-NRLF R X 85 P3 BIOS B M 3ET a3M FOIJE LECTURES C BERKELEY LIBRAR 10 MYOPATHY: Delivered in Ann Arbor, M.ichigan, ES LIBRARY 642-2631 a 7 DAYS Ou the 28lh to the aist ol December, 18(i8. By A. B. PALMER, A. M., M. D., |jFE3S0R OK PATHOLOGY, PRACTICK OV MKDICINF, AND UYGIKNE IN THK I'NIVKRS'TY Of MICHIGAN, I<;X-V1C1-MMU':SII>KNT Ol'' THK AMERICAN MKDICAL ASSOCIATION, UONORAP.Y MKMBEU OF TlIF SEW YORK STATK MEDICAL SOCIETY, &c. I' L^ 13 1^ 1 y II I'i D BY K, 11; Q u K a r ANN AUr>OR, MICH. : GILMORE & FISKE, BOOKSELLERf."! 1860. \, BERKELEY 20 FOUR LECTURES HOM(EOFATHY: PELIVERED IN y*S.NN ArBOR, M.ICHIGAI Oil the 2Sl!i to the ol.-st ol December, ISGS. By A. B. PALMER, A. M., M. D., I'llOFESSOR Ol' PATHOLOGY, rUACrlCK Ol' Ml^IDIClXi; AND IIYGIKNE IX THK I'NIVKRSITY 01-' MICHIGAN, EX-VICK rKi:SII>K\T OV THK AMKPaCAN MEDIGAL ASSOCIATION, UONOUAEY MKXICEU OF THE NEW YORK STATE MEDICAL SOUIETY, &c. i'Ui3J-.iaiii<:r) by kkcjukst . ANN AUBOIl, MICH, : GILMORE & FISKE, BOOKSELLERS.'! ISGO. «E«KfctE> LIBRARY UNlVEHSiTYOf CAUFOHMA v Reeouroea Ubiary ya r^/ Dl{. CHASE'S STEAM I'RINTING HOUSK, Nos. 39, 41 & 43 Norlh Main Street. i<riVE. CORRESPONDENCE. Ann Arbor, Jan. 4, 1869. Dear Sir. — As a committee representing the Students of Medicine, who from necessity or pleasure remained in the city during the holidays vacation, we are instructed to return you the sincere thanks of those gentlemen, for having so kindly responded to their unanimous and strongly urged request, that you would deliver a series of lectures, on the "principles and practices of the Homoeopathic School of Medicine;" in some Hall, to be procured by them, and at such hours during the va- cation as might suit your convenience. Having listened with so much pleasure and profit to your lectures, and desiring them in some more tangible form for future reference, and believing them capable of a much more extended usefulness, they have instructed us, to respectfully request you to furnish us for publication, the manuscript from which those lectures were delivered, with a copy, as nearly as may be convenient, of such additional extemporaneous re- marks as were called forth on the occasion of their delivery. As this request represents not only the wishes of the entire medical class, but of many citizens, some of whom had the pleasure of hearing you,— it is hoped it will meet with the same favorable response as the former cue, "We have the honor, Sir, to remain your obedient servants, G. W. SNYDER, ) F. A. SPALDING, \ Committee. C. B. CODY ) Ann Arbor, Jan 8th, 18G9. Messrs. G. M. Snyder, F. A. Spalding, and C. B. Cody,— Gentlemen.— Your kind note of the 4th inst, thanking me for the lectures delivered at the request of those you represent, and asking a copy for publication, is received. The delivery of lectures on some subjects connected with my de- partment in the University, but not in the regular course of instruction, during the interval between Christmas and New Years, had become a custom well established. It had aSbrdcd to the gentlemen remaining in 4 couREsroxnEN'CT:. the rity, some occupntion wliich tlicy liiivc secnuHl to cnjoj', and given nie nn opportunity of i)rosenlin,i!; subjects for ^Yl^K•ll there otherwise would not hiive been time. Tliis season, tlie subject of " Ilomfeopatliy," was mentioned ; suggested, doubtless, by an attack made l)y a Ilomoeo- patliist in a newspaper, accusing me of ignorance of the system, misrep- resentaticMi of its character, iiersecution of its adherents, fear of acknowledging their labors, and even of " falsehood " in stating their doctrines. After the request for the presentation of this subject was so urgently made, and the way opened for its accomplishment without involving others in responsibility they were unwilling to assume, I did not feel at liberty to refuse, especially as many students absorbed in other studies, have liad little opportunity for learning what Homoeopathy really is. That a novel system of medical doctrines and practice which urges itself upon public institutions for recognition and association, and upon a State for support, .should be examined ; — should have the views of its founders and adherents presented to professional and public judgment, seems too reasonable to require any apology. Tlic same motives which caused a compliance with your first request, now induce an acquicsence in tlie second ; and the manuscript is placed at your disposal. I ought in justice to myself to say, that these lectures were prepared within a few days of their delivery, and without the expectation of their ]niblioation ; but the task of preparation was the less difficult from the fact, that they so largely consist of quotations from Standard Iloma-o- pathic writings, with most of which I was already fomiliar. As you have expressed a desire for a copy of the lectures as they were delivered, I shall give them to you as nearly so as possible, making very few even verbal alterations in the portions delivered from manu- script, and reproducing, as nearly as I may be able, those portions not committed to writing. I have added a few pages in an examination of a recent author, whose work was not accessible when the lectures were delivered. The quotations from Ran, Marcy, Ilenriqucs, Ilempel, Hale, «&c., were from their works that were before mc. Some of those from Hahnemann's Organon, were from the Second American Edition, w^liilc others were from his various works as quoted by Sir James Simpson and others of the highest authority, and for the correctness of every ciuotation I hold myself responsible. Not only have I used the very words of the autliors, or their translators, but so for as was consistent, have given the context, — have alwaj-s endeavored to present fairly the meaning of the autlior. The pains I have taken in this respect, enable mc to repel in advance any possible accusations of garbling and unfairness. That I have presented in their true light the leading doctrines of Hahnomannic CORRESrONDElSrCT3. 5 Ilomceopathj'-, no lioncst man, acqiiuintfd with tlie su])jef1, will, I (I'd confident, deny. Thanking you and llio gentlemen you represent Tor the close atten- tion given during the delivery of tlie lectures; for your encouragement in my ellbrts for the maintenance of truth and reason, and the exposi- tion of error and folly ; and particularly for the kindness and courtesy so constantly manifested, I am very sincerely your friend, A. B. PALMEll. HOMCEOPATIIY, LECTURE I. Gentlemen. — The history of error — of dehision and decep- tion, if fully written, would be co-extensive with that of the human race, and would be too voluminous for any of us to master. Of the writing of the many books containing such history, there would literally be no end ; for in no department of human knowledge and affairs will we probably ever arrive at absolute truth and perfection. In Natural Science — in Chemistry, Physics, Geology, Astronomy, Meteorology and like subjects, regarded as capa- ble of reduction to fixed and positive facts and principles, the wildest speculations and boldest assumptions have in former times prevailed; and respecting them the most erroneous opinions have been entertained, even by those devoting them- selves to their study ; and in the more human affairs of politi- cal and social economy — in governments, laws and ethics, more errors than truths have been held ; and in the Science of life, physical and mental, errors and fallacies have abounded. Most of our systems of metaphysics have been but the products of imaginations, abnormally excited, and often positively morbid. But in Theology and Medicine, — the two great subjects nearest our interests, error, delusion and quackery have rev- eled more than elsewhere. In all the different phases of The- ology, — Pagan, Mohammedan, and even Christian — in Roman- ism and Protestantism, in Shakerism and Mormonism, in Semi- 8 FIRST LECTURE. C'liiislian Spiritualism :uitl Mfiterialisiii, uliiit divcrsitios whul contradictions, what sui)crstitions, what heresies, what delu- sion'^, what impositions ! In Medicine, what wild theories, what baseless assumptions, what artful as well as transparent deceptions, what shameless knaveries ! ! The history of Med- ical Delusions alone, would till many volumes, and would sound ns strange to ns as the accounts of Astrology, Alchemy, ^Mesmerism, Spiritualism, Demonology or Witchcraft. The healing of wounds by the application of remedies to the instruments causing them — the applying of the hair of the dog inflicting the bite — the touch of the King for the cure of Scrofula— Tar- Water as a universal remedy--Cold-AVater as the only means of cure — the indiscriminate use of lobelia, red ]»ep- per, and steam — the cure by Pcrkin's Trr-Ctors — by the modern laying on of hands, and by the thousand and one specific and secret nostrums, arc but cxaraj^les of what the few have pre- tended and the many believed. But however interesting these histories might be made, I do not propose to dwell upon tlieni in general, but to give an account of a System of Medical Doctrines and Practice which for the last seventy years has challenged the attention of the civ- ilized world — has been rejected, it is true, by all the great lights of our profession, but which still appeals to the popular igno- rance on the subject of Medicine, and to popular credulity and prejudice for support. But I will not prejudge its character, endeavoring rather lo paint its portrait, leaving you to think of it as you must. The account I propose to give of it will be drawn from its own acknowledged authors, and chiefly in their own words, and nothing will be designedly suppressed which is necessary lo a fair and full representation of its true character. This system, called Ilomceopathy, originated with Samuel Hahnemann, who was born at Messein, in Saxony, in 1755. His father was a painter on porcelain, and had not the means of educating his son — l)ut he became a Charity Scholar at a Provincial School, had a faculty for learning languages, be- came an assistant teacher in the school, and after he left it turn?d his attention to Medicine. FIRST LECTUUE. 9 lie v.eceivcd his Me Ileal education cliiefly at Loli)zic, where he stayeil only two years and a half, and spent most of his time in translating books and giving lessons in German and Latin, in order to make his living ; for he went to Leipzic with only fifteen dollars. Next he spent a few months in Vienna, and became intiuenced by Jlesmer, and was led astray by JNIes- merisni and other transcendental follies. Then lie went as librarian to Transylvania for one and three-fourth years. In 1779 he went to Erlangen, where he received his degree of M. D. ; then to the little town of Iletistadt, for nine months; thence to Dessau, for six months, and as he had but little prac- tice, devoted himself to Chemistry, Botany, etc. His seventh place of residence was in a little village (Gommer) near Mag- deburg, for two and a half years. He says no physician had been in this benighted place before him, and no one wanted one now. Next he went to Dresden and the village of Ld'k owitz, nearby. Dr. Dudgeon, Editor of the British Journal of noraa3opathy, says : " he does not seem to have done much in the way of medical practice." He now almost abandoned the attempt to become a physician, and devoted himself for some years to Chemistry. His tenth and eleventh places of resi- dence were Leipzic and the neighboring village of Stottenitz. Again Dudgeon says, "Hahnemann could have had little or no opportunity for medical practice. In 1792 he had charge of an Insane Asylum for nine months. Next he moved to Walschleben, a little village. In 1794 he went to Pyrmont, a small watering place in Westphalia, and in the same year to Brunswick. In 1795 he went to Konigslutten and from there to his seventeenth place of residence, Wolfenbiittel, where he remained — the very long time for him, of four years. Then he went to Hamburg, but soon moved to Altona ; and not get- ting much practice he went to Mollern, and from there to Eu- leuburg ; then to Machern, and finally to Wittenberg. In 1803, when he was forty-eight years old, we find him again in Dessau, which makes his twenty-fourth place of resi- dence in twenty-eight years. In 1806, with probably less practical experience, especially in acute diseases, than almost lU FIKST LECTL'UE. any other physician fifty-one years okl, lie published his pani- jihlet on the "]\Ieilicine of Experience." Next he went to Tor- gau,and conunenceil to publish all his bitter denunciations of an- cient and modern medicine, in a poj^ular magazine of general literature and science. lie now, for the first time, began to get some medical practice. In '1810, whin he was fifty-five years old he returned to Leipzic, for the third time, and began to lecture on Homoeopathy. He had been a charity student in Leipzic, and received free tickets to all the medical lectures tliirty-four years before. lie was so bitter in his invectives, tliat his classes grew less and less, and in the course of two or three years he was obliged to give up lecturing, for want of hearers. From Leipzic he went to Coethen, where he resided four- teen years, scarcely ever crossing the threshold of his house, so that he saw very few cases of acute disease — in fact most of his practice was by mail, in shape of letters to chronic patients. Afterwards he went to Paris where he died. It is unnecessary to attack Hahnemann's private charac- ter, altlionghhe once did sell a secret ointment, made of a salt, found to be Borax, and refused to tell the name of his prophy- lactic against scarlet fever, until a [purse of three hundred Louisdor's was made up for him. Says Di\ Peters : *' It is evident, that he had not practical experience enough to become the guide of practical men. He was only a half- educated physician, with little or no practice, till he was over fifty years of age. He early became a dreamer of dreams, a fitting, but false guide for enthusiastic, half-educated, drea- my and impractical medical men." His Biographer and enthusiastic admirer, Mr. Sampson, says: "that in the year 1790, while translating the IMat. Med. of CuUen, being struck with the contradictory accounts respect- inor the action of Peruvian Bark, it occurred to him to test the action of this Medicine upon himself'' " The first dose pro- duced symptoms similar to those of the peculiar kind of Inter- mittent Fever which the same medicine is known to cure." Repeating the experiments confirmed the first, and forced upon FIRST LECTURE. 