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St » ,.,, '"estlrn Bank Note &. Eng.CO.Chicago. THE Science of Homceopathy; OR, A Critical and Synthetical Exposition OF THE DOCTRINES OF THE HOMOEOPATHIC SCHOOL. Br CHARLES J. HEMPEL, M.D., author and translator of a number of standard works on HOMOEOPATHIC MATERIA MEDICA AND PRACTICE ; HONORARY MEMBER OF SEVERAL FOREIGN ANi AMERICAN HOMOEOPATHIC COLLEGES AND SOCIETIES. 'Mm& dfftita. BOERICKE & TAFEL, NEW YORK, PHILADELPHIA, BALTIMORE, SAN FRANCISCO; Boston: OTIS CLAPP & SON; Buffalo: H. T. APPLEBY; Cleveland: L. H. WITTE; Cincinnati: SMITH & PARKS, WORTHINGTON & CO.; Chicago: HALSEY BROTHERS, SEEBACH & DELBRIDGE, A. N. SMALL; Detroit : E. A. LODGE; St. Louis: H. C. G. LUYTIES, JOHN MUNSON; Minneapolis : THOMAS GARDINER; Lon- don and Manchester : HENRY TURNER & CO. 1876. Entered according to Act of Congress, in the year 1873, by CHARLES J. HEMPEL, M.D., In the Office of the Librarian of Congress, at Washington, D. C. OAXTON PRESS OF SHERMAN * CO., PHILADELPHIA. TO PROFESSOR R. LUDLAM, M.D., OF CHICAGO, THIS WORK IS AFFECTIONATELY INSCRIBED AS A MARK OF RESPECT FOR HIS EMINENT QUALITIES AS A MAN, A SCHOLAR, A TEACHER, AND A PHYSICIAN, BY HIS FRIEND, THE AUTHOR. TABLE OE CONTENTS. PAGE DEDICATION TO PROFESSOR R. LUDLAM, M. D. PREFACE...................................................................................................... V SECTION I. A CRITICAL REVIEW OF THE CURRENT DOCTRINES OF THE HOMOEOPATHIC SCHOOL. CHAPTER I. INTRODUCTION............................................................................................ ix CHAPTER II. DEFINITION OF THE HOMOEOPATHIC LAW OF CURE FROM THE STANDPOINT OF VITALISM......................................................____ 47 CHAPTER III. AN INQUIRY INTO THE POSSIBILITY OF A SCIENTIFIC CLASSIFICA- TION OF DRUGS.................................................................................... 65 SECTION II. SCIENTIFIC BASIS OF HOMOEOPATHY. PART FIRST. INADEQUACY AND UNRELIABILITY OF CHEMICAL ANALYSIS AS A MEANS OF DETERMINING THE THERAPEUTIC POWERS OF DRUGS, AND ESTABLISHING THE HEALING ART UPON A SCIENTIFIC FOUNDATION......................................................................................... 83 PART SECOND. PRESENTATION OF THE HOMOEOPATHIC LAW OF CURE AS A COS- MOGONICAL PRINCIPLE, AND AS THE BASIS OF THERAPEUTIC SCIENCE................................................................................................ 113 PART THIRD. PATHOGENESIS AND PATHOLOGY, OR, CORRELATION OF ARTIFI- CIALLY DEVELOPED DRUG DISEASES AND NATURAL MALADIES.. 161 PART FOURTH. CONCLUSION................................................................................................ 171 PREFACE. Ever since a clear perception of the glorious truths of Homoe- opathy took possession of my mind, many years ago, I have felt that it behooved me, as indeed it behooves every other true-hearted cultivator of this Science, to endeavor to develop the idea which originally gave rise to the founding of the homoeopathic School, and to establish this idea upon a basis of Scientific universality and exactness. How far I have succeeded in this task, the reader may judge for himself after perusing these pages. In this work I offer him new views on a subject of all-important and eminently practical interest, in the firm belief that my humble effort will be judged with all the honesty and leniency to which every devoted and true seeker of the Truth can lay claim. We cannot evince our reverence for the great founder of our School in a niore earnest and effectual manner than by continuing to tread the path of inquiry which his own high Reason has illum- ined with the light of wisdom. In the name of the emancipated genius whose rays have warmed the desolate and gloomy pages of Therapeutics with their life-quickening power, I protest against the dogmatic rule of an unmeaning conservatism in our School. Let us never sacrifice the Law upon which the homoeopathic edifice is founded, to accidental technicalities. Let us not exclude the dictates of Common Sense and the prerogative of Free Inquiry from the boundaries of our Science. If I have succeeded in showing that the Science of Homoeopathy is as liberal and progressive as Nature ; that it is a Truth not belonging to any one man, or set of men, but that it is heaven-born, resting upon eternal-foundations, shedding its vitalizing rays over all minds and enlightening each according to the measure of his capacity : I shall believe that I have done our Cause some service. Homoeopathy is something more than a mere Art, the exercise of which may afford us a good living and a position in Society. Let us remember that the medical systems of the day are the systems of men, which pass away and are forgotten. Written upon the pages of Nature, Homoeopathy vii mi PREFACE. invites us to study and to apply her laws, without prejudice or conceit, with the wisdom of serpents and the innocence of doves. If we pursue our studies in this spirit, Homoeopathy will unfold to our inner souls the glorious harmonies of the Divine Government, even amid the agonies of the sick chamber, and will dispose us to worship its behests in pleasure or pain, as the Fiat of Infinite Love. It may not be improper, in this place, to consider the objections which are sometimes raised by homoeopathic practitioners against didactic works like the present, in which the fundamental prin- ciples of our Science are expounded, and traced to their origin in Nature and in the over-ruling order of God's government. We want practical works, say these objectors ; we do not want any theories. In so far as any objection of this kind refers to specula- tive and fanciful hypotheses, the objection is valid, because founded in reason; but it does not preclude the propriety and duty of examining Homoeopathy as a philosophical truth, and demonstrating its validity as a law of Nature from the stand-point of universal reason. The antagonism of Old School physicians and philosophers to Homoeopathy would have disappeared long since, if instead of re-hashing and re-asserting old definitions, we had entered upon new and independent paths of inquiry, and had finally succeeded in presenting the Goddess of homoeopathic Truth stripped of all human wrappings and adventitious rules and substitutions. In the present work I do not propose to furnish a theory of my own, but to explain the Science of Homoeopathy as it is revealed by the study of Nature's own arrangement of facts. Another objection comes to us from the camp of our opposing brethren of the Old School. u We are physicians," say they ; and, in saying this, they imagine they have said everything needful to exculpate their criminal remissness in ignoring the very existence of Homoeopathy. But the Indian medicine-man, too, claims to be a physician ; the Chinese enchanter is a physician ; many spirit- mediums call themselves physicians. If the gentlemen who boast of being physicians were in possession of every truth and every curative means that might lead to the cure of every curable disease in the most expeditious, safest and most agreeable way, the argument of our Old School brethren might be accepted as satisfac- PREFACE. IX tory and final. But when it is known, and admitted by the chiefs of Old-School Therapeutics, even by such a man as Sir Thomas Watson, that the wTheels of Old-School medicine are still revolving in the same old ruts of dark uncertainty and doubt, and that all guiding principles in the treatment of diseases are still wanting, we cannot concede the justice of the appellation which our opposing brethren claim for themselves with so much unction and persis- tency. We certainly have a right to expect that, if their claims to the appellation of physicians be justly founded, they should be acquainted with at least the essentials of Hahnemann's great dis- covery. But the orthodoxy of an allopathic physician would be doubted by his co-members of medical societies, if he dared to pub- licly acknowledge his belief in the curative efficiency of reasonably small doses of medicine, when administered in accordance with the homoeopathic law, " Similia similibus curantur;" there is not one of them who has anything but derision and contumely with which to refute the claims of Homoeopathy as a therapeutic system of practical value and importance. To these gentlemen of the Old jSchool I here offer a volume which will enable them to acquire the knowledge which they are so much in need of, and which will establish some foundation for their claim of being consi- dered " Physicians." A practitioner armed with this knowledge, would cease to be a blind empiric, and would combat the enemy u Disease" with all the resources which an enlightened and truly rational Science could suggest. I cannot conclude these prefatory remarks without expressing my deep sense of gratitude to. such writers as Doctors Clotar Muller, Grauvogl, and other authorities, whose works are replete with suggestions and statements of which I have not hesitated to avail myself in preparing this volume. Although more particularly designed for the professional public, yet it may likewise prove both attractive and instructive to cultivated lay-readers. Homoeopathy is not simply a technical Science, it is preeminently Nature's Philosophy, fraught with high common sense, and with inspiring and fruitful life-truths, which may be perceived and enjoyed by every one who chooses to avail himself of God's great gift to all men: the prerogative of an unshackled reason. Charles J. Hempel, M.D. Grand Rapids, Mich., March, 1874. CRITICAL EXPOSITION OF THE CURRENT DOCTRINES OF THE HOMOEOPATHIC SCHOOL. SECTION I. SECTION I. A CRITICAL REVIEW OF THE CURRENT DOCTRINES OF THE HOMCEOPATHIC SCHOOL. CHAPTER I. INTRODUCTION. CHAPTER II. DEFINITION OF THE HOMCEOPATHIC LAW OF CURE FROM THE STAND- POINT OF VITALISM. CHAPTER III. AN INQUIRY INTO THE POSSIBILITY OF A SCIENTIFIC CLASSIFICATION OF DRUGS. xu CHAPTER I. INTRODUCTION. Although the number of publications which have already been issued on the subject of Homoeopathy, with a view of defining and popularizing the fundamental tenets of this Science, is already quite considerable, yet I have no apology to offer for adding the present volume to their list. Having devoted the best part of my life to the study and practice of Homoeopathy, I have deemed it my right, as well as my duty, to promulgate my own conception of this medical doctrine, such as years of observation and reflection have developed it in my own mind. It is true the storehouse of facts and life-truths which constitute the boundless universe of Homoeopathy has been opened; yet the Holy of Holies of her glorious temple does not yet seem to have been fully entered by the cultivators of this Science. With this conviction on my mind, this present effort of mine to add a mite to the noble work, will be considered a pardonable weakness, and will be kindly received as the tribute of an earnest and ardent seeker and worshipper of Truth. Of late years the labors of the homoeopathic School seem to have been chiefly concentrated on the cultivation of the collateral Sciences of Medicine, which were sadly neglected by the earlier disciples of Hahnemann. Homoeopathy has been practised as an Art with brilliant success ; our Materia Medica has been enriched with a number of new and carefully proved remedies ; our thera- peutic resources have been correspondingly enlarged and perfected; but Homoeopathy as a science has not been investigated with equal perseverance and success; a good deal even that is regarded by leading members of our Craft as a legitimate development of the science of Homoeopathy, will be shown by further inquiries to be foreign to her genuine domain. In the presence of such aberrations of the professional mind, every effort to demonstrate the scientific character of Homoeopathy and her perfect accord with the recent discoveries in the realm of physicism, more especially with the great doctrine of the CORRE- xiii xiv PHILOSOPHY OF HOMOEOPATHY. LATION OF FORCES; should be hailed as the dawn of a brighter day on the distant horizon of therapeutic truth. A perusal of the present work will show that it is not a rehash of worn-out arguments, but the fruit of independent thought. Whatever may be said of the merits of this book, it will be found replete with new views, new deductions, and I humbly hope, new generalizations, that may lead to still higher, more fruitful and more universal definitions. I not only commend this volume to homoeopathic practitioners of a philosophical turn of mind, who do not practise their Profession merely as a means of earning their bread and butter, but who are anxious to ascend to a clear comprehension of the fundamental truths of our Science ; but likewise to practitioners of other medical schools, who will become satisfied, after perusing these pages, that the principles and practice of Homoeopathy embody the fulness of all that is philosophically correct in the doctrines of Old School therapeutics. I would kindly urge upon our brethren the fact, a full substantia- tion of which will be presented in these pages, that symptoms, infinitesimal doses, hypothetical potencies and microscopic globules do not constitute the Alpha and Omega of homoeopathic wisdom. Let us have the science, grand, progressive, universal as Nature, and bounded only by the limits of mind. It is by worshipping at the shrine of universal truth that we best honor the great discoverer of Homoeopathy, and erect an imperishable monument to his memory. There are those among us who believe that Homoeopathy issued from Hahnemann's brain, fully armed and equipped for the contest with the old routine of bleeding, blistering, purging, or salivating the poor patients until nature had either triumphed over both the disease and the doctor, or had succumbed to the reiterated and aggravated assaults of her combined enemies. The number of these faith-men, who know of no higher authority, and of no stronger argument than the words of the master, is, fortunately for the cause of Humanity, diminishing from year to year in proportion as the number of converts to our Cause is increasing. Homoeopathic practitioners generally regard Hahnemann as the discoverer of a new medical truth which has to depend, for its highest development as a practical rule of therapeutics' and a new PHILOSOPHY OF HOMCEOPATHY. XV and higher principle of life, upon the progress of Science generally, and upon a more philosophical development of the human mind. One of the most characteristic distinctions which separates the literal followers of Hahnemann from the progressive cultivators of the science of Homoeopathy, is the theory concerning doses. The former generally hold to the doctrine that any thing more material than an infinitesimal dose of medicine, is a violation of the rules of what they are pleased to term " pure Homoeopathy." The latter, among whom are to be found the most enlightened and liberal- minded Homoeopaths in this country, as well as in Europe, hold that any dose, large or small, is legitimate and scientifically correct which will effect a cure in the most thorough, safe, and expeditious manner. I may be permitted to state that I have constantly been found among the foremost to condemn all exclusivism regarding doses, and that I have always contended, and do now contend, that it is every physician's right to prescribe such a dose of the appro- priate remedy as, in his judgment, may seem best calculated to strike down the enemy disease most effectually and quickly. No objection is made to Hahnemann's general doctrine of preparing what is called homoeopathic attenuations or triturations ; of shaking up one or ten drops of the saturated tincture of a medicine with ninety drops of alcohol, which preparation is designated as the first potency; of afterwards shaking up one or ten drops of this first potency with another ninety drops of alcohol, which preparation is designated as the second potency, and thus continue this process of potentizing or sub-dividing the drug to the third, fourth, and any other higher number. What is objected to by the more liberal-minded friends of our Cause is that the literal followers of Hahnemann have arrogated to themselves the right to say that, unless a physician recognizes the so-called high potencies as the normal, orthodox dose in the treatment of diseases, he cannot be a true Homoeopath, and should be ostracised as a faithless and destructive heretic. I will take this opportunity of declaring my adherence to a belief in the boundless susceptibilities of the human organism, which enable it to perceive the curative influences even of the most refined preparations of our drugs. I have become satisfied, by xvi POTENCIES. hundreds of successful