are salubrious, as indicated by the old couplet— 
“An ague in the spring 
Is physic for a king.” 
If the authority of our own writers is to he credited the pathology of 
Fever, Inflamation, Pulmonary Consumption, and Rheumatism is no better 
understood, nor is the established treatment more successful than in the 
days of the Caesars, Alexander or the Ptolemies. We can today with no 
more certainty conjecture the force of the heart’s contraction than could 
John Hunter. We are as profoundly ignorant of the functions of the 
Spleen and many other organs as was that prince of empirics, Paracelsus. 
Our ideas of the vis vitae, of calorification, nutrition, or generation are not 
more clearly defined or philosophical than those entertained in the days of 
the Druids. Of the influence of catalytic forces in modifying chemical 
reaction, and changing the property of remedial agents the manipulations 
of the laboratory have thrown no light. Of the nature and properties of 
the specific poisons to which most diseases are supposed toowe their origin 
we have learned nothing of practieal value from 3,000 years labor to discover 
some means of antidoting their destructive influences. Of the modus 
operandi of the drugs our patients are expected to take without question, 
we know no more than the rude and barbarous tribes of ancient times. 
Addison, one of the profoundest thinkers and keenest observers of the age, 
says: “ If we look into the profession of physic we shall find a most for- 
“midable body of men; a sight of them is enough to make a man serious, 
“for we may lay it down as a maxim that when a nation abounds in physi- 
cians it grows thin of people. This body of men may be described like 
“the British army in (’tesar’s time, ‘some of them slay in chariots and 
“‘some on foot.’” 
Professor Oliver Wendall Holmes, of Boston, says: “If all the med- 
“ icine in the world, except wine and opium, were thrown into the sea, it 14 
TRANSACTIONS OF THE SOCIETY OF 
“ would be better for men and only worse for the fishes.” He describes the 
practice of medicine as “ the art of putting large doses of poisonous drugs 
“of which we know but little into living bodies of which we know less.” 
Moliere, an eminent French physician, says: “Most people die of their 
“remedies and not of their diseases.” 
Dr. Adams, the learned translator of Hippocrates, says; “We cannot 
“think of the change in professional opinions since the days of John Hun- 
“ ter without the most painful feelings of distrust in all modes of treatment.” 
In 1853 M. D’ Feulins published in the Review Medicale, of Paris, sta- 
tistics of mortality of diseases in 1811 and 1851, from which it is shown 
that deaths from inflammatory affections had increased at least 54 per cent., 
from which he infers the decline of medicine during the preceding 40 years. 
Dr. Forbes, who lias been styled the modern Celsus, says: “In a large 
“proportion of the cases treated the disease is cured by nature and not by 
“the physician.” 
In Paris’ Pharmacologia, esteemed for many years a reputable text book, 
we find the following on the subject of remedies: “ It is impossible to cast 
“ our eyes over such multiplied groups without being forcibly struck with 
“the palpable absurdity of some, the total want of activity in many, and the 
“uncertain and precarious reputation of all. Nor can we be surprised that 
“ a portion of mankind has at once arraigned physic as a fallacious art, or 
“ derided it as a composition of error and fraud.” 
Simon, a lecturer of wide repute on general pathology, says: “We do 
“ not possess a complete medical knowledge of any single article of the 
“ Pharmacopoeia. It is a system of sham therapeutics—a blind empiricism 
“hostile to every interest of science and humanity.” 
Bichat, an eminent French teacher of medicine, says: “Materia medica 
“ is no science at all for a methodical mind, but is a shapeless conglomer. 
“ ation of inexact minds—of observations often puerile—of illusory reme- 
“edies—of formulas as oddly conceived as they are fastidiously arranged.” 
Magendie, who was excelled by no one in the profession, says in a lec- 
ture to a medical class: “Gentlemen, medicine is a great humbug. I 
“know it is called a science. Science indeed! It is nothing like science! 
“ Doctors are mere empirics when they are not charlatans. We are as igno- 
“ rant as men can be. Who knows anything in the world about medicine? 
“ Gentlemen, you have done me the honor to come here to attend my lectures, 
“and I must tell you frankly in the beginning that I know nothing in the 
“ world about medicine, and I don’t know anybody that does know anything 
“ about it. I repeat to you that there is no such thing as a medical science. 
“ Who can tell me how to cure a headache ?—or the gout ?—or diseases of the 
“ heart ? Nobody! Oh! you tell me doctors cure people. I grant you peo- 
“ple are cured. Gentlemen, nature does a great deal; immagination does 
“a great deal; doctors do but little when they don’t do harm.” 
The cause which above all others has served as a check to medical pro- 
gress may be expressed in the single word intolerance. No class of men, 
since the world began, have clung with more rigid tenacity to the maxims lIOMUiOPATIIIC rilYSICIANS OF IOWA. 
15 
of the fathers than those of our profession. They have been clad with a 
mantle of charity broad enough to enable them to look complacently upon 
any impropriety that did not involve a departure from established prece- 
dents. This alone was the unpardonable sin for which no results, however 
salutary or beneficent, could atone. No argument so overwhelming or 
proof so conclusive as to outweigh the ingrained sentiment expressed by 
the Roman satirest: 
“ Did Marcus say 'twax fact, then fact it is, 
Sn proof so solid as a word of his.” 
Neither fame, skill or learning could shield him who suggested an inno- 
vation or proposed an improvement, from proscription and an edict of 
excommunication as relentless, unyielding, and as formidable as was ever 
fulminated from the Roman Vatican for the suppression of heresy. No 
advance was ever made except through tribulation absolutely apalling, and 
success was never secured but by the common sense and discernment of the 
masses who dared to rebel against authority, however arrogant its assump- 
tions. The guardians of the public health who should have been the most 
ardent advocates of reformatory movements have always closed their eyes 
to evidence, however palpable it may have been, like Gallileo’s brother pro- 
fessor who stubbornly refused to look through the telescope lest he should 
see Jupiter’s moons and thus be compelled to acknowledge his own theory 
fallacious. 
In 1628 John Harvey first published the great fact of the circulation of 
the blood. Filled with apprehension of the terrible ordeal which he well 
knew awaited him, he withheld his discovery for eight years in order that 
he might fortify himself securely at all points against the charge of irreg- 
ularity, and yet he was subjected to persecution the most vindictive, de- 
nounced in unmeasured terms as an imposter, and for a time so completely 
lost his popularity as to be almost without means of subsistence. After 
heroically breasting the storm of persecution for fourteen years, the French 
Academy, then the most learned body in the world, issued an authoritative 
edict declaring that the blood did not circulate through the body, and even 
thirty years later, in 1672, this astute body of infalliblcs reaffirmed their 
former decree, and added that Harvey’s alleged discovery was an utter 
impossibility. 
Before the time of Ambrose Pare hot irons, boiling oil and pitch were 
the only means used in arresting hemorrhage in surgical operations. This 
distinguished surgeon having, it is said, exhausted his supply of these ma- 
terials upon a certain battle-field, resorted, from necessity, to the ligatur? 
and simple dressings and to his unbounded surprise found that he had un- 
wittingly made one of the greatest discoveries of the age. But the practice 
was so irregular and unscientific that the solous of the profession would 
not permit him to publish his discovery, and he was so persecuted for inno- 
vating upon regular medicine tha the w as compelled, for his own safety, to 
adduce garbled and incorrect statements from the old authors to prove that 
the discovery w as made by them and not by him. 16 
TRANSACTIONS OP THE SOCIETY OP 
The discoverer of innoculation was persecuted with the most vindictive 
fury for fifty years. In 1774 the French Academy admitted its advantages 
after the princes of the royal blood, in opposition to their remonstrances, 
had been innoculated. 
No discovery in medicine has been so fraught with blessings to the race 
as that of vaccination by Jenner. Previous to the adoption of this great 
prophylactic, one-tenth of the whole human family died from small pox. 
It is estimated to have prolonged the average duration of human life five 
years. In England alone there were 36,000 victims to this scourge in a 
single year, and yet for thirty years the war of the profession against Jenner 
was unprecedented. No terms of opprobrium were spared that could heap 
odium upon his head; nor were any means left untried that could tend to 
his humiliation and ruin. Even to this day fossilized specimens may be 
found who denounce the practice as quackery. 
Peruvian bark was first discovered by the Indians of South America, 
and its introduction into popular practice, without having first received 
the sanction of the college, raised a storm of indignation against all who 
dared to use it. It is even recorded that the physician of Oliver Cromwell 
allowed him to die from ague rather than administer the hated specific. 
In 1609 the French Academy expelled one of its members for curing his 
patients with this interdicted drug. In the same year Besmirwas expelled 
from the faculty of medicine for prescribing antimony. 
Dr. Greenfield, a member of the Royal College of Physicians and Sur- 
geons, was committed to Newgate on the complaint of the President of the 
College for daring to prescribe Cantharides. He published a vindication 
and the issue, says D’Quincy, ruined the unhappy doctor but taught his 
persecutors the safety and value of the practice. 
Until comparatively a recent period the use of sulphur was not esteemed 
as regular. In 1640 Dr. Van Helmont contracted the itch and suffered 
many months rather than avail himself of this article. The titillation, 
however, finally proved too much for his dignity and led to his uncondi- 
tional surrender to quackery. 
The introduction of auscultation by the use of the stethoscope, and of 
percussion by which the condition of vital organs may be determined with 
almost absolute certainty, has met with the most bitter invective and violent 
opposition. 
The production of anesthesia by chloroform, ether, &c., by which the 
severest operations are made painless, was denounced from Dan to Beersheba 
'as an innovation so full of peril that no one having the least regard for 
human life would think of recommending it. 
This blind subserviency to the antiquated dogmas of past generations has 
compelled the profession to retain formulas embracing the most absurd com- 
binations which are condemned by the common-sense of the age in which 
we live. The “Theriaca Andromachi ” was said to have been invented by 
Mitliridates, King of Pontus, and was made up of seventy-two ingredients. 
According to Galen whoever took a proper quantity in the morning was HOMfKOPATHIC PHYSICIANS OP IOWA. 
17 
insured from poison during the day; and according to the authority of 
Celsus, another father in Israel, Mithridates himself was so fortified against 
all baneful drugs that none would produce any effect when he attempted to 
destroy himself. Celsus tells us that it originally contained thirty-five 
simples, but that Andromachus, physician to Nero, added vipers and in- 
creased the number of ingredients to seventy-five. It is only within a few 
years that any one has dared propose to strike this compound from the 
British pharmacopia. Its rejection was moved by the late Dr. Heberden, 
and upon a division it was found that thirteen members of the college 
voted to retain it while fourteen favored its rejection. The orthodoxy of 
the French has been more inflexible, as this preparation is still retained as 
officinal in the Codex Medicamentaris of Paris. The latter standard au- 
thority also still retains the absurd formula of Deist for the preparation of 
an extract of Opium, which directs the decoction to be boiled incessantly 
for six months. 
Now before we award to the ancients the prerogative of dictating medi- 
cal law to all coming ages, it is seemly proper to enquire who the fathers 
were, and what were their claims to so exalted a privilege? 
Esculapius outranks all others of whom we have reliable historical 
knowledge, and is styled par excellence the father of medicine. He was 
of Grecian birth and ranked among the gods. It was believed that he was 
removed from earth at the request of Pluto who complained that he per- 
formed so many cures as to rapidly diminish the number who died. His 
cures were wrought’in temples, the disciples or priests being bound by a 
solemn oath to confine the mysteries of the science to a single family. 
Upon the application of patients for treatment an animal was first offered 
to the gods, then the prophetic tripod was mounted and the oracular pre 
scription communicated. These healing temples were multiplied through- 
out Greece, and at one time there were 100 in the Roman Empire. We 
know but little of the treatment, but it is presumed to have been orthodox 
as we are informed that Aristides, the Greek, was ordered by one of these 
oracles to lose 120 pounds of blood. The unhappy man not having so 
much in his own body wisely took the liberty of interpreting the prescrip- 
tion in his own way and parted with no more than he could spare. 
Hippocrates claimed to be tin* seventeenth lineal descendant of Escu- 
lapius. He taught that there were but two fluids in the body—but one 
word to express nerve, ligament, and tendon; but one for an artery, vein 
or excretory duct; that the cause of disease was to be sought in meteorolog- 
ical and astronomical changes. The main articles of his materia medica 
were Hellebore, Coloeynth, Elaterium, Copper, Onions, Garlic, Parsley, 
Wine, Honey, and Cantharides. His authority was unquestioned for ages. 
Asclepiades, a Greek physician born B. C. 91 years, ranks among the 
most distinguished of the medical patriarchs. His arts, says Pliny, were 
such as every fashionable physician employs—soothing the patient and 
avoiding everything that can give pain till nature cures him or he sinks 
under the disease. He taught that the principal cure of a fever was the 
disease itself; that many diseases could be cured by the sound of the flute. 18 
TRANSACTIONS OF THE SOCIETY OF 
He recommended the trumpet for the cure of Sciatica. We are told by 
Zimmerman that this practice prevails in Chili; that the physicians blow 
around the beds of their patients to drive away disease. He says they 
think their knowledge is complete when they are skilful blowers. Medi- 
cine men among the Indians retain the same method in the practice of their 
art. We need not go to heathendom to find doctors well skilled in this 
direction. 
Celsus is awarded a position among the most eminent old-time profes- 
sional worthies. Of his remedies that have come down to us by regular 
succession are the warm blood of a recently slain gladiator—a certain por- 
tion of human flesh, with many others equally disgusting. 
Of all the medical law makers of antiquity none were more distinguished, 
had a wider or more enduring fame than Galen. Of the many works 
attributed to his fertile brain, eiglity-three are esteemed genuine. He 
taught that there were four distinct humors—blood, phlegm, yellow and 
black bile—and three distinct kinds of auras, gases or spirits—natural, 
vital and animal. A modern author of acknowledged repute says: “The 
“hypothesis of Galen, respecting the virtues and operation of medicines is 
“a web of philosophical fiction which was never surpassed in absurdity.” 
Dr. Paily calls it the preposterous system that for more than thirteen cen- 
turies gave universal laws in medicine to Europe, Africa and part of Asia. 
Dr. Cullen says his theory is false and inapplicable. 
