Allopathic Opinions ) OF1 HOMEOPATHY. ) BY F. P. WEBSTER, M. D„ Entered according to act of Congress, in the year 1883, by F. P. Webster, M. D., in the office of the Librarian of Congress, at Washington, D. C. ALLOPATHIC OPINIONS OF HOMCEOPATHY Before I proceed to confirm the truth of Homoeopathy by old school authorities it is necessary that I should explain the meaning of Homoeopathy, as taught in its colleges, and prac- ticed, viz: 1st. The single remedy. 2nd. The proving of drugs on the healthy. 3rd. The small dose (not necessarily infinitesimal.) 4th. The administration of drugs in accordance with indi- cations drawn from the law similia similibus curantur, or that sick persons are to be cured by drugs which produce in the healthy symptoms similar to those of the sick persons. Symptoms may be subjective or objective. Subjective symptoms are those of which we get a knowledge through the medium of the patient’s own intelligence. They comprise the various sensations, pains, and abnormal feelings. Objective symptoms are those which are observed by the physician or by the attendants of the patient. They could be observed whether the patient were popscious or not. They are 2 the color, texture, temperature, the expression of the eyes and features generally, position, motions and attitudes of the body, secretions and excretions, auscultation and percussion ; in short, everything which the physician can take cognizance of in the sick man by the aid of the five senses, Physical and Chemical and Microscopic analysis included. The single remedy alone is used in the proving of drugs on the healthy, that the same remedy can be used to cure a similar condition when found in disease. In proving or in giving a drug to a person in health all of the symptoms, both subjective and objective, that are produced by the drug are noted down for future reference until a sufficient number of provings is made to establish its identity. In the proving of a drug small doses are first taken and gradually in- creased, so that the finer shades of symptoms and those that are more violent can be taken account of. To complete the proving the records of cases of poisoning from reliable sources are con- sulted, which form a complete picture of the drug. For instance, Arsenic, Belladonna, Mercury, &c., have their special action. For the necessity of knowing the action of drugs I will quote some of the most prominent old school authorities. Prof. H. C. Wood, in the preface to his work on Materia Medica and Therapeutics, says: “ It is the especial province of the therapeutist to find out what are the means at command, what the individual drugs in use do when put into a human system. It is seemingly self- evident that the physiological action of a remedy can never be made out by a study of its use in disease. It is certain that in experiments made with medicaments upon healthy human beings is the only rational scientific groundwork for the treatment of disease.” Sir Thomas Watson says : “ Authentic reports of trials with medicinal substances upon the healthy human body must lead at length, tardily perhaps, but surely, to a better ascertainment of the rules, preadventure to the discovery even of the laws, by which our practice should be guided.” Dr. King Chambers sneaks as follows: 3 “ And as to the use of medicines, with which it is a student’s duty to be acquainted, do you not see that the safest guide to a knowledge of their effects upon a disordered body is the knowl- edge of their effects upon a healthy body.” Prof. Stille, in his work on Therapeutics and Materia Medica, says : “ If we are ever to acquire a distinct idea of the curative oper- ation of medicines, that is, of their operation upon the tissues, organs, and functions, when they have departed from their nor- mal condition, we must possess a standard with which to com- pare the effects that medicines produce ; and no other standard is available than the operation of the same medicines upon the healthy economy.” And in another place he says, “ The action of medicines upon the sound organism of man forms an indis- pensable key to their curative operation in disease. The more thoroughly it is known, the more intelligible must the mode be- come in which medicines bring about the restoration of sound- ness of structure and function, and the more will isolated facts of therapeutics tend to arrange themselves in systematic form.” A paper read before the Cambridge Society for Medical Im- provement by Dr. Frederick F. Moore says that “ Drug action possesses individuality just as does disease, and in the practical application of our knowledge of drug action to the treatment of disease, the individuality has an important bearing. That method of drug proving, then, should be adopted, which will not only demonstrate most fully the general action of the medi- cine on the various parts and functions of the body, but which will bring also out, in the clearest manner, these individual characteristics of the drug. It may be observed, further, that clinical experience is the crucial test to which all therapeutic method must be submitted, and no so-called scientific plan is worthy of a moment’s consideration which is not in the great majority of cases supported and confirmed by the clinical method,” in other words, at the bedside of the patient. To confirm the law similia similibus curantur old school authorities only are consulted in reference to the action of drugs. Arsenic will be studied first, to be followed by a few other drugs more briefly considered. 