■■:■■■■ ■■.•::■:::■•:-# ■■yy^-'-y-f^MM. IBM IV* m I a » « S BM SO A SI W H S II 1WUOIAWN 3 N I D I 0 3 W JO A a V I B I 1 1VNOI »»8I1 IVNOUVN INOiaiW JO ABVBflll IVNOUVN 1NI3I0JW JO ABVBBM 1VN0 IVNOUVN 3NI3I0JW JO A II V 1 B II TV NOUVN 1NI3IQ1W JO ABVBBI1 1VNC s v:s ; V o P >.Y OF MED.C.NE N A T I O N A I L I B R A R Y O F M E D I C I N E N A T I O N A L L I B R A R Y. O F M E D a / x\ -.*■ fN^*7' J i NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATION* 3NI3IQ3W JO ABVB8I1 IVNOUVN 3NI3IQ3W JO A d V « B I 1 IVNOUVN 3 N I 3 I 0 3 V 3NI3IQ3W JO AaVIBII IVNOUVN 3NI3IQ3W JO A II V o i II IVNOUVN 3NI3IQ3I i /\ j -: ^ NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONA 3NI3I03W JO ABVB8I1 IVNOUVN 3 N I 3 I d 3 W JO UVIII1 IVNOUVN 3NI3I03I /&] & \ \ NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATION, HYDRQEATHY &^HOM(EOPATHY IMPARTIALLY APPRECIATED, WITH AS APPENDIX OF NOTES ILLUSTRATIVE OV THE INFLUENCE Of TH£ MIND ON THE BODY. BY EDWIN LEE, ESQ., FELLO'W OF THE BRITISH ROYAI. MEDIC>-CHIRUR«ICAL SOCIETY ; CORRES- PONDING AND HONORARY MEMBER OF THE IMPERIAL MEDICAL ACADEMY OK VIENNA, THE HOYAL ACADEMY OF MEDICINE OF NATLES, THE MEDI' AL AND CHIRURGICAL SOCIETIES OF FARIS, BERLIN, FLORENCE. ETC. FIRST AMERICAN, FROM THE THIRD LONDON, EDITION. NEW YORK; H. LONG & BROTHER, 46 ANN STREFT ; W. H. GRAHAM, TRIBUNE BUILDINGS*, BURGESS, STRINGER * CO., 222 BROADWAY ; AND MARRINER, LOCK.WOOD & CO., 459 BROADWAY. 1848. 4 V30IZ. T- Extract from the Preface to the Third London Edition:— -♦ This book has been prepared for the advantage of those interested in having an opinion as to the degree of estimation to which these methods of treating disease are entitled, free from the one-sided views which their partisans are desirous of inculcating, but at the same time, without an undue de- preciation of the effects which, when considered in their more extensive bearings, their introduction is likely to have on medical practice." THE COLD WATER CURE. Graefenberg, the head quarters of the practice of hydropathy, now consists of about thirty houses, scat- tered on the acclivity of a wooded mountain which rises above the small town of Freywaldau, containing about three thousand inhabitants, and in which an establishment has also been fozmed. The country is salubrious, the air pure and bracing, and the water is excellent. "Among the half-wild mountains in Sile- sia," observes Dr. Scoutetten in his report,* " where the mediciue of the schools is scarcely known, the inhabit- ants still restrict themselves, in the treatment of the diseases and accidents to which they are exposed, to the means which nature offers. Of these water neces- sarily plays the most important part, and, together with "forced sweating, are employed in combating a multitude of diseases." These remedies, which, from time immemorial, had been popular in the district, were, however, more methodically and successfully applied by Vincent Priessnitz, originally a small farmer, who, it is said, when young, had his attention' more particularly directed to the advantages of cold water from the circumstance of his speedy recovery, by * Rapport a M. le Ministre de la Guerre sur 1'Hydrotherapy. Park, 1844. 4 HYDROPATHY. this means, from the consequences of a fall, attended with two broken ribs, and also from the rapid healing of a crushed finger. He was thus led to treat patients and animals on the same plan, and in 1826 had acquired considerable reputation in the surrounding country, which he was accustomed to perambulate with a bag of sponges on his back, applying water ablutions and compresses, to which were afterwards added, sweating, cold baths, and douches. The success attending the practice induced many patients from other parts to resort to G raefenberg, and considerable opposition was made on the part of the local authorities before whom Priessnitz was cited to appear, and was prohibited from practising; but on appealing to a higher tribunal, and proving that he used no secret remedy but only pure spring water, he was authorised to receive pa- tients ; a physician was sent from Vienna to report upon the proceedings and the advantages of the treat- ment, and Graefenberg was ranked among the Austrian baths. In 1830 the number of palients amounted to only fifty-five, but in 1838 to upwards of eight hundred, which number has since more than doubled, including many medical men. The governments of Bavaria, and other German ter- ritories, likewise authorised hydropathy. At Breslau the professors of the university, and especially the cele- brated anatomist Otto, greatly modified their practice by the more frequent employment of water. At Dres- den hydropathy was favourably received. The dis- tinguished professors, Carus and Choulant, regard hydropathy as a powerful means, calculated to render great service in the treatment of disease, after the pre- HYDROPATHY. 5 vailing enthusiasm should be succeeded by an enlight- ened appreciation of its effects deduced from experi- ence. Several of the first physicians of Munich, and especially professor Ringseis, considered the cold water treatment, properly applied, as a powerful resource against certain diseases which have resisted the ordi- nary methods, and at some of the restaurants of the latter city wine was so little in request, that water brought from Schoenbrunn was sold. The Duke of Saxe Gotha gave up a chateau for a hydropathic esta- blishment, as did also the Prince of Saxe Meiningen (Liebenstein), and the Prince of Reuss.* A degree of reaction has, however, taken place in the public mind in Germany since Dr. Scoutetten published his report, and the number of patients at most of the establish- ments has greatly decreased during the last two years. One of the largest of these establishments, which I have twice visited, is Marienberg, (formerly a convent of dames nobles ;) standing on an eminence overlooking the town of Boppart, in one of the most picturesque parts of the Rhine, and forming a conspicuous object from the river. In the court-yard is a fountain of clear spring water with iron cups attached, for drinking, and an ascending douche, by which a fine continued stream of water may be directed against the eyes or other parts of the head. A statue to the virgin, to whom the buildintr was formerly dedicated, stands as a memento of bygone times in a niche over the door. The apart- ments (on either side of spacious corridors) are neatly and conveniently fitted up, the price varying according to the accommodation. There is a large and cheerful * Rapport, &c. € HYDROPATHY. reading-room, commanding a view of the Rhine, and supplied with newspapers and periodicals ; adjoining is the refectory, where all the patients assemble at din- ner. The baths are on the lower story, sunk in the ground. They contain clear water, about four feet deep, of the natural temperature, and are sufficiently spacious to admit of the bathers moving freely about. About 150 persons could be accommodated at the same time. The dinner consists of soup, roast or boiled meats, potatoes and other vegetables, cutlets, and plain puddings ; the only beverage allowed being pure water, of which there is a plentiful supply of bottles upon the table. Bread and butter, and cold milk and water, are allowed for breakfast; and the same for supper, with the addition of stewed prunes, pears, or other fruit. Besides the douches in the house, there are, in an adjoining building, the Wellenbad, (wave-bath,) which is used in certain cases of local debility, and two or three douches in the environs; one being at the Hermitage, in a picturesque situation at the foot of the Huuds-Drucken hills, about a mile and a half distant, to which the patients must walk, and, having been douched, must also return on foot. The water of the douches falls from a height of from ten to twenty feet, through tin tubes, the diameter of which varies from two to three inches, so that a powerful column of water falls upon the part of the body exposed to its action. On the back, abdomen, and chest, the stream is generally made to fall obliquely. Marienberg is now under the superintendance of Dr. Hallmann, who was formerly commissioned by the Russian govern- ment to visit Graefenberg and report upon the practice. HYDROPATHY. 7 A few minutes' walk from Marienberg, and close to the river, is the more recent establishment, Muhlbad, which can accommodate about fifty patients, and was, till last year, under the superintendence of Dr. H. Mayo, but now of Dr. Burgess, in conjunction with Dr. Heusner, the proprietor. The mode of life and method of treatment, do not materially vary at any of these places ; but the coarse nature of the diet at Graefenberg is a just subject of complaint, the dinners being generally composed of beef done to rags, cucumbers in salt and water, acid sauces, and heavy dough puddings. " It cannot be doubted," observes an author,* '• that this wretched diet keeps the patients much longer under treatment than would otherwise be required, and that in many instances it obstructs the cure altogether." Priessnitz, however, is said to be willing to prove that his patients are able to digest, without inconvenience, substances which at other times would disagree with them, though doubtless the true reason is assigned by Dr. Johnson, that bad food is cheaper than good. Everything of a stimulating nature, as spirits, wine, coffee, tea, &c, is prohibited. Although the external application of water is the most essential part of the treatment, the drinking copiously is equally enjoined. Some persons drink as many as twenty goblets a day, though it is seldom that more than twelve are prescribed. In some instances it is deemed advisable to recommend the preliminary use of a few cool or tepid baths, previous to bathing in the water at its natural temperature. The usual mode * Hydropathy, by Edward Johnson, M.^). 