Paracelsus was unquestionably a charlatan, and yet his claims to emi- 
nence cannot well be denied, as he was regular and strictly orthodox. He 
was the first professor of chemistry, and introduced the use of mercury— 
ever since esteemed the very Sampson of Allopathic remedies in all ages 
and countries. He adopted the wildest theories of the alchemists, and 
ostentatiously claimed to have discovered the long sought elixir that would 
cure all diseases and give immortal life and health, He was compelled to 
flee from place to place to avoid the vengeance of his dupes, and finally 
died a drunken vagabond with a bottle of his Catliolicon in his pocket, 
These are but a few of the most prominent great professional lights to 
whom we trace our antiquity, and at whose shrines we are to worship with 
all the ardor of Eastern devotion, under the pains and penalties of excom- 
munication as medical heretics and infidels. 
We claim to have found a better curative system than that of our fathers, 
and we have chosen to rebel against authority however ancient or imposing 
may be its demands. Voluntarily assuming the consequences of our 
temerity we appeal to the common sense and sober reason of mankind for 
the value of the sentiments we maintain. Our well known motto, “ Similia 
Similibus Curantur,” expresses the chief peculiarity of our system. We 
claim that drugs which in the healthy person produce morbid conditions 
will in diminished doses remove like conditions when they present them- 
selves in disease. HOMlKOPATillC PHYSICIANS OF IOWA. 
19 
Tliis is not a proposition based upon any preconceived theory, nor is its 
verity dependent upon any analogical process of reasoning. It is one the 
truth or falsity of which is susceptible of demonstrative proof by the sim- 
plest and most conclusive tests so easy of application as to be within reach 
of any honest enquirer after truth. 
It would serve no good purpose to attempt to explain how or why this 
result is attained. It is one of those mysterious and inexplicable phe- 
nomena with which we are so often confronted when we attempt to inves- 
tigate the laws of our being. We are content to know the fact, though we 
may not be able to explain the rationale of the process. We may, however, 
very properly take our bearings and see how far we have departed from the 
orthodox faith and whether after all there may not be some question as to 
our heresy. 
Dr. Jones says: “Mercury causes congestion of the liver, and jaundice, 
“and in small doses it will cure the same diseases.” 
Ca/.enaw, in his work on the skin, says: “Eczema is often produced by 
“ mercury, and it may be cured by the same drug in small doses.” 
Pereira, in his Materia Medina, says: “Arsenic will both cause and 
“cure convulsions, fevers, and diseases of the skin.” The same fact is re- 
peated in Christison and Griffith’s dispensatory. 
Twedie says: “Belladonna produces an eruption similar to that of 
“scarlatina,” and Dr. Gardner says “it is an incomparable remedy in this 
“disease.” 
I)r. Dixon says the most marked case of ague he ever saw was caused by 
Quinine. It is needless to say that this remedy is esteemed a specific for 
ague. He also says that silver causes shivering and fainting sensations, 
and that it will remove like symptoms when due to other causes. 
Dr. Richardson says, “ Kreosote will cause or cure vomiting according to 
“ the dose.” 
Dr. Earlinger says: “It is well known that an obstinate diarrhoea is 
“among the remote effects of Opium, and yet this is the chief remedy for 
“the cure of this affection.” 
Leppelletier says: “Tartar emetic will produce dyspepsia and engorge- 
“ment of the lungs if given in health, and will in small doses remove these 
“conditions and induce resolution in this disease.” 
These are not the views of merely exceptional men in the profession but 
are facts of universal recognition. Neither is the acknowledgment of the 
homoeopathic law limited to the remedial action of the articles mentioned. 
None will presume to question that Alum, Muriate of Ammonia, Rhubarb 
and many other drugs will purge in large doses and constipate the bowels 
in small; that Ipecac will vomit or arrest vomiting according to the dose 
given; that Gentian and Nux Vomica in large doses debilitate the stomach 
and impair digestion, while in small doses they act as a tonic in dyspeptic 
subjects; that Sanguinaria, Quinine, and Opium may be stimulant or 
sedative according as we graduate the dose. 20 
TRANSACTIONS OF THE SOCIETY OF 
The most severe paroxysms of congestive fever can scarce he distinguished 
from the poisonous effects of Opium, and yet the very highest Allopathic- 
authorities pronounce this the most reliable remedy. Prof. Bell advocates its 
use in the strongest manner. “What,” says he, “it will be exclaimed by 
“ some, Give Opium, a narcotic, in a state of apparent apoplexy or stupor 
‘‘which may be said to resemble narcotism?” 
These examples, familiar to the practitioners of every school, will suf- 
fice to show how the regulars, with all their boasted reverence for the teach- 
ings of the fathers, have been inadvertantly compelled, by the logic of 
events, to gravitate towards our law of cure, or rather, if you choose so to 
regard it, how small the angle of the line of divergance that has led us 
away from the ancient faith. To these concessions which with our allopathic 
friends are mere incidents having no significance with reference to any 
general principles, we supplement our own experiments made with a view 
to determine the fact whether they are not indices pointing to a law estab- 
lishing the relation between all other drug symptoms in the healthy, and 
curative remedies in disease. It is not too much to say that the men who 
have prosecuted this investigation were fully qualified for the task assumed, 
nor that they were animated by a desire to reach the truth. No test could 
be less liable to the charge of unfairness. It was conducted in strict accord- 
ance with the inductive system of the Baconian school of philosophy. 
Deductions were left to the development of facts and not predicated upon 
preconceived theories. Most of the leading remedies of the old school 
and many others of whose virtues we had no knowledge, were taken in vara- 
riable doses by persons in full health and all the symptoms produced, care- 
fully noted from day to day, and hour by hour. The reports of these collected 
and collated constitute our materia medica and become valuable as evidences 
only as by treating the sick it is found that symptoms and morbid condi- 
tions respond to the remedies which are proven to produce corresponding 
results in health. Every case of disease that has come under our manage- 
ment has afforded us an additional opportunity to test the great princi- 
ple upon which we believe the law of drug action depends. While we may 
admit that we have not always succeeded to our entire satisfaction, we 
affirm that our failures have arisen from an inability always to determine 
with absolute certainty the remedy that most nearly covers the totality of 
the symptoms and not from a want of adaptability of our therapeutical law 
to any given case that may occur. We claim that the experience of three- 
fourths of a century has been a most triumphant vindication of the views 
of Hahnemann. That under the most violent opposition, and in the face 
of proscription and intolerance, we have compelled an honorable recogni- 
tion, and extorted from an incredulous public the confession that we merit 
a full share of confidence as members of the healing art. 
Our infinitesimal doses have subjected us to the most unmeasured ridi- 
cule. We might dispose of this point summarily by the averment that our 
system does not, nor never has assumed to fix the liomcepathic dose. It has 
always been esteemed the prerogative of the practitioner to select such HOMOCOPATIIIC PHYSICIANS OF IOWA. 
21 
potency as his own experience determined to be most effective. Neverthe- 
less we are free to admit that we do not measure the value of medicine by 
the quantity given. Neither do we deny that we claim that our most sat- 
isfactory results are frequently attained by medicine carried to a degree of 
attenuation that some might deem extravagant. It is safe to assume that it 
is quite as difficult for the allopathists to explain upon any rational theory 
how massive doses operate to remove disease, or how it is that they are able 
now to carry supplies in the vest pocket which twenty-five years since re- 
quired a huge pair of saddle-bags as it is for us to make clear the modus 
operandi of our prescriptions. We submit that if the researches of twenty- 
five centuries have not enabled them to comprehend the rationale of drug 
action according to their method of appreciation that we ought surely to be 
allow ed a single century for investigation and to be exempt from the charge 
of ignorance even though we may not be able to give a lucid reason for all 
the facts we may w itness. In reflecting upon the immediate causes of dis- 
ease no one can avoid the conclusion that morbific agents exert their influ- 
ence in a condition of the most extreme tenuity. A healthy, vigorous 
man journeys through a malarious region and is attacked with an inter- 
mittent fever that may cling to him for months. Another may, for a few 
days, inhale the atmosphere of the tropics and become the victim of yellow 
fever. One may receive a letter from a friend a thousand miles distant, and 
while reading its contents be infected with the small pox contagion that in 
some mysterious way has clung to the paper. The obstetrician may go 
from a patient suffering from puerperal fever, may thoroughly fumigate his 
person and apparel, and ten or twenty days hence communicate the disease 
to another patient. The farmer may visit his market town while the cholera 
is prevailing there, spend an hour, return home in good health and fall a 
victim to the disease in less than twenty-four hours. The physician may 
visit a case of Scarlatina, travel a hundred miles in his round of visits and 
then by simply pausing to shake the hand of some favored child communi- 
cate the seeds of disease or death. In all these examples, and hundreds of 
others might be adduced, there is a specific material cause so infinitesimally 
minute that the chemist, though he may detect the thousandth part of a grain 
of Arsenic, Iodine, or Strychnine, cannot w ith all his reagents, discover a 
trace of it. A scale, though so nicely graduated as to determine the weight 
of the smallest fraction of matter, cannot weigh it. Neither can a glass 
though its magnifying power may bring to view' an atom inconceivably 
small determine its existence, and yet possessing a virulence sufficient to 
permeate every fibre of the system, to disturb the functions of every organ, 
the action and relation of every cell and molecule—to send the seething 
blood through its vessels—to produce the most intense agony, reducing the 
strong to the helplessness of infancy, the most intellectual to imbecility, and 
leading multiplied thousands to untimely graves. If, in the full vigor of 
health, with the conservative powers of nature the rig medirat) i.v naturae, in 
full force, causes so minute, so apiwrently insignificant thus impress the hu- 
man organism, what does reason and common sense teach us to expect w hen 
impossibility is intensified by disease? 22 
TRANSACTIONS OF THE SOCIETY OF 
In health we may without inconvenience direct the eye to a light of great 
intensity, hut let inflammation attack this sensitive organ and a single ray 
will produce the most unsufferablc agony. Darken the room, bandage the 
eye, produce Egyptian darkness and yet the obscuration of the sun by an 
intervening cloud will be readily discerned. The burly Teuton may tax his 
gastric powers with half a gallon of lager beer and a pound of cheese with- 
out realizing that he has a stomach, but let acute inflammation seize this 
organ and a teaspoonfnll of the blandest fluid will be instantly rejected. In 
inflammation of the brain the softest notes and sweetest music may produce 
convulsions. 
If the result of disease is thus to increase sensibility to all external im- 
pressions, is it not absurd and preposterous to expect to calm the storm and 
restore the excited organs to their normal condition by massive doses that 
i n robust health must of necessity produce the most serious derangement of 
the animal economy ? Is it not an attempt to extinguish fire by casting on 
additional fuel ? Does it not commend itself to one who will give the sub- 
ject a moment’s reflection as at variance with every principle of reason, 
science or philosophy? 
Let us turn our attention once more to our allopathic friends and see if 
we cannot glean something from their voluminous annals that will fortify 
us in our convictions of the efficacy of minute doses. In 1847 Dr. Hunt 
published a volume on the treatment of skin diseases. On page 14 of this 
work he says: “ One quarter of a drop of Fowler’s solution, three times a 
“day, has in a few weeks effected a permanent cure of an exceedingly 
“ troublesome disease.” The British and Foreign Review accepts the case 
as genuine and remarks that each dose contains only the 480th of a grain 
of Arsenic. They tell us that the active principle of Ipecacuanha is emetine 
which constitutes only 14 to 1G per cent, of the crude drug, and one-twelfth 
and even one-sixteenth of a grain of the latter is conceded to be strictly an 
orthodox dose. This would equal about one-hundredtli of a grain of emetine. 
There are but few practitioners who have not witnessed examples of dys- 
pepsia, hemorrhage and other symptoms of the most alarming character 
resulting from simply removing the cork from a bottle of Ipecac in a close 
room. 
In Paine’s Institutes of Medicine we are told that in certain conditions 
here is nothing comparable with Calomel in doses of one-sixteenth to one- 
twentieth of a grain once in 4 to 12 hours. It is well known that crude 
Mercury has no medicinal effect, yet mixed with simple conserve of roses 
and thoroughly triturated so as to divide and break up the globules pre- 
cisely as we treat our remedies, the result is Blue Mass, a compound of 
the highest rank in allopathic esteem. In 1810 two vessels received on 
board several tons of crude Mercury saved from the wreck of a ship near 
Cadiz. In three weeks the whole crew of 200 men were mercurialized; two 
died, and all the animals, including a canary bird, rats, mice, even cock- 
roaches were destroyed. Here was an article wholly inert and insoluble, 
yet capable of exhaling a vapor which when attenuated by mixture with 
atmospheric moisture became a virulent poison. HOMOEOPATHIC PHYSICIANS OF IOWA. 
Dr. Paine says: “I have seen in my own family the most formidable 
“cases of remittent fever, when hope of recovery had been abandoned, 
“yield to less than a single grain of Quinine divided into sixteen doses.” 
Dr. Trumbull says one-hundredth part of a grain of Aconite made into 
an ointment and applied to the skin has produced a sensation of heat, 
pricking and numbness which continued a whole day. 
Pereira and Sigmond tell us that a dilatation of the pupils may he pro_ 
duced by only approximating the leaves of Hyosciamus or Belladonna to 
the eyes. 
Paine says violent erysipelatous inflammation over the whole surface of 
the body is often induced by approaching within a few yards of a certain 
species of Rhus. 
Paris in his Pharmaeologia says the matter of febrile contagion is in- 
creased in activity by moisture of the atmosphere. Plague is most common 
in Egypt alter the inundation of the Nile, and he seems to have caught a 
glimpse of the true principle of attenuation, as he adds: “I am well sat- 
“ isfled that the regulation of a dose of medicine is more important than it 
“ is generally supposed to he. Substances perfectly inert and useless in one 
“dose may prove in another active and valuable. Medicinal substances,” 
he adds, “are more readily absorbed in small than large doses,” and that 
“ extreme pulverization assists the operation of all substances whose active 
“principles are not easily soluble.” 
Dr. Murray says: “Unpleasant symptoms have been experienced by 
“ merely keeping Aconite for some time in the hand.” 
The Lobelia Longi flora spreads such deleterious exhalations around it that 
asthmatic oppression of the chest is felt on approaching within many feet 
of it. Darwin thus alludes to it: 
“ And fell Lobelia's suffocating breath. 
Loads tiie dark pinions of the gale with death." 
Dr. Routh, in a tract designed to oppose Homoeopathy, frankly admits 
that small doses, especially in large dilution, will often times act very sat- 
isfactorily. He says: “I have seen this repeatedly.” 
It is believed that the efficacy of Cod Liver Oil, so extensively used in 
pulmonary disease, is largely due to the 40,000th part of Iodine which it con- 
tains. The various Mineral Springs of the world which enjoy so wide a 
reputation as health restorers owe their virtues to various saline compounds 
so largely diluted and so minute in quantity as to require the most skilful 
chemical analysis to detect their presence. 