4 Authorities: Taylor, Christison, Stille, H. C. Wood, Ringer, Phil- lips, Tilbury Fox, Pereira,, Waring, Fowler, Hunt, Trousseau, Bartholow, Virchow, Boudin, Imbert Gourbeyre. ARSENIC. Action on Therapeutics of Healthy Body. Old School I. Gastro-mtestmal Tract. 1. Mouth.—Dryness, Mucous mem- Inflammation “ malignant brane reddened and sore mouth,” ulcera- inflamed,inflammation tion, sloughing, can- of a low, malignant cram, oris, etc. [character, ulceration, sloughing, gangrene. 2. Throat.—Dryness, inflammation Inflammation, malig- of low type, tendency nant sore throat, tomlceratiou, slough- ulceration, slough- ing, etc. ing, etc. 3. Stomach.—Loss of appetite, nausea, As a stomach ''tonic, vomiting with much vomiting, especially straining and distress, of drunkards, which vomitus consists of is accompanied by water, bile, mucus, great straining and blood, etc.; pain of a distress — in such burning, gnawing cases arsenic arrests character in epigas- the vomiting, and trium, sensation of restores both appe- weight at pit of stom- tite and digestion— ach, aggravated by dyspepsia, irritative taking 'food, stomach dyspepsia, gastritis, very irritable, inflam- acute "and chronic, mation, acute and gastric ulcer, allays chronic ;d ulceration, pain and chronic gastrodynia, etc. vomiting, cancer, 4. Intestines.—Inflammation, diarrhoea, gastrodynia, etc. Diarrhoea, dysentery. stools scanty, generally stools slimy and greenish or bloody, accompa- b 1 a c sh, sometimes nied by much watery, very offensive, tenesmus and pain, accompanied by much and followed by abdominall pain and great prostration of distress, nausea and stiength. When vomiting. Stools often the diarrhoea is dysenteric; slimy, duetto serious or- bloody, accompanied ganic disease, e. g., by tormina and tenes- bowel ulceration mus ; vomiting, fol- of phthisis, etc. lowed by palpitation, arsenic is recom 4. Intestines.—trembling of limbs, mended. Cholera, great weakness and especially in stage prostration, out of all of collapse, where proportion to amount of there is great pros- stools. Symptoms often tration and thirst, closely resemble those cold clammy skin, of cholera, and the post- feeble pulse, mortem appearances are almost identical with those of cholera, ulceration, fever, etc. cramps, etc. II. Skin. Eruptions closely resemb- Eczema, psoriasis, ling eczema, psoriasis, pityriasis, acne, ur- pityriasis, acne, urtica- ticaria, pemphigus, ria, pemphigus, erythe- ma, etc. erythema, etc. III. Eyes. Conjunctivitis. Conjunctivitis. Iv. Respiratory Tract. Coryza, acute and chron- Coryza, acute and ic, bronchitis, an asth- chronic, bronchitis, matic condition, etc. asthma, etc. Y. Nervous system Chorea, epilepsy, tetanus, Chorea, epilepsy, paralysis, (paiaplegia), neuralgia, paraly- neuralgia, etc. sis, etc. YI. Heart. Palpitation, cardiac dysp- Angina pectoris, noea, prsecordial pain functional and or- - and anxiety, often very ganic diseases of severe, endocarditis, hy- pertrophy, etc. heart, etc. VII. Kidneys etc. Albuminuria, urine con- Different forms of tains renal epithelium, Bright’s disease; blood corpuscles, fat local and general globules, fibrin casts, renal dropsy, scanty urine, suppression of urine, coma, after death kidneys found congest- ed, enlarged, undergo- ing fatty degeneration, etc. The power of arsenic to produce local and general dropsies is noticed by Dr. Weir Mitchel, Dr. Fowler, and others. dropsies, etc. 6 VIII. Fever. Symptomatic in many cases due to One of the chief rem- the gaslro-enteritis set edies in intermit- up, also produces an tent fever; also idiopathic fever, which much used in ty- may affect an intermit- phoid fever; also tent type, thus closely very useful in hec- resembling fever and tic fever, which ague. Also produces a accompanies fever of the continued chronic disease of type,closely resembling lungs and intes- typhoid (most authori- ties notice this) fever. The irritative or symp- tomatic fever of arsenic stimulates a hectic form. tines. IX. Womb. Menorrhagia. Menorrhagia. Belladonna Trousseau, in his work on Materia Medica and Therapeutics, says: “ Analogy, that guide so sure in therapeu- tics, ought to lead us to use belladonna in the treatment of mania, inasmuch as belladonna, taken in large doses, produces a temporary mania; for experience has proved that a multitude of diseases are cured by therapeutic agents which seem to act in the same manner as the cause of the disease to which we oppose the remedy.” Belladonna produces inflammation of the eyes and throat and a condition resembling erysipelas. Ringer speaks in very high terms of belladonna in acute in- flammatory affections of the throat and eyes, as well as in ery- sipelas. In large doses causes convulsions, and is used in the same; it also produces a sore throat, febrile condition, delirium and scarlatinoid rash, and is used in scarlet fever by both schools of medicine. Produces irritation of the bladder, with constant desire to urinate, though very little urine is passed when the attempt is made. Is beneficial in those affections, according to many old school authorities. Causes congestion of the kidneys with defective secretion, hsematinia, albuminia, and is efficacious in such conditions, arising from cold, etc., but the condition is liable to be aggravated unless the dose is a very small one.