V ^2 rv y'-1*« / ■'/ /:•/ *? beats forcibly with a jerking bound, the head throbs, the eyes flash fire, and the ears ring with unusual sounds. Now, « 30 exposition. often haspens that these concurrent signs are mistaken for proofs of latent or increased vigor, instead of being merely proofs of increased action; and ac- tion too, that adds as largely to the exhaustion as the depletion that pro- duced it; and the unhappy patient is bled a second, a third, and even a fourth time, till no reaction follows, at which time it is strangely suppon a that the entona, plethora, or inflammatory diathesis is subdued and lused into a calm, because the patient has been so far and fatally drained oiled living principle, that there is no longer any rallying or reactive power re- maining, and gives up the ghost, in a few hours, to the treatment, instead of the disease."—Good's Study of Medicine, vol. 1, page 407. Here we have the direction of Dr. Dewess to bleed "as long as the un pleasant symptoms continue," and the declaration of Dr. Good, that those symptoms will continue "till the patient has been so far and so fatallt- drained of his living principle, that there is no longer any rallying or reacy ive power remaining, and gives up the ghost in a few hours to the treatment, instead of the disease!" Hence, to bleed scientifically, as taught in Philadelphia and London, and wherever these text books of the highest anthority are adopted, is to bleed till the patient "gives signs of woe that all is lost." Or in plain English, it is" to commit wilful murder. But it is said that these terrible effects arise from the abuse of Blood let- ting. That we should mind the indications for its use, and not employ it improperly. The following will show that there are no sure indications. 68. The venerable Dr. James Thacher says: "We have no infallible in- dex to direct us. It is impossible, from the state of the circulation in fever or point to any criterion for the employment of the lancet; the state of the pulse is often ambiguous and deceptive. Circumstances require the nicest discrimination, as the result is often very different in cases seemingly anal- ogous. A precipitate decision is fraught with danger, and a mistake may be certain death."—Thacher's Practice, page 208. 69. Prof. Mackintosh says: "Some patients are bled who do not require it, and the consequences are injurious; others are bled who cannot bear it, and who ought to be treated by cordials, and the result is fatal."—Mackintosh, page 690. "No physician, however wise and experienced,, can tell what quantity of blood ought to be taken in any given case.—Ib. page 418. 70. Prof. Morehead says: "Every body has heard of practitioners, with whom, in every case for which they did not know exactly what ought to be done, it was a settled rule of practice to make trial of the lancet." "So often, likewise, have I heard it said, even of physicians counted ewinent in their profession, that, to prevent their patients dying, they bled them to death; and I fear that such charges have foundation in truth." 71. Opium.—Inflammation or fever, and irritation, being styled by the Alio- psthic faculty, the two great forms of disease, to which the human body is subject, and the use of free blood letting to cure the former, tending to produce the latter, (See Good and Copland, Nos. 66 and 67) the next in- dication tothf reduction of the inflammatory action, is to subdue the irri- ymon. For this purpose opium is highly extolled and as constantly used as athlaacetis for inflammation or fever. preeminently endowed with the most diversified therapeutic powers- exposition. 31 and more extensively employed in its various preparations, than any other single article of the materia medica, this great drug requires at our hands a careful and extended inquiry into its preparation, composition, modes of administration, practical uses and morbid effects."—Harrison's Therap. vol II. page 530. As I never use it in any form, nor recommend nor countenance its use 1 shall consider only its "morbid (morbific) effects." 72. "The constituents are Morphia, Narcotina, &c. "The Morphia is the only one employed to any extent in the practice of Medicine. Narco- tina has been extensively given in India as a substitute for "quinine, and its anti-periodic power is attributed to its stimulant property."—Ib. 532. A stupifying agent must be a glorious stimulant! The chill is a manifes- ation of incipient reaction, and it is no wonder that the deadly narcotine checks it. 73. "Modus curandi of Opium, and of the salts of morphia," For seven separate purposes, this important and valuable drug, is in daily, hourly use. 1. As a stimulant; 2. As a Narcotic; 3. As an astringent; 4. Asa diaphoretic; 5. As an Antispasmodic; 6. As an antiperiodic; and 7. as a modifier of other remedies."—Ib. 534. In his first vol. the Professor says, there are but four indications to be fulfilled in the Ireatment of disease! And here are seven to be fuifilled'by Opium! And the lancet and calomel will have ati equal share. But this is not the place for comments and criticisms; they will coim in due course. 74. Morbid effects of Opium!—"A very small portion of opium will sometimes produce, convulsions in a very young patient. We have known the half of a grain of Dover's powder, which is but the. twentieth part of a grain of opium, [a homoeopathic dose,] induce fits in a delicate child of a few days old. Christison relates several interesting e: amples of death in children from small portions of opium. An infant three days old, got by mistake, about the fourth part of a mixture containing ten drops of laudanum. The child died in twenty four hours. The administration of three drops of Laudanum to a stout child fourteen months eld, was followed by convulsions, and death in six hours. Another child of nine months died in nine hours after taking four drops. The pernicious custom which many nurses pursue, of giving infants laudanum, or paregoric, to Hill their cries at night, cannot be too severely reprehended. This practice is fraught with evil results to the infant, and should never be permitted." In his essay above referred to, Prof. J. P. Harrison says, of Opium: "It stupifies for awhile, and forces the child into an unnatural sleep." "It enhances nervousness." "If the brain is affected, it increases the disease. Inflammation injhe stomac'i or bowels, will be made wors\ perhaps, incura- bly worse by an opiate." "It is hurtful, because it is contrary to nature." "It is a medicine,—a. foreign substance which nature does not call for, or kindly receive as long as she is in her right mood." "Pd'egoric, Bate- man's drops, laudanum or toddy, lays the foundation for heal complaints, such as inflammations, convulsions, anil dropsy of the brain," A small dose of paregoric will often indace fits. The intellect of a child will be im- paired by it, although years may elapse after the practice is abandoned. A permanent, ill conditioned state of the nervous system is induced by the repeated giving of opiates to infants, that never, through all subsequent Ife, is entirely got rid of by the most strenuous endeavors. A tendency we doubt not, to insanity, is thus engendered or augmented. Such children r f 3* EXPOSITION. pass through the process of teething badly. The stamina of the constitution is weakened by it. The stomach and bowels lose their tone, and cholera infantum, or summer complaint is more apt to fasten on them."-Ther. p. 182. What a terrible warning is this, (also that of Professor Eberle 76,) to mothers and nurses, not to give to their children opiates—"anodynes," in any form or for any purpose! What an honor to the Eclectics, that they are so much more enlightened and liberal than we are, that they can still hug to their bosoms this viper of the poisonous materia medica! The nurses learn this practice from the Doctors, who prescribe it "daily, hourly," for "seven different purposes," See above. 75. "Females are more susceptible than males, to the morbid effects of the article. We have met with many instances of the great intolerance of the female system to opiates."—ib. 553. That is because opium "acts primarily on the nervous system;" and, women and children being more sensitive and delicate,Jare lessable to resist its deadly influence. C. 76. Prof. Eberle, iu his work on the diseases of children, page 199, calls opium a "treacherous palliative," under which "the appetite and diges- tive powers fail; the body emaciates, and the skin becomes sallow, dingy and shriveled; the countenance acquires an expression of languor and suffer- ing, and a general state of apathy, inactivity and feebleness ensues, which ultimately often leads to convulsions, dropsy in the head, glandular indura- tions, incurable jaundice, or fatal exhaustion of the vital energies. All the usual soothing mixtures, such as Godfrey's cordial, Dalby's carminative, so much employed for allaying the colic pains and griping of infants, contain more or less opium; and innumer a Me infants have been irretrievably ruined by these popular nostrums!" Prof. J. A. Gallup, in his Inst, of Medicine, vol. 1. page 187, says: (fThe practice of using opiates as anodynes to mitigate pain in any form of fever and local inflammations, is greatly to be deprecated; it is not only unjustifiable, but should be esteemed unpardonable. ' "It is probable that for forty years past, opium and its preparations have done seven times the injury that they have rendered benefit on the great scale of the civilized world." Killed seven where they have saved one! Page 298, he calls opium "the most destructive of all narcoctics," and wishes he could speak through a lengthened trumpet, that he might tingle the ears of empyrics and charlatans in every avenue of their retreat." See B. M. Recorder, vol.7, page 332. Dr. J. Johnson says: "The whole tribe of narcoctics, as opium, hyoscy- amus,Iiopand laurel water, orprussic acid, are dangerous sedatives, present- ing allurements to the unwary, with all the suavity and meekness of the serpent of Eden, and the deception too often is equally fatal." 79. Eankin, in his Abstract, vol. 3. page 228, says: "An able bodied sailor, aged 62, took medicinally, two pills, each containing a grain'and a quarter of the extract of opium, and was immediately attacked with a convulsion fit and died." "Cases are on record, which show that a person may recover from the first symptoms of poisoning, and yet ultimately die from the effects of a single dose." Vol. II. page 32, the poisoning of three children by the sucking of unripe poppy heads, is reported. One died in four-hours, in SDite of the effort o< ike physician. EXPOSITION. 33 MERCURY. As mercury has, for several centuries, been considered, by the Allopathic faculty, the most effectual remedy for disease within the compass of their knowledge—as they also admit that it is one of the most mischievous agents ever used as medicine—that they know not how it operates in any case, to cure or kill—and, finally, declare that it has produced more terrible effects on the human constitution than any other article they use—I think it proper to quote here pretty largely from their testimonies respecting this " all conquer- ing Samson of the materia medica "—Harrison, vol. i. It is not my purpose to give the reader here its physical qualities, nor the history of its discovery and its various uses. My object will be accom- plished when I shall have presented the best accounts of its supposed medical virtues and uses, and its "tendency to mischief when injudiciously used." I begin with Prof. Harrison : 78. " First regarded as a poison, then most cautiously employed in the form of ointment, it [mercury] has, step by step, advanced with the improve- ments of the pharmaceutic art, in a bright career of reputation and favor, till it has possessed an immense space in the field of practical medicine, and now, by many, it is regarded as the first, greatest and best remedy Divine Goodness has ever revealed, in answer to the diligent search of man, to mel- iorate and cure the bodily ills to which man is subjected."—Harrison vol i p. 233. ' ' ' "Mercury was first employed by the Nubian physicians, Avicenna and Rhazes; but they ventured to use it only against vermin and in cutaneous diseases. _ We are indebted to the renowned empiric, Paracelsus, for its ad- ministration internally."—Pereira's Materia Medica, p. 583. '; Of all the remedies which chemical science has conferred upon the art of healing, there stands no single article so pre-eminently endowed with a divers- ified capability of curing disease as calomel."—Harrison, vol. i, p. 168. " When we declare that, its powers are unique and unrivaled, we only em- body the general testimony of the profession in its favor."—Ib. " Mercury is the great anti-inflammatory, anti-febrile alterant of the materia medica."—lb. Prof. N. Chapman says : 79. '-Of all the purgatives'this is the most important, and is susceptible of the widest application in the practice of physic. There is scarcely, indeed any case in which purging is required, that it may not be so regulated, either alone or in combination, as to meet the several indications. It has the sin- gular property of imparting force to many of the mild, and moderating the severity of the drastic, medicines. Whenever we wish a strong and promi- nent impression to be made on the alimentary canal itself, and through it on the neighboring viscera, and especially the portal circulation, by general consent, it is consecrated to these purposes. It is, hence, chiefly relied on in fevers, especially bilious fevers—in obstructions of the bowels—in cholera—and is unquestionably the most appropriate purgative in the early stage of dysentery. Besides the superior efficacy of calomel in these respects, it is recommended by the facility with which it may be administered. Nearly devoid of taste and odor, and minute in dose, it will often be taken when other medicines are refused, and may be so disguised as to be imposed on / f 34 EXPOSITION. the most suspicious or unmanageable of our patients."—Chapman's Thera- peutics, vol. i, p. 182. (See No. 142.) 80. " As an adjuvant to blood-letting, mercury is considered the most powerful of all the antiphlogistics." "It is almost universally depended upon, in this country, for the purpose of removing the derangements of organization which active inflammation may have produced in many of the tissues of the body."—Prof. G. M'Clellan's Surgery, p. 57-8. 81. "Mercury is the great anti-inflammatory, anti-febrile alterant of the materia medica."—Prof. J. P. Harrison, Therapeutics, vol. i, p. 147. "That it^cures we know, but how it cures we know not."—lb., 261. "Next to blood-letting, mercury seems to be our principal remedy in inflammation, especially of the mucous membranes of the larynx, trachea and iris."—Marshall Hall, Bigelow and Holmes, No. 577. "This mineral [mercury] is a very powerful agent in controlling inflam- mation, especially acute, phlegmonous, adhesive inflammation, such as glues parts together and spoils the texture of organs. It is of the greatest im- portance that you should accurately inform yourselves concerning the various effects of mercury upon the system."—Watson's Practice, p. 154 It is ;'a very potent, but a two-edged weapon."—lb., p. 154. "Of late years, various forms of inflammation have been most successfully combated by the use of mercury."—Pereira's Materia Medica, p. 595. As inflammation in its various forms is said to " make up the great amount of human maladies, and constitute the grand outlet of life " (Paine, Wat- son, Hall, Bigelow, Holmes), it follows that the " most powerful agent in controlling inflammation" must he, indeed, "the most valuable remedy" in the materia medica; and it should not be counted wonderful that, by those who believe this doctrine, there should be "scarcely a disease in which mer- cury, in some of its forms, is not prescribed."—Hooper. 82. " According to Armstrong, ' bleeding is the right arm, and mercury the left arm, of medicine."—Cincinnati Journal of Homeopathy, p. 81. 83. " There is scarcely a disease in which mercury in some of its prepara- tions is not exhibited.".—Hooper's Medical Dictionary. 84. " From its [mercury's] power of at once limiting or removing effusion, it is very plain how valuable must be its administration in all inflammatory affections of important internal organs."—Miller's Principles of Surgery, p. THEORIES OF THE ACTION OF MERCURY. 85. "Mechanical Hypothesis.—Astruc (De Morb. Ven., vol. xi, p. 149) and Barry (Medical Transactions, vol. i, p. 25) fancied that mercury acted by its weight, its divisibility and its mobility." 86. Chemical Hypothesis.—Some have advocated the chemical operation of mercurials, and have endeavored to explain 'their curative powers in dis- ease in reference to their ohemical properties. Thus Mitie, Pussavin (quoted by Richter, Ausfuhr Chzneim, vol. iv, p. 305), and Sweddiaur (Practical Ob on Venereal Complaints) assumed that mercury acted chemically on the syphilitic poison, as acids and alkalies do on each other; while Gertanner supposed that the efficacy of mercurials depended on the oxygen thev con- lain. Dr. Cullen (Treat, of the Materia Medica, vol. ii, p. 446) endeavored EXPOSITION. 