8 HYDROPATHY. of procedure originally adopted was as follows : Each1 patient is awakened at about five in the morning by an attendant, by whom the process of emaillottnge, or wrapping up, is performed. A blanket or woollen covering is first bound round, so as to envelope the whole body, the face only being left free; over this a second blanket is bound round the body. In a short time copious perspiration is induced ; the window of the room is then thrown open to admit fresh air, and cold water is given to the patient at intervals, to supply the waste produced by the perspiration, and to prevent him fiom being weakened by its quantity. When the perspiration has continued for the period that is deemed sufficient, the coverings are taken off, except the ori-ri- 1111 ° nal blanket, a cloak being thrown over the patient and slippers placed on his feet; he descends quickly from his room to the bath, and first dipping his hands and face for a second or two, throws off the blanket and plunges into the water at a temperature from 9° to 12° R., while the perspiration is still streaming from the pores of his skin. The duration of the bath is only a few seconds in most instances; some persons, however, remain in for a longer period, in brisk motion, and rubbing the sur- face of the body. On quitting the bath lhe°skin pre- sents the same appearance as a boiled lobster After having been dried by friction with a sheet, the patient dresses, walks about for an hour, drinking two or three glasses of cold water, and then goes "to breakfast with what appetite he may." The time between breakfast and «?.„„er cases no effect was produced, and, on the usual method of treatment being adopted, the patients got rapidly well. Similar results were obtained in treating febrile diseases and several chronic complaints, except that in * The Israelites, Exodus xii., 8, were commanded to eat their passover with bitters. The word Iterbs in the common version of the Bible, is an interpolation; The practice of eating these bitters on such occasions is continued to this day, affording an experience of three thousand and three hundred years. It is notfovnd that the healthy Jews are at all made sick at these times, as they should in- evitably be, were Hahnemann right in his assumption. Besides bitters (barks, &c.) have been used time out of mind, as appetizers' all over the world, with perfect impunity.—Am. Ed. HOMOEOPATHY. 61 some cases the patients got worse while under the homoeopathic system. The homceopathists in Paris having petitioned the Minister of the Interior to permit the establishment of dispensaries for the treatment of patients by the homoeo- pathic method, the minister requested the opinion of the Academie de Medecine on the subject. The reply of that body is made in the following terms :— " Monsieur le Ministre, " Homoeopathy, which presents itself to you at the present time as a novelty, is not a new thing. For more than twenty-five years this doctrine has wandered here and there ;—first in Germany, then in Prussia, afterwards in Italy, and now in France; seeking every- where, though in vain, to introduce itself as a branch of medicine. " The time of the Academie has been repeatedly taken up with the subject, and, moreover, there are but few of its members who have not sought to ascertain its basis, and its effects. < " With us, as elsewhere, homoeopathy has been sub- jected, in the first place, to logical examination, which has exhibited in it a formal opposition to the best-esta- blished truths, a great number of striking contradictions, and many of those palpable absurdities which inevitably ruin all false systems in the opinion of enlightened per- sons, but which are not always a sufficient obstacle to the credulity of the multitude. " With us, as elsewhere, homoeopathy has also been subjected to the trial of facts, and put to the test of ex- perience. Observation, faithfully interrogated, has furnished the most categorical answers; for if it be ad- 62 HOMOEOPATHY. mitted that some examples of recovery have occurred while under the homoeopathic treatment, it has been as- certained that the success is justly attributable to the bias of a weak imagination on the one hand, and to the remedial powers of the constitution on the other. Ob- servation has also shown the great danger of homoeo- pathy in frequent and serious cases of diseases, where the physician may do as much harm, and cause no less injury, by inactive measures, as by those which are directly prejudicial. " Reason and experience are consequently united to repel a similar doctrine, and counsel that it should be left to itself and to its own resources." Having heard of the existence of a homoeopathic hospital at Leipsic, the head-quarters of the doctrine, I had the curiosity to visit it when in that city, some years ago, and was directed to a small house in one of the suburbs, with an inscription on the outside denot- ing its destination. I had no difficulty in obtaining ad- mission, and was accompanied through the house by the assistant homceopathist, the principal being in the country. From what I had previously heard, I expected to see at least from thirty to forty beds occupied by pa- tients, and was somewhat surprised to find that the house only contained eight, of which but one was oc- cupied by a phthisical patient, who had been for seve- ral months without any amelioration. There were, however, five other patients able to get about, viz., a case of chronic swelling"in the foot; one of delirium tremens, which had also been a long time under treat- ment by arnica and hyoscyamus, in doses of the deci!- HOMOEOPATHY. 63 lionth part of a grain, which I was gravely assured produced sound sleep; a young girl, with no other complaint than deranged menstruation, who had also been some months in the house; a case of necrosis of the tibia treated by the internal exhibition of homoeo- pathic remedies ; and a woman with a cutaneous dis- ease, of a syphilitic nature, who had been treated with sulphur, carbon, gold, and other homoeopathic remedies, since the month of February, but with little advantage, as the disease appeared to me likely to be interminable under a similar system. During my visit two or three out-patients presented themselves. One of these was a healthy boy, with tinea capitis, for which he had been taking homoeo- pathic globules since February, the hair having been allowed to grow, and no external application having been used. The appearance of the patient's head did not afford any favourable evidence of the good effects of the treatment, and I should imagine the disease was much in the same state as when he first applied for re- lief. The house-physician to this institution having become convinced, after a residence of several months, of the nullity and danger of homoeopathy, gave up the ap- pointment, and published an exposition of the system pursued, with an account of the cases, which clearly show what had long been evident to the bulk of the profession and the public, viz., that the so-called cures were recoveries from ordina/y ailments by the efforts of nature; the cases being frequently a long time under treatment, whereas by a proper medication and atten- tion at the outset, they would probably have been 64 HOMOEOPATHY. cured in a few days ; and that many of the more serious cases got worse for the want of efficient treatment.* When last at Leipsic, I heard that matters were going on indifferently with homoeopathy, the hospital having been turned into a dispensary. Most of the homceopathists of the present day have abandoned some of the more absurd propositions of Hahnemann as untenable, and it must not be supposed that they always adhere in practice to the avowed principles of their doctrine. It has not unfrequently happened, that persons who attributed their recovery to homoeopathy were treated allopathically without their being aware of it. The case of the late Duke di Cannizaro, shows how little trust is to be placed in the practice of homoeopathy. He was slightly indisposed, and was ordered some globules, one to be taken at stated intervals. Considering, however, that he would not be at home when the time for taking the third dose arrived, he took three doses at once and did not survive many hours, the substance being an active poison in a concentrated state. In fact, one practitioner in Leip- sic, a professed homoeopathist, candidly acknowledged that he pursued both plans of treatment, and was ac- customed to ask his patients by which method they would be treated.t The principles, however, are the same, viz., expectation, and the influencing the patient's imagination by leading them to suppose that they are taking some extraordinary remedies. In the cases * Ueber die Nichtigkeit dec Homceopathie. On the nullity of Homoeopathy. Leipsic, 1840. t " Many," says Dr. Balfour, in his recent report of homoeopathy at Vienna, "continued to practise both methods, not eclectically, but according to the wish of the patient, leaving enquiry to others' and stumbling blindly on." ' HOMOEOPATHY. 65 which are noised about and published as recoveries by the homoeopathic method, the advantages derived may be ascribed to the above causes, assisted by a more strict attention to modes of living and regimen ; and in many instances is only temporary, as in the case of a noble individual labouring under tic, who has been re- peatedly said in the papers to be cured or greatly re- lieved by different methods of treatment, and who, it appears, subsequently had recourse to the water cure. It is in the nature of several complaints, especially those of a nervous character, to be better or worse at different times or seasons, and to offer complete inter- missions during a longer or shorter period, especially when patients can be induced to adopt a regulated diet, and mode of living; and in these cases the amelioration is generally ascribed to the remedy which happens to be employed at the time. Homoeopathy in fact is now comparatively little heard of in most parts of northern Germany and in France, to what it was some years ago, and only required to be inquired into by the more enlightened portion of the public, for the absurdity of its propositions to be apparent. During its whole pro- gress it was never sanctioned by any individual of scientific eminence, or even who was held in estimation by the profession ; but has been principally taken up as a means of acquiring wealth, or a livelihood, by per- sons who had never been previously heard of, or who had failed to acquire practice in the usual way, by whom every means have been taken to puff it into notice, and keep public attention directed to it, such as the establishment of dispensaries, the publication of books, and of histories of alleged cures, addressed 66 HOMOEOPATHY. ostensibly to the profession, but which in fact are but a means of