trials, that the attenuations, from the sixth to the thirtieth, will often produce the most startling and brilliant curative effects ; and I feel likewise called upon to testify to the efficacy of the higher preparations, even the two hundredth, of Arsenic, Belladonna, Nux vomica, Ipecacuanha, Euphrasia, Nitri acidum, and a few other drugs; but I am not prepared to assert that a lower preparation would not have acted equally well in the cases where these high attenuations produced positive and even brilliant results. On the other hand, I can affirm with equal positiveness that, in hundreds of cases, I have derived more benefit from the employment of material doses than from the exhibition of the same remedy in the attenuated form. This is a fact which I am satisfied is not generally conceded by those who are in the habit of lauding the so-called high potencies as homoeopathic preparations PAR EXCELLENCE. It would be well if homoeopathic physicians would exercise the utmost liberality towards each other in the matter of dose. There is certainly no inherent wrong in resorting to high potencies in the treatment of diseases, provided they are prepared in accordance with Hahnemann's rule in a conscientious manner. The introduction and use of the so-called high potencies in our practice may involve a great loss of time and labor; but I cannot see that there is any more impropriety in using the two hundredth,than there is in using the thirtieth or even the twelfth attenuation. The great question, after all, is not so much: do such high potencies cure, but do they cure more satisfactorily than the lower preparations ? I am well aware that those who are continually parading the miraculous effects of high potencies before the readers of our journals, strenuously reject the charge of making the belief in the efficacy of these high and highest potencies and their legitimacy as orthodox developments of the Hahnemannian idea of Homoeopathy, a test by which the quality of homoeopathic practitioners as genuine followers of the master, ought to be measured. Nevertheless, I insist that the persistent manner in which the high-potency scheme is on all and every occasion placed in the fore-ground as a cardinal point of doctrine and a fundamental rule of practice, shows that the advocates of this scheme cling to it with all the tenacity of enthusiastic believers, as a tenet of paramount importance and fruitful in corresponding results. HIGH AND LOW POTENCIES. XVU I would like to be informed upon what grounds it is wrong or unscientific to employ the more material doses of our drugs. Is the use of such doses inherently improper ? Is it inherently wrong to use the common tincture of Aconite in a case of acute diarrhoea, provided the remedy is homoeopathic to the case ? Is it inherently wrong to use the common tincture of Belladonna in a case of rheumatism to which the medicine is homoeopathic ? There is nothing inherently wrong in such a proceeding; all we want to know is whether we have satisfactory evidence that in the case before us the tincture will prove more efficiently curative than the attenuated drug. If, upon good grounds, we are led to decide in favor of the tincture, we act wisely in preferring it to the attenua- tions ; the opposite course would be a gross wrong to the physician, to the patient, and to the cause of scientific truth. I have cured numbers of cases of diarrhoea, during the great cholera-epidemic of 184S, by means of the first decimal trituration of Arsenious acid. I have often given two grains of this preparation at one dose, without ever witnessing a single untoward result from such medication. In the cases where these arsenical powders were used, the outbreak of the disease took place all of a sudden • the diarrhoea was characterized by enormous and frequently- repeated evacuations having an offensive, cadaverous smell, and resembling a homogeneous mixture of dirty water and excremen- tious matter. Accompanying symptoms were: a sudden and excessive prostration, extreme coldness of the skin, sinking pulse, deathly sickness and burning at the epigastrium, collapse of the features, a feeling of anxiety and an unquenchable thirst, which could only be allayed by the frequent imbibition of small quantities of ice-water. On the other hand I can boast of equally striking curative effects obtained by means of the higher attenuations of Arsenic. A young gentleman, who had taken cold, and had indulged in a hearty supper, notwithstanding he had experienced during the day a sensation as if his bowels might become disturbed, found himself all at once laid up with an attack of dysenteric diarrhoea, character- ized by very small, muco-sanguinolent discharges,which occurred every five minutes, had a very offensive odor, and were exceedingly prostrating. The attack commenced about ten o'clock in the 2 xviii introduction. evening, and there had already been some twenty evacuations when my aid was requested. A most agonizing tenesmus had gradually set in. I prepared twelve powders of the eighteenth attenuation of Arsenicum, each powder containing the one-twelfth of a drop, and directed the patient to take a powder every fifteen minutes, until an improvement should set in. After the third powder the patient dropped to sleep, and, after sleeping four hours, awoke perfectly restored to health. Even the catarrhal symptoms had all disappeared. In subsequent pages of this work I shall furnish a number of cases where the curative efficacy of very high attenuations of our drugs will be abundantly shown. It may, therefore, be proper, in connection with my foregoing remarks, to relate here a few cases of cure, where some very brilliant results were obtained with material doses of our drugs. A young gentleman was attacked with articular inflammatory rheumatism. He was taken to a water-cure establishment, where I saw him after he had been under the usual hydropathic treatment for eight days. I found him late in the evening enveloped in a wet sheet, lying on a cot by an open window, while a pelting rain was pouring down. He was so stiff that he was unable to move either arms or legs. All the joints in his body seemed inflamed; they were swollen and excruciatingly painful. I had him taken out of the wet sheet and blankets, had the window closed, and gave him table spoonful doses of a mixture of one drop of the tincture of Aconite in a tumbler-full of water. The young man had not perspired once since he commenced his water-cure treatment. After taking a single dose of the Aconite solution he began to perspire so profusely that he was drenched several times in the night, and had to change his linen a number of times. When I visited him in the morning the rheumatism had entirely disappeared, the pulse was normal, and in a few days the patient was able to walk about as usual. A laboring man was attacked with inflammation of the hip joint. The joint was very much swollen, exceedingly painful when touched or moved, and had a rose-colored appearance. The patient had a scrofulous diathesis. I mixed three drops of the tincture of Bella- CURES WITH LOW POTENCIES. Xix donna in a tumbler of water, of which solution the patient took a table spoonful every two hours. At the end of three days the rheumatism had entirely disappeared, and in a few days more the man was able to resume his work. A young lady was attacked with inflammatory rheumatism of the abdominal integuments. The integuments were swollen, had a rose colored appearance, and were very painful to contact. The young lady complained of headache and was slightly delirious. I gave her the foregoing preparation of Belladonna and had the pleasure of seeing her restored to health in a week's time. Another young lady was attacked with inflammatory rheumatism of the abdominal integuments. The inflammation spread around the abdomen like a belt from five to six inches wide. The patient took the above named preparation of Belladonna, and was cured in less than a week. A lady was attacked with frightful erysipelas of the face and scalp. She was delirious and complained of the room being full of mice. I gave her Belladonna as above ; under the use of this drug the erysipelatous inflammation gradually and steadily subsided, and the patient was fully restored in two weeks. A young lady was attacked with erysipelatous inflammation of the neck, ears and face. The parts were frightfully swollen. The inflammation penetrated to the meningeal membranes, and caused an agonizing distress as if the brain had been cut up with knives. There was no delirium. The inflamed parts were of a deep purple color. This patient took table spoonful doses of a mixture of five drops of the German tincture of Aconite, in a tumbler of water, every hour. At the end of a week the inflammation and swelling had disappeared, and at the end of another week she was able to walk out. A lady of forty years of age had been subject to a cough, which affected principally the left lung and caused considerable distur- bance in the functions of the heart. There were occasional paroxysms of quick, although feeble palpitation. When I first saw the patient, she was confined to her bed, with signs of hectic fever XX INTRODUCTION. and night sweats. After an attack of coughing the patient raised quantities of a purulent mucus. She was unable to take a full inspiration with the left lung, and complained of considerable dyspnoea. The breath seemed to be arrested about half way. The patient was of a consumptive habit. I prepared a solution of five drops of the fluid extract of Digitalis in a tumbler of water, and gave the patient a table spoonful of this solution every two hours. She began to improve very speedily ; the improvement was more particularly marked after I had increased the quantity of the medicine to ten drops. In one fortnight from the commencement of this treatment she was free from cough and fever and able to attend to her family duties as usual. A man of forty-five years of age had been coughing for several weeks and had been losing his strength so completely that he was confined to his bed. I found him in the following condition: Every now and then a severe paroxysm of cough, more particularly at night. The paroxysms were succeeded by the raising of quan- tities of purulent mucus. The patient showed hectic flushes and had night sweats. A marked symptom in this case was a feeble, intermittent and irregular pulse. There were symptoms of oedema of the lunsrs, and the hands and feet were likewise oedematous. I prescribed the fluid extract of Digitalis as in the previous case. The patient,who was a porter in a hotel, was entirely restored to health in a fortnight and able to resume his work. A servant girl who had been melancholy and home sick for some weeks, missed her catamenia. She was attacked all of a sudden about midnight with vomiting of a grass-green fluid, attended with a feeble and intermittent pulse. The vomiting occurring again the second and third night with increasing prostration, I was requested to prescribe. The girl took a few tablespoonfuls of a solution of five drops of the fluid extract of Digitalis in a tumbler of water, after which the vomiting ceased and the home sickness likewise disappeared. A young lady was attacked with dysentery. The attacks coming on every other day at a time when fever and ague were prevailing, a few sugar-coated, one grain pills of Quinine were administered, after which there was no return of the disease. A similar treat- CURES WITH LOW POTENCIES. XXI ment was adopted in intermittent pneumonia, intermittent rheuma- tism and other intermittent attacks, with the effect of arresting these forms of masked fever and ague immediately and permanently. In a case of constitutional tuberculosis of the lungs, where the cough had assumed an intermittent type, with marked exacerba- tions every other day, and where the patient, owing to mismanage- ment and neglect, had sunk into a state of apparently hopeless consumption, with hectic fever, night sweats, a hurried pulse, extreme prostration and emaciation, the patient was speedily restored to her usual health by. means of one grain doses of Quinine taken every two, three, and finally every four hours. The treatment lasted about two weeks. A young lady of eighteen years of age returned to her paternal home, from a visit to friends in New York, with all the signs of what her parents and friends considered confirmed consumption. Her case was characterized with the following symptoms: great debility, inability to ascend the stairs or walk up-hill; bloating of the face, hands and feet, dyspnoea with slight palpitation of the heart, and a feeble and occasionally intermitting pulse ; bellows- murmurs in the region of the aorta ; great pallor of the face, with occasional circumscribed flushes on the cheeks ; attacks of vertigo with frontal headache ; constipation of the bowels with frequent and scanty discharges of a light-colored urine depositing a sediment of mucus and albumen 5 the attacks of dyspnoea were attended with a hacking cough and seemed to originate principally in an cedematous condition of the lungs. Diagnosticating this case as one of inveterate chlorosis, I prescribed five drops of the fluid extract of Digitalis in a glass of water, to be taken in tablespoon- ful doses every three or four hours. The patient likewise took two grains of Iron in the form of a sugar-coated pill every day. After this treatment had been persistently followed for four weeks, the young lady re-appeared among her friends like the picture of health. A case of purpura haemorrhagica,where the blood rushed in a torrent from the nostrils and mouth, and oozed from the pores of the abdomen and extremities, and where the resulting anaemia was attended with frightful convulsions, yielded at once to the alternate use of five-drop doses of dilute Phosphoric acid and teaspoonful XX11 INTRODUCTION. doses of five drops of the tincture of Hyoscyamus in half a goblet of water ; the medicines were repeated every ten minutes, until the patient, a boy of twelve years, dropped to sleep, and slept soundly until he awoke convalescent. A case of St. Vitus's dance, where the patient, a girl twelve years of age, had to be strapped to her bed, yielded promptly and perma- nently to five-drop doses of dilute Phosphoric acid administered every four hours; the indication for this treatment was a constantly increasing sediment of albumen in the urine. By its enemies our practice has been styled the " Infinitesimal Practice." A homoeopathic physician is one who uses infinitesimal doses. We often hear it said that " my doctor practices Homoeo- pathy 5 he gives little or no medicine." Not only lay-people, but physicians will permit themselves, in their blind fanaticism, to denounce as no Homoeopaths such of their professional brethren as employ more massive doses. The great law upon which the whole structure of Homoeopathy rests, is thus made subordinate to the incidental processes of trituration and succussion, by means of which Hahnemann accomplished a most perfect division and sub- division of the drug-particles. It is supposed by those who are in the habit of principally depending upon the so-called high poten- cies that, in thus sub-dividing drugs, we may succeed in detaching the dynamic drug-force from its material substratum and, by temporarily grafting it upon a neutral vehicle, such as sugar of milk or alcohol, enable the force to act with more freedom and power. This view has given rise to the doctrine of dynamization or poten- tization,to which I shall advert more particularly in another part of this work. Whatever, if any, truth is embodied in this doctrine, I shall show, by what I conceive to be irrefutable argu- ments, that this doctrine, as expounded and applied by the high- potentialists of our School, is erroneous, and will either have to be considerably modified or else relinquished as a baseless fabric of the fancy. It is undoubtedly true that drugs act by virtue of an inherent power or force: but they thus act whether exhibited in large or small quantities. I believe, and I shall furnish satisfactory reasons for my belief, that this drug-power cannot be separ- ated from its material substratum without the identity of the drug being utterly destroyed. I likewise hold that the DOCTRINE OF DYNAMIZATION. xxiii division of the drug-particles beyond a certain limit may result in an utter disintegration or annihilation of the drug as a remedial agent. In common with many of my co- laborers in the vineyard of Homoeopathy, I desire to rescue the law which is alone eternal and divine in our therapeutic edifice, from the mass of hypothetical trifles in the midst of which it has almost been forgotten. It is time that we should make the study and philosophical comprehension of this law our