35 to account for the action of mercury on the salivary glands in preference to other organs, by assuming that it has a particular disposition to unite with ammoniacal salts, with which it passes off by the various secretions. He thus accounted for the larger quantity of mercury which passed off by these glands, and which, being in this way applied to the excretions, occasioned salivation. Dr. John Meanay substituted another hypothesis, but equally / objectionable: " Mercury," says he, "cannot pass off by the urine, because of the phosphoric acid contained in that fluid, which would form, with the mer- cury, an insoluble compound. It must, therefore, be thrown out of the sys- tem by other secretions, particularly by saliva, which facilitates this trans- mission by the affinity which the muriatic acid, the soda, and the ammonia of the secretion, have for the oxyd of mercury, and by which a compound, soluble in water, is formed." 87. Dynamical Hypothesis.—Some writers have principally directed their attention to the quality of the effects induced by mercury, and have termed this mineral, stimulant, sedative, tonic and alterative. Those who assume that mercury is a stimulant or excitant, are not agreed as to whether one or more parts, or the whole system, are stimulated; and, if particular parts, what these are. Hecker fixes on the lymphatics; Scone, on the arterial ca- pillary system ; Beil, on the nerves. 88. On the other hand, Comodi, Bertele and Horn consider it a weakening agent or sedative. Some think that mercurials, in small doses, are stimu- lants, but, in excessive doses, sedatives. This is the opinion of Dr. Wilson Philips. 89. " Dr. Murray calls mercury a tonic ; Voght terms it an alterative, sed- ative resolvent; Sundelin, a liquifacient; Mr. Hunter accounted for its action by saying that it produced a different action from the disease."— Pereira's Materia Medica, vol. i, p. 594. " For the most part, the local action of the mercurial compounds may be regarded as alterative and more or less irritant. Many of the preparations are energetic caustics. Mr. Annesly asserts, from his experiments on dogs and his experience with it in the human subject, that calomel is the reverse of an irritant; in other words, that,when applied to the gastrointestinal mem- brane, it diminishes its vascularity."—lb., p. 585. ITS EFFECTS ON THE CONSTITUTION. 90. "Mercury, gradually introduced into the system, seems to exert a tonic effect on both the extreme blood vessels and the lymphatics—that is, on the exhalents and the absorbents—thus preventing or limiting impending effusion, and at the same time expediting the removal of that which has been already exuded."—Principles of Surgery, by James Miller, F. R. S. E., F. B. C. S. E., Prof, of Surg in the University of Edinburgh, p. 102. 91. "It certainly alters the red globules and diminishes the undue propor- tion of the fibrin in a remarkable degree, and will, in a short time, break down the inflammatory exudations and adhesions among inflamed parts, which have resulted from the preceding stages of the disease;"—M'Clellan's Surgery, p. 57. 92. " But the great remedial property of mercury is that of stopping, con- trolling, or altogether preventing, the effusion of coagulable lymph ; of brid- ling adhesive inflammation."—Waf*nn'.« Practice, n. 155. 36 EXPOSITION 93. We regard mercury as an empirical and perturbatory remedy. By its stimulant property it deranges the vital and organic forces."—Prof. Golphin in Revue Medico-Chirurgicale, torn, ii, p. 134. 94. " Of the modus operandi of mercury we know nothing, except that it probably acts through the medium of the circulation, and seems, in many instances, to substitute its own action for that of the disease."—U. S. Dis- pensatory, p. 350. " When we produce a mercurial impression to cure fever, we substitute the action of the remedy for that of the disease. "The therapeutist will avail himself of this law of morbid action to sub- stitute an artificial, definite and controllable constitutional action, for one that is abnormal, unlimited and not corrigible by any power in the system."— Har., Mat. Med., vol. i, p. 157. In the same volume, Prof. H. says: 95. Mercury "exercises a curative power" (194), and yet (p. 48, 49) it "promotes scrofula and glandular diseases, and hastens decomposition." "That mercury cures, we know—but, how it cures, we know not" (264). " There is some mystery about it" (150). 96. "It is not an excitant, but a most powerful depresser of the energies of life" (146). " It is not a stimulant to the vascular system" (227, 245). " It irritates the heart and arteries and invariably depresses the nerves " (228). " It excites the heart's action, or depresses the powers of life, as the case may be" (146). " It is the greatest curative agent" (147,233). " Pro- motes the secretions (146). "Calomel subverts nature" (9). "Demolishes the very pillars of human health" (312). "Acts physiologically, therapeuti- cally and pathologically" (218). " I pretend not to penetrate into its action further than a careful observance of the phenomena it exhibits."—Essays, page 177. 97. " Mercury acts upon the system as a stimulant; but what the peculiar nature of that stimulant is, it would be in vain to inquire."—Eberle's Ther- apeutics. 98. "Mercury produces universal irritability, making the constitution more susceptible of all impressions. It quickens the pulse, increases its hardness, and occasions a kind of temporary fever. It produces hectic fe- ver. In some constitutions, it operates like a poison."—Hooper's Medical Dictionary. 99. "Mercury excites restlessness, anxiety, and a very distressing and irri- table state of the whole body. In some it produces delirium, in others pal- sy and epilepsy."—Dr. Bell. 100. Prof. Drake, in the Western Journal of Medicine, vol. 2, p. 636 says: " Mercury has been found in the bones, blood, brain and nerves." 101. Eczema Mercuriale—"Alley saw forty-three cases of this disease, eight of which terminated fatally."—lb., p. 588. 102. Ulceration and Sloughing.—"Ulceration of the mouth is a well known effect of mercury. Ulceration of the throat is likewise a consequence of the use of this mineral."—lb., p. 589. 103. Neurosis Mercurialis.—U Various symptoms, indicating a disordered condition of the nervous system, are met with in persons who have been ex- EXPOSITION. 37 posed to the baneful influence of mercury, such as wandering pains, a trem- ulous condition of the muscular system, sometimes accompanied with stam- mering, and occasionally terminating in paralysis, epilepsy or apoplexy."— lb., p. 589. 104. Cachexia Mercurialis.—" This condition is characterized by disorder of the digestive organs, loss of appetite, wasting, incapability of much exer- tion, with increased secretion from all the organs, especially from the saliva- ry glands. Mr. Travers says mercurial cachexia is characterized by irritable circulation, extreme pallor and emaciation, tenderness of the region of the pancreas, and the evacuations are frothy, whitish, tough and often greenish, at least in the commencement. These symptoms may be fairly referred to an affection of the pancreas analogous to that of the salivary glands."—Pe- reira, vol. i, p. 588. PATHOLOGICAL EFFECTS OF MERCURIAL ACTION. However difficult the faculty may have found the task of explaining the modus operandi of merqury on the human system, the following extracts, as well as the preceding, show very clearly that they know something of the results which follow its exhibition. The reader will please to be careful, however, not to be imposed upon, as the faculty are, by the fatal error of supposing that all these results are the legitimate effects of the action of the drug. He should always bear in mind that mercury is a simple agent, and can produce but one effect, and that must be for good or for evil—for the vital force or against it: and that all other effects than those that are legiti- mate of mercury, must be attributed to other causes. Let him especially remember that all the irritation, fever and inflammation, that follow the ex- hibition of mercury, or any other drug, are attributable to the vital force alone; and that the great business of the observer is to ascertain whether the agent which excites them acts in harmony with this force or against it; and to prescribe accordingly. He will see, if he watches carefully, that mercury is said to produce good effects, only when controlled by the vital force and prevented from producing bad ones; and that, when it gets the upper hand, it produces its own effects, viz., paralysis of the nerves, ulcera- tion, mortification, sloughing of the glands and muscles, and caries of the bones, which shows that all the good ever done on its exhibition, is done by the vital force in spite of it. 105. Mercury is " a Samson to do evil as well as to do good."—Prof. Geo. M'Clellan's Surgery, p. 58. 106. " If it be resorted to as a constitutional remedy in the first stages of disease, it will be seen to augment the disturbance, and, perhaps, convert the fever into a morbid form of irritative excitement."—Ib. 107. '' In some cases the gums slough, the teeth loosen and drop out, and, occasionally, necrosis of the alveolar process takes place. During this time the system becomes extensively debilitated and emaciated, and if no inter- mission be given to the use of the mercury, involuntary actions of the mus- cular system come on, and the patient ultimately dies of exhaustion." ' " I have repeatedly seen inflammation and ulceration of the mouth and profuse 38 EXPOSITION. salivation induced by a few grains of calomel or some other mercurial."— Pereira, p. 587. 108. " If you push this remedy in healthy persons, inflammation is actu- ally produced; the gums become tender, and red, and swollen, and at length they ulcerate: and, in extreme cases, and in young children especially, the inflamed parts may perish: the cheeks, for example, sometimes slough inter- nally. Not only the gums, but the throat and fauces, grow red, and sore, and sloughy."—Watson's Practice, p. 155. 109. "Patients, who are kept under the influence of mercury, grow pale as well as thin: and Dr. Farre, who has paid great attention to the effects, remedial and injurious, of this drug, holds that it quickly destroys red blood: as effectually as it may be destroyed by venesection."—lb., p. 155. " The facts I have already mentioned show, that it has a loosening effect upon certain textures—that it works by pulling down parts of the build- ing."—Ib., p. 155. 110. " Mercury occasionally attacks the bowels and causes violent purg- ing, even of blood. At other times, it is suddenly determined to the mouth, and produces inflammation, ulceration and an excessive flow of saliva."— Cooper's Surg. Diet., vol. ii, p. 170. 111. "Mercury, when it falls on the mouth, produces, in many constitu- tions, violent inflammation, which ends in mortification."—lb., p. 170. 112. "In 1810, the Triumph man-of-war and Phipps schooner received on board several tons of quicksilver, saved from the wreck of a vessel near Ca- diz. In consequence of the rolling of the bags the mercury escaped, and the whole of the crews became more or less affected. In the space of three weeks two hundred men were salivated, two died, and all the animals—cats, dogs, sheep, fowls, a canary bird, nay, even the rats, mice and cockroaches— were destroyed."—Edinburgh Med. and Surg. Jour., No. xxvi, p. 29. 113. "A very frequent consequence of excessive mercurial salivation, and the attendant ulceration arid sloughing, is contraction of the mucous mem- brane in the neighborhood of the anterior arches of the palate, whereby the patient is prevented from opening the mouth, except to a very slight extent. I have met with several such cases. In one it followed the use of a few grains of blue pill, administered for a liver complaint. The patient remains unable to open her mouth wider than half an inch. Several operations have been performed by different surgeons, and the contracted parts freely divided, but the relief was only temporary. In another instance (that of a child four years of age) it was produced by a few grains of calomel. Though several years have elapsed since, the patient is obliged to suck his food through the spaces left between the jaws by the loss of the alveolar pro- cess."—Pereira's Mat. Med., vol. i, p. 587. 114. Mercurial Purging.—" Violent purging is a very frequent conse- quence of the use of mercury. It is frequently attended with griping, and sometimes with sanguineous evacuations."—lb. " Dr. John Mason Good, Fellow of the Royal Society, London, the learn- ed author of the " Book of Nature," Improved Nosology," " Studies of Med- ioine," &c, says, in the latter work, vol. i, p. 62 : EXPOSITION. 39 115. " Quicksilver, in whatever mode introduced into the system, whether by the skin, the^ stomach, or the lungs, uniformly stimulates the salivary glands, producing an increased flow of saliva, and is almost, if not altogeth- er, the only substance we know of, which, introduced internally, universally acts in this manner." * * * " From the general tendency of mercury to produce this specific effect, those who are engaged in working quicksilver mines, are almost continually in a state of salivation: and when, which is often the case, condemned as criminals to such labor for life, drag out a mis- erable existence, in extreme debility and emaciation, with stiff, incurvated limbs, and total loss of teeth and appetite, till death, in a few years, with a friendly stroke, puts a period to their sufferings. * * * 116. " Mercury, however, produces different degrees of effect, upon different constitutions or states of the body. In a few rare instances, it has exerted no sensible influence whatever upon the excretories of the fauces: in others, a very small quantity of almost any of its preparations has stimulated them at once to a copious discharge. In persons of a highly nervous or irritable temperament, I have known salivation produced by a single dose of calomel; and that it is sometimes caused by dressing ulcers with red precipitate, is a fact well known to all experienced surgeons. * * * Even the occasional application of white precipitate or mercurial ointment to the head to destroy vermin, has often excited salivation." Prof. Thos. Graham, of the University of Glasgow, and member of the Royal College of Surgeons in London, says: 117. "When I recall to mind the numerous cases of ruined health, from the excessive employment of calomel, that has come to my own knowledge; and reflect on the additional proofs of its ruinous operations, which still daily present themselves, I cannot forbear regarding it, as commonly exhib- ited, as a minute instrument of mighty mischief which, instead of conveying health and strength to the diseased and enervated, is made to scatter widely the seeds of debility and disease of the worst kind, among persons of every age and condition."—Indig., p. 132. 118. " There is not, in the materia medica, another article which so immedi- ately and permanently, and to so great a degree, debilitates the stomach and bowels, as calomel: yet this is the medicine which is'prescribed and sent for on every occasion. Its action on the nervous system is demonstrative of its being an article in its nature inimical to the human constitution; since what medicine besides, in frequent use, will excite feelings so horrible and inde- scribable as calomel and other preparations of mercury? An excessively peevish, irritable and despondent state of mind, is a well known consequent of a single dose of this substance."—P. 134. 119. " There is a circumstance, in the operation of mercury, which ought to engage the serious and attentive cons.deration of the profession, as well as all who are in the habit of taking it themselves, or of giving it to their children—I mean the permanency of its deleterious effects. An improper or excessive use of the generality of medicines is recovered from without [com- parative] difficulty; but it is not so when the same error is committed with the mercurial oxyds. They affect the human constitution in a peculiar man- ner, taking, so to speak, an iron grasp of all its systems, penetrating even to the bones, by which they not only change the healthy action of its vessels and general structure, but greatly impair and destroy its energies. I have seen persons to whom it has been largely given for the removal of different 40 EXPOSITION. complaints, who, before they took it, knew what indigestion and nervous de- pression meant, only by the descriptions of others; but thgy have since be- come experimentally acquainted with both; for they now constantly com- plain of weakness and irritability of the digestive organs, of frequent low- ness of spirits and impaired strength ; of all which, it appears to me, they wiH ever be sensible. Instances of this description abound. Many of the victims of the practice are aware of this origin of their permanent indis- position ; and many more, who are at present unconscious of it, might here find, upon investigation, a sufficient cause for their sleepless nights and mis- erable days. We have, often, every benevolent feeling of the mind called into painful exercise, upon viewing patients already exhausted by protracted illness, groaning under the accumulated miseries of an active course of mer- cury, and, by this, forever deprived of perfect restoration. A barbarous practice, the inconsistency, folly, and injury of which, no words can suf- ficiently describe."