11 liim the question : — " Can it be possible that this property wliich I now observe in Peruvian Bark, of producing symp- toms analogons to those of the disease for which it is a remedy, is a property peculiar to medicines of all kinds? From that moment he corauienced,'" it is claimed " a series of experiments on other substances — Mercury, Belladonna, Digitalis, Coccu- lus, &c., which in proportion as he extended them," says Mr. Samjjson, " led him to the conviction that his supposition liad really embraced a universal therapeutic law." From this he went on developing his Si/stem. inotlier parts — writing numerous works, the most important being his "Or- ganon," in which he expounds his principles — his '• Materia Medica Pura," — a voluminous work, and his work on "Chronic Diseases," in four volumes. In the preface of his " Organon," he says : " The true ait of healing remained, undiscovered until my time." He and his followers have ever claimed that the law that " like cures like " expressed in Hahnemann's formula, similia similibus ciD'cmtur was an original discovery of this " Sage of Coethen," But the fanciful Stahlhei'oro him, wrote : " I am pursuaded ^' * that diseases are subdued by agents which produce a similar affection — burns, by the heat of a fire to which the parts are exposed ; the frost bite, by snow or icy cold water, and inflam- mations and contusions by spirituous applications," And long before Stahl, three general methods of cure had received rec- ognition — the Anti2)athic, the Allopathic and the Ilbmceo- pathic. Antipiathic from the Greek ai^-r:', opposite, and iza&oq^ suffering — meaning, treatment by producing an effect opposite the disease. Allopathic — from the Greek a/16q^ another, and -a&o;;, suffering — producing an efiect different from, but not opposite to the disease ; and Homoeopathic — from 6iJ.d^, like, and -aOu^, suffering— producing an effect like the disease; but no one before Hahnemann ever quite so clearly declared that it was the universal, "Sole law of Cure" in all diseases. If this sijnilia similibus be true as an absolute universal law, Hahnemann was, perhaps a discoverer. If it be true that IJ FIIJST I.KCTURK. it is only one oi" tlio l:i\\s of cure, then was lie i)iicc(k'<l by others who hail asserted quite as much. Iiiilocd the Celebrated Quack, ParaeolsuP, mIio was Ixjrii ill 119.3, and died in 1551, actuated by an intense liaticd and opposition to Galen, wlio announced tlie law '■'■ contrarla co?i- (rariis curaiiii/r,''^ declared that tliis law never did hold good in medicine; but that a Aoi disease had never been cured by a cold remedy ; nor cold diseases by a hot remedy ; *' but it is well done," says he, " when we oppose like to like." " Know all men " he exclaims, "that like attacks its like and never its contrary." Theophra'<te says a good deal about Specifics ; but thought they depended on the influence of the stars, and in some pas- sages rejects the docti'ine of Galen — contraria contrariis cu- 7'antu)', and says, " diseases are cured l)y remedies affecting the organism similarly to the disease." Cardanus likewise doubted the maxim of Galen, liut IJasilius Valentinus is more explicit, and says, tliat " like cures like, but that contraria do not cure.'' Other writers have explained the opL'rations of specific remedies on the same ground of similarity. Stoerkhas gone further in this than any other writer before him. lie suggests with a certain timidity that stramonium might cure derangement of the mind, for the reason that it deranges the reason of healthy persons, interrupts the ideas, modifies the perceptive and functionary powers ot the senses. — Bail's Orgcmoyi, p. 31. But none of these followed up the idea with a system of corresponding ideas. Still, they all did enough to destroy the originality of the principle as a conception on the part of Hahnemann. We shall find that nearly, if not quite all of Hahnemann's notions had been suggested before his time. — There is very little absolutely new under the sun— but yet the developments of the distinct system of Hahnemannism must be regarded as belonging to the man who gave it its name. But the princi- ple of simiUa similibus was not original with him. FIRST LECTURE. 13 Even in an old nursury rhyme, dating back, for ought I know, to tlic time when Mr. Phillip's "lost arts" were known, the principle is more than hinted at. It runs thus: " There was a man in our town, he thought he was wondrous wise, He jumped into a bramble bush and scratched out both his eyes ; And when he found his eyes were out, with all his might and main, He jumped into anotlier bush and scratched them in again." But if it shall prove, as I suspect it may, on investigation, that in no proper sense can this be regarded as an important, or any law of cure at all — that scratched out eyes cannot be scratched in again, by a bramble bush acting similarly, then is Hahnemann not only not a discoverer, but something much worse than this negative character. Indeed, he is a promulga- tor of a False Doctrine, if " similla similihus " is not the " only law of cure; '' for this is what is distinctly and repeat- edly declared. On page 56 of his Organon, he says, that to effect a cure of diseases, we should in " every case " give " a medicine which can itself produce an affection similar to that sought to be cured." On page 73, he says : " The truth is only to be found in this method." " It is not possible " he states " to perform a cure but by the aid of a remedy which produces sym2)toms similar to those of the disease itself." On page 55 he says, that " like is cured by like," is " the only Therapeutic law conformable to nature." On page 100, he repeats : It is " the only Thcrapentic law conformable to nature." On page 73, he says it is an " Infallible " — page 78, an " unerring law " — page 153, " T'/ie great sole Therapeutic law '' — "A mode of cure founded on an eternal infallible law of nature." The [strict] followers of Hahnemann insist upon this gen- eral universal law. This is the central, essential feature of Homoeopathy — In so fiir as any deviate from this principle, they cease to be Homoeopaths. This must be regarded as set- tled — this is what Homoeopathy means. It will be observed, that in accordance with the Homoeo- pathic plan, medicines are used which produce si/mjytojjis sim- ilar to the disease. 14 FIRST LECTURE. In the case of Bark it was not contended — or would not 1)C — that it produced the malarial poison, the cause of Ague ; and nndiing was said of the Pathology of that disease; hut simply that it caused symptoms resembling Ague. So in other cases in all their pretended " provings," or taking of medicines by well or sick persons to ascertain their effects — the symptoms they produce, they were sujiposed to cure. Thus in all the works of Hahnemann and his followers, remedies are placed in opposition to symptoms, ignoring ev- ciything else. The symptoms arc detailed at immense length, which certain drugs have been said to cause in somebody ; and these drug symjjtoms serve as the basis for their administration in disease. They are to be given when such symptoms appear. Take for instance Jahr's Manuel — a leading work of the TFo- mocopaths. We find looking at different parts at random, the follow- ing directions : " For absence of mind,irresoluteness " — (mere external manifestations — ) remedy, " Alum." " Absence of mind with confusion of thought," " Cupr." " Making mistakes in Amting," " Nutr, Carb." (Carbonate of Soda.) Frequent Vanishing of Thought," " 01. An." " Fear of Death," " Dig." " Pain in Big Toe as if Sprained," " Mosch," etc. The same, substantially, is found in all their works on Ma- teria Medica. On this subject of Symptoms, being the basis of all the- rapeutical appliances, Hahnemann is very explicit. He lays it doAvn as one of bis " indubitable truths," as he says, that " the sum of all the Symptoms in each individual case of disease is the fiole guide to direct us in the choice of a curative remedy." — Organon, p. 120 — English Editio7i. In Ague, for instance, the remedy is not chosen in refer- ence to its effects in removing the poison which is its cause, nor, indeed, in reference to its more essential internal condi- tions, but simply in reference to its conditions which are per- ceptible to the Senses, either df the patient or the physioian. FIRST LECTURE. lo Again on pasje 81, (Organon — American Edition — ) he says : — " In short, the ensemble of the symptoms is the principle and sole object that a physician ought to have in view in every case of disease — the power of his art is to be directed against that alone, in order to cure and transform it into health." Again, on page 84, — '• Only that which is necessary for the physician to know of disease, and which is fully sufficient for the purpose of cure is rendered evident to his senses." And, again, page 113, {English Edition,) he repeats — "The to- tality of the Symptoms must be the principle — the sole thing the physician has to take note of in every case of disease, and to remove by means of his art. This may account for the neglect of Anatomy, Physiology, Pathology, and other branches of Medical Science, on the part of some, at least, who claim to be authorities in Homoeo- pathy. Thus, one of their leading authors. Dr. C. J. Hempel, in the PhiladelpJiia Journal of JIomceopathy^iov'M^vch, 185G, in contending for the similarity of the cause of the sounds in bronchial respiration of pneumonia, and the bellows murmur of valvular diseases of the heart, says that " atmospheric air in a free state is expelled from the heart at each contraction, and it is the passage of this air through the uncovered orifice of the heart that causes the blowing sound ! " It is proper to say that attempts have been made to ex- plain away this explicit language of Hahnemann resjsecting symptomatic treatment ; but from the methods of ascertain- ing the powers of medicines, this is a necessity — is alone con- sistent with the plan. Deviations from this, are deviations from what is legitimately regarded as true Homoeopathy as a System " Similia similihus'''' is the central dogma of Homoeopathy, but the System of Hahnemann is more than this — it embraces other parts. It was not pretended by Hahnemann, neither is it, I sup- pose, by any of his followers, that medicine can produce the combination and succession of conditions and phenomena, in FIRST LECTURE. constitiitinjij the diflorcnt forms of disease; such as Cholera in its totality, or Sinall-j)o.v, or Typhoid I'cver, or Pneninonia; but tUey claim that various medicines are capable of producing certain syiii])toms, resumbliiiLj those that occur ii\ the course of such diseases — certain p;iins, and llushings, and tremors, and the like; and that in the course of the disease these symptoms are to be looked for and counteracted by the agents homoeo- pathic to them. The remedy must be used which covers most of the symptoms present at any one time. If the symptoms combated disappear, then another observation is to be taken, and other remedies selected. This is the only way conditions can be met homccopathically. The disease in its cntii'ety can- not be met homoeopathically, because no remedy will produce a condition, even in the estimation of however imaginative Ilomoiopathists, resembling the entire disease, but only certain symptoms ; therefore Symptomatic treatment is a necessity to the system. Remedies cannot on this plan be directed to cau- ses. It is impossible — they can only be directed to effects — to the Symjjtoms. This Hahnemann saw and insisted upon. This is a principle of his System — of the System whose cen- tral dogma is " slmllla slmlUbus.'''' Now, according to the principles you have been taught, a fever caused by suppression of the secretion of the skin, is properly treated by endeavor- ing to restore that secretion, thus attempting to remove the cause — to eliminate by the skin morbid materials in the blood causing the fever. A pain in the intestines caused by the presence there of vitiated bile, causing bilious colic, you will be taught, will be best cured by removing that bile, and its recurrence, by correc- ting the chai'acter of that secretion. The Homoeopath in accordance with his System would re- gard the symptom of pain, directing his remedy to it, and us- ing a remedy which would tend to cause a similar pain. The remedy is directed to the sjanptom — the pain. Some modern Homoeopaths might say the remedy should be directed to the wrong secretion of the liver ; but this is not " perceptible to the senses," and is in violation of Ilahne- FIRST i-ecturp:. 1 7 ■niun's rule. Jjul all Homoeopaths, ancioul and nioiloni, must avy that the remedy, if directed to the liver, must be one which would cause the secretion of vitiated bile, if i^iven in proper doses. This could not be avoided. True or false, riglit or wrong, this certainly is Homoeopathy, But this is not all of the System. There are other necessary parts. In giving medicine on the principle that "like cures like" — in giving Opium for stupor, — continued cathartics for diar- rhoea, stimulants for fever, iri-itants for an inflamed stomach, cantharides for strangury, etc., in ordinary doses, it was found that the symptoms, the sole objects of treatment, were made worse instead of better, and this difficulty was met by the di- minution of the dose. "The suitableness of a medicine," says Hahnemann, in his Org anon^ page 231, [English JEdltioii), "for any given case of disease, does not depend on its accurate Homoeopathic selection alone, but likewise on the proper size, or rather small- ness of the dose. If we give too strong a dose of a medicine which may have been even quite honioeopathically chosen for the morbid state before us, it must, notwithstanding the inher- ent beneficial character of its nature, prove injurious by its mere magnitude, and by the unnecessary excessive impression it makes upon the vital force which it convulses." For " a med- icine " says he, in his " medicine of experience,^'' " of a positive and curative kind, will, without fault in itself pi'oduce just the contrary (effect) of that wiiich it ought to do, if given in ex- cessive quantity, by producing a greater disease than thai present." In the Organon he observes — " a medicine even though it may be homoeopathically suited to the case of disease, does harm in every dose that is too large, the more harm the larger the dose ; and by the magnitude of the dose it does more harm the greater its homceopathicity."— ^9. 321. Dr. Black, a standard writer of the School, says : " With large doses patients may be treated homoeopathically ; but then we may frequently expect a ptositive increase of the dis- ease, or even death. The experience of such painful and dan- 18 FIRST LECTURE. gerous aggravations, in no case necessary to cmx', led Ilalmc- maim to employ minute closes." In the nature of the case, no less than from tlie statements of ho!ncDopathic anthors, it is seen that small doses are a nec- essary part of the homoeopathic system ; and whenever t'lie *arger doses of medicine arc given, they are not selected in accordance with the " Sole Universal Law of Cure." In his later years, Hahnemann's " experience" led him, as he states, to the conviction, that the " minutest doses," to use his own words, " are ahcays able to overcome the disease." lie denounces with gi-eat contempt tho^c who affect to disbelieve the perfect and certain powers of drugs in their tliirtictli dilution. In his Organon, (page 2S'J, l<^nglisli Edition,) lie says : ('The very smallest, I repeat ; for it holds good, and will con- tinue to hold good, as a hora(EOi)athic therapeutie maxim, not to be refuted by any experience in the icorld, that the best dose of the properly selected remedy is always the xeiiy sjiallest one, in one of the high dynarainzations. (X or 30th dilution,) as well for chronic as acute diseases, — a truth that is the inesti- mable property of pure homoeopathy, and which, as long as Allopathy, (and the new mongrel system, made up of mixtures of allopjathic and homoeopathic processes is not much better,) continues to gnaw like a cancer at the life of sick human be- ings, and to ruin them by large and even larger doses of drugs, will keep pure homoeopathy separated from these spurious arts as by an impassible gulf." This statement, that no amount of experience can disprove the efficiency of small doses, reminds one of the speculations of a philosopher stated to a friend, who told him that the facts were not in accordance with his theory. " Ah then," said the philosopher, " so much the worse for the f;icts." But the small doses are an absolute necessity to the sys- tem; and, of course, all the experience in the world cannot re- fute their efficiency I The separation by " an imi)assible gulf" we arc ready to accept. As to what is meant by these " smaller doses," we shall FIRST LECTURE. 19 now see. The popular notion of Homoeopathy is, that it con- sists essentially in giving sinallei' doses of medicine, than what is called Allopathy, gives. People speak of '• little pill?;," and " big pills," as mere questions of dose — or of bulk of medi- cine, without any adequate conception of the infinity of tlie difference. They sometimes say the pills are small, but they are the more active principles in a more concentrated or active form. I ask your patience while I endeavor to give an idea ofhomo?