advertising. " All the results," says a German author, " which have been obtained by the employment of medicines in homoeopathic doses, were founded, without exception, upon delusion, and were not in consequence of these means. If any one wishes to convince himself of the truth of this, he need only so administer these doses, that the persons are not aware that they have taken anything, and every physician would then see as little effect from them as I have seen after innumerable ex- periments. These infinitesimal powders, drops, and globules, are in fact nothing more than the modernised moonstone of the ancient Phoenicians and Carthagi- nians. At that time, as at the present day, faith in them must produce a blind confidence, and if this be effected, it would not matter whether they were swal- lowed, or hung about the neck, or carried in the pocket as an amulet, the effect would be the same. The worthy Stieglitz very justly observes, that it does honour to the condition of German medicine, that not- withstanding all the noise and puffing, but very few medical men adopted this system ; and that many of the younger physicians rather chose to support priva- tions, than give themselves up to its absurdities; and even some of the homoeopathic physicians themselves can scarcely conceal a feeling of shame, when they find themselves in the presence of others who understand the matter." When homoeopathic physicians and patients assert that they have seen on themselves and others the most evident effects from these means, we must draw our in HOMOEOPATHY. 67 ferences from the consideration of the particular pro- ceeding which is accustomed to be followed. Every change which occurs in the organism after having taken an homoeopathic dose, would be considered as the ne- cessary consequence of it. Hence, minute attention is always more or less directed to the functions of the body, but this would give rise to a variety of symptoms even in very healthy persons, who would otherwise have experienced nothing. Any one who has a tolera- bly lively imagination, may make the experiment on himself. If I were to tell an excitable patient, he must attentively observe the pulsation of his heart and arte- ries, I may reckon to a certainty, that at my next visit I shall have to hear an account of the surprising symp- toms which have been observed, respecting the heart's action."* Alluding to the different medical theories which at various times have had their day, and after a longer or shorter period have sank into oblivion, the same author observes : " Each system found its believers and ad- herents, the number of whom at first greatly increased, and then gradually diminished. The falling off usually took place when the charm of novelty had subsided. In proportion as the system ceased to be new, was the belief lessened in its infallibility, which was generally at first loudly cried up by the proposers, and the num- ber of fortunate cures decreased in the same propor- tion, until the whole fabric of the system was carried away in the stream of time, and frequently left behind scarcely a trace of it in the history of medicine." I will also subjoin a few apposite remarks made by a * Fsychiche Heilmittelehre, von Dr. Braunlich. 68 HOMOEOPATHY. correspondent in the Medical Gazette, upon the subject. '- The importance of any pretended remedy for di- sease, exerts its influence on that great majority of the public who are necessarily incapable of judging of me- dical evidence, because they are ignorant of the extra- ordinary workings of the human mind, which exhibit themselves to medical men only, not in unhealthy indi- viduals alone, but often in those who are apparently free from disease. Experienced medical men are alone ca- pable of ascertaining the existence or non-existence of disease amongst the variety and complexity of symp- toms which distinguish particular affections ; and they alone can say with certainty, whether disease has actu- ally existed, or if so, whether it is or is not actually cured by the remedy alleged to have removed it. For there is a strong inclination in mankind generally, to assist in propagating an imposition to which they have themselves yielded, both because it makes them objects of interest to the public, and because it appears to jus- tify them in having given it their confidence. " Again, there are many cases where the complaint has existed only in the imagination of the patient, and in these it will be no matter of wonder if the homoeo- pathic globule in aid of said imagination should effect a cure. In chronic stomach disorders, also, many patients have recovered under an homoeopathic doctor, and thus been the means of exalting his fame, whereas, it would be easy to show, that such patients needed only cautious diet, time, the abandonment of taking too much aperient medicine, and the observance of regular rules, to effect a cure—all of which even an oW-fashioned doctor would, of course, have directed. HOMOEOPATHY. 69 " A gentleman who had been out of health some time, and had paid but little attention to the direction of his medical attendant, was advised to consult an ho- moeopathic physician ; he did so, and remained under his care six weeks, the doctor making his visit as often as he pleased: he improved in health—in short, was cured. ' Now,' exclaimed his friend, ' you henceforth stand up in defence of homoeopathy.' ' Not at all; I am more than ever convinced of its fallacy and humbug. I have followed the plan of diet, &c, which plan was often urged upon me by my former medical friend, but not one of the billionth powders or globules have I ta- ken.' "A gentleman had been for some time subject to acute inflammation of the membrana conjunctiva, and had been attended by a surgeon of great eminence in the metropolis, who on every occasion had succeeded in subduing it. On a recurrence of the complaint, by the judicious advice of friends, he was placed under the care of an homoeopathic practitioner, when, after being for six weeks shut up in a dark room, great attention be- ing paid to his diet and manner of living, he was cured again by the wonderful effects of the homeopathic reme- dies ! ! ! This, of course, stamped the faith of the fa- mily, and all became disciples of Hahnemann. Some time after, one of its members was found in a fit, and the doctor was sent for. What plan did he adopt 1 He belonging to a school which professes to repudiate blood-letting as pernicious, and almost certainly fatal, himself immediately bled her, and that not in an ho- moeopathic quantity, but largely. She continued un- der his care for a few days, but not recovering, she was 70 HOMOEOPATHY. by the doctor's own desire sent into the country in this state, and handed over to her original medical attendant, who discovered, and was confirmed in his opinion by an eminent physician, that she had been suffering from epi- lepsy, arising from the overloaded state of her stomach and bowels. The results, of course, effected the moral cure of the whole family. " I give you now a case of the mischief that may arise from adopting this harmless system. A lady of rank had occasional headaches, for which she was ad- vised to consult an homoeopathic physician. She had for many years taken daily aperient medicine, but ne- vertheless enjoyed a very good state of health. Her old medical attendants were summoned to her assis- tance after about the expiration of twelve months of homoeopathic treatment. They found her labouring un- der congestion of the liver to an enormous extent, con- stipated bowels, and active peritoneal inflammation, all of which had existed for some days, and had not - yield- ed to the means employed' by the homoeopathist; he by whose treatment these formidable symptoms had been induced, willingly sneaked out of the responsibility ; true, her life was saved, but she has never enjoyed her former good health. " I have often been amused at the contradictory tales which I have heard on the subject of homoeopathic cures. For instance, I have been told that a noble duke has been, by these remedies, cured of his gout; and then I am compelled to hear, that the noble duke is laid up with gout at his country seat. A distinguished baro- net, also, is cured of the gout, but I hear again that the senate-house has lost the valuable services of the wor- HOMOEOPATHY. 71 thy member, because—he is confined with the gout. A noble earl is cured of his most painful malady, tic dou- loreux, by homoeopathic treatment; but by his friends, 1 am assured that his sufferings are still very great. Another sufferer from this most dreadful disease, the Marquis of A—, first stamped the fame of this system as a certain remedy for tic-douloreux, but it is well known that the noble marquis is still desirous of trying every remedy which can be suggested for the allevia- tion of his sufferings, and it is a remarkable fact that he has heaped honours and distinctions on many per- sons who have cured him of his malady. It is often dinned in my ears, that a certain noble earl swears by homoeopathy, yet that noble earl flies to Malvern with all avidity, to follow the most dangerous system of hy- dropathy for his relief. These are curious contradic- tions, but not more curious than true, and it is not won- derful that the fact of any person abandoning a system by which he has sworn, to adopt another diametrically opposed to it, should not open the eyes of his friends, as to the extent of his faith in it % The fact is, the pub- lic have not yet learned the necessity of inquiring what opportunities those persons have had, who profess to practice medicine or surgery, of perfecting themselves, not merely in the knowledge of remedies, but what is of infinitely greater importance, in distinguishing the character of diseases. How many are there in the ranks of the profession, men of honour and talent, who have not thought it beneath them to spend often half their lives in the drudgery of public practice in hospi- tals and similar institutions, that they might obtain a competent knowledge of diseases, as distinguished from 72 HOMOEOPATHY. each other, and of applying remedies to each individual case! for, after all, each case is a particular disease, and cannot be treated in a wholesale manner, as these systems would induce us to suppose. " How often do we hear these men, after they have obtained all the information in their power, and attained to stations of eminence, expressing their regret, that they have been prevented from devoting a still larger portion of their time in learning an art which is infinite in its extent and complexity ] I mean the art of de- tecting and distinguishing diseases under innumerable phases. This, in fact, is the foundation of the art of medicine, for when a disease is at once surely ascertained and detected, it is comparatively easy to find its proper remedy, and to cure it, if it is in its nature curable. The public, 1 repeat, make no such inquiries, but hear- ing that a case has been cured by an unusual remedy —brandy and salt, or mustard-seed, for instance—they immediately infer that these remedies, if applied by a certain individual, will cure every disease, and there- fore this individual, whether young or old, male or female, learned or unlearned, is the person to be con- sulted, and is preferred to those who have devoted the best portion of their lives to the study of their profes- sion." It is unnecessary for me to make much allusion to the works published by homceopathists, as the degree of estimation to which they are entitled, and the value of the cases which they contain, will have been pretty effectually shown in the preceding account, as far as the public is concerned. , Is there, then, nothing good in homoeopathy 1 Un- HOMOEOPATHY. 