—Pages 136-8. 120. "I have seen the constitutions of such persons [who were supposed to have the liver complaint] irrecoverably ruined by active mercurial courses'- but in no instance did I ever witness a cure effected by this treatment It is painful to recollect that, in disorganized livers, mercury, carried to the extent of salivation, is commonly regarded as the sheet anchor, the fit and only remedy; for I will venture to affirm, that the far greater number of such cases grow materially worse, rather than better by such use of it; and that this aggravation consists not merely in an increase of the patient's weakness and morbid irritability, but that the existing disease in the liver becomes more extensive and inveterate."—lb., p. 172. 121 "If the opinions here set forth with so much force be correct—and that they are so we have not the least doubt—what incalculable mischief must result from a practice founded upon the common notion of the absolute necessity of a mercurial salivation, for the cure of what may be pronerlv or improperly named liver complaint!" [Note by the American Editor 1—lb p. 127. J '' Abehnethy says: 122. "Persons who are salivated, have, as far as I have remarked, the functions of thehver and the digestive organs constantly disturbed by that process."—Surgical Observations, p. 77. J y Blackall says: 123. " On the schirrus or tuberculated state of the liver, I have seldom seen mercury make any good] impression. But I have seen he in^wuriaTllwt superadded by contmua salivation, and then the disorder become more Co^ plicated and more speedily fatal."—Dropsies, p. 70. ut^ume more com- Farre says: 124. "Patients suffering under chronic enlarwmpn+s nf +1,^ v so far as I have observed, benefited by the^onerS 5 L ^ "? n°> time that the most careful examination can SnZsf them TlfJ **' hj *% the disease has been already so considerable t?mt?hp ™ '• fe pr-°greSS °f only to exhaust the power* that ^^^±1^^ ^tion tends restore."—Morb. Anat. Liver, p. 21. su&sequently, in vain attempt to Hamilton says: 125. "The ordinary mode of exhibiting mercury f™ +v , , hepatitis, not unfitly hu™3 „ thl *£%&,<&&£££. EXPOSITION. 41 stitution, lays the foundation for paralytic affections ; and it may be truly affirmed that it thus often shortens life."—Abuse of Mercury, p. 79. Dr. Falconer, of Bath, in a paper where he forcibly animadverts on its abuse, observes: 126. "Among other ill effects, it tends to produce tumors, paralysis, and, not unfrequently, incurable mania. I have myself seen repeatedly, from this cause, a kind of approximation to these maladies, that embittered life to such a degree, with shocking depression of spirits and other nervous agitations with which it was accompanied, as to make it more than probable that many of the suicides which disgrace our country, were occasioned by the intoler- able feelings which-result from such a state of the nervous system."—Trans. Medical Society, London, vol. i, p. 110. Dr. Hamilton says: 127. " In a lady who had such small doses of the blue pill combined with opium, for three nights successively, that the whole quantity amounted to no more than five grains of the mass, salivation began on the fifth day; and, notwithstanding every attention, the tongue and gums became swelled to an enormous degree; bleeding ulcers of the mouth and fauces took place, and such excessive irritability and debility followed that, for nearly a whole month, her life was in the utmost jeopardy."—Abuse of Mercury, p. 24. Dr. Alley says: 128. "I have seen the mercurial eruption appear over the entire body of a boy about seven years old, for whom but three grains of calomel had been prescribed effectually as a purgative."—Observations on Hydrargyria, p. 40. Graham says: 129. " Such instances of the poisonous operation of mercury are not of rare occurrence; they are common, and only two out of a vast number that have been and are still daily witnessed, many of which are on record."—p. 136. THE IMPOSSIBILITY OF PREDICTING ITS MODUS OPERANDI. 130. "Some patients are slow to show ptyalism, even under great and sus- tained doses. Others have their mouths touched, perhaps severely, with but a few grains. Some suffer from pain and purging, in whatever form the mercury is given, internally. Some are actually poisoned by the mineral, the condition termed erythismus being induced. The system may not suffer, but the surface may—a very troublesome eruption occurring, the eczema mcrcu- riale. Some systems evince their intolerance of the remedy by gradual loss of flesh, strength and spirits, an asthenic state, approaching to hectic, be- coming established. Violent salivation may be caused by sudden exposure to cold during the use of the medicine, or it may depend upon an idiosyn- cracy of the system."—Practice of Surgery, by James Miller, p. 390-91. Dr. Bell states that he 131. "Exhibited three grains of blue mass to a patient, which caused copious salivation."—Bell & Stokes's Practice, vol. ii, p. 140. 132. "It is important to know that different persons admit of, or resist, the specific agency of mercury in very different degrees; so that, in some patients, the remedy becomes unmanageable and hazardous; while, in others, it is inert and useless. It is most grieviously disappointing to watch a pa- 42 EXPOSITION. tient laboring under inflammation which is likely to spoil some important organ, and to find, after bleeding has been pushed as far as we dare push it| that no impression is made upon his gums by the freest use of mercury. Such cases are not uncommon; and, unfortunately, they seem most apt to occur when the controlling agency of mercury is most urgently required. On the other hand, there are persons in whom very small quantities of mer- cury act as a violent poison, a single dose producing the severest salivation, and bringing the patient's existence into jeopardy. This history was told to Dr. Farre by a medical man, under whose notice it fell. A lady whom he attended said to him, at his first professional visit to her, ' Now, without asking why or speculating upon it, never give me mercury, for it poisons me.1 Some time afterward she met with the late Mr. Chevalier, and spoke to him about her complaints ; and he prescribed for her as a purgative, once, two grains of calomel, with some cathartic extract. She took the dose, and the next morning showed the prescription to her ordinary medical attendant. ' Why,' said he, 'you have done the very thing you were so anxious to avoid—you have taken mercury.' She replied, ' I thought as much, from the sensations I have in my mouth.' Furious salivation came on in a few hours, and she died at the end of two years, worn out by the effects of mercury, and having lost portions of the jaw-bone by necrosis."—Watson's Practice, p. 157. Dr. Joy says: 133. "We have seen a person salivated severely by four or five grains of blue pill, taken in divided doses."—Library Practical Medicine, vol. v, p. 410. 134. " Mercury, in any form, excites in some individuals, and more partic- ularly in those in whom salivation is not easily produced, a frightful degree of erethism, with most alarming depression of the vital powers. We have seen a complete but temporary loss of sight, accompanied by various evidences of undue determination of blood to the head, supervene upon the occurrence of a violent salivation, induced by the application of camphorated mercurial ointment, for a few days, to an enlarged testis."—lb., p. 411. Prof. J. P. Harrison, in a lecture on Diseases induced by Mercury, says: 135. "Its vapors salivated a whole ship's crew."—Medical Essays, p. 126. " Calomel has inflicted more mischief," &c.—lb., p. 128. " Calomel, even in large doses, has the effect of diminishing vascular ac- tion."—Ib., p. 131. It produces " sore, tumid, and at length ulcerous gums, and a swollen, loaded tongue."—Ib., p. 139. "Mercury sometimes produces fatal effects in very small quantities."__lb., " Mercury is often a most potent engine of mischief."—Ib. 150. 136. "An inscrutable peculiarity of constitution renders it a matter of great peril for some persons to take mercury in any shape. The smallest dose of blue pill or calomel will, in such individuals create the most alarm- ing symptoms, and death will sometimes result from the taking of a few grains of either."—lb., p. . 137 "By its rapid, irritating impression on the gastric mucous tissue or upon the skin, it [mercury] may act as a poison."—lb. p 157 " I have seen another case, in which the child took several" doses of calo- mel, before the mouth became inflamed, and was saved with the loss of nearly all the teeth of both jaws and a portion of one cheek."__lb. p. 161. EXPOSITION. 43 Another child, of six years, took six grains of calomel, and lost " the whole left cheek," and " soon died." Another " unfortunate victim of mercury lost a part of his nose and most of the palate of his mouth, and died of phthisis pulmonalis ! "—lb., p. 160. See the whole essay, in the face of which Prof. Harrison has the effrontery to intimate that mercury in not a poison ! "IMPOSSIBILITY OF CONTROLLING ITS ACTION WHEN IT GETS THE UPPER HAND." 138. The secondary effects of the poison are manifested in "caries of the skull; ozena [ulceration of the lining membrane of the nose]; noli me langere [destructive ulcer of the face] ; caries and necrosis of the lower jaw j inflammation of the tongue."—Miller's Practice of Surgery, p. 64, 129, 130, 136, 158. 139. " Of the remote evil effects of mercury on the system, much might be said."—Ib., p. 391. " In all aggravated cases of periostitis, mercury is usually much to blame. No predisposing cause of ostitis is found more frequent or certain in its- operation than mercury. The cachectic state induced by the mercurial poi- son seems manifestly to favor the occurrence of fragilitas ossium."—Ib., p. 230, 232, 262. Dr. Bell, when referring to the treatment of mercurial salivation, says]: 140. " Like all kinds of poisoning, of which this is one, time is required, both for an elimination of the deleterious agent from the system and for ai subsidence of the morbid phenomena, such as depraved secretions and per- verted innervation to which it gives rise."—Bell & Stokes's Practice, vol. i, p. 69. 141. "In producing their effects, all the mercurial preparations are decom- posed, and the mercury in the metallic form is either thrown out of the body by the skin and lungs, or deposited in the glands and the bones." " In Hufeland's Journal, it is stated that a pelvis infiltrated with mercury was taken from a young woman who died of syphilis, and is preserved in the Dublin Museum of Midwifery."—lb., Note. [Dr. Blundell, of London, has another.] " In this place we can only contemplate mercury as a source of disease."—Good's St. Med., vol. i, p. 64. [It is often said that, if mercury does not salivate, it passes out of the system and does no harm. The pelves preserved, as mentioned above, show the falsity of this declaration. We sometime ago read of a case (book and page not now recollected) in which, twenty years after its exhibition, mercury was brought into action, produced all the above dreadful effects, and destroyed the patient in spite of all the efforts of the faculty of a Parisian hospital to prevent it.] N. Chapman, Professor of Materia Medica in the University of Pennsyl- vania, says: 142. " If you could see, what I almost daily see in my private practice, per- sons from the South in the very last stage of miserable existence, emaciated to a skeleton, with both plates of the skull almost completely perforated in many places, the nose half gone, with rotten jaws and ulcerated throats, with breaths more pestiferous than the poisonous Bohon Upas, with limbs racked with the pains of the Inquisition, minds as imbecile as the puling babe—a 44 EXPOSITION. grievous burthen to themselves and a disgusting spectacle to the world, you would exclaim, as I have often done, ' 0, the lamentable ignorance which dictates the use (as medicine) of that noxious drug, calomel.' It is a dis- graceful reproach to the profession of medicine—it is quackery—horrid, unwarrantable, murderous quackery. What merit do physicians flatter themselves they possess, by being able to salivate a patient? Cannot the veriest fool in Christendom give calomel and salivate? But I will ask an- other question, Who is there that can stop the career of calomel when once it has taken the reins into its own possession ? He who resigns the fate of his patient to calomel, is a vile enemy to the sick, and if he has a tolerable practice, will, in a single season, lay the foundation of a good business for life; for he will ever afterward have enough to do to stop the mercurial breaches in the constitution of his dilapidated patients. He has thrown himself in close contact with death, and will have to fight him at arm's length so long as one of his patients maintains a miserable existence " (79). Prof. Harrison, after saying: 143. "Various explanations have been given of the modus curandi of this great anti-inflammatory alterant" [mercury], adds, "that it cures we know, but how it cures we know not " (192). " The mystery of its precise modus agendi remains unexplored " (225). He has, however, explored it pretty thoroughly, and given us the effects it produces, which sufficiently demonstrate its modus agendi. He says: " It produces a rapid sinking of the vital powers" (24). " Very injurious effects upon the mouths of children—severe inflammation, sloughing and death " (46). " Palsy, ulceration and diseases of the bones " (294). " Irri- tates the heart and arteries, and invariably depresses the nerves " (228). "A most powerful^ subduer of the energies of life " (227). " It brings on a most afflicting and incorrigible constitutional disease^ which often defies the skill of the most experienced and enlightened physician to cure " (187). " Slough- ing of the cheek has arisen from washes and ointments applied to the head and other parts of the body" (231). "Disastrous effects have sprung from these applications " (352). "Inflicts incalculable evil on the patient" (245). " Produces cancrum oris " (305) [dry salivation that rots away the mouth]. « The most revolting mutilation of the face, foul ulcers on the tongue, cheeks and fauces" (306). "Demolishes the very pillars of human health" (312). "Eats off the nose and the bony palate of the mouth" (319). "When we produce a mercurial impression to cure fever, we substitute the action of the remedy for that of the disease " (157). " Its action is not controllable under the most judicious treatment" (296). 144. Cases and Illustrations.—"We once saw a little girl, four years old with an attack of fever, who died from the mercurial cancrum oris Other children we have seen, more advanced in years, who fell victims to the disease or who were mutilated by it, their countenances being shockingly deformed' by the sloughing and subsequently puckered cicatrization. Upon this topic our thoughts have been much directed, from the melancholy termination of cases of mercunalism in children, which we have witnessed in our own practice We lost a case, from the ravages of mercury on the mouth, in a boy of eieht years old, who was apparently recovering from hydrocephalus It has been our ot to see more cases in consultation than in our own practice, in which death or mutilation has occurred from continuing the use of calomel too long, or from giving it in disproportionate doses in attacks of sickness in EXPOSITION. 