— (Harley.) Although belladonna in the physiological state in- duces wakefulness and busy delirium, iu certain morbid states of the brain it is hypnotic.—(Bartholow.) It is a singular fact 7 that the influence of atropia rapidly produces a state of over ex- citation and irritability of the vaso motor nervous system, at first increased, soon diminishes; the action of the heart becomes weak, the vessels dilate, and the blood pressure falls below the normal. Plarley advises the use of Atropia as a stimulant. Ipecacuanha causes nausea and vomiting. “ It has long been known that ipecac, in small doses, has the power to arrest cer- tain kinds of vomiting.”—(Bartholow.) “ Induces irritation of the bronchial tubes, with cough, dyspnoea, also a condition similar to asthma. Is employed in the treatment of asthma, bronchitis, etc.” “Ipecacuanha is certainly a remedy of consid- erable power in the asthmatic paroxysm, but this seems alto- gether independent of its emetic properties. Practitioners of experience, without subscribing to the doctrines of homoepathy, will certainly think more favorably of it on account of its pe- culiar tendency to induce fits of asthma in the predisposed (Sir John Forbes.) Quinine induces a fever very similar to “fever and ague” and is the great remedy for this affection. “Each day’s experience,” says M. Bretonneau, “proves that cinchona given in a large dose determines, in a great number of subjects, a very marked febrile movement. The characters of this fever, and the time when it shows itself, vary in different individuals. Oftenest tinnitus aurium, deafness, and a species of intoxication precede the inva- sion of this fever; a slight shivering then occurs; a dry heat accompanied by headache succeeds to these symptoms; they gen- erally abate, and end by sweat. Far from yielding to new and higher doses of this medicine, the fever produced by cinchona is only exasperated * * * But if strong doses are renewed each day and continued during a long time, besides the stomach pains of which we have spoken, there manifests itself a species of fever exactly indicated by M. Bretonneau, and which affects the intermittent type when the cinchona is given in an intermit- tent manner. This fever is a species of vicious circle in which very often inexperienced physicians turn, who are ignorant of the action of cinchona; they redouble the doses of the medicine, and throw the patient into a state which may be very serious... These physiological effects of cinchona—described, in terms just given, in our first edition—have been despised and denied by 8 the greater part of physicians of our own country (France); but for some years, works at first foreign, and then French, have been written on the subject, and although the writers have at- tributed to themselves the honor of this discovery, it belongs properly to M. Bretonneau, and to-day there are few physicians who have not been able every day to confirm these facts upon which we have insisted” (Trousseau and Pidoux, Vol. II.) It is a most valuable remedy in erysipelas and erythema nodosum. It is a curious fact that in many subjects a full dose of quinia will cause erythema (Bartholow.) Bartholow says, Headache, vertigo and delerium are produced by cinchona and that he had observed great relief by the use of this remedy. Mercury acts on the liver, causing congestion, enlargement, induration, inflammation, jaundice, etc.; and Graves, in his “Clinical Lectures,” says of its curative influence in affections of the liver, “In this instance we are compelled to allow that our practice may furnish weapons to be used against us by the dis- ciples of homoeopathy.” It has been found that mercury, in full doses, diminishes and often suppresses altogether the secretion of the bile; it is an important remedy in conditions where the se- cretion of the bile is diminished. Mercury causes symptoms so very similar to syphilis, that Trousseau has considered it necessa- ry to make a careful differential diagnosis between the two con- ditions; it is the great remedy for syphilis, as is well known. Here, you perceive, we have a remarkable analogy between the disease produced by mercury and syphilis.... It is well known that some active remedies have a tendency to produce diseases some wbaf analogous to those they are known to cure. This is frequently observed with respect to mercury, belladonna, strychnine, quinine, iodide of potash, and some other powerful medicinal agents ; in fact, it is hard to expect a remedy will cure a disease affecting a certain tissue or tissues; unlesss it has soaie specific effect on such tissues; and in this point of view we have an example of the similia similibus curantur of the homoeopathists.” (Graves, Clinical Lectures, p. 784.) Prof. Ringer says : There are persons who can never take even a small dose of mercury without provoking toothache, generally in a carious tooth. In Harris’s Prinicples and Practice of Dentis- try it is recommended for toothache. 