Mr. Liston, certainly the peer of the most eminent surgeons of Europe, 
after a fair trial of our leading remedies under the direction of a Ilomoeo- 
pathist, has had the candor to express in a published letter his entire satis- 
faction with the results obtained. He even expresses the regret that the TRANSACTIONS OP THE SOCIETY OP 
power of Aconite was not known to him earlier, as he was convinced that 
it would have prolonged the life of his father whose death had been has- 
tened, in his opinion, by ill-judged copious venesection. 
With these statements, which are only a sample of an unlimited supply 
at command from the same sonrce, we are content to rest our case, leaving 
our allopathic friends to the full enjoyment of all the merriment they can 
derive from our Liliputian doses. 
Theorize and speculate as we may with regard to scientific abstractions 
we shall fail thus to satisfy the practical demands of an enquiring public. 
There is an argument in results as indicated by facts and figures, that will 
outweigh all the learned theories that science can present. To the sick the 
dogmas of antiquity and the disputations of doctors sink into insignifi- 
cance in comparison with the absorbing question, What are my chances for 
recovery ? 
In most of the larger cities of Europe and America, we have had for 
several years, in active operation public hospitals and dispensaries. These 
are mostly established by authority, and are under the surveillance of in- 
spectors who carefully note results and make official reports of the same. 
These reports have the same claims to public confidence as those which emul- 
ate from Allopathic institutions of like character, and by comparison 
therewith the respective merits of the two systems of practice may be 
fairly judged. Few cities in the world have more perfect hospital regula- 
tions than Vienna. Both systems of practice are recognized by law, and 
each is granted the same privileges and subjected to the same require- 
ments. From their official published reports we find the rate of mortality 
as follows: From Pleurisy, in Allopathic Hospitals, 13 per cent.; in Homce- 
pothic Hospitals 3 per cent. From Peritonitis, 13 per cent, in Allopathic 
and 4 per cent, in Homoepathic Hospitals. From Dysentery, the former lost 
22 per cent, and the latter 3 per cent. From Fever, the Allopathic mortal- 
ity was 6 per cent, against 2 per cent, under our treatment. Without enter- 
ing into details, we may present as aggregate results in the hospitals of 
London, Edinburgh, Glasgow, Liverpool, Vienna, and Leipsic, as given 
upon the authority of Dr. Routh, an Allopathic Physician, as follows: 
In Allopathic Hospitals, mortality 10 5 per cent. 
In Homoeopathic Hospitals, mortality 4.4 per cent. 
In New York City during a period of five years the rate of hospital mor- 
tality as shown by authentic reports was under Allopathic treatment 14.36 per 
cent, while under Homoeopathic treatment it was only a fraction over 7 per 
cent. The Cholera statistics of Vienna in 1836 show the rate of mortality 
under Homoeopathic treatment to have been S3 per cent., against 66 per cent, 
under Allopathic. In the same disease in Edinburgh, in 1849, our school 
lost only 25 per cent, while the mortality under other treatment was 66 per 
cent. Cholera reports from Liverpool and all other places are equally 
favorable to our system. IIOMtEOI'ATHIC PHYSICIANS OP IOWA. 
25 
In St. Margarite’s hospital of Paris, 100 beds were appropriated to a 
physician of our school. An attempt was made, by petition, to induce the 
authorities to annul the privilege thus granted, which they declined to do 
and stated as a reason therefor that during the years 1840-1850-1851, as 
shown by legal evidence before them, the rate of mortality under Homoeo- 
pathic treatment was 3 per cent, less than under any other system of prac- 
tice. These are matters of public record having the verity of official 
documents. They may he known, read and scrutinized by all men.- To 
them we invite attention, and challenge investigation, and are willing to 
abide the verdict that common intelligence may award. 
And now, as we again meet at our annual convocation and survey the 
field we have abundant reason to rejoice and take fresh courage for the 
conflict which must continue during the period of our labors. We have 
achieved vastly more than could have been expected during the few years 
of our history. Our numbers, influence and patronage have multipled 
at a rate which may well astonish our foes as well as ourselves. We are 
not only honored by an occasional nod of recognition by the dignified wor- 
shipers of antiquity, but we have absolutely compelled them to so modify 
their therapeutical ideas as to promise speedily to vie with us in the minute 
ness of their doses. We have almost banished from existence that relic of 
barbarism, the lancet. The world may well say of the profession as Robert 
Emmett, the great Irish orator, said to the judges who condemned him: 
“If all the innocent blood which you have shed was collected in one vast 
“pool your lordships might swim in it.” Rut let us be thankful that we 
may truthfully appropriate the language of Macbeth to the ghost of the 
murdered Banquo 
“ Shake not your gory locks at me, 
Thou cana’t not say I did it,” 
In all important reformations success and progress arc mainly dependant 
upon incessant toil and arduous labor. We have yet much to learn. Every 
case submitted to our c are and skill becomes a subject for profound study. 
The ever varying shades of symptoms that disease presents will, if care- 
fully studied, lead to investigations and results that will continually add to 
our knowledge and usefulness and tend to the success of our principles. 
There is still another qualification that is imperatively required if we 
would acquit ourselves as true reformers and worthy members of the med- 
ical profession. I remember hearing Prof. Ludlam say to his class that in 
a certain condition of impending Puerperal Convulsions by simply catch- 
ing the eye of your patient and holding it by a steady gaze you may safely 
tide her over the most imminent peril; but, he added, a condition precedent 
to the exercise of this mental or psychological power is a moral status upon 
the part of the practitioner that will command the confidence and esteem 
of the pure and virtuous. 
It may well be questioned whether this moral fitness is not quite as essen- 
tial to the successful treatment of other forms of disease. The readiest 
converts and the most ardent friends of our system are found in the higher 26 
TRANSACTIOXS OF THE SOCIETY OF 
stratum of society, among the intelligent, cultivated, refined and virtuous, 
and it is well to remember that the laws of chemical affinity are not more 
fixed than those of social affinity. To gain position and hold a place in 
these higher circles we must merit it by possessing the qualities which entitle 
us to claim it. If we are gross, vulgar, intemperate or licentious, we must 
expect to sink to a level with that class whose habits and vices are congenial 
to our tastes, and it is well to he prepared for the failure which must 
inevitably result. If on the other hand we are true to the teachings of pure 
morality and the principles of our school we shall succeed, and instead of 
the long predicted period when our Allopathic friends shall hold a joyful 
post mortem over our remains we shall witness them as with elongated faces 
they will fall into a funeral procession and with mournful cadence join in 
the refrain— 
“ Pity the sorrows of a poor old man, 
Whose trembling limbs have borne him to your door— 
Whose days are dwindled to the shortest span— 
Oh, give relief, and heaven will bless your store.” HOMEOPATHIC PHYSICIANS OF IOWA. 
27 
BUREAU OF SURGERY. 
G. H. BLAIR, M, D,, Fairfield, Chairman. 
SYPHILIS, by GEO. H. BLAIR, M. 1). 
Periodic literature, the text books of our schools, and even special 
treatises upon the subject are, unfortunately, deficient, not only in the pro- 
per considerations of the distinctive diagnostic signs of Syphilis, but, if 
one may judge from following the treatment prescribed, they lack also in 
the means recommended for its medical and surgical conduct. 
Of the causes of these unfortunate errors and omissions it were perhaps 
idle to speak. The want of practical experience of many writers, and 
hence their xecundfin artem statements and precepts; the fear of unpopu- 
larity in urging a treatment at variance with the views of the high-potency 
advocates—those gentlemen who profess such a holy horror for the knife 
and the cautery and who shudder at the mention of a palpable drug—and 
the general disinclination to handle so foul a theme, have each probably 
had their influence in producing this result. But there is no one grand 
division of disease—in this instance incorrectly so-called—thus ranking it 
with Psora and Scrofula, and frequently confounding it with each, which 
merits, in a higher degree, our closest investigation. 
In justification of the production of this paper, permit me to remark, 
that my experience in the treatment of this disease has been quite extensive. 
The control of a Seaman’s Hospital, wherein it is safe to say that nine- 
tenths of those who were admitted either were suffering, or had at some 
previous period been afflicted with Syphilis; and years of management of* 
the Protestant Orphan Asylums of Columbus and Cleveland, in which, for 
the most part, the unfortunate little inmates were picked up from that class 
of community who would in all probability transmit to their offspring any 
hereditary taint, together with a large* private practice connected with this 
disease, (a thing we are not apt to boast of!) leads me to assume that I am 
at least deserving of a hearing, and that the conclusions arrived at are 
worthy your careful consideration. 
One more preliminary digression,which seems not inappropriate just here. 
For a quarter of a century I have been a believer in, and practiced strictly in 28 
TRANSACTIONS OF THE SOCIETY OF 
accordance with the law of Similia. While using both the very low and 
the extreme high potencies as the exigencies of the case may seem to require, 
I recognize no man’s right to dictate any limited degree of strength of 
their administration. A knowledge of the Materia Medica, with a clear 
appreciation of the importance of observing aggravations in disease, will 
enable one to disregard, in a great measure, the various hypotheses and 
theories advanced by either extreme of combative dilutionists. Farther on 
I offer a suggestion which may afford you something of a clue to the selection 
of potencies—a suggestion occurring from the often-observedefficacy aris- 
ing from its adoption and application. 
Just a word more and I will enter upon the subject. Perhaps this paper 
might properly have been limited to the treatment of Syphilis alone; but I 
have thought proper to enlarge its scope sufficient to briefly, but it is hoped 
intelligibly, characterize some of the more important forms of Syphilis; 
to express some well considered opinions regarding its infection and trans- 
missibility; to notice some of its complications, and demonstrate the vast 
superiority of our remedial agencies over those of the Old School. 
Of the history of Syphilis we have very imperfect and uncertain infor- 
mation of its early prevalence, nor are we acquainted with the precise 
nature of its inception and formation. There are those who see traces of 
the disease in Scriptural references. Avicenna and Yalesca describe a 
disease probably identical with it as prevailing during the latter part of 
the 14tli century; many date its origin coeval and connected with the dis- 
covery of America, &c., &c. Since the time of Columbus, we have been 
able to trace its course in modified forms with some degree of clearness— 
sometimes raging as a virulent contagion, the breath of, or even contact 
with, those affected, being sufficient for its production. You will remember 
that one of the counts in the indictments against Cardinal Wolsey, was 
that he infected the King of France by means of his breath alone. In the 
early Franco-Italian wars, in the war of tbe Crusades and in the intercourse 
of the Spaniards with the Sandwich Islanders may be seen instances of its 
infectious poisoning. 
The nature of the original disease has, however, become changed and 
modified, or rather certain phases of the original poison have set up 
an independent condition of a pathological nature capable of propagating 
itself. This latter observation is one of much moment and should be care- 
fully considered, for whereas true Syphilis is a disease of the gravest char- 
acter, its off-shoots are comparatively harmless and easily amenable to treat- 
ment. A mistake in the diagnosis may be productive of the most serious 
consequences. This assertion, involving the question of the hereditary 
nature of the affection will be briefly alluded to hereafter. 
The time for the development of chancre—the first invariable evidence 
of pox—varies greatly; it has been detected as early as the second day after 
coitus, and on the other hand, has been delayed apparently for months. 
Usually, however, we may look for its appearance between the fifth and 
tenth days, no premonitory symptoms presenting prior to its development. 
A slight itching is at first experienced, followed, or accompanied, by small HOMEOPATHIC PHYSICIANS OF IOWA. 
29 
pimples filled with matter. These soon assume the form of an ulcer, pos- 
sessing peculiar appearances and characteristics, according to the nature of 
the poison; a fact to be speedily determined would we feel easy respecting 
the treatment to be pursued. The most important diagnostic signs for 
the determination of true Hunterian chancre are: its appearance, as a rule 
singly, rarely more than one appearing, although two, or even three may 
exist in exceptional cases; the surface of the sore is regular and disposed 
to be circular; the centre assumes a grayish tint; the edges slope inwardly; 
the bottom has a smooth, lardaceous appearance; the formation of pus is 
slow and quantity scant; and more important than all, there is a hard, rigid, 
circumscribed base and the edges of the ulcer may often be observed to be 
indurated also. 
Fortunately, this form of Syphilis is comparatively rare, probably not 
comprising more than one-sixth of the whole number of cases occurring. 
This, likely, is due to the sliglit secretion from the ulcer; but from what- 
ever cause, certain it is, the virulence of its contagion is much less than 
that of chancroid. 
Now, this is the chancre to be quickly detected and speedily removed by 
the surgeon, especially since the absence of pain and irritation and the tar- 
diness of its formation, unluckily too often prevent its discovery until the 
constitutional taint becomes inevitable. 
The simple chancre, or chancroid, possesses well defined characteristics, 
which, if uncomplicated, render its detection quite easy. Its edges are 
perpendicular and serrated; the floor of the ulcer is uneven and honey- 
combed, as it were, with a grayish exudation therefrom profuse in quantity; 
the areola of the ulcer is, besides being much less regularly circumscribed, 
darker in color, and the edges and the base instead of being hard and 
indurated have a peculiar elastic feeling on pressure, the nature of which can 
only be understood by those who are experienced. Simple chancre gener- 
ally appears in groups, seldom singly, and is accompanied with much pain 
and tenderness. 
It is not deemed necessary to sub-divide these ulcers into the various 
forms adopted by writers who enter minutely into the consideration of this 
subject. The two varieties just described constitute, in fact, the source of 
all others; and hence the phagedenic, the sloughing, and, indeed, all the 
other described sores of venereal origin are but modifications or complica- 
tions with other vitiated conditions arising from the two forms. Indeed, 
to be precisely correct, we may attribute the remote source of all forms of 
Syphilitic ulcer to true chancre alone, since the distinctions are of compar- 
atively recent date. 
liicord has stated that, for the first five or six days of its existence, chan- 
cre may be always considered a strictly local affection, and the opinion is 
undoubtedly correct. Hence, local treatment should be resorted to, with a 
certainty, if promptly and energetically applied, that no secondary results 
will follow. Were we absolutely certain of the nature of the primary sore 
we might possibly leave it to take care of itself, if a simple one; but since 
it frequently is complicated in its nature, and occasionally might deceive 30 
TRANSACTIONS OF THE SOCIETY OF 
the most skillful diagnostician, it were best to use an indiscriminate treat- 
ment in all forms of chancre. For this purpose, in the case of an individ- 
ual of largely scrofulous or strumous diathesis, one in whom the lymphatics 
are easily agitated and irritated, the use of the knife is earnestly advised- 
complete extirpation of the ulcer, including the additional surrounding 
tissue to a breadth at least equal to the diameter of the surface of the ulcer, 
unless there should exist an abnormal hemorrhagic tendency, when cau- 
terization should be preferred. In the ordinary forms of ulcer the remedies 
to be employed for their removal are—relatively to their importance— 
Nitric Acid, Nitrate of Silver, Paste of Sulph. Acid and Charcoal, and 
Caustic Potash, always bearing in mind the importance of a thorough and 
deep application, one sufficient to penetrate to the sub-cellular mucous 
tissue, which is the base of the chancre. The highly lauded Vienna Paste 
lias proved in my hands very unsatisfactory, for the reason that, forming a 
crust over the top of the ulcer does not allow a knowledge of the extent to 
which it has penetrated; and if we wait for its removal and successive 
applications, too much time is lost for purposes of safety. One thing, how- 
ever, mnst especially be borne in mind: That no energetic treatment for the 
speedy destruction of the ulcer should be resorted to after well-defined indura- 
tion is present, as this is a certain indication that the disease has already 
become constitutional. 