45 children. One dose of eight grains brought on gangrenopsis in a hoy of ten years of age, who had, several years anterior, been mercurialized. Death, under the most revolting mutilations of the face, took place in three weeks after he took the calomel" (305-6). In all these cases, the Doctor confesses that the disease produced by mer- cury was far worse than the fever, hydrocephalus, hooping cough, and even syphilis (236), for which it was given. Hiram Cox, M. D., a graduate of the Ohio Medical College, and late Pro- fessor of Surgery in the E. M. Institute of this city, says: 145. "Thousands yearly fill a premature grave, who are literally and legally murdered by the reckless administration of mercury; yet that same routine species of murder is continued and the community sanction it. " I have been called in hundreds of instances to counteract cases of poi- son produced by men, to many of whose names, by some means or other, the initials M. D. were attached," &c. " Thousands have gone to the grave," &c. " I could enumerate at least fifty cases of poison and death by calomel, that occurred in the practice of physicians who were practicing in the region of country in which I practiced for seven years, many of whom were sent to their graves, mutilated, disfigured and partially decomposed, before death released them from their sufferings. Suppose each physician of the thou- sands who are practicing in the United States, after the Old School routine of giving calomel, were to hand in a list of deaths produced by that mineral poison that occurred within his knowledge and region of labor, what a stu- pendous amount of mortality it would make! " " How revolting to human- ity is this picture ! and yet how listlessly does this community move on and permit this state of things to exist! "—W. M. Reformer. 146. In the preceding numbers we have confined our quotations to the three great, indispensable remedies of Allopathy, the lancet, opium and mer- cury, at once the indices to the,character of its materia medica and the most efficient agents it embraces. But we do not mean to intimate that these are all the remedies of that old, popular practice. There are others used in conjunction with these, or as substitutes for them. But "whatever differ- ences" they may present in other respects, " they all agree in this—they suddenly and rapidly extinguish a great proportion of the vitality of the system." " Poisons are, in general, the best medicines," says Hooper; and " the greater the poison, the better the medicine," has long been counted an almost self-evident principle. Among the adjuncts to, or substitutes for, the lancet, opium and mercury, we find a great number and variety of agents, of very dissimilar character and tendency, as antimony, arsenic, lead, zinc, niter, silver, copper, canthar- ides, digitalis, hyosciamus, cicuta, strychnine and the most powerful narcotics, all which are classed among the causes as well as among the curers of disease. For example, of one hundred and thirty-four forms of disease enumerated by Eberle, he says that more than thirty are induced by the agents used to cure disease—as mercury, arsenic, lead, cantharides, stramonium, opium and other "irritating substances;" also by injuries from malpractice. 46 EXPOSITION. Prof. Dunglison also gives us, as the eauses of more than thirty malig- nant forms of disease, the same "great remedial agents," with blood-letting, tobacco, spurred rye, opium, alcohol and other " acrid or corrosive poisons." These forms of disease are, inflammation, acute and chronic, of all or any of the organs, as the brain, the tongue, the tonsils, the throat, the stomach and the intestines, the lungs, the heart, the liver, the kidneys, the pleura, the pericardium, the peritoneum, the joints, tendons and muscles, the degenera- tion and decay of all these and the very bones themselves. The very worst forms of disease with which the human body has ever been afflicted are at- tributed to " the most effective weapons of medical aggression" that have ever been prescribed for them, and to the manipulations of rashness in par- turition. Look at an array of these conditions, causes and cures. First, from Eberle : Disease. Tonsilitis, Enteritis, Peritonitis, Hepatitis, Cerebutis, Nephritis, Cystitis, Hysteritis, Rheumatism, Gout, Ophthalmia, Eczema, Hematemesis, & Hematuria, Paralysis, Chorea, Dementia, Delirium Tremens, Colica Pictonum, Jaundice, Diabetes, Dysuria, Hydrothorax, Ascites, Anasarca, In Dunglison the contrast is nearly the same as above, with the addition of some others. 147. The reader must be forcibly impressed by the number and the invet- erate character of the several forms of disease above indicated, that were pro- duced by mercury. The following note, by Prof. J. B. Flint, of Louisville Kentucky, to his edition of Druitt's Surgery (p. 114), will explain the mystery.' 148. "Genuine tuberculous serofula is less common in the valley of the Mississippi than on the eastern eoast of the Union. But a verv We nor tion of what is regarded and treated as scrofulous disease, in this part o/the country appears to me to be mere y the result of indiscreet mer^SjLition Under the prevalent idea that biliary derangements either constitaWc^ exist with every departure from health, some form of mercury is administer- ed in almost every prescription, and the whole capillary system of persons Cause. Cure. Arsenic, Mercury, Bleeding, Calomel, Opium. Drastic purgatives, Do do do Injuries in parturition, Do do do Mercury, Do do Do. Do do do Cantharides, Do do do Do. Do do do Instrumental labor, Do do Mercury, Do do do Do. Do do do Do. Do do do Do. do do Cantharides, Do do do Do. Do do do Lead, Mercury, Do do Mercury, Stramonium, Do do do Do. Do do do Opium, Do do doD Lead, Do do do Mercury, Do do do Do. Alcoholic Liquors, Do do do Cantharides, do do Mercury, Do do do Do. Do do do Do. Do do do EXPOSITION. 47 who happen to be occasionally unwell, soon becomes impregnated and poi- soned by this subtile mineral. 149. " So, too, if an alterative impression is desired, under any morbid con- dition whatever, instead of employing regimen, diet and more harmless med- icaments, it is common to resort indiscriminately to mercurial agents. The consequences of such reckless medication [more properly, wholesale poison- ing !] present themselves to the physician in dyspeptic affections, chronic headaches, pains in the limbs, called rheumatism, &o; and to the surgeon in the more striking forms of alveolar absorption and adhesions, inveterate ulcerations of the fauces and nostrils, where no specific taint has been sus- pected, and in various degenerations, malignant or semi-malignant, of gland- ular organs. 150. "Moreover, the evil does not stop with the individual—for where important elementary tissues are so deteriorated in the parents, a constitu- tional infirmity will be impressed on the offspring, which, if it may not be called scrofulous from birth, is the most favorable condition possible for the development of the phenomena of that diathesis, whenever co-operative in- fluences shall assail the unfortunate subject." 151. " The interests of humanity, no less than the honor of medicine, de- mand that those who observe and understand these things should utter, on all proper occasions, the most unqualified protestations against such abuses of a medicinal agent whose timely and judicious use is so important to the healing art, and thus prevent it from becoming so detestable that its employ- ment will not be tolerated at all." Some of my readers have already asked why I have quoted so extensively from Allopathic authors. I answer, I have done it for several reasons: 1. To disabuse the public of their arrogant and impudent claims to all the medical science in the world, and to the right of the obsequious submission of all patients to their dicta in practice. 2. To furnish to those who dare dispute their pretended wisdom and their arrogant authority, with ample and effective weapons for defense and abund- ant reasons for adopting an independent course. 3. I have done it to give ample proof to physicians, as well as their pa- trons, that there is neither science nor consistency in their principles, nor sense nor humanity in their practice. These extracts, from the most eminent of their professors and authors, demonstrate as clearly as human testimony and example can do it, that they have no faith in the doctrines they teach, either general or particular; and that, so far from having a practice on which they can confidently rely for safety and efficiency, they consider their best remedies " the most potent en- gines of mischief"—" two-edged swords," that have slain seven-fold more by their abuse than they have cured by their judicious use, on the great scale of their most scientific practice. They pronounce " the lancet the indispensable sheet-anchor of their prac- tice in inflammation;" " mercury the great anti-inflammatory, anti-febrile alterant of their materia medica ;" and opium the " magnum Dei donum (the great gift of God) for the relief of a great proportion of the maladies of 48 EXPOSITION. man:" and yet they ascribe to each and every one of these the destruction of more lives than can be attributed to the other three great curses of hu- manity—the sword, pestilence and famine ! Will not the reader turn in disgust from such a mortifying spectacle? Will not the advocate of Allopathy himself here discover the folly and in- iquity of longer binding his living spirit to such a rotten carcass, and give me his attention, while I unfold the cause of all the errors in theory and mischiefs in practice of which the countless hosts of eminent and benevolent men, some of whose statements I have quoted here, complain ? Can the most strenuous advocate of Allopathy longer doubt that there is, at the very root of this system, some fatal canker worm that stints the growth and mars the beauty of its trunk, branches, leaves and flowers, and blast its long and earnestly antici- pated fruits ? Must it not seem to every one passing strange, that medicine should " still be in its infancy," if it ever possessed, within its lifeless shell, the elements of manhood ? If it ever had a scientific basis, should we expect to see such men as Lieutaud, Broussais, Louis, Hahnemann, Brown, Donaldson, Henderson, Forbes, Waterhouse, Jackson, &c, surrendering that basis as worse than worthless—as chaining down the mind to an erroneous, destructive creed—and setting themselves diligently to work to " make new observations, out of which to form a sounder theory"? Should we expect to see "Ameri- can and other medical savans" assembling from year to year, and making it the burthen of their business to strive to ascertain the reason why their once popular and venerated system is losing its authority and falling into silence and neglect, if not contempt and ridicule, while multitudes of other systems, with the title of reform, are rising up to crowd it out of fashion and to take its place; if theirs, as they have made some thoughtless men believe, were "built on the solid foundation of everlasting truth, and had within it the power of rising to perfection"? No, indeed! Truth is mighty, and will prevail wherever promulgated and applied. That their system does not answer the end of its adoption (5, 6, 16), is proof irrefragable that its fundamental doc- trines are not true^ But all the authors I have quoted admit this charge, and the burthen of their efforts has been to ascertain and rectify the err* (9, 19). But as yet, they have failed even in this. Allopathy is no further advanced in is fundamental character than it was three hundred years ago; and never will be further than it is now, till its present base is revoLioni'ed This glorious work for sctentific medicine, this desideratum in its univer 1 history, I shall clearly and thoroughly perform in the next number of this u^r^z^zt^r^of the page and interrupt the ™» 0f ^ text, i shall make but few as I pass, assuring here the reader tW t ui say nothing that I cannot amply prove and that I will i ences to all parts of the wor/inVhe ^^C^IT^^T the most useful. ' ney Wl11 be fouri6 ALLOI'A IIY ILXPOSKD, generates heat; this heat uniting with the moisture of the blood, expands the arterial capillaries which thus press more than usually upon the venous absorbents. The result is, the venous blood already in the absorbents, is forced away ; the arterial is accumulated till it predominates, when the eyes are red, "bloodshot," and they smart with the pain excited by the irritation, first of the cayenne, secondly of the heat, and thirdly of the arterial blood. This is inflammation. As the irritation subsides, the excited action subsides, the contractility of the arterial capillaries recover their tonic or natural and usual dimensions, the absorbents, relieved of the pressure, expand, take up the excess of blood and remove it, and the coat of the eye becomes white again. This is called resolution. Any other irritant than cayenne in the eye excites the same inflammatory action, but not every other excitant allows it so readily to subside and without injury, but rather with the benefit of purifying the tissue of morbific materials, and restoring its healthy action. If lobelia be added to the cayenne or used without it, the vessels are expanded as well as stimulated, and hence their purification by the more easy removal of morbific matter, is more complete. If we wish to check this inflammatory action, we can apply to the eye moisture in the form of water or thin poultices, and it will aid in the process of relaxation; and, by absorbing the heat, will check the irritation. If cold, the water absorbs the heat more rapidly, and, by thus preventing the irrita- tion which its excess produces, it aids the contractility of the capillaries in recovering their smaller dimensions, and thus gives space for the absorbents which are laboring to expand, to recover their larger size, and to remove the accumulated fluid. If the water is cold when applied, it soon becomes warm and loses its power to absorb the heat. It then becomes relaxing instead of tonic, till it is changed for cold. But, if the cold water contain a solution of some powerful astringent, this latter aids in producing contractility and retains its influence after it becomes warm, so as to prevent the accumulation of blood and the generation of more heat. Every pure astringent is able to aid distended arterial capillaries in recovering their proper dimensions, while no one can so far contract the absorbents (against nature) as to prevent them rrom taking up all the fluids which the arterial capillaries in health can supply them. Therefore no pure vegetable astringent is poison—but all are good in their place, or when tissues require their aid. The superficial observer and careless thinker may object that the cold water or the astringent will contract the absorbents as well as the secernants, and thus preserve the derangement. That would be true if nature were doing nothing in the case. But the vital force is striving to contract the arterial capillaries and to expand the absorbents. The cold water and astringents acting in direct harmony with the vital force in the arterial capillaries, is kindly received and allowed to exert its full force—the two united accomplish the object, and this is what is meant by medicines acting in harmony with that force. The cold and astringents assay to contract the absorbents also; but here they are resisted by the vital force. If the water is so cold or the astringents are so strong as to completely or nearly over- come that expansive force, they would stop absorption and prove mischievous, thus very cold water sometimes removes the skin. But water of such a low temperature, or astringents of so great power should never be applied. The absorbents are so numerous and large that an astringent force amply capa- ble of aiding the vital force in reducing the contracting arterial capillaries CRITICI-KD AND CORRECTED. 67 to their proper dimensions, may not be able to contract the more numerous larger and expanding absorbents (as the arterial pressure is taken from them), and prevent them from removing the accumulated blood, and restoring equili- brium of the circulation ; and, of course a healthy condition to the tissue. Any article in its nature tending to destroy the elastic force of the tissue, is poison and should be always discarded. One that may overcome it only by the degree of its power, is good and should not be abused; that is, used to excess, or when it is not wanted. It is thus by observing the tendency of substances to aid or oppose vital action, that we determine the character of external agents as medicines or poisons. a. Inflammation. This term has been given, time immemorial, to certain actions and conditions of the animal tissues, which no observing person can fail to discover; but which many of the most distinguished medical men, in all ages and countries, have attempted in vain to describe. They confess that, notwithstanding their careful and extended observation (28 to 48), their diligent search, their establishment of fever hospitals (34), and other praiseworthy efforts to "more certainly ascertain its true nature," they have accomplished nothing of their grand object; their conclusions are "very unsatisfactory" (35), "altogether problematical" (36); and "afford little help in determining the plan of treatment" (35). 237. / consider it only a circumscribed fever, in its concentrated forms and later stages—simply accumulation of blood and excitement in the arterial capillaries of a tissue. 