most important business; it is time that our allopathic brethren should know that a man maybe a Homoeopath without abjuring common sense; that he may be a student of Nature, a worshipper of Truth ; yea, that he professes a doctrine which is as infinite and eternal as the Providence which operates by means of it. I would invite my allopathic colleagues to dwell with grateful hearts upon the immense service which Hahnemann has rendered to the healing art, and to the cause of suffering humanity, by that simple and yet all-important contrivance, fractional doses. By means of this simple process the most active poison is transformed into a gentle and safe healing agent, which may be administered even to the nursing babe without injuring its tender organism. Truly may it be said of the homoeopathic agent that " the lion and the lamb shall lie down together and a little child shall lead them." Look at Arsenic, a poison so fierce that Hufeland, Dierbach and other great lights of the dominant School of Medicine obstinately refused to use it, as harboring disorganizing principles in its bosom which might undermine the organic life of the pulmo- nary apparatus and even destroy it by consumption. Hahnemann appears upon the stage of a suffering world, and by one flash of genius he converts the fierce lion into a gentle lamb, the harbinger of health and peace. A heavenly truth had illumined his mind ; henceforth even a virulent poison is transformed into an agent for the restoration of man's tottering health. I can affirm from personal experience that homoeopathic physi- cians who confine themselves exclusively to the use of infinitesimal quantities in their practice, throw away immense advantages which are possessed by those who know how to use low or high doses as the case may be. Enlightened practitioners of the dom- inant School, like Trousseau and Pidoux, are fully aware of the XXIV introduction. vast superiority of fractional doses. They inform us in their classic work on Materia Medica and Therapeutics, that Baudin, who has been physician in chief to the most important military hospitals in France, and whose experience in the use of Arsenic most pro- bably surpasses that of any other practitioner living, has given this agent, in fractional doses, at the rate of IS centigrammes, two grains and nearly four fifths (Troy), a day in cancerous affections, and that he has continued this medication for six weeks in succession, day after day, without exciting the least untoward symptom. Trous- seau mentions this fact as a proof of the immense advantage of pre- scribing drugs in fractional doses. I have quoted this statement not for the purpose of inviting imitation, but for the purpose of showing that in the vast series of remedial quantities, from the extraordinary extreme at which the dominant School has arrived in the matter of dosing, to the other extreme of the infinitesimal attenuations of Homoeopathy, there must be many intermediate fractions of dose that will prove acceptable, in the course of time, to moderate men of both medical Schools. Homoeopathic physicians who cannot learn a great deal from the writings and practice of recognized Old-School authorities, are to be pitied. Even on the subject of dose the great masters of that School can teach us a great deal that may prove of immense benefit to the furtherance of our own cause. On the other hand, tears of grief might be shed over the blindness and fanaticism which pre- vent allopathic physicians from studying the writings of the homoeopathic School and recognizing the practical good which that School has accomplished in the sick - room in the matter of dose. Homoeopathy has achieved the deliverance of humanity from the nauseous compounds which for thousands of years had been inseparable from the treatment of diseases as conducted by practitioners of the dominant School; under her gentle and delicate ministrations the frail bark of the patient is piloted into the haven of recovery without any of the violent perturbations of the organism which have signalized from time immemorial the therapeutics of our allopathic brethren. The employment of infinitesimal doses and the doctrine of medicinal aggravations have led to so many misrepresentations and erroneous conceptions of the doctrine of Homoeopathy that I deem it necessary to dwell upon this subject a little more fully. Through IMPORTANCE OF FRACTIONAL DOSES. XXV some unfortunate twist in the argument, homoeopathic practitioners have presented the subject of infinitesimal doses in such a manner as to convey the impression that these doses and Homoeopathy mean one and the same thing. It is a common belief among the uninformed laymen, as well as among physicians, that a disease is not treated homoeopathically unless the dose is exceedingly small. Any unprejudiced person may understand that a medicine which is specifically homoeopathic to a disease, may manifest curative results, even when administered in a very small quantity. Hahne- mann, carried away by the startling and extraordinary character of this phenomenon, made the infinitesimal size of the dose a prominent feature of his System of Practice. Outside observers have accepted this sign as the characteristic badge of Homoeopathy. It was no business of theirs to set professed Homoeopaths, who ought to have known better, right before their own law and the public. If Homoeopaths were forgetful of the great fact, that Homoeopathy does not mean either small or large doses, but a System of Practice where the curative action of a remedial agent depends upon its inherent capability to affect the living tissues similarly to the natural disease, and to overcome the latter by virtu,' of a superior affinity existing between it and the action of the drug; if Homoeo- paths, I argue, were unmindful of this cardinal truth, or were disposed to hide it under a bushel and to cover it up with all sorts of fanciful and childish baubles, why should the public, especially the professional public, who may have looked upon the homoeopathic intruder with invidious eyes, trouble themselves about informing the Homoeopaths that they had inverted the natural order of things in giving such extraordinary prominence to the theory of small doses, and leaving others to find out for themselves the basis upon which the Divine Architect of Nature had erected the homoeopathic edifice. It is not without difficulty or without exciting hostile passions that this grievous error can now be corrected, and that the law of therapeutic affinities can be rescued from the mass of adventitious absurdities by which its dignity and glory have been tarnished. The smallness of homoeopathic doses has been the subject of a good deal of ridicule at the hands of allopathic physicians. How can it be otherwise than that a globule of the two hundredth, or even of the thirtieth or twelfth attenuation of a remedy, should call xx vi INTRODUCTION. forth the derision and contempt of men who have been in the habit of dealing out Mercury to their patients by the pound. The more philosophical minds among the practitioners of the Old School, begin to see and to admit the propriety of small doses. u W e do not belong to the number of those," say Trousseau and Pidoux, in their classical work on Materia Medica and Therapeutics, " who fancy that they have done with Hahnemann after invoking Arago's authority, in order to prove that the decillionth portion of a grain is to a grain, what an atom, which is almost invisible to the naked eye, is to the bulk of the sun. The quantity of pestilential or variola-virus which is required to kill a man with the plague or variola, is undoubtedly very small, nor do we know whether Arago has ever sought to determine its weight or volume with reference to any known body." Nature delights in working out stupendous results from micro- scopical beginnings. Look at the marvellous cell-development of plants. According to an approximative calculation, twenty thousand new cells are formed every minute in the Bovista gigantea, a fungus which is met with in European countries. By filtering the juice of a ripe grape we obtain a clear, watery liquid. Already, after the lapse of an hour, it commences to become turbid, to develop gaseous vesicles, to ferment. After the lapse of three hours, a grayish-yellow layer, or yeast, collects on the surface of the fluid which, under the microscope, is seen as numberless little plants. Millions of these form in a few hours, a cubic inch of yeast containing upwards of a few millions. We read in Schleiden's " Life of Plants," that an East India nettle, the urtica stimulant, or urtica crenulata, causes by its mere contact a frightful swelling of the arm for weeks. The urtica urentissima, on the island of Timor, is called by the natives Daoun Seton (devil's leaf), because the pains which it causes by simple contact continue for years, and amputation is often the only means of saving life. These terrible effects are produced by a quantity of the poison equal to the one hundred and fifty thousandth of a grain. " It is doubtless," writes this beautiful and philosophical poet of Nature, " it is doubtless characteristic of a rude age and low deoree of culture, to measure the value or importance of a thing by its large or small size ; this measure cannot be applied to the most QUANTITY AND QUALITY. XXV11 essential and most valuable thing known to us, the human mind, which cannot be determined by feet, inches, and lines. It is only to a sensual nature that the physically large appears imposing ; the more cultivated man endeavors to learn to know the objects of his contemplation in every direction ; from a complete knowledge thereof, he will derive an opinion concerning their essential or non-essential character, and frequently he will find that that which has the smallest dimensions is of the utmost importance." Nevertheless, while upholding the use of small, and even infinitesimal doses as a proper and, in many respects, inevitable consequence of the application of the homoeopathic law to the exhibition of remedial agents in disease, I would at the same time express my emphatic condemnation of the so-called highest potencies which a few lovers of the fanciful and the marvellous have of late years sought to introduce into the homoeopathic School as legitimate and reliable preparations. If what we read on this subject, page 376 of the October number of the New England Medical Gazette, 1869, be correct, we cannot help regarding these new-fangled highest potencies as a lamentable and disgraceful perversion of Hahnemann's original method of preparing his attenuations. As regards the doctrine of medicinal aggravations, it naturally followed from Hahnemann's peculiar mode of accounting for a cure in accordance with the law " Similia Similibus." Hahnemann was a vitalist, an enlightened and true hearted believer in a vital organism, an organism in which the phenomena of vitality are developed, in accordance with chemical and physical laws, through the agency of a pre-existing vital influence or force. In his admirable Essay, entitled " Spirit of the Homoeopathic Doctrine," he expresses himself as follows on the subject of vitality and the manner in which it is affected by the pathogenetic as well as the curative power of drugs : —-"A multitude of disease-exciting causes act daily and hourly upon us, but they are incapable of deranging the physiological equilibrium of the organism; being resisted by the activity of the life-sustaining power within us, the individual remains healthy. It is only when these external inimical agencies assail us in a very aggravated form, and we are especially exposed to their influence, that we contract disease ; but even then we do xxviii INTRODUCTION. not become seriously ill unless the organism is disposed, by virtue of a peculiar inherent predisposition, to be affected by the morbific cause in question, and to be deranged in its health. " If the inimical agents in Nature, which we term morbific agents and which are partly physical and partly psychical, that is pertaining either to the bodily or spiritual range, possessed an unconditional power of deranging the human health, they would not leave any one hi good health; on account of their being so universally distributed, every one would become ill, and we should never be able to obtain an idea of health. But since, upon the whole, diseases are only exceptional states of the organism, it follows that it is only in consequence of a particular predisposition that the individual becomes liable to be affected by morbific causes, and the organism becomes capable of being disturbed by disease." "It is far otherwise with the artificial dynamic agents which we term medicines. Every true drug acts at all times, under all circumstances, on any living body, and excites in it the symptoms peculiar to the drug in a perceptible form, provided the dose is large enough; so that every human organism must always and inevitably be affected by the medicinal disease, which, as is well known, is not the case with respect to natural diseases. " All experience proves incontestably that the human body is much more readily affected by medicinal agents than by morbific principles and contagious miasms; or, what. amounts to the same thing, that medicinal substances possess an absolute power of deranging human health, whereas morbific agents possess only a very conditional power, vastly inferior to the former." According to Hahnemann's further teachings, this circumstance enables us to employ drugs for definite curative purposes, in obedience to a second natural law, which he expresses in the following proposition :—" A stronger dynamic affection permanently extinguishes the weaker in the living organism, provided the former is similar in kind to the latter; for," argues Hahnemann, "the organism, as a living, individual unity, cannot receive two similar dynamic affections at the same time, without the weaker yielding to the stronger similar one; consequently, as it is more disposed to be more strongly affected by the medicinal affection, the other, morbific and medicinal agents. xxix similar, weaker one, or the natural disease, must necessarily give way or allow itself to be cured." As if foreseeing the objection which would be raised against this mode of explaining the operation of homoeopathic agents, Hahne- mann adds:— " Let it not be imagined that the living organism, if a new affection is communicated to it by a homoeopathic agent, will thereby become more seriously deranged, or burdened with an addition to its sufferings, just as a leaden plate which is pressed upon by an iron weight, is still more severely bruised by placing a stone in addition upon it; or a piece of copper heated by friction, must become still hotter by pouring upon it water of a more elevated temperature. No, our living organism does not behave passively ; it is not regulated by the laws that govern dead matter; it reacts by vital antagonism, so as to surrender itself as an individual living whole to its morbid derangement, and to allow this derangement to be extinguished within it, when a stronger affection of a similar kind, produced by an homceopathically-acting agent, takes possession of the organism." The power which the artificial morbid affection, or the drug disease, or drug-impression rather, possesses over the natural morbific agent and its disturbing influence in the tissues, is so specific, so positive—provided the drug impression is exactly similar, or homoeopathic, to the natural disease—that, according to Hahnemann, a very small dose, even an infinitesimal globule, is sufficient to secure a return of the vital organism from the abnormal to the normal condition ; any, even inconsiderable, excess of dose might lead to rlie unnecessary, and therefore avoidable, development of medicinal symptoms. This view is expressed by Hahnemann in the concluding paragraph of his essay on the " Spirit of the Homoeopathic Doctrine," in the following language: " As the human organism, even in health, is more .readily influenced by drugs than by natural morbific agents, this influence is felt in the highest degree by an organism which is properly predisposed by disease, provided the artificial drug-disease is homoeopathic to the natural malady. Hence the smallest dose of the remedial agent is sufficient for a cure: for the spiritual XXX INTRODUCTION. power of the medicine does not, in this instance, accomplish its object by means of quantity, but by potentiality and quality; a larger dose might be injurious, for this reason, that a larger dose does not only not overcome the morbid affection more certainly than the smallest possible dose of the appropriate, or, rather, homoeo- pathically administered agent, but likewise imposes a complex medicinal disease, which