The lesson to be impressed is this: Whether the sore be either chancre 
or chancroid, its quick removal may prevent secondary results, and in any 
event can prove of no disadvantage. Those who through ignorance, for it 
can be called nothing else, oppose local treatment, not only* protract the 
disease, but endanger the health and the lives of their patients. 
After the reproductive process commences, evidenced by granulations, 
exudation of healthy un-inoculable pus, simple dressings of lint, saturated 
with pure water are sufficient, unless, indeed, the progress should seem 
somewhat indolent, when a weak solution of some stimulating application, 
as the Sulphates of Copper or Zinc, may be used with advantage. 
As before remarked, the primary indication or early stage of chancre, 
needs but a local treatment, but lest a possible mistake in diagnosis may 
occur, an anticipatory or preventive means may be properly encouraged, 
inasmuch as under no circumstances can any bad result follow under our 
system of medication. A low regimen, frequent bathing, entire freedom 
from sexual excitement and the administration of the proper remedies, 
should not be neglected. In individuals of scrofulous diatheses Hepar. 
Sulph., Cal. Carb., Silicia, or Sepia may be given; but in the majority of 
cases the different preparations of Merc., particularly the Iodide and Bin- 
iodide will prove of most value. More will be said of the different phases 
of ulcer when we come to treat of remedies and the indications for their 
use. 
We come now to consider the more serious aspects of this often-times 
frightful disease as manifest in its second or constitutional stage. If not 
controlled in its first or inceptive period within the limited time suggested— 
say five or six days—the poison becomes absorbed by the lymphatics—not HOMOEOPATHIC PHYSICIANS OF IOWA. 
31 
by the veins as formerly supposed—and is first evidenced by the formation of 
Pubo. This manifestation may proceed from either the true or the simple 
chancre; indeed may result from gonorrhoea or other irritating causes; but 
when appearing in connection with, or following a primary sore, their 
nature is, of course, easily determined. In men, the inguinal gland, if 
from inoculation of the Penit, is the ordinary seat of bubo. In women, 
as frequently, it may be found situated between the labiae and the thighs, or 
round ligaments. But wherever manifesting themselves or whatever the 
point of inoculation, the treatment should be the same—always taking 
into consideration, however, the character of the virus from which they 
spring. Considering then, that the bubo arising from simple chancre or 
chancroid, as our modern writers term it, is the termination and ultimatum 
of the disease, it were better perhaps, if possible, to disperse it before sup- 
puration takes place, inasmuch as no further ill consequences will ensue. 
For this purpose pencillings with Iodine Tinct. or the application of Iodine 
ointment, together with the administration of the same remedy internally, 
in dilution, will ordinarily suffice, provided always that its application is 
early. If, however, the abcess progresses to an extent where fluctuation 
may be distinctly felt, our object should be to promote suppuration as 
speedily as possible, until the point of safely using the lancet is reached. 
Silicia, Hep. Sulph., or Apis, claim a consideration here, together with the 
use of warm emollient poultices. But if the progress of the bubo be par- 
ticularly slow, with much swelling, involving the surrounding parts, it will 
be advisable to give outlet to the deep seated and scanty pus, by means of 
Caustic Potash. Particularly if there be reason to suspect ramifications 
into cellular and sub-cellular tissue, will this prove the most available, as 
well as most satisfactory means of evacuation. Pressure, under these cir- 
cumstances, by means of adhesive straps, is also an advisable auxiliary in 
expediting a cure. 
In my estimation it is neither desirable nor proper to attempt the sup- 
pression of bubo where a consecutive of the true chancre. On the contrary, 
every endeavor should be made to hasten its consummation, that the virus 
may have in part a means of escape, without expending its full force 
throughout the general circulation, The means to be employed are identi- 
cal with those employed for promoting suppuration in the other form of 
bubo; but whereas in chancroid abscess a speedy effort should be made to 
heal the wound, if languid and indolent, we should on the other hand pro- 
bably favor the long discharge of pus in the bubo arising from true chancre. 
In this connection it may be mentioned that the pus of either variety of 
bubo is inoculable, each transmitting its own peculiar virus, and hence care 
should be exercised in its contact. 
Space in a paper of this character will not allow of a more extended al- 
lusion to chancre and bubo. To the treatment recommended exceptions 
will, no doubt, be taken by some ultra practitioners who denounce local 
treatment for anything; and also by those deluded beings who regard 
chancre as but the external manifestation of a constitutional taint; but the 
actual practical observation of a few hundred of these cases will, I appre- 32 
TRANSACTIONS OF THE SOCIETY OF 
hend, soon modify their opinions. Besides, no man should be conceded 
the right to criticise whose experience in the treatment of the disease under 
consideration has been closely limited. 
We come now to the consideration of the graver stage of the affection, 
wherein the general constitution has become poisoned, and technically 
termed Lues Venerea. Most authors have divided this into & Secondary and 
Tertiary stage—the latter of which should more properly be called the 
Mercurial stage, inasmuch as I undertake to say that nearly every symptom 
connected with it, is either the direct result ot mercurial poisoning alone, 
or its complication with, or aggravation of the original disease. Out of 
the multitude of cases passing under my immediate observation, I have yet 
to see one unconnected with a system thoroughly saturated with Mercury, 
even affected with periosteal inflammation which might not have arisen 
from other than a Syphilitic cause; nor under an enlightened Homoeo- 
pathic treatment exclusively, have I met with a single instance of nodes, 
caries, or necrosis. 
Usually, secondary symptoms develope themselves in from three to six 
weeks, although there are both earlier and later exceptions. As a general 
rule, no manifestations of an unusual character, except the light febrile dis- 
turbance which frequently attends all abscesses, as well as bubo, are the 
precursors of its existence. In my own experience the throat has given the 
earliest indication of the general taint, though perhaps the skin is as often 
the index. The throat, tonsils and fauces take on but little of the soreness 
and inflammation which commonly precede the formation of an ulcer— 
indeed the full development of ulcer being sometimes the first observable 
si gn of any affection of the parts. Generally, however, the tonsils assume 
a pale or dark appearance; there is a slight exudation of mucous over the 
surface, the center of which grows rapidly darker, and terminates in an 
ulceration, the secretion from which is of a peculiarly sticky character. In 
some instances of a virulent nature, sloughing takes place and even gan- 
grene, occasionally, though rarely, may follow; hut this seldom results unless 
complicated with scrofula, struma, and more often with Mercury. Follow- 
ing the throat affection or coincident with it, eruptions of the skin make 
their appearance, and in so many and diverse forms as to almost defy des- 
cription without means of ocular demonstration. However, for the sake of 
partial completeness, some of the more prominent manifestations will be 
mentioned, leaving a more diversified description to be embraced in the 
symptoms which call for the appropriately selected drug remedies. 
Ordinarily the skin, especially in the neighborhood of the penis and 
vulva; between the thighs and nates; under the arm-pits, and in other pro- 
tected parts becomes affected with small mucous papules. They are of a 
copper caste, slightly elevated and usually granulated. Over the general 
surface of the body, but more particularly the chest and forehead, they 
assume the appearance of small, hard lumps, exuding a secretion which 
dries quickly, is easily rubbed off, and is again reformed. They are gen- 
erally circular in form, small in size, and as a rule, terminate without seri- 
ous painful annoyance, although they occasionally ulcerate, and sometimes HOMOEOPATHIC PHYSICIANS OF IOWA. 
33 
degenerate even to slouching. They are known under the name of mucous 
tubercles. 
In the milder forms of constitutional taint, roseola pemphigus, herpes 
and the lesser manifestations of exanthema and erythema develope them- 
selves, and nothing but a knowledge of the history of the case would lead 
to a suspicion of their venereal origin. In fact it is questionable whether 
they be the direct or indirect results of syphilitic virus. 
Of the various forms of lichen, lepra, psoriasis and even of vesicular 
eruptions, it were impossible to speak at length in this article. 
Aside from the actual knowledge of the early history of the case, perhaps 
the most prominent indication for a suspicion of the true nature of the dis- 
ease is the almost universal presence of the copper color attending. Even 
Hahnemann attached so much importance to this peculiar coloring, that he 
regarded its disappearance as a diagnostic sign of a speedy, if not already 
radical cure. Allopecia, induration of the testicles and pulmonary Syphilis 
are conditions of so questionable a nature as being the direct result of 
specific virus, as not to merit present consideration. As before remarked, 
the so-called tertiary stage, being the effect of Mercurial abuse, wtll also be 
ignored in the examination of Syphilis proper; but the complications 
evolved will he considered when we make our selection of remedies. 
The question of the hereditary transmissibility of Syphilis is a debatable 
one, as is also the extent of its contagion or infection. Time was, perhaps— 
indeed the fact is indisputable—when the disease was terribly infectious; 
but it has become so modified and lessened in its virulence and so much 
more readily yields to treatment, that we need not apprehend a return to this 
manner of its propagation. Instances have occurred under my own obser- 
vation, which to the superficial observer would seem to have been developed 
without innoculation; but a thorough history of the patient has invariably 
revealed the fact that it was simply a latent virus reproducing the old man- 
ifestations of a previous period, or that innoculation had taken plaae in 
some unusual manner. 
Of its hereditary nature I am inclined to be exceedingly skeptical. That 
dyscrasias of various kinds and indeed any ill-conditioned and impover- 
ished condition of the system is apt to impress fcetal life and hence be 
noticeable in the child, is certain; but that a genuine Syphilis with its un- 
doubted and undeniable characteristics is transmitted from mother to child 
I unhesitatingly deny. The mere fact that exanthemata, pemphigus, and 
other suspicious skin eruptions and even nodes are found in the infant 
without previous chancre, amounts to nothing. They may each be the pro- 
duct of scrofula, and some of them may even be diseases of foetal life. 
There is much more reason to suspect that the inoculation of the child by 
the mother during labor is the secret of any well marked case of Syphilis 
in the child. A strong point favoring this assertion is the fact, well attested 
by most of those conversant with the subject, that pox if not developed in 
the infant within the first six months of existence, may not be expected 
thereafter to develope itself. Of the asserted instances of nurses having 
been contaminated from suckling children in whom Syphilis was trans- 34 
TB ANSACTIONS OP THE SOCIETY OP 
mitted, they should be regarded with great distrust. Neither the blood, 
the milk, the semen, nor in fact any natural secretion of the body is inocula- 
ble. Physicians of large experience in venereal disease know only too well 
the beastly proclivities of men, aye, and even women, of low degree, when 
under the influence of wine and sexual passion, to always attribute the ap- 
pearance of a primal chancre in the mouth or upon the mammary glands to 
the lips of the innocent infant. 
It is unfortunate that the great reverence entertained for the founder of 
our school, should have led so many of his disciples to adopt his errors in 
common with his truths. The idea of chancre being but the external man. 
ifestation of a constitutional taint, is so easily demonstrable of fallacy that 
it seems really preposterous. Indeed it is perfectly safe to guarantee abso. 
lute immunity from constitutional affection, provided we can be thoroughly 
satisfied that it receives our attention within four or five days of the appear- 
ance of the primary sore. But, unfortunately the chancre is sometimes con- 
cealed in the urethra and within the folds of the vagina, and being thus 
unrecognizable is absorbed before a suspicion of its existence is enter- 
tained. Hence, from this cause alone, has probably arisen the theory of 
blood contamination before the appearance of chancre. 
Directly at variance with the doctrine that Syphilis is hereditary, and, 
paradoxical as it may seem, authors who sustain this view, at the same time 
contend that by prophylactic means it can be speedily and thoroughly 
exterminated, thus rendering our mode of treatment a subject to be placed 
among the “ Lost Arts.” And this observation, giving rise to reflection 
upon the means to promote so desirable an end naturally suggests the 
propriety of licensing houses of prostitution, or rather permitting their 
establishment under proper restrictions—for licensing implies payment, 
and no community should attempt to benefit itself by, or even receive the 
“ wages of sin.” I approach this subject tenderly, lest offence be given 
to the namby-pamby sentimentalism which so eminently characterizes the 
age. But certain it is, that so long as human beings remain as at present 
constituted, just so long will unlawful sexual commerce prevail. No moral 
suasion, no legal enactments can prevent it. Dating at least from the time 
of King David, we have had continuous evidence of the truth of this asser- 
tion. How then to prevent the physical evils arising therefrom becomes a 
question of great importance, and one to which the medical philanthropist 
should turn his attention. If, (a little word we are too often compelled to 
use,) if our judges, our law-makers, our constabulary, and to bring up the 
rear, our doctors, were wise, honest and efficient; if a thorough supervision, 
a thorough examination, and a thorough enforcement of sanitary measures, 
could be accomplished there are strong reasons for permitting the estab- 
lishment of these houses under strict requirements, at least until venereal 
disease became obliterated—“a consummation devoutly to be wished.” But 
this is, in some sort, another digression, so I pass on to my subject proper. 
. How long does it take to cure Lues Venerea? This question is one often 
anxiously asked, and its answer depends up the form which the disease 
assumes, which tissues are involved, and especially whether it be present H0MO50PATIIIC PHYSICIANS OF IOWA. 
35 
alone, or whether it be complicated with scrofula or mercurial poisoning. 
