HOKEOPATHY


                      IN



GERMANY   AND   ENGLAND


                   IN 1849,


    WITH A GLANCE AT ALMEOPATHIC MEN AND THINGS.


                     BEING

 TWO PRELIMINARY DISCOURSES, DELIVERED IN THE HOMCEOPATHIC MEDICAL
               COLLEGE OF PENNSYLVANIA.
BY C. NEIDHARD,  M.D.
     PROFESSOR OF CLINICAL MEDICINE.
                  BOSTON:

        OTIS CLAPP, 23, SCHOOL STREET.

     NEW YORK: WILLIAM RADDE, 322, BROADWAY.
           PHILADELPHIA: RADEMACHER & SHEEK.

                     1850.
John Wilson, Printer,]                          [21, School-street 
 
_   HOMEOPATHY
PS        ^
GERMANY  AND  ENGLAND




                  IN 1849,




    WITH A GLANCE AT ALL(EOPATHIC MEN AND THINGS.
TWO PRELIMINARY DISCOURSES, DELIVERED IN THE HOMCEOPATHIC MEDICAL



             COLLEGE OF PENNSYLVANLA.
BY C. NEIDjIARD, M.D.


               > ME!
PROrESSOR OF CLINICAL MEDICINE.






             o
             BOSTON:



    OTIS CLAPP, 23, SCHOOL STREET.



NEW YORK: WILLIAM RADDE, 322, BROADWAY.


      PHILADELPHIA: RADEMACHER & SHEER.



               1850. 
 