9 Mercury produces diarrhoea and dysentery and is in general use in the old school in the treatment of these affections. Recora and Grassi say, that “mercury diminishes the red cor- puscles.” “It is given in small doses by Dr. Keys to increase their number.” Iodide of Potash produces “frontal headache, coryza lachry- mation, soreness of the throat, hoarseness, and difficulty of swal- lowing—phenomena strikingly similar to summer catarrh. In- deed patients who experience these sensations for the first time, suppose the n to be an acute catarrh. Tue iodides are unques- tionably serviceable in acute catarrh. In summer catarrh or hay asthma, the best results are obtained by the use of larger doses,” —(Bartholow.) “Alarming symptoms of difficulty of breath- ing.”—(Woodman and Tidy.) “The Iodide of Potassium is one of the most effective remedies which we possess for spasmodic asthma.”—(Bartholow.) Chlorate of Potash Dr. Ringer says: “This salt appears to increase the flow of saliva, and, according to Hutchinson and others, to produce ulceration of the mucous membrane of the mouth. It is largely used in various affections of the mouth, and is of signal service in mercurial and simple salivation, in ulcerative stomatitis, and aphthae.” Copper produces vomiting. Dr. Bartholow says : “The sul- phate of copper is one of the remedies sometimes effective in the vomiting of pregnancy.” Dr. Bartholow also says it produces gastro intestinal catarrh and that minute doses of sulphate of copper render excellent service in gastro intestinal catarrh, and that it produces dysentery, colic pains and tenesmus. The sul- phate of copper is a most useful remedy in acute dysentery, colic, pains, tenesmus.” Cantharides excites irritation and inflammation of the urinary passages; and is greatly used by both schools in irritative and inflammatory conditions of these parts. Ringer speaks very highly of it in these cases. “Copaiba also produces irritation of the urinary passages, and is a well known remedy for the same. “In some cases copaiba causes bloody urine, in others I have seen a large amount of blood in the urine quickly disappear under the use of copaiba resi n.”—(Ri nger.) 10 “Nitrite of Amyl causes “flushings” by inducing dilatation of the arteries; and is very highly recommended by Dr. Ringer in the “flushings” so common in women at the change of life. What Dr. Ringer says in regard to the dose is very significant: “The author began with a minim dose, but was obliged to re- duce the quantity ; and he ultimately found that, for the most part these patients can bear one-third of a minim without any disagreeable symptoms, but that the tenth, nay, even a thirtieth of a minim will in some patients produce the desired effect on flushing.” Tartar Emetic produces irritation and inflammation of the bronchial tubes and lungs. Tartar-emetic is a very efficacious remedy in bronchitis of adults and children, and in the ordinary “lung fever” or pneumonia; and is so employed by both schools of medicine. I will now give a few extracts from a lecture delivered by Prof. A. A. Smith, Bellevue Medical College, New York, on the “Frequent Repetition of Doses,” Reported in the New York Medical Journal, February 10th 1883. “It is not my intention this morning to deliver a scientific lecture ; I shall make certain statements based upon clinical facts for which I shall not attempt to give any explanation.” I will quote the first instance: “Urticaria is often caused by the administration of full doses balsam of copaiba in cases of urethritis, or inflammation of other inucous membranes, and it may seem strange to you when I make the statement that a sin- gle drop of the same drug given every half-hour will sometimes control urticaria; 1 myself haVe often observed the efficacy of the treatment.” “Fowler’s solution, or liquor potassii arsenitis, half a drop given every half-hour for six or eight doses, will often relieve the vomiting which occurs after a debauch. It will also relieve the morning vomiting of drunkards, and is of decided benefit in the sympathetic nausea and vomiting of pregnancy.’’ “The next preparation of which I shall speak is a solution of the sulphate of atropine, one one-hundredth of a grain in a gob- let of water, a teaspoonful of which shall constitute a dose, amounting in all to about sixty doses. Now you will often be called to see cases of supposed croup, but which, in the majority 11 of instances, prove to be cases of false croup ot a reflex origin. Ordinarily, you will be able to relieve these patients by giving them a teaspoonful of this preparation every hour, or half-hour according to the severity of the attack. If the child’s face be- gins to flush, and show signs of the physiological effects of the drug the dose can be reduced in frequency.” “You will often meet with children of a nervous, excitable frame of mind, who are perhaps, naturally of a sensitive nervous temperament, who are disturbed by the slightest noise, and are unable to get to sleep before ten or eleven o’clock at night. An excellent effect will be produced by chamomilla in some one of its forms, as the tincture, administered in minim doses, every fifteen or twenty minutes.” “One of the most important remedies which can be adminis- tered with great benefit in frequently repeated doses is