Ordinarily it is as amenable to treatment as any of the diseases of a chronic 
nature. In referring to the records of the U. S. Marine Hospital, at Cleve- 
land, O., while under my charge, I find that the average number of days 
treatment was 50. For the treatment of the primary sore days were 
sutllcient—and this includes time of convalescence, or in other words the 
period from the entrance to the exit of the patient. In private practice, 
owing to the fact of not having so complete control of the patient, I admit my 
success has hardly equalled this result, although from the data now at my 
command, the time employed has not averaged more than twenty additional 
days. Included in this estimate are several cases in which the Syphilitic 
affection had been complicated with other diseases. Under favorable cir- 
cumstances, and without mercurial combinations—or, what amounts to the 
same thing, when the p<itient has not been handled by an Old School doctor,— 
we may anticipate still more favorable results. Contrast with this the asser- 
tion of Ricord, in one of his more recent letters: That he would not even 
undertake the cure of a case of lues venerea unless the patient would pledge 
himself to remain at least one year under mercurial treatment! 
Each succeeding year, apparently, lessens its malignant type, but whether 
this be due to its disappearing ex mero mortu, or is owing to a more enlight- 
ened treatment is a matter of speculation. Were I a believer in its hered- 
itary transmission, I should account for it upon the principle of safety from 
inoculation, since a large proportion of this world’s people would now- 
have Syphilitic poison, in a greater or less degree, coursing through their 
veins, llut, from whatever cause, certain it is that even within my own 
time the disease has become essentially modified and more yielding to 
treatment. 
I do not recognize Sycosis as having any necessary connection with either 
Syphilis or Gonorrhoea, much less, as being a combination of the two, as 
generally taught. It were much better, in a scientific point of view7 to 
discard this idea altogether, and to consider that fig-warts, cauliflower 
excrescences and other various fungi included under this name, are the 
results of an entirely independent poison. They are often observed with- 
out the presence or previous existence of chancre or chancroid, and even 
gonorrhoea, although the latter is a frequent accompaniment. The most 
important proof of the correctness of the view I have advanced is that they 
do not yield to the ordinary treatment for Syphilis and gonorrhoea; and 
contrary to the course to be pursued in the two latter, viz: the administra- 
tion of the low potencies, we must to be promptly successful here, administer 
the higher dilutions. Sycosis is really a stale of hypersemia—Syphilis, a 
state of waste and exhaustion. And herein lies the hint in relation to 
the selection of potencies, to which I have before alluded, a hint which 
long observation and experience, has convinced me should be given. In 
cases of blood poisoning characterized by rapid degeneration, loss of tissue, 
cachexia and anemia the low potencies should be preferred; on the contrary 
if there should be hypereemia, morbid growths, fungi, condylomatce, dr., with- 
out waste, select the high potencies. 36 
TRANSACTIONS OF THE SOCIETY OF 
Fig-wa s in the male, when situated upon the glans penis or upon the 
prepuce metimes attain to such a size as to produce phimosis or paraphi- 
mosis, and therefore if the surgeon has reason to suspect such a result he 
should at once clip them off with the scissors. 
Cauliflower excrescences, especially in the female, also sometimes reach 
to great size. I have in two or three instances observed the vagina so 
completely filled with them that it was with difficulty that an injection 
could be thoroughly applied. Such a condition giving rise to the retention 
of tlje secretions is apt to engender ulceration and sloughing, and hence 
excision should also be resorted to here. 
Allow me two or three observations which have been omitted in their 
proper places, and the general treatment of Syphilis will be considered. I 
note thei.. without system or order, as the few days intervening since I 
commenced the preparation of this article have been seriously disturbed 
by my professional calls. 
Sycosis poisons the general system with or without the appearance of 
bubo. No local treatment alone will prevent a farther development 
Syphilis, too, if we are to credit the testimony of most authors, makes its 
secondary onslaught oftener without, than with bubo. This may be so, but 
I have yet to see a case in which the constitutional disease became developed 
in which there was not, at least, perceptible glandular irritation, if not well- 
developed bubo. That little brain called ganglia, must swell with indigna 
tion at the approach of the virus. 
Of the reported cases of syphilitic poisoning from vaccination, that is, 
from the use of the scab taken from individuals laboring under syphilitic 
dyscrasia, they should be received with caution. Of course the presence 
of the disease being known, no physician would willingly use vaccine 
from such a source; hence if we accept the theory that Syphilis is pro- 
mulgated in this manner, we must also believe that the vaccine virus was 
obtained from the child to whom the disease was transmitted, or, from one 
in whom there was no suspicious external manifestations—in short that 
the blood of such persons is inoculable. At Camp Chase, in 1862, I 
observed seven or eight individuals undoubtedly poisoned with Syphilis 
by vaccination. Having peculiar views concerning this subject I was in- 
duced to investigate the matter closely. It may be imagined it was exceed- 
ingly difficult to get at the truth, but the result was finally accomplished. 
It appeared that the whole company to which these men belonged had been 
vaccinated at the same time with the same virus. Those who were pois- 
oned were the first ones to submit to the operation, the remaining sixty or 
seventy being subjected only to the mild symptoms which ordinarily follow. 
The inquiry revealed the fact that the physician had used the same lancet 
with which, in the morning, he had opened a true Syphilitic bubo, and hence 
the cause was easily accounted for, a result which might have otherwise 
staggered my non-belief in the hereditary doctrine. Again, the same year, 
I developed in the family of a scrofulous friend of mine, with the use of 
genuine cow pox virus, eruptions, which, in the absence of absolute knowl- 
edge, would at once have been pronounced Syphilitic. T may add that the HOMCEOPATIIIC PHYSICIANS OF IOWA. 
37 
matter was introduced with the blade of a new pocket-knife, which had 
never before been used for a similar purpose, and that the virus, applied in 
several other cases was productive of the most beautiful results. Thus you 
see how easily one may be led astray in forming an opinion, unless he give 
the closest examination in detail. I may add, that the only way to dispel 
any doubt as to the nature of the case, is by inoculation. 
In common with all writers and experimentalists, I rank the different, 
preparations of Mercury foremost in the treatment of true, uncomplicated 
Syphilis. To one acquainted with their provings this statement may seem 
superfluous, since it is a matter of difficulty, oftentimes, to the inexperienced, 
to distinguish between Mercurial and Syphilitic poisoning. There are, 
however, indications and conditions which point to the use of one or the 
other of the different preparations, and to these I call your attention. 
In true Syphilis, then, when it runs a natural course, or when there is 
reason to believe no complication exists, Merc. Solubilis should be pre- 
ferred. I am well aware of the fact that Hahnemann in his later days dis- 
carded this preparation—the child of his own begetting—or, at least, gave 
preference to Merc. Virus. Perhaps my early prejudice in favor of the 
former preparation was due to a remark made me by the venerable Prof. 
Pulte, many years since, to the effect that no apprehension of any ill-result 
might be entertained in its use, however low the potency, inasmuch as he had 
frequently given it in such doses as to produce luxation of the bowels, if 
not catharsis, without any appreciably bad result. This may naturally be 
inferred as the result of the combination of Mercury with Nitric Acid, 
which probably, in some manner antidotes its tendency to develope a poison, 
sui generis. 1 believe, with Teste—discarding his ridiculous notion that 
the sex of the individual should determine the selection—that so far as the 
important indications calling for their use is concerned, Merc. Viv. and 
Merc. Sol. may be used indiscriminately; with this consideration in favor of 
the latter,: that whereas we should always prescribe it in the 1st, 2d, or 3d 
trituration, and its use is frequently to be of long continuance, we can 
guard against a possible bad contingency. 
When the disease seems to predominate in the glandular system as evi- 
denced by swelling, induration and abscess, I give preference to Iodide and 
Bin-Iodide of Mercury, particularly the latter. If there be rapid disor- 
ganization and sloughing of the affected part, Merc. Corrosions may be given. 
Cinnabar and the red precipitate of Mercury have been highly extolled by 
many, especially by our German cousins, but I confess I have never had 
occasion for their use. In alluding to the use of these varieties as above, 
you will of course understand that the corresponding symptoms, indicating 
the employment of Mercury, are implied. Briefly, Mercury may be given 
with success in almost any case ol true, unadulterated Syphilis, as well as 
in many of its complications. It is particularly valuable where mucous 
surfaces are involved, especially in inflammation and ulceration of the 
throat and mouth, in pustular and tubercular eruptions, and in those cases 
where from combination with some latent dyscrasia, especially scrofula, 
nodes and affections of the osseous system generally, have been devel- 38 
TRANSACTION'S OF THE SOCIETY OF 
oped. It may with propriety be given from the appearance of the chancre 
(as a means of prophylaxis) throughout the successive stages of the disease. 
Do not take it for granted, however, as have most of our Homoeopathic 
writers, that because of the disappearance of the primary sore, the 
medicine affected the removal. Post hoe, sed ne propter hoc, should be sub- 
stituted for post hoc, ergo propter hoc, since the truth is, nearly nine-tenths 
of these sores being not truly and purely syphilitic, will disappear of their 
own accord. It is amusing to note the owl-like gravity with which so 
many of our authors, such as Lutze, Laurie, Attomyr, Mueller and others 
speak of curing Syphilis in a couple of weeks. The fact is, and I cannot 
impress it too strongly, no internal treatment will avail anything in the 
cure of chancre proper until the poisoning becomes general. Suffice 
it to say that Mercury, in some of its forms, will almost always answer for 
the cure of Syphilis proper, in an otherwise uncontaminated system. 
But, unluckily a majority of the cases falling into our hands have been 
poisoned with Mercury given in huge quantities, and thus have established 
a disease sui generis or formed some difficult combination. Even Hart- 
mann advises the saturating of the system with this crude drug in cases of 
phagedaenic sloughing, to the extent of intense mercurialism, very gravely 
informing us that even this condition is preferable to permitting the ravages 
of the disease. Reliable as this author usually is, and aside from the fact 
that we have several other remedies of equal value, in cases of pliagedaena, 
it is very questionable which of the two poisons should be preferred. 
Nitric Acid and Iodide of Potash are the principal remedies to he given 
in these cases of what may be termed Mercurio-Sypliilitic poisoning, the 
former being more particularly indicated when the glands and mucous 
surfaces are involved, and the latter when there is rapid degeneration of 
the tissue, sloughing and a tendency to gangrene. It is also a remedy of 
great importance in ptyalism and salivation, as also in those eruptive con- 
ditions where there is a tendency to serous rather than mucous secretion. 
In cases of sloughing characterized by great prostration we should give 
Arsenicum or Iodide of Arsenic; hut if the sloughing he accompanied by 
unusually severe symptoms of cachexia, Lachesis or Crotalus will best 
subserve our purpose. 
For the skin affections, when not the result of Mercury, this remedy may 
he given, particularly for those in which there is a tendency to the formation 
of pus. In the different forms of Erythema Eczema or Exanthema, Can- 
tharis should receive our first consideration and next in prominence should 
be ranked Apis, and lycopodium. In eruptions of a phlyzacious appear- 
ance, perhaps Lachesis claims the first thought. For the various manifesta- 
tions of Squama, Arsenicum, Hep. Sulph., Graphite or Calcarea. 
For diseases of the bones, if from Mercury, give Aurum, Mezereum, the 
Iodide or Hydriodate of Potasses or Silicia. If from a mercurio-scrofulous 
cause, there may be added Hep. Sulph., Calc, and Stillingia. For Allo- 
pecia, Nat. Mur., Nitric or Muriatic Acid. HOMCEOPATlilC PHYSICIANS OF IOWA. 
39 
Thuja., internally, cures most forms of condyloma, and internally and 
externally, with the addition of Nitric Acid and the knife, has never failed 
me in Sycotic excrescences of whatever shape. 
Other remedies suggest themselves for the almost innumerable accom- 
paniments of Luck, hut the most important for all practical purposes, have 
been enumerated; in fact i have had no occasion to use any other. Nor 
has it been thought proper to give anything more than the leading indica- 
tions for their use. The particular symptoms calling for the administration 
of the remedy will prove a profitable study. 
To sum up: True Syphilis, alone, is not the terrible disease, in itself— 
although bad enough—which we have been taught to believe. Its secondary 
stage can always be prevented by local treatment of the primary chancre, 
if speedily discovered. It is contagious, but not now infectious. It is 
inoculable only, as I believe, through its pus. It never affects osseous 
structures, except indirectly. It is not hereditary; and I go farther, and 
even question the hereditary nature of any disease other than scrofula. 
Sycosis has no necessary connection with syphilis; if developing only 
itself, it is easy of cure, but is frequently complicated, a consequence of 
its so often being found in bad company. Finally, Syphilis yields much 
more readily to homoeopathic, than any other form of medication; but we 
should bear in mind the fact that to be successful, we should generally 
employ the low attenuations. 
1 beg to close this paper with a report of a remarkable cure of a surgical 
case by the administration of medicine — a cure which was effected 
altogether unexpectedly and accidentally. My friend Mr. Witte of Cleve- 
land, the well-known Pharmaceutist, kindly transcribed the case from the 
records of the U. S. Marine Hospital, while under my charge. 
Mr. , of brig Ellen White, age 32, nativity Ireland, was admitted to 
hospital Aug. 14, 1805). The cause of admission was dysentery, but inves- 
tigation revealed the fact that he had for a long time been, and was then, 
suffering from Syphilitic dyscrasia. There were also three complete fistu- 
lous openings into the rectum, but whether connected with syphilitic origin 
I was never able to satisfactorily determine. At the date of first examina- 
tion he was suffering from tenesmus, bloody and mucous stools, averaging 
one every half-hour and accompanied with a general febrile condition. 
He was immediately ordered Merc. Sol. 2d c. trit. every two hours, with the 
effect of relieving the dysenteric character of the discharges; but on the 
third day the stools assumed a watery, sanious appearance; there was 
frequent thirst, great prostration, Ac., for which, on the 16th in the evening 
Ars. Alb. 3d c. was prescribed, a dose every two hours. This was continued 
until the 17th, when purely dysenteric symptoms re-appeared, but the 
evacuations Were pure mucous and attended with little pain. At this time 
Petroleum 5th c. was given. Thence up to the 5th of October, he alternated 
between a watery diarrhoea and mucous discharges, every four or five days. 
Merc., Arsenicum, Petroleum, Chinet and Curb. Vey. were successively 
given. At this time an abscess made its appearance upon inner side of 
right thigh, increasing in volume until the 11th, when deep-seated fluctua- 40 
TRANSACTIONS OF THE SOCIETY OF 
tion was detected, and on the 14th it was opened, giving vent to a discharge 
of bloody, offensive and purulent matter which continued to exude in large 
quantity, gradually becoming serous and sanious and without prospect of 
granulation, until the 31st when an injection of Nitrate ot Silver, 10 grains 
to the ounce of water, was ordered. This was repeated every other day, 
some four or five times, together with the administration of Hep. Sulph. 5th 
c. followed by Gale. Garb. 5th c. trit., which were continued until Dec. 1, 
when the patient was discharged cured. Now, what is remarkable about 
the case is this: Two months previous to his discharge, I had thoroughly 
explored the fistulas with a view to an operation, but from the nature of 
the case had waited for a favorable opportunity. Without occupying your 
time with a statement of the first appearance and general improvement of 
the fistulas, I will simply say that they were thoroughly healed, without any 
local interference, at the date of the patient’s discharge; and although he 
remained with me for several months thereafter in the capacity of Janitor, 
there was no indication of the recurrence of either of the original condi- 
tions, under which he was admitted to the ward. The case is one of so 
extraordinary a nature that I have added it to this already long paper, even 
at the risk of exhausting your patience. 