LECTURES.
                        LECTURE I.
Gentlemen:
  Whilst  visiting Europe during last  summer, I committed to
paper my first impressions of homoeopathic men and institutions.
But  as I did this very hastily, generally after the  fatigues of
the day,  a  very great imperfection  was naturally the result
of my observations.
  For some time I hesitated whether to communicate these
notes or not, but on looking them over  again, I thought that
among all the rubbish, you might  still be able to pick up some
particles of gold, that  would repay you  for your trouble.   I
have also  availed myself, in these preliminary discourses, of the
privilege generally conceded to  lecturers on medicine, to take
a wider range of subjects.
  Munich,  the  capital of Bavaria,  is the first  city  where  I
staid  a sufficient  length  of time to  become acquainted with
some homoeopathic physicians, and to inform myself of the pro-
gress of the art in Germany.
  To be  sure,  on my way, I passed  through Aix-la-Chapelle,
Cologne, Frankfort, Wiirtzburg, in each of which towns there
reside,  no  doubt, eminent  physicians of the  new school, but
I had no time to make their acquaintance.
  I  hastened on  to  Munich and Vienna, the centres  of the
homoeopathic movement in Germany and Austria, if we  except
Saxony,  where  a large circle  of practitioners  have  acquired
great influence; and  Baden, where Griesselich in Carlsruhe,
                   l 
2
 Professor Arnold  and Dr.  Segin in Heidelberg, and numerous
 other physicians have been active in the cause.  Dr. Griesselich
 has, no doubt, mainly contributed to  this result in the south of
 Germany, by his  powerful  advocacy of Homoeopathy in  the
 Hygea.   Of his lamentable death, by a fall  from his  horse,
 when  riding through the streets of Hamburgh,  some of you
 have been informed.
   The  first homoeopathic acquaintance I made in Munich was
 Dr. Jos. Buchner, whose great kindness to me during my first
 and second visits to that  city I  shall not easily forget.   Dr.
 Buchner has  the  largest  homoeopathic practice  in Munich.
 He, in conjunction with Dr. Nusser  in Augsburg, edits  the
 " Allgemeine  Zeitung  fur  Homoeopathie ;"  and is   inde-
 fatigable in his efforts to forward the progress of science.   He
 showed me several large  piles of  manuscript,  containing a
 record of symptoms of various old and new remedies, which
 will be of the greatest advantage  to the  homoeopathic prac-
 titioner.   I give you here a detailed list of  them :
  1.  Gummi ammoniacum, (acting specificaUy on the joints) ;
 2.  Secale cornutum ;  3.  Belladonna, (extended  proving) ;
 4.  Colchicum ;   5. Phosphorus ;  6.  Rhus ;   7. Aconite ;
 8. Aloes ;  9.  Aranea, the  black cellar spider;  10. Argentum
 nitricum ;  11. Arsenic; 12. Asparagus;  13. Croton tiglium;
 14. Sulphur, antim. auratum ; 15. Morphium  aceticum ;  16.
 Bismuth ;  17.  Bromine ;  18. Kalmia latifolia;   19. Cancer
 fluviat;  20. Cainca; 21.  Conium maculatum;   22. Copaiva
 balsam ;  23. Lacerta viridis ;  24.  Flores zinci.   In addition
 to the above he has added an extensive collection of symptoms
 to Wibmer's work on the effects of remedies and poisons.
  It was always my practice, during  my European tour, to
 inquire into the  homoeopathic practice of the different medical
men whom I met,  in  order to give the results of my inves-
 tigations  to the American homoeopathic student.   But I found
 this task  more difficult than I supposed at first, for the most
 important facts  in  the practice of any physician do not  occur 
3
to him at once, and it  is only by repeated conversations that
his  mode of action  becomes at all  clear to you.   The little,
however,  that  I  have  gleaned  in  this way,  I will  faithfully
communicate, if  it were  only  serviceable to  corroborate the
experience  of others.   And here  I  wish it  to be  distinctly
understood  that, if I enumerate  certain  remedies as having
been found useful against certain  names  of diseases, by these
German physicians, I merely  wish to draw  the attention of
medical men  to remedies, which have been  confirmed by re-
peated,  practical trials, in order that they may compare the
facts with the  results of their own practice.  I must most dis-
tinctly aver, that the law similia similihus must always remain
the unerring guide.
   Dr. Buchner found the best remedies in hooping-cough to be
Laetuca virosa and Cuprum aceticum; in croup, Tartar emetic 1,
Hepar,  s. 1,  Aconite  as  intercurrent remedy.   In dropsy,
from affection of  the  liver,  Mercur., Aurum, Digitalis.   In
scarlatina, he  relies upon  the  old  remedies,  Aconite,  Bella-
donna, Mercury; this last disease being generally in America
of  a more  violent  kind,  a greater variety  of remedies are
known  to us  than to  the physicians in Germany, where the
disease  assumes a lighter character.   The  best  remedy in
intermittent fever,  according to Dr. Buchner, is the Alkaloid
of  Ignatia.   One  case of diabetes mellitus he has cured by
Ammon. carbonicum in chemical  doses.   An infusion of Digi-
talis he gave in a case  of dropsy of the chest, returning every
year in July.   He mentioned this case because  it was one
where  he had seen the most decided effects produced by any
medicine ; the patient  was  an old lady; for three years  the
disease  was  arrested  successively at the same  period.  In
the fourth year,  however, the lungs became paralyzed, and she
 died.    Dr. Buchner  intends  also to  experiment with  the
 Digitalis lutea, a  species of Digitalis which grows  abundantly
 near Munich.   The Digitalis purpurea grows wild only in the
 Porphyr mountains.  Besides the usual remedies the itch is best 
4
 cured by Peruvian balsam, externally as well as internally.  He
 related to me a  remarkable,  although not strictly a homoeo-
 pathic fact, in the case of a man from whom a stone or calculus
 had been taken, which on analysis, was found to contain a good
 deal  of copper.   This was traced to an ox of whose meat the
 man  had partook freely.  The ox had subsisted for some time
 on grass upon which copper ore had been deposited.
   The arsenic in the blood, he thinks, is only an occasional in-
 gredient and produced in a similar way.
   Among the interesting men  whose acquaintance I made in
 Munich, I must also mention  Dr. Ott, of Mindelheim, a small
 Bavarian town, at no great distance from Munich.  He was
 district physician  there, but  owing to his  participation in the
 revolutionary movement  of the year 1848, he was deprived of
 his office.  He is the  author of a  work on " Hydro-Homoe-
 opathy," in which he advocates the  combination of the water
 cure  and homoeopathy  as the most certain means of curing
 every thing, even chronic diseases which could not be cured by
 one or the other  method alone.   He is, at  the present time,
 engaged in a new work on the same subject, in which he endea-
 vors to lay down the principles and  laws which ought to guide
 us in the selection of one or the other method.  I have myself
 great faith in  this view of the subject, and have always main-
 tained that the two  are  inseparable; and must, in the present
 state  of our knowledge, often  supply  each other's defects.  The
 other homoeopathic physicians in Munich are, the  Professor of
 Physiology  at the  University,  Reubel ; Drs.   Trittenbach,
 Steinbacher, Mahir, Moser, and Pemmerb.   This  last one  has
just settled here, after obtaining permission to do so, by  paying
 $1000 to another physician who was going away, in order to
 obtain his  vacancy.    Bavarian  physicians,  although regular
 graduates, are not permitted to settle anywhere but by permis-
 sion of the government;  thus  forming a guild, or corporation
 which no one can enter, except on these conditions.   In Ame-
 rica, we  are  hardly aware of the privileges  and  liberties we 
5
enjoy, because we are so used to them.  During the revolution-
ary period in 1848, an attempt was made in Bavaria to open a
free competition to all physicians, and to allow them to practise
wherever they pleased, without the license of the government.
A petition,  signed and  headed by the distinguished surgeon
and oculist  Dr. Walther, and  also signed by several younger
members  of the  profession,  was handed to the government,
praying to grant  the free  exercise of medical practice to all
physicians, as well as that of dispensing  their own medicines,
but without success.  The great majority  were not in favor of
it.  They evidently feared it would diminish  their own rentals
if the arena was  thrown  open to a host of young practitioners.
   It behooves  me to mention in this place one of the German
homoeopathic physicians, who may be considered a  martyr to
the cause.   It  is Dr.  Nusser  of Augsburg, co-editor with
Buchner of the " Allegemeine Zeitung fur Homoeopathie."  He
is characterized   by independence  of  thought and a  simple
mode of life.   His success  in Augsburg was at first slow, but
he tells me now  that he  has  a very good practice.   During his
former residence in the country, he was overrun with business,
exciting,  in  consequence,  the jealousy of  the government
alloeopathic physicians.  The country-town where he lived was
often so crowded with strangers coming from a distance to visit
him, that the magistrate pretended  to  be afraid  of a revo-
lutionary outbreak, and  put  his interdict upon it.   More  than
eight times his medicine  chest was seized ; as the liberty of dis-
pensing their own medicines had not, as yet, been obtained
by the homoeopathic physicians, and the revival of this obsolete
law was  made  the instrument  wherewith to aim  a blow at
homoeopathy by the adherents of the old system.  The American
homoeopathic practitioner has hardly any conception, to what
innumerable  annoyances his German  and European brethren
are exposed.   The privilege to practise in any Bavarian town
is only granted to favorites, and that these are hardly ever
homoeopathic   physicians  may easily  be conceived.   That
                    1* 
/
6
Homoeopathy in spite  of these difficulties has still advanced so
steadfastly in Germany, is  to  me  a marvel, and another testi-
monial to its inward  truth.   Had  it not been for persecution
and opposition, hospitals would have risen  all over the land,
which would have ruined the old  practice in less than twenty
years.
   The want  of success  which attended  the efforts made to
establish an hospital  on a firm footing, to which the  legislative
chamber had already voted $4,000, was owing to the cowardly
behavior of a  prince and  prime minister  who was  afraid of
compromising his popularity by advocating an unpopular cause.
He would not sign the  petition, or  present it at court, although
signed by  an  immense number of names.   In contemplating
the  life  of the  European scientific  man,  particularly  the
homoeopathic reformer, we are again and  again led  to form
comparisons in favor of a similar career in this free republican
country.  Not  easily shall  I forget that honest and industrious
Dr. Nusser of Augsburg, who so  faithfully struggled  through
all his difficulties, and who is still indefatigable in his  endeavors
to place Homoeopathy  on a better footing  in Bavaria.  It is
now eight  years  since he asked  for permission  to settle in
Munich, but has not as yet received an answer from the govern-
ment.   Another practitioner of the  same stamp, Dr. Gerster,
resides  in  the neighboring  Regensburg,  (Ratisbon.)    His
labors in the cause of Homoeopathy have been unwearied.  He
is  also distinguished as an oculist, and is at present engaged
in investigations of chemical pathology, particularly with regard
to the importance of the urine in the diagnosis and cure of dis-
eases.
   Dr. Buchner also had  to contend with many obstacles when
he first entered on his homoeopathic career.   But he took good
care to  remonstrate  in the most powerful language against the
different rescripts of the medical  authorities, always however
signing  his name with great  politeness.   In this way he kept
them at bay,  and now they leave him in peace.   Under the 
7
head of Munich, it may be  noteworthy to state that provings
are to be instituted  for testing the pathogenetic effects of the
Aconitum  lycoctonum.   It is  said  to be superior to Aconit.
napellus, in arthritic and rheumatic affections, whilst the latter
is more purely specific  in inflammatory diseases.  Dr. Ott has
found  Baryta carbonica the  best  remedy in  tinea capitis.
Dr.  Ott also believes that the  leaves of different  plants are
more useful in inflammations, whilst  the seeds  are  to be pre-
ferred in exudations.   This is  particularly the case with Col-
chieum  autumnale, of which  remedy the seeds are much  more
active in dropsy of the  chest, than the leaves.   According to
Dr.  Ott, the best remedy in all  atonic  hemorrhages is Ipeca-
cuanha.   In indolent  ulcers Dr. Moser pronounced himself
very successful by merely  giving Belladonna  for the removal
of the pain, and Arsenicum  for the  proud flesh.  Sepia  2o-5 is
used by Dr. Nusser in many chronic periodical headaches with
the happiest effect.  Plumb, ac. ^ he prescribes in many cases
of chronic  constipation, where the other  symptoms agree.   He
has  also made extensive experiments with the  high potences,
and  prefers them in one third of the cases he attends.  In the
rest  he  uses  the lower and middle dilutions.   He generally
mixes the  medicines in water, that is, a number of medicated
globules are mixed in a vial, to preserve which a few drops of
spirits of wine are added, and of this mixture  he gives a tea-
spoonful according  to circumstances.   We conversed several
times on the importance of the periodicity of the remedies, as
a  deciding point for their application, where the characteristic
symptoms of the  disease and remedy were precisely the  same
in several  remedies, what  should govern our decision ?   They
did not seem to  me to  pay the  attention to it, that several of
our  distinguished homoeopathic physicians demand, and, ac.
cording to  my own opinion, with justice.  I  advocated  as  a
main guide the similarity  of the color  of the remedial agent
and  the disease.   I have   always  thought color  to be the
highest  physical  characteristic of  a  thing.    According  to 
8
 Goethe, there is  something daemonic in color behind which the
 Godhead immediately appears.
    Linz.   Furnished by  my friends in Munich with letters for
 Linz and  Vienna, I  directed my way to  these cities, in the
 early part of July.  The first point of attraction in Linz, to a
 homoeopathic physician is of course the  homoeopathic Hospital.
 I visited it both on my way to Vienna in July, and on my return
 in August, 1849.
    The  physician is Dr. Reis, who had  the kindness to conduct
 me all  over the Institution,  and to explain  every thing.  The
 Hospital consists of a fine building, three stories high, with  a
 wide front entrance.  The first hall, on entering, is appropriated
 for the  exercise of charity and where  the  poor receive soup,
 &c, gratis.   To  the  right  of this is the kitchen, and a small
 room for the  reception of the  policlinical patients,  where they
 receive the medicine prescribed by the physician from one of
 the sisters.   This  intelligent lady, who  looked herself the pic-
 ture of  health, had superintended this  branch of the  establish
 ment for more than eight years.   She puts up all the medicine
 according to  the prescriptions of Dr. Reis.  Behind this room
is  the Pharmacy.   Here we find all  the dilutions and tritura-
tions from 1 to 60, arranged in a very superior manner behind
glass cases, — and also still higher dilutions.   The sisters pre-
pare all the  medicines.   They make  tinctures of the plants
growing in the vicinity themselves.   Such  as they  do not find
here, they procure from a  trustworthy apothecary in the
neighborhood.  They are all prepared according to the method
of Mr.  Gruner of Dresden.  The triturations  are  from 10 to
90.  The whole ensemble of the pharmacy is striking and very
orderly.  Dr. Reis generally prescribes the medicines in the
form of  globules as large as small pills and often  repeats the
dose.   Sugar of milk is obtained very cheap from the Tyrolese
mountains.  The Alcohol is  prepared by the sisters themselves
from inferior  spirits of wine by distillation.   The  number of
the sisters is about sixteen.   All recommended may be admitted 
9
provisionally, but they have  to undergo a trial of six months
before they are finally accepted.  Archduke Maximilian, an
immensely rich man, is the patron of the institution.   He has
himself formed the plan of the Hospital which is very excellent
as to its  interior  arrangements  and conveniences, but by no
means symmetrical in its proportions as a building.
   It has been for some time  past with Dr. Reis, a favorite idea
to have some  beds appropriated  for the reception of children,
because the results obtained under homoeopathic treatment are
so much more striking in their case.   All that was necessary to
be done, was that a  lady from Linz  should write to the Arch-
duke, and the request was immediately granted.  The institution
now possesses six  beds for the reception of male children, and
six for female children from two to twelve years of age.   The
section of the Hospital set apart for children is the cleanest and
most beautiful part of the building.   It overlooks a large gar-
den, in which all the  vegetables used by the sick are raised, and
where there are pleasant walks  for the convalescent patients.
Each bed has a good hair mattress, with hair pillow, coverlets
of excellent material and linen sheets, as white as snow.   The
Empress  of  Austria, out of her own private  purse, presented
some of the furniture and house linen.  On the left side of the
hall you enter the  women's  apartment,  with ten beds on' each
side, every  thing having  the same clean appearance before
mentioned.  The  sick women in their beds also looking comfort-
able.  Even the  dressing-gowns  which they put on after their
recovery, on sitting up, are provided for them by the institution.
On the 2nd floor  were 20  beds for the men, arranged in the
same order.   The sisters live together in one room on the right
side of the  building;  the   superiors have  their own rooms.
Each patient  has  a blackboard over the top  of his bed,  as in
other hospitals, for the purpose of noting down the name of the
disease,  day of reception,  &c.   The windows throughout are
large, and the rooms in consequence airy.   Besides the large
kitchen on the first floor, there is a smaller one attached to each 
10
floor for temporary purposes.  The facilities for the use of cold
water are not so extensive as in the Viennese institution. ^
  The disease most  prevailing at the period of my visit was
Typhus abdominalis, successfully treated with Arsenicum.   The
great thing in the treatment of  Typhus, according to Dr. Reis, is
Individualization, a truth which cannot be expressed too often.
All phenomena must be  taken into consideration, in order to
obtain a happy result.   The majority of the cases had a vesic-
ular eruption all over the body.   The cases, having this eruption,
always terminate favorably.   Several of them were followed
by intermittent fever.  One case of this  last disease he cured
with China 60 ; ten other cases of tertian intermittent fever he
cured with China jfc.  The paroxsym coming on each time two
hours later and weaker.   He  corroborated also my  experience,
that in some cases  Quinine is  necessary because it is specific.
He has, however, always  found the  first trituration sufficient.
There were also several cases of acute rheumatism in the wards.
One case very much resembled a case which I had  attended in
Philadelphia.   Dr.  Reis treated the case — a painful, swelling
of the right hand rendering it almost useless — with constant
application of cold water.   Internally he only prescribed Acon-
ite.  In my own similar  case, I had  used Bryonia, Calcarea,
and Lycopodium with great benefit.  Dr.  Reis mentioned to me
a case of his own personally,  which is instructive  as throwing
some light on the action of the high potences.   He had suffered
for some time with palpitation of the  heart, constant roaring in
the left ear and rheumatic affection of the back.   The ear, as
well as the palpitation of the heart were  easily cured by Acon-
ite  1.   Not so the rheumatism,  which  remained  the  same.
Aconite ^s however  cured it  immediately.   The action of  the
medicine was the more remarkable, because he had previously
partaken of coffee, and the rheumatic pains also did not return
notwithstanding his being  exposed for three days to wet and
cold.  After a long interval  he  had again an attack of rheu-
matic pain, which was again cured by Aconite 5oTJ.   In pneumo- 
11
nia, or inflammation of the lungs he is as successful with Aconite
as with  Phosphorus.   Tartar  em.  2  is however still  more
frequently indicated.   In one of the most severe cases of he-
patization of the lung,  Bryonia fa relieved  the patient  after
causing  a violent  aggravation.  A case of aneurism of the
aorta descendens, diagnosticated as  such both by himself and
another physician, was cured by Plumbum aceticum, 1$.  A case
of scurvy, where the gums were nearly black, was cured very
quickly with Sulphuric ac.  In violent metrorrhagia  China 1
was the best remedy.   In almost all kinds of spasms Dr. Reis
found applications of cold water to the spine the  most reliable
means of affording speedy relief; also in a species  of  coma.
With regard to  psora  Dr. Reis thinks  that external remedies
are absolutely necessary  for its quick cure.  Neither cases of
syphilis or psora are  however  admitted into the hospital.   As
will be seen above Dr. Reis does not reject the employment of
the high dilutions,  which  he himself prepares.   But of late he
makes little use  of  them,  because he can perform the same  cures
equally well with  other  preparations,  avoiding the trouble of
preparing them, which will always militate against the use of
the high potences.   One of the most invaluable  medicines used
by him in the high potence is Sepia fa — specific  in the consti-
pation of the bowels of women afflicted with carcinoma  uteri.
It generally produces copious passages of a consistent nature.
   The number  of  patients treated  per annum at the Homoe-
opathic  Hospital  at  Linz amount,  on an average to 800.   I
cannot help,  in this place,  paying a tribute to  the liberality of
Dr.  Reis, in freely opening his  hospital to any physicians or
students who  wish  to inform themselves of the true state of the
homoeopathic  art of cure by  verifying its  professions  at the
bedside.   A large number of the most  talented physicians in
Austria  have  been thus converted  to Homoeopathy.   Dr. Reis
accords  to them full liberty to prescribe themselves and observe
the effects of  the medicine.  During my sojourn at  Linz Dr.
Caspar  of Prague had been studying three months at the Hos- 
12
 pital.   His great object was to establish, at least in some cases,
 the unimpeachable fact that, without any  doubt, the cure must
 necessarily be attributed to the influence of the  medicine.   He
 rejected every case where nature could be  sufficient to cure the
 disease.  At last after long debate, three  cases were adopted,
 in which nature alone  and  without  the aid of  medicine could
 never have performed  the cure.  The case of aneurism men-
 tioned above was one of these.   At  this time Dr. Reis is active-
 ly engaged in making a new and extensive series of experiments
 at his Hospital with  the high potences, the result of which he
 has promised to communicate to me forthwith.  Hitherto he has
 not found them entirely  to answer his expectations.  The mid-
 dle and lower dilutions were more  successful in  his  hands.
   It has been for a long time the cherished wish of Austrian
 Homoeopathists to establish a homoeopathic chair,  or College,
 connected  with their Hospitals  either  in Linz or  Vienna, the
 practical advantages of which would have been evident to every
 one.  The plan had been already to a certain extent matured,
 when the revolutionary movements, of which their  country  has
 been the theatre, put a stop to every thing.  Dr. Reis had in-
 tended to take the clinical  chair  and give  lectures at the bed-
 side.   Dr. Hubner, another homoeopathic physician of  Linz
 would have lectured on pharmacy and theoretical Homoeopathy.
 The Linz homoeopathic physicians are still  convinced  that after
 the country is more tranquillized,  all these  plans will be put in
 execution.
  Most of the Austrian homoeopathic physicians belonging to the
liberal, or republican party, were deeply involved in  the Vienna
revolution,  and many of them had to fly after the hopes of  the
friends of liberty were prostrated.   This revolution, so fatal to
so many high aspirations and  hopes, also prevented the Arch-
duke Maximilian  from adding another Hospital  of 120 beds to
the present institution.   The Hospital  in question  adjoins  the
present  one and is now in  alloeopathic  hands.  It  belongs to
the Brothers of Charity.  The Archduke's means having°been 
       Homceopathy in Germany and England in 1849.    13