73 questionably—though the good resulting from homoeo- pathy is more of a negative than a positive character, and one advantage of its introduction into England is that it has tended to limit the too active medication in chronic disease, which has so long prevailed to the pre- judice of a large portion of the community; and the suspension of this active medication, during the homoeo- pathic treatment, has not unfrequently been a cause of the benefit which has followed : consequently, homoeo- pathy is not Unlikely to be longer in fashion in England than it has been in the continental countries, where a different system of medical practice obtains. It has likewise led to more minute inquiry into the action of several remedies, and has thus tended to make the cir- cumstance more frequently known, that much smaller doses of active substances (especially sedatives and other remedies having a specific action) than had been previously supposed, are not unfrequently highly influ- ential in the alleviation of certain disordered conditions of the system, when large doses have failed to benefit. It does not, however, follow from this, that the infinitesimal doses of the homceopathists have a positive action ; for it would be absurd to argue, that because an effect is produced in some exceptional cases by two, three, or four drops of a tincture, of which the ordinary dose is from fifteen to thirty, that a positive result should also ensue from the administration of the bil- lionth part of a single drop. It is true, however, that in a few rare cases where there exists a high degree of sensibility, or a particular idiosyncrasy, that effects will result from inconceivably small quantities of active substances ; every practitioner must have experienced the unpleasant consequences which have followed the 74 HOMOEOPATHY. inadvertent addition to a medicine of a minute quantity of ipecacuanha or opium, when this peculiarity has ex- isted. In like manner some persons are disagreeably affected by flowers or perfumes, or experience unplea- sant sensations when a cat, a butterfly, or other animal, against which they have an antipathy, is in the same room, even though they may not have seen it.* These, however, are exceptions, from which no general con- clusions can be drawn, and these exceptions have been adduced in proof of the general action of homoeopathic doses, to which, as I have shown, not only reason, but experience from trials conducted on a large scale is op- posed. The only physician whose opinion is entitled to consideration, from his not being interested in sup- porting the practice of homoeopathy, who appears to have been convinced from some trials that he made of the special action of homoeopathic doses, is Dr. Mil- lingen, who, in his " Curiosities of Medical Experience," has adduced half a dozen cases, which he conceives go to prove the fact. These cases, however, with one ex- ception, merely corroborate, in my opinion, what has been advanced, viz., that because some slight ailments and symptoms subside after an homoeopathic dose, which the patients for the most part know to be some- thing unusual, it is not to be inferred that it is in con- sequence of, a particular virtue in the drop or globule which has been administered to them, as we have seen that analogous effects often occur after a pill or liquid composed of an inert substance, but which the patient imagines to possess some extraordinary power The fourth case is that of a young woman, to whom a homoeopathic dose of a preparation of nux vomica was ^^i^^^^S^^^t gr£ con- HOMOEOPATHY. 75 given, in whom the peculiar symptoms that usually fol- low a large dose of strychnine were produced, though she had been led to believe the remedy prescribed was merely a dose of calomel. Now, when we consider that an ordinary dose of strychnine is only one-six- teenth or one-twelfth of a grain, it would not occasion much surprise, even admitting that an homoeopathic in- finitesimal dose was actually given, (the quantity is not stated,) that the peculiar symptoms of this energetic medicament should be produced in an isolated case. The only fair test is to make experiments with this or any other homoeopathic dose on a number of individ- uals ; this has been done by impartial persons, and also by homceopathists themselves, subject to the supervi- sion of others ; and, as has been seen from some of the instances adduced in the preceding pages, the result has been always a failure. Homoeopathy has further tended to make more generally known what may be effected in many disordered conditions of the economy, by a due attention to regimen, by the imagination, and the unaided powers of the constitution, and in this way likewise has rendered some service. A good deal has been said by the homceopathists in England about the homoeopathic hospitals abroad. The only ones of which I know are the one at Leipsic, of which I have spoken, and the one at Vienna, of the practice of which the following report is given by Dr. Balfour (in the British and Foreign Medical Review for October, 1846). The homoeopathic hospital is a private one in the convent of the sisters of charity in one of the suburbs, and contains fifty beds ; and since 1845, has been under the care of Dr. Fleischmann. Hahnemann's empirical rules as to rubbings and shakings are disre- 76 HOMOEOPATHY. garded—the diet is light and simple—no coffee, tea, or wine is allowed. " In taking into consideration the adjuvants to the treatment, the religious character of the establishment must not be forgotten. The patients find themselves surrounded by all the consolations of religion, by every- thing which, in their opinion, tends to ensure, in the event of death, a speedy passage of the soul to the realms of bliss—their minds thus set at rest with respect to futurity, they are less gloomy and desponding, and consequently react more favourably upon the body than under the opposite circumstances. The severer their disease, the more closely do they grasp their rosaries and crucifixes. The superiority of the attendance is also one great advantage in favour of this hospital, in- dependently of the important fact just stated, that the nurses are spiritual as well as temporal comforters. The comparative youth of the patients in this hospital must also be taken into consideration ; out of three hundred and twenty patients, two hundred and forty- five were under thirty years of age, and only four above sixty. The circumstance of comparative youth under all kinds of treatment has an immense influence upon the ultimate result." "Again—the patients are admitted and discharged by the physicians without any control; so that, to say the least, it requires a man to be very conscientious to decide impartially between temporary improvement and perfect cure, especially when he recollects that the fate of his creed, and of his institution, depends upon the nature^of his returns to government, which are made monthly. Cases discharged, apparently cured, may apply for readmission, and be under some pretext or other refused, while, to disarm suspicion, a few, HOMOEOPATHY. 77 whose relapses are more manageable, may be readmit- ted. I have seen at least one patient refused admit- tance, and that; too, the very day after his discharge, without any good obvious reason; it was that of a boy with effusion into the right pleura, following scarlatina. There was also a general anasarcous state of the body, which speedily disappeared, but the chief complaints remained obstinate, and after thirty-three days' treat- ment with bryonia, (second dilution,) he was dismissed, slightly improved. This is not the only case of effu- sion into the chest which has been dismissed unim- proved during the period of my observation, yet this scarcely agrees with Dr. Fleischmann's returns, as out of twelve with exudation in the pleura during ten years, he says he has cured all but three, who died ; and a physician of the general hospital assured me that many such cases, after having been dismissed by Dr. F., and subsequently refused admission, have applied to him for relief, which they have obtained by the use of purgatives and baths. Then, again, I may say, there are hundreds of trifling cases admitted here which would not have been admitted into any hospital in England, and even of these comparatively trifling cases many remain for weeks, nay, months, in the hospital, while more acute or more interesting cases are hurried out too often with the cure incomplete. When the pa- tient recovers, the case is published as one of the triumphs of homoeopathy, whilst the many similar cases, where even homoeopathic treatment has proved unavailing, are silently passed over, or are recorded as instances of the imperfection of the human intellect." " The whole process of the admissions and, discharge of patients is mysterious; still so much is certain, that most of those admitted have been previously visited at 78 HOMOEOPATHY. their homes by the