is always a malady, though it runs its course in a shorter time." It stands to reason that aggravations of the morbid symptoms may occur under homoeopathic treatment, but very rarely. What seems an aggravation is, very frequently, a series of drug-symptoms running a parallel course with the pathological series, with which the former may be unable to coalesce. A variety of causes may prevent this identification of the drug-disease with the natural malady. The distance between the two series of phenomena may not have been adequately measured, or, in the nature of things, it may have become insurmountable. Peculiar idiosyncrasies, the character of the morbid diathesis, or an inherent want of affinity, may prevent a union between the drug-action and the natural disease. Supposed aggravations are very frequently critical exaltations of the morbid process. In such a case they may be unavoidable, nor may it be possible to effect a cure without them. After taking a few doses of the homceopathically selected remedy, a patient who is afflicted with chronic constipation may be attacked with a par- oxysm of diarrhoea, which, so far from being a medicinal and therefore avoidable aggravation, may be a critical evolution of the pathological process, without which no cure could have taken place. The bugbear of homoeopathic aggravations is beginning to be stripped of its terrors. Physicians have become convinced that in many cases what might seem a medicinal aggravation is noth- ing more than a natural development of the disease, caused either by too small a dose or by the non-homoeopathicity of the medicine. The doctrine that the primary effect of the homceopathically administered agent is to produce an aggravation of the original symptoms, is based upon theory rather than reality. What is real in the homoeopathic cure is the increased intensity of the vital PROPRIETY OF PALLIATIVE TREATMENT. XXXI reaction. This it is that the homoeopathic practitioner seeks to secure in administering his homoeopathically-chosen agent; the aggravation of the morbid symptoms is a secondary, incidental, and not by any means absolutely necessary accompaniment of a homoeopathic cure. I believe that Hahnemann, in explaining the action of homoeo- path] cally - administered remedial agents in his own peculiar manner, meant to convey the idea, not that after the introduction of the homoeopathic agent the organism is assailed by two inimical forces instead of one, but that the homoeopathically-acting remedy superinduces a more intensified focalization of vital reaction, resulting in the deliverance of the organic tissues from both the natural and the artificial morbid processes. This deliverance does not take place violently, but by the power of affinity. The medicine having a more direct, more positive, more definite and more circumscribed sphere of action, exercises a corresponding influence over the morbid process that is going on in the tissues. By virtue of a superior affinity it absorbs and neutralizes the morbid action, concentrating and localizing its disorganizing agency within positive boundaries. These boundaries are the impression which the medicine, as a drug, makes upon the tissues. It is an impression more specific, more direct, more positive than the similar impression made by the natural disease ; it is an impression of a more external order, as it were, having power to absorb, to localize, or to externalize, so to say, the internal disorder. This is not an act of force, of violence, but the result of a relation of affinity; the internal disturbance or disease is in closer affinity with the externally acting artificial morbific agent, or drug, than it is with the tissues of the organism ; and it is this union between the natural disease and the drug-impression that secures the restoration of the organism to a state of physiological harmony. Why is a homoeopathic cure supposed to be the result of a spontaneously- acting restorative power of Nature, the vis medicatrix Naturae 1 Simply because it is not attended by any of those violent convul- sive reactions which characterize the customary method of dosing. The homoeopathic agent acts as a gentle friend, — quietly, without an effort, without causing the least disturbance. The only sign by which the patient is made aware of the helping presence of the medicine, is the relief which he experiences from his pains. XXXI1 INTRODUCTION. Being engaged in glancing at the collateral doctrines of the Homoeopathic School in their true light before the public and the profession, let me advert to the use of palliatives, concerning which a variety of contradictory opinions have been expressed, sometimes with great bitterness, by some of the leading members of our brotherhood. The object of all true palliative treatment is to relieve pain and to restore the integrity of the physiological functions by physio- logical agents and influences. Instances of physiological treatment are the treatment of bums by the application of heat; and the treatment of a frozen limb by the application of ice and snow; friction along the spine and extremities with ice, in cases of sun-stroke ; the various methods proposed for the resuscitation of vitality in cases of asphyxia ; the use of emetics or cathartics for the purpose of expelling poisonous or otherwise injurious foreign substances from the stomach or bowels; the use of Chloroform as an anaesthetic agent, or the use of Morphine as a means of lulling pain and procuring sleep. The treatment of mania-a-potu with large doses of Digitalis, Bromide of Potassium, Cayenne Pepper, and Opium, may likewise be con- sidered as purely palliative or physiological treatment. If I should be asked what are the boundaries of palliative treatment, my answer would be, the good sense of the physician. The object of palliative treatment is to palliate pain, if we cannot cure; or to effect a cure by simple palliative means if they are sufficient for that purpose. There are many simple derangements which can be more conveniently reached by palliative than by curative means. A diarrhoea induced by a change of water on a journey, is very frequently stopped by a glass of brandy and water. A man accustomed to active exercise being suddenly confined to a sedentary mode of life, on shipboard, for instance, complains of constipation. A constipation of this kind is not a disease requiring medical treatment; a simple injection of water after breakfast a Seidlitz powder, a little Rhubarb, or any simple agent that will readily operate upon the patient's bowels without causing any unpleasant comphcations, may be all sufficient to remove the difficulty. Homoeopathic physicians generally recommend Nux vomica under these circumstances. But your Nux will fail you in PALLIATIVE TREATMENT. xxxiii thousands of cases, or it will be so slow in its operation that it is more than doubtful whether it had any agency what ever in the restoration of the physiological equilibrium. Here it seems reasonable to remove a greater inconvenience by substituting a smaller one, provided we are satisfied that the lesser evil is of limited duration, and in reality no evil at all. The use of palliatives may result in great good in cases where the ordinary curative agents fail to have the desired effect. We will illustrate this statement by the following cases: A lady, upwards of seventy years old, had a fierce attack of cardialgia, a most intense sore pain and burning distress in the epigastrium. The attack came on late in the evening, and had been caused by overloading the stomach with ice-cream and cake. The patient's extremities were cold, the pulse almost collapsed; the lady had frequent attacks of vomiting of bile, with distressing retching. For an hour I tried the remedies which seemed best calculated to afford relief, without any effect whatever. I then instituted the following process of reasoning in my own mind: " The patient and the family are alarmed; the former is unusually apprehensive of death. The cramps may not last more than a few hours even without any treatment; if this lady can have a few hours' sleep, the disease, in the meantime, will run its course, and the patient may awake free from pain." Acting upon this hypothesis, I dissolved half a grain of Morphine in six dessertspoon- fuls of water, of which solution the patient took a dessertspoonful every fifteen minutes. After the third spoonful she fell into a sound sleep, from which she awoke free from pain and in her usual health. A boy nine years old, with a consumptive habit, was attacked with a racking cough and fever. The child had been sick for some days when I first saw him. I found the following group of symp- toms : A burning fever and paroxysms of a racking cough ; hectic flushes on the cheeks ; great dyspnoea; marked dulness over the whole chest, especially the upper lobes of the lungs; no respiratory murmur perceptible in the upper half of the chest; pulse 130; bowels constipated ; urine scanty and cloudy; slight remission of the symptoms in the forenoon. I treated the child for a whole week with Aconite, Bryonia, Phosphorus, Arsenicum, and such 3 XXXIV INTRODUCTION. other medicines as the case seemed to require, without being able to effect the least improvement in the symptoms ; on the contrary, the boy grew weaker from day to day; the dyspnoea increased more and more; the pulse became fluttering and could scarcely be counted; the cough continued almost unceasingly day and night, depriving the child of all sleep and exhausting the poor little suf- ferer more than ever. At the request of the parents, I gave the child a little Morphine, in order to afford him some sleep, for which purpose I dissolved half a grain in ten teaspoonfuls of water, of which solution the child was to take a teaspoonful every half hour until he dropped asleep. On my next morning visit I was surprised to find the patient not only alive, but sleeping sweetly. He had sunk into a quiet slumber after taking the third spoonful of the solution, and was still sleeping very quietly when I arrived. From this sleep the child awoke convalescent ; he was covered with a warm moisture, the pulse had sunk to 75 beats, the breathing was full and easy, the cough loose and not very trouble- some ; the child called for nourishment, and in a week after this improvement had commencement, he was playing again in the open air. Here is a paralytic old man ; he is recovering from his attack, but as yet unable to leave his room. Being of a nervous tem- perament, he is apt to fret and worry himself into a state of the most perfect wakefulness. Ten o'clock arrives, he cannot sleep ; he fidgets and moans, and prays for sleep, all in vain; " tired Nature's sweet restorer, balmy sleep," refuses to alight upon his drooping eye-lids. If a little homoeopathic Coffee will not put this poor man to sleep, give him some Morphine, and in very many cases it will prove a blessing to the exhausted frame. Hahnemann was not, by any means, averse to the use of Pallia- tives. In his introduction to the pathogenesis of Camphor, he emphatically recommends this agent as a palliative means in the treatment of epidemic influenza. His words are : " During the febrile stage of epidemic influenza, Camphor may be used as a palliative. It is a most valuable palliative in this disease, which runs a short course; but the medicine must be administered in repeated and increasing doses, in the form which we have recommended (Spirits of Camphor.) Camphor does not shorten instances of palliative treatment. XXXV the course of the disease, but moderates its intensity, and thug secures a termination uncomplicated by danger." In the introductory chapter to Opium, Hahnemann admits the use of palliatives in the following argument: "If Opium removes some cases of cough, diarrhoea, vomiting, sleeplessness, trembling, and so forth, they are trifling cases which supervene in persons whose health is ordinarily good. In such a case, a hacking cough origin- ating in a sudden cold ; a trembling arising from a sudden fright; a diarrhoea occurring in consequence of a sudden fright, cold or some, other trifling cause ; a retching occasioned by sudden emotion, loathing, etc., may sometimes be arrested by Opium immediately. All that it is required to do is to suppress these derangements for a short period, in order to enable the previously healthy body to keep down all further inclination to similar disorders, and to pre- serve a state of health by its own inherent power of vital reaction." While the patient's consciousness, is suspended by Chloroform, the surgeon performs his most formidable operations. Why should we deprive ourselves of the great advantages which the rational use of physiological palliatives may afford 1 Would this be doing justice to our patients ? Can we ever expect to convert allopathic physicians to the doctrine that the occasional use of a mustard plaster, of a warm foot-bath, a little Morphine, ice to the head, cold water bandages, and a variety of other perfectly simple physiological means, is in contravention of the laws of Nature, or of a System of Therapeutics founded upon them 1 Can we expect to make reasonable people believe that purely hygienic and dietetic means are not very frequently the best means of cure ? All such means exist outside of our therapeutic law. They do not interfere with it; on the contrary, they facilitate the operation of the forces by means of which we cure diseases. What a deal of contumely and useless controversy we might have saved ourselves if we had never wilfully, and certainly very stupidly, abandoned the strong positions which we have a perfect right to occupy in common with our opponents. The time was when a homoeopathic physician would have been denounced by the dogmatic purists of our school, for allowing his patients the occasional use of a little Cologne water, or the sight of a flower on the toilet-table. To hold a smelling-bottle under the nose of a fainting lady, during a fit of hysteria, would have been considered & violation of the rules. We have become xxxvi introduction. more liberal in this respect; the time has come when every enlightened homoeopathic practitioner will strenuously vindicate the use of every rational means which may afford relief to the sufferer. In a work like the present, which professes to present the Science of Homoeopathy in its integrity, an examination of Hahnemann's Theory of Chronic Diseases could not be omitted without leaving a gap in my argument. The doctrine of Psora, which forms the great staple in Hahnemann's theory, has given rise to so many contending opinions in the homoeopathic School, that the author of such a work as I here offer to the professional and lay public, fulfils but a duty to his readers in presenting his own views of a doctrine which, at the present day, is rejected by the most enlightened practitioners of our school. Hahnemann derived all chronic diseases from the action of three miasms, respectively denominated psoric, syphilitic, and sycosic. According to Hahnemann the psoric miasm is the originator of all non-syphilitic, non-sycosic chronic maladies. Hahnemann, who was strenuously opposed to speculative theories in Medicine, and who combated the pathological doctrines which were in vogue at the time when the great idea of Homoeopathy flashed upon his mind, suspected the existence of a psoric miasm from the fact that the ordinary homoeopathic medicines proved insufficient in a variety of chronic ailments. Hence he was led to bequeath a doctrine of chronic diseases to a startled posterity. By his own statement, the homoeopathic edifice was not complete without it. The homoeopathic remedies, which were known at the time when Hahnemann published his "Chronic Diseases," had been chiefly employed for the cure of acute disorders. Here the superiority of the homoeopathic treatment over the old-fashioned exhibition of nauseous mixtures, violent diaphoretics or expectorants, pretended anodynes and sedatives, injections, ointments, fomentations, fumi- gations, vesicatories, cauteries, issues, and especially over those everlasting purgatives, leeches, blood-lettings, methods of starva- tion, and other medicinal tortures, had become an incontestable fact. In the treatment of chronic ailments, however, Homoeopathy was not equally successful. Hahnemann found that a chronic disease was not always radically cured by the use of remedial agents which d:d cure an acute attack. The chronic disorder was psora. xxxvii at best only palliated by the use of these agents. A momentary paroxysm might be hushed up, but an unfavorable state of the weather, a sudden and violent emotion, an irregularity in diet, would frequently cause the disease to break forth with redoubled intensity, and to challenge the skill of the practitioner. "This