ipecac. You are aware that a teaspoonful of the syrup of ipecac is likely to produce emesis ; but it is also a fact, regarding which I was at first quite skeptical, that a single drop of wine of ipecac will often arrest obstinate vomiting. It should be repeated every ten or fifteen minutes. When administered in this manner, I have often known it to relieve vomiting from different causes, among which are pregnancy and subacute gastrites. Children often vomit from very slight causes, and are liable to suffer from diarrhoea and vomiting which have no other assignable cause than disturbance of digestion. A single drop of the wine of ipecac, repeated every fifteen or twenty minutes, will often pro- duce the most marked relief, both from the vomiting and from the diarrhoea. “I will now make a statement, upon the authority of Trous- seau and his enthusiastic successor, which may appear to you, as it once did to me, incredible—viz that one sixtieth of a grain of calomel taken every hour for ten or twelve hours will relieve the headache of syphilis occurring at night. I have administered it in one-fortieth grain doses in this manner and have obtained the results which they claimed for it, but I have not tried it in sixtieth grain doses. “Nursing children often vomit or regurgitate their food ; this has been relieved repeatedly in my experience by giving them a teaspoonful of a solution of one grain of calomel to the pint of 12 water every ten or fifteen minutes. Where the diarrhoea is ac- companied by mucous passages, indicative of a certain degree of inflammatory action, or enteritis, benefit will be derived from the administration of one teaspoonful of a solution of bichloride of mercury (corrosive sublimate,) one grain to the quart, every hour.” “Another extraordinary statement, which at first seemed to me to be fabulous, and may seem so to you, but which, nevertheless, you will find to be based upon clinical facts : Put a grain of tartar emetic into one quart of water; teaspoonful doses of this solution every half-hour will prove effectual for the relief of the cough and wheezing accompanying a slight bronchitis in child- ren.” “A single drop of the tincture of nux vomica given every ten minutes will often produce most marked relief in sick headache not of a neurotic origin.” “It is well known that cantharides, when given in large doses, is liable to cause imflammation of the urinary tract; but it has been found that a single drop of the tincture every hour will in many cases relieve vesical catarrh.” “You probably have heard that digitalis has been used in cardiac diseases. Certainly if you have not heard of it, you will, and, if you have already heard of it, you will hear of it again, particularly at the clinics. Ordinarily, it is ad- ministered in considerable doses only three or four times a day ; but I do not hesitate to say that the frequent repitition of the doses will produce much more benefit than larger doses at longer intervals. A single drop of the tincture of digitalis, given to a patient suffering from symptoms due to organic heart disease when digitalis is indicated, administered at inteavals of an hour or half hour, according to the severity of the symptoms, will often give greater relief than larger doses, and without liability to ill effects.” “For the diarrhoea of children, accompanied with slight in- flammation, straining, and the passage of jelly-looking matter, but not true dysentery, five drops of castor-oil given every hour in water with sugar and gum, is an excellent remedy.” “A gentleman in this city, of authority in the specialty of venereal diseases, says he has given greater relief in a short time, in cases of orchitis and epididymitis, by the administration of two-minim doses of the tincture of pulsatilla every hour than by any other mode of treatment. I can testify to the great benefit derived from the drug administered in this manner in dysme- norrhoea not of a membranous, obstructive, or neuralgic charac- ter.” “Aconite is one of the drugs to which you will probably have occasion to resort frequently when you enter upon the active practice of medicine. It has for a long time been used in quite small doses, but not so frequently repeated as it might be with benefit. There are many cases of febrile movement, with dry, hot skin, a full, bounding pulse, the mucous membrane of the throat and nose probably dry—cases in which the febrile move- ment is not the commencement of one of the continued fevers; the tincture of aconite, one-third to one-half a minim given every fifteen minutes, will be found of decided benefit.” “Two minims of the tincture of hamaraelis every half-hour will often control hemorrhages. I was at first inclined to look upon this statement with a great deal of distrust, but I have since tried it in many cases of hemorrhage from the uterus, and in the hemorrhage from hemorrhoides, and have found it of great bene- fit” “I began the use of some of these remedies administered in this manner on the recommendation of others, and I must say on a somewhat skeptical frame of mind, thinking that the effect which they produced was probably due to the moral influence upon the patient, or that it had no foundation in fact, it being a mere co- incidence that the drug administered at a time when