238. Discussion of it, resolution. It is not generally customary, among Allopathists, to pronounce accumulated action inflammation, till the circu- lation has become so completely arrested as "to change somewhat the character of the blood and of the secretions."—(Erichsen's Surgery, p. 36 to 44). But this can scarcely be said of a blush which Hunter calls " the simplest form of inflammation,"—"a simple act of the constitution,"—in which the sudden and powerful action of the heart and arteries, distends and fills the capillaries of the latter, so completely as to compress, for a moment, the mouths of the absorbents to such a degree as to prevent them from taking up the blood as fast as it accumulates; the result (in the face) is, redness, fullness and slight heat. But, the cause soon ceasing to act, the arteries also act less powerfully and press less upon the absorbents which now expand more freely, drink in and remove the obstructions, and restore the equilibrium. This is called resolution or the first termination of inflam- mation, and nature herself effects it, when let alone generally; when properly assisted almost always. 239. Active exercise produces for a time the same condition of the general surface that we see on the cheek in a blush; and rest from that exercise gives relief from arterial, diffusive pressure • when the capillaries contract, the absorbents expand, and the equilibrium of circulation is restored. So far, medical men are not disposed to regard this accumulation of excitement, and of blood and heat in a part, as anything unnatural or improper. 240. But, if this excess or accumulation of blood is confined to a small region of the body, and the stasis is nearly complete and more permanent, it is called inflammation, though in truth that which is properly termed inflam- mation (the action), is almost subdued. 68 ALLOPATHY EXPOSED, If it extends over a large region, and the arterial derangements are slight, the case is called fever. Hence it is evident that there is no natural dividing line between fever and inflammation. In their character they are the same. 241. Erichsen, the distinguished Surgeon of the London University Col- lege and Hospital, says:— "It is difficult to say, except by the persistence and intensity of the symp- toms, that the physiological state has ended and the pathological one has com- menced." Pray what degree of "persistence and intensity of the symp- toms," shall constitute the dividing line between that increase simply in power and permanence and not in character ? As signs of inflammation, he gives, "Alteration in color, in size, in sen- sation, in temperature and function, of the part affected." And adds (page 40th), "Each of these conditions may separately occur, or'two or more be associated together without the existence of inflammation. It is the peculiar grouping together of them all, that characterizes the presence of this patho- logical condition." 242. Comments. No signs to distinguish fever from inflammation, or irritation. _ Where, for example, is the change of color in phlegmasia dolens and synovitis? of color or size in neuralgia, (inflammation of the nerves,) of sensation or temperature (tangible) in carditis, splenitis and hepatitis; and what of function in the blush ? Any that can be so appreciated as to "afford any help in determining the plan of treatment?" (35), or tell us "how it will terminate?" (119). Is there any distinction in nature between fever and inflammation as vital acts, other than what is made by the progress of one act from circumference to center and of the otljer from center to circumference? And what changes the conditions of their approach to each other but the different states of the systems in which they are manifested ? And, if so, why attempt to make two things out of the one simple act ? Why attempt to divide even these two things which are but one, into a legion more ? If different constitutions or states of the same, make differences, why not note these and philosophise and act according to their indications ? How long will it be before medical men will find out what disease is (6), so long as they consider the physiological acts, irritation, fever and inflammation the very sum and essence of disease, and "the founda- tion of all their pathological reasoning?" (35.) 243. The Definition that covers every case of inflammation is, accumula- tion of blood and excitement in the arterial capillaries of a tissue, as irritation is accumulation of vital force and excitement in the nerves of a tissue. They may or may not manifest an appreciable degree of heat, redness, pain or swelling. There may or may not be changes in the constitution of the blood, suppuration, granulation, or gangrene, connected with inflammation. 244. But if there are, the obstruction and the swelling are mere mechani- cal conditions; the suppuration is chemical so far as lesion is concerned and vUal so far as casting off pus, and granulation are concerned. Granulation is the vital healing process, and the ultimate termination of inflammation Gangrene is chemical—death ! amiuAuvii. 245. The confounding of all these vital, mechanical and chemical effects under one name and treating them all as vital, sanative, "tilXpW logical state ends;" and, as destructive after it is merely "gue7se£' that CRITICISED AND CORRECTED. 69 "the pathological state begins," are the sources of all the errors of Allopathy, and all "its kindred systems and branches." 246. Dr. H. Bachus, of Alabama, in a pamphlet on fever and inflam- mation, says:— "If we take from fever and inflammation the condition which they have in common,—increased action—nothing will remain to which these terms are applicable." p. 23. Williams, in his Surgery, says: '' Excess of blood in a part with motion increased, is fever. Excess of blood in a part with motion partly increased and partly diminished, is inflammation." That is, while the blood flows on freely, it is called fever; when obstruction prevents the flow, it is inflam- mation. But we find these conditions reversed in many cases of what are called fever and inflammation. Dr. Clymer says : "Drs. Cullen and Brown affirmed that the distinctions which physicians have made about the differences of fever, are without foundation—that they differ only in degree. Dr. Rush called all diseases a unit, reduced all fevers to one, differing only in degree. Maintaining that every form and variety of disease consists of irregular action [irritation fever and inflammation], that this action is a proximate cause of every form and modification of disease, and the varieties owing to the differences in the state or predisposition to disease and in the force of the exciting or acting causes."—Abridged from Clymer, p. 48. Remark. What a prty that these men had not gone one step further in the discovery, and seen that all these fevers or excitements are not disease at all, but simple manifestations of the efforts of the system to remove the causes of disease/ Then would they have revolutionized the whole practice to a purely sanative medication. They could then very easily have learned both "what is disease and what is a suitable remedy." (6.) 247. Inflammation Sanative. In Erichsen's Surgery, page 33, we are told that, "Increased vascular action lies at the bottom of all surgical [healing] processes ; no important surgical action taking place without it. No process by which the separation of dead parts is effected, or by which the repair of wounds or ulcers is carried out, can occur without an increased activity of the vessels concerned. Every tissue is susceptible of it, and the surgeon often excites it intentionally as one of the most efficient of his thera- peutic means." Hunter, John Thomson, Watson (44), and others, say the same thing. So far as authority is worth anything, we have, from the most eminent surgeons of the University College and Hospital in London, and others elsewhere, a full confirmation of the doctrine of the sanative tendency of inflammation, and of its absolute necessity to the healing process. This physiological act may be wrongly directed, or it may be entirely obstructed, and thus rendered powerless for good, or even injurious to the tissue on which it is fruitlessly spent; but no wrong direction or condition can change its character from physiological to pathological; or justify any other treat- ment of it than the removal from it of obstacles to its free and universal action. This gives us a clue to the true plan of practice, the nature of the remedies required, and the effects of the remedies on these conditions; and the vital indications of them, are the only criteria by which the characters of these agents, as good or bad, can be determined. Hence the truth of our doctrine 70 ALLOPATHY EXPOSED, that the errors respecting inflammation, &c, are the sources of all the errors and mischiefs of allopathic therapeutics. 248. Modes of Access. There are two ways of exciting or developing irri- tation or inflammation. 1st, Attraction, by the application to the organ to be inflamed, of some irritating substance; as when pepper is thrown into the eyes or rubbed on the tender surfaces of the body; or caloric in too great quantity attacks the external surface. In all these cases, the foreign body invites or provokes excitement; this excitement develops heat; this heat unites with the blood to expand the vessels containing if;; this expansion gives room for more blood, which excites the vessels still more, and develops more heat, which, with the blood, produces more expansion and develops yet more heat, till the vessels are distended to their utmost degree of extensi- bility, and the blood and caloric become so abundant that no more can be pressed into or confined in the part. The absorbents are now compressed to such a degree that they cannot carry off the accumulated blood, unless the excitement in the locality, or the pressure toward it, or both, be partially removed. The proper method of doing this is to absorb away the caloric by water from the locality, and attract the blood to other parts, particularly the whole surface, by counter irritation, as the vapor bath, and friction by stimulants. 249. Determination. The second method of inducing inflammation consists in forcing the blood to central organs by means of the contraction of the surface, as often caused by the evaporation too suddenly of its natural heat and moisture (a process called taking cold.) The superficial vessels being unable to receive their due quantity of blood, an excess is thrown upon the internal organs (162), as the brain, the lungs, the glands, the mucous and the serous membranes, which are warm, relaxed and expanded, because not exposed to the action of the cold, drying and contracting action of the atmos- phere, and therefore offer less resistance to it than the external cold, con- tracted vessels do. There is not room in the superficial vessels for the quantity of blood necessary to maintain the proper distension and excitement, the surface contracts, diminishes the capacity of the external vessels, and compels the heart and arteries to send the portion of blood which they will not admit, to the internal, warmed, relaxed, and expanded vessels, which will therefore receive it. This forcing of the blood from one organ to another, as well as the inviting of it, is called deranging the equilibrium of the circulation, and the consequences are, irritation, fever, inflammation, and congestion, which are always produced in one or the other of these two ways. If only the nervous system is much disturbed, as in study, it is called irritation. If the general circulation is disturbed, it is called fever. If the disturbance is local, it is called inflammation. If the accumulation of blood is attended with excitement of the capillaries, it is called inflammation. If with little or no perceptible excitement, congestion. (See 164.) Now it is evident, from what has been shown, that the organs within, which are the most irritable, will receive the strongest impressions from the influx of blood—will promptly respond to those impressions, and be, conse- quently, soon inflamed, while those that are the least impressible will least readily respond to that impression, and be speedily overwhelmed with blood, and deprived of the freedom necessary to action, before their excitability is much aroused. The former of these states, as just remarked, is accumulation CRITICISED AND CORRECTED. 71 of blood, with excitement, in the capillaries, and called inflammation ; the latter is accumulation of blood, without excitement, in the capillaries, and is called congestion. When there is some excitement as well as accu- mulation, it is called inflammatory congestion, congestive inflammation, K.vl'w..-,. arrested, while that round about it is increased, until the arterial capillaries are so distended as to close the absorbents by pressure, Avhen the circulation there also is impeded ; but the irritation remains, and, of course, the heat, soreness and pain continue. Those parts of the tissue that are thus deprived of the support which a free circulation gives them before the introduction of the obstructing body, now become the easy prey of the chemical affinity always resident in their elements, and they decompose and turn to pus. This loosens the splinter which, if one end be through the surface, the pres- sure of the tissues on it forces out. If deep seated, the destruction continues, and the pus accumulates, till either it corrodes its Avay out or is removed by artificial means. This destruction of living tissues, and removal of the debris or its elements, is effected, the first by chemical action, and the second by vital, and is called suppuration. As soon as the splinter is removed, the arterial capillaries throw into the vacancy coagulable lymph and blood globules or proximate principles of tissue, which are arranged in organic order, and the tissue wasted is rebuilt. 312. Fever and Inflammation. We are now able to describe in a nutshell, what is properly indicated by these words. It consists essentially in the accu- mulation of blood with excitement in a tissue. Its usual symptoms are heat, redness, pain and swelling ; one or more, in many cases, imperceptible. Its terminations are only resolution; the casting away of effete matter in the course of suppuration; and the granulation and adhesion which are called the healing process. Therefore, inflammation is not disease, but nature's efforts to prevent and cure disease, and should not be subdued but aided in our practice. Suppuration and gangrene often improperly attributed to inflammation, are the results of chemical action (280, 284). Hence it is not wonderful that they who call it disease and strive to sub- due it in practice, should never learn what it is, nor what is " disease, nor what is a suitable retpedy" (Rush 6). 