A word more, and I am done. Many years since my father, Prof. A. O. 
Blair, called my attention to the appropriate use of animal poisons in all 
cases of blood poisoning, that is, those of a generic nature. Repeated 
observation lias convinced me that here is a “lead” which, if properly 
followed will result in the development of a clue to the treatment of this 
class of diseases, hitherto untliought of. Instance the use of Lachesis, 
Gantharis, Apis, &c., in Syphilis, Erysipelas and Scarlatina, respectively, 
and you may possibly evolve a train of thought and experimentation which 
will result in untold benefit to future generations. 
Incidentally my attention was last evening called to a very important 
omission in this paper, viz: the mention of Iritis. Briefly, then, this dis- 
ease may always be considered one of Syphilitic or Scrofulous origin and 
I think it safe to say that nine times in ten it is the result of the former. 
To be accurate, as far as my own experience goes, I have never seen a case 
in which the Syphilitic poisoning could not be traced. You who are familiar 
with a true Iritis will readily call to mind its peculiar appearance — will 
remember particularly the fixed appearance of the pupil as it is drawn 
inward and upward, the papular tubercles of iris and the peculiar reddish- 
brown appearance they assume. Further on they ulcerate, the various 
coats as well as the muscular tissues become involved and utter destruction 
of the eye is imminent. Aconite, Belladonna and Atropia, so often urged, 
may suit an early stage of the disease when simple inflammation, perhaps 
contraction and dilatation of the pupil, are the only premonitory indica- 
tions visible; but when a certain knowledge of its Syphilitic nature is 
developed, we must resort to Iodide of Mercury, Lachesis, Crotalus, 
Iodide of Potash, Graphites or Silicea. HOMOEOPATHIC PHYSICIANS OF IOWA. 
41 
Keport oil Improved Methods of Treating Various Surgical Diseases. 
i’KOK. DANFOKTH, OK HAHNEMANN MEDICAL COLLEGE, CHICAGO. 
There is little new (that I know to be useful) to report in the department 
of Medicine in Surgical Practice. And yet, our faith in the old remedies 
has been fully sustained, and, 1 may say, greatly strengthened. Lachesis 
and Arsenicum, in gangrene, have both proved of indispensible value; 
Aconite, Arnica, Bell., Hamamelis and Blius. Tox., have proved themselves 
invaluable again and again. Quite a number of cases of venereal warts 
and condyloma have been speedily cured by the use of Thuya., 200 c.; also 
by Nit. Acid, 200 c. 
In the department of Operative Surgery, some new and useful information 
seems to have been gathered. At the Hahnemann Hospital, in our city, 
the surgical department of which is under my charge, several operations 
have been made which, if not entirely new, may yet deserve mention, by 
way of illustrating what we are doing on the Lake Shore. 
The first was on an Ovarian Tumor, operated on before the College Class 
last October by galvano puncture. The tumor was of one year's growth, 
in a lady 29 years of age, married, though not living with husband; tumor 
distinct, well defined — as large as a child’s head — in right side, attended 
with a good deal of pain and general debility. Patient under Ether; 
three gold needles in. long) passed through abdominal walls into tumor, 
whole length; attached a 24-cell zinc and carbon battery charged with 
Bi Chromate Potass., Sulphuric Acid and water; negative pole to needles, 
positive (sponge) electrode to left thigh; continued current 25 minutes. 
Patient experienced a great deal of abdominal pain for ten hours after the 
operation — vomiting also — finally quieting down under the use of 
Aconite and Bell., tit) c. She remained one week at the Hospital, and left 
for home (five miles distant) in good spirits, with no sign of the tumor 
present. Immediately after the removal of the needles the fluid contents, 
of the tumor run out into the abdomen and I feared that we had only 
accomplished an evacuation of the sack, or cyst, and that it would re fill 
within a month or two; but 1 have reliable information from the lady, five 
months after the operation, to the effect that she still remains well, with 
no appearance of a return of the tumor. 
This operation is not new, and yet I believe this case is one of the best 
pronounced and most satisfactory results yet obtained from the use 
of the galvanic current. Unfortunately, we cannot expect to cure all 
cases of Ovarian Tumor with galvanism; it is only recent cases oi fluid 
cyntu that come within reach of the needle treatment, (not that it is 
necessary to evacuate the cyst,) but it is necessary that the needle should 
be brought into contact with fluid in order to produce “Electrolysis” (i.e., 
the decomposition of compound substances,) before the tumor can be 
discussed; hence, galvanism is of very little practical value in the treatment 
of solid tumors, but, upon the contrary, of great, 1 may say indispensable, 
value in the treatment of vascular and cystic growths. 42 
TRANSACTIONS OF THE SOCIETY OF 
“Excision of head of femur for Hip Disease.” Morbus Coxarius is a 
long - continued and very troublesome disease, most frequently terminating 
fatally. 
A boy nine years of age, suffering from this disease for two years, was 
brought to our hospital for treatment last November. The left hip was 
alone involved; leg flexed, and fixed at hip, as though anchylosis had taken 
place. On the outer part of the limb, just below the greater trochanter 
was a sinus discharging pus. The probe, introduced through this 
sinus, falls upon rough bone, though it requires considerable probing to 
elicit roughness. The question of an operation in such a case as this is one 
that is likely to cause the surgeon a great deal of solicitude. 
I believe it is now well established, however, that excision ought not to 
be practiced before pus forms, and, as a rule, ought to be thereafter. In this 
case, however, we have anchylosis fixing the limb in a very awkward 
position, and we can only feel a roughness of bone on most thorough 
probing, leaving us still in doubt about the propriety of operating. 
However, an incision was made in the line of the femur just posterior 
to the trochanter major and dissection carried down to the head of the 
femur, Avlien we found both the head and neck completely carious. The 
head was lifted from the acetabulum, the chain saw passed around just 
below the trochanter major, and the bone severed. The acetabulum was 
not affected, though a cartilaginous formation about the head of femur had 
fixed it in anchylosis. The wound was cleansed and closed with inter- 
rupted silver sutures. Boy re-acted well. A good deal of suppuration 
followed for two weeks, wound being cleansed often with Calendula and 
Carbolic Acid. The boy was confined to bed with extension of limb by weight 
and pulley for thirty days, finally recovering with a useful limb; can walk 
on it readily, though it is some two inches shorter than its fellow. 
The point I want to make in this case, is this: “Excision of the hip 
should always be advised, in children under ten years of age, when there 
is an open sinus communicating with carious bone.” It is a duty we owe 
to our patients, and one that will richly repay for the toil and danger 
incident to the work. 
Dr. Sayers, of New York, puts his patients into wire breeches immediately 
after the operation and allows them to move about daily, and claims that 
it is a great improvement over the extension ti'eatment. 
“ Haemorrhoids.” Some improvement in their treatment has been 
discovered and practiced the past year that I deem important (i.e., their 
removal with “ Dr. Knott’s Rectilinear Ecraseur,” which, after all, is but 
an improved clamp, which gives the surgeon complete control of his case 
and work). I have operated on fourteen cases — three at our Hospital 
and the balance in private practice — and in every instance the result was 
entirely satisfactory. I know' of no other mode of treatment of which I 
could speak so favorably. The instrument is a strong clamp, having a slot 
in one blade into which a dull, knife-like projection from the other, fits, 
the closure of which crushes the hoemorrlioidal tumor so completely that 
it never troubles the patient again. Of course, I would not advise the removal of every hoemorrhoidal tumor met with, but I would advise the 
use of Knott’s Clamp in the treatment of every case where an operation 
was deemed necessary. It is far superior to the ligature, removing, as it 
does (if used thoroughly) every vestige of the diseased growth, and, as a 
rule, leaving the patient free from pain within ten hours after the operation 
HOMOEOPATHIC PHYSICIANS OF IOWA. 
Surgical Cases. 
Two cases of oblique fracture of femur in middle third. Patients ten 
and twelve years of age. Treated by applying three short splints to 
thigh and extension bar with perineal band. Produced extension at foot 
with strips of adhesive plaster along sides of the leg carried through a 
tourniquet screw, in absence of other apparatus. 
Excellent recovery in one case; in the other, no shortening, but curvature 
of the bone forward. The parents in this last case undertook the care of 
the patient themselves, after the second week, in spite of my protest to the 
contrary. 
A fatty tumor in internal superior angle of the orbit of the left eye. 
Operated on by slitting open the conjunctiva and dissecting out. 
Schirrhous tumor on lower lip, near angle. Took out V-shaped portion of 
lip and closed wound with silver needles and figure of 8 suture. 
A child one-and-a-half years old fell, violently striking the chin on 
the floor; the tongue was caught between the teeth and bitten completely 
in two for more than half its width, and two-thirds of an inch from the 
point. Nothing was done for a week, when the child was brought for 
treatment. The wound had not united, and the edges had nearly healed. 
The edges of the wound were pared and brought together w’ith an inter- 
rupted suture of fine silk. The wound healed kindly, and an unpleasant 
disfigurement was obviated. 
With the exception of the fractures, all these cases were operated on in 
conjunction w ith Dr. Carter of this city. 
REPORTED BY DR. DICKINSON, OF DES MOINES. TRANSACTIONS OF THE SOCIETY OF 
BUREAU OF OBSTETRICS. 
P. H, WORLEY, M, D., Des Moines, Chairman, 
PUERPERAL CONVULSIONS, by (LEO. H. BLAIR, M. I). 
I wish to consider, very briefly, the subject of Puerperal Convulsions. I 
do this for a double purpose: First, To give expression to my own con- 
scientious views; and, second, To invite the criticism of this learned 
body. 
To the novice in medicine — to him who has yet to battle with the rarer 
and deadlier diseases of human life — hut a faint conception of the 
horrible nature of this affection can be entertained. Even to the old and 
experienced practitioner, the term Eclampsia calls up recollections 
sufficient to cause a shudder. The delicate circumstances under which 
the disease occurs — the suddenness of the attack and the necessity for 
prompt and efficient treatment — the awful suffering and contortions of 
the patient — the terrible anxiety and disposition tor interference by the 
relatives and friends; and, above all, the responsibility which attaches to 
the safety or loss of perhaps two lives, renders the subject of this essay of 
the gravest importance. 
And first, let me not be misunderstood. Puerperal Convulsions, in the 
true sense, is an exceeding rare disease; and should not be confounded — as 
it frequently, and very conveniently for the reputation of the practitioner, 
is — with Epilepsy, Chorea, and more often with Hysteria. Apoplexy, 
which frequently is, in fact, an incident of the disease, and Epilepsy also, 
may sometimes so closely simulate it upon a cursory examination, as to 
confuse and mislead the most acute observer; but, since the first is in 
reality very often a concomitant of the disease, and amenable to the same 
treatment; and, since the character of the latter will soon reveal itself, we 
need not long suffer by an error of diagnosis. There is no apology, however, 
for confounding it with hysteria in any form. 
Let me, for the purpose of greater completeness, hastily sketch its char- 
acter as it naturally presents itself, and briefly also, hint at the differential 
aspect of the disease as compared with those with which it is most liable 
to be confused. HOMOEOPATHIC PHYSICIANS OF IOWA. 
Puerperal Convulsions are most apt to occur in the pritnipara, yet 
they may take place in subsequent pregnancies, more rarely. They are 
most frequently met with between the seventh and ninth month, yet instances 
are recorded of their existence in all stages of child-bearing life. They 
usually occur during, or are accompanied by, labor, although this is not 
necessarily the case. [Case: Fourteen hours after delivery.] 
The first prominent indication of the disease, is the sudden supervention 
of head - ache of an exceedingly violent character, usually occupying a 
circumscribed space. The appearance of this symptom during pregnancy, 
independent of any other well-defined cause, should always excite our 
most serious apprehensions. The intensity of the pain rapidly increases, 
accompanied by obscurity of vision, and indistinctness of speech; and 
convulsions speedily follow. The legs and arms are violently convulsed; 
tlie face is horribly distorted; the eyes rolled up; the tongue protrudes; 
saliva issues from the mouth — indeed, the general appearance is much 
that of Epilepsy. After the lapse of a few minutes the paroxysm gradually 
subsides and the patient sinks into a state of perfect coma. The breathing 
now becomes labored and stertorous; the face is blue, puffed and turgid—in 
short, presents all tlie indications of Apoplexy. This condition may last 
for a half hour or more, when the patient begins to moan, becomes restless 
and tosses about; delirium manifests itself, sometimes even resulting in a 
furious mania, to be followed by a repetition of the convulsions and coma. 
It differs from Epilepsy in the absence of the characteristic scream 
which precedes the latter; by the entire absence of consciousness after the 
coma disappears, and in the character of the circulation — in advanced 
stages of Puerperal Convulsions the pulse being imperceptible at the 
extremities. 
It would hardly be proper in a body of medical men to discuss the 
distinctions between this disease and the various forms of eccentric con- 
vulsions— those due to reflex nervous action excited by indigestion, 
morbid secretions in the intestines, and, more frequently, from uterine 
irritation, that almost universal cause, remote or direct, of hysteria, in all 
its various phases. Nor would this subject have been alluded to were it 
not that I am well convinced that cases of this nature have been confounded 
with true Puerperal Convulsions; and because, in advocating a certain 
mode of treatment I wish the real nature of the disease to he taken into 
consideration. 
Let me l»e understood, therefore, as speaking of Centric Conmhions— 
those due to pressure upon the spinal cord from an increased volume of 
blood and congestion of the capillaries. 
The cause of this disease is supposed to be due, in many instances, to 
toxemic influences, and the almost universal presence of albuminaria 
gives strength to this view; it may be occasioned by excessive mental 
excitement, by indigestion, &c.; but these should rather be looked upon 
as auxiliaries, than as prime causes. In my judgment, the commonest, 
as well as the most natural causes may be found in the pressure of the 
gravid womb upon the lower branches of the Aorta, cutting off a free TRANSACTIONS OP THE SOCIETY OP 
circulation in the lower extremities, as is so frequently evidenced by the 
cedcema of these parts in the pregnant female—thus occasioning a super- 
abundance of blood in the brain and upper portion of the body. The fact 
of the disease occurring most often in the primipara, when the pressure 
is necessarily greater than in subsequent pregnancies — the fact of its 
generally coming on during the latter months, when the period of pressure 
is greatest — the fact that recovery is not deemed possible until the removal 
of the fcetus — all these go to substantiate the theory. 