the patients would have recovered in the absence of any treatment; but hav- ing seen benefit follow their administration repeatedly, I con- cluded they must have a wider range of usefulness, and began to use them more frequently.” The above cases can be readily verified by referring to the standard works on materia medica and therapeutics. They are only a few instances of the many which might be given to con- firm the truth of the Hahnemannian law, as well as to illustrate the fact that homoeopathy is doing something more than simply to “modify the dose” of the dominant school. To endeavor to show, from allopathic sources alone, that drugs do produce in the 14 healthy conditions similar to these which they cure, is to Work at a great disadvantage, as careful and complete provings of drugs are wanting in the records of this school. It is only in homoeopathic literature that such provings are to be found. These homoeopathic provings, however, remain unacknowledged, are even sneered at, by the old school; hence it would be of lit- tle use to bring them forward on the present occasion, as it is my endeavor to confirm the law of “Similia similibus curantur” by old school authorities. In every candid mind the question can not help arising, are these drugs, so widely different in their nature and physiological effects, acting as they do on so many different parts of the organism, the only ones subject to these generalizations ? Prof. S. W. Wetmore, of the University of Wooster at Cleve- land, Ohio, in an address read before the Buffalo Medical Asso- ciation, September 4, 1877, speaks as follows: ‘.‘After more than twenty-five years of earnest pupilage in the various depart- ments of our science, I feel that I have but a smattering of each ; but this I do know, that there is certainly something in homoeo- pathy. As philosophical practitioners, we all treat diseases homoeopath i- cally every day, without giving it a thought of the homoeopath- ic law. He who ignores a doctrine, a drug, ora remedial meas- ure, without giving it investigation, is unworthy of the name of teacher. It is true I have been culpable of that which I criti- cise ; but then I was blind. Now I see and have the moral courage to say, Peccavi. I positively knew nothing of that which I condemned. The measure and cause of my intolerance was my ignorance, as is the case in nineteen-twentieths of the physicians of our school throughout the globe to-day. He must needs be blind in more than one eye, who cannot see that its superstruc- ture is something more than imagination, faith, sugar pills, and delusion. It is seemingly unnecessary to detail the great variety of cases I have treated by the law of similiars; that there is multum in parvo, though that little be of spectroscopic dimen- sions ; and that these medical infinitesimals hold sway over morbid conditions, administered in accordance with the law similia similibus curantur\ more satisfactorily than remedies given according to the principles of contraria contrarii curantur. 15 This result being the product of my own experimentation. I am positive of my deductions.” An extract from a pamphlet by Thomas Skinner, M. D., Liverpool, England, on Homoeopathy reads as follows: “Having been connected with the practice of medicine for the past quarter of a century, it is due to the profession of medicine, to the public and to myself, that I should give my reasons for making so remarkable a change in my views of the principles and practice of my profession as to change from Alloeopathy to Homoeopathy. During my career as a physician I have always taken a decid- ed stand against homoeopathy and its practitioners, believing as I did most sincerely, that Hahnemann and his followers were not only deceived, but in turn they were deceivers. The whole system seemed to me, in my then profound ignorance of the subject, so preposterous, and so far beyond the bounds of human credibility and reason, so that no ordinary thoughtsman could be blamed if he refused to give it even a hearing, far less to take the system into his serious consideration. I was one of the physicians in this town who took an active part in prosecuting or attempting to put down homoeopathy. Like the great apostle to the gentiles, who, before his conversion to Christianity, persecuted the Church and kicked ag inst the pricks, I have persecuted the truth in another form, and I now, with bent knees, exclaim, peccavi, and trust to be forgiven. So great was my abhorence of homoeopathy, and so deter- mined was I to put it down, I was instrumental not only in passing, but also in perpetuating, the most illiberal law that ever was made by a profession styling itself “liberal.5’ The law is still existing, I believe, as one of th« code of laws ot the Liv- erpool Medical Institution, and is as follows : “The Liverpool Medical Institution shall consist of physicians, surgeons, and other legally qualified practitioners ; but no one practicing ho- moeopathy shall be eligible, either as a member of the institu- tion or as a subscriber to the library; and any member or sub- scriber who may become a practitioner of homoeopathy shall cease to belong to the institution.” Laws and Regulations of the Liverpool Medical Institution. Law II. 1861. As the existence of this law was