assistant. I feel convinced that the great secret of Dr. F.'s great seeming success lies in the fact of the admissions and dismissals being uncon- trolled, and there being no check on the diagnosis; rarely other than well-marked cases have the diagnosis written on the board at their bed-head, the others being left blank, and entered in his book, of course, as he pleases. " Homoeopathic remedies are not exclusively trusted to, for Dr. F. uses cold applications to the head in de- lirium, and sometimes in headache; cold washings of the body in fevers, and in arthritis cloths dipped in cold water, surrounded by oil-silk, applied to the affected parts. He also has for constipation clysters of warm water, or water mixed with a little salt; and in diar- rhoea rice clysters. He told me that neither he nor nor any other homceopathists ever gave emetics or purgatives, and yet I heard his assistant once order a woman a spoonful of oil." Dr. F. does not adopt the similia similibus, one drug serving for a great many diseases. " Two or three fatal cases are given in the report, and fifteen per cent; three out of nineteen having died," whereas Skoda's cases of pneumonia in the general hospital during the same time amounted to forty-five, the deaths three, being an average of 6.6 per cent., no blood-letting employed. " I think you will see," concludes Dr. Balfour, " by what I have stated, that the strength of the homceo- pathists lies not in the greater rationality or superiority of their practice, but is founded on the weakness of allopathy; that they do not help their patients, but, if they are strict homceopathists, are for ever shut out from helping them ; that in their treatment of acute disease, their success depends entirely on the hitherto unrecognised powers of nature. All the magic influ- ence of their infinitesimal doses of phosphorus, &c, being emulated, if not excelled, by the heroic virtues of the extractum graminis" [Extract of grass—an inert substance.]* * In the United States, Homoeopathy, while retaining its name, NOTES ILLUSTRATIVE OF THE INFLUENCE OF THE MIND ON THE BODY. The great influence exerted by the imagination and other mental faculties on the exercise of the bodily functions, and in the production and removal of disease, has not received from medical practitioners the degree of consideration to which its importance entitles it, not- withstanding the effects of this influence are daily seen in the practice of medicine, and the subject has occu- pied the pens of several eminent individuals, both in is boldly poaching upon the domain of Young Physic, itself a plagiarism upon the Chrono-Thermal practice. In New York, the oldest Homceopathist, in his disgust at his numerous failures, a few years ago, resorted to blood-letting to assist him, (though this was before the advent of Young Physic), declaring that he had made the notable discovery that the lancet was a Homaopathic remedy. Mother (strong) tinctures and appreciable doses of medicine are rapidly taking the place of infinitesimals, triturations, and dilutions. The honesty of such proceedings who can doubt?—Am. Ed. Homoeopathic Honesty.—Dr. Bennet communicated to the Medical Society of London, the following prescriptions, one writ- ten on the 6th, the other on the 9th of the month, by a homceo- pathist :— " On the 6th, she was ordered to put one grain of ipecacuanha powder in one ounce of water; and of this mixture, a single drop was to be taken with syrup and water directly, and repeated, if necessary, in four hours. The patient was also ordered a mixture containing one drop of tincture of opium, half an ounce of burnt su<*ar, and six ounces of water; of this she-was to take two table spoonfuls every four hours. •'On the 9th, she was ordered a mixture, consisting of five ounces of infusion of senna, half an ounce of tincture of jalap, half an ounce of manna, half an ounce of tincture of cardamoms, and two ounces of sulphate of magnesia ; and of this she was to take a sixth part every three hours !" Surely these facts require no comment,—London Medical Gaz. 80 NOTES. ancient and more recent times. It is not my intentio-n to enter at any length into the consideration of this subject, which would suffice to fill several volumes, but I purpose adding as a pendant to the remarks already made, a few illustrations, by which it will be seen that this influence has not been over-estimated in the pre- ceding pages. The faculty which so frequently enhances enjoyment by anticipation, " Whose might Can make the desert heavenly fair, And fill with forms divinely bright, The dreary vacancy of air," and to which, when under proper control, the civilized world owes so large a share of its happiness, is also un- fortunately instrumental in the production of much of the misery that exists, by the gloomy foreboding of ex- pected evils, or by the ideal aggravation of present misfortunes. While on the one hand, the happy effects of a well-grounded confidence are daily brought under the observation of the medical practitioner in the reco- very of patients under the most unfavourable circum- stances; on the other, the direful consequences of this instrumentality are strongly exhibited during the preva- lence of some epidemic diseases, which are known to affect individuals in proportion to the degree of appre- hension that prevails; whereas medical men and others, who under these circumstances are not so liable to be influenced by the terrors of an excited imagination, are much less likely to be affected by the disease, or, if they are attacked, the termination is favourable in a large proportion of cases. In many instances, again, and especially after accidents and operations, though the circumstances appear to be most favourable for re- covery, yet if the moral of the patients be so influenced as to make them apprehend an unfavourable termina- tion, how frequently does it not occur that these prog- nostications are verified by the result! In like man- ner, predictions of the occurrence of disease or death at a certain period, by the hold they obtain on the pa- tient's imagination, occasionally bring about their own NOTES. 81 fulfilment. It is said, that in the Sandwich Islands there is a sect who assume the power of praying peo- ple to death : " Whoever incurs their displeasure, re- ceives notice that the homicide litany is about to com- mence, and such are the effects of the imagination, that the very notice is sufficient with these people to pro- duce the effect." It is mentioned by Hearne in his Journey, that " Such is the confidence of the North American Indians in professors of the magic art, that they appear capable of curing the most serious diseases without resorting to any physical means; and the feats of their malignity plunge individuals into diseases which often terminate fatally. One of these Indians, Matonabbi by name, conceiving that Hearne was in possession of supernatural powers, requested him to kill, by magic, a man against whom he entertained a deadly hatred. To oblige him, Hearne, without dread- ing any bad consequences, drew some figures upon a piece of paper, and gave it to Matonabbi, advising him to make it as public as possible. Matonabbi's enemy, who enjoyed perfectly good health, had scarcely heard of the paper, when he became melancholy, drooped, re- fused food, and died in a few days." The two following cases are stated in a recent work.* " A weak-minded man, a clergyman, drinking wine in company, swallowed a bit of sealing-wax, when one of his companions seeing him alarmed, to increase his terror, jocularly called out, ' It will seal up your bowels.' From that instant he became melancholy, and in a day or two refused all nourishment. On being pressed to give a reason for this refusal, he said he knew that nothing would go through him. He was, however, induced to take a cathartic, which operated freely; nevertheless, he could not be convinced but that his body was hermetically sealed, and with the excep- tion of a little broth, which he was frightened into taking, he refused to swallow anything, and died in consequence." " A young farmer, who detected an old woman * Preservation of Health of Body and Mind, by Forbes Winslow. D.2 82 NOTES. breaking sticks from his hedge for fire-wood, seized hef and threatened her with the terrors of the law. After some struggling she released herself from his grasp, and kneeling on the fagot in the bright moonlight, stretch- ing her withered arms out to heaven, addressed him, already shivering with cold, in the following words— ' Heaven grant that thou never mayest know again" the blessing to be warm.' He complained of cold all the next day, wore an upper coat, and in a few days an- other. In a fortnight he took to his bed, saying nothing could make him warm, covered himself with many blankets, placed a sieve over his face, and from this single hallucination from fear of the cold air, he kept his bed upwards of twenty years, when he died." The author of the " Anatomy of Melancholy" thus expresses himself on the subject: " Sometimes a strong conceit or apprehension will take away diseases ; in both kinds it will produce real effects. Men, if they see, but another man tremble, giddy, or sick of some disease, their apprehension and fear is so strong in this kind, that they will have the same disease ; or if by some soothsayer, wise man, fortune-teller, or physician, they be told they will have such a disease, they will so seriously apprehend it, that they will instantly labour of it. If it be told them they shall be sick on such a day, when that day comes they will surely be sick, and will be so terribly afflicted, that sometimes they die upon it." Again, " As some are so molested by phantasie, so some again by fancy alone, and a good conceit, are as easily cured. We see commonly the tooth-ache, gout, falling-sickness, and many such diseases, cur- ed by spells, words, characters, and charms. All the world knows there is no virtue in such charms, but a strong conceit and opinion alone." I need scarcely allude to the more common effects of the imagination and of moral impressions known to every one, as illustrated by the production of blushing paleness, fainting, privation of appetite, disturbance of digestion and other functions ;* but it is too often over- looked, that similar impressions are very frequently in- * " Unquiet meals make ill digestions."