result," writes Hahnemann, "occurred in the treatment of all great, chronic, non-syphilitic maladies, even when it appeared to be conducted according to the precepts of Homoeopathy, as far as this science was then known. First, the treatment was satis- factory ; then it became less favorable, and finally hopeless." I have no doubt that Hahnemann spent many a sleepless night in endeavoring to fill up the gap which this unsatisfactory result in the treatment of chronic affections left in the superstructure of Homoeopathy. Here is a case of asthma, where Ipecacuanha, or Nux vomica, or Lobelia, seems to have effected a cure. The patient remains well for a time, when all at once some accidental exposure, a fatigue, a change of climate, brings the paroxysms back again, perhaps with redoubled violence. Evidently some secret enemy is here lurking in the background, whose insidious endeavors countermine the best directed efforts of Art. Let us endeavor to identify ourselves with the mind of the great Reformer at this interesting period of the history of Homoeopathy. He felt that he had been laying the foundation of a great work; a work which, in the language of the classic poet, would be more durable than brass " monumentum aere perennius ;" but the super- structure was not yet completed; the internal unity of the work required the additional cement of a more deeply-penetrating science. The sameness of the paroxysms, the order and regularity in their occurrence, the important functional and organic disorders which an apparently trifling affection would sometimes develop in its train, led Hahnemann to suspect that these various paroxysms or groups of symptoms, which practitioners would sometimes allude to as so many distinct diseases, were in reality manifestations of the same internal, deeply-hidden, hydra-headed enemy, a sort of primitive disease lying hidden in the inmost recesses of the organism and, as a chronic miasm, tainting every avenue that leads to the mysterious laboratory of vitality. xxxviii introduction. The doctrine, as expressed in these few paragraphs, is that the vital organism is tainted by a primitive miasm to which Hahnemann applied the name of psora. This internal psora may, under favorable conditions, by which we understand conditions favorable to its development, by a fall, a sudden fright, exposure, starva- tion, &c, develop itself into an active form. By gradual observation, as well as by theoretical reasoning, Hahnemann came to the conclusion that " the milder as well as the more extensive and even the most inveterate chronic diseases owe their existence to this internal psoric miasm." Most cutaneous eruptions, disorganizations, from the common wart to the largest sarcomatous tumor, from deformed nails to ramollissement of bones and curvatures of the spine, nose-bleed, varices, haemorrhoids, haemorrhages, menstrual disorders, night- sweats, chronic diarrhoea or constipation, neuralgia, chronic ulcers and inflammations, marasmus, abnormal conditions of the sexual instinct, mental derangements, hysteria, hypochondria, and even great epidemics, such as the typhus of 1813 and Asiatic cholera, are nothing but " partial manifestations of one primitive psoric miasm, in which they all originate, and whose multitudinous symptoms form but one integral disease, and ought, therefore, to be regarded and treated as part of one and the same derangement." " A few homoeopathic remedies," writes Hahnemann, " will cure even an epidemic typhus like that of 1813, in every patient infected with the disease, though each patient may exhibit different symptoms, and may seem to be afflicted with a different malady." Hahnemann evidently took the existence of this internal psoric principle for granted. We have every reason to suppose that he considered its existence in the inmost organism co-eval with the creation of man ; that, at first, it existed as a latent principle, perfectly harmless, because undeveloped, and that it first assumed a concrete form in the ancient leprosy, the origin of which is veiled by the impenetrable mists of antiquity. In thus tracing the development of the psoric disease, Hahnemann had the misfortune of falling into an error which led the foremost thinkers in the homoeopathic ranks to reject his doctrine of psora as a fanciful delusion. The error consists in regarding the itch- vesicle as the most common and most universal representative upon PSORA. XXXIX the skin, of the internal psoric disease. We know jiow that the common itch or scabies is caused by a little insect, the so-called itch-mite or sarcoptes hominis, which burrows under the skin and causes the insufferable itching and the vesicles and ulcerations by which the common itch is characterized. Let me transcribe Hahnemann's short historical sketch of the psoric disease, and present his doctrine of psora in his own language. On the twenty-fifth page of the first volume of the Chronic Diseases, Hahnemann writes as follows :—" According to the most ancient historical writings which we possess, psora existed almost fully developed in the earliest ages of mankind. Several varieties of psora have been described by Moses three thousand four hundred years ago. At that time, however, and ever afterwards among the Israelites, psora appears to have especially affected the external parts of the body. This was also the case among the Greek barbarians, afterwards among the Arabs, and finally in the uncivi- lized Europe of the Middle Ages. It is not my object to relate here the different names by which the various nations have designated the more or less malignant forms of leprosy (external symptoms of psora), by which the external parts of the body became variously disfigured. Names are of no consequence here since the essence of this miasmatic psora is everywhere the same. " In the Middle Ages Europe was visited for several centuries by the frightful psora of the occidental countries, in the shape of a malignant erysipelas, called St. Anthony's fire. In the thirteenth century it again assumed the form of leprosy. The Crusaders brought this latter disease along with them. By this means, leprosy spread in Europe more than it ever had done before, for in the year 1226 there were in France about two thousand houses for the reception of leprous patients. Nevertheless, psora spreading farther and farther in the shape of a horrible eruption upon the skin, found at least some external alleviation in those means of cleanliness which the Crusaders had brought along with them from the East, such as cotton or linen shirts, which had been unknown in Europe heretofore, and the frequent use of warm baths. These means, together with an increasing refinement and more select nourishment succeeded, in a couple of centuries, in diminishing the disgusting appearance of psora so as to reduce the disease, towards the end of the fifteenth century, to an ordinary eruption, the common itch. xl introduction. " This milder form of psora infected a far greater number than the leprous patients were able to do, whose frightful appearance caused them to be avoided by every body. The itch-vesicles scarcely appear, and may be kept concealed ; but being constantly scratched open in consequence of the intolerable itching, and the fluid being spread over the skin and over the articles which are touched by such patient, the infection takes place the more readily and certainly, and affects a larger number. In this way psora has become the most contagious and the most universal of the chronic miasms." As I stated before, it is now well known that the itch is caused by the local irritation of the skin produced by the itch-mite, the so- called acarus or sarcoptes hominis. Since Hahnemann's time, the form of the insect, and the manner in which it burrows under the skin, breeds its young from eggs, and causes its specific disorder, have been accurately described by a number of observers ; and the fact has been satisfactorily established that the destruction of this acarus by local means constitutes a cure of the itch, and that without such destruction a cure of the itch is all but impossible. Furthermore, it is well known that such local treatment is never succeeded by any of the terrible consequences which Hahnemann has assigned to it. The disorders which Hahnemann has enumerated do indeed exist, but not as a consequence of the removal of the itch by local means. The practical disadvantage arising from Hahnemann's erroneous theory, concerning the evil consequences of what he considers as a mere suppression of the eruption, consists in the fact that those who swear by the words of the master, entail upon the itch-patient a long period of avoidable distressing and loathsome suffering, which is spared him by those who, following the light obtained by recent investigations, treat the disease as a local cutaneous disorder, with such local means as are known to be effectual in exterminating the itch mite. Among these the Sulphur ointment holds the first rank. Hahnemann's error in regarding the itch as an internal psoric disease, and attributing to the removal of the itch - vesicles, by external means, a host of formidable diseases, has had the practical advantage of making homoeopathic practitioners very cautious in the application of ointments, astringent washes, and other external internal psora. xli agents. Practitioners of our school are disposed to regard eruptions as symbolic representations or vicarious substitutions for an internal disorder, which might attack the internal organism if the external sign should be suppressed by violent means. Every physician knows that in acute cases the sudden dis- appearance or the non-appearance of an eruption may prove fatal to the brain, or to some other vital viscus. Has not the incautious suppression of a chancre, or of a gon- orrhoeal discharge, led to the development of constitutional, and frequently incurable, disorders 1 Has not the drying up of an old sore, by means of an astringent wash, resulted in apoplexy or paralysis 1 Has not the suppression of an acute rash, by means of the mercurial ointment, entailed incurable spasmodic paroxysms, such as asthma and St. Vitus's dance ? Has not the violent removal of scald-head, by means of washes and ointments, resulted in hydrocephalus ? Have we not learned from abundant experience that the suppression of prurigo, eczema, intertrigo, and other chronic eruptions, may result in vertigo, rheumatism, amaurosis, paralysis, neuralgia of the extremities and abdominal nerves, epilepsy, chlorosis, mania, inflammation of the joints, coxarthrocace, white- swellings, tuberculosis of the lungs, and other disorders ? Nevertheless, let it be understood that there is no statute in the Homoeopathic School forbidding the external application of tinctures, ointments and liniments in all suitable cases. From whatever point of view these practices are advocated or rejected, the laws of Common Sense and the results of Experience appeal with equal force to the practitioners of all Schools. Hahnemann advises the external use of drugs in a variety of cases. He recommends the external use of the tincture of Thuja and Sabina in cases of figwarts. Arnica is applied by all homoeopathic physicians to bruises and contusions of the muscular fibre ; the concentrated tincture of Aconite-root and Rhus toxico- dendron to sprains, especially when accompanied by lacerations of tendons and ligaments, and if the injured parts are very much swollen and inflamed. Speaking of the alcoholic tincture of Camphor, Hahnemann recommends it as an external application in erysipelatous inflam- xlii introduction. mations. I quote from the fourth volume of his Materia Medica: " In erysipelas, where the rose-colored inflammation spreads in rays, and momentarily disappears under the pressure of the finger, Camphor, the local application of which to the skin occasions a sort of erysipelas, may prove useful when applied externally in sudden derangements characterized by erysipelatous inflammation, provided the symptoms of the internal malady are similar to the effects which Camphor is capable of producing." The interests of the living Humanity should never be sacrificed at the shrine of dogmatic theories! Truth must rule in Medicine as in all things; but while we are engaged in building up her tabernacle among men, let us adorn her altars with the graces of Charity! Hahnemann's attempt to account for the existence of all chronic non-syphilitic diseases, by the supposition that all, or at least most, human organisms are tainted by an internal psora, probably originated in the fact that Hahnemann, whom Jean Paul Richter denominated "a double-head of erudition and philosophy," must have been well aware of the existence of morbid properties, predispositions or capacities for disease, which the Creator has inscribed upon every tissue of the organism. These morbid properties remained undeveloped, latent and non-existing, as it were, while man continued to live in a state of paradisiacal innocence, and in regions where the soil, the atmosphere, tem- perature, and all other physical influences, were in perfect harmony with the primordial laws of his being. But after man's deviation from the laws of Divine Order, these morbid properties developed into actual diseases, many of which, in the course of time, became grafted, as it were, upon the human frame as constituent principles, and remained permanently inherent in its tissues by hereditary descent. These chronic maladies may manifest themselves in a variety of forms, agreeably to the nature of the morbid property or predisposition to disease from which they originally sprung; thus we may have the scrofulous, tuberculous, rheumatic, arthritic, carcinomatous, haemorrhoidal, haemorrhagic, lithiatic, herpetic diathesis; each peculiar diathesis giving rise, by its development into a concrete disease, to a series of characteristic phenomena. If Hahnemann chose to regard internal psora. xliii these chronic diatheses as so many internal miasms, and to generalize these miasms under the comprehensive name of psora, he had a perfect right to do so; but the anti-psoric remedies which he has set apart for the radical cure of chronic maladies will disappoint the practitioner in thousands of cases. We may be able to hush up the acute paroxysms of a chronic disorder, and, by the judicious use of drugs, changes of climate, diet and business, we may even succeed in permanently curing, or at least preventing the further actualization of such a disorder, but not all the anti- psorics in the world will ever free the human organism from the taint of disease which man's deviation from God's order has entailed upon the human race. This glorious result can only be accomplished by man's gradual return to a normal life in the various spheres of his being, physical as well as moral and spiritual; the appropriate use of drugs, and the suggestions of a rational system of medicine, may, of course, aid him in accom- plishing his destiny. " There is no agent, no force in Nature," writes Hahnemann, " that is capable of morbidly affecting a person in health, which does not likewise possess the faculty of curing certain morbid conditions. " Inasmuch as the power of curing diseases, and that of morbidly affecting persons in health, is found indissolubly united in all drugs, and inasmuch as both these powers emanate from the same source—viz., from the faculty inherent in every drug of dynamically affecting the condition of the organism; whence it follows that their action upon organs in disease takes place according to the same in-dwelling law as their action upon organs in their normal condition,—we finally infer that it is the same drug-force which effects a cure as that which develops morbid symptoms in health." Having corrected some of the misapprehensions which have oeen entertained in regard to some of the most important collateral doctrines of our School, I will now close these intro- ductory remarks with a fleeting glance at the spirit, philosophical unity and comprehensiveness of the fundamental generalization of Homoeopathy. I cannot do full justice, in this introduction, to a subject of such magnitude and importance; I shall review it xliv INTRODUCTION. in all its bearings in proportion as I progress in my elucidation of the definitions, and in my presentation of a philosophical analysis of the great science which is now struggling for, and must ultimately secure, a universal recognition and triumph. It is no disrespect to Hahnemann to say that his teachings on the subject of Homoeopathy are not complete. The most perfect enunciation of his great doctrine—that diseases are cured by similarly acting drugs—is found in his admirable Essay, entitled, " Spirit of the Homoeopathic Doctrine." Further than this, the discoverer of