I shall not undertake to speak, at this time, of those rare cases of con- 
vulsions occurring in anemia, where the blood-vessels, instead of being 
found engorged are entirely emptied of their contents. No cases of this 
character have come under my observation, and hence, in speaking of 
treatment, they are not to be considered. 
As before remarked, the disease is exceedingly rare, but one case occurring 
in six or seven hundred labors. In my own experience, extending over 
twenty - two years, ten cases have come under my own direct charge, and I 
have seen, in consultation, nearly as many more. While the mortality 
under what is called “ Old School ” treatment averages one in four, or 
twenty-five per cent., and while, under what is termed Homoeopathic 
treatment, I am convinced the mortality is even still greater, I may be 
permitted in justification of the course I have pursued — and not because 
any personal merit is involved — to state, that of the ten cases of my own, 
there occurred but one death — and in this case a post mortem revealed 
rupture and extravasation; and in those cases where I had the honor to be 
consulted, where the views of the attending physician coincided with my 
own, the result was alike satisfactory. 
Our Homoeopathic therapeutics — the treatment prescribed in our 
books — has proved to me, highly unsatisfactory. Aside from the 
unfortunate results following, I think it susceptible ot demonstration that 
the law of “ Similia ” is here entirely inapplicable and should be ignored. 
Early indoctrinated in the Hahnemannian faith — a faith from which, I 
thank God, I have never departed — I confess that our records in Eclampsia 
have been to me a disappointment and a mortification. But more matured 
thought and a riper judgment have convinced me that in the treatment of 
this disease we should discard the considerations which are applied to 
morbid affections in general, and view it from an independent stand-point. 
Pertinent to this position, let us inquire into the pathological conditions 
present in this disease. [And here, by the way, we must recognize the 
importance of this much neglected — by our school — branch of science.] 
We find an intensely congested state of the capillaries of the brain, 
frequently to such an extent as to deprive the vessels of their circulation 
entirely and attended by effusion into the surrounding cavities. A state of 
utter stagnation is imminent. Under such circumstances no system of 
mere medication is available. We should discard all thoughts of creeds 
or doctrinal points, or “pathies,” and view the case with a surgical or 
mechanical eye, so to speak. If we find an individual suffocating from 
the pressure of a rope, common sense dictates its removal, before using IIOMCEOPATHIC PHYSICIANS OF IOWA. 
other means for restoration. If a foreign substance is imbedded in the 
muscles, it must first be abstracted before secondary measures of relief are 
to be applied. And so, gentlemen, should we view the case under 
consideration. The force of the circulation must be speedily lessened. 
The intense engorgement of the blood-vessels of the brain must be 
relieved, and we should aim to induce speedy dilitation of the the os uteri 
in order to promptly and safely deliver. To accomplish these results we 
have a remedy in the Lancet. Its use under such circumstances does not 
in the least conflict with our faith in the law of Similia. The state of the 
case is such, indeed, as to have no relation to theories of simply medicinal 
cure. There are those among our Old School brethren who denounce this 
mode of treatment, as well as in our own. But I apprehend the objection 
arises in a great measure from the ill-success attending this method in 
years gone by. Venesection in olden times was quite a different thing 
from what it now is. Until within a comparatively modern period, to 
abstract beyond ten or fifteen ounces of blood was considered a very 
dangerous proceeding. Indeed, the first suggestion of the propriety of 
taking large quantities was induced by the gratifying results which 
followed upon an accidental hemorrhage from a misplaced bandage. 
Hence, the older writers looked upon Puerperal Convulsions as almost 
necessarily fatal. If the practitioner saved one-half his patients he was 
deemed particularly fortunate. The decreased mortality following the 
adoption of free venesection is of itself sufficient evidence in its favor. 
But let it be firmly impressed that the amount of blood drawn should not 
be sparing. Instead of ten ounces, take forty, or fifty, or sixty — and do it 
boldly and without hesitation, if you would attain a beneficial result. 
1 have spoken of the lancet as the remedy of paramount importance, 
but we should not neglect auxiliary measures. In case the foetus is still 
in vtero our object will be to remove it as soon as possible, and for this 
purpose I need not remind you, gentlemen, of the importance of version, 
of instrumental aid, &c. Nor need I recapitulate the medicinal remedies, 
which, in connection with the lancet, are of so much value — nay more, 
are of sufficient importance in themselves, in some instances, to effect a 
cure. My object has not been to write an exhaustive treatise, but simply 
to give you the well - considered result of observation and experience. One 
or two suggestions arise, however, to which I would call your attention 
You are all aware of the almost universal recommendation of ice 
and ice-cold water to the head in the disease under consideration. I wish 
I could impress you with the barbarity of this treatment. By this means 
you are conducing directly to the object it is your aim to obviate — you are 
adding to the cause of congestion, rather than preventing. If water be 
used at all,— and it is of minor importance,— let it be applied warm in this, 
as in all other congestions or inflammations. 
I wish to call your attention, too, to the use of Caulophyllin in aiding 
the woman in avoiding the perils of child-birth. In my own hands, and 
those of other practitioners of my acquaintance, its effects have been 
marvelous. 48 
TRANSACTIONS OF THE SOCIETY OF 
In connection with the subject of Eclampsia, I wish to correct an 
important error—at least it seems one to me — the very general belief that 
persons of short, stout build and full habits are peculiarly liable to this 
disease and apoplexy; that is, that peculiar conformation contributes to an 
attack. My own observation does not justify this conclusion; and I may 
add that an expression of the observation and experience of the members of 
the Cuyahoga Co. Med. Association bears me out in the opinion that the 
disease is more apt to depend upon mental than physical organization. 
Puerperal Convulsions, with Instrumental Delivery. 
BY A. O. HUNTEK, M. D., OF DES MOINES, IOWA. 
I was called on the morning cf the twentieth of February to a Mrs. W., 
aged twenty, of billious-lymphatic temperament, closely built, of strong 
muscular fibre, broad shoulders, and short, thick neck, who had had 
premonitory symptoms of labor for several hours previous. (Primipara.) 
On making an examination I found the os uteri dilating nicely, without 
any peculiarity whatever observable. 
The pelvis was large and well formed. Head presenting — not large. 
She continued having pains regularly, and was cheerful and pleasant 
throughout the day, the os dilating slowly. 
About seven p. m., os seemed dilated to the size of a half-dollar or perhaps 
a little larger. Eight p. m., she complained of dizziness, blinndess, &c. 
Bathed her head in cold water, and gave her a few drops of Gelseminum, 
but in a few moments she w*as in a convulsion. 
She was delivered in a few minutes after the second paroxsym with the 
aid of the forceps and, after removing with difficulty a firmly adhering 
placenta, she was placed in a comfortable position, where she remained 
unconscious — in deep coma — with stertorous breathing for five or six 
hours. When consciousness returned, she had no recollection of the 
delivery of the child or of the placenta. 
One peculiar feature in her case, was that every evening about eight 
o’clock she would be threatened with convulsions, and it seemed almost 
impossible to prevent their return, for three successive evenings, when the 
symptoms gradually grew lighter each day. After the fourteenth day 
no more symptoms appeared. Treatment: Gels. 1st., ten drops in half 
tumbler of water, two teaspoonfuls every hour through the day. 
Bathing the head in cold water and the feet in warm water seemed to 
give relief just before the paroxysm. 
This is the only case of recovery of Puerperal Convulsions in our city 
this spring. 1 believe six cases are reported all of which died under 
Allopathic treatment. HOMOEOPATHIC PHYSICIANS OF IOWA. 
Case of Extra Uterine Pregnancy. 
KEPOKTEI) BY W. H. DICKINSON, M. D., OK DES MOINES. 
In the summer of 1872 Mrs. B., of Atlantic, Iowa, became, as she 
supposed enciente. Gestation proceeded favorably for the first five months, 
when symptoms of abortion appeared, which were speedily controlled by 
the attending physician. 
When her full time had elapsed, according to her calculation, slight 
labor pains set in and her physician was summoned to her assistance- 
An examination showed that the os was not at all dilated, neither was it 
dilatable; neither could the position of the child’s head or trunk be 
detected. The physician was puzzled by this anomalous condition of 
things, but, as the pains soon after subsided, lie concluded to wait for 
further developments, supposing that it might be a case of false labor. 
But, in a few days abnormal symptoms developed themselves. 
The abdomen became tympanitic and respiration difficult, the patient 
unable to lie down, but compelled to remain propped up on the bed or 
reclining in a chair; the complexion sallow; some pain in right groin and 
hypochondrium and an occasional escape of fetid gas from the uterus. 
A council of physicians was called. Examination showed no dilatation 
of the os and no well marked presentation. The tumor seemed to be on 
the right of median line, and some doubt was expressed as to whether it 
was not tumor of the right ovary. 
An effort was made to dilate the os with the finger, but it seemed quite 
rigid and resisted the introduction of either the finger or sound. 
In a few days the patient died and a post mortem examination revealed a 
case of tubal pregnancy, the foetus being well developed. 
I regret that I could not get a detailed account of the case from the 
physician in charge, and am only able to give meagre outlines of it. I saw 
the patient, during a visit to Atlantic, about a week before her death, but 
failed to make a correct diagnosis. 50 
TRANSACTIONS OF THE SOCIETY OF 
BUREAU OF CLINICAL MEDICINE. 
0. PEARSON, M, D,, of Mt. Pleasant, Chairman. 
FISTULA IN ANO, by A. 0. HUNTER, M. IK, of Des Moines. 
Mrs. D., aged forty-two, a large, fleshy woman, had a very severe attack 
of bilious fever during the fall of 1872, suffering most of the time with 
gastric derangement, nausea, vomiting, with some diarrhea. 
During days of convalescence a large abscess formed in the iscliio - rectal 
fossa which was very painful and gave her a great deal of trouble in 
defacation. Was poulticed, lanced, and discharged freely, but did not 
heal; kept on discharging for several weeks, the feces streaked with pus 
tinged slightly with blood. 
On making an examination from the opening, which was large enough 
to admit the point of the little finger, and about an inch from the anus, a 
probe passed readily through it into the bowel and was felt about three- 
quarters of an inch from the margin of the anus by the finger, which had 
been previously introduced. 
Her general health was good now, and the case appeared to be one that 
might be healed without incision; but, as she was most desirous to be 
cured as quickly as possible, I determined to divide the parts, which I did 
on the following day, and in about four weeks she was entirely well. 
A Case Illustrating the Effects of Water as a Remedial Agent. 
P. J. CONNELLY, M. D., OF DES MOINES. 
A young man about twenty years of age came to my office to consult me 
about a sore leg which had been troubling him for ten years. He gave me 
its history as follows: 
In playing with another boy he received a kick on the shin, 
about mid-way between the ankle and knee. It became inllamed, badly 
swollen for a month, suppurated and discharged freely a yellowish matter 
for one year. In one month after this discharge commenced necrosis 
supervened, and in a short time seventeen pieces of bone were thrown off 
with the discharge of matter—the pieces varying from half to three- 
fourths of an inch in length. At the end of the year the discharge ceased. 
Since that time the young man has suffered constantly with a sore, aching 
pain, which had made gradual advance until the thigh became impli- HOMOEOPATHIC PHYSICIANS OF IOWA. 
51 
catcd. There were but short remissions of the pain at times, always 
followed by exacerbation when at rest. Thus have eight years of his life 
lieen spent in pain and suffering. After hearing his story, on examination 
I found his leg cold, (he said it had been so for some time previous,) 
atrophied so that the circumference of the thigh was two inches less than 
the other, unable to bear any weight on it, and constantly aching. 
Treatment: I gave him a few drops of Silicea and Rhus. Tox, to be 
taken at long intervals, from which I expected no result, and in which 
I was not disappointed, nor did I, in fact, expect to give him any relief, for 
he had been treated and mistreated a great deal during the time. 
I now ordered him to keep quiet for a week or two; to take a large 
coffee pot, fill it with cold water, strip himself so that another person 
could pour its contents gradually over the whole length of his leg from the 
hip down to the toes three times a day, at the height of two feet from the 
limb, and if through the night his pains should trouble him, get up and 
repeat the application, rub well with a coarse towel; continue for a week 
and then report. This he did, and at the end of a week his report was as 
unexpected as it was gratifying — the pains were decidedly less severe, 
could use it better, and slept more. Continued the treatment. After 
another week, reported a more decided improvement. After two months 
he reports no pain, can follow his plow all day, rests well at night, circula- 
tion established, the muscles regaining their tonicity, the young man 
getting well, and to cold water belongs the glory. 
Addison's Disease. 
I1Y 1)11. T. A. BENBOW, NEW PROVIDENCE, IOWA 
I must acknowledge that I have never seen a well-written treatise upon 
this very rare, and generally fatal, disease. I do not wonder that the 
busy practitioner often finds it difficult, when called upon, to treat this 
disease with any degree of success, to the comfort of relatives and friends; 
and those of us who have had any experience in the treatment of this 
disease, surely owe to the profession our experience. 
I now give in brief, the symptoms and treatment of a case treated by me 
last winter and spring. Was called Feb. loth; found the patient — a man 
aged 57— in the following condition: Some febrile excitement, pulse one 
hundred; a beating and throbbing in the region of the left kidney, 
extending around in the left loin, with a bruised pain in the same region, 
worse from contact; a drawing downwards in the whole of the left side; 
slight pain in the region of the stomach, witli occasional vomiting of a 
slimy, mucous substance; anemia and great feebleness of the heart’s 
action. When lie wished to lie down, he would first get upon his knees 
and elbows and remain in that position for some minutes, then gradually 
lower hismself down upon either side, when he could remain tolerably 
comfortable so long as he was quiet, but just turning over in bed, or 
turning around upon a chair would increase the frequenc}- of the pulse 
from ten to fifteen beats per minute; hot flashes over that portion of his 52 
TRANSACTIONS OF THE SOCIETY OF 
body upon which he would be lying; a constant rattling cough, with 
a viscid, stringy expectoration, of a bluish color, no doubt from the 
“ elimination of the excrementitious renal accumulations in the blood; the 
cellular structure becoming engorged, and effusions occurring more or less 
extensive.” The patient, much of the time, was very much indisposed to 
either bodily or mental exertion; great loss of memory; appetite variable — 
sometimes a little, but most of the time none at all; eyes glassy and pearly; 
the body very much wasted, but no dryness or shrivelled appearance of the 
skin; general enlargement of the lymphatic glands all over the body. The 
characteristic discoloration of the skin was perhaps not as marked as if 
both kidneys had been affected, but there was that peculiar dingy, smoky, 
bronze color upon the forehead, face, neck and hands; not so much upon 
other portions of the body. 