crippled by the revolution, he was unable to make the pur-
chase  this year.  The most  remarkable thing during my
intercourse with homoeopathic and aUoeopathic physicians  in
Europe  was the universally prevailing  wish to  emigrate  to
America;  even in such whose position  and practice would
preclude such an idea.  The despotism of kings and bureau-
crats seems to weigh  heavily upon our brethren in Europe.
Although homoeopathy is in Austria in  the  most flourishing
condition, being supported by the wealth and intelligence  of
the land, it would have risen still  higher, and extended over
a wider sphere, if the  illiberal  measures of the  government
had not constantly thwarted  it.   I had some  difficulty  in
persuading these discontented friends of homoeopathy to per-
severe in propagating our doctrines ; which, by making man
healthier, will make him also freer and wiser.   The day of
justice will come at last.
   The Sisters of Charity form a peculiar feature in the Aus-
trian homoeopathic hospitals,— their ministering spirits.  In
sweetness of expression and intelligence  I have hardly ever
seen their equals, except in our societies of Friends, whom
in many respects they greatly resemble, although the enthu-
siasm  with which  they fulfil  their charitable  calling has
marked their faces with an  expression  of still  deeper devo-
tion.   Dr. Reis thinks, that they are particularly distinguished
by their great powers of observation, and in  diagnosis would
shame many a physician.    Many times,  in cases of sudden
emergencies, they have made  the  most judicious  prescrip-
tions ;  and  perhaps have saved the lives of many by their
prompt action.
   I had wished to obtain complete statistics  of all  the cases
treated at the hospital from  the time of its commencement;
but Dr.  Reis, who has a most extensive practice, said  he
could never find time to do  so.   The general results of the
practice have been from time  to  time  communicated in the
Austrian homoeopathic " Jahrbuecher," but  never a detailed
account.  I was glad to hear from Dr. Reis  that he is  on a
                            2 
14    HomcBopathy in Germany and England in 1849.

much more pleasant, if  not  friendly, footing with his alloeo-
pathic brethren than formerly.  They at least have ceased to
be openly inimical.
  The young student of homoeopathy ought particularly to
be impressed with the idea,  that his success is of less import-
ance  than the success of our great cause; that, by cultivat-
ing a spirit of generous rivalry with his future  colleagues,
success will come, in spite  of all  the obstacles that may be
opposed to him.  Let him, in the first place, devote himself
with all possible zeal to this new science; let his mind and
whole soul be absorbed  in  its investigation, and every thing
else will follow naturally.   The  school  of Forbes, as  well
as that of Skoda, both being about  the same, seem to have
many followers in Austria; and, notwithstanding their pre-
tending to give no medicine, will  still continue to do so.
  A very gratifying piece of news from this  country is, that
a new  homoeopathic hospital, under the auspices of  the
Sisters of Charity,  will also soon  be opened  at Steyer,  a
neighboring city; and that a homoeopathic  physician from
Vienna will be sent to attend it.
  In Linz, there are several other  homoeopathic practition-
ers.
  In Salzburg,  there is an excellent physician, highly spoken
of by every one.
  I must advert in this place to a plan which has been pro-
posed and  discussed with some members of the Union, for
the  physiological proving of the materia medica at  Munich,
as well as with such homoeopathic  physicians of Liverpool,
and England generally, as are engaged in the noble and
arduous task  of improving our therapeutics, by trials of  old
and new remedies.   It is the following :  The German and
English unions (for the  physiological proving of medicines)
shall unite with an American society, yet to be formed  to
publish the symptoms  collected from these various sources
simultaneously in Liverpool, Munich, Vienna, and Philadel-
phia.  The different societies, one after the other, shall pro- 
      Homoeopathy in Germany and England in 1849.    15

pose a remedy for trial, which shall be proved by all  the
members  of  the  different  unions.   The remedy receiving
the majority of votes shall be tried first.  In order to become
a member of the union, the following conditions shall be
required: —
  1. No one shall be  elected a member who shall not have
made some trials  on the healthy; or,
  2. Transmitted at least one complete trial to the union.
  A full statement of the plan will soon be communicated.
I will only add here, that the active co-operation of the most
distinguished provers in England,  as well as Germany,  has
been  promised.   Thus a  generous rivalry will be excited
between the advocates of our cause in different parts of the
world.
  Every medical man should consider it his bounden duty
to contribute  something, every year, towards the  improve-
ment of the materia medica, by experimenting with some new
remedies.   And let me ask you, gentlemen, the hand upon
the heart, Is  not  the  physician, or even layman, who daily
profits by the invaluable records handed down to us by  our
great master, in  duty and  conscience bound to furnish his
share in  the continuation and  farther advancement of  this
great work ?   Does not every practitioner, even in  the days
of homoeopathy, which can effect so much, occasionally meet
with cases which  he cannot cure, but which the quack or old
woman can ?
  I am not ashamed to confess this.  But what is the  cause
of it ?  Is the homoeopathic law insufficient ?  By no means.
It only furnishes the evidence that there are still many plants
and substances, of whose pathogenetic  effects we are igno-
rant.   A friend of mine from New England lately made the
suggestion to me, that, for  the  true interests of science,
the homoeopathic physicians should not only  publish their
successful, but also their unsuccessful cases.   I highly ap-
prove of the plan, and cannot but  think it  would be of the
greatest service to our cause. 
 16    Homoeopathy in Germany and England in 1849.

   The true position  of the  homoeopathic school is  clearly
 defined in the following remarks by Dr. Watzke :  " Hunter,
 Bichat, Reil,  Miiller,  Roesch, Valentin,  Romberg,  Stark,
 Canstatt,  and  others, have established the physiological basis
 of pathology, which has already advanced to a high degree of
 perfection.  Wepfer, Morgagni, Meckel, Andral, Bouillaud,
 Cruveilhier, Louis, Auenbrugger, Laenner, Skoda, Rokitan-
 ski, Kolletschka, Lobstein, Berres, Guterbock, Simon, Gruby,
 and innumerable others, have commenced, with most surpris-
 ing success, the construction of a new diagnosis, by means of
 pathological anatomy  (auscultation and percussion,  micro-
 scopical  examinations,  and chemical  analysis  of morbid
 products).  Orfila, Heraubstuedt, Schneider, and Wibmer,
 have cultivated the anatomy of diseases produced by medici-
 nal influence.  Although the latter investigations were carried
 on for  a very different object, they will in the main aid  the
 specific school.  Finally, Hahnemann has, with iron industry
 and perseverance,  undertaken the gigantic  labor of building
 up a new  pharmacology and  new therapeutics, by means of
 his trials of medicines on the healthy, and from autopsis of
 those diseased by poisoning, as  well as the application of the
 results thus gained at the bedside."
   Joerg, Trincks,  Hartlaub,  Noack,  Stapf, Hesse, Hering,
 Helbig, Wahle, and many others, have continued  this great
 work.   It is to you, the young physicians of America, where
 the new science is  already most widely disseminated, that the
 country looks for the  fostering  and farther advancement of
the labors of Hahnemann and his disciples.  To you falls the
imperative duty, which you  cannot throw aside for  a mo-
ment without becoming recreant to your higher convictions,
to prove the great  number of valuable American plants, and
other substances of the animal and mineral kingdom not  yet
experimented upon ;  a knowledge of which will alone  enable
you to  subdue thoroughly the numerous diseases of this con-
tinent.   As the clinical instructor in this College, I consider
it  my particular  duty to invite  you to these trials ; which, 
      Homoeopathy in Germany and England in 1849.     17

besides their indispensable necessity for the improvement of
the materia  medica, are of advantage to the student by exer-
cising  his talent of observation, the most  useful one to the
physician.   The  establishment of  a reform in medicine in
the threefold  manner mentioned  above  is the problem of
our times.   Our life is  devoted to the final solving of this
question.   Placing ourselves firmly on this basis, we  have
the right of demanding to be judged according to  this  posi-
tion, which we have taken, and shall not relinquish.
                       LECTURE II.

Gentlemen :
  The medical department of the University of Vienna has
always been celebrated throughout the world for the number
of able professors, who  have thrown lustre upon it by their
important contributions to science ;  but it has of late attracted
universal attention from their  researches in  pathological
anatomy.  Vienna was, in fact, next to Paris,  the greatest
pathological school.   The  Viennese school has been par-
ticularly distinguished  for its unremitting devotion to this
branch of medical science ;  and the professors have  been also
anxious  to excite the same generous  enthusiasm  in  their
auditors, not as  one  of our late  Alloeopathic Introductory
expresses it,  for  the  sake of the loaves and  fishes, holding
up to the ambition of their pupils, as an ulterior motive for
such  exertions, the low standard of " a comfortable home
and  lucrative  practice," but the  advancement of  science
alone.  It is,  in fact, this  elevating tendency which is the
distinguishing characteristic in the scientific life  of  the  Ger-
man savant.   Having a sufficiency of income, which leaves
                             3 
18    Homoeopathy in Germany and England in 1849.