- opathic doses, and show what •' little pills " means. The mode of preparation of homceopathic medicines as directed by the standard works on the subject, will alone give proper conceptions of the minuteness of its doses. In Hahne- mann's Organon, second American Edition, page 200, is the following passage : " If two drops of a mixture of equal parts of Alcohol and recent juice of any medicinal plant be diluted with ninety- eight drops of Alcohol in a vial capable of containing 130 drops, (for the convenience of shaking,) and the whole twice shaken together, the medicine becomes exalted in energy to the first development of power, or, as it may be denominated the first j)Otence. The process is to be continued through twenty-nine additional viala, each of equal capacity with the first, and each containing ninety-nine drops of Alcohol, so that every successive vial after the first, being furnished with one drop from the vial or dilution immediately preceding (which has just been twice shaken,) is, in its turn, to be shaken twice, remembering to i^umber the dilution of each vial upon the cork as the operation proceeds. These manipulations ai'c to be conducted thus through all the vials, from the first up to the thirtieth, or decillionth development of power, Avhicli is the one in most general use." With regard to solids, he adds on the same page, " these were, in the first place, exalted in energy by attenuation in the form of powder by means of trituration in a mortar, (in sugar,) to the third, or millionth degree. Of this one grain was then dissolved and brought through twenty-seven vials by a pro- 20 FIRST LECTURE. CL'ss siinihii- to tliixl cinployctl in the case of vegetable juices u|) to the tliirtietli developnient of power." On page 207 of the same work, the same founder of the system says : " The best mode of administration is to make use of small globules of sugar the size of mustard seed ; one of these globules having imbibed the medicine, and being in- troduced into a vehicle, forms a dose containing about a three- hundredth part of a drop of the dilution, for three hundred of such globules will imbibe one drop of Alcohol, by placing one of tliese on the tongue, and not drinking anything after it," * * * * and then he adds : " But if the patient is very sensitive, and it is necessary to employ the smallest dose pos- sible, and attain at the same time the most speedy results, it will be sufficient to let him smell once." Dr. Ilempel, vol. 1, page 92, says ; " In order to obtain good homoeopathic preparations, follow Hahnemann's rules as closely as may be possible and convenient," even in the mode of trituration, etc. Dr. Rau in his HoracEopathic Organon, American transla- tion, page 120, says: " One grain of the solid and one drop of the liquid substances, is mixed with ninety-nine grains of su- gar of milk, and triturated for one hour in a porcelain mortar with a porcelain pestle. * * After an hour's trituration we obtain the first trituration. The second trituration is prepared by triturating one grain of the first trituration with an addi- tional ninety-nine grains of sugar of milk. The third by tritu- rating one grain of the second in a similar manner. Of this third we mix one grain with one hundred drops of Alcohol or water, and by shaking the mixture a number of times, obtain the fourth dilution. Every successive dilution is obtained by mixing in a similar manner, one drop of the preceding dilution Avith ninety-nine drops of Alcohol." In the first dilution of one grain of the medicine with ninety-nine of sugar or alcohol, one grain of the mixture con- tains iJo of a grain of the crude medicine. One grain or drop of this first, added to the next vial, thus forming the second dilution, — a grain or drop of this Avill contain jJo part of ilo, FIRST LECTURE. 21 \vhicli is lo.Joo P-'ii't of a grain. The third clihition contains m part of the second, and one grain of that contains 1,000,000 V^^'^ of a grain of the niedicine.'^The fourth contains iJo parts of the third, Avhich woukl be 100,000,000. The fifth, 10,000,000,000, and so on up to the thirtieth, diminishing in this rapid geometrical pro- gression—the denominator of the traction representing each succeeding dihition being multiplied by 100 ; — each one all the way through being 100 times less than the one just preceeding — so that at the thirtieth dilution, a unit with sixty ciphers for a denominator, and a unit for the numerator, expresses the quantity of medicine, or the part of a grain which at that di, lution is contained in a drop. This is the fraction : 1.000,UOO,000,UOO,000,000,000,000,000,000,000,000.000,000,000,000,000,000,000,(X)0. A drop of alcohol containing this part of a grain is to moisten three hundred sugar globules. The alcohol evaporates, leaving that fraction of a grain in the globules, 'and one of these globules is the dose. The quantity of liquid required to dilute the whole of a single grain to the thirtieth degree may be arrived at mathe- matically by taking another view from the same data presented in the language of Hahnemann and Rau. "When using the medicine at the thirtieth dilution all the intermediate vials are discarded. If all, however, were used and brought to this dilution — if none were discarded, and the whole ultimately elaborated — a thing impossible except in the- ory, it Avould be as follows : For the first dilution 100 drops of alcohol would be used. For the second, 100 times as many which would be 10,000 drops, or, as ascertained, about one pint. For the third, 100 pints. The fourth, 10,000,000. And now it mounts up rap- idly at each dilution. For the ninth dilution it would require (10,000,000^000) ten billions of gallons, which is found by com- putation to be equal to the water in a lake tAvelve miles in cir- curaferance. For three dilutions more, the twelfth, it requires a million of such lakes — which, according to computation, would be equal to five^^hundred lakes as large as Lake Supe- t UN IV L'L' FIRST LKCTCBE. rior. The fifteenth dihuion would require a body of fluid six- (y-ono times greater than the Earth — and the thirtieth would actually take a quantity of fluid exceeding the volume of a <|uadrillion of suns. Various calculations have been made by diflercnt writers with a view of giving as definite notions as possible of these infinitesimal doses. The dilutions are divided by Dr. Hempel into four clas- ses, viz : 1 St. Lower — up to the Gth attenuation. 2d. Middle— from the 6th to the 30th. 3d. Higher— from the 30th to the 200th. 4th. Highest— above the 200th. These go up to the 40,000th. Dr. Simpson, (Sir James) of Edinburgh, has shown by his calculations, confirmed by the mathematical professors of the University of Edinburgh, that at the fifteenth dilution, a mass of sugar would be required out of which 61 bodies could be made, each as large as our earth. The 16th would require 100 times as many— i. e.—Gl x 100=6,100. Multiplying each time by 100 — from the loth to the 30th — fifteen times — would make thirty ciphers joined to the 61. Making a bulk 61,000,000,000,000,000,000,000,000,000,000 times as large as the earth. I give you from Sir James Simpson, the following ^'^ Table shoioing the quantity of alcohol or fluid required to dis- solve one single graiyi or drop of homoeopathic drug (as sulphtir, aconite, etc.) doxon into tJie folloioing homoeo- pathic attenuations or dilutions. Number of Attenuation Relative quantity of tbe Drug, and of the quantity of DlluttoD, or Potency, Alcohol in which it is diasolred in each Atlennation. 1st Attenuation. — Oue grain, or drop, in one and a-half tea-spoonfuls of alcohol. 2d Attenuation. — One grain, in twenty-one fluid ounces of alcoliol. 3d Attenuation. — One grain, in two thousand and eighty ounces ; or in one hundred and four pints of alcohol. Gtli Attenuation. — One grain, in thirteen million gallons; or in two hundred and six thousand hogsheads ; or in fifty-one thousand tons of alcohol. FIRST LECTURE. 23 9lli Attomuvtiun. — Ouo grain, in a lake of alcohol with a volume of about fourteen cubic miles ; or in a lake of fifty fathoms in depth, and presenting two hundred and fifty miles of square surface. \2{h Altenuution. — One grain, in a sea containing about fourteen mil- lion cubic miles of alcohol ; or in a quan- tity of fluid equal to a sea six times the size of the Mediterranean Sea. 15th Attenuuliou. — (-)ne grain, in an ocean of fourteen billion cubic miles of alcohol ; or in an ocean about forty-six tliousand tiuK's greater than the whole waters contained in all the oceans of the earth. 24th Attenuation. — One grain, in an ocean of fourteen quiutillion cubic miles of alcohol ; or in a quantity suffic- ient to make one hundred and forty mas- ses, each filling a sphere extending from limit to limit of the orbit of the planet Neptune. 30th Attenuation.— One grain, in an ocean of fourteen scptilHon cubic miles of alcohol ; or in a quantity suffi- cient to make one hundred and forty bil- lion spherical masses extending from limit to limit of Neptune's orbit ; or in a quan- tity equal to many hundred spheres each with a semi-diameter or radius extending from the earth to the nearest fixed star. This thirtieth, or last, of these attenuations or dilutions is, according to Hahnemann, the most appropriate dose of every drug in every dis- ease. For we have already found him strongly and solemnly declai'ing (see page 62,) that " it holds good, and will continue to hold good as a homcEopathic therapeutic maxim, not to be refused by any experience in the world, that the best dose of the properly selected remedy is al- ways the very smallest one in one of the high dynamizations, X (or the 30th dilution,) as well for chronic as for acute diseases." Now, this 30th dilution, which Hahnemann thus asserts as indubitably " th^, best dose " of all drugs for chronic or acute diseases, consists of a duecillionth of a grain of the drugs used ; or, in other words, it consists of a minute rjlobide of sugar, moistened by being simphj dipped in a drop out of an ocean of fluid one hundred and forty billions (140,000,000,000,000) times as larye as our whole planetary system, and icMch enormous ocean has been 'medicated for the purposes of Iwrnceopathy, by having dissolved and mixed through it one single grain of the appropriate drug." Dr. Simpson adds : " Surely common sense and common sanity both dictate to the hu- man mind that it is utterly impossible that any such dose, from any such an inconceivable ocean, medicated by a single grain of any drug dissolved and mixed in it, can have any possible medicinal effect upoii the human body, either in a state of health or in a state of disease ; and, — looking at these and the numerous and diversified fticts ; confirma' TORY IN ALL RESPECTS OP THE SAME VIEW, which have been already stated in the preceding pages, — we cannot but conclude with a writer whom the homoeopathists themselves regard as the mildest and fairest among their opponents, namely, Dr. Forbes, that in rejecting homoeo- pathy, " we are discarding what is at once false and bad — useless TO the sufferer — AND DEGRADIKG TO THE PHYSICIAN." 24 FIRST LECTURE. Possiljly wc cannot deny the credit (?) of originality to JIaliiicmnnn, for insisting upon the efticacy of infinitcsisnial doses ; and yet Cervantes in his inimitable sarcasm on Knight- errantry — in the third chai)ter of Don Quixote, says : " In the plains and deserts where Knight-crrants fought and were wounded, no aid was near, unless they had some sage cnclianter for their friend, who could give them immedi- ate assistance by conveying in a cloud through the air, some damped or dwarf, icith a vial of ^catcr, Y)0sscssc(l of such effi- cacy, that upon tasting a eingle drop of it, they should instantly become as sound as if tliey had received no injury," Many of the statements of Ilahncman and his followers are very much after this style — are indeed quite as marvelous. In the case of the " Sage enchanters," unearthly powers were supposed to exist ; and when we go beyoud our material and mortal sphere, nothing then, is impossible. But seriously this seems to deprive Hahnemann's idea of the efficacy of imponderable doses, of originality; for the drop was spoken of as water, doubtless treated in some peculiar way, producing a surprisingly rapid curative effect. The method of trituration with sugar of milk has been at- tributed to the originality of Hahnemann. But the celebrated Baron Stoerk, when Hahnemann was only sixteen years old, published a Avork on Pulsatilla, (an article of medicine, by the way, claimed by the Homoeopaths as belonging to them,) in which he gives an account of rubbing it up in a marble mor- tar with sugar of milk, as Hahnemann after advised it treated, and the Baron thoroughly experimented with it also, by admin- istering it both to the healthy and the side. These, then, are the " little pills." This is what is meant by " infinitesimal doses." These are the methods and the ex- tent of the dilutions. I have found it a diflicult matter to induce persons who have given no special attention to this subject, to believe that really such notions were entertained and taught by Hahne- mann, and are professed to be believed in by his followers. Should you present these statements to the average man, with- FIRST LECTLiKE. 25 out the most authentic confirmation, he will regard you as jest- ing or even falsifying, and ho can hardly be blamed for doing 80, for it seems impossible that sane men should seriously en- tertain S'lch notions. It requires the actual studying of the homoeopathic authors themstilves to convince some persons that this is the actual leaching. Some, perhaps, will go from this lecture saying that Homteopathy has been abused and misrep- resented, though I have given word for word, from standard homoeopathic authors, book and page, authority for every rep- resentation made. In the next lecture, I shall proceed with other doctrines of this system, quoting, as in this, from their authors, and i-efer- ring to the places where the words may be found. HOMCEOPATHY, LECTURE II. Gentlemen, — At our meeting yesterday, after giving a brief sketch cf the founder of the system of Homoeopathy, I presented to you in the language of that founder, the doctrines of ^'- similla slmilibus curantur,'''' of prescribing for symptoms alone, and of infinitesimal doses. If any of you took the trouble to carry the data given for the calculations of these doses to your homes and applied your arithmetic to them, you have substantially verified the results as stated, and you have advauced towards a conception of Hahnemann's dilutions. Now, to avoid the utter, repelling absurdity of regarding such quantities of common matter as efficient in prodncing medicinal effects, Hahnemann was driven to another position, viz : That by the mode of the preparation of the medicine — by the triturations and shakings, an added, dynamical or spir- itual power was communicated to these crude material sub- stances. They Avere declared to be "potentized," — and the more they were divided and rubbed or shaken, the more of this power was said to be communicated. In Hahnemann's own words, " a great liitherto unknown, undreamt of change occurred in them." So much of this new power did he regard as being com- 2S SECOND LECTURE. iiuuiic .le.l by these manipulations, iliat lie was particular in (liri'Cting tliat but two shakes should be given to each dilution or potentization, by bringing the arm down in a particular manner, lest the power developed should be too great; and he cautioned his disciples from carrying the medicines about their persons in a liquid form, lest their " potency " should become unmanageable. It was mentioned in the account of Hahnemann, that he met with Mcsmer and became imbued with his notions. This enthusiast, (Mesjiier,) observing the power through sympathy, which one person may exert over another, and the peculiar conditions into which some persons are thrown by certain mental and physical excitements, induced by frictions and pas- ses, etc., went to an absurd extent, aud supposed lie was able to communicate peculiar powers or qualities to inanimate bod- ies. To show the extent to which his notions led him, Mcsmer was once asked what baths were most healthy; he answered : " Formerly it made no ditference whether a bath was taken in a room or in tlie open air ; but ever since I have magnetized the sun it is better to bathe in water that the sun is shining upon ! " — liau's Oi'ga)ion,page 23. A distinguished i^hysician at Heidelberg, was so strongly in the belief of this power, that he went through the form of magnetizhifi the University building, to inspire the students with a higher enthusiasm for Science. Here may be seen the origin of splriUializing notions. If Mesmer could potentize the sun, why could not Hahnemann add a new power to medi- cines ? Whether Hahnemann was a real believer in this peculiar power communicated to medicines by shirking is not easy to be determined. It is charitable to presume that he was. lu one of his works, entitled his " Lesser Writings," page 822, he says: '"this result" (of potentization) so incomjjrehensible to the man of figures, goes so far that we must set bounds to the succussion process, in order that the degree of attenuation be not overbalanced by the increased potency of the medicine, and in that way the highest attenuations become too active. If SECOND LECTURE. 