313. Fulfillment of my promise. "Fallacies of the Faculty." Quackery. I think I have noAv written enough (though under very unfavorable circum- stances, with a jaded intellect and in odds and ends of time chiefly occupied with other subjects of thought and action, as business and professional avo- cations) to convince all the thoughtful and candid of my readers that the great "Error of Errors," the fatal "fallacy of the faculties" of Allopathy, has ever been the adoption in practice of the doctrine that irritation, fever and inflammation are essentially different from each other, and all entitled to the appellation of disease, and treated according to this doctrine. I have shown clearly enough, that the reason why they cannot comprehend its nature (35) nor its tendency (19) ; nor the character and tendency (20 and 78 to 151) of the remedies used to cure it, is because they refuse to recog- nize and treat it as "a salutary operation," "for the restoration of injuries," "an effort of nature," "of only one kind," "curative," &c. (42). But, condemning it as constituting the " orders of disease that make up the great amount of human maladies and form the grand outlets of life !" (41), they must, of course, contend against its action, with means and "measures" which their experience informs them are the most effectual to subdue it. Hence the deadly narcotics for the nerves; the lancet for the circulation, and mercury to " regulate the secretions," and "control adhesive inflammation." have ever been their trinity of remedies for this tri-headed monster—this CRITICISED AND CORRECTED,, 87 " irritatio-febrile inflammation," (all exhibited at once in phrenitis) called disease. Hence, too, the united warfare of Allopathy and all her dutiful children, against giving to a sick patient any thing that will excite " this disease," such as cayenne, ginger, or other spices ; or even the most pleasant drinks, or other nutritious aliment. Hence their warfare against vapor baths, exercise, and even cheerful company—which all "excite that terrible hydra- headed dragon, fever, whose " nature," character, " course and termination," are " still problems in" their " medical science" (28 to 38). Here, it seems to me that I might, with a good grace, bid Allopathy fare- well ; but I am met with an answer in the shape of an alternative with which I shall yet have much to do, and therefore I may as well attack it at once, and break the force of its future opposition. The alternative to which 1 allude, is the one to which all sensible and scientific men repair, when they have no true principles to guide them—I mean the final resort:— 314. Experience. By experience is meant that information or those conclusions, habits or feelings which we derive from observation and demon- stration. These are, indeed, the only means we possess of making sure to us the knowledge of any thing ; and, if conducted on right principles, and in a natural or scientific manner, they are infallible. When perfect in character, and sufficient in extent to grasp examples that illustrate all its doctrines, they soon make manifest and certain to the experimenter, the true principles that constitute the science. If therefore, the Doctors have no science (1 to 18), it must be because their experience is false (19), having been conducted with one end in view, by the aid of means that tend to another. They have labored to cure disease with means that tend to make it, and to kill. How long must they experiment in this way, to learn the science of life, and the art of healing? How long before they can say any thing else than, "fallax experienlia /" (19). How long before they learn any thing of " the action of external agents on the body" (20) ; whether they are killing or curing their patient (20, 27); whether they are or are not " multiplying diseases and increasing their mortality ?" (26). But let ms not be satisfied with asking such "hard questions." Let us give the answer in the one short word—never/ and proceed to show them Avhat they are slow to learn—the character and tendency of their chief "remedial agents," and the consequent evil influence of their "Experience." Having no science (4) or demonstrated principles (5), Allopathists "go for experience," (Prof. Harrison, Rec. vol. x, p. 10.) and yet, notwith- standing their experience has taught them that opium, lancets and mercury will surely kill a well man, if they give them freely, they still call it false (19). Hippocrates said "Fallax experientia." And Abercrombie and Jack- son repeat the slander (19). On the other hand, they declare that even the most nutritious food and pleasantest drinks may become poison Avhen given to a sick person (Dr. Locke on Toxicology). Even my excellent friend, and, in many respects colaborer in medical re- form, Avho has learned, by experience, most surely, that antimony, opium and calomel, "are absolutely poisons," and that water and coarse bread, rasp- berries and cranberries are absolutely nutritious and remedial, not having got rid of the erroneous idea that "fever is both a disease and a sanative effort," &c, (Discus) joins them in the condemnation of the very means by which he acquired all the knowledge he possesses as a guide to the true character and action of any thing between opium and calomel, and "grits" 88 ALLOPATHY EXPOSED, and cranberries! Experience, he thinks, has nothing to do with settling such questions. It is purely "a question of science" or knowledge. Pray what are any sciences but the fruits of discovery and experiments? Let us therefore learn from observation and the experiments of somebody, if not ourselves, what are the character and tendency of the remedial agents of Allopathy. But let us not, like others, be deceived by a wrong interpre- tation of the facts of experience. 315. The cliaracter and action of remedial agents. We here see clearly the reason why medical men of the Allopathic school, have never been able to determine the character of agents (20), or their modus operandi on the system (20, 85 to 89) ; Avhether they should call them food or medicines or poisons (98); whether sometimes one and sometimes the other (96). Com- pare 49 to 54, Avith 55 to 70, also 71 to 73 with 74 to 79. Lastly, 78 to 84 with 85 to 151, and it will be seen that the greatest confusion of ideas, and uncertainty of knowledge, even of matters that can be observed by every body, prevail among medical men of the highest distinction in regard to the above subjects. As all irritants may excite that accumulation of blood and action which constitutes fever, if any are administered, in moderate quantities, when there is power in the system to defend itself against their mischievous action, and get rid of them, they are called "good remedies;" but, if the system is feeble and yields to their deadly grasp, the same agents are called poisonous, mischievous, destructive. 316. Remedies the cause of disease. Of 135 forms of disease described by Prof. Eberle in his "Theory and Practice," he gives, among the causes of forty- two, some of the very remedies he reeoinmends to cure these and others. Dr. Dunglison, in his Theory and Practice, gives to a few of the Sam sons of Allopathy, Ariz: Mercury, Lead, Arsenic, Tobacco, Blood-letting, Rye-spur (secale cornutum), Copper, Antimony, Cantharides, Opium, Nux Vomica, Strychnia, Brucia, Alcohol and Acupuncturation, the credit of pro- ducing thirty of the vvorst forms of disease with which the human body is afflicted, and yet he Avas far too cautious of the reputation of poisons, and too ignorant of their real character and action, to do half justice to the sub- ject. They are the chief causes of many other forms of disease, as dyspep- sia, diarrhea, dysentery, scrofula, apoplexy, herpes, phthisis, and a host of other forms of disease not named among their evil effects by either him or Dr. Eberle, though each of these gentlemen enumerates some that the other does not, and omits some that the other names as caused by the "remedies." How valuable must be the remedies that produce such a list of terrible forms of disease, especially as many of them are never seen in persons who have not had the honor to have been treated by the Allopathic faculty! Hoav can they ever learn what are "suitable medicines" (6), while they persist in treating every form of disease Avith deadly poisons and destructive instruments ? 317. Blood-letting. As a remedy in fever and inflammation, in the legiti- mate Allopathic practice, "blood-letting ranks pre-eminently the first" (Mar- shall Hall (50). "The best because the most effective" (Clutterbuck 51). "The most proper mode of depletion" (Paine 52). "The sheet anchor of hope" (Paine 54). "No substitute can be found or desired for it" (More- head 53). v CRITICISED AND CORRECTED. 89 Can any remedy have higher recommendations? Would not the Allopathic practitioner who neglected to bleed a case of fever or inflammation, deserve severe censure from the faculty, whether he lost it or not? Is it right in any case to trifle with uncertain means when we have a remedy for which "no substitute can be found or desired?" Thank God, many Allopathic doctors have, from their observation and experience of its deadly results, ventured to reject it altogether, and to resort to means that are suitable and effective. But, as this is not Allopathy, we will examine carefully the therapeutic operation of blood-letting, and see how far it merits our attention. In the first place, in fever and general inflammation, the digestion and nutrition are usually suspended, while the wear and tear of the system are increased. It is therefore important that the tissues should have the benefit of all the nutritious matter already in the blood, till the equilibrium is restored. But blood-letting takes away a portion of this nutritious matter, and thus becomes, as Hunter says, " one of the greatest weakeners " (55), for which, as Professor Morehead says, " no remedy remains for counteracting or removing the injuries which it has inflicted" (60). Secondly. The removal of blood permits the capillaries of the arteries to contract still more, and this contraction is the greatest where the vessels are the least debilitated by too long excitement; hence the irregularity of the circulation is still the same if not greater, certainly no less ; and from this contraction of the vessels " to adapt themselves to the measure of blood that remains," there arise a " nervous irritation," a " palpitation of the heart, a pulsation of the arteries," that "add as largely to the exhaustion as the depletion that produced them" (67), till, by being bled "again and again," by the ignorant, reckless operator, the patient expires, a victim "to the treatment instead of the disease" (J. M. Good, 67). Thirdly. As the capillaries are diminished by the removal of the pressure of the blood from their elastic coats, the globules adhere to those coats and to each other, and soon block up these vessels, and produce the very stagnation which the blood-letting is perpetrated with intention to prevent. Fourthly. Immediately on the stagnation of the blood, a change in its composition commences ; and, because of this well known fact, blood-letting is recommended to prevent this stagnation and keep it pure and healthy ! It is practiced to prevent or relieve plethora in pregnant women, and men disposed to apoplexy. But I have shown that it tends, by its weakening influence, to produce stasis, and of course deterioration, as any one can observe in the cases of persons who are thus bled, or of those who suffer often from spontaneous hemorrhage from the mucous tissues. Fiftldy. By reducing the quantum of that fluid, blood-letting both dimin- ishes and depraves all the secretions of the system. In whatever light we view it, then, blood-letting tends directly to the destruction of some im- portant sustenance or function, consequently to death rather than to life. 318. Mercurializing. Inflammation is indispensable to the healing of a wound (42 to 44); but mercury prevents this healing process by "stopping the effusion of coagulable lymph," the only means of healing wounds (92); "controlling adhesive inflammation" (81). It "limits or removes affu- sions" (84). " Deranges the vital forces" (93). Takes the place of the dis- ease (U. S. Dispensatory, 94.). It "promotes scrofula and glandular diseases 90 ALLOPATHY EXPOSED, and hastens decomposition" (95). " It is a powerful depressor of the energies of life, and demolishes the very pillars of human health" (96). "A Samson to do evil'' (McLellan's Surgery, 105). "It produces delirium, # palsy and epilepsy" (Bell, 99). "Destroys the red blood, pulls down parts of the building" (Watson, 109). Destroys the glands (124) and the bones 100, 141), and "for ever deprives the patient of a perfect restoration" Good, 119). See Nos. 78 to 151, particularly 146 and 148 to 151. If mercury produces such effects as these, it may well be pronounced "the great anti-febrile, anti-inflammatory alterant of the materia medica" (78), since all its alterations tend to death, and destruction of even the bones, which the very grave will spare and preserve, if it receives them before they are decomposed by mercury. If it is anti-febrile and anti-inflammatory, it must be so because fever and inflammation tend to health. Be that as it may, it would seem scarcely probable that any man with his eyes open to the above effects of this "greatest and best remedy divine goodness ever revealed in answer to the diligent search of man" (78), would desire to enjoy these effects, as "substitutes" for the fever and inflammation (93, 143). 318 a. Of the aids to mercury, in its great work of " controlling inflam- mation," I need only say of antimony, digitalis, &c, that they are merely humble followers in the same great labor of " demolishing the very pillars of human health." They work after the same manner, and to the same end, as their great predecessor, in the battle of disease and death against the powers of health and life. 319. Narcotizing—Opium. But, let us now take notice of that other "magnum Dei donum (great gift of God), for the relief of human suffering" (Harrison), " more extensively employed than any other single article of the materia medica" (71) 'ifor the relief of nervous irritation in its various forms"—this "foreign substance," which is "contrary to nature," and "makes inflammation of the brain and of the stomach and bowels worse," perhaps incurable" (74); "never to be got rid of perhaps through life" (74); a means by which "innumerable infants have been irretrievably ruined" (Eberle, 76); a remedy (?) by which seven times as much mis- chief as good has been done on the great theater of its use (76 b); that " dangerous sedative, as deceptive as the serpent of Eden, and its effects too often equally fatal" (76 c). Now, as "irritation" is considered a dangerous "disease," calculated to "exhaust the vital powers," as much as blood-letting does (67/), it seems rather strange that a drug so mischievously exhausting as opium and its like are described to be, should be recommended to keep up vital action and restore health. If opium deadens the nervous system, and checks, through it, the circulation, including the secretions and excretions, and therefore prevents the healthy purification of the body, retaining the morbific and ingested agents within it, and the blood to stagnate, and all to be decomposed, and thus in their elementary state to become corrosive agents, engines of mis- chief to the system, can it be desirable to procure a temporary relief from suffering, by the substitution of the sedation of narcotics for the "irritation" of the nerves, by which alone they and all the rest of the system are pre- served from destruction? Yet such is the uniform—the unavoidable effect, whenever opium is given to allay irritation! Being "contrary to nature" (74 b), it can not reasonably be expected to aid nature in the removal of disease. OKi'llCISED AND CORRECTED. 91 Here, then, it is manifest, both from the testimony and the experiments of its best friends, that opium is indeed "as deceptive as the serpent of Eden, and too often equally fatal" (76 c). Other narcotics are similar in nature, and, of course, produce the same effects! 320. Of the minor operations of Allopathy, such as cupping, leeching and blistering, I need say but little, except that they are considered by their advocates, hand-maids and helps-meet, to the cardinal practice of depleting, mercurializing and narcotizing. Except leeching, they are based on the correct principle of counter-irritation, and Avould be good but for the fact that they are so circumscribed, and effected by such means, that they do more mischief than they relieve. Cupping, leeching and blistering destroy texture, and leeching and blistering inflict on the body poisonous effects as well as wounds which it is often difficult to eradicate. Phlebitis and stran- gury are among the very pleasant effects of leeching and blistering, and gangrene and death have many a time succeeded both. 321. Good food and medicines rejected. As good food always excites the action of the tissues of digestion, it increases a fever; of course they who believe fever to be disease, will condemn good food as poison. Dr. Locke, in his Lecture on Toxicology, says that even our most approved articles of food, may become poisonous by concentration or injudicious use. As a chemist he ought to know that their character can never be altered while they retain the same constitution, whatever may be the conditions of the system to which they are administered. And as a physiologist and a physi- cian, he ought to know that, to make them act in a proper manner, that is, according to their nature, he should remove the wrong conditions of the system. Good medicines are condemned for the same reason. 322. The great error of Allopathists in deciding on the character of a remedy as sanative or destructive, physiological or pathogenetic, consists in their not ascertaining whether the remedy invites and aids irritation, inflam- mation and fever, or provokes them to make efforts to expel it. The former are sanative, "curative;" the latter are pathogenetic, "destructive"— "poisonous," not so by quantity and injudicious use, but by nature and tendency, in any quantity and by any use. And all systems that involve the same errors in regard to these vital mani- festations, involved the same error, however circumscribed their action on the system. We here learn that all the reform there is in the systems that involve any violence or poisons, consists merely in the more limited appli- cation of them, but not in the correction of the principle, and of course, are liable at all times to fall back to the old extreme. These are not radical and permanent reforms. 323. Medical Reasoning. Professor J. P. Harrison said, "We do not reason on medicine as we do on other subjects." "Disease is an unnatural condition, and must be met Avith an unnatural remedy." (Vol. X Recorder, No. 1). It is even so. Hemorrhage must be stopped by blood-letting, diarrhea by physic, salivation by mercury, and stupidity must be roused by opium ! ! But all these "doctrines" and practices arise from their ignorance of or dis- obedience to physiological laAvs, and the character and action of these their favorite "remedies !" And all this false or unique "reasoning," arises from the one fundamental error inserted as a postulate in their medical syllogism. 