him free  and unshackled in his peculiar  pursuits,  all  his
energies are directed towards the prosecution of his scientific
researches.  This  freedom of scientific  inquiry is, however,
only partly accorded to the adherents of homoeopathy.  But,
the latter having  found  great  favor  among people of  the
highest  rank, particularly the Austrian,  Hungarian,  and
Bohemian  nobility,  the  old-school  physicians  were  in a
measure compelled to speak respectfully of  it.   You  seldom
hear, in all the  provinces of Austria, as well  as  Northern
Italy, expressions  of that contempt which some old-school
physicians in our  country yet affect towards their homoeo-
pathic  colleagues,  and  which  deters  many persons,  not
accustomed to think for themselves, from entering the doors
of this college, or being in any way  connected with us.   On
the contrary, I have heard the most  celebrated alloeopathic
physicians  uniformly speak  with  the  greatest respect of
homoeopathic names.  Many seemed to be acquainted, or
even  on intimate footing, with them.   " We differ from our
friends  on some medical points," they  said; "but  we still
esteem them  as  able, worthy, and industrious physicians;"
and just in proportion to the high standing and ability of  the
alloeopathic physicians, was the candid  acknowledgment of
the merit of their opponents.
  Among  these names  I  must  mention  Rokitanski  and
Skoda.  They smiled, it is true, at the homoeopathic doc-
trines, of which they evidently knew very little,  bavin«•  culti-
vated a  different field ; but they respected the men who were
engaged in investigations different  from their  own.  The
celebrated Rokitanski, whom  I met several  times durino-  my
stay in  Vienna,  at the so-called " Chamber of  the  Dead"
(Todtenkammer),  a place where the pathological  investi-
gations  are carried on,  is a  man of  extremely noble  phy-
siognomy, and mild, unassuming deportment.   He  himself
appointed  an hour  to show  me  the  celebrated anatomical
pathological preparations.
  The dissecting-room,  or  « Chamber for  the Dead,"  men- 
      Homoeopathy in Germany and England in 1849.    19

tioned above, is a room situated at the back of  the General
Hospital, and somewhat below the level of the  other build-
ings.  In the centre of  the room stands a large  table of red
marble, upon which all the important cases that die at the
hospital  are examined  from eight to  nine in the morning.
Formerly  Prof.  Rokitanski made  all  these  post-mortem
examinations;  but at present they are  performed by his
assistant, Dr.  Lantner ; — he, however,  always looking in
occasionally.   A  number of physicians,  and the more ad-
vanced  students, are surrounding the table.  Owing to the
revolution, which had driven thousands from  the city,  their
number  was just then quite  small.   Dr. Lantner dissects
every case with great expertness, but explains nothing  until
every one has first satisfied himself  in his own mind about
the nature of the  case.  He then, after a short  pause, dictates
to  another assistant,  who sits at a desk behind  him, the
pathological state of the case, sometimes in Latin, at other
times in  the German language.   If the case is an important
one, a very minute account is given in German.
   Dr. Skoda, whose  clinic I next visited, lectured on  infil-
tration of the parenchyma of the  lungs, bronchial exudation,
auscultation and percussion.   He  speaks very slowly,  and
not very distinctly.  He  pronounced tuberculosis to be the
cause of scrofulous habit.
   However pre-eminent  Skoda, and  the  other  Viennese
professors, are in the diagnosis of diseases, their therapeutics
have  not much advanced.   They  themselves  seem to ac-
knowledge it.  I made the rounds of his  clinic  with Skoda.
Hectic fever he  treats with sulphate of quinine and opium,
merely  to  palliate, he  said ; for we have no specific for the
luno-s.   In a  case of blennorrhea  urethrae  he prescribed
ablutions of lukewarm water, cleanliness, rest ;  and, if that
were not sufficient, injections of  nitrate of silver.   In a case
of traumatic tetanus, he gave one grain of opium every night.
   In  the surgical clinic, I saw  Dr. Dumreicher operate, in
the case of a  child with  imperforate anus, in some cases of 
20    Homoeopathy in Germany and England in 1849.

club feet, and in  several steatomatous tumors.   These ope-
rations were all performed with great skill.   In almost every
case he makes use of chloroform.  He subsequently gave a
very interesting lecture on the case of a boy with scrofulous
tumors on the legs, connected with tubercles in the lungs ;  the
latter getting worse, whenever  the former  were improving.
In another case he did  not operate, but employed an appro-
priate machine, with the external use of cold water, and cod
liver oil internally.
  Dr. Rosas, the professor  of ophthalmology,  is a very
pleasant  and  kind-hearted  man.   Not belonging to  the
new school  of the  German pathologists, his clinic is per-
haps less frequented than that  of  the other professors.   Of
the wax preparations by which he illustrates the diseases of
the eye in his lectures, those  of the comparative  anatomy
of the eye are particularly valuable.   I was also struck with
the preparations in wax of the  different cataracts, amaurosis
and the syphilitic, scrofulous and erysipelatous ophthalmia.
  Dr. Hager, surgeon to the staff of  the army, and clinical
professor, is well known as an author of surgical works.   He
spoke  to me of some  new  and superior mode of treating
fractures of  the clavicle that he had discovered, and of some
new bandages that he had invented for the purpose ; also that
he could give certain and reliable indications for trepanning.
He promised to communicate  his works to me.   He  was
altogether a very pleasant man, and,  according to my com-
panion, one  who is not esteemed in proportion to his worth.
  The next physician  I  was  introduced to was Dr. Ret-
tenbacher, a pupil  of  Liebig,  and professor of chemistry
at the Josephinum.   He has a shrewd, intelligent face,  and
is one of their best lecturers.  His face is somewhat thin and
pale ; his eye is very expressive.  He looks like a man who
thinks deeply and constantly.
  On the 11th  July, I heard  an interesting lecture by Dr.
Britcke,  the professor  of physiology.   The subject  was the
organs connected with  the voice.   He described the different 
      Homoeopathy in Germany and England in 1849.    21

muscles, causing the various sounds whilst the air was pass-
ing on them.   Different tubes were exhibited, and air blown
through them, showing the variations of the sounds.   All
could be explained  and produced artificially,  except the
falsetto sounds, which were not, as yet, quite distinct.
   The most remarkable conversation, however, I held with
Prof. Jaeger, the celebrated oculist; for thirty years physician
to Prince Metternich.  According to  him, the prince is the
embodiment of a liberal gentleman. He related to me many
anecdotes to prove this position ; but,  as these  are foreign to
the subject, I  must pass them over.  He declared  that  all
that had been said about the softening of Metternich's brain
was  false.  "  His brain could dry up, but  never  soften! "
He was only subject to a species of vertigo.  In his exterior,
Prof. Jaeger has the  air of a courtier and  homme d'ancien
regime.   His smile  is politic,  and  his countenance has
nothing profound in  it.  Smartness, I should suppose, may
be his characteristic.   With him I shall conclude my account
of the Viennese alloeopathic celebrities with whom I came in
contact.
   You will follow me now, gentlemen, with greater  interest
to an examination of the state of homoeopathy in the Austrian
capital.  I shall commence my relation with a description of
the Homoeopathic Hospital.
   The Hospital of  the Sisters of Charity, situated in  the
suburb of Gumpendorf, is a large, well-constructed edifice.
It seems particularly clean, and  well kept, and has a  large
garden attached to  it.  The building contains about  sixty
beds.  The female patients are on the second floor, the male
on the third floor, in  large, well-ventilated rooms. Owing to
the prevalence of the cholera at  Vienna, there were only
cholera patients at the hospital.  All others, by a rescript of
the government, were for  the time excluded.  The first time
I went there,  there were  about twenty-one cases; fourteen
women  and  seven men.   Subsequently, the number con-
stantly augmented with the increase of the disease in  the
                            3* 
22    Homoeopathy in Germany and England in 1849.

city.  The patients were  mostly  of the very poorest class,
from unhealthy localities ;  several families living together in
one room, crowded together to excess, each peculiar apart-
ment only marked off by a piece  of chalk.  Moreover, the
patients only asked  to be admitted to  the hospital when the
disease was at its height.   Notwithstanding these unfavorable
circumstances, where the least chance  for any treatment was
given,  they soon improved after  the homoeopathic remedies.
The symptoms were the same  as observed everywhere  else;
spasms in the stomach  and  bowels,  frequent rice-colored
diarrhoea and vomiting, cold, dry tongue, and coldness of the
whole surface of the body ; in some cases painless diarrhoea,
pressure in the stomach, and  great thirst: one patient drank
four quarts of water during the  night.  In the worst cases,
where typhoid symptoms made their appearance, the tongue
was yellowish, coated, and dry, no voiding of urine :  as soon
as the urine comes back, the patient improves.  The more the
diarrhoea prevails, the less dangerous the disease.  A favora-
ble  symptom is also the appearance of a kind of measles : as
soon as this  peculiar eruption breaks out,  the patient will
mend.   The  most hopeless   cases are those  which  have
neither vomiting nor purging.   Being often sent to the hospi-
tal  in the  afternoon, the patients sometimes die before Dr.
Fleischman, the physician to the institution,  has been able to
see  them.   In his absence, Dr. F. leaves free directions to
the  Sisters of Charity how to treat them.   This treatment
generally consists in the external and internal use  of cam-
phor. — Treatment  of Cholera Asiatica.   In  all cases the
patients receive ice-water for a drink, and  cold applications
to the abdomen.  Veratrum is the most common remedy in
the majority of cases,  particularly where vomiting and purg-
ing were  about equal.  Arsenic,  where sinking  of  the vital
powers with  diarrhoea predominates.   Phosphor, in  those
cases verging into the typhoid state.
  With Jatropha curcas,  as  the epidemic has  just  com-
menced, he had found no opportunity of making experiments • 
Homoeopathy in Germany and England in 1849.    23
but,  in the epidemic of 1836, he experienced no beneficial
effects from it.   The Jatropha he made use of, he obtained
from England.  A great many other remedies were tried by
Dr. Fleischman during the former epidemics; but his success
with them was not so striking as with the three above men-
tioned,— namely, veratrum, phosphor, and arsenicum ; and,
in consequence, he now confines himself entirely to them.
   The Vienna physicians, alloeopathic as well  as homoeo-
pathic,  are  all contagionists.   My  own opinion is, that
cholera is both contagious  and  epidemic, generated by  a
peculiar,  specific poison of miasmatic origin, and affecting
persons  peculiarly predisposed, who may communicate  it
from one to another.   The array of facts on both sides  is
equally strong.
   Wishing to form  an unbiassed judgment with  regard to
the success of the homoeopathic treatment in the cholera, I
asked a  respectable alloeopathic  physician  about it.   He
referred me to a statistical work published on the subject  by
the  Protomedicus, Dr.  Knoly, the first medical officer in the
empire.   According to this book, the Homoeopathic Hospital
is said to have lost a greater number of patients than any  of
the other institutions.  On minute inquiry, I  found just the
contrary to be  the case.  But let one fact suffice here for
many..  It was owing to the great success of homoeopathy in
the cholera,  that the government thought proper  to revoke
the  rescript  which  forbade the homoeopathic  practice  to
Austrian physicians.  From that time it became  free, and
spread all over the country.
   What the homoeopathic physicians of Vienna complained
of is, that Dr. Fleischman never furnished a minute, statisti-
cal account of the cholera cases, as  well as  other diseases,
and the treatment pursued.  He ought  not  merely to have
stated,  for example, that phosphorus is the best  remedy in
pneumonia,  but he ought to have given a description of the
 cases where this remedy was  indicated.  Some, however,
 defended Dr. Fleischman on the ground, that he lacked time 
24     Homoeopathy in Germany and England in 1849.
to draw up his cases, having to visit the hospital in the morn-
ing,  and during the rest of  the  day  to  attend  to other
practice in town.
   Still,  a more  specified  account  of the  most remarkable
cases at the end of the year might have been of the  greatest
service to our cause.  The only record we possess of the  hos-
pital is the yearly report, published  in the " Hygea," and the
" Vienna Homcepathic Journal."   Through the politeness of
Dr. Fleischman,  I have been furnished with a printed tabular
view of all the cases treated from Jan. 1, 1835, to the last of
December, 1848,  which I shall here subjoin : —
          DISEASE.