29 we wish, for example, to attenuate a drop of the juice of Sun- deio to the thirtieth degree, but shake each of the bottles with twenty or more succussions from a powerful arm, in the hand of whicli the bottle is held, in tliat case this medicine, which I have discovered to be the specific remedy for the frightful epidemic, Ilooping-Cougli of children, will have be- come so powerful in the fifteenth attenuation, (spiritualized,) that a drop of it given in a tea-spoonful of water, would en- danger the life of such a child ; whereas, if each dilution-bot- tle was shaken but twice (with two strokes of the arm,) and prepared in tins manner up to the thirtieth attenuation, a su- gar globule, tlie size of a poppy seed, moistened with the last attenuation, cures this terrible disease with this single dose, without endangering the health of the child in the slightest degree/' But while Hahnemann warned against administering " Sundew" that had been prepared with twenty shakes, Jeni- chens' preparation of that drug in the 500th dilution was sha- ken 6,000 times by machinery, — at each dilution — -30,000,000 times in all — and yet it did not annihilate patients, but cured hooping-cough like the other preparation. — British Journal of Homc^opathy^page i^^. — Such is infallible Homoeopathic " experience ! " Common salt, which we swallow daily with our food in such quantities, Avhen carried to the thirtieth dilution, becomes, sayai Hahnemann, "a powerful and heroical medicament, Avhich can only be administered to patients with the greatest cau- tion," But the alcohol used in the preparation of medicines has medicinal properties, and should not they be increased ? Hahnemann to get over this, with a sort of method in his mad- ness, throwing a dark suspicion upon his honesty, coolly tells the world, that Alcohol and Wine, though having medicinaV properties, are exceptions to all other substances, and are not p>otentized by these dilutions 1 His words are, " Wine and Al- cohol are the only excitants the heating and intoxicating 30 KECOND LECTURE. eftects of winch are diminished by tlieir dilution with water." — Organon, page 329. But as to this " potentization,'' there is one thing he over- looked, or he would doubtless have had other exceptions. The Sugar of Milk used for trituration is not a simple, but a compound Sugar. According to Lagrange aud Vogtt, ordi- nary specimens of it contain forty-seven parts in 1,000 of Phosphate, Carbonate and Sulpliate of Lime and Potash ; while Simon found thirteen parts in a 1,000 of a very pure ar- ticle, to consist of these Salts : Hence in lOO grains of the first trituration of any homoeopathic medicine, there is only one grain of the medicine, and at least one and three-tenths, and probably as much as four and seven-tenth grains of the Salts of Lime and Potash. In the second dilution there will be only joioo pai't of a grain of the medicine, and from one and three-tenths to four and seven-tenths grains of Lime and Pot- ash, or from 13,000 to ■iVjOOO times as much Lime and Potash as of the article supposed to be potentized. In the third dilu- tion there will be from 1,300,000 times to 4,700,000 times as mnch Lime and Potash. What it will be, in proportion to the other articles, in the thirtieth dilution, you may calculate from these data. Now, it must be remembered, that Potash and Lime are regarded as medicinal by Homoeopaths. Lime being capable of producing over 100 symptoms, and capable of potenti- zation ; and it must also be recollected that at least a part of these comparatively large quantities of Lime and Potash re- ceive as much potentization by trituration as the other articles. For the grain of medicated Sugar of Milk which is taken from the first dilution to make the second, contains triturated and potentized Lime and Potash, and so up to the thirtieth di- lution. All the so-called homoeopathic cures with triturated medicines must be accomjianied by potentized, or spiritualized, or magnetized Lime and Potash — for these are far in excess of any intended homoeopathic medicine — having been triturated and potentized like them. SECOND LKCTURE. 31 Accidental particles of Carbon and of otlicr substances, are more or less present in the air of all rooms, and in alcohol and water however carefully distilled, and these also mingling with the medicine, would be triturated, shaken, and potentizcd as well as the infinitesimal particle designed to be treated; and the trituration in a " porcelain mortar, with a porcelain pestle,'' would necessarily disintegrate more or less these implements, and thus their particles being commingled with the mixture, would become potentized as Avell. Now, Hahnemann (Or- ganon, page 311,) says: " All raw animal and vegetable sub- stances have a greater or less amount of medicinal power, and are capable of altering man's health, each in its own peculiar way ;" and all medicinal substances are capable of this potent- ization, according to this author, except " alcohol and wine." Silex is the principle compound of most mortars, and this sub- stance is particularly declared by homoeopaths to be a medicine whichin its in finitesimal, millionths, and decillionths, is capable of even many hundred symptoms more or less formidable. According to Jahr'^s Homoeopathic Materia 3Ie(lica, Silex or Flint, commonly used at the thirtieth dilution, produces 372 different symptoms, many of them lasting as long as seven or eight weeks. These symptoms are arranged under twenty-five heads — twenty of them under the head of '■'■ moral sym2'>toms,^'' and are as follows, viz. : " Melancholy and disposition to weep ; nostalgia ; anx- iety and agitation; taciturnity — concentration in self; in- quietude and ill-humor on the least provocation, arising from excessive nervous irritability ; scruples of conscience ; great liability to be frightened, especially by noise ; discourage- ment; moroseness, ill-humor and despair, with intense weari- ness of life ; disposition to fly into a rage, obstinacy and great irritability; repugnance to labor; apathy and indifference; weakness of memory; incapacity of reflection; great destrac- tion ; tendency to misapply words in speaking; fixed ideas, the patient thinks only of pins, fears them, searches for them, and counts them carefully." — Jahr^s Manuel of Homceopathie Mtdicine, vol. I, page 532. 32 SECOND J.ECTUKE. Ilulini'iminii warns agaiiiHt the use ol' Silex in too largo Uoses — seeming to forget for the moment that the " potentiza- tion " increases with dilution. lie says: " In fivct dilutions of Silex to the billionth or trillionth degree, ^jroducc effects much too violent ; that of the sextilliontli degree may be commenced with, but this only suits robust persons ; in irritable subjects it is prudent to use only tlie dccillionth dilution," — Zee's Jlomce- opathii^pafje 5. Now tliis powerful agent as well as the Salts of Lime, etc., must be in every me<licine treated by strong triturations in a mortar witli Sugar of Milk, making the prepa- ration a compound and not a single substance, thus violating another homoeopathic precept ,as we shall soon see. But I do not propose at this point to argue against IIo- nucopathy, but simply tell you xohat it is. The account respecting the preparation of these homa.\ opathic medicines would be incomplete did I not give another mode of preparing]thera, practiced by some — first by Karsa- koff — and spoken of by Hahnemann. This is a method by a kind of infection — i^erforraed by f^hakiiig one duly medicated drug globule with several thousand imraedicated globules, — these immedicatcd globules becoming duly drugged by thus being in tJie neighborhood of the ^medicated one. "Expe- rience,'' shov/ed these globules as efficacious "as any. Hahne- mann in his "Lesser Writings," page 859, says: "Since a single dry globule imbued with a high medicinal dynamization, communicates to 13,500 unmedicated globules, with which it is shaken for five minutes, medical power fully equal to xohat it possesses itself^ \s'\'(\\o\\\i suffering any diminution of power itself, it seems ^hat this marvelous communication takes place by means of proximity and contact, and is a sort of infection^ bearing a strong resemblance to the infection of healthy per- sons by a contagion brought near, or in contact Avith them." The method of contagion is by particles of mor- bid germinal matter passing from a person afiected with a particular specific disease, as small-pox, to another person, through the air or by contact of the persons ; and this living, morbid, germinal matter, multiplying in the SECOND LECTUKK. 33 blood and other parts of tlio body into which it is received, at lengtli comes to exist in sufficient amount to produce the same disease. Thus a single germ, however small, by multiplica tion, receiving nourishment and the elements of growth iVom the body in which it is operating, becomes sufficient in quan- tity to produce effects. But medicines — particles of dead matter, incapable of growth and multiplication, can have no likeness to contagion in communicating their properties from one mass to another, or to the living body. It will thus be seen that the operation of very small particles ot vaccine or other kinds of virus, cannot with any propriety, be used to illustrate the supposed effects of imponderable quantities of medicines. The next point of the homoeopathic plan is the method of administering these medicines thus prepared. The most common method, perhaps, is by means of pellets, or little sugar globules, the size of a mustard seed, more or less — about 300 of which have had a drop of a "potentization" placed upon them when massed together, the liquid evaporat- ing, leaving the medicinal " aura," as Hahnneman calls it, at- tached to these little globules. One or more of these are placed upon the tongue, often at intervals of some days, in chronic cases, the alleged effects frequently continuing for weeks. In other cases, a drop or more of the liquid dilution is put in a tumbler of water and a teaspoonful more or less frequently given. It must be borne in mind that a single grain of the drug at the thirtieth dilution, the one most recommended, if the whole was elaborated into pellets or globules, and these were placed side by side in a eonlhiuous row, they would form a line so longthat, light traveling at the rate of six trillions of miles a year, would require millions, and millions, and millions of centuries to pass from one end of this line to the other, and any one of these globules, picked out of this extended row of them, is the proper dose ! Or, if a solution be used, a single grain would be dissolved in an ocean of water, many millions of millions of millions of times broader and deeper than all the collected oceans of the earth, and one drop from this would be the best 34 SECOND LECTURE. aiul most appropriate doso, curing witli tlie utmost certainty ! ! Surely this is not less marvelous than the effect of Cervantes' drop of water. We would suppose that Hahnemann had severely enough taxed the credulity of his followers in these recommendations, but as the result of his "Experience," in his later practice, he recommended that one of these globules should be merely snielled. Writinc; in 18;33, Ilalnicinanii ol)scrvcs — "all that liomtropathy is capable of curing, will be most safely and certainly cured by this mode of Olfaction. I can scarce!}-," he adds, " name one in a hundred out of the many patients who have souglit the advice of myself and assist- ant durinii" the past year, whose chronic or acute disease we have not treated with the most happy results, tioldy by vwdns of thin Olfactioii. Durinir the latter half of this year, moreover, I liave become convinced of what 1 never could previously have believed, that by this mode of Olfaction, the power of the medicine is exercised upon the patient in at least the same degree of strength, and that more quietly, and yet just as long, as -when the dose of medicine is taken by the mouth; and that, consecpiently, the intervals at which the Olfaction should be repeated, should not be shorter than in the ingestion of the material dose by the mouth." — {Organon, p. IJ32.) In the Organon^-^. 332, Hahnemann observes — "all that liomecEpathy is at all capable of curing * * will be most safely and certainly cured by this mode of Olfaction. * * The power of the medicine is exerted upon the patient in at least the same degree of strength, and that more quietly, and yet just as long as when the dose of medicine is taken by the mouth ; and that consequently, the intervals at which the Olfac- tion shoiild be repeated, should not be shorter than in the in- gestion of the material dose by the mouth." Dr. Gross, of Germany, a high authority, recommends the same method, with the higher dilutions, allowing but one smell, often, and waiting for four weeks or so for the completion of the cure. — {I)r. Yorbes' Review^ vol. xxii, p. 668. Hahnemann directed his patients to smell the dried glo- bules, or dissolving one or two in water and spirits, the nose was to be held over this solution. He dwells upon the super- iority of this method of administration, and says that a globule moistened with the thirtieth dilution and then dried, " retains for this purpose (of Olfaction) all its powers for at least eight- een or twenty years (My experience extends this length of SECOND LECTUKK. 