The patient had been feeling quite dull and indisposed for four months 
previous to my call; had been treated for two months by one of the 
Regulars for “Liver Complaint and Lung Disease,” but had been without 
medicine for one month when I first saw him, so that there was a clear 
case, without any drug symptoms. 
Treatment: Aconite 2x, Nux 3x, given alternately one hour apart. 
Feb. 16th. Pulse 85; much of the throbbing and bruised feeling gone; 
the vomiting and distress about the stomach no better. Continued the 
treatment. 
Feb. 17th. A very little more strength; the hot flashes nearly all gone; 
vomiting some better. 
Feb. 18th. Some improvement in every respect except his cough; this 
distressed and alarmed him more than all else. 
Feb. 22d. Almost at a stand-still, except that his cough grew worse. 1 
now gave him Kali-bichrom 2x, and Arsenicum 12 c., to be given two 
hours apart alternately. 
Feb. 23d. Some little improvement in every respect except his cough, 
which was a little worse. He now became very anxious that I should do 
something for his cough, but I soon gave him to understand that his lungs 
were not at fault, and that at the proper time he would perhaps get better 
of his cough. 
Feb. 26th. Better in every respect; has not coughed nearly so much for 
two days. Continued the same medicines at much longer intervals. 
March 4tli. Has not coughed any for two days and nights; feels much 
stronger; can sit up some of the time in a chair. Continued the medicines 
— one dose per day of each. 
March 20th. Pulse soft, easily compressed, but he feels much stronger; 
more appetite; can walk about the room. T now gave the medicines on 
alternate days. 
April 1st. Is now able to go out and walk about the farm; still feels 
quite feeble. I now discontinued all medicine. 
April 14. Is now able to do some light work, but not feeling entirely 
well; the discoloration of the face and hands is still to be seen to some 
extent; the enlargement of the glands has nearly all disappeared. HOMOEOPATHIC PHYSICIANS OF IOWA. 
53 
CONSTITUTION AND BY-LAWS 
OK THE SOCIETY OK 
IlOMCEOPATITIC PHYSICIANS 
OF IOWA. 
ADOPTED IMIA.'Y 31, 1870. 
CONSTITUTION. 
This Society shall be known as the “Society of Homoeopathic Physi- 
cians of Iowa,” having for an object the advancement of Medical Science, 
and the dissemination of the law of “Similia Sivnlibus Curantur." 
ARTICLE I. 
ARTICLE II. 
The officers of the Society shall consist of a President, two Vice-Presi- 
dents, a Secretary and Treasurer. At each annual meeting an election, by 
ballot, shall be held for the above named officers. 
There shall also be elected by the society, in the above manner, at each 
annual meeting, a Board of Censors, consisting of five members, a majority 
of whom shall constitute a quorum for the transaction of business. 
A majority of the members present shall be necessary for the election of 
any of the above named officers, and they shall hold their offices for the 
term of one year, or until others shall have been elected to fill their places. 
ARTICLE III. 
The duties of the respective officers shall be such as may from time to 
time be prescribed by the By-Laws. 
ARTICLE IV. 
The Society shall hold at least one session in each year, at such time and 
place as the "majority of the members present at the last annual meeting 
may determine. 
At any meeting of the Society, five members shall constitute a quorum. 
ARTICLE V. 54 
TRANSACTIONS OF THE SOCIETY OF 
No physician who is not a graduate, and who has commenced the 
practice of Homoeopathy since 1870, shall be admitted as a member of this 
Society. 
ARTICLE VI. 
This Constitution may be altered or amended by a two-third vote of 
the members attending; provided, however, that at the meeting previous, 
notice has been given in writing of such alteration nr amendment. 
ARTICLE VII. 
BY-LAWS. 
DUTIES OF THE PRESIDENT. 
Section 1. The President shall preside at all the meetings of the 
Society, preserve order therein, put all questions, announce the decisions, 
and appoint the committees not otherwise ordered; direct the Secretary to 
call extraordinary meetings upon the written request of members, not less 
than six in number, giving reasons for such action. 
DUTIES OF THE VICE-PRESIDENTS. 
Section 2. The Vice-Presidents shall perform, in the order of their 
election, in the absence of the President, all duties appertaining to the office 
of President. 
DUTIES OF THE SECRETARY. 
Section 3. The Secretary shall provide a suitable book for records, and 
note therein all the resolutions and proceedings of the Society; also the 
names of members and the date of their admission. It shall be his duty 
to file the annual reports of Bureaus and Committees, and any other matter 
as ordered by the Society. He shall answer all letters addressed to the 
Society, open and maintain such correspondence as may advance its 
interests; give notice, at least two weeks before hand, of the meetings of 
the Society; notify candidates of their election, and the members of the 
several Bureaus and Committees of their appointment, stating the subjects 
assigned to them. 
DUTIES OF TREASURER. 
Section 4. The Treasurer shall collect all moneys belonging to the 
Society, make the necessary disbursements, and report annually in writing 
to the Censors. 
DUTIES OF CENSORS. 
Section 5. The Censors shall carefully and impartially examine into 
the qualifications of each candidate for membership, in accordance with 
the standard of qualification laid down by a majority of the Society; shall 
examine the report of the Treasurer and report the same to the Society, 
and shall state, after the name of each applicant for membership, the 
College and Class in which such applicant graduated. 
MEMBERS. 
Section 6. The Society may elect members permanently, according to 
the standard adopted. HOMOEOPATHIC PHYSICIANS OF IOWA. 
55 
Honorary members may be elected by a two-third vote, but not exceed- 
ing two at each annual meeting. Persons so elected shall be entitled to all 
the privileges of membership except the right of voting. 
Section 7. An initiation fee of $3.00 shall be paid by each newly 
elected member, and in addition thereto an annual fee of $2.00 at each 
subsequent meeting. A failure to pay, after one year, shall subject such 
delinquent to suspension until such time as his arrearages are made up. 
FEES. 
PAPERS AND COMMUNICATIONS. 
Section 8. Any original paper or communication read before this 
Society shall be considered the property of the reader, of which he alone 
is to "be responsible, but with his consent and that of the Publishing 
Committee, may appear in the published proceedings; or, it rejected by 
said Committee, shall be returned to the writer with liberty to publish in 
any medical journal, if so disposed. 
Section 9. The code of Ethics as adopted by the American Institute 
of Homoeopathy shall be held to govern the members of this Society. 
ETH ICS. 
Sdction 10. The following Bureaus and Committees shall be annually 
appointed by the President, consisting of not less than two members, to 
report in writing at each annual meeting: 
1. Materia Medico, and Proving*—Which shall obtain facts relating to 
Materia Medica; and institute, collect and arraftge provings of drugs. 
2 Clinical Experience—Which shall collect facts relating to Clinical 
Medicine. 
3. Obstetric*; and Diseases of Women and Children — Which shall collect 
and report facts and observations on the subjects pertaining thereto. 
4. Snrgerg — Which shall collect all improvements in Surgery and 
Surgical means, especially in connection with Homoeopathic treatment. 
3. Medical Education—Which shall act in connection with the Committee 
appointed by the American Institute of Homoeopathy. 
ti. Anatomy, Physiology and Hygiene—Which shall report to the Society 
the advances made in these departments of Medical Science. 
7. Medical Electricity—Which shall report the relation of this branch 
of science to Homoeopathic treatment. 
An Executive Committee, consisting of three, shall be appointed by the 
President for each successive meeting, which shall arrange the necessary 
preliminary business of the Society, examine credentials, and do such 
other work as may be conducive to the efficiency of the session. The 
Secretary shall be ex officio chairman; the other members, if practicable, 
to reside at the place where the next annual meeting is to be held. 
BUREAUS AND COMMITTEES. 
Section 11. These By-Laws may, by a majority vote of those present 
at any regular meeting, be altered or amended. 
AMENDMENTS. 
The following resolutions, by Dr. Pearson, were adopted, embracing the 
sentiments of the Society on the liquor question: 
Whereas, Special efforts arc being made, by the enactment of local 
laws, to restrain the sale of intoxicating liquors; and, 
RESOLUTIONS. TRANSACTIONS of the society of 
WherExVS, The Medical Profession, not without cause, has been greatly 
censured for demanding their sale for medical purposes; therefore, 
Resolved, That this Society, representing the views of a vast majority of 
the Homoeopathic physicians of Iowa, desires to call the attention of the 
public, and particularly of our law-makers, to the following statement of 
our views in reference to this subject: 
1st. That there is but one purpose for which Alcohol is indispensable 
in the dispensing of medicines for the sick, viz: To preserve and hold in 
solution the active principle of drugs. 
2d. That the sale of Tonics and Bitters (so called) is a violation of the 
spirit of prohibition and a fraud upon the consumer, unless they be sold 
under their proper name of medicated or drugged liquors. 
Resolved, That we recommend to Temperance organizations the propriety 
of at once so changing their pledges as to prohibit their members from 
Using alcoholic liquors “as a medicine.” 
Resolved, That we do not ask that the sale of whisky, brandy, malt 
liquors, Ac., be allowed, even “for medical purposes,” and we recommend 
our fellow-citizens to insist upon the enactment of such laws as will 
prohibit the sale of any alcoholic liquors whatever for such purpose, 
except pure alcohol only. 
Resolved, That we earnestly protest against being hereafter held to any 
greater degree of responsihily than our fellow-citizens generally for the 
indiscriminate use of intoxicating liquors as “medicines,” and for opening, 
through drug stores, a door of escape for evil-doers. 
The following resolution, by Dr. Benbow, was adopted: 
Resolved, That Committees of different Bureaus, and all persons giving 
their clinical experience, are requested to give the attenuation of the 
medicine used, and the frequency of the dose. 
On motion of Dr. Dickinson: 
Resolved, That all members preparing cases on special subjects send 
them to Chairmen of respective Bureaus at least thirty days before the 
annual meeting. 
On motion of Dr. Coggswell; 
Resolved, That all papers presented to the Society, subject to action of 
the Publishing Committee, be sent to Secretary within thirty days after 
adjournment. 
1. Address by the President. 
2. Election of Secretary. 
3. Report of Executive Committee. 
4. Reading of Minutes of previous meeting. 
5. Election of Permanent and Honorary Members. 
6. Report of Treasurer. 
7. Nomination and Election of New Officers. 
8. Reports of Committees appointed at the previous meeting. 
9. Motions, resolutions, etc. 
10. Miscellaneous Business. 
11. Inauguration of New Officers. 
12. Appointments of New Committees by the President. 
13. Motions, resolutions, etc. 
14. Reading of Reports, Communications and Essays. 
15. Miscellaneous Business. 
16. Unfinished Business. 
17. Adjournment. 
ORDER OF BUSINESS. HOMOSOPATHIC PHYSICIANS OF IOWA. 
57 
MEMBERS. 
The figures at the left show date of membership. The following motion 
was carried, May, 1871: 
Moved, That those members of the Society who do not pay their dne- 
upon notification of the Secretary, he dropped from tin* roll of membership 
See, also, Section 7 of By- Laws. 
1870—Austin, P. A., M. D., Muscatine. 
1872—Adams, Nelson, M. I)., Iowa City. 
1870—Brewer, E., M. I)., Independence. 
1870—Baker, R. F., M. I)., Davenport. 
1872—Button, II. B., M. I) Iowa City. 
1875—Bi.air, G. II., M. I)., Fairfield. 
1872—Benbow, Dr. T. A., New Providence. 
1870—Cogswell, C. II., M. I)., Clinton. 
1870—Connelly, P. J., M. D., Des Moines. 
1872—Cunningham, J. W., M. I)., Council Bluffs. 
1870— Dickinson, W. II., M. I)., Des Moines. 
1871— Daum, P., M. D., Dubuque. 
1870— Du Put, N. J., 31.1)., Iowa Falls. 
1872— Davis, J. W., 31. I)., Lansing. 
1871— Eiiinger, G. E., 31. D., Keokuk. 
1871— ♦Goedecke, L., 31. I)., Belle Plaine. 
1870—Graham, 31., 31. I)., Independence. 
1870—Guilbert, E. A., 31. I)., Dubuque. 
1872— Guilbert, S. II., 31 1)., Dubuque. 
1870— Hillib, L., 31. I)., Winterset. 
1871— Hill, R. L., M. D., Dubuque. 
1870—Hindman, I). R., 31. I)., Marion. 
1870—Holt, L. E. B., 31. 1)., Marshalltown. 
1870—Hunter, A. ()., 31. D Des XoiBM. 
1873— Harris, 3Irs. R. II., 31. D., Grinnell. 
1870—Jackson, E., 31. I)., Epwortli. 
1870—King, E. II., M. I)., Clinton. 
♦Died, November 5th, 1873. 58 
TRANSACTIONS OP THE SOCIETY OF 
1870—King, J. E., M. D., Eldora. 
1878—Kunze, A., M. I) Davenport. 
1870—Lillis, W. B., M. D., Marion. 
1870—Olney, S. B., M. D., Fort Dodge. 
1870—Palmer, O. T., M. D., Osceola. 
1872—Potter, Dr. L. D., Gilman. 
1870— Patchen, G. H., M. D., Burlington. 
1871— Pitcher, A. C., M. D., Mt. Pleasant. 
1871—Porter, Mrs. M. W., M. D., Davenport. 
1870— Poulson, P. W., M. D., Council Bluffs 
1871— Pearson, C., M. D., Mt. Pleasant. 
1872— Rust, Dr. J. D., Fayette. 
1870—Seidlitz, G. N., M. D., Keokuk. 
1872—Squires, H. D., M. D., McGregor. 
1870— Stanley, G., M. D., Cedar Rapids. 
1872—Smythe, Frank, M. D., Iowa City. 
1871— Virgin, W. T., M. D., Burlington. 
1871— Whitlock, F. W., M. D., Farmington. 
1870— Worley, P. H., M. D., Davenport. 
1872— Whitaker, Dr. E. D., Union. 
1878—Wilson, A., M. D., Ames. 
1878—Williams, Wm. M. D., Chariton. 
1873— Waterman, R, W., M. D., Des Moines. 
1872—Yeomans, Mrs. Clara, M. D., Clinton. 
1871— Yeomans, S. P., M. D., Clinton.