Abscess of the brain  ....
Apoplexia.......
Age, old........
Aphthse........
Aneurism of the heart  .   .  .
Asthma........
Burns.........
Chlorosis........
Croup .........
Cholera morbus *.....
Chest affections, rheumatic and
  arthritic.......
Convulsions.......
Cough    ........
  „   chronic.....
  „   spasmodic.....
Club foot t.......
Colic, lead.......
  ,,  of different kinds .   .  .
Cancer   ........
Caries of the bone.....
Diarrhoea  of various kinds  .  .
Distortions.......
Dysentery.......
Dropsy, general.....
   ,,   of abdomen  ....
   „   of chest.....
   ,,   ovaria......
   „   brain......
Remained from the	Admitted.	Cured.	Dismissed	Died.	Rema
year 1834.					
	3			3	
	10	5	2	3	
	35		13	22	
	5	5			
	1			1	
	2	2			
	40	39			l
	128	127			i
	1	1			
	48	43		5	
l	47 12	47 12		1	
	98	96		1	1
	250	235	3	12	
	18	18			
	8	6	2		
	49	49			
	73	73			
	7		4	3	
	7		7		
	199	196		3	
	12	12			
	72	69		3	
	24	21		3	
l	14	8	2	5	
	7	1	1	5	
	2	2			
	9			9	
  * Cholera Asiatica. — Besides the above mentioned, there were treated during the epidemic
cholera in the year 1836, from the 14th of July to the last of September, 732 cases, of which
488 were cured.
                f All surgical cases are attended by a surgeon. 
Homoeopathy in Germany and England in 1849.    25
DISEASE.	Remained, from the year 1834.	Admitted.	Cued.	Dismissed uncured.	Died.	Remain.
Dropsy, pericardium ....		2	1		1	
		38		1	37	
Exudation in cavity of chest .		47	43		4	
		1	1			
		1	1			
Fever, inflammatory ....		37	36		1	
	2	878	873		6	l
		356	352		4	
„ typhus abdom.* . . .	3	1514	1262	2	249	5
		676	660	1	14	1
	1	929	930			
„ intermittent ....		658	653		5	
		9	9			
		196	196			
Gout, acute and chronic . .	2	138	134	2	4	
		114	101		11	2
(Vomiting of blood) ....		3	2		1	
		3			3	
		19	19			
Hoarseness, chronic ....		13	13			
Heart, disease organic . . .		33		17	16	
		2	2			
Hypochondria and hysteria		10	10			
Headache, various ....		100	100			
		1		1		
		14	12	2		
Inflammation of aorta . . .		4	4			
„ of eyes ....	1	57	57	1		
„ of eyes, scroful. .		21	21			
„ of peritoneum .		164	156		8	
„ of bladder . .		4	4			
„ of chest, external		2	2			
„ of muscl. of chest		3	3			
„ of ovaria . . .		3	3			
,, of intestines . .		8	6		2	
„ of membranes of						
brain . . .		29	25	1	3	
„ of joints . . .	1	486	476		6	5
„ of uterus . . .		2	2			
„ of throat . . .	1	654	653		1	1
,, of pericardium .		8	8			
„ of head of larynx		4	3		1	
„ of liver ....		7	7			
„ of larynx . . .		25	24			1
„ of lungs . . .		584	550		29	5
„ of spleen . . .		2	2			
„ of thyroid gland .		2	2			
„ of kidneys . .		1	1			
„ oflars ....		15	15			
„ of pleura . . •		137	133		4	
of spinal marrow			2		3	
of veins . . ■		1 6				
* The result
in every
hospital is the same. 
26    Homoeopathy in Germany and England in 1849.
					Remained			Dismissed		Remain.
DISEASE.					from the year 1834.	Admitted.	Cured.	uncured.		
Inflammation of cellular tissue						8	8			
Icterus (jaundice) ....					1	63	63	l		
						52	51		1	
Liver, affection of.....						3	3			
Larynx, bleeding of the . . .						1	1			
Lungs, consumption of . . .						207		65	142	
						2	2			
						3			3	
Morbus maculosus ....						2	2			
Menstruation, abnormal . . .						36	35			l
Mammae, induration of . . .						1	1			
						1	1			
						4	3		1	
						12	11	1		
Rheumatism, acute and chronic						443	443			
Skin diseases, small pox . . .						165	150		14	
„ tetter ....						26	24	1		l
„ rash petechia						8	5		3	
,, zona ....						4	4			
„ scald head . .						12	12			
„ measles . . .						61	58		2	l
„ nettle rash . .						8	8			
„ psoric eruption .						20	18	2		
„ erysipelas of feet						39	39			
,, erysipelas of face					4	269	268	1	2	2
„ scarlatina . . .					2	47	46		3	
„ varicella .						150	149		1	
Swellings of different kinds						110	106	1	1	2
Stomach, affections of the						25	25			
„ gastro-malacia.						2	2			
„ induration of the						10		9		1
Sarcoma, medullary . .						8		5	3	
Spleen, affections of the						1	1			
						2	2			
						4	3	1		
						22	14	3	8	
St. Vitus' dance						4	3	1		
						7	7			
						116	116			
						1		1		
Tremor of workers in metal						2	2			
Ulcers in different places						127	124		2	1
„ in the lungs . .					1	114		65	46	4
„ in the stomach						5		4	1	
						41	37	2	2	
						40	40			
						96	95	1		
  At one time Dr. Fleischman delivered clinical lectures, but
never very extensively.  His only assistant at the hospital  is
Dr. Rothansel. 
      Homoeopathy in Germany and England in 1849.    27 -


         THE HOMCEOPATHIC  PHYSICIANS OF VIENNA.
I shall commence with an enumeration of the medical men,
whose particular acquaintance I made during  my stay,  and
give such data of their mode of practice and peculiarities as
will be interesting, and at the same time instructive, to  our
homoeopathic brethren on this side the Atlantic.
  Dr. C.  Watzke,  the  principal  editor of  the  " Vienna
Homoeopathic Journal,"  is  one  of the broadest and most
progressive men I met with  in Vienna, and one from whom
homoeopathy has yet much  to expect.   He is the author of
the brochure," Homoeopathische Bekehrungs Episteln " (Let-
ters to make  Converts), published  anonymously;  the criti-
cism on Dr. Sturmer's work, " Vermittelung der Extreme "
(Mediation between  Extremes),  in which  he convicts the
author of giving untruthful statements, of ignorance, and of
calumny.  He has  also written  a very able  reply to Prof.
von Tceltenyis's attack on the homoeopathic  principle.
  I am sorry to hear from him his intention of retiring from
the editorship of the " Austrian Homoeopathic Journal," on
account  of his want of time.  I trust he will  occasionally
contribute to the journal some of the profound critiques which
have hitherto enriched that  work.  Dr. Watzke is a zealous
admirer of the German philosopher, Fichte,  whose addresses
to  the  German nation  lay constantly  open on his table,
and from whom he seems to draw his inspiration.  He com-
pletely coincided with my views about German physicians
emigrating to America  to escape the present  degraded  state
of their country ; namely, it  was the more the duty of the  Ger-
man homoeopathic practitioner, whose influence is great, to
labor for the regeneration of his  country, when every thing
appeared to retrograde.   The failure of the October revolu-
tion he  attributed  to  the  want of  consistency,  absolute
ignorance, and immorality of the  people, high  and low;  also
to  their want of practical  experience in political matters.
They had, in fact, every thing to learn.  Seeing the people, 
28    Homoeopathy in Germany and England in 1849.

as I did last July, oppressed for centuries, and degraded by
ignorance and systematic corruption, I could easily conceive
why they did not acquire their liberties in October.   But to
resume.   He  spoke  of the  high potencies,  from  which, he
said, he never experienced any effects ;  and he was very glad
of it,  because, even  if he found them efficacious, he should
always  have  used them  with a degree of hesitation, on
account  of their uncertainly.   Dr.  Watzke uses the lower
preparations;  in fact,  seldom  rises higher  than the  sixth,
except with remedies like Natrum muriaticum,  Carbo  vege-
tabilis, and silicea.  Lycopodium he rarely prescribes, having
never found any effect from it.  He also exhibits them in the
fluid  form,  dropped  in sugar of milk, and repeats often.
Tinctures, like belladonna,  aconite, he  has prepared  fresh
every year;  being of opinion that the older  preparations are
less powerful, and must be used in  larger doses.  In ex-
pressing   my  satisfaction about  the  excellent  proving of
bryonia in the "Austrian Homoeopathic Journal," he replied
he was glad of it, as he  had himself had much to do with that
proving.
  Dr. Wurmb, another of the  first  homoeopathic physicians
in Vienna, is a man  of tall  stature, with a countenance ex-
pressive at the same time of courage and benevolence.  He
was a captain in the students' legion during the revolution,
and  took part in  one  of the battles.  Wurmb  has proved
himself a man of the  people; but the re-action has nearly
destroyed him.  The Vienna Homoeopathic  Society allotted
different  remedies for proving  to each of their number.   It
fell to Dr. Wurmb's share  to  investigate the properties of
sulphur.   He fulfilled  his engagement in the most thorough
manner,  not only by testing  its action on the healthy, but by
a chemical analysis of the urine  each day, whilst under its
effects.   He  showed me  the  manuscript, which formed a
respectable volume, ready for publication ; but the revolution
put a stop to every thing for the moment.   If I remember
rightly,  Dr. Wurmb has also proved the cochineal; at any 
      Homoeopathy in Germany <tnd England in 1849.    29

rate, it was proved by the Vienna Society.   It will undoubt-
edly be one of the principal  remedies  in whooping cough,
producing a very similar cough on people in health.
  It was my good fortune one evening to meet the well-known
Dr. Attomyr, from Presburg,  in Hungary, at Dr. Watzke's.
His principal  object in  coming to Vienna wras to effect  the
deliverance  of his brother  homoeopathist, Dr. Nehrer, from
prison.   The latter had been implicated in the  Hungarian
revolution.   If successful  in his endeavors, he would leave
him his practice, and travel for six months; for, said  he, it
was impossible  for him to look longer on the misery of his
native country.
   He spoke about the cholera.  Dr. Attomyr mentioned that
an  Hungarian  somnambulist consulted by him had pro-
nounced the true specific for cholera to  be  Seseli Vienne, the
wild pimpinell,  half a tea-spoonful of the tincture for a dose.
Attomyr says he has cured two cases with it.
   Dr. Attomyr  has  elaborated Asiatic cholera, as he  has
dysentery ;  that is, putting the most characteristic symptoms
of  the remedies  opposite to the similar symptoms of the  dis-
ease.   This is the true  method of laying the foundation of a
pure therapeia, which we must in the end be able to rely on
with mathematical certainty.
   Intermittent fever, according to Dr.  Attomyr, is  a very
common disease in Hungary ; and he has always succeeded
in  curing it with the usual homoeopathic remedies.  Dr. Atto-
myr always prescribes the high potencies of Jennichen in all
chronic  cases, but does not  trust to them  in the acute.   In
no part of Europe is homoeopathy so generally diffused as in
Hungary.
   The same evening,  I  had the pleasure of  meeting  Dr.
Miller, at present chief editor of the " Austrian Homoeo-
pathic  Journal."  Dr.  Miller is  well  known as an  active
homoeopathist and fluent writer.  We  had  a long discussion
about the importance of the  time, and  the  conditions in the
selection, of the homosopathic curative.  We could not  well.
                             4 
30    Homoeopathy in Germany and England in 1849.