—Shakspeare. NOTES, 83 "strumental in the production and keeping up of a large proportion of chronic diseases ; hence, a cause of the intractableness of many of them under a treatment ex- clusively medicinal. A great many of the disorders of the digestive appa- ratus met with in a metropolis like London, are induc- ed *nd kept up by anxiety, the worry of particular avo- cations, and the annoyances and perplexities to which the professional, mercantile, and trading classes of the community are especially subjected. Such complaints may persist, or be constantly recurring for an indefinite period, deriving but temporary alleviation from medi- cine ; but they not unfrequently cease spontaneously, if any circumstance occur to counteract the influence of the above-mentioned'causes; as partial change of ha- bits, a short residence in the country, the undertaking of a journey of pleasure, &c. The same may be said of the class of nervous disorders, many of which are occasioned and kept up solely by causes of a moral na- ture, as seen in the occurrence of some convulsive af- fections, viz. hysteria from mental emotion or antipathy, epilepsy from fright, &c. Deep sorrow, disappointment, and other analogous causes,' are but too often the latent occasion of complaints which long resist the efforts of medicine, for the intractableness of which no obvious reasons can be assigned, and by their depressing in- fluence on the vital powers, are frequently productive of some of the most distressing organic diseases to which humanity is subject. A large proportion of cancerous diseases originate in grief, disappointment, and similar depressing causes which interfere with the free capillary circulation, and alter the innervation of parts. Consumption is not un- frequently induced by the same influence, or by a com- bination of mental and physical causes, the operation of which being necessarily very slow and gradual, mostly escapes observation till the germs of disease are firmly eno-rafted in the system, and only await the action of an°exciting cause to bring them into activity. 1 he com- plaint termed nostalgia, or home-sickness, is likewise a striking example. In these cases the individual, torn NOTES. away from his country to fight or labour in foreign lands, droops and pines away without exhibiting the symptoms of disease of any particular organ, until a hope be held out of his speedy return, when the cure will sometimes be effected as if by enchantment.* Dr. Carrick, who had many opportunities of witnessing this disease, says of the Scotch labouring under it, " They get dull, will not eat, cannot sleep, or if they do, dr«am but of friends and home ; the disease is daily on the in- crease. There is but one cure ; put them into a home- ward-bound vessel, and let them tread once more their native shore. The same effect is also produced by dis- appointment in love ; the female form cannot endure the worm that feeds upon the damask cheek. The con- cealment of her passion brooding among the ruins of her peace, produces a mental anguish, under which the body soon sinks." With how much greater ease and lightness are all the bodily functions performed, when the mind is free from care, and we are in good spirits! How languid, ou the contrary, is the flow of the " nimble spirits in the arteries," when we are i' besieged with sable-co- loured melancholy !" and how much more liable are we under these circumstances, to be affected by deleterious agencies of a physical nature ! In an advancing army, flushed with conquest, disease rarely appears ; if how- ever, the same body of men be dispirited by defeat, and on a retreat, disease to a great extent will not fail to manifest itself, should tbey be exposed to any of its more common causes. The British troops in Walche- ren continued tolerably healthy, notwithstanding the de- leterious influence of the climate, till circumstances oc- curred to depress their moral. The same effects were seen on a larger scale on the retreat of the French from Moscow, and there is no doubt, that had the army been advancing, with a prospect of good quarters, instead of One of our most esteemed poets has thus alluded to this malady : The intrepid Swiss who guards a foreign shore * Condemned to climb the mountain cliffs no more it chance he hear the song so sweetly wild Which on those cliffs his infant boursbepnrled, Melts at the long-lost scenes which round him rise And sinks a martyr to repentant «gh.."-P/«tt7W, 'of Memory notes. 85 being in retreat, and undisciplined, it would have sup- ported the privations consequent on the rigour of the season and scantiness of food, with the loss of a com- paratively small number of men. Patients who entertain an idea that they require a course of mercury, will often derive great benefit, and will actually feel a soreness of the mouth, accompanied with an increased flow of saliva, on taking pills compos- ed of bread or other inert substances, provided they believe themselves to be taking mercury. It is stated in the " Dictionnaire des Sciences Medicales," that a physician gave a peasant a prescription for a purgative, saying, " Take this." The man, on his return home, actually swallowed the paper, which produced a similar effect to what would have resulted, had he taken the remedy prescribed. He returned in a day or two to the physician, to say that the purgative had quite cured him. At the period of Corvisart's lecturing on the di- seases of the heart, many of the students became af- fected with palpitation and other symptoms of these diseases ; and it is well known, that when medical stu- dents and non-professional persons read descriptions of diseases, they often become affected with some of the symptoms; or, if they had previously any of the symptoms about which they had been reading, these are almost constantly aggravated from their attention beino- more strongly directed towards them. The power of the imagination and mental impressions in producing hysteria is well known. Analogous influ- ences, and au exertion of the will, also frequently pre- vent the recurrence of attacks of this disease. On the same principle are easily explicable the cures which have been performed from persons being placed on the tombs of saints; by touching holy relics; by pilgri- mages to particular places; as in those affected with St. Vitus's dance, who were cured in the sixteenth cen- tury by a pilgrimage to a chapel dedicated to this saint, near Ulm. I have given, in another work, some cases of partial or total paralysis, in which the persons have continued helpless for years, and have ultimately reco- vered, either spontaneously, or after some strong moral impression; but as it would be somewhat out of place 86 NOTES. to cite here detailed medical cases, I prefer illustrating the remarks which have been made, by a quotation or two from a work in general circulation :—" A large bo- dy of sailors resorted to Sadler's Wells theatre one night, and amongst them a man who was deaf and dumb, and had been so for many years. This man was placed by his shipmates in the front row in the gal- lery. Grimaldi was in great force that night, and al- though the audience were in one roar of laughter, no- body appeared to enjoy the fun and humour more than this poor fellow. As the scene progressed, Grimaldi's tricks and jokes became still more irresistible, and at length, after a violent peal of laughter and applause, which quite shook the theatre, in which the dumb man joined most heartily, he suddenly turned to his mate who sat next him, and cried out with much glee— * What a damned funny fellow !'—• Why, Jack,' shout- ed the other, starting back with surprise, ' can you speak V—' Speak,' returned the other, ' ay, that I can, and hear, too.' The man, who appeared an intelligent and well-behaved fellow, said, that in the earlier part of his life he could both speak and hear very well, and that he attributed his deprivation of the two senses to the intense heat of the sun in the quarter of the world from which he had recently returned. He added, that he had for a long time felt a powerful anxiety to ex- press his delight at what was passing on the stage, and that after some feat of Grimaldi's, which struck him as particularly amusing, he had made a strong effort to de- liver his thoughts, in which, to his great astonishment, no less than that of his comrades, he succeeded." " When Grimaldi, worn out by premature old age, was almost deprived of the use of* his limbs, so as°to be scarcely able to stand or walk, he was' visited by a friend, and when, with much difficulty, he had descend- ed from his bedroom to the parlor, his friend informed him, with great care and delicacy, that his son was dead. " In one instant, every feeling of decrepitude and bo- dily weakness left him, his limbs recovered their origi- nal vigour, all his lassitude and debility vanished, a dif- ficulty of breathing, under which he had long laboured disappeared, and starting from his seat, he rushed to his NOTES\ 8? wife's chamber, tearing, without the smallest difficulty, up a flight of stairs, which, a quarter of an hour before, it had taken him ten minutes to climb. He hurried to her bedside, told her that her son was dead, heard her first exclamation of grief, and, falling into a chair, was once again an enfeebled and crippled old man."* The following cases will likewise serve to illustrate the beneficial effects of moral impressions in certain di- seased states of the system. " At the siege of Buda, that city had suffered from the effects of a long conflict, and the inhabitants had ex- perienced the miseries of fatigue, bad provisions, and anxiety of mind. The scurvy had also made great pro-^ gress among the besieged ; the place was on the eve of being surrendered to the enemy, when the Prince of Orange introduced letters to the men, promising them speedy assistance ; a medicine which was represented to possess wonderful efficacy, and to be almost beyond price, was forwarded for the use of the garrison. 