Homoeopathy has never penetrated in his explanation of the homoeopathic law. A drug cures a disease if and because it has power to develop a similar morbid condition in healthy tissues. It effects this cure because, according to Hahnemann's teaching, the drug-disease, being more powerful, more intense than the natural malady, the former absorbs the latter. In previous paragraphs I have already alluded to the fact that this teaching, so far from expressing an absurdity, as it is made to do by Hahnemann's opponents, on the contrary, expresses, this great truth: THAT THE HOMCEOPATHIC REMEDIAL AGENT CURES THE DISEASE, BECAUSE THE DRUG-FORCE EMBODIED IN THIS AGENT IS IN RELATIONS OF SUPERIOR AFFINITY TO THE NATURAL MORBID PROCESS GOING ON IN THE TISSUES. In my explanation of the homoeopathic law, I shall endeavor to penetrate a step farther than the illustrious founder of the Homoeo- pathic School has seen fit to do. I shall show that Hahnemann's doctrine concerning the essential doctrine of drug-force as a disease-producing and a disease-curing power, is depending for its truth, for its vitality, for its scientific exactness, upon the cosmic fact, THAT THE FORCES WHICH CREATE DRUGS ARE THE VERY FORCES WHICH DEVELOP DISEASES IN THE PHYSIOLOGICAL TISSUES. This is the foundation of Homoeopathy. The doctrine, as enunciated by Hahnemann, constitutes the formula of homoeopathic art ; the doctrine as expressed in this other proposition, constitutes the formula of homoeopathic science. Look at the panorama of Creation. Do we not behold Homoeo- pathy interwoven in its foundations ? To our sensual eye, the TnE LAW of cure. xlv external facts of Creation are alone perceptible ; but abstract the contemplating mind from these material phenomena, and dwell upon the mysterious mechanism of the forces which evolve them as the ultimate results of an unceasingly creating endeavor, then we shall be led to regard these forces as the active or organizing life forces of the great Whole. As viewed by man, finitely, the Act of Creation consists in the evolution of germ-forces, according to fixed laws, into concrete individualities. All germ-forces are inherent in the crust of our planet; they are recipient vessels, passive forces or forms of power. The Act of Creation is continued indefinitely by means of the forces which I have alluded to as the active forces of the great Cosmos. We may designate them as cosmic principles or essences, in contradistinction to phenomena. The concrete form, which is a reality to the physical senses, is in truth a phenomenon ; its existence is phenomenal, for it passes away. The cosmic force, the creating principle, is the only real thing, the living essence, which IS, and does not perish. Applying this doctrine to drugs, I infer that every drug results from the vitalizing influence of the cosmic forces acting upon and developing a pre-existing germ in the crust of our planet. It is not my province to account for the original act of Creation, or to assume that matter and spirit are co-eternal, or in what manner the material universe was evolved from, or projected out of, the bosom of the Infinite Creator. It must satisfy us to behold our own planet created with a boundless variety of germs which the cosmic life force, by the agency of the heat and light of our Sun, dnd the atmospheres enveloping our earth, warms into life and develops into specific forms. It is thus that each drug is created with its characteristic medicinal properties contained in its various parts—root, leaf, flower, bark and seed. The Cosmic life-force may be the same ; it produces different results in accordance with the differences of quality inherent in the medium upon which it acts. Thus it is that the rays of the sun may cause malarious exha- lations by acting upon stagnant water, and may develop repulsive forms of animal life in this fluid, whereas the same rays will likewise produce the fragrant rose by acting upon a corresponding medium. Here we are standing upon the threshold of the great Xlvi INTRODUCTION. mystery, a comprehension of which requires our most thoughtful attention. I mean the mystery which Hahnemann has so signi- ficantly, and yet so problematically, announced in the formula, " Similia Similibus Curantcr." How and why is it that every drug affects the living organism in a definite manner? The answer to this question involves a philosophical solution of this other question : What is Homoeopathy ? After the great Cosmos had been fully prepared for the reception of man, man started into being. In him the work of Creation was summed up. In him the cosmic forces and the germ-forces of Creation culminated. Hence it is that the philosophers of Egypt and Greece applied to the human organism the poetic and eminently significant appellation of Microcosm, or little Universe. By his living or internal organism, man is in relation with every cosmic force of the Universe ; by his bodily or external organism, which of itself is a mere house of clay, man is in relation with every germ-force of his planet. Applying this doctrine to the sense of sight, we say that man may see every visible object existing in him ideally ; the object itself, when met by the eye, awakens the idea to consciousness. "Seeing" is no more nor less than a conscious impression, the archetypal idea of a thing roused from its slumber, and flashing through the mind as a conscious reality. A drug affects the living tissues in a similar manner. Every drug is represented in the human organism by a recipient faculty or potency of a specific character, which may be aptly designated as a morbid property. In the normal condition of the organism the various morbid properties which the Creator has inscribed upon the living tissues, and which, if there be unity in God's system, must of necessity correspond with the drug germs in the crust of the planet, remain unperceived ; the physiological harmony of the organism overrules their development. But if a drug be made to act upon the tissues, the morbid property or properties representing the drug-germ or germs will become manifest derangements, more or less of an external character, somewhat in the nature of traumatic injuries, not seriously affecting the internal vitality and speedily terminating of themselves. Hahnemann's teachings. xlvii When man is sick, it is the cosmic life-force which developed the drug out of its germ, that develops the corresponding morbid properties of the tissues into an actual disease. Hence diseases may be defined as morbid properties developed into pathological activities by the life force of the Cosmos. A development of this kind can only take place in abnormal conditions of the organism, such as exposure to wet, draughts of air, excessive heat, exhaustion in consequence of over-work, watching, &c. Now act upon this disease, which is here subverting the physio- logical unity of the organism, by means of a corresponding drug— that is to say, a drug capable of eliciting upon a more external plane effects analogous to the phenomena which characterized the natural morbid process—and the life-force of the Cosmos, which in reality constitutes the vital or life-force of every animal organism, will appropriate the drug-impression to the diseased tissues, and gradually restore them to their normal condition. Thus Hahne- mann's teachings will be verified: THAT THE MORBID PROPERTY WHICH, UNDER FAVORABLE CIRCUM- STANCES, HAD BEEN DEVELOPED INTO A CONCRETE DISEASE, IS RESTORED TO ITS PASSIVE OR LATENT CONDITION BY BEING ACTED UPON BY A CORRE- SPONDING DRUG. For the benefit of the uninitiated reader I repeat, in conclusion, that infinitesimal doses, medicinal aggravations, and other col- lateral doctrines and peculiarities of the Homoeopathic School, do not constitute the essentials of Homoeopathy. Dose is the transient and accidental, the purely human in this Science. The essential and permanent, or the truly divine in Homoeopathy, is the law upon which her superstructure rests in the eternal Providence of God, and in the framework of Nature and the human mind. Hahnemann has generalized the facts of Homoeo- pathy in the terse and well-known formula, " Similia Similibus Curantur," or " Like cures Like;" by which is meant that drugs cure diseases by virtue of a power inherent in every drug to affect certain tissues or organs in a specific, and therefore positive and fixed manner. A drug, in order to become a remedial agent in accordance with the homoeopathic law, has to be possessed of a specific power to affect the organism in health similarly to what it is affected by the malady to be removed. By the term xlviii introduction. "Similarity " in this statement is not meant a men1 external resem- blance of the symptoms of drug-action to the apparent symptoms of the disease ; but an inmost correspondence between the essential nature of drug-action and the essential nature of the pathological process to be hushed up or neutralized. Thus certain forms of gastric irritation will readily yield to Ipecacuanha, because this agent is capable of inducing similar morbid conditions of the stomach. Other forms of gastric irritation will as readily yield to Ignatia, Nux vomica, or Arsenic, for the very reason that these agents will irritate the coats of the stomach in the same specific manner that we find them irritated in certain forms of dyspepsia or gastrodynia. Aconite will cure certain forms of tetanus, because it has power to induce similar attacks. Belladonna, Hyoscyamus, and other drugs, will cure meningitis, because we know by abundant experience that the cerebral membranes, as well as the substance of the brain, are affected by poisonous doses of these agents similarly to what we know them to be affected by a natural process of inflammation. It is needless to multiply these illus- trations. They will suffice to show the general character of the homoeopathic method of treating diseases. The results of homoeopathic treatment come home to the simplest understanding. All the repulsive features of the old- fashioned method of treating diseases are effectually removed by Homoeopathy. Owing to the comparative smallness of our doses, our preparations can be made sufficiently pleasant to become acceptable even to the delicate palate of children. Of course, Homoeopathy does not profess to do away with the necessity of surgical operations. Chemical poisonings have to be neutralized by chemical antidotes, and mechanical irritations have to be removed by mechanical appliances, or by evacuants of a more massive order. We do not desire boastfully and foolishly to claim infallible success for the treatment of diseases in accordance with the homoeopathic law; we are content with pointing to the clinical records of our respective schools. Under homoeopathic treatment, a severe affection, like pneumonia, becomes a comparatively harmless disorder, and yet the lancet and the leech have been effectually and, I have no doubt, forever, superseded by the ACONITE. xlix mighty depressor of the pulse, the Aconitum napellus, or the common monkshood, and its American compeer, Veratrum viride. If Hahnemann had done nothing more than to reveal the vast curative resources of Aconite, he would deserve the eternal gratitude of mankind. This single agent shows how irresistibly the mighty truths of Homoeopathy are encroaching upon the domain of Old-School Therapeutics. As late as twenty-five years ago the tremendous powers of Aconite were comparatively unknown, even to leading Old-School practitioners. How does the case stand at the present moment ? In a recent number of Braithwaite's Retrospect, we read, on page 203, the report of a number of cases that had been treated internally with Aconite by Doctor Prosser James, of the London City Dispensary. At the conclusion of his report, the editor of the Medical Press remarks : "These cases illustrate very well the practice of Doctoi James in the internal use of Aconite. He has employed it in several thousand cases of various diseases, mostly those in which there is increase of the heart's action. He employs it frequently as a febrifuge instead of salines, attributing to it the power of reducing the pulse and relieving the whole train of febrile symptoms. It is particularly useful as possessing certain anodyne qualities. There are few diseases in which the experiment has not been made. All cases characterized by nervous excitement seem to be benefited. Many forms of palpitation are at once cured. Doctor James has frequently used it in organic diseases of the heart. Its powerful action on the heart is shown by the rapid fall of the pulse in each of the cases reported above." The dose, in these cases, was a drop of the strong tincture every three, four or six hours, as the case might be. A smaller dose would undoubtedly have done just as well, and would have saved the patients the unpleasant sensation of "pins and needles," of which they uniformly complained after taking a few doses of the drug. Hahnemann was acquainted with this use of Aconite, and employed this agent in the above-mentioned diseases as early as the year 1810. The distinguished Liston recommended Belladonna to his class as a remedy for erysipelas. He told his hearers that he had used 4 1 INTRODCCTION. Belladonna for this form of inflammation with marked success, upon the recommendation of Dr. Quin, one of the leading homoeopathic physicians of London. In his published Clinical Lectures, the late Professor Schoenlein, of the University of Berlin, recommends Pulsatilla, in doses of one-sixteenth of a grain, for amenorrhcea; the Professor had learned the use of this drug in the above-mentioned derangement from Hahnemann, although he takes care not to mention the fact. Homoeopathy has exerted a refining influence upon the mode of practice which had been pursued by Old-School physicians up to the time of Hahnemann. Bouillaud's " coup sur coup " practice in pneumonia would now be considered murderous by the most bloodthirsty worshippers of the lancet. Physicians of the dominant school have reduced the size of their doses, until the use of active drugs has almost become obsolete in some of the foremost Universities of Europe. Medicines are presented in a much more palatable form than formerly ; and the disgusting compounds which physicians deemed it their pride and glory to prescribe previous to the advent of Homoeopathy, have been utterly banished from the prescription books of the Old School. Let us be thankful for these gradual but substantial improvements in the management of diseases; the time will come, and is, indeed, fast approaching, when justice will be done to Hahnemann and his great discovery. CHAPTER II. DEFINITION OF THE HOMOEOPATHIC LAW OF CURE FROM THE STAND-POINT OF VITALISM. Hahnemann was a vitalist; he believed in the existence of that mysterious power in whose action upon the tissues of the organism all the manifestations of vitality originate. In his Essay, entitled " Spirit of the Homceopathic Doctrine," he expresses himself as follows : " What life is can only be inferred from its phenomenal manifestations; no conception of it can be formed by any metaphysical speculations a priori ; what life is, in its actual, essential nature, can never be ascertained, or even guessed at, by mortals. " Life cannot be compared to anything in Nature save to itself alone; neither to a piece of clock-work, nor to an hydraulic machine, nor to chemical processes, nor to decompositions and recompositions of gases,—nor in short, to anything destitute of life. Human life is in no respect regulated by physical laws which only obtain among inorganic substances. The material substances of which the living organism is composed do not follow the laws to which inanimate material substances are subject; they are regulated by the laws peculiar to vitality alone ; they are them- selves animated just as the whole system is animated. Here a nameless, fundamental power reigns omnipotent, which suspends all tendency of the material constituents of the body to obey the laws of gravitation, of fermentation, putrefaction, etc., and renders these constituents subordinate to the wonderful laws of life alone ; in other words, maintains them in the condition of sensibility and activity necessary to the preservation of the living whole, a condition almost spiritually-dynamic." Here we have Hahnemann's confession of faith as a vitalist expressed in simple and beautiful language. We cannot under- stand how a Homoeopath, one who really believes in and has a full (47) 4S HOMCEOPATHIC LAW OF CURE. perception of the truth of Homoeopathy, can be anything else than a believer in the existence of a vital organism to which this perish- able, physical organism serves as a connecting link and a means of objective manifestation. The physical stimuli are indeed