tantamount to drawing up 16 and signing my own death warrant, I resigned my member- ship.” As it may be interesting to many to learn the chief cause which led to my intolerance of homoeopathy, I may state that I was born and educated at Edinburgh, and was a pupil of the late Professor Sir James Young Simpson, Baronet. In 1851-2 I took his gold medal in Gynecology and Obstetrics, and in 1855-56, after being about three years in practice in Dumfrie- shire, I became the private assistant of Sir James at his residence, 52 Queen street, Edinburgh. Having been brought up from my youth to recognize in Sir James Simpson the leading medi- cal light of the century, and having been in close contact with him, I could scarcely escape becoming, as it were, impregnated with his views and bias as regards the great contest between the old school of medicine and homoeopathy. So far as Sir James Simpson was capable of investigating the works of Hahnemann, he did investigate them in his own peculiar way—no quarter. He examined them only as a litterateur and a rival, never as a genu- ine truth-seeker or truth lover ought to have done. He never tried the practice on the smallest scale, except to ridicule it. If every new truth or discovery were investigated in the manner in which Sir James investigated homoeopathy, no other result could ensue but a wilful closing our eyes to the truth. Know- ing no better, and having a greatly exaggerated idea of the ca- pability of Sir James Simpson for the investigation of medical science, and being for the time spell bound by the greatness and power of his genius, which I fully acknowledge. I took his re- ply to Hahnemann and his works as a complete settlement of the question. Sir James Simpson and Samuel Hahnemann are both in their graves, but not so homoeopathy, which is only commencing to bud and develop, for magna est veritas et pre~ valebit. Truth is great and will prevail. “The Liverpool Daily Post, in commenting on the doings of the late meeting of the British Medical Association, pertinently says: What can fairly be said is that homoeopathy is practiced by properly qualified physicians, many of them men distinguish- ed in their profession, and respected by the scientific world, and that if the tenets which they have deliberately and intelligently adopted are mistaken, the mistake should be shown by rational 17 argument and experiment, and not blindly punished by irra- tional ostracism, * * * The general sentiment oi the profession has repeatedly gone wrong, A great man discovered the circulation of the blood, and that general sentiment, though the fact was demonstrated before the very eyes of the doctors, pronounced the illustrious discoverer to be a charlatan, Che value of vaccination, though clearly shown by .Tenner, was obstinately denied by the profession in his time and a new generation of doctors sprang up before the marvelous effective- ness of this preventive was generally admitted. The future, as well as the past, condemns the Association. Homoeopaths, if they choose might make a very strong point against their rival by directing their attention to the tendencies of modern science. Physical science in relation to disease most certainly tends towards homoeopathy. At any rate, if it does not believe that like cures like, it has the very best grounds for supposing that like prevents like. The germ theory, whether it be finally established or not, lias revolutionized our ideas of zymotic diseases, and has directed the inquiries of physicists and doctors into a new channel. Possibilities of prevention are coming into view which for- merly were not dreamed of. And, singular to say, these pre- ventive measures are homoeopathic in character. The experi- ments of Pasteur alone entitle the homoeopathist at least to a respectful hearing. The great French savant lias done much to demonstrate the desirability of a comprehensive system of inoculation for the prevention of other diseases than small-pox, and inoculation is in a sense homoeopathic.” The report contained in the transactions of the American Institute of Homoeopathy reads as follows: “This report em- braces 284 homoeopathic institutions, viz: I national, 3 special, 26 state and 103 local societies ; 13 clubs, 5 miscellaneous asso- ciations, 23 general hospitals, 31 special hospitals, 40 dispensa- ries, 12 colleges, 4 special schools, 15 journals and 8 directories. Homoeopathy is now adopted in 54 hospitals in the United States ; 23 of which are general hospitals designed to treat the different forms of acute disease. Of these hospitals 18 report 18 1,268 beds. They treated 6,675 patients last year (1881), with a mortality of 396, or less than six per cent., an extremely low rate as compared with allopathic hospitals. The cost of erection of 11 of these hospitals has been $770,500, and they hold in- vested funds to the amount of $230,000, making upwards of $1,000,000 that have been contributed for these homoeopathic hospitals. This is exclusive of Ward’s Island Hospital, which has been erected and supported by the Oily of New York, at a cost of nearly an equal amount. Of the 31 special hospitals, 17 report 1,028 beds. Twelve of these hospitals have been erected at a cost of $1,034,500. A careful estimate shows that the existing homoeopathic