agree, although in reality we were not so far apart.   We all
knew that something more than the symptoms, or the patho-
logical condition, must be the  deciding point where several
remedies seem to meet the symptoms of the disease equally
well.  Is it the time  and condition ?   Is  it the color ?   Iso-
morphic condition ?  The chemical affinity ? or  what else ?
We cannot deny that several remedies are not unfrequently
equally indicated in the same case;  and the choice  between
them is very difficult.  We  have hitherto  helped ourselves
by  giving  them  alternately, or we  have thought  that the
symptoms of one or the other  were not fully experimented
upon.   With many remedies this is now not the case,  and
we are still wavering  in our  choice.  Some light may be
thrown  on the subject  by dividing all remedies into positive
and negative classes.  Some  diseases will also be  more easily
cured, if all the  different chemical  compounds  have  been
proved.  With regard  to new remedies,  about which I  was
always  anxious to inquire, Dr.  Miller gave, in augina  scar-
latina, where  the disease did  not come  out, and  after the
unsuccessful exhibition of belladon. mercur. canthar., the
bombus terr., the poison of the bumble bee.  He has cured
two cases with it, and has proved it  on the healthy.
  Dr. Anton  Schmit, physician to the Duke of  Lucca and
Parma.   For twenty-three years this family have advocated
our  science.  During the  revolution they fled  from  their
dominions, and, as a matter of course, their physician accom-
panied them.  Both were, therefore, temporarily in  Vienna.
Dr. Schmit  is an advocate of the higher potencies, which he
principally prescribes, and with which he maintains that he
succeeds best in  curing disease.  He is a great advocate of
Hahnemann's  experience, and  believes few have surpassed
him  in  the powers of observation.   The  great  thing in
homoeopathic practice,  according to  him, is the  individuali-
zation and recording of every  case.  He thinks that there
are  at present few or no homcepathic physicians  in Vienna,
who are in the habit of writing down their cases, and keeping 
      Homoeopathy in Germany and England in 1849.    31

a record of them.   I give this merely as his opinion, without
vouching for the truth of it.   I have no doubt that they must
be in the habit of writing down their most important cases,
else they could not publish so many valuable observations in
the homoeopathic journals.  Dr. Schmit always does, which
gives me a favorable  idea of his practical skill; this being
the first condition of success.
  He seldom employs a  dilution  lower than the twelfth.
Even syphilis he cures  wtth  mercur. 12; and he mentioned
a case which until  the  seventh day did  not  improve, when
on  the  eighth  it improved a little, and  from that day the
patient  gradually recovered.   It is a pity, that all patients
are not  content to  wait a  week before  they improve.   Dr.
Schmit,  however,  does by no means deny the possibility of
others curing with lower dilutions  and more  material doses.
Every one according to his experience.   He  prescribes his
remedies at protracted intervals in the form of globules of the
size of a poppy-seed ;  thus, as you will perceive, following
Hahnemann in almost every particular.   Korsakoff, of Rus-
sia, once made the observation that one  medicated globule
was capable of communicating its power to a large number
of sugar-of-milk globules.  Dr. Channing, of New York,
experienced the same thing.   Dr. Schmit remarked that the
power thus obtained was retained for sixteen years,  or as far
as his observation goes.  He is also of opinion that there is
a greater difference in the power of the dilutions from one to
three than  from thirty to three hundred.   His great remedy
in cholera is spirits  of camphor, with the alcoholic extract of
the common rye, burned and powdered (probably charcoal).
He detailed to me the case of a woman, whom he cured in
the advanced state of the  disease,  in an apparently hopeless
condition ;  the priest having been already sent for to adminis-
ter the  sacrament.   In this case, frictions of the mixture to
the pit of the stomach were also resorted to, and a few drops
of the mixture were exhibited every-ten  or fifteen minutes
until re-action  took place.   The remedy is  undoubtedly a 
32    Homeopathy in Germany and England in 1849.

popular one, and deserves consideration :  that it should have
originated from such a pure homoeopathic practitioner as Dr.
Schmit would have been a mystery, had not the somnambu-
lists here also played their tricks. I must in this place say, once
for all, that  this trusting to the revelations of somnambulists
is by no means common in Vienna.   Nearly all homoeopath-
ists agree in opinion that they are only of very conditional
value.  One of the most celebrated of the somnambulists whom
I frequently visited  was  magnetized by the mineral magnet
under the direction of the eminent Dr. Eisenstein, of Vienna,
who has scientifically investigated the subject, and made a
great number of cures.  I have great faith in the operation of
the mineral magnet in the cure of epilepsy, and certain cases
of paralysis.   I closely watched  its action in several cases of
this kind, which were entirely restored by  this means alone.
The manner  of  application is  the  following:  In the first
place,  a horse-shoe magnet is placed under each foot;  then
the four long  magnets,  two in each  hand, are carried from
the back of the head forward above the nose, down along the
cheeks to the side of the head, to the middle of the chest and
pit of the stomach, and  subsequently along the legs to the
feet.   In some cases also the back is magnetized from above
downwards: if you wish to double their strength, the magnets
are laid across each other, and thus drawn along the spine.
   But  to  return to  the homoeopathic  physicians  after  this
digression.  Dr. A.  Schmit accompanied me one afternoon to
the veteran, Dr.  Marenzeller, who, with the exception of one
other  homoeopathic physician, was for a long time the only
practitioner of the new school in Vienna. He is still engaged
in the practice of medicine, but is said to spend an hour and
 half with  each patient.  His views of  homoeopathy have
 always been very  peculiar.  He began to dilate on them
 with great  energy during our  visit.   According to him,
bomoeopathy is the only veritable system of medicine :  what
 is  called  alloeopathy does not exist.   You often catch
 glimpses of great truths in his discourse ;  but, not being ex- 
Homoeopathy in Germany and England in 1849.    33
pressed with any clearness, it  was impossible to draw any
practical benefit from them.
  Two of the  oldest homoeopathic practitioners, who enjoy
a very large circle of practice,  Drs. Schaeffer and Von Lich-
tenstein, I had not the pleasure of meeting, as they were out
of town. The same was the case with Dr. Hampe, physician
to Prince Lichtenstein.   He has lately written an  excellent
treatise on diseases of the spine, which  will be published in
the next number of the Vienna Journal.  One of the most
important acquisitions to the homoeopathic  ranks  was Dr.
Zlatarovitsch, until lately Professor of Materia Medica at the
Josephinum.  This institution was formed to educate young
surgeons for the army ;  but, after the failure of the late revo-
lution,  it was  united to the university, for  no other reason
than to appoint a certain medical man,  chief  physician to the
staff of the army ; which position he could not reach,  unless
the Josephinum were abolished.   Partly, however, it was to
punish the students of Vienna, the great majority of  whom
had taken part in the revolution.   The  beautiful aula of the
university, where science  once  reigned, is  now converted
into a  barrack  for  soldiers.   No  student  is  allowed to
graduate without promising beforehand to serve in the army
as a surgeon.   Of the arbitrary acts of this government, the
inhabitants of a  free country can hardly form any adequate
conception.  Thus tlie rescript of the government, permitting
the homoeopathic practice to all  physicians, has never been
allowed to be published.   There  exists no earthly reason for
this prohibition, except that  the physicians high  in  power
dread the spread of homoeopathy by this publication,and that
the conservatism of  the governing powers instinctively turns
against every innovation.   The consequence of all these pro-
ceedings is,  that a great many  army surgeons  practise it
secretly.  In order not to be discovered, they pretend  to pre-
scribe alloeopathic medicines which their patients never take,
miner homoeopathic medicines all the time. In their quarterly
report^ they give an account of the  treatment pursued; e. g.
4* 
34    Homoeopathy in Germany and England in 1849.

in a case of pneumonia, they say, they have bled the patient,
and given nitrate  of potash, calomel, &c. whilst, in reality,
their patients took aconite, bryonia, and phosphor.  What in-
fluence such a state of things must exercise upon the morality
of the people we  may easily imagine.  Prof.  Zlatarovitsch is
also the chief of a commission, whose business it is to furnish
the army with unadulterated medicines.   Through his hands,
he says, passes quinine, not by pounds, but by barrels.  With
this  commission  he  unites  that of health-officer ; and he
showed me a report,  which he had just drawn up.  Dr.
Zlatarovitsch is a  man  of about middle age, with a fine Scla-
vonic countenance.  I asked him whether his open avowal
of homosopathic principles had  not injured  his position : he
thought not directly, but indirectly they tried to injure him
as much as possible.   But he is evidently a match for them.
He is now determined,  notwithstanding the  prohibition, to
publish the emperor's rescript in the "Vienna Homoeopathic
Journal," and all the proceedings connected  with it.  In the
next number, all  will appear.   He was highly delighted with
the account I gave him of our doings in America,  and saw
at a glance the importance of a medical institution, where the
young men of the country would be trained up in the homoe-
opathic light.
  Even as an alloeopathic professor, he impressed his hearers
with the idea of specific medicines; e. g. colocynth, they are
told, is a drastic purgative, and they take this idea Avith them
all their lives ; but they are not told what its individual and
far more specific  effect is on  the human body, in neuralgias
of the pips, in dysenteries, &c. and its  whole pathogenesis.
Thus Prof. Zlatarovitsch  had already told his students, that
colocynth,  rhubarb, magnesia, senna, and a great many more,
are all purgatives; but this is the least of their effects.  Aga-
ricus  is the remedy  that the doctor has elaborated  for the
proving society, and  will soon publish.
  I regretted very much not to  be able to see Drs. Menz and
Vrecha, and other Viennese homoeopathic practitioners; but 
      Homoeopathy in Germany and England in 1849.    35

th< y were either  out of toAvn, or I had  myself not time to
visit them.  In addition to the above-named  homoeopathic
physicians, I find in the printed catalogue of the Vienna
faculty the following names of medical men belonging to our
school:  Drs.   Hector  Arnetti,  Boehm,  Frolich, Gerstel,
Gliicker,  Gnadinger,  Loewe, Marenzeller, jun.  Polatyck,
Puffer,  Reisinger,  Richter,  George  Schmid,  Siegl, Sterz,
Streintz, Tedesco, Cajetan Wachtel, Weinke, Wiirst, Wurda.
There are altogether  about  fifty homoeopathic physicians.
They are, of course, not all included in this catalogue, as it
only contains such physicians as belong to the Vienna faculty.
Almost all of them are in good practice.   There is no city in
Europe, Avhere homoeopathy is so generally adopted as here,
and among classes  distinguished by their  rank  and intelli-
gence.  This  Avill be considered  the more remarkable, when
Ave regard the obstacles that have been put in its way to pre-
vent  its spreading,  by the government, but to no  avail.
Homoeopathy has succeeded in spreading itself far and Avide
through the community.
   Almost the last thing I visited Avas the celebrated collection
of  anatomical wax  preparations, called the  Avax  cabinet.
These beautiful models are the work of the celebrated Mas-
cagni, and have cost above  a million of  dollars.  They are
contained in six or eight saloons.  Their  number is so great
that it is impossible to enter into details.   It Avill be sufficient
to say, that every  part of the body, sometimes a  single muscle,
is portrayed as it appears  under the microscope.  The ob-
stetrical part is particularly rich.

                       ENGLAND.