necessary to vital manifestations, but they are not sufficient to originate life. If the lungs of the new-born infant were not previously endowed with vitality, they could never be made to breathe by the mere contact with atmospheric air. The vital movements are all carried on in agreement with, not in opposition to, physical and chemical laws, but the laws of Physics and Chemistry do not originate the vital movements. The material organism of itself is not a living machine; it is simply the envelope of a more interior, living, imperishable organism. That in us which is called the soul cannot exist without an organism either here or hereafter. That supernal beings have manifested themselves to mortals in the form of men, with organisms having in all respects the human form, will not be gainsaid by any believer in scriptural revelations. Even the Saviour of the world, after His Resurrection, manifested Himself to His Disciples in the human form. The material organism connects man with physical Nature; of itself it is dead. The spiritual organism, to which the former serves as a vehicle or instrument for vital manifestations, connects man with the spiritual world, which is the only living world, the grand Esse, the world of essential substances, which, by then- action upon material Nature, achieve an unceasing creation, and develop and perpetuate Nature's individualities. It is not sufficient to say that the material organism is animated by a soul; the soul would not be capable of carrying on the functions of vitality without the aid of an intermediate organism, which, by means of the nervous system, controls the physical organs for the per- formance of the complex movements and purposes, the sum of which constitutes Life manifested in Act. The fact that the vital or the spiritual-dynamic organism, as Hahnemann is pleased to designate it, achieves its behests by means of the material tissues, in accordance with chemical and physical laws, does not degrade this organism to a mere material machine, any more than the affection which manifests itself by the presentation of a bouquet or a work of art becomes on that account a material object. If the chemist is unable to discover any trace of the spiritual-dynamic HOMCEOPATHIC LAW OF CURE. 49 organism in his crucibles and retorts, it is because this organism is, by its nature, beyond the reach of chemical re-agents. A denial of this vital organism by chemical physiologists, for no better reason than because perceptible traces of it are beyond the limits of the microscope or the resources of the laboratory, implies a degree of mental obtuseness or perversity, of which no clear-headed Homoeo- path should ever render himself guilty. (See Note, p. 177.) The labored attempts of chemical physiologists to arrive at a solution of the great problem of disease by chemical analysis and research, have so far proved utterly valueless in a therapeutic point of view. Chemists oppose Homoeopathists by virtue of an inherent antagonism of doctrine and conviction. Chemists look upon diseases as resulting from the disturbance of the chemical formulas and the osmotic movements of the organism. Homoeo- pathists, on the contrary, regard all deviations from the normal chemism of the living body as results of an abnormal course of vital action. Some morbid property of the organism had been excited into manifestation under favorable circumstances, and had given rise to abnormal physiological action. What confidence can a Homoeopathic physician place in the efforts made by Chemists in the domain of Therapeutics, when even such a distinguished man as Professor Draper gives utterance to such teachings as the following?—page 184 of his "Human Physiology:" "Although we cannot interfere with the rate of respiration, we can affect the quantity of air introduced into the system by artificial means, as in the operation of blood-letting; for though, after blood has been drawn, we may make the normal number of respirations, seventeen in a minute, and for each introduce seventeen cubic inches of air, we have diminished the number of discs, which are the carriers of oxygen ; and, as the experience of physicians in all times has shown, there is no method so effectual in reducing any unusual or febrile temperature." What can a Homoeopath learn from such doctrines ? How can even an Old-School physician profit by them, if even one of their leaders, Professor Niemeyer, informs us in his late work on the Practice of Medicine (page 184, Vol. I., of the American translation), that, if a dear friend of his should be attacked with pneumonia, he would have him treated by a Homoeopathic 50 HOMCEOPATHIC LAW (>F CURE physician ? His words are: " Highly as I prize venesection. however, in certain emergencies which may arise in the disease, I had rather that any one dear to me, and sick of pneumonia, were in the hands of a Homoeopath than in the hands of a physician who thinks that he carries the issue of the malady upon the point of his lancet." We could not give an intelligible account of the Homoeopathic law, and the operation of our small doses of medicine, if we did not take the broad ground that there exists within the material tissues an invisible, it is true, but, nevertheless, real and substantial living organism, which cannot be tainted by disease, although it may have to perform the functions of vitality imperfectly, and hence be compelled to realize abnormal vital manifestations, in consequence of the abnormal chemism which the rousing up of morbid properties may have realized in the tissues of the physical organism. The spiritual-dynamic organism is not a reasoning creature ; it weaves the thread of life with such material as is furnished it on the physical plane of human existence. If this material is deficient or imperfect, or if the conditions in which the physical organism exists are antagonistic to its vital harmony, the vital organism or, which amounts to the same thing, the vital principle or vital force cannot be expected, nor will it be able, to realize an harmonious vitality until the obstacles to this realization are removed, either by the self-healing powers of Nature, or by the aid of appropriate remedial agents. Having premised this much, and having emphatically declared my adherence to a belief in a vital organism, as an indispensable factor to the manifestations of vitality, I am now prepared to proceed to a general definition of the Homoeo- pathic Law of Cure, in accordance with the rigorous demands of an inductive logic. Medicine must either have become known to man by revelation or by the slow process of observation. It is not probable that Providence ever revealed to man the uses of drugs by any other method than that of experience. If he did possess such a revelation at any time, it is certain that all traces of it have disappeared, and that, as far as existing records bear us testimony, Medicine is emphatically a science which, under the over-ruling Providence of God, has been developed by human reason, and is being enlarged FROM THE STAND POINT OF VITALISM. 51 and perfected more and more by a more accurate perception and a more universal unfolding of the facts which constitute its legitimate domain. We can easily imagine that at one period, in the first ages of the world, man must have been totally ignorant of all distinction between poisons and nutrient substances, and that, not being possessed of instinct, which, to the animal is a perfectly safe guide in the selection of its food, he may have mistaken the deleterious berry of the Atropa Belladonna for some pleasant fruit, or a poisonous mushroom for an innocuous vegetable. The proba- bility is that man frequently allowed himself to be deceived by appearances, and that he was frequently beguiled into the notion that what seemed beautiful and attractive to the eye must be pleasant and useful as an article of diet. Reason tells us that experience and observation were man's first guides towards the acquisition of knowledge, and that his first initiation into the properties of poisons must have been the fruit of painful and fatal mistakes. But a knowledge of the properties of poisons did not, by any means, imply a knowledge of their uses as medicinal agents. The fact that poisons are possessed of thera- peutic properties must have been suggested to man by his gradually unfolding reason. A knowledge of this fact, although confirmed by experience, yet must have been primarily arrived at by a process of deduction from accidental cases of poisoning. This must have been the beginning of a knowledge of drugs. To the physiological physician, as well as to the uneducated layman, the broad classification of all created substances which are in relation with, and subserve the purposes of the human organism, into drugs and hygienic agents, must seem sufficient, so far as the physiological or pathological life of the organism is concerned. Hahnemann has made this classification one of the corner stones of his great system. Trousseau and Pidoux adopt the same classifica- tion in their Treatise of Materia Medica and Therapeutics. " Every drug," say these brilliant writers, " has positive properties very different from those which characterize hygienic agents. These modify health, drugs modify diseases. In order to sustain health, the former are possessed of properties which are agreeable to a healthy, and disagreeable, or even hurtful, to a sick man. In order to cure diseases, drugs, on the contrary, are possessed of properties which are disagreeable or hurtful to a healthy person, and useful, or 52 HOMCEOPATHIC LAW OF CURE even agreeable, to one who is sick. Hence, there is the same opposition between a drug and a hygienic agent as between disease and health; or the same repugnance between a drug and a healthy man as between aliments and a sick man. In order to establish these two propositions, we evidently select two well-defined types, viz., a drug possessing in an eminent degree the unpleasant and hurtful properties of its class, and an acute, specific and serious disease developing in the organism this strange change which seems to ingraft upon it, for a shorter or longer period, a life entirely different from the ordinary vitality. " Hence, for the same reason that the disease calls to mind the drug, and assists us in finding it; the drug enables us to trace the disease, and protests against the disease being compounded with a purely accidental physiological disturbance." It is impossible to draw the distinction between medicinal and hygienic agents with more clearness and force than Trousseau and Pidoux have done in this paragraph. The concluding lines are, moreover, fraught with a momentous truth. As the disease calls to mind the drug which is peculiar or specifically adapted to it, so does, on the other hand, the drug enable us to trace the disease. What is the meaning of this proposition 1 How does the drug enable us to trace the disease ? In other words, in what manner or by what signs does the drug reveal to us the disease with which it is in curative rapport ? There is but one way in which this result can be accomplished by a drug. It is by proving the drug upon the healthy organism. The drug-effects thus produced by pure or positive experimentation indicate the pathological condition with which the drug is in curative correspondence. Trousseau and Pidoux praise Hahnemann and his disciples for the persistent efforts they have made in endeavoring to determine, by positive experimentation, the therapeutic range of every drug ; yet, all the magnificent contributions to the Materia Medica which Hahnemann and his followers have furnished, simply reveal to those gentlemen the existence of an additional cathartic, anti-phlogistic or diuretic ; the idea of a specifically homoeopathic relation of drugs to diseases does not, as yet, seem to have dawned upon their minds. Nevertheless, their teachings must appear precious to every intel- ligent friend of our cause. FROM THE STAND POINT OF VITALISM. 53 The drug not only enables us to trace the disease with which it is in therapeutic rapport, but it protests against the disease being looked upon as a simple physiological disturbance. This teaching of the celebrated Trousseau requires an explanation which will show that it is likewise precious to the homoeopathic inquirer. At the time when Trousseau and Pidoux published the first edition of their work, the Physiological School flourished in all its glory. Broussais was its most ardent champion. He held his clinics at the Val de Grace, one of the largest military hospitals of Paris, during the first invasion of the cholera, in 1831. His great treatment consisted in giving ice and applying leeches. Over one hundred of these little monsters were applied in a single case at the same time. Patients were literally bled to death. Such a ferocious consistency of doctrine had hardly ever been witnessed before. What is the doctrine of the Physiological School to which Broussais had vowed allegiance ? The Physiological School is founded upon the anatomical theories of Bichat, according to which tissues and organs are each endowed with a somewhat independent vitality which may be depressed or unduly excited by adequate causes. Inflammation, according to the Physiological School, is simply an excess of vitality; rheumatism, for instance, an excess of vitality, in the fibrous and muscular tissues; scrofula is a simple modification of the lymphatic vessels; insanity, a simple exaltation of the cerebral functions. Thus it is that, according to the doctrines of this School, diseases cease to be pathological conditions, and are reduced to the rank of simple physiological disturbances, which are to be met simply by physiological means. A state of vascular engorgement, or hyperaemia, as it is termed, is sought to be counter- acted by leeching or cupping the offending part. If the bowels are torpid, and this torpor arises from deficient action of the great secretory organ of the bile, the Hver is chastised for its want of functional activity by a few grains of Calomel, which are supposed to have the effect of stimulating this viscus to greater efforts in the business of pouring a sufficient quantity of bile into the bowels, and properly keeping up their peristaltic motion. The physiological physician holds the organ responsible for the non-performance of its 54 HOMOEOPATHIC LAW OF CURE functions, and tries to modify its functional power according as his theory may lead him to apply stimulating or depressing agents for such a purpose. I am anxious to convey a clear perception of the fundamental error upon which the superstructure of the Physiological School is erected. The Physiological School denies the existence of that which constitutes the life and essence of the science of Therapeutics : THE REMOVAL OF DISEASES BY MEANS OF SPECIFI- CALLY ADAPTED REMEDIAL AGENTS. There are two classes of physiological physicians, one class comprising those who employ drugs, and the other class those who do not employ any. The method pursued by this latter class, is designated as the expectant method of treatment. Although these two methods, the active drugging or dosing method, and the passive or expectant method, seem to be not only different from, but opposed to each other, yet a closer examination will show that this difference or antagonism is only apparent, and that both these classes of physicians practice their art in the same spirit, though not in the same manner. Why do Broussais and his followers employ an active medication ? Is it for the purpose of curing the disease 1 Apparently, but really with a view to modifying the physiological life or activity of an organ or tissue. For this purpose they seek to make an impression upon it by means of a substance which ceases to be a medicinal or therapeutic agent, and is converted by them into a simple physiolog- ical agent, differing from true hygienic agents by its quantitative, not by its qualitative power. What need have the physicians who swear by this philosophy, of therapeutic agents 1 Disease being a purely accidental alteration of the physiological functions, the Materia Medica becomes an useless classification of names for pathological abstractions, not for essentially-distinct, abnormal conditions of the organic life ; in the hands of these gentlemen the Materia Medica is a waste leaf in the great book of Nature. Both hygienic and therapeutic substances are merged in physio- logical agents. If the stomach craves food, we feed it on bread, meat and vegetables ; but if this craving should exceed the ordinary FROM THE STAND POINT OF VITALISM. 