hospitals in the United States have cost over $5,000,000. The greater part of which has been accomplished within the last ten years.” The only difference in the instruction given in the Homoeo- pathic and the Allopathic colleges is that of Materia Medica and Therapeutics. All of the branches comprising Anatomy, Physi- ology, Chemistry, Pathology, Diagnosis, Surgery, Obstetrics, etc., are taught in the same manner as in the Old School and are just as essential to all practitioners of medicine. It is often remarked bv those that should be better informed, that patholo- gy receives no attention in the homoeophatic school. I make the statement on personal knowledge, being a graduate of both schools, that it not only receives the same attention but is put to a more practical use by homoeopathic physicians, as it is nec- essary to know the change that disease produces in the different tissues of the body that we may more intelligently apply the law “sirnila similibus curantur.” “In Oct. 1859, the authorities of the Michigan State Prison, taking thelead of all similar institutions in the United States, first adopted the Homoepathic treatment in the Prison Hospital. Taking first, the facts for three full years under each medical system, we have the following result: Under Allopathic treatment in 1857, 1858 and 1859, . . . Avera ge No. of in- mates per Annum. Total No. of Deaths. Total No. of days labor lost. Total cost of Hospit- al Stores. 435 m 23,000 $1,678 Under Homcepatliic treatment in 1860, 1861 and 1862, . . 545 20 10, 000 $9,00 “The improvement was obtained, notwitstanding we had to contend, during the years of 18A1-2, with epidemics of Small Pox, of which there were thirty-two cases.; of Measles, of which there were thirty cases and of Sporadic Cholera, of which there were forty-four cases. Many of these last were of a very severe type; but all were successfully treated and speedily cured by Homoeopathic doses, and without resort to any kind of heroic medication.” Taking another and later comparison, we find that in round numbers: Day’s labor Cost of lost oy sick- Hospital ness. Stores. Under Allopathic treatment in 1871 1870 and « 24,000 $1,801 Under Homcepathic treatment in 1873 and 1874 11,000 $000 While the average number of inm ites during the last two years was greater than ever before in the history of the prison. The average duration of diseases in general in the Allopathic Hospitals of Paris, Berlin, Gottingen and Stuttgart, as com- pared with that in the Homoeopathic Hospitals of Vienna, Munich and Leipzig, has been published by Dr. Kurtz in the Hygea, vol. 18, part 2. This gives the mean dural ion of hos- pital diseases to be— Under Allopathic treatment 28 to 39 days. Under Homoeopathic treatment 20 to 21 days. Investigating the comparative duration of particular diseases, and taking pneumonia, or Inflammation of the Lungs, as an example, we find upon the authority of Louis, the eminent French physician, that its mean duration, under Allopathic treatment, is 21 days; while Tessier and Henderson, Homoeopathic, equally distinguished physicians, give statistical proof that its mean duration under Homoeopathic treatment is only 12 day. This one disease is quoted only as a fair sample of all; were it necessary, equally conclusive evidence could be adduced in re- gard to others. • We very frequently hear it said that Homoeopathic treatment is'good tor children and in slight ailments, but that more heroic- treatment, ts necessary for the severe firms of disease to which* strong men are liable. To throw some light upon this point., we have checked off, in the medical .statistics of Brooklyn and Philadelphia, all the eases which have died from some of the more common acute diseases. And due allowance being made for the respective numbers of physicians, we find the ratio of deaths under the two systems to be as follows : DISEASES.- DEATH'S. Homosopathie Allopathic, Bronchitis, ............... 48 10 0 Cerebro-Spinal Meningitis, 44 10 0 Cholera Infantum*, ............. 64 100 Group,. ................. 37 100 Diarrhoea,. . - . .- ...... : 5 100 Diphtheria, . . . 63 100 Dysentery, ............... 39 100 Erysipelas, S3 100 Inflammation of Brain,- ........... >9 100 Inflammation of Botvels, . . . 33 100 Inflammation of Lungs, , . . . . 89 100 Scarlet Fever, . . . . 69 100 Small Pox, ........ r ..... . 61 100 Typhoid Fever, ... .......... 88 100 IN THE DENVER ALMSHOUSE. Allopathy Homoeopathy. 1680. 1881. Number on band, January 1st. . , . 43 82 Number admitted, ...... 711 926 Number discharged, . . . . 597 858 Number born, . . 10 13 Number died, ............. 9! 74 Number remaining, ............ Average daily attendance, . . . 82 83 67 79.4 Number of Jail and Outside patients, ..... 212 337 Total number treated, 982 1358 Mortality rate at hospital, with the number dis- charged as a basis, . . , Cost of drugs and surgical supplies in hospital, , 13 2-10 07 9-10 81747 27 $1001 25 Hospital druggist’s salary, ......... 600 00 000 00 Cost of prescriptions for jail and outside patients, 316 90 000 00 Total cost of drugs and surgieal supplies, and drug gi t’s salary, . . . . . 2664 17 1001 25 Cost per patient from the above figures, .... 2 71 73 “This result, from official records, confirms the argument of all other experience-5*