1 hree small vials containg this precious panacea were given to each physician ; this stratagem was completely success- ful. It was stated that three or four drops were suffi- cient to impart a healing virtue to a gallon of liquor. Invalids flocked in crowds to the physicians; many who had not moved their limbs for a month before, were seen walking the streets perfectly well."t At the time when Sir H. Davy was assisting Dr. Beddoes in his experiments on the inhalation of nitrous oxide, Dr. B. having inferred that the oxide must be a specific for palsy, a patient was selected for trial, and placed under the care of Davy. Previous to adminis- tering the gas, Davy inserted a small thermometer un- der the tongue of the patient to ascertain the tempera- ture. The paralytic man, wholly ignorant of the pro- cess to which he was to be subjected, but deeply im- pressed by Dr. Beddoes with the certainly of its suc- cess, no sooner felt the thermometer between his teeth, than he concluded the talisman was in operation, and in a burst of enthusiasm, declared that he already ex- perienced the effects of its benign influence throughout his whole body. The opportunity was too tempting to • Memoirs of Joseph Grimaldi. t Winslow, op. cit. 88 NOTES. be lost. Davy did nothing more, but desired his pa- tient to return the following day. The same ceremony was repeated, and the same result followed, and at the end of a fortnight he was dismissed cured, no remedy of any kind, except the thermometer, having been used. When the metallic tractors were in vogue for the cure of several complaints, by being applied to the parts affected, Dr. Haygarth tried the experiment of preparing tractors composed of other than metallic sub- stances, but which were made to resemble the original ones, and equally advantageous results ensued from their application. 1 will subjoin three other cases which appeared in the papers, and were considered as evidencing the spe- cial interpositiorrof a supernatural agency, having been cried up as miracles in the localities where they occurred. " Miracle, in the river Ouse.—Charlette Beeby, late of Elstow, aged twenty-five, an inhabitant of Bidden- ham, has for the last five years been a cripple, with an affection of the back, the lower limbs being perfectly paralysed. The affection had resisted the treatment of many practitioners. Being acquainted with the Epis- copalian church doctrines taught by the Rev. Mr. Mat- thews of this town, she conceived that if she were bap- tized by that gentleman, she would recover. Accord- ingly, the reverend gentleman, at half-past ten at night, in the presence o** a hundred spectators, converts to his doctrines, proceeded to the river Biddenham, whither the diseased person was removed in a cart, as usual when moved about. Mr. Matthews, going into the river to support her, immersed.her in the water, when she immediately said, ' Leave me go, I can walk,' and walk- ed out of the water, and ran some little distance up a hill till she was exhausted, but she has retained the use of her limbs ever since." Similar cases, occurring for the most part in females are recorded from time to time, and are not unfrequent- ly considered as miraculous cures by those who are ig- norant of their nature, which depend upon a debilitv of the faculty of volition. These cases not unfrequently continue for months or years, being often kept up by habit, unless circumstances occur which forcibly im- NOTES. 89 press the mind, and excite this faculty to activity, as in the above instance, as well as that of the thermometer placed under the tongue by Sir H. Davy. The case of the voice being restored in consequence of the im- pression produced by Grimaldi's antics, as also that which I have related under the head of homoeopathy, of loss of voice being cured by starch pills, which the pa- tient supposed to be homoeopathic remedies, are of a similar nature, the affection being restricted to the mus- cles concerned in the formation of the voice in these in- stances. The paralytic patients formerly cured by be- ing placed on the tomb of the Abbe Paris, laboured under a similar affection, in which I have given several examples in the work above referred to, but which be- ing frequently mistaken by the patient's friends as well as by members of the profession, for a consequence of structural disease, is too often intractable under a pure- ly medical treatment, and the sufferings of the patients are indefinitely prolonged, when they might often be removed by a proper employment of psychical mea- sures. In the following case, which is of an analogous nature, the limb was contracted, and could not be ex- tended from the same cause, and there was besides a normal sensibility of the skin, which is a very ordinary concomitant of these complaints, but which frequently leads practitioners into the error of supposing the di- sease to be of an inflammatory nature. Though to ap- pearance alarming, these cases almost always recover * sooner or later, unless, from bad management, or from long oonfinement, disease of some internal organ be in- duced. Extraordinary Miracle.—The Union Catholique of Monday last, contains a letter dated Nice, the 9th Oc- tober, 1842, which relates a most extraordinary miracle, that had just happened in that town, and of which the writer was an eye-witness! The circumstances are briefly as follow :—" The young Countess de Maistre, twenty-one years old, daughter of the Governor of Nice, had for four months lived in almost continual sufferings, contractions, and spasms. The labours she had undergone in the convent of the Sacred Heart at 90 NOTES. Turin, where she was a novice, had caused a swelling in her feet. Leeches, unseasonably applied, had injur- ed the nerves, and this, which was at first only a slight inconvenience, became at last a distemper of a very *■ frightful character. One of her legs became contract- ed, bent back, and fixed in a strained and unnatural po- sition, (dans un etat de flexion exagerec,) so that the knee became twisted, and the foot rested firmly and im- movably on the hip. All this was accompanied by frightful suffering.' Being unable to fulfil the duties of the monastery, her mother brought her home early in last July, - her life already despaired of, neither eating or sleeping, always in pain, able neither to walk nor sit, nor remain in bed.' She got worse every day, in spite of the attentions of three excellent physicians. She had besides crises of convulsion ; she would fall down on the ground, be covered with black marks, her eyes turned round in her head, and her arms grew be- numbed. The day of her cure, four hours before the miracle, she was visited by two of the physicians, who examined the limb. The same evening the surgeon came to the house, and seeing her could not help say- ing, ' There is no hope, 1 cannot work miracles.' " Such was the state of the patient, which we have de- scribed pretty fully from the letter. In the rest of the case we must be more brief. A daughter of the Coun- tess de Komar had a great devotion for a canon, Dom Gaspard del Bufalo, who died in December, 1838, in the odour of sanctity, after having founded an order of Missionaries of the Precious Blood, and worked'mira- cles of all kinds during a laborious course of evangeli- cal labours in Piedmont and Italy. Mdlle. de Komar had, for some days past, persuaded Mdlle. de Miastre to join her in a Novena, and in certain other devotions, towards this holy man. On the 8th October, at noon, in the midst of these devotions, Mdlle. Komar, " urged to do so by a secret and irresistible power, commanded Mdlle. de Maistre, in a loud voice, in the name of God, and by the merits of his servant, to do her utmost to stretch out her leg. ' Frances,' said she to her, ' stretch out your leg, try, try.' The patient did so move her NOTES. 91 leg, and leaping from her bed, threw herself into her friend's arms, and cried out, ' Nathalie, I am cured.' The physicians were at once sent for, and, on exami- nation, they found that the knee, lately ossified, was now sound and flexible. It was straight, smooth, white, ** and perfectly sound ; on being repeatedly squeezed, it was perfectly free from pain, though the moment before she had not been able to endure the slightest contact of the linen. The cure occurred at half-past three, p. m., and all the rest of the day Mdlle. Maistre continued on foot, receiving visits from the chief people of the place. The next morning she heard three masses, kneeling, and received the blessed Sacrament with all her family. Afterwards she went to the hospital, and when the letter was written, she was going from bed to bed, visiting and consoling the sick. The particu- lars of this occurrence, with the depositions of the phy- sicians, have been sent to Rome. The rumour of it has spread to Genoa, Turin, and through Piedmont, where it has caused the most lively emotion."—Morning Herald, Dec. 1842. In the next case the cure was produced by the same means, being in consequence of the report of the former one. It was likewise headed— " A Modern Miracle,"—said to have been wrought at Plombieres, was also recorded in the Union Catholique: __" A young girl, who for some years had been confin- ed to her bed by a disease which baffled the skill of several eminent physicians, was deemed to be incura- ble. For the last four months, her body appeared to be dead ; she was incapable of moving either of her limbs, or even of raising her hand to take the light nourish- ment presented to her; she, nevertheless, preserved her intellectual faculties, For some time lately, she be- came still more debilitated, and was believed to be dying, and prayers were put up to God that he wouM put an end to her agony. At this period, the cure of the parish read an account of the miracle which had been performed at Nice, and commenced a ncuvaine, in the hope that the Deity might have the same benevo- lence towards his suffering parishioner. Nine congre- 92 NOTES. gationisls communicated on Thursday the 10th ult., and on the 18th, mass was performed at the altar of the holy Virgin; the young girls of the parish communi- cating in the name of the sick person. At the same time a pious woman repeated the mass to the poor girl, who was placed on her knees at the foot of the bed. At seven o'clock she communicated ; at eight o'clock, and between the two elevations of the host, the long- suffering woman got up and seated herself on the bed, exclaiming, * Oh, I no longer feel ill ; and if I continue thus, I am cured.' She had not spoken for a long time before, and she could bear no light in her eyes without enduring great pain. After the mass, she remained for some time perfectly tranquil, and then getting up, sud- denly spoke with all the force of a person in full health, saying, ' I am cured—Oh, a miracle ! leave me alone, and I will get up and walk.' Astonishment filled the minds of all present. As no others were at hand, they put a pair of wooden shoes on her feet, and she walked in them with all the steadiness of any other person. In a few minutes the room was filled with people, and all present, with tears of joy in their eyes, joined in chanting the Te Deum. A mass of thanksgiving was performed in the church ; the bells were rung, and the whole place was full of emotion. Those who were without faith became believers, and all joined in prayer's to God."