92 ALLOPATHY EXPOSED, viz., "irritation, fever and inflammation are disease"—"the three orders of it that make up the great amount of human maladies and form the grand outlets of life" (41). . They reason thus: "Diseases should be cured [very true]. Irritation, fever, and inflammation are diseases [false]. Therefore these must be cured" [false]. If the second postulate were true, the third would be legitimate, and the practice of depleting and narcotizing, mercurializing, freezing and starving Avould be scientific and successful. I have proved that these are not the disease, and of course, not the affections to be cured. But they admit the error without proof, or rather against their own positive declarations (42, 43, 45) and their conclusive demonstrations (44, 206 b). Yet they go on—"progress !" "If disease, fever, irritation, &c, must be cured, it must be cured with something that will cure it" (not with that which will excite and increase it. Having no positive science (4), they go in for experience, which is no better (19). "All experience shows that opium and other narcotics will allay and check irritation (71, 73); and that the lancet and sedative poisons, as digitalis, antimony and mercury, will reduce fever and inflammation (53, 54, 78 to 84), and that ice and starva- tion will complete the business of subduing what we dare not effect by depletion. Therefore, "These are our remedies for irritation, fever and inflammation!" Again, "Vapor baths, air, food, stimulants, as cayenne, ginger, spices, &c, in- crease irritation, fever and inflammation (which are disease), therefore these are proscribed !" But, lastly, "We find that sometimes disease (irritation, fever and inflammation) cures itself, or is cured by the very stimulants above proscribed ! Therefore, we believe that they are sometimes sanative (44) and sometimes destructive" (38, 40, 41), and that, of course, lancets and cayenne, lobelia and calomel, asarum and opium, hot water and ice, feeding and starvation, are, like the particles, very, large, long, and short, in language, destitute of any qualities of their own, but dependent on their relations to other things ! They are all poisons or good medicines, according to the injudicious or judicious use made of them ! that is, as the patient dies or lives, "post hoc" (after their administration)! " They are all good medicines in skillful hands;" that is, the hands that have never learned whether they are, in their nature, poison- ous or destructive, sanative or healing ! But the most innocent of them are rendered very dangerous and destructive by the simple rejection, by the ad- ministrator, of the doctrine that irritation, fever and inflammation are disease, and the using of them according to the notion that these affections are " physiology deranged." Such is the " reasoning" of Allopathy ! and well did Prof. Harrison say it is " not as on other subjects." It can scarcely excite surprise in any reflecting mind that has perused carefully the preceding pages, that from such premises and such a course of reasoning, medical men should have come to the conclusion that " Allopathic medicine is not a science for a methodical mind, but a shapeless assemblage of inaccurate ideas and deceptive remedies," &c. (4), and that, owing to their "ignorance of disease and of a suitable remedy" (6), their practice being a dangerous speculation (24), should generally " multiply diseases and increase their mortality" (26). CRITICISED AND CORRECTED. 93 324. Quackery. Before I dismiss this part of my subject, I will most cheerfully admit that some of the clinical practice of many Allopathic physi- cians not only does not deserve the above condemnation, but merits the cordial approbation and support of evow philanthropist, being attended with uniformly good results. I have seen such; but, when I examined its char- acter, I found it to consist of the judicious application of innocent remedies, which wrought according to their nature, whatever might be the notions of the doctor who had adopted their use because he had observed that they produced a better effect than the " legitimate" means and processes of the Allopathic system, which are depletion and sedation, or stimulation with deadly agents, as narcotics. But this, in them, is quackery, not being in accordance with the doctrines of their science ! 324 a. As to the Allopathists' using anti-poison remedies, such a course does not prove any thing for Allopathy, because they, not being "anti- inflammatory" agents, can not cure according to the "regular" logic (323). If fevers sometimes cure themselves, it is because they remove the obstacles to their free action, and if good medicines sometimes cure them, it is because they remove the obstructions "which render the fever necessary" (Hunter). If poisons seem to cure, it is because the system cures itself by its efforts to expel them ! A pure Allopathy can not use an agent innocent in character, because such agents aid fever instead of opposing it. Did I believe its doctrines concerning irritation and inflammation, I should not, in any case, use the remedies I now do. I should call that quackery. I should obey Dr. Dewees's direction in the treatment of puer- peral fever. I should bleed till " the disease" was " subdued, or the patient expired"—both which, admitting the fever to be disease, would occur at the same time and from the same cause ! 325. Reform in Allopathy. Although many Allopathic physicians reject blood-letting in part, and not a feAV almost, and some quite alvfays; though some reject mercury almost entirely, and others use far less than they did, though even opium is not used so freely as it once was, yet such reforms have often been made and abandoned, while the doctrine has remained the same; yet I am still constrained to believe, with the distinguished Dr. Forbes of London, and Professor Henderson of Edinburg, that Allopathic medicine, as now practiced throughout the civilized world, and especially in the United States, does far more mischief than good. Some persons have taken 250 grains of calomel and lived, others have taken three grains and died of mer- curialis; while yet others innumerable, have been ruined for life by taking the commonly authorized doses; and the same is true of the lancet and opium; so that, on the whole, no consideration would induce me, when sick, to submit my case to the care of a consultation of a dozen of the most learned Allopathic doctors in any city of this country. I look upon the whole Allo- pathic practice as a source of misery and premature death, that has n<3t a parallel in the sword, the pestilence and intemperance united. It slays alike all classes of society, young and old, and fills the land with chronic and incurable misery. 326. The modus operandi of remedies not discovered. A most deplorable defect in all medical " proceedings," is, that their authors have failed, in their own estimation, to learn the modus operandi of their remedies (20, 4, 60, 62, 64, 68, 70, 74,75, 76, 85 to 89). 94 ALLOPATHY EXPOSED, 326 a. Thus blood-letting is pronounced " emphatically the remedy (53), and yet the same author, Morehead says (60), " alway, serious, not unfre- quently fatal effects but too surely follow its misapplication ;" then " no remedy remains for counteracting aad removing the injuries Avhich it has inflicted"—and, consequently, " it deserves to be viewed Avith somewhat of the abhorrence that attaches to the knife of the murderer ;" and yet Professor Thacher tells us "we have no infallible index to direct us" in the use of it. 326 b. Opium is said to be " treacherous" (76) and "deceptive" (78), and about the modus operandi of mercury there is "an inscrutable mystery" (130 to 143). 326 c. Mercury. " Of the modus operandi of mercury, we knoAv nothing," cfcc. (93, 94, 95, 96). 327. The modus operandi explained. Noav Avith all due deference to the careful observation and far reaching powers of the constituted guardians of the public health, I must beg leave to express my honest conviction, that they do themselves and the sciences of chemistry and physiology great injustice here. I think they have learned most clearly the modus operandi of their medicines. They have shown that the direct tendency of blood- letting is to " take away not only an organ of life, but a portion of life itself" (56), for which "injury" no " remedy remains" (60). That it both kills by taking away " the blood thereof, which is the life thereof;" and injures the constitutions of those that escape Avith life, by so weakening the force of life in the remnant of the circulation, that the balance, not able to overcome the chemical affinity resident in its elements, yields to that affinity and is so nearly overcome by it as to be unable to perform its duty fully, of keeping up a proper action, heat and distention of the superficial capillaries which have " contracted to adapt themselves to the measure of blood that remains" (67), till they become so firmly condensed that this "measure (venesection) is never able to restore the balance of free circulation ; and the patient finally, sometimes after many years, "gives up the ghost to the treatment instead of the disease" (67). I knew an excellent man, a physician of the Allopathic school, who Avas treated in 1822, Avith blood-letting, opium, &c, for phrenitis, or inflammation of the brain. The evil results of the blood-letting continued Avith him till 1844, 22 years, when he left them in the grave ! Whenever his general health began to improve, the blood sought access to the superficial capillaries ; but they, being permanently contracted below the proper caliber, resisted it. Of course it was directed to the soft and relaxed mucous membrane of the bowels which, being paralyzed by opium and rotted by calomel, gave way to the pressure, and to dysentery and flux, and finally gangrene and death ! /These were the results of the modus operandi of these three agents combined! Mercury acts by decomposing chemically the tissue, as in rotting "the gums, the glands and the bones," and "demolishing the very pillars of health." It poisons to death the blood, and thus " prevents adhesive in- flammation ;'.' and when it can not kill outright, it so checks vital action as to "produce rheumatism" and "incurable paralysis." They have shoAvn that opium is "contrary to nature," "a hurtful sub- stance" which produces, in infants, an ill-conditioned state of the nervous system that never, through all subsequent life, is entirely got rid of" (74) • CRITICISED AND CORRECTED. 95 but " irretrievably ruins" them, and that it does seven mischiefs where it does one good ; being too often as fatal to the body as sin to the soul (76). But perhaps some will say " this is what it does, but not the how it acts." Suppose the objection were true, must they, after they have learned that lancets, opium and mercury positively kill when they give enough of them, and that this enough is often but a very inconsiderable portion of what they often do give, and recommend. After all this, I ask, must they know how they kill before they cease to use them for that purpose ? If so, let them consult the articles on the subject in this work—blood-letting, opium, mer- cury, and they will learn how they act, as well as that they do act. It is easy to see that " ignorance of disease" must lead directly to " ignor ance of a suitable remedy." While medical men count fever disease, they must seek for it " a suitable remedy" (6). As fever tends to life and health, the suitable remedies for it, must tend to disease and death. Hence "all their best remedies are" and must be " virulent poisons" (Hooper, Die.) is a logical deduction from their premises that fever is disease, and fever must be cured (323). Lancets and poisons are the only scientific Allopathic reme- dies ; all others are both empyrical and improper, in the hands of a believer in the fever-disease doctrine, no matter to what denomination of medical men he may belong. So long, then, as men regard the vital manifestations termed irritation, inflammation and fever, as disease, so long they will be " ignorant of a suitable remedy" for disease, or a means of removing the necessity for fever—that is, of obeying its commands—satisfying its moni- tions to remove the causes that excite it. A pure Allopathist can not use a single innocent stimulant in fever. Let them once adopt our definition of those vital manifestations, and treat them as we do in practice, and they will no longer be guilty of the absurdity of calling an agent a food, a poison or a medicine, merely because they find it under different circumstances, and consequently differently wrought upon. They will settle in their minds at once the principle, that food is whatever is adapted to supply the wastes of the organism ; that poisons are whatever possess an inherent tendency to paralyze or destroy a tissue, or impede its action, and that remedies are all those agents whose nature is to directly excite the organs to the due performance of their protective, their defensive or their health-preserving offices. They would test all these agents on the healthy state, and mark their char- acter in accordance with their direct tendencies. They would discover no "secondary action" to any "simple remedy." That which purely sustains the body, they would always call food. That which has a native tendency to paralyze or destroy tissue, they would always call a poison. And that which simply aids the vital force in the performance of exalted action, or in re- covering its disturbed equilibrium by promoting relaxation or lubrication, or by removing or neutralizing foreign and injurious irritants, and "leaves no sting behind," they would call " a medicine;" and they would neither forget these conclusions, nor change their minds concerning them. The things they would strive to alter, would be the circumstances which give rise to Avhat they now suppose to be the varied effects of those remedies, as primary or secondary, good or bad, as they are well or ill, timely, or untimely admin- istered. 328. What the Faculty have done. The attentive reader will perceive that, notwithstanding the declarations of medical men that they have learned 96 ALLOl'AIIIY EXPOSED. and established nothing reliable in relation to inflammation or fever, they really have carefully observed and accurately described, all its essential charac- teristics, concomitants, modes of action and results ; also the consequences to the system when it fails to accomplish its objects. As its characteristics, they have given us irritation, contraction, accumulation of blood and heat in, and expansion and debility of, the arterial capillaries; collapse or compression of the venous and other absorbents, and consequent check to absorption and secretion ; first excessive and then diminished flow of blood through a part, with sometimes redness and pain; resolution, the effusion of coagulable lymph and finally granulation or healing. As concomitants, they have given the various constitutional or accidental manifestations of the results of its action, as the scrofulous, the tubercular, the bilious, the erysipelatous, the scarlet, the spotted, the yellow, the vario- lar, rubeolar, &c, &c, and, as results to the system, when inflammation fails of its object, they have carefully described chemical lesion, in the shape of suppuration and gangrene. They have even regarded inflammation in its true light, as " a reaction of the vital power," for the defense of the system against the depredations of the causes of disease, "an act of the constitution," "a sanative effort," "not to be called disease," but as "a salutary effort of the constitution consequent upon some disease." They speak of it as essentially "a unit," and declare that its object is the protection of the system against injury threatened, and to mend up the wounds already.inflicted (42-44) ; and this they affirm that it always actually does, unless prevented by the action or opposition of some superior extraneous cause. They pronounce it the only remedy Avith which a surgeon can ever heal a wound (Watson, p. 95), or a physician can ever cure a cold or any other malcondition of the system, as there is no restoration from prostration without the aid of that " reaction " which they call fever and inflammation. The foregoing quotations prove every one of these positions, to all which [ am happy to say, I most cheerfully subscribe. 