35 time), even though the phial be opened a thousand times dur- ing that period, if it be but protected from lieat and the sun's light." '• In little children, it may be applied close to their nostrils whilst they are asleep, with the certainty of producing an effect. And this is much preferable to any other mode of administering the medicaments in substance by the mouth." — {Organon, p. 332.) One of his disciples, a Dr. Crosiero, says — "My own wife was cured by him in this manner, of a violent pleurisy, in the course of five hours." Not only did Hahnemann use by Olfaction medicines which in sensible quantities were evaporable, but also those which were not. In the following quotations from his work entitled, Zicsser Writings, p. 821, we have not only this notion of Olfaction enforced, but a repetition of the doctrine of poten- tizations, and a statementof the method of trituration, and the surprising efficacy of this method of treatment. According to Hahnemann, even the olfaction or smelUng of sub- stances which have no smell may produce immediately direct and decid- ed therapeutic effects. " If," says he, " a grain of gold leaf be triturated strongly for an hour in a porcelain mortar with one hundred grains of sugar of milk, the powder that results (the lirst trituration) possesses a considerable amount of medicinal power. If a grain of this powder be triturated as strongly and as long with another hundred grains of sugar of milk, the preparation attains a much greater medicinal power, and if this process be continued, and a grain of the previous trituration be rubbed up as strongly and for as long a time, each time with a fresh hun- dred grains of sugar of milk, until, after fifteen such triturations, the quintillionth attenuation of the original grain of gold leaf is obtained, then the last attenuations do not display a weaker, but, on the contrary, the most penetrating, the greatest medicinal power of the whole of the attenuations. A single grain of the last (quintillionth) attenuation put in a small clean phial, will restore a morbidly desponding individual, with a constant inclination to commit suicide, in less than an hour to a peaceful state of mind, to love of life, to happiness, and horror of his contemplated act, if he perform but a nngle Olfaction in the phial, or put on his tongue a quantity of this powder no bigger than a grain of sand." — Simpson, p. 76. Another of Hahnemann's rules in regard to the exhibition of medicines is expressed in the Organoti, pp. 319, 320. "In no case is it requisite to administer more than one single sim- ple medicinal substance at one time." The true physician " never thinks of giving of a remedy but a single simple med- icinal substance," for, he adds, "itis impossible to foresee how no SECOND LKCTURE. two and move medicinal substances niigiit, wlion compounded, obstruct and alter cjjch other's actions on the human body." I need not tell you that Opium, for example, contains seven chrystalline active principles, besides some fifteen other less important distinct substances. Ilomrcopathists often use some of these separately; as morphia, narcotin, etc., and opium with all its parts is often used by thorn. But should a single simple medicated substance be used, professedly, I have already shown that in the sugar there are others — and from the mortar which must be worn in the pro- cess of trituration, silex, alum, and other substances are de- tached, and *' potentized" as well as the intended article. We see, therefore, that this dogma is not comjilied with. Tlomce- opathists constantly use compound substances; and to use Hahnemann's own expression, " A compound could never make a shnjyle — in all eternity, never." I suppose not, even by trituration and dilution. By using the rules of trituration of solid substances Avith sugar of milk in a mortal', a globule never was made that was not a compound ; if indeed, there is any medicine at all in each of these i^articlcs. Another and essential part of the Homoeopathic system, is the alleged ascertaining of the symjitoms which drugs are capable of producing, so as to know, on the principle of shn- ilia similibup, the symptoms they arc capable of CKving. In order to obtain this knowledge, homoeopaths profess to have recourse to several sources of information; as, 1st, ob- serving and arguing upon the known effects^of some special medicines in particular diseases. 2d. Noting the symptoms excited by poisonous doses of drugs on the healthy ; but third- ly, and principally, they claim for this purpose to have made numerous direct experiments, or " provings," as they are termed, of various drugs by exhibiting them cither in large or in infinitesimal doses, to people either in a state of health, or of disease, and then watching and collecting the effects, or "artificial symptoms" that ensue. This is the last distinctive feature of the system of homoe- opathy Avhich I shall, with much fullness, present; and I shall SECOND LECTURE. 37 criticise it in passing, as I intend to criticise tlie other doc- trines in review. As to the first method — that of" observing and inferring from the known effects of some medicines in special diseases — the artificial symptoms tliat may be produced by them as a basis of their liomoeopathic use, it must be regarded as un philosophical, and by no means in harmony with the other two modes of obtaining such information. For an example, the use of iodine is known to cure — to modify the morbid nutri- tion in the disease of the thyroid gland, known as Goitre ; but iodine when taken by persons in health was j^never known to cause the goitre. Certainly I never knew a single pei-son of the thousands whom I have known to take iodine or its com- pounds, to have goitre produced by it. It has never, so far as I know or believe, produced anything resembling goitre. If it cures this disease, it should, according to the homoeopathic law, be able to cause it. But it does not. Whatever the theory, such is not the fact. Still, the " immutable law " has caused Jahr aud others to place goitre among the "symptoms" of iodine. Whether this is reasoning in a circle, or reasoning at all, you must judge. The symptoms produced by poisonous doses of medicine, as recorded in the works on Toxicology, homoeopathists profess to make great use of in determining their efliects. They re- gard these effects as symptoms which infinitesimal doses ought to cause, though to a slighter extent, and hence, of course, ought to cure. Opium, for example, in poisonous doses produces coma, stupor, asphyxia, etc., and according to this law, is indicated in infinitesimal doses, or at least in some doses, in diseases presenting these symptoms; and though given in doses ever so small, theoretically, it must produce an effect — an artificial medicinal disease somewhat greater in degree than the stupor against which it is given. Hahnemann repeatedly says the remedy must produce a medicinal disease " somewhat greater in degree than that which existed before, in order to over- come it." r?8 SECOND LECTURE. But. these, minute doses never produce any effects of this kiiul. Certainly no regular physician ever saw such effects, :nul many of our most eminent and conscientious men have looked for them with care. Still the Homoeopaths insist, when driven to the Inst point — and they must do so or yield u|) all — that these homa-opathic medicines effect the system at the the very point where the disease effects it, and in a similar manner, ))ut yet so as to overcome the morbid action. But these arc theoretical assumptions, unsustained by proofs ; and, as we believe, contrary to both facts and reason. Now the symptom, stupor, for which opium would be given, because in large doses it jiroducos stuj)or, may arise from a variety of proximate causes — from the state of the brain ex- isting in concussion — from compression of that organ — from blood poisoning— from arrested nutrition of the brain in a great variety of diseases — from nervous exhaustion, etc. But in prescribing for symptoms "alone," as Hahnemann taught, these various circumstances are disregarded — the remedy seems to be considered as incorporating itself with the symptom, and through similarity, antagonizing it, and by a greater force, though in infinitesimal doses, overcoming it. This is the ho- moeopathic claim. But what, we ask, is there to sustain this claim ? Is there cither fact or reason ? These questions we are to consider aa we proceed. But the direct " provings" are mostly relied upon, and professedly from these chiefly, the horaceopathic books on Ma- teria Medica are filled with " symptoms," some specimens of which have already been given. On these provings, Hahne- mann says, " depend the exactitude of the whole medical art, and the weal of all future generations of mankind;" and mod- ern horaeccpaths claim great credit on this score. The exact- itude and " reliability" of these "provings," then, require our special attention. Now, how have these provings been made? Incon.luct- inf^ the experiments, Hahnemann and his disciples at first used the ordinary doses of the drugs; but afterwards they made their observations with infinitesimal globules and dilutions. SECOND LECTURE. 39 The Britisli Journal of Ilomoeopatliy, vol. vii, p. 342, says — " The bulk of symptoms of the so-called anti-psoric remedies, recorded in Hahnemann's " Chronic Diseases," were derived 1st. From trials with medicines given in globules in the thir- tieth dilution ; and 2d. From the observations of patients to whom the medicine was given for their diseases (also of the thirtieth dilution)." Hahnemann in a later edition of his Organon, p. 218, ad- vises the thirtieth dilution as the best doses for proving the medicinal power of drugs. He also says, while under proving?, " all symptoms observed are to be attributed to the medicine." As these symptoms are laid down in .Jahr's Manual, orlTempel's Materia Medica, in most instances we are not informed whether the alleged facts are derived fx'ora a knowledge of the curative effects of the agents in special diseases, and inferences as to the symptoms that ought to be produced, according to the "infallible law," which " all the experience in the world" can- not disprove ; whether from recorded observations of their poisonous effects, or from experiments or "provings" proper ; and if fi'om provings, we do not know, as a general rule, whether with ordinary doses or infinitesimals ; whether upon well persons or sick; upon impressible imaginative persons, or those of cooler temperament ; whether upon those Avho are truthful and reliable, or upon the untruthful and unreliable. We have, in most of the cases, only the symptoms themselves to judge from ; and judging from them, Avhat must be our con- clusions ? In the works, however, where some of the details of the provings are given, as is the case in Hempel's Materia Medica, and Dr. E. M. Hale's Homoeopathic Materia Medica of the New Remedies, recently published in Detroit, by Dr. E. A. Lodge, they arc with every variety of dose, from poison- ous ones down to the thirtieth degree, centesimal scale ; and the alleged effects on healthy persons at the thirtieth dilution are recorded with the same apparent confidence as the effects of the large quantities ; and all aggregated together, they go to make up the medicinal symptoms which are to be the guides in selecting these medicines for application to similar symptoms 40 SKCONU LECTURE. of tliseasi'. Tlie prcsuinption then is, thai in these accounts of the cfleots of medicines in Jdhr's Manual, tlie data are of this miscellaneous character. The best, however, that I can do on this subject of the jirovings is to give some S2)ecimens from standard homa'opathic authors. As specimens, let us take from Jahr's Materia Med- ica an account of the effects of Comui07i Salt and Carh. of L'unc, or White Chalk: "Coinnion novsE or table Salt {Natrum Muriaticum, as Julir terms it,) when ])rovc'd upon a lu'althy ])crson, can cause al)ove four luindml mill liftji syniptoins, antl, consequently, is capable, on the lioma'oputliic principle, of lurinL,' many of these symptoms when I hey occur similarly in (lill'erent states of disease. Acconliin; to .Jahr, House-salt is usually employed in iloses of the 'JOtli or :50th dilution, or, in other words, in doses of the quadrillionth or decillionlh of a n;raiu ; and the duration of a dose of its cH'ects lasts, in chronic atfectious, from forty to fifty days. lie describes the symptoms supposed to be produced in man l)y doses of House-salt, andof other drui^s, under tiie several lieads of "General Symptiiuis," and .■symptoms observed in the "Skin," "Sleep," " Fever," " Head," " Kyes," " Ears," "Nose," etc., etc. The mere enumeration of the symptoms produced in these various parts by House-salt, occu- jiics about six pages in Jahr's work. To cite them all would, conse- (luently, occupy more space than we can bestow upon them. But the followinjj is an abridged list of some of the ])rincipal symptoms which this drug is averred to be capable of producing, and hence also of curing." — .Simpson, p. 83. Symptams jyroduced hy Common House Salt. " Rigidity of all the joints, when they are moved." " Tendency to experience dislocation, and to strain the back." " Paralysis." " Swelling of the elands." " IJad ellecis of a disappointment." " Great relaxation of all tTie physical and moral powers after fatigue." "Great drowsiness during the day." "Kclarded sleep and sleeplessness at night, witli in- ctlectual ellbrts to go to sleep." " Agitated sleep, full of vivid and las- civious dreams." "Frightful dreams of quarrels, murders, fires, thieves, etc." "At night, pains in the back, quivering, apparently of the nerves, frequent emission of mine, headache, colic, astlunatic suflerings, and great anguish of body." " Typhus fever, with debility." "Anguish, sometimes during a storm, bul esjjccially at ni'dit." '•Hatred to per- .sons who have formerly given olfense." " Awlcwardness." "Painful confusion in the head, vertigo, with shocks in the head, and dizziness." "Sensation on moving the head as if the brain Avavcred." "Tendency of the head to l)ecome ea.sily chilled." "Spasmodic closing of the eye- lids, especially in the morning, in the evening (during the twilight), and at night." "Tinkling, ringing, rumbling, and humniing in the ears." "Numbness and insensibility of one side of the nose." "Boring in the l)ones of the nose." "Drawing, like extraction in the teeth, exten.ling into the ear and throat after a meal, and at night, with swelling of the cheek." "Speech embarrassed in consequence of the heaviness of the tongue." "Prolonged sensation as of hair on the tongue." "Spasms in the throat." "Loss of appetite, especially for bread, and repugnance to tobacco smoke." " Palpitation of the heart, and intermittent or ac- celerated pulse." "Disagreeable rising-s, after partaking of fat food or milk." " Shocks and elawings in the pit of the stomach." " Drawing, SECOND LECTURE. t I tension, pressure, priekino-, and shoolini^sin thehcpalic rc-^ion." "Puin and sliootings in tiie splenic region." '• Protrusion of licrnia." " Kx- coriation of llie Inittocks, especially wlien walking." " Excessive ex- citement of the amative feeling, or'dulness." "Accumulation of mucus in the larynx in tiie morning." "Choking spasmodic cough in bed in the evening." "Wheezing respiration in hed in the evening." "Con- tnsive pain and feeling of paralysis in the sacrum, especially in the morning." "Tearing across the loins and hips." " Nocturnal pains in the baclv," " Digging in the arms, shocks in the elbows." " Ditlicidly in bending the joints of the fingers." " Ninnerous Haws in the nails." "Burning in the feet." "Redness of the great toe." "Corns on the feet, with .shooting and boring pains," etc., etc., etc. — {J<i]irx Mannid of Ilomoiopathic Medicine, vol. i. p. 380, ct. seq.) Let us take another example. Carbonate of Lime, or Ciiai.k, {Calmrea Carbonica,) exists in most vegetables, and is contained in greater or less quantity — but in doses larger than the Ilalinemannic — in almost eveiy water which man drink.s. It is found, (says Dr. Pere- ira,) even in the purest of waters, viz., in rain water. Carbonate of Lime is, according to Jahr, usually employed in thedoseof adecillionth, or in the thirtieth dilution ; and the duration of its effects is fifty days in chronic atfections. According to the provingsof the homo?opathists. Carbonate of Lime is capable of producing above one thouxuhd symp- toms. Out of this immense number of effects, we select the following as specimens of the symptoms it may cause, antl hence may cure. Symptoms produced by Chalk or Carbonate of Lime. " Shooting and drawing pains in the limbs, chiefly at night, or in summer, and in change of weather." " Great tendency to strain the back in lifting." " Strong desire to be magnetized." " Emaciation, with- out failure of appetite." " Great plumpness, and excessive obesity." " On walking in tlie open air, sadness with tears." " Visible quivering of the skin from head to foot." " Encysted tumors, which are renewed and suppurate every month." " Swelling and distortion of the bones." " Flaws in the fingers." " Sleeplessness from activity of mind, or in con- sequence of voluptuous or frightful images which appear as soon as the eyes are shut." " Snoring during sleep." " Dreams, frequent, vivid, anxious, fantastic, confused, frightful and horrible." " Dreams of sick or dead persons." " At night, agitation, asthmatic suffering, anxiety, heat, pains in the stomach, and in the pra^cordial region, thirst, beatings of the head, toothache, vertigo, headache, fear of losing the