—Times, Dec. 15, 1842.* Dr. Warren, of Boston, relates the case of a lady who had a tumour of the glands of the neck, of the size of an egg, which had lasted two years, and had resisted all the efforts for its removal, so that an operation was proposed. To this the patient objected, but asked whether it would be safe to make an application which had been recommended to her, viz., touching the part three times with a dead man's hand. Dr. W assured her that she might make the trial without apprehend- * In many cases time efiects a cure after the failure of every other means. Several years ago, I saw a young man who had sud- deny lost h,s voice about five years previously, and wko bad no hope of its restoration. I stated my opinion that it was not nnlikelv to be restored at some time or other. This has since occured anlnW % al oi twelve years having elapsed between the attack and recovery NOTES. 93 ing any serious consequences. After a lime, she again presented herself, and, smiling, informing him that she had used this remedy and no other, and on examining the part, he found the tumour had disappeared. The cure of scrofulous swellings and sores in former days, by the royal touch, is also attributable to the power of the imagination, on the absorption of parts. Imitation and habit influence in a remarkable manner the actions of the economy in health and disease. How frequently do we not see one person imitating the ges- tures of another, without being aware of the circum- stance 1* Children, in whom the imitative faculty is most strong, readily adopt the gestures and even the tone of voice of their parents, or other persons with whom they are associated. The action of yawning, when we see others yawn, is a familiar example of the power of imitation. Muscular twitching of parts, squinting, and stammering, are not unfrequently ac- quired by imitation, and are subsequently kept up by habit for an indefinite period. St. Vitus's dance occurs in some children in consequence of their associating with others affected with this complaint, which is in many cases kept up for a long time by habit alone. The same may be said of epilepsy, and other nervous effections. It is a matter of common observation, that if one female have an hysterical attack, in a place where several are congregated, as in the ward of an hospital, or in any public assembly, others frequently become similarly affected. The mode adopted by Boerhaave, of arresting an epidemic of a convulsive nature, has been repeatedly quoted by medical writers, as illustrat- ing the power of imitation and of moral impression over these disorders. A girl labouring under attacks of an epileptic nature was placed in the ward of a pub- lic institution, with other girls, who all became affected in a similar manner, and the complaint continued to prevail epidemically, till Boerhaave assembled all the patients together, and heating before their eyes a num- * " It is certain that wise bearing or ignorant carriage is caught, as men take diseases one of another; therefore let men take heed of their company."—Henrt IV., Part 2. 94 NOTI.3. ber of iron rods, expressed his determination to apply a red-hot rod on the face of the first who should have an attack. None of them had any recurrence, and the epidemic ceased as if by magic. Epidemics of a some- what similar kind have at different times been propa- gated by imitation over a considerable extent of coun- try ; as in the case of the dancing mania, which extend- ed so widely in the sixteenth century. Laughter is also frequently excited by imitation, and sometimes under circumstances but little likely to occasion merri- ment. Wesley relates, that paroxysms of uncontrolla- ble laughter occurred at some of his prayer-meetings. He himself, and some of his most zealous followers, could not resist the infection, but laughed as loudly as the rest. He accounts for the circumstance by ascribing it to the influence of Satan. The power of habit is further seen in the facility with which per- sons, under certain circumstances, accustom themselves to bear with but little inconvenience, extremes of temperature ; to digest with facility articles of food which would cause an attack of illness to those less accustomed to their use ; or to require but a small quantity of sleep. By this power the eye becomes enabled to dis- cern minute objects in comparative obscurity. The ear of a North American Indian applied to the ground, can hear advancing foot- steps at a distance that appears incredible to Europeans. After the loss of one sense the other senses become, by the habit of cultiva- tion, extremely susceptible to impressions made on their organs. \\ lien a person is deprived of his hands, the sense of touch may be-" come surprisingly developed in other parts of the body, as the feet. Many diseases are greatly under the influence of habit, especially epilepsy, hysteria, and others, which occur at periodical intervals I he paroxysms of an intermittent fever are sometimes kept up by habit. Abortion is liable to recur at a similar period of pregnancy trorn this influence. In these cases the disorders are often kept up until some circumstance occurs which tends to break the .chain of habitual recurrence. Moral impressions have frequently this effect as seen in the cases related in the preceding pages. Change of scene and mode of living also have a beneficial effect in many in- stances. Some remedies, which have an energetic action, and other means m which the patient is led to place great confidence, produce an advantageous result in some cases, while, in others which have resisted a variety of remedial measures, time alone effects the cure It is unnecessary to lengthen this work by any further examples of the influence exerted by the mind on the body, enough havin" been said to enable those who have perused it to form an estimato mo3opea?l7er ! M alS° thC VaIUe t0 b6 S6t UP°U ^ H. LONG AND BROTHER Will issue, on or before the First of August, 1848, the Second American (stereotyped) from the Fifth London Edition of THE FALLACIES OF THE FACULTY WITH THE CHRONO-THERMAL SYSTEM OF MEDICINE; BY S. DICKSON, M.D., of London, EDITED BY WILLIAM TURNER, M.D., of N. Y. Contents :—Physiology of Healthy Life shown to be a Periodic or Tidal Alternation of Attractive and Repul- sive Movement in the various Organs of the Body.—Disease consists in a greater or less Error in one or more of the Cor- poreal Periods with a corresponding error of Temperature.— All disorders, fitful or intermittent—Intermittent Fever, the Type of all Disease.—Elements of Cause and Cure identi- cal.—Poison and Medicine act by Attraction and Repulsion. —The Agency of both Electrical.—Blood-letting the inven- tion of an age of barbarism.—The successful application of Medicine depends on its proper adjustment to the Tem- perature of the patient and the Period of attack of the Di- sease.-r-What is right in the cold fit of a disease is wrong in the hot.—The Treatment during the Periodic Remission, which happens in all diseases, must be different from that practised in either stage of the paroxysm.—Time and Tem- perature the basis of the Chrono-Thermal System of Medicine. " How grateful should we be to the illustrious author of the Chrono-Thermal System of Medicine, for showing up the monstrous outrages of the miscalled Science of Medicine !"— N. Y. Tribune. [See next page. Opinions of tlie British Press. " Almost as entertaining as a novel."—Westminster Review. " This is a bold book, a very bold book ; and we recommend persons who have been dosing themselves with drug's, to kick out the apothecary, and buy it."— Sunday Times. '■ We cannot too highly compliment the author of this volume on his fearless- ness and firmness of purpose."—Metropolitan Magazine. " A medical work with the vigorous and original character of which, in spite of its bold heresies and reckless innovations, we were much struck."—Tait's Edinburgh Magazine. " By the discontinuing of blood-letting alone, to which the faculty must tome, thousands and tens of thousands of human creatures will be yearly withheld from the grave; and here Dr. Dickson will have the honor of standing in frout of the battle. His volume cannot be too extensively read, either by the profession or the public."—JSaval and Military Gazette. "The doctor's arguments in favour of the Unity of Disease, are very convinc- ing."— United Service Gazette. " We have no hesitation in saying that much strong evidence is addressed, as lo the probability of the Unity of all Chronic diseases'; and what is of more im- port to the patient part of the community, still stronger, is brought forward, as to the more than fallacy—the fatality ok the present system of prac- tice. We cannot abstain from earnestly recommeiiding the work to the atten- tion of our readers; for this especial reason, that we have every cause to fear that none but non-professional critics will dare to do so! It is a book aga'nst which the profession may naturally be expected to set their faces and their wits, and which consequently, it behoves the rest of the world to examine with more than usual interest and curiosity."—Colburn's Neu> Monthly Magazine. " Great powers of collecting and associating together facts and cases appa- rently remote, and a happy talent for elucidating his doctrines, by vigorous sen- tences aad powerful images."—Medical Times. Single copies mailed on the receipt of $1, (post-paid,) ad- dressed to H. LONG & BROTHER, 46 (late 32) Ann street, New York. PLEA3L NOTICE. HYDROPATHY AND HOMCEOPATHY IMPARTIALLY APPRECIATED. FIRST AMERICAN, FROM THE THIRD LONDON EDITION. Price 25 Cotts. 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