328 a. What then is the error of the faculty? Why have they declared that they know not the nature of fever, and that inflammation is still a problem in medical science ? I answer, again and again, they have summed up all these characteristics, concomitants and results of fever or inflammation ; and the consequences to the system from chemical and mechanical causes when it fails of its object, and given to the mass a single name. When the inflammation prevails, they pronounce it defensive, sanative, good ; when it fails, and extraneous powei prevails, they pronounce it "the great mother of human maladies and the grand outlet of life." When they guess that inflammation or fever will succeed, they encourage it; when they fear it will not, they destroy the power of the system to produce it, and then attribute to the fever the evil of their own doings / How can men ever learn the true nature and use of any thing by constantly violating its nature in their experiments upon it ? 328 b. In short, the Allopathic faculties have believed and taught all sorts of doctrines, true and false ; they have tried all sorts of practices, and used all sorts of agents, good and bad, and have come to the conclusion that they have established no principle on Avhich they can rely (5) and found no remedy that is uniformly good in its action (20), and, that their practice is CRITICISED AND CORRECTED. 97 no better now than it was fifty years ago (24). They have devised the use of the lancet, which, "for a hundred years, destroyed more lives than all that in the same period perished by war" (58); of mercury, which "powerfully depresses the energies of life," and "demolishes the very pillars of health (96); which enters the brain and the nerves (109), and sloughs off the gums and cheeks (113, 108, 107), destroying "the glands and the bones," and finally produces death under the most revolting circumstances" (115, 142), and of opium, which slays seven where it saves one, and continually ruins "innumerable infants," that it does not slay outright (76). Thus they have "multiplied diseases and increased their mortality" (26). 329 a. What the Faculty have not done.—They have not learned any method of determining whether a principle or doctrine is true or false (1, 2, 5, 8); they have learned nothing certain of the nature of disease (6), nor of the nature of remedies (20); nor have they gathered any practical expe- rience from the past, that is worth a rush for the future (19, 20, 21); and, consequently, they have not done any thing in the way of medication that has, on the whole, detracted one iota from the great amount of human suf- fering (16, 17, 18). They are not so good practitioners as were Hippocrates and Galen. They are no more scientific (in the healing art) than was Para- celsus, nor so good Eclectics as was Boerhaave. They are not half so suc- cessful in practice as the "herbalist," "root," "Indian "and "old woman" doctors, Avhom they affect so much to despise. In short, they have not, in " the healing art," come up within "four thousand years" of the spirit and improvements of the age in which they live ! If they dispute this, let the community challenge them to compare notes publicly with the " irregular practitioners" alluded to. 329 b. What the faculty should do, and the consequences. They should sepa- rate the vital force and its effects from the mechanical and chemical forces and their effects; that is, separate irritation, fever and inflammation from obstruction, lesion, and mortification. They should seek to aid those and oppose these, and then they would soon learn to a demonstration Avhat is irritation, fever, and inflammation, and what are its antagonists ; what is dis- ease, and what are suitable remedies. Then the doctrines of medicine would cease to be an "incoherent assemblage of incoherent ideas " (4), and would become as intelligible and "demonstrable as those of any other natural science" (Jackson), and its remedies, and their character and action, would no longer be " fraught with the highest degree of uncertainty" (20), but fixed on a basis that would " stand a tower of strength amidst the rude shock of opposition's bursting wave through all succeeding time" (Whiting). The lancet and poisons would be abandoned at once, and for ever, and the pro- cesses of cure would be conducted with means tending only to health, and the results of their practice would be as sure as their best ordered chemical experiments are now. They would cure disease whenever they had a good constitution to work on, suitable remedies for the case, and knowledge, skill and energy in the application; and would become indeed, what they have so long most unjustly claimed to be, " guardians of the public health," and the elements of "an honorable and benevolent profession"—men to whom the miserable sufferer, writhing in pain, might look Avith some good grounds of confidence for relief from his wretched condition!—and last, but not to be wholly overlooked—then would " ignoramuses, quacks, nostrums, pills and powders" all be laid aside—rooters, herbalists, and "old women" would be 7 98 ALLOPATHY EXPOSED, rejected, and all the business, honor and profits of the healing art would be returned to the "legitimate" custody of those who Avould then Avell deserve to be styled, "the regular medical faculty!'-' Is not this "a consummation devoutly to be wished?" 330. What I have done. In early life, Avith most others of that day, / siqjposed that the Allopathic, system of medicine involved all the science, and the most judicious practice, of tohich the subject ivould admit; but, seeing in practice Avhat appeared to be not only signal failures, but evidently destruc- tive effects, I determined to give the system a most thorough and extensive study, though with the full expectation that, on the whole, it would prove itself good, however individuals might, from ignorance or carelessness, abuse it. But, taught by the "absurdities, contradictions and falsehoods (7) of "the doctrines of the schools" (6), and the "horrid, unwarrantable and murderous quackery" of the practitioners (142), I formed, thirty-five years ago, the resolution never to suffer it to be practiced upon me. For ten years I suffered much for the want of a true medical practice, till at last, in 1832, through Doctor Samuel Thomson, my mind Avas brought to recognize the mother error of all medical mischief. I made at once the proper distinction between fever and its opponents, and entered the battle on the side of the former and against the latter. I have ever found this doctrine of the sana- tive nature and tendency of irritation and inflammation, a sure detector of all the errors of every system, both in theory and practice ; and a true test of all the agents of the materia medica. I now feel the same assurance in the truth of medical principles and the prospective results of remedial efforts, that I do in the principles of chemistry and the results of its experiments. In each case, where the proper conditions exist, I am alike sure, by conducting the experiments on, to me, fixed and well known principles, to produce the desired results;—that is, if, in the treatment of disease, I have a constitution capable of recovering, and my well selected means at command, I am as sure of the cure as I am of the success of a well-directed chemical experiment. Indeed, I have actually failed far more frequently in the latter than in the former. See " Ihysio Medical Practice." In 1832, I entered the medical service, as aid-de-camp to General Fever. With his implements of Avarfare, in the shape of innocent relaxants, stimu- lants, astringents, emollients, tonics, anti-septics, &c, &c, propelled by the vital force, by electricity, by caloric, &c, I am happy to say that Ave have almost ahvays been able, in the light of his glorious torches, to see clearly the opposing combatants, and their positions and relations, and to aim a sure and deadly shot at our enemies, Avithout injuring our friends. Our Allopathic friends (for, as men of talents, amiability and general scholarship, we esteem many of them most highly) appear to us like the Hessians of the English army of our Revolution, "surrounded by the fogs" of mental blindness, shooting at random their deadly " blue" metal (27), thrusting forth their pointed steel blades (60), and paralyzing with their narcotic arrows (76) as many of their friends as of their enemies (patients as well as diseases). From our soul we pity them ; but can scarcely forgive them; for, if they would study our science as carefully, honestly, and thor- oughly as we do their " incoherent assemblage of incoherent ideas"(4), their "absurdity, contradiction, and falsehood" (7), and their "horrid, CRITCISED AND CORRECTED. 99 unwarranatble, murderous quackery" (142), they would "know what they do," and " what they ought to do." They would "cease to do evil and learn to do well," and become a blessing instead of a curse to suffering humanity. 331. Before leaving the subject of Allopathy, it is but just to its advo- cates, to say that many of them—very many, in all ages, have not only dis- covered its defects, errors and injurious tendencies and results, but have set themselves most diligently and praiseworthily to work to reform the system, to supply its defects and correct its errors and abuses. A place for all the names of these would require a large volume. Of those who have remained among the faculty, we may name Hippocrates, Galen, Celsus, Boerhaave, Lieutaud, Broussais, Louis, Alibert, Bichat, Andral, Velpeau, Cullen, Brown, Graham, Abercrombie, Hunter, Good, Bell, Blundell, Clarke, Elliotson, Hall, and hosts of others in Europe; Thacher, Waterhouse, Mitchell, Hosack, Paine, Carnochan, Gallup, Tully, Rush, Jackson, Eberle, Caldwell, Drake, and hundreds of others in America, who have striven to reform medicine more or less extensively. Of those who have endeavored to revolutionize or wholly supplant it, we may name, as the one who did it the greatest injury, the famous Paracelsus, the true Father of Allopathy as it now is. Of those who have rejected this system in part, are Brown, Hahnemann, Graham, Lieutaud, Broussais, Louis, and Dixon, who adopted new plans and published new systems of medicine differing more or less widely from Allopathy. All these have professed to be, to some extent Eclectic, gathering from every source what they believed to be the best. A writer in a late medical journal of Philadelphia says that two-thirds of the profession in America have shaken off the trammels of authority, and "become essentially Eclectic" (Am. Jour, of the Med. Sci- ences). Donaldson (16), Bichat (4), Forbes (18), Hahnemann, Lieutaud, Louis (11), Waterhouse (13), and very many other medical men of the first eminence, have rejected the whole system as nothing, whether a substitute be found or not (18). Such was my course before I decided that any other system was any better. Allopathy is itself the strongest evidence of its own demerits and of the justice of its condemnation. Out of its own mouth it is justly judged, and it is its own severest executioner. MEDICAL REFORM. 332. Mo&t nearly allied to Allopathy, (E. M. J., Vol. 1, pp. 178 to 83), is a practice whose advocates declare that they are '' trammeled by no dog- ma" (principle), nor " precedent" (example) ; that they select from all other systems what they please, adding "the astounding discoveries" made by themselves ; that they are bound by no authority and responsible to none for their faith or their acts. (See 397, 418, 421, also circulars and addresses "to the public," of the Cincinnati E. M. Institute). They claim that this practice commenced with Dr. Wooster Beach of NeAv York, and progressed through Drs. T. V. Morrow, I. G. Jones, A. H. Bal- dridge, L. E. Jones, J. H. Oliver, H. Cox, B. L. Hill, H. P. Gatchell, John King, G. W. Bickley, R. S. Newton and other minor lights, for the last eight years under the special tutelage of the superior "literacy," " science" and " respectability," of J. R. Buchanan, Professor of the Institutes of Medicine in the E. M. Institute of Cincinnati—the "leading school" of that practice, and he the leading writer for that school! (397). 332 a. Having selected, from various practices, the remedies which his observation and experience had induced him to believe were the most effi- cient, and the least objectionable in the treatment of disease, Dr. Beach commenced in the city of New York about the year 1829, (W. M. Ref., vol. 1 p. 5), the instruction of young men in the curative art, according to his practice, as exhibited in his office and infirmary, and generally in that city. In the course of time, the doctor gathered materials from his own expe- rience and that of others, in quantity sufficient to make a book, which first appeared in 1831, entitled "Beach's American Practice," in 3 vol. 8vo— W. M. Ref, vol. 1, p. 42, and vol 5, p. 119. This work, making great pretensions to scientific and practical reform, in the latter particular not without some good degree of merit, was pretty exten- sively distributed among reformers of every class, and among many of the old school who, sick of the arrogance, quackery and mischiefs of Allopathy, were disposed to look into any thing that promised better for the profession. The work was afterwards abridged and published with the title of " Beach's Family Physician." From this work we gather the following, as the principles that constituted his system of reform, and governed his practice in it. 333. In his seventh edition (Intro, p. xi), Dr. Beach says : " The Re- formed or American Practice, combines every thing useful of every other system, and maintains that the physician is to act as the servant of nature." I like much this declaration; but, on reviewing his practice, I find that he rejects the best portions of some practices, and selects some of the worst (100) CRITICISED AND CORRECTED. 101 of others. For example, he rejects the transcendently "useful" course of medicine which constitutes the greatest excellence of the Thomsonian Prac* tice, and selects the most deadly narcotic poisons of Allopathy. I like the principle of " aiding nature," but am sorry to see that it is often to be main- tained by blistering and poisoning, as I proceed to show. 334. On page 201, he says, "The wide, the radical, the irreconcilable difference" between his system and Allopathy, "consists in the various means made use of to fulfill the indications of cure," which we find to be "cupping," "leeching," "blistering," vhen judi- ciously giATen." Hence, he says : "As to opium, Ave can say that our expe- rience in its judicious use, shows that, although it is liable to abuse, its value is too great to justify its exclusion from the materia medica," &c. See 411. No. 4—Progress Backwards / This is the plea of Allopathy for the lancet, mercury, antimony, arsenic, and every other poison. ( Compare this with 398 to 406, which all condemn it directly.) CRITICISED AND CORRECTED. 119 409. " There are several other articles, such as digitalis, strammonium, hyosciamus, &c, which are objected to by the more ultra reformers." [The I'hysio-Medical]. "We are clearly of the opinion that, if all this doubtful class of agents could be expunged from the materia medica, and their place fully supplied by others more congenial to life, the reform would be most beneficial!" (408). 410. Here we find the doctor's mind "tending" again in the right direc- tion, but his popularity and place in the college, compelled him to bolster up a practice with deadly narcotic agents! In the Physio-Medical Recorder, vol. 17, p. 68, the reader will find a full review of the, doctor's vieAAS here, and the backward "progress" of his mind from 1849 to 1851. 411. In his introductory to the class of 1851-2, this "leader of the E. M. Institute," asks: " What are the reforms by which American Eclectics are distinguished from old school men?" And he answers—" They are eight." "1. We deny the Papal infallibility of the profession." "2. We deny that it is impossible to produce satisfactory results withou' the lancet." "3. We deny that mercurials are ever necessary." (They are in Beach's liniment and Cleaveland's solvent). "4. We deny the propriety of using any injurious remedies" (408)! Multitudes of Allopathists join in all these denials, yet they and you pre- scribe the most deadly poisons (408), calling them injurious only by quan- tity and injudicious use! "5. We deny that a physician should be alloAved to lose more than two per cent." In this you deny to yourselves the privilege of practicing at all, in which Allopathists will not agree with you. " 6. We deny that Ave knoAV enough of the materia medica." Nobody ever charged you with the affirmative! "7. We deny that the functions of the brain should be omitted in our systems of physiology." So do all physiologists. "8. We deny that physicians should be the last to learn new truths." In all these " denials," save the 5th, all medical men agree Avith you— no reform here. 412. As all the differences betAveen Dr. Buchanan's system and the Allo- pathic is the 5th denial above! it follows that he believes irritation, fevfi and inflammation to be disease; and that cupping, leeching, cantharides, (ansAver to Harrison), opium, digitalis, and other narcotics,