   London. — It just happened, that, during my visit in Lon-
don a meeting of the British Homoeopathic Association took
place.  The  Duke  of Beaufort  presided ;  and  interesting
speeches were held by Drs. Quinn, Chapman,  Mr. Sampson,
and others.   The great object of the meeting Avas  to esta- 
S6    Homoeopathy in Germany and England in 1849.

blish a Homoeopathic Hospital,  and a  committee to carry
this resolution into practice was nominated.
  In Dr. Dudgeon, of London, I found a very congenial and
intelligent colleague,  full of literary enterprise.   He had just
finished a new translation of the sixth edition of "  Hahne-
mann's Organon," and was now preparing a neAV Repertory
for publication, of Avhich he gave me a specimen proof-sheet.
At his house I also  met  Drs. Black,  Madden, Rutherford,
Russel, Carr, Ringgold, and  Walter, of Dublin.  The Eng-
lish homoeopathic physicians are all strong  men, Avith regard
to intellect and character ; but,  in point of union and har-
mony, they have  not advanced  beyond their  colleagues  in
other parts of the  Avorld.   The number of homoeopathic phy-
sicians in England, I am told, is about one hundred and sixty.
About one hundred physicians are said  to practise according
to these principles in London ; many, hoAvever, only sub rosa.
Forty-three are regular  members of the Physicians'  Society.
Dr. Black, the author of a very able  work on homoeopathic
practice, is distinguished by a head in Avhich the  intellectual
faculties are remarkably developed.  Dr. Madden, also well
known  as the Avriter of several interesting  papers in the
" British Journal,"  practises  at  Brighton.  Mr.  Hering is
said to be the recipient of a very large income from his ex-
tended practice.  I Avas much disappointed at not seeing, or
rather not speaking Avilh,  Dr. Quinn.   Twice I called  on
him; but he Avas either out or engaged.   The last  time, he
invited me to a meeting of the Physicians' Society ; but, as
none but regular  members can participate  in the discussions,
and  such regulations are more  stringently kept  in  London
than  elseAvhere, I Avaited, together  with  another physician
from Dublin, in vain for the opening of the doors.   The dis-
cussions Avere unusually long and animated. Matters of great
moment, I Avas afterwards told, Avere debated that night;  and
no stranger could be admitted.  The  next morning  I left the
city without seeing Dr. Quinn.  Surely a little more freedom
in such regulations could do  no  harm. 
Homoeopathy in Germany and England in 1819.    37
  Dr. Chapman, editor of the neAvspaper called the " Homoe-
opathic Times," published once a Aveek, had the kindness to
furnish  me  with several letters to physicians connected Avith
the Alloeopathic Hospitals.  I  visited nearly all the principal
ones to inform myself of the progress of alloeopalhy; but, as
far as I could see, our elder sister had not advanced at all in
conservative England.  The  general arrangements of their
hospitals are the same as  in all other institutions of the kind,
and the treatment not different either.   Bitartrate of potash
is the chief remedy in all cases of dropsy ; in chorea, zinc ; in
tubercular meningitis, calomel half a grain,  often repeated to
salivation ; in dysentery, opium.  In the Brompton Hospital,
for consumption and  diseases of the chest,  Avhere  I spent a
AA'hole  morning, the  chief remedy is  cod  liver  oil.   All
patients receive it.   I conversed with a great many, and they
all seemed to  be benefited  by it.   At any rate they always
got stouter, after using it for  a couple of Aveeks.   This, of
course, is not a very safe sign of improvement.
   Since the opening of the new building in 1846, 676 patients
have been admitted, of whom Avere relieved, 466 ; died, 129 ;
remaining at the house, 81.   In the Old Hospital at Chelsea,
out of 297 patients, 72  died ; being  nearly one  death  in
every four ; while the deaths in the New Hospital have been
only 127 in 676, or nearly one death in five cases.   I  am
particular in mentioning  these circumstances, because I look
upon the cod liver oil as a poAverful specific  medicine in this
disease.  Its principal active  ingredients  are bromine and
iodine dissolved in their vehicle, the oil in the smallest quan-
tities.   Fifteen years ago,  I employed this remedy with
 advantage  in  the  most  desperate cases of  scrofula of the
 bones.  At that time the name Avas hardly knoAvn in Phila-
 delphia,  and I had to import some myself.   The particular
 indications Avhere this medicine should be used it is more
 difficult to point out.  I  should say, that, in all cases where
 the cough is not too much settled, and where something may
 be expected from a renewal of the constitution of the patient, 
38    Homoeopathy in Germany and England in 1849.

this remedy will deserve primary attention.   In one of the
last numbers  of the  " British  Journal"  is an article by Dr.
Madden on cod liver oil,  which confirms nearly all my OAvn
experience on  the subject :  " Of the 60,000 deaths Avhich
occur every year in  England and Wales from sIoav and lin-
gering diseases, about 36,000 are probably due to pulmonary
consumption.   One-ninth, therefore, of the total mortality at
all ages, and more than one-fifth of the mortality of adults, is
due to this cause ; and, as the duration of the disease, taking
one case  Avith  another, is about tAvo years, it follows that
about 72,000 persons are constantly suffering from consump-
tion, being at the rate of four persons in every thousand of
all ages, and eight in every thousand adults.  Again : of the
45,000 deaths occurring every year in the metropolis, about
5,600, or one-eighth of the  total mortality of the metropolis
at all ages, and little less  than  one-fifth of the mortality of
adults, arises from this fatal disease; and upAvards of 11,000
persons, being about one  in 170 of the entire  population of
the metropolis,  and more than one per cent of the adults, are
constantly Avasting aAvay under  the attacks of this  lingering
malady.  Of these 11,000 cases, about three-fourths occur
in males, of  Avhom  a  large proportion  are Avorking  men,
unable to provide for themselves and families, systematically
excluded from the general hospitals.  It  may be well  to add,
that many, very many, of these poor sufferers are the acknoAv-
ledged  victims  of  unventilated  workshops, ill-constructed
dAvellings,  vitiated atmosphere, long hours of AA^ork, and the
Avant of open places  for exercise and recreation ; so that they
may fairly claim from their richer brethren not sympathy
only,  but compensation for the  injuries  Avhich  their  neglect
has inflicted upon them."
  With regard  to the Homoeopathic Hospital to be founded,
I must mention, that numerous members of the aristocracy
have become  contributors.   Great zeal has been evinced in
this philanthropic and benevolent undertaking by both medi-
cal and non-professional individuals.  Dr. Chapman, in the 
      Homoeopathy in Germany and England in 1849.    39

" Homoeopathic Times," in alluding  to the hospital, makes
the folloAving  remarks:  "Besides the  advantages  Avhich
result from the establishment of hospitals under ordinary cir-
cumstances, peculiar advantages might be secured for homoe-
opathy, and for the promotion of its  doctrines, as Ave might
then have the  most perfect means put in our poAver for testing
the comparative  success and merits  of the tAvo  systems of
medicine.  We should, moreover, have the great gratification
of completely setting at rest  many of  the  cavils  and objec-
tions raised against homoeopathy by the stupid and ignorant.
   " Among others, we might see an eternal  quietus put on
the hackneyed  and obsolete charge brought so frequently
against the system ;  viz. that whatever may be the result
of homoeopathic treatment in chronic  diseases,  in acute affec-
tions it is perfectly powerless.  The falsity of this charge has
been  fully established on several occasions,  and by several
individuals of acknoAvledged  character and ability for obser-
vation.  With  respect to one of the  most decided  of  the
the internal inflammatory diseases, viz. inflammation of the
lungs, on a comparison  being established between the results
of homoeopathic treatment, under the care of Dr. Fleischman in
the Homoeopathic  Hospital  of  Vienna,  during  nine years,
beginning in 1834 and ending in 1843, the average number
of deaths teas  about one in sixteen;  whereas in the Hotel Dieu
of Paris, under the  care of  Chomet, an alloeopathic  practi-
tioner, the mortality in the same space  of time was about one in
eight,  or double that of Dr. Fleischman."
   Whilst on the subject of the comparative success  of alloeo-
pathic  and homoeopathic treatment, Ave cannot resist  the
temptation of extracting the folloAving  interesting and valua-
ble observations from Dr. Havle's able  and eloquent address
on the homoeopathic system of medicine.   The author is ad-
verting to the great difficulties  attending  the application of
the homoeopathic principles to the treatment of disease : —
   " That  hoAvever, the difficulties alluded to, neither render
-the system impracticable,  nor rob it of its claims to greater 
40    Homoeopathy in Germany and England in 1849.

success than is attainable by the common mode of practice,
the fohWing  evidence will satisfactorily prove.   The evi-
dence  results  from  a  report of a commission  of inquiry,
appointed by.Duke William of Brunswick.   The books of
both alloeopathic and homoeopathic practitioners were examined,
with the view of discovering the respective proportions between
cases treated and deaths.  The highest homoeopathic proportion
was three in the hundred, the lowest less than one; ivhilst the
alloeopathic proportion  ranged from eight to ten.   When it is
knoAvn that the practitioners of BrunsAvick are obliged, under
pain of heavy  penalties, to  keep a faithful register of cases
treated and deaths occurring, and that the inquiry extended,
in the case of one  homoeopathic physician,  over  ten years,
and, in the case of  another, over four, statistical information
of this kind must be alloAved to have great weight."
  All the homoeopathic physicians  in  England, with whom
I  came   in contact,  expressed themselves  satisfied  Avith
the progress of our art there.  In London especially it is con-
stantly on the advance.   The best evidence of this is, that
from four, to  five homoeopathic druggists are  doing  a good
business,  and  one of them has  become rich.   Some books
on domestic medicine  have reached a sixth and seventh edi-
tion.   I  Avas  also told that the  queen and other members of
the royal family had  employed a homoeopathic physician.
All the English faculty speak in the highest terms of the late
Dr. Harris  Dunsford, physician to the doAvager queen, just
deceased.  His untimely end is generally regretted.
   It is not  in  my poAver  to  give  an accurate statistical
account of the number of homoeopathic practitioners in the
different towns ;* but I know there is no tOAvn  of importance
in England Avithout at least one, if not several adherents of
our school.  Edinburgh has five: Drs.  Russel,  Wilobycki,
Lynchinski, Sutherland, and Prof.  Henderson.

   * The last Number (XXXI.) of the  " British Journal of Homoeopathy "
contains a complete list of homoeopathic practitioners in Great Britain and
Ireland. 
      Homoeopathy in Germany and England in 1849.    41

  In Liverpool, I found the indefatigable Dr. Drysdale, one of
the editors of the  " British Journal," Mr. Moore, and Dr. Hil-
bers.  They all seemed  to be overrun with business;  and,
according to their account, homoeopathy is in flourishing con-
dition there.  In their treament  of the cholera,  during the
present summer, they have been very successful.  Some statis-
tical accounts will soon be published  by them,  verifying this
statement.   The  greatest difficulty they had to contend with
Avas the suppression of the urine after  the cholera had abated.
Patients, apparently recovering, died with this symptom. Their
Dispensary, No. 2, Harford-street, Mount Pleasant, is open at
nine o'clock, a.m.  The  average Aveekly attendance is more
than 200, and upAvards of 10,400 patients annually.  The sub-
scriptions and donations received for the year 1848 amounted
to nearly £100.   The chief donations of former  years Avere
£292.   They all express themselves  perfectly satisfied with
their success,  and only want ten more collaborators.
   The practical mind of the English has already, at an early
period,  manifested  itself by the general introduction of dis-
pensaries.   Hospitals Avill foliow  next.  It is also  the object
of this college to pay every attention to the dispensary, not
merely as a charitable institution, but as  a great school for
the acquirement  of  homoeopathic knowledge.   In the last
Number of the  " British  Journal,"  Dr.  Drysdale has  fur-
nished us Avith a  very interesting account of English Dispen-
saries, of Avhich I shall here subjoin a list: —

               LONDON  DISPENSARIES.