reason, and many other sufferings." " Quotidian fever towards two o'clock in the afternoon, with yawning antl cough, a desire to lie down at least for three hours, after which the hands become cold." "Tertian fever in the evening." " Disposition to weep, even about trifles." " Vexation and lamentation on account of old offences." " Anxiety and anguish excited by fancies, or frightful stories." " Disposition to take alarm ; apprehen- sions." " Fear of being ill or unfortunate ; of sad accidents, of losing the reason ; of being infected by contagious diseases." " Discourage- ment and fear of death." " Excessive ill-humour, and mischievous in- clination ; with obstinacy, and a disposition to take everything in bad part." " Disgust and aversion to all labour whatever." "Delirum, with_ visions of fires, murders, rats and mice, etc." " Head compressed a.s if by a vice." " Dizziness after scratching behind the ear." "V'ertigo alter a fit of anger." " Headache from having wrapped the head in a hand- kerchief." " Pains in the head aggravated by spirituous drinks." "Draw- pains in the right side of the head." " Piercing iu the forehead, as it the head was going to burst." " Pains of hammering in the head. " Icy coldness in, and especially on the right side of the head. "Move- 42 SECOND LECTURE. mcnt of tlic brain in walkiiic;." " Iinincnso size of the licad." "Stroiiff (lisposilion to take cdIiI llirouu:!! lin! lu'ail." " Smarting on reading dnr ing tiu' (lay, or l»y candle light." " Flow of blood from the eyes." "La- chrymal suppurating fistula." "Pupils greatly dilated." " Cfmfusion of sight as if there were a mist." "Great da/zling from too strong a light." "Purulent di.seharge from the cars." "Polypus in the cars." "Cracking and detonation in the ears when chewing." "FuHid smell from the nose." " Sense of smell dull, or exceedingly sensitive." "Fcetid odour before the nose, asif from a dunghill, rotten eggs, or gunpowder." "Face i>alc and hollow, with eyes sunk and surrounded by a livid cir- cle." " FaHid odour of the teeth. — Fistulous ulcers in the gums of the lower jaw." " Kanula under the tongue." " Hawking up of mucus." " IJepugnancc to tobacco smoke ; desire for salt things, fc^' wine, and for dainties." "Pressure on the stomach, with squeezing as if from aclaw." " Inability to wear tight clothes round the hypochondria." " Incarcer- ation of flatulency." " Pressure of wind towards the inguinal rings, as if hernia were about to ]irotrude." " Before the evacuation, gr?at iras- cibility. After the evacuation, dejection, aud relaxation of the limbs." " Fre(iuent protrusion of luemorrhoidal excrescences during the evacu- ations." "Ikirning eruption in the form of a cluster in tlie arms." '■ Wetting the bed." " Pol3^psus of the bladder." " Prolapsus uteri." " Varices in the labia majora." " Pain, as of excoriation and ulceration, in the nip))les." " Ulceration of tlic larynx." " Cough excited Ity play- ing on the piano." "Urgent inclination to inspire deeply." " Pains, as of tlislocation in the loins, ])ack, and intheneck, as if caused by a strain." "Swelling and distortion of the spine." "Rigidity of the neck." "Sup- puration of the axillary gland." '"Swellings of the veins of the hands." " Warts on tlie arms and on the hands." " Contraction of the fingers." "The legs go to sleep when one is seated," etc., etc., etc. — JaUr's Man- ual of JJomoiojxitJdc Medici?ies, vol. i. p. 108, et seq. Perhaps it is proper to add, in order to show the fantastical allec- tation of exactitude in these homoeopathic provings and symptom.s, that some of the homo3opatIiic drugs produce, and therefore remove, partic- ular symptoms, only when they occur under particular circumstances or conditions. We have seen above, that carbonate of lime causes, and consequently removes, " cough," wlien " excited by plajing on the piano." A dose of Rhododendron causes toothache during a storm, and hence cures toothache when it supervenes during a storm. — Jalir's Ma- teria Mcdica, vol. i., p. 488. The most charitable construction wc can give to all this is, that Hahnemann, like Mesmer, and Mohammed, and Swc- denborg, and Joe Smith, and Ann Loe, etc., though in a dif- ferent si)here from any of these, was an enthusiast — the founder of a sect ; was followed by disciples ; expected to upturn and do - stroy the system of medicine of his time, in the practice of which he had failed of success ; and this added fuel to the flame within him, and like them, ho " saw visions and dreamed dreams :" and as was said by Whipple of Swedenborg, "his perceptions of abstractions were no intense that they seemed to have reached that point where thoughts, and imaginations, and ideas, become sensible to sight as well as sensation, and SECOND LECTURE. 43 lohat he thouyht he sa?o," And all these enthusiasts have found followers who through imitation have repeated their ex- travagances, or from interested motives have professed their faith. Connected with this condition of mental excitement is not unfrequently a quality of disingenuousness, as in the case of Mohammed and Smith — their integrity being not above suspicion. However, in this respect, it may have been with Hahnemann, — his " provings" were most fanciful, often absurd, and generally entirely unreliable ; and, in this, his followers have certainly been led by his example. X)r. John C. Peters, of New York, formerly among the lead- ing men in theHomceopathic School, but who long since seeing the absurdity of its doctrines, renounced it, and has taken an honorable position in the ranks of the regular profession, says it has taken him a great many years to find out that Plahne- man drew more upon the stores of our old Materia Medica for his indications for the use of medicines, than he did upon his own provings upon the healthy, or upon the law of " Slmilia Simillbus Ciirantury Thus Arnica, though claimed by Homoeopaths to be their discovery, and homoeopathic to bruises, etc., yet as early as the sixteenth century, it had received the name of " Panacea Ijapsorum^^'' by Dr. Fehr ; and a large number of continental physicians used it for bruises, ecchymoses. etc., but not on tlie homoeopathic principle, or in infinitesimal quantities. The remedy most frequently used by most |Homocopaths in acute diseases is Aconite. They pretend to have estab- lished by their "provings" that it is homoeopathic to fevers and inflammations ; and is used in infinitesimal doses to coun- teract these conditions. But the fact is. Aconite never caused a fever nor an inflammation. It acts much like Vcratrum Vir- ide, Tartar Emetic, and other depressing agents when given in perceptible doses. In infinitesimal doses, of course, it has no effect. When given in free doses, as it is by many Homoe- opaths, it is an antipathic remedy in inflammation. Dr. Ilempel, though professing to believe in " poteutiza- J t SECOND LECTURE. lions" aiitl '* proviiigs," l)y infinitesimal doses, (lie quotes such proviuLTs, nuil adn\its tlu ir value \y\wn lluy answer liis pur- ]i<)se), in liis Materia Mcdica, vol. i, p. 58-9, says that much of Hahnemann's "provings," especially of what is termed the " anti-psories," is entirely imreliable. His Avords are : "If we had no other testimony to offer in favor of Homoeopathy than the provings of thc^ anti-psories, our cause would not be worth the ink it rcq.iired to'print them. "^' * It seems in- credible that such a mass of vague, childish, ill-defined symp- toms as arc recorded in the four volumes of the "Chronic Dis- eases," should have been accepted by earnest and sober-minded men as the pure effects of drugs. I do not mean to say that attenuated raediehies generally are unfit to develope symi:»toms; wc have abundant evidence that the sixth, twelfth, and even higher potencies have affected the organism in health in their own characteristic and peculiar manner." He goes onto say : " Entertaining, as I do, a philosophical belief in the efficacy of attenuated drugs, and in the doctrine of Dynamisation, as de- veloped by Hahneman ; yet I cannot refrain from expressing a regret that the system of proving attenuated drugs should have been so extensively adopted in our school. * * If the attenuations arc used first without any previous saturation of the organism by the concentrated tincture of the original drug, perceptible symptoms are scarcely ever obtained beyond the third attenuation. * * Our j\lateria jMedica is unfortunately flooded with a deluge of trilling, unmeaning, unreliable symp- toms. A perfect symptomania seemed at one time to have taken possession of our school. Such men as Ilering, Boen- uinghaujen, Gross, fanned this incipient aberration into a per- fect fury of symijtom-hunting. * * Ilering's provings in particular," he regards as imreliable. " Xot one of the numer- ous jirovings with which this gentleman has overloaded our Materia Medica, will stand the test of a rigorous critical anal- ysis." But what will ? He goes on to denounce them as " fancy pictures," and speaks of the " Augean Stable of our Ma- teria Medica." Speaking of a particular article on page 00, he says: "wc SECON'D LECTURE. 45 shall find at a later stage of our course, that tlio efFccts of this poison, as exhibited in tlie ' American Provings,' are tainted with all the defects Avhich distinguish many of our modern provings generally.'''' If then much of the more ancient provings of Hahne- mann are " not worth the ink it required to print them," and the modern provings of Ilering, Gross and others, who are re- garded as the brightest lights of their school, are even still more worthless, " betraying " as he says, " a lack of accuracy of observation, correctness of delineation, and adaptability to the treatment of disease," what value can we place upon any of these observations, all of them having apparently the same general character ? But an English Surgeon, A. Henriques, who is a professed Horaoeoi^athist and has written the most jilausible apology for what he regards as Homoeopathy of any I have seen, takes an entirely difterent view of the provings of the founder of the system, and of his rules of practice. He says : "Had Hahne- mann simply contented himself with placing before the public the records of his unparalleled experiments with pharmaceu- tic agents upon his fomlly and friends — had he been content with a mere exposition of his discovery of the rules by which remedial agents should be selected in given cases of disease — had he done this instead of exposing the absurdity of potter- ing in thg ' dead-house ' to discover the nature of diseases, and scoffing at the idea" (as he did) '-'of consulting the labora- tory and the microscope to reveal the mysterious curative pow^ei'S of the Materia Medica ; it is my firm conviction that the reformed method of treatment according to the Hahne- mannic School of Therapeutics, would long ere this have been recognized throughout the world, and received universal tri- umphant assent, as the best form of art devised since the Hi- pocratic Era." Thus this disciple makes these provings, Hahnemann's chief merit — while Hempel declares very much of them sheer nonsense; but yet he (Hempel) gives in his Materia Medica, 4G SECOND LECTURE. similar " [>rov'inc;s" as the pure gospel of Ilomd'ojtalhy direct IVdin Heaven. Take for illustration the symptoms produced l)y sulpliiir, tlic chief alleged anti-psoric, an article contained in sensible quantities in most of our nitrogenous food, inhaled in very sen- sible quantities every time we light a match, an article which pervades our atmosphere from the coal we burn, infects us from the "rubber" wo wear, and the "hair restoratives" many ap- ply — this article so constantly within us — an element in many of our tissues, yet as " proved" by administering homoeopathic attenuations, produces, according to Dr. Ilempel, a catalogue of "symptoms" which I should fear would exhaust your pa- tience for me to enumerate in full. He says, " The Vienna Prover's Union has instituted re- proving s of Sulphur, which m.'jy be said to constitute one of the most brilliant and instructive pages in our Materia Medica" — and it is presumed the symptoms about to be quoted are from this brilliant page. Tlicy are arranged under the va- rious groups, Nervous, Cephalic, Orbital, Auricular, Nasal, etc., and were produced, some by massive doses of one or two hundred grains, while others were caused by " attenua- tions," the massives and the infinitesimals apparently produc- ing the same effects. Here arc specimens of the symptoms : "Urawing-burning pain at the top of the head; Dull headache, deep in the left orbit, sometimes increasing to a drawing tlirobbing ; Absence of mind ; Sensation as if a hair Avas pulled, in the case of a prover who is bald ; Rush of blood to the head with a roaring in the ears, burning and creeping in the f^xce. A similar symptom was obtained by a prover dur- ing an experiment with the liigh lyotencies ; Heat and confu- sion in the head, with noise like the boiling of water, rushing out of both cars ; Drawinrj and tearing pains, especially in the fingers, long bones, back, muscles of the nock ; Boring pain in the ankle joint ; Shooting pains.'' One case of proving, in a student of medicine, to Avhich Dr. Herapel calls particular attention, I will venture to read in full. SECOND LECTURE. 47 "For three weeks, I may have taken three times daily, five globules moistened with the tincture of Sulphur," (how much will the spirits dissolve ?) wlion I experienced a slioot- ing pain here and there m the abdominal parietes, especially in the inguinal region, at one time in the left, at another time in the right side ; this pain sometimes lasted a short time, sometimes longer, but regularly went otF in the warmth of the bed. As I did not believe that these wandering pains were caused by the Sulphur, I continued to take it. About a week after the first appeai'auce of the shooting pains, there occurred, after the slightest exercise, a very troublesome feeling of fa- tigue. The shooting pains noAV gradually declined, but in their stead occurred contractive pains, especially in the muscles of the thighs, which often proved a serious obstacle to my walk- ing. In four days, these contractive pains were felt deeper, as if in the bones, especially in the femora and right tibia. The head of the right tibia became veiy painful, and could not bear the slightest touch, and after the slightest exercise I had to go and lie down. Now, almost convinced that these symp- toms must be the effect of the Sulphur, I intended to leave it off, but as I had a few more globulos, I took them all. The consequence of this was that the pains attained such a degree of intensity as almost to render walking impossible. The very next day, when I took no more globules, the pains became less intense, and in tlii'ee days more, were all gone. I have gained the conviction that medicines, even in very small doses, are ca- pable of producing the most violent effects." Who that knows the quantity of Sulphur we all daily take into our systems can believe, that these sugar globules mois- tened with the Tincture of Sulphur could produce all these effects ? Is there not a possibility of. this student of medicine wishing to make a sensation among these homoeopathic pro- fessors? Or if the effects occurred, were they not dependant upon some other cause ? But to proceed with other symptoms laid down by Dr. Ilcmpel : " (Quivering and luminous appearances before the right eye ; Lightning flashes before the eyes at night ; Fire 48 SECOND LliCTUKE. buniiiig, like sparks, on the skin of the right upper lid; shoot- pain througli the pupils ; Boring pains in the external meatus ; Inflamed spot on the nose; Thickening and swelling of the right nasal bones; Tickling in the right nostril, followed by discharge of thick blood ; Shining and swelling of the tip of the nose ; Sensation as if he were smelling soap-suds ; Raw l)ain in the left commissure of the mouth ; Burning on the right cheek, as from hot drops of fluid ; Itching of the left eye and cheek ; A crack in the upper lip ; Digging pains in sound teeth ; Drawing pains in upper teeth ; Weariness after eating; Sneezing with discharge of fluid mucus from the left nostril ; Kaging i)ain in the sternum ; Spitting of blood ; In- creased pulsation of aorta; Sleeplessness with disturbed dreams about v.ild beasts and death, hence, useful in tendency to ni(jht)tiare\ Palpitation of the heart, during the attack, is characteristic of Sulphur." But these will sufllce. As to the dose, Dr. Ilempel says " curative results may be depended ujDon from the lowest as well as the highest dilutions; but in chronic pulmonary aflec- tions, you will find the middle and higher potencies preferable to the lower.'' It will be remembered that higher are the thirtieth degree and upwards. Dr. Hempel closes his lecture on Sulphur with these words : "If you would conquer the great mind of the profes- sion, then let me urge you to ever think of Homoeopathy with hearts full of reverence for the consistency and nniversality of her teachings, as a doctrine of life, a heavenly truth which will not fail, if properly imderstood and universally ap- plied, to link earth and heaven in one great cycle of sensual refinement, intellectual beauty, and social and religious har- mony ! '' This jDassage must have been inspired by the reflection upou Hahnemann's doctrine of the kinship of the Itch Miasm and original sin, and the hope of Sulphur curing both. These extracts are from IlempeVs Materia Medicay Vol. lyPJJ' 810 to 826. In looking at these Symptoms thus gravely recorded, and SECOMn LECTUKE. 