55 limit; if it should become excessive, a disease in fact, though not so considered by the physiological physician, bread and meat may not be sufficient to gratify the unceasing demands, physiological demands, of the stomach. This excessive desire for food is gratified, not by bread and meat, but by Opium and Alcohol. Opium and Alcohol are administered as physiological, not as therapeutic agents ; they arrest the excessive craving for food more energetically, more positively and absolutely than ordinary hygienic agents are capable of doing. If the salivary glands secrete too much saliva, the physiological physician does not look upon this abnormal secretion as a disease, but as an excess of physiological action; and forthwith he proceeds to apply suitable means to restrain the. excessive action of the organ. A little Opium or Alum may lessen this immoderate desire for physiological action. In the dictionary of the physio- logical physician the term " Therapeutics " is expunged. He does not recognize medicinal agents as such ; he believes in Mercury, Opium, Tartar emetic only in modifying the physiological functions of an organ. Hygienic and medicinal agents are not distinguished by any essential differences ; they only differ quantitatively; they hold physiological relations to the different organs of the body ; only these relations are more marked quantitatively, not distinguished qualitatively from the physiological relations existing between ordinary hygienic agents and the tissues. Diseases and purely physiological conditions are confounded in the same way as are hygienic and medicinal agents. A disease is a physiological state, only more marked, more developed as it were, than the ordinary condition of the organ. A diarrhoea, for instance, is supposed to arise from an excess of physiological action in the liver ; salivation is an excess of physiological action in the salivary glands; a pain is an excess of nervous sensibility. The idea of " disease " disappears entirely amid these definitions. The organic life is always right; there may be too much or too little of it; but it is always strictly physiological, and Pathology is a grand illusion. If I have succeeded in conveying a clear impression of the spirit and general philosophy of that portion of the Physiological School which delights in active medication, I would ask: In what way are the different sections of this portion of the school distinguished from each other ! In what way are Brown's incitability, Rasori's 56 homoeopathic law of cure counter-stimulation, and Broussais' irritation distinguished from each other? Is not the spirit which prompted these distinguished founders of Medical Schools, the same in each ? Do they not all revolve in a vicious circle ? Do they not all overlook the important fact that physiological and pathological conditions differ in their very essence ? The Physiological School looks upon all deviations from the normal life of the organism as accidental disturbances of the physiological equilibrium, without suspecting that these distur- bances are essentially distinct from the normal life of the parts, and that they are the result of a morbific action, distinct in its essential properties from the action of the ordinary physiological forces of the organism. Let us keep our mind's eye fixed upon this important distinction; we shall have to revert to it in a few moments after having previously glanced at the second division of the Physiological School, comprising the physicians who are averse to giving any medicine, and who consider it the acme of Art to let diseases run an undisturbed course to their natural termination. If disease is simply an alteration of the physiological functions, distinguished from the normal standard by a little more or less of functional activity, why should an active medication be pursued at all 1 Why not leave the affected organ alone 1 Why not trust to its own recuperative energies for the restoration of its functional equilibrium ? Even Hippocrates had observed that diseases generally run a course and reach a natural termination ; why not take advantage of this natural law and pursue a course of treatment towards the affected organ altogether different from, or even opposed to, an active medication 1 Such a course of reasoning gave rise to the so-called expectant method which is now extensively practiced by some of the foremost men in the Old School, more particularly in Vienna. This method is undoubtedly preferable to that adopted by the other branch of the Physiological School, inasmuch as it does not interfere with the reactive endeavors of the vital force by entailing medicinal diseases of longer or shorter duration upon the organism : the whole aim and object of the expectant treatment is to remove or palliate every obstacle to an undisturbed course and natural termination of a disease. Hence, no medical school has done more towards a perfect knowledge of the pathology of diseases than the Expectant School. FROM THE STAND POINT OF VITALISM. 57 All the resources of the crucible, of the stethoscope, the microscope and all the more recent mechanical contrivances, including the thermometer, have been brought to bear by the expectant physicians upon the study of morbid changes in the tissues. The very anxiety of obtaining a perfect knowledge of the pathological changes in the tissues, prevented them from resorting to active treatment. A little gum-water, a simple tea of elder-blossoms, an infusion of mint, a mild cathartic, or some similar preparation of very feeble active powers, constituted the extreme boundaries of the therapeutic expectant treatment. Nevertheless, although these two branches of the Physiological School seem to operate in opposite directions, yet they are animated by the same spirit, and start from the same basis. Each branch looks upon disease as a physiological state, a state either of depres- sion or exaltation of the normal vitality, which should be remedied by purely physiological influences, positive influences according to the advocates of active, negative influences according to the advocates of passive medication. Neither school acknowledges the use of medicinal substances as therapeutic agents ; nor does either school believe in the existence of diseases as pathological conditions differing essentially from the normal physiological life of the organism. The expectant doctors do not pretend to be in possession of any therapeutic method; they are satisfied with counting up the number of their dead and cured, and proving to the world, by a simple process of addition, the superiority of no treatment over bleeding, Calomel and Opium. Their co-adjutors at the other extreme, who delight in active treatment, have no better grounds to claim for it than a woful oversight of the essential difference between Good and Evil. If we desire to have a clear perception of the fallacies of the Physiological School, we have simply to apply its doctrines to the moral sphere. If disease and health are not essentially distinct, good and evil differ only quantitatively, not in essence. Avarice is only an excess of economy;'frenzy only an excess of enthusiasm; hatred only an absence of love; every evil passion is only the excess or absence of some good. This species of philosophy is based upon a fallacy. It is not true 5S HOMCEOPATHIC LAW OF Cl'RE that good may become, by development, an evil. A good man may become better by the growth of goodness, but not worse. Good is capable of indefinite development and expansion ; it never turns to evil by obeying its inherent destiny of undying growth. On the other hand, evil can never change to good by a simple modification. There must be an essential change of state ; pride cannot possibly be converted into humility by a simple accom- modating modification; there must be a complete, a radical, essential change of state. So in regard to normal physiological functions; they never become abnormal by a simple addition or subtraction: such a change can only take place in consequence of some essential alterations in their ordinary modes of existence. A man who has ordinarily a good appetite, may not have quite as good an appetite on some days as on others; or the appetite may even be wanting at certain periods. This diminution or momentary absence of the appetite may be regarded as a simple physiological modification of the condition of the stomach, for which nothing need be done except taking a little more active exercise, or doing without much food for a day or two. On the other hand, there may be an occasional extraordinary craving for food, which may regulate itself without any uncommon measures being employed against it. In reference to these points it is unnecessary pedantically to adhere to a doctrine. If there is distress in the stomach, with other symptoms of derangement which cannot, by stretching argument and imagination ever so far, be traced to an intensified action of the normal physio- logical life of the stomach, we are forced to look upon these abnormal phenomena as manifestations of an essentially-altered or pathological condition of the organ. A correct understanding of the doctrines of Homoeopathy seems to hinge upon a full comprehension of these radical fallacies of the Physiological School. Can a thing be good and bad at the same time ? Can the Vital Force, the Inmost Life-principle, the truly living organism within us, upon whose integral action the physio- logical harmony of the material organism depends, be at the same time corrupt and incorrupt 1 Can its essence be at the same time tainted and untainted ? If this were possible ; if the inmost vitality could be vitiated by disease, how could it be restored to a state of health ? The essence of life in man must needs remain intact • a FROM THE STAND POINT OF VITALISM. 59 disturbance of the physiological functions must result from some other cause than an abnormal alteration of this essence. What we term disease is, therefore, something essentially different from a purely physiological derangement of the functions. A pathological condition must be the result or product of some cause different from, and. opposed to, the physiological integrity of the organism. The germs of diseases are implanted in the tissues in the shape of morbid properties, latent or passive capacities or predispositions for disease, which, under favorable circumstances, such as the use of improper food, exposure to wet, or draughts of air, retrocession of the perspiration, excessive mental or bodily fatigue, &c, may become developed into concrete forms or actualized diseases characterized by specific symptoms. A disease thus developed is not a physiological, but a pathological condition, which has its counterpart or typical representative in the form of a specifically corresponding drug in one of the three kingdoms of Nature. It is this specific correspondence of a drug to a given disease which constitutes the homoeopathicity of the former to the latter, and which, if given in appropriate quantities, and with due regard to the natural susceptibilities or even idiosyncrasies of the sick organism, effects the removal of the pathological disturbance. It is in reality the cosmic life-force as individualized in a given organism, which rouses up the disease, or, in other words, develops a hitherto latent capacity for disease into a manifest and definite pathological disorder. A disorder of this kind may be regarded as the result of a struggle between the life principle of the organism and the chemical and physical forces which seek to annihilate it. This theory of disease is perfectly compatible with the production of diseases consequent upon the invasion of the organic tissues by malaria or by the miasm of epidemics. All diseases are character- ized by definite phenonema, and have to be met by drugs capable of affecting the tissues in a similar manner. So far we have drawn one side of our therapeutic picture. There remains another side to be drawn, after which our work will be completed. I shall avail myself of Trousseau and Pidoux's powerful aid in building up this portion of my argument. Let us recall to our minds the radical difference between drugs 60 HOMCEOPATHIC LAW OF CURE and hygienic agents, and the remarkable proposition laid down by these writers, that " as drugs are specifically adapted to diseases, so do diseases recall to our minds corresponding drugs." I have insisted upon this proposition with great force. I have shown that there is but one way known to us, of determining the disease to which the drug is specially adapted, and by which, on the other hand, the drug is recalled to mind: it is to prove the drug upon the healthy organism ; in this, and in no other known way, can we approximately determine, by a comparison of the effects of the drug with the phenomena of the disease, what drug and what disease are in therapeutic rapport. In thus experimenting with drugs upon healthy tissues, we are struck with a remarkable similarity between groups of drug effects and groups of pathological symptoms. In many cases this similarity amounts to an actual identity of phenomena. How is this ? whence this striking resemblance, this occasional identity of drug-effects and pathological phenomena ? Let me briefly endeavor to answer these questions. First, we had this trinity of facts: morbid properties of the tissues or latent capacities for disease developed by the cosmic life- force as individualized in the organism, into concrete diseases characterized by definite symptoms: here we have Secondly, a similar trinity of facts, namely: the cosmic life-force acting upon germinal principles in the crust of our planet, and developing them into concrete drugs possessed of specific morbific powers. Believing that there is unity in the system of Creation and that the forces of Creation are summed up in man as a microcosm, I argue that the drug-germs inherent in the crust of the earth, cor- respond with the morbid properties of the tissues, and that drugs correspond with fully developed diseases. If this proposition be generally true, we have a perfect right to infer from this general truth this most particular application: that a drug which has power to develop in the tissues an approximative image of some particular disease is in curative rapport with it. It seems to me that this inference is irresistible, and that the legitimacy of the Homoeo- pathic law of cures, as a law of Nature, is fully made out by the series of arguments which I have endeavored to present. FROM THE STAND POINT OF VITALISM. 61 It is difficult to part with a theme so sublime, and appealing so powerfully to the mind of every thoughtful worshipper of God, and of the harmonies of His creation. We call Homoeopathy a science. So it is; but it is a science of the highest order; it is not only the science of the healing art; it is one of the everlasting and infinite harmonies, of which God's own Providence is the fountain-head and centre. Homoeopathy is a theosophic revelation; it is a philosophic system not fenced in by the limits of a human brain, but which is co-eternal and co-infinite with the Love and Wisdom of the Divine Creator. Homoeopathy opens up new avenues of thought concerning the government of Divine Providence, concerning Nature and Man, and concerning the relation of all things to the fountain-head of Life, from which both Man and Nature derive their power to exist and to perpetuate themselves in accordance with definite and unchange- able laws. Homoeopathy leads us to comprehend the great fact, that there is but one Life, which is the Eternal, Unchanging and self-existing Esse, and that phenomenal nature is but an endless and infinitely varied series of forms of, or capacities for the reception of Life, each agreeably to its own order, destiny and laws of being. Universal Nature, including the human organism as its most won- derful work of Creation, seems a living Whole, because every molecular atom of it is permeated and interpenetrated by the life which it receives from the Divine Source. The life flowing into Nature from the Divine Esse, is always pure even when received at an immeasurable distance from its origin ; it is the quality of the recipient form which causes the inflowing life to become a source of either good or evil. If this globe is infested with tigers and rattlesnakes and multitudinous evil creations which are antagonistic to good and to the high destiny which man has to accomplish upon his planet; it is because these forms of evil are inherent in the planet, and its surrounding atmospheres as molecular constituents out of which the living Esse fashions the concrete forms of evil which it is man's high mission and prerogative to subdue and finally to exterminate. If there are evil men, or if the movement of the human passions frequently results in evil manifestations, it is not because the 5 62 HOMCEOPATHIC LAW OF CURE life which God has breathed into man, was evil, but because t,