   London  Homoeopathic  Institution. — Total cases to  1st
August,  1849, above 8,000.  Instituted 1836.  Medical offi-
cer, Dr.  Curie.
   Marylebone Homoeopathic  Dispensary. -- Instituted 1840.
Medical officer, Dr. Partridge.
   West  London  Homoeopathic  Free Dispensary- — Instituted
                            5 
42    Homoeopathy in Germany and England in 1849.

1841.  Total cases to 1st  August, 1849, 4,000.  Medical
officers, Dr. Dudgeon and Mr. Engall.
  Private Dispensary. — Instituted 1842.  Total cases to 1st
August, 1849, 1,856.  Medical officer, Dr. Broackes.
  Islington Homoeopathic Dispensary. — Instituted in  1845.
Total cases to 1st August, 1849, 2,000.  Medical officer, Dr.
Chepmell.
  Homoeopathic  Dispensary. — Instituted  in  1846.   Total
cases to 1st August,  1849,  260.  Medical officer,  Mr. Mil-
lard.
  City Homoeopathic Dispensary. — Instituted 1847.  Medi-
cal officer, Mr. Kidd.
  Marylebone  Homoeopathic  Dispensary. — Instituted  in
1848.  Total cases to 1st August, 1849,  566.  Medical offi-
cer, Dr. Malan.
  St. John's  Wood  Homoeopathic Dispensary. — Instituted
1849.  Total cases to 1st August, 1849, 75.  Medical offi-
cer, Mr. Pearce.
  Homoeopathic Institution. — Instituted  1849.  Medical offi-
cer, Dr. Prince.
  Homoeopathic Institution. — Medical officer, Mr. Lisson.
  Harrison's  Spinal Institution. — Medical officer, Dr. Epps.
  Westminster and St.  George's Free  Homoeopathic Dispen-
sary for the Cure of  Consumption  and Diseases of the Chest.
Medical officer, Mr. Wilson.
  North London Homoeopathic Medical Establishment. — Me-
dical officer, Dr. Vietinghoff.
  East London Homoeopathic Dispensary. — Instituted 1849.
Number of cases to 1st August, 1849,  166.   Medical officer,
Dr. Fischer.
  The Hahncmannean Medical Institution and Dispensary. —
Consulting physician, Dr. Laurie.  Physicians in  ordinary,
Drs.  Henriques, Kelsall,  and  Osman.   Surgeons in ordi-
nary, Messrs. BroAvne, Kelly, and Sherwood.  Accoucheur,
Mr.  Kelly.  Resident surgeon, Mr. Chapman. 
      Homoeopathy in Germany and England in 1849.    43


                     PROVINCIAL.

  Bath Homoeopathic Dispensary. — Instituted 1849.  Medi-
cal officers, Dr. Luther and Dr. Laurie.
  Birkenhead  Dispensary. — Instituted 1849.   Medical offi-
cer, Dr. Wright.
  Birmingham Homoeopathic Dispensary. — Instituted  1845.
No list of patients kept; but the number of cases  in  June,
1849, 560.  Medical  officers, Dr. Fearon, Mr. LaAvrence,
and Mr.  Parsons.
  Brighton  Homoeopathic  Dispensary. — Instituted  1849.
Total cases to  1st August, 1849, 466.   Medical  officers, Dr.
Madden, Mr. Cobbe, and  Mr. Wardroper.
  Bradford Institution for the Diseases of Women. — Medi-
cal officer, Dr. M'Leod.  j
  Canterbury  Homoeopathic Dispensary. — Instituted  1848.
Total cases to  1st August, 1849,  366.   Medical officer, Mr.
Parsons.
  Exeter Homoeopathic Dispensary. — Instituted 1849.  Total
cases to  1st   August, 1849,  149.  Medical   officer, Dr.
Guiness.
  Glastonbury Homoeopathic Dispensary. — Instituted 1843.
Total cases to 1st August, 1849, 6,592.   Medical officer,
Mr.  NeAvman.
  Hull Homoeopathic Dispensary. — Instituted  1849.  Total
cases to 1st August, 1849, 196.  Medical officer, Dr. Atkin.
  Ipswich Private Dispensary. — Medical officer, Mr. Hewitt.
  Leeds Homoeopathic Dispensary.—Instituted  1844.  Total
cases to 1st August, 1849, 3,1.22.  Medical  officers, Drs.
Irvine and Cresswell.
  Leicester  Homoeopathic   Dispensary. — Instituted  1846.
Total cases to 1st August, 1849,1,410.  Medical officer, Dr.
Hanson.
  Liverpool Homoeopathic Dispensary.  — Instituted in 1841. 
44    Homoeopathy in Germany and England in 1849.

Total cases to 1st August, 1849, 19,408.  Medical officers,
Drs. Drysdale, Hilbers, and Mr. Moore.
  Maidstone  Homoeopathic  Dispensary. — Instituted  1849.
Total cases to 1st August, 1849, 97.   Medical officer, Mr.
Watson.
  Manchester Homoeopathic  Dispensary. — Instituted  1842.
Total cases to 1st August, 1849, 14,875.  Medical officers,
Dr. Walker, Mr. Phillips, and Mr.  M'Dowal.
  Northumberland and Newcastle  Homoeopathic Dispensary.
Instituted  1844.   Total cases  to  1st  August, 1849, 2,976.
Medical officers, Dr. Hayle and Mr. Elliott.
  Norwich  Homoeopathic  Dispensary.—Instituted  1848.
Total cases to 1st August, 1849, 133.   Medical officer, Mr.
Hale.
  Sheffield Dispensary. — Medical officer, Mr. Smith.
  Sunderland Homoeopathic  Dispensary. — Instituted  1849.
Total cases to 1st August, 1849, 400.   Medical officers, Dr.
Hayle and Mr. Elliott.
  Taunton Dispensary. — Instituted  1846.  Total cases  to
1st August, 1849, 1,500.  Medical officer, Mr. Blake.
  Torquay  Homoeopathic  Dispensary. — Instituted  1848.
Total cases to 1st August, 1849, 420.  Medical officer, Dr.
M'Intosh.
  Worthing  Homoeopathic  Dispensary. — Medical  officer,
Mr. Cobbe.

                      SCOTLAND.

  Edinburgh  Homoeopathic  Dispensary. — Instituted 1841.
Total cases to 1st August, 1849,  12,850.  Consulting physi-
cian,  Prof. Henderson.  Acting physicians,  Drs. Russell,
Wielobycki, Lyschincke, and Sutherland.
  Dundee Homoeopathic Dispensary. — Instituted 1849. Total
cases to 1st Aug. 1849, 117.   Medical officer, Dr. Cockburn.
  Glasgow  Homoeopathic  Dispensary. — Instituted  1849.
Medical officer, Dr. Beilby. 
      Homoeopathy in Germany and England in 1849.    45


                        IRELAND.

  Dublin Homoeopathic Dispensary. — Instituted 1844.  Me-
dical officers, Drs. GoodshaAv and Blyth.
  Dublin Homoeopathic Institution. — Instituted 1845. Medi-
cal officers, Drs. C. and  G. Luther.
  Belfast Homoeopathic Dispensary. — Instituted 1848.  Total
cases to 1st August, 1849,  407.   Medical  officer,  Mr.
M'Gregor.
  The above enumeration of dispensaries will give us some
idea of the great progress of homoeopathy in Great  Britain,
particularly Avithin the last  feAV years.   Dr. Drysdale,  in  a
very able article, disapproves of dispensaries on the self-sup-
porting and remunerative plan, and recommends those sup-
ported by charitable contributions.
  In  their  treatment, the English  homoeopathic physicians
seem to occupy a middle ground, prescribing seldom higher
or lower than from the sixth to the twelfth  dilution.  Other
peculiarities of practice  I did not notice.  They seem more
frequently to prescribe  the  Bichrom  potassae than Ave do in
the United States; e. g.  in dyspepsia, liver  complaint, bron-
chitis, and phagedenic  ulcers.   But, above all,  I  was de-
lighted to  perceive  the unanimity and  good  feeling  Avith
Avhich our  Liverpool colleagues acted in every thing relating
to our sacred cause.
6 
 
                      OTIS  CLAPP,

    No. 23,   SCHOOL   STREET,  BOSTON,

                     KEEPS AN ASSORTMENT OF

           HYDROPATHIC  BOOKS,
                         AMONG WHICH ABE

DR. GULLY'S WATER-CURE IN  CHRONIC DISEASES.  $1.25.
DR.  E.  JOHNSON'S DOMESTIC  PRACTICE  OF  HYDROPATHY.
    $1.25.
DR. J. WEISS'S HAND-BOOK OF HYDROPATHY.  $1.
FRANCKE'S NEW THEORY OF DISEASE, &c.  75 cents.
DR. SHEWS WATER-CURE MANUAL.  75 cents.
 „    „    HAND-BOOK OF HYDROPATHY.
 „    „    FACTS IN HYDROPATHY. A Collection of Cases.  12£cts.
            THE CHOLERA, — ITS CAUSES AND PREVENTION.
               25 cents.
            WATER-CURE IN PREGNANCY AND CHILDBIRTH.
               25 cents.
            CURIOSITIES OF COMMON WATER.  25 cents.
 „    „    WATER-CURE JOURNAL (monthly).  $1 per year.
RESULTS OF HYDROPATHY.  By Edward Johnson. 50 cents.
THE  WATER CURE  IN AMERICA.   320 Cases of various Diseases
    treated with Water.   Cambric, 75 cents.
MISCELLANLES TO THE GRAFFENBERG WATER-CURE.  Trans-
    lated by Dr. Meeker.  Cambric, 75 cents.
PRIESSNITZ  MANUAL OF THE WATER CURE.  50 cents.
DR. H.  FRANKES  HYDROPATHY.  75 cents.
BULWER AND DR. FORLEY ON WATER-CURE.  75 cents.
ERRORS OF  PHYSICIANS AND  OTHERS IN THE PRACTICE  OF
    WATER-CURE.  By J. II. Rouse.  25 cents.
THE  PHILOSOPHY OF WATER-CURE.  By Dr. Balbirnie.  25  cts.
THE  PRACTICE OF THE WATER-CURE. By Drs. Wilson & Gully
    (Water-Cure Journal).  25 cents.
ALSO A DEPOT OF THE
AMONG THE FORMER ABE
Pitman's Manual, Exercises, Reporter's Companion,  Testament, Psalms,
    four monthly periodicals, viz. Star, Correspondent, Magazine, and Re-
    porter, Laura, &c. &c. — Also Andrews & Boyle's Phonographic Class-
    Book, price 37 cents.  Reader,  25  cents.  Sermon on the Mount,  12£
    cents.  Word-Books, Nos. 1 and 2. — Booth's Phonographic Instructor,
    40 cents.  Key to do. 30 cents. — Patterson's Reporter's Assistant, 35
    cents.
            AMONG THE WORKS  IN PHONOTOPY
Are the Bible, Testament, Common Prayer, Pilgrim's Progress, Vicar of
    Wakefield, Pitman's Journal (monthly), Elementary Works, Documents
    explanatory, &c. &c.     ,     ., f  L  iQ