49 at the marvelous cures reported to have been efi'ected by this and other similar homoeopathic remedies in infinitesimal doses, we are forcibly reminded of the language of Dr. llempel, when criticising a reported cure of a child Avith an eruption of the skin, by Apis, he said, " it had as much to do with the cure as the Comet's tail." This article, Apis, was reported by these provers to produce 1350 symptoms; reported in the same manner as other provings, and declared to be capable of curing all these symptoms, and " experience " in actual cases of disease was adduced as in otl.er cases to confirm these views : and yet Dr. llempel rejects it all with contempt and ridicule. He further confesses: '■'^ Many of our drugs have obtained a reputation and a name, not because their provings can at all be relied upon as therapeutic indications, but be- cause an empirical use has secured for them a sort of prescrip- tion-right. Lachesis is one of them." We, of course, believe that in infinitesimal doses all their pretended remedies are in this category; and that these articles have as much to do with the cures that are reported from them, as " the Comet's tail.'' He addsof Xac/«3s/5 .• "The halo of glory that has surrounded this secretion, proves upon closer examination, to emanate from the sraoke of iimcy as much as from the light of truth." I shall leave you, gentlemen, to make the further applica- tion of this language, as we look at other statements of these men. We are not now groping in the regions of the past, calling up vagaries of remote and darker times. It will be remembered that Henriques, and Hempel are men of our day, and it is presumed representatives of certain present phrases of Homoeopathy, though the latter may be re- garded by some of his School as belonging rather to the past. But the very latest work with which I am acquainted on Hom- oeopathic Materia Medica, that of Dr. E. M. Hale, Professor of Mat. Med. in the Hahnemann Medical College^ Chicago^ pub- lished in 1867 (the work already referred to) presents us with "provings" of the same general character. As an example we will take the "provings" of Ilgdrasttn Canadensis or Golden Seal. We are informed that these 50 SECOND LECTCJBE. provinjjjs were inaile by students of the Pliiludolpliia Ilomcpo- patliic College, under the direction of one of their Professors, during the Session of 1866 and '67. The " potentization" was made before the class after Hahnemann's direction on the "Centesimal Scale," carried up the 30 degree, but instead of two, twenty-five hard shakes were given to each potency. The first case related is that of Aug. Earndoefer, who on Nov. Tth, 1S60, it being as is stated the "Ncav Moon," "took one dose, (whether a whole drop, or one of a cluster of sugar pellets moistened with a drop is not said) of the thirtieth 'po- tency of the new American tincture, prepared by Dr. Lippe, before the class." " Nov. 8th, 8f a. m.," related as the effect of that dose he had—" Slight headache, first on the right side, mainly in the temporal region, then passing to the left tempo- ral region, leaving the left, returning to the right, lasting a few moments and then leaving altogether." After relating some other sensations of a similar character, it is recorded that at "11 A. M. sneezing in the sun caused flickering in the eyes." This prover adds, parenthetically, that he had "been troubled with this flickering for many years, when exerting myself or standing long in the sun." He then goes on giving his sensations and symptoms on the 9th, 10th, 11th, 12th, 13th, Uth to 20th, all from this one dose taken on the 7th, among which are the following : "Sharp pain behind the right ear for one moment, passing down to the right shoulder, back of the clavicle, about midway between arm and neck." At II o'clock, a. m. on the 9th, "sneezing caused a fullness of the head, between temples and forehead." He adds in a parenthesis : " I seldom ever sneeze when I have a cold, and can scarcely attribute this to anything but the medicine." The next day, " 9 a. m., sneezing, causing sharp pain in right breast, between the third and fourth ribs, to the right arm, down the arm and forearm, half way to the wrist." " Nose feels as if plug were in it, under the nasal bone ;" "wa- tery coryza from right nostril ;" " a little blood and dry cory- za from left nostril ; " "bleeding from the left nostril quite profuse, nose itched a great deal after bleeding ;" " Flickering SECOND LECTURE. SI before the eyes in a bright, yellow light ; streaks in squares^ always making three sides of a square." " Constant sensation in both groins as if I strained myself from taking a very long step." " Sensation of a hair in the right nostril, under the na- sal bone at its lowest border." " In writing make wrong let- ters," ete. etc. The next prover took five drops of the Tincture on the 3d, lip. SI. The next day he " sneezed after breakfast, from tick- ling in the right nostril, left stopped up." On the 6th he had " dryness and stoppage of the nose, with scabs in the nose,'' — " great disposition to stretch the body backwai-ds, arms up- wards, with yawning." " Aching pain in the left elbow, with snapping in the shoulder joint Avheu rotating the arm," etc., etc. On the whole this man did not suflfer quite as much trom five drops of the tincture as the other did from the drop, or hundreth of a drop of the 30th dilution ; a quantity so infinitely small as to be utterly inconceivable, as we have seen — but he sufiered in a somewhat similar manner. In all probability both of them had a coryza, or what is popularly called an "in- fluenza cold," which was doubtless prevailing at the time. Another prover took a dose of the thirtieth^ on his tongue just before going to bed, and among a variety of other things, we are gravely told that on the fifth day after, he " had a desire for eggs." The day following this, he "took one drop on going to bed." The next morning, he " felt de- spondent ; better after "quizzing" in the evening. Quite cheerful at 11 p. m." These were all Homoeopathic students; but another man " 25 years old ; a mechanic and clerk,'' had not so much made of his case. "Oct. 31st. — Took a drop on tongue, 3 o'clock." " Nov. 1st, on getting up a dull pain in the head which went away in a few minutes. In the after- noon, had heart-burn, as he termed it, which he had not had before for almost a year. I could get no more symptoms from him, and he declined to take any more medicine, being some- what afraid of it." On p. 55, et sequel much prominence is given to the "proving " in the case of "A, aged 34, sanguine-billious tern- 51 SECOND LKCTUEB. p jrainent, trouble! with constipation for tho last five years; nn- retVcshinjj sleep, languor in the morning." "Oct. 31st, 11 r. M. — On retiring to hcd, took one drop of the 30th potency in a tablespoonfnl of water. Slept well all night; felt quite re- freshed in the morning, 5 o'clock. No des're for further rest — very good humored. Kyes somewhat agglutinated. Half an hour after breakfast had "usual movement of bowels" followed by "a profuse discharge of biight-red, arterial blood, lastiTig for about a minute." " Had sensation all day as if hemorrhage might be repeated." "10a. jr., gloomy, taciturn, disagreeable towards his acquaintances. An hour after, head- ache — sleepiness in the r. 3i., etc. Nov. 2d, another hem- orrhage froifi the bowels. The account goes on to the 5th of Nov., giving symptoms of congestion of the liver and of a cold, or acute catarrh, affecting the bronchia ; the bleeding from the bowels being caused, i.i all i)rol)ability, by a hem- orrhoidal difficulty the consequence of his protracted con- stipation and obstruction of the liver, aggravated into hem- orrhage at the time by the irritation of the mucous membranes, the usual effect of such a cold. All this so apparent to an intel- ligent physician, is recorded as the effect of the " proving " of this single infinitesimal dose, of this comparatively mild medi- cine ! On page 1093, we have an account of tlie "proving" by one who was quite ill at the time such "proving" commenced. The account says : " On Nov. 10th, a German, Henry Kusel, aged 23, came to me troubled with a sore throat, roughness and raw feeling when he talked, and severe cold in the head, together with some other symptoms." After going on to Nov. 18th — "I gave him a drop of the remedy, 30th. Next morning he complained of his cold being worse than it bad ever been ; but soon commenced to abate and in the evening he felt very much better." "Nov. 20th. — He said liis cold was entirely gone, but that his throat was not so well, and had grown slowly worse since he had taken this medicine ; he also spoke of being in high spirits; everything looked bright, and he felt happy and he wanted to sinij." SECOND LECTURE. 63 I need not say to you who are inedical students, that the time for the spontaneous breaknig up of the cold had doubt- less come, but this case is given as showing the effect of the medicine, and of " proving " its powers ! A considerable number of other *' provings " are given, oc- cupying from the 1085 to the 1102 pages of the work inchisive, all of the same general character. Among them three young women -were subjects of the experiment. " Miss S. 30 years, temperament sanguine-nervous. Nov. 2d, 18G6, took at bed- time one drop of the 30th potency. Sometime after 1 o'clock A. M., sleep disturbed by an irritation of the skin and puden- dum, compelling scratching, which relieved." Various sensations were experienced for a few days, such as irritation of the throat, bowels, etc., "with a dragging, bruised feeling in the ovax'ian regions ;" and the account is closed with the remark — "during the proving ^nore cheerful than usual. Affections active." p, 109C. On p. 1099 the " provings" with "Miss M." are related. She "took one drop of the 30th." "Had pain at night but too sleepy to notice where." " The next day, morning, a spasmodic pain commencing under the right clavicle and ex- tending down to the right side of chest and back; felt the pain twice, severely, when laughing, could not finish the laugh; exhilaration of spirits, and a feeling of lightness and happi- ness ; less languor from fatigue than usual." On the same page the provings w^ith "Miss V., age twenty years, temperament lymphatic," are given. She " took on Thursday evening one drop 30th ; a sharp pain in the right side in the region of the liver, extending to shoulder blade ; etc. A yellow appearance of the skin, partic- ularly around the mouth and neck ; a feeling of sickness and languor, lasted a whole week, with depressed S2}lrits and sad manner.^'' It will be particularly noticed that in these three last cases the same drop of the 30th dilution is described as causing in two of them, lightness of spii-it and happiness, and in the other, depressed spirits and a sad manner. 54 SECOND LECTURE. I have presented witli so much particularity the account of these " provings " as conducted at the Homa3opathic College at Philadelphia, and recorded in this new work of Dr. Hale, upon -svhich conclusions are to be based respecting the virtues and lioina'opathic applications of Golden Seal, because of the great importance given by Iloniojopatlis to this whole matter of provings ; and "we have here presented a phase of Homoeo- pathy, not as it was held three-quarters of a century ago, be- fore the light of the present advanced state of science was shed abroad, but as it is at the present time, in its latest manifesta- tions. And what a picture is afforded ! Another circumstance connected with these experiments, all of which it will be noticed commenced about the same date, should be understood. On page 1085 Dr. Hale says: "These provings were the result of a mutual understanding between the teachers of Materia Medica at Chicago and Phil- adelphia. The provings of the students of Hahnemann Col- lege, (Chicago) could not be finished and prei)ared for publi- cation in time to be incorporated herewith." Why this was so, we are not informed. Could not " potencies " be prepared and given as speedily in Chicago as in Philadelphia ? Is Chicago such a slow place that the results could not be as readily record- ed and prepared for publication there ? Or does not the 30th dilution of Hydrastis operate as speedily or in the same tcaym the younger as in the'older city ? It seems to me that no influenza, or generally prevailing coryza was in Chicago at [the time, as evidently prevailed among these students in Philadelphia ; and simiLar " symp- toms " were therefore not obtained. Facts within my own knowledge, renders this neither an unreasonable or uncharita- ble supposition. At the present time as formerly, then, in these " provings," ordinary and infinitesimal doses are used in- discriminately — the same efiects supposed to be produced by each, and the same upon the well and the sick. Nowif by trituration and shaking a new power is added — "a new and unheard of power," would not this make a difier- ence in the character of the efi'ects ? If an ordinary dose of SECOND LECTURE. 65 deiodroj) may be givea without marked efiects of any kind, but when just enougli "potentized " it will cure Hooping- cough ; if too much, as Hahnemann asserts, it may kill a child, can the effects be the same of the drug in all of its condi- tions ? So the matter is regarded in the *' provings " — no dis- tinctions are made. Again it is claimed by Homoeopaths, that their remedies produce effects in disease in such small doses, because of the great sensitiveness of the diseased parts to their action. They must then act more powerfully, and quite differently in disease than in health. Indeed, it is claimed also, that they cure disease by seizing upon, and drawing out, and uniting with the morbid element. How different then must be the ac- tion in health and disease ; and yet the provings are upon both sick and well persons, and the pretended symptoms from eacb are indiscriminately jumbled together in the works of homoe- opathic Materia Medica ! When a symptom from a drug is given, we are not generally told in the_text books whether the effect was realized, (or imagined) from a large dose or a small one — a crude or a potentized article — operating upon the sick or well. We don't know whether from one or many doses — whether continued a long or a short time. They make broad distinctions between primary and secondary effects of their medi- cines, but apparently not in the "provings." It cannot be too con- stantly borne in mind that Homoeopaths profess to regard these experiments as the bases of facts upon which their system mainly rests. They are constantly boasting of these researches as adding largely to the sum of human knowledge. Dr. Hale says: "A medicine cannot be said to have reached maturity until it has been subjected to a thorough physiological proving. In other words," he continues, " it is in the hands of the Homoeopathic School alone that a medicine is capable of reaching complete development.'' The speci- mens of these " developments" are before you. You can but see that for the most part, there is one loose, confused jumble of puerilities, inconsistencies, and contradictions. Need anything more be said respecting these " unparal- oO SECOND LKCTURE. leled experiments," " upon the accuracy and reliability of which depend the future interests of liumanity ! " "Humanity'' must certainly be in a sad way if depending upon the accur- acy and reliability of these homoeopathic provings. Tlie Psora or Itcli Doctrine of Hahnemann, embraced by many, but not all of his followers, as it is not essential to his system of Therapeutics, I sliall not fully explain. I will only say he believed in three Miasms as the causes of Ciiroiiic Dis- eases — Itch, Syphlis, and Sychosis. The Itch prevailed much the most extensively, and was the cause of a very large jjroportion of Chronic Diseases — Scrofula, Cancer, Consumption, Rickets, etc. He wrote before, the " Itch Mite " was ge-nerally regarded as the cause of this disease, and as the principle or inaterici morbi of its contagion. He thought the suppression of the eruption from the surface dangerous, leading to all these bad results. It was to be cured by " potentized " Sulphur. It had some couDcetion with " Original Sin," etc. ; was herditary, etc. But I refer to it as showing the visionary character of Hahnemann's mind, and not for the purpose of examination and criticism. The method of I&opatliy whose author was Lux^ of Leip- zic, is often confounded with IIomoeoi)athy, and requires a word : " This method is based upon the principle that to cure disease we must employ remedies that produce effects not sim- ilar^ but the same diseases in the healthy organism." The treatment of frozen parts by cold, burns by heat, are examples; but as Rau justly says, "this can be accounted for without alluding to Isopatliy." Sudden changes from a frozen to a thawed condition are dangerous. Snow thaws gradually in a warm room, and the results of the freezing are therefore less. But certain drug-diseases, it is alleged, may be cured by dilutions or potencies of the same drug. Vaccination is spoken of as Isopathic. The most that can be said about this is that the susceptibility to this form of dis- ease is exhausted by the persons having it once. This will be more fully explained in another connection* SECOND LECTURE. 57 • The Isopathists allege that Itcli may be cured by matter from the itch vessicles, whicli they call Psoria or Psoricum. Scald head with Psoria. Gonorrhoea with Gonorrhoein. (the matter of Gonorrhoea.) Pedicnla by Pedicnlin, (Potentized Parasites,) etc. But as these views are not insisted upon by IIonKcopaths generally, they must not detain us. Another very convenient doctrine is held by many llo- raceopaths, viz. : that aggravations of symptoms in many cases are necessary at tirst, in order to effect a cure. Convenient, I say, as it enables the Doctor to quiet the minds of the patient and friends when the symptoms are worse after treatment com- mences. I need not dwell upon it. I have now presented all the essential principles of Hahne- mannic Homoeopathy, and in the language of its author and supporters. Not a single passage has been misquoted, design- eilly garbled, or in the least degree misrepresented ; and I challenge contradiction as to a single statement made. But do all Homoeopaths hold to these views of Hahnemann ? What is the present Homoeopathic creed ? In regard to "prov- ings " we have brought tho subject down to the present time. But this question as to the present standard creed of the Ho- moeopathists generally, is not easy to answer. There is, per- haps, no absolute uniformity of opinion or practice as to any one cl Hahnemann's doctrines. HOMCEOPATHY. LECTURE III. Gentlemen. — In the last tAvo lectures we were occupied with an account of the doctrines of Horaccopathy as taught by Hahnemann, its founder. But little attempt was made to show the fallacy of these doctrines, except in the case of the " proviugs," the character of which was illustrated by exam- ples from standard works, and by quotations from homoio- pathic authorities respecting their unreliability. Let us now review these chief doctrines in the inverse or- der in which they were presented, referring to the views of other homceopathic writers as occasion may require. The sys- tem of " provings " has already been sufiaciently dwelt upon for you to aj)preciate its value. As to the rule of administering but a single medicinal substance at a time, I have sufficiently shown the impossibility of a compliance with it in the triturations ; and I may add that many, if not most, or indeed all homceopathic practioners now alternate medicines ; and some advise compounds. Thus, Ran, in his Organon, which Dr. Hempel calls " a philosophical and argumentative exposition of the principles of Homoeopa- thy," on page 178, says: " If different systems and organs be affected, the cure is promoted by giving two remedies, one of which corresponds to one, and the other to the other affection, in alternation." " Thus," he continues, "Digitalis and Nux Vomica may be given alternately in a complication of pneurao- 00 TIIIIU) LE( Tl'ItE. ni:i and gastric symiitoms ; Sulphur aiul Nux Vomica in chronic abdoininal coin{)laints," etc. Again, on page 118, the same autlior says : " Mineral Wa- ters, which liavc such Avondorful tlierapcutic properties, are compound substances." And again, " We possess several pharmaceutic comi)ounds, wliich we cannot reasonably reject in practise, provided ihcy are always prepared in the same manner." lie CDDtinues : " There are compounds which have be- come standard preparations in our pharmacopiuia, and which we have a right to retain because we are fully acquainted with their therapeutic use. Such preparations are, for instance, as Calomel and Opium, Ammonia and Tartar Emetic, Cinchona and Sulphuric Acid, etc. Ilenriques, in his work, i^age 271, however, says: "A distinguishing characteristic of Ilomrcopathic practice is, the administering one single remedial agent at a time." Hempel says, — vol. i, page S7 — "The method of alternating two medicines at regular intervals, is generally resorted to in acute cases only," mentioning many articles that may thus be alternated, and adds : " We hear of physicians (Homoeopathic) using four and even six medicines, not only in the same case, but at the same time, alternating them in regular order ; and Luz " he says, " in a late publication, has proposed to mix the remedies, instead of alternating them." Thus we have the " consistency and universality " of ho- moeopathic teachings, as " a doctrine of life, a heavenly truth," illustrated. It will be remembered that Hahnemann strongly recom- mended medication by olfaction as the mildest and safest, and quite as efficient a method as by swallowing. Rau says, — Organon^p. 178 — "Very sensitive, hysteric females, are in- deed affected, by merely smelling of the medicine, (I suppose he means the dilution,) but the re-action occasioned by olfac- tion is very fleeting at any rate ; " and Hempel says, " this should only be resorted to in purely nervous affections ; " ad- ding, " We doubt whether it can be depended u]ion in acute THIRD LECTUKE. 61 inflammations, or in disorders of any kind which may termiii- ato in dangerous disorganizations." I'm afraid, Gentlemen, it cannot. This method, I believe, has generally been aban- doned ; and it is not so much to be regretted, as Hahnemann averred that smelling of a globule at the thirtieth dilution, or putting it upon the tongue, and not drinking after it, was very much the same. With this opinion I am prepared to concur. The mode of preparing homoeopathic medicines, with many of the School has not changed since the time of its founder. In the Homojopathic Medical College of Philadel- phia, the regular process of Hahnemann seems to bo followed as we have seen ; and Dr. Hempel, in his Materia Medica, rec- ommends this metjiod as the best But he says, "the pre- paration of the ingredients in making our preparations has been considerably modified." "Instead of taking one grain of the medicine, or one drop to ninety-nine grains of Sugar of Milk, ten grains of the drug are taken, to ninety grains of the vehicle." IIahnemann''s scale is called the centesimal^ and this new scale is designated as iho decimal scvile. " I believe," he adds, " that the decimal scale is now more generally used by homoeopathic physicians than the centesimal, Griiner, a leading pharmaceutist, accepts the decimal. Used at the first dilution with powerful medicines, as Arsenic, Strychnia, Corrosive Sublimate, Morphine, etc., this change would make all the difference in the Avorld. But with the weaker medicines, or with any medicines in the higher dilu- tions, as with snuffing or swallowing, it would be all the same. While Hahnemann was so particular about all his pro- cesses, quantities, and potencies, you will be struck with the indifferent manner in which the various methods and quantities are spoken of by modern homoeopaths. To deny the efficacy of the inflnitesimals, xcoxild he to reject the testimony xipon which the system of Homoeopathy is founded. To reject all the experience with the high dilutions, is to reject nearly all former reports of the great success of homoeopathic treat- ment — is, in fact, to acknowledge that all, or at least, most of 62 THIRD LECTURE. the past is a delusion. This conclusion cannot be avoiOcd. TIk- niiu'ty, and ninety-five por-ccnt. of Cholera cases so osten- tatiously and fahch/ reported as cured by Ilonia'opathy, must all go to tlie wind if the efficacy of infinitesimals is denied ; for these cases y,crc jyrqfesscdli/, though probaldy not really, treat- ed by inlinitesimal doses. Ilencc, belief is professed by these men in the power of such doses, while at one step the quantity of medicine in what they call the "potencies'' is increased ten fold ; and the first attenuations and even "Mother Tinctui-e," as they are called — and indeed the Cruder forms of medicines are unscrupulously used ; but whether upon the principle of similia simiiibus cur(aitin\ we shall in due time sec. Indeed Kau, and Marcy, and Ilcnriques, and Hempel, and nearly the whole of them, at times, seem tj regard the matter of quantity, — whetlier the decimal or centesimal scale ; whether the Crude article, or the forty-fifth dilution, as a matter of no essential moment. Thus, Kau, on page 183, Organon, says: "If the remedy is chosen in accordance Avith the principle of similia siinilibiis curantur, the treatment is homojopathic whether the dose be large or small." While, as we have seen, he doubts the efficacy of Olfaction ; and on i)age 182, he says : " the weaker medicines must be given in the lower dilutions ;'' yet, on page 181, he says : "In inflanmiatory aflec • tions of the meningcnial membranes," (membranes of the brain, I suppose he means) " with convulsions, in the case of children, I have seen the most remarkable curative effects from the forty-fifth potency of Belladonna I" — The quantity in the thirtieth, divided by one hundred, fifteen times! ! Ilempel says in effect much the same things. Yet in vol. 1, p. 79 Mat. Med., he says : — " The use of infinitesimal doses is one of the characteristic peculiarities of our practice." Dr Marcy in his Practice of Medicine, on page 108, says: "What cared Hahnemann, — what care his discipjles — whether they use one or twenty drops of a tincture, or one grain of a twentietli attenuation V" But, he says, the attenuations originated with Hahnemann as a necessity, on discovering that the tinctures often jn-oduced too violent an impression upon the affected TniRD LECTUKE, 63 structure. Of course, wlieu over excitement exists in an or- gan or in tlie whole system, an excitant in sensible doses is very likely to do harm. If great depression exists, the use of depressing agents in sufficient quantity to produce effects, will lead to greater depression. Those facts must ever have the effect of confining those who prescribe on the principle of sim- ilia slmilibus to \Qry small doses. This is a necessity. But while Hahnemann declared in the most positive manner the high attenuations best in all cases, most of his followers of the present day give the lower ones — or crude articles, accord- ing to their notions, or their ^'■infallible experiences.'^'' This harmony, consistency and universality of the '' heav- enly truth '' is indeed quite remarkable. It seems, then, that a " Homoeopathic dose '' now means any quantity which may be put into a human stomach, or approproximated to a human olfactory. Yet Henriques, agreeing with the remark already quoted from Hempel, says : "The administration of imponderable doses in the treatment of disease, is a characteristic of Homoeopathy.'' But on the other hand again. Dr. Lobethal, a high Ger- man Homoeopathic authority says : "I am decidedly convinced, . that in order to apply the Homoeopathic treatment with suc- cess, we should take cognizance of the whole scale at our dis- posal, from the actual dose of the old School, up to the high- est dilutions of which any medicine is susceptible ;" and Dr. Gross of Germany, another higli authority says : " The phy- sician may vary the dose from the highest dilution down to one or more drops of the undiluted Tincture." Amid this confusion and contradiction of authorities, it becomes difficult to define the present standard Homoeopathic creed. Indeed, in the process of change and disintegration, which is evidently going on, no standard creed exists. Be- fore we get through with the subject we shall see that each of the distinctive doctrines is denied and rejected by the hom- oeopathic authorities themselves. Hempel in his 3fateria Medica, vol. 1, p. 801 says: " Of Hahnemann's original rules of treatment hardly one is followed by modern practitioners. 64 TIIIKD I-ECTIUK. Who treats a case oi" Syphilis now by giving a single t^lobulc of tlie 30th potency of Morcurius Soliibilis, and no more, as Hahnemann advises? Or who treats a case of Scabies with a single globule of the 30th potency of Sulphur, as lie advises U8 to do? We have learned by abundant cjcperknce that we can do better in many cases, and that unless we sometimes acted differently, we should nut be able to cure our i)atients." But Hahnemann's " experience," proved to him the efticiency of his single doses. What confidence can we place in any of these " experiences ? " — especially when their pretended con- clusions violate every principle of reason and common sense. The doctrine of Potentization, Dynamization, or Spiritu- alization, so urgently insisted upon by Hahnemann — and the only doctrine which can possibly rave the infinitesimal doses from absurdity, and froai the contempt of all sensible men, is, I think I may say, very generally abandoned by Homoeopaths, at the present time. It is true there is not a single established fact, tending to prove such " new and unheard of powers " be- ing given to drugs by triturations and shakings ; yet there is no inherent impossibility in the assumption ; and there might be some analogy in the fact of electrical power being given to certain substances by friction. But Homoeopaths of the pre sant day reject the doctrine as a mistake or delusion of their "great Founder." I have already shown that it was a neces- sity to Hahnemann's System, and "svith its rejection infinitesimal doses must be abandoned. The rejection of this doctrine of potencies is the secret of the substitution of the Decimal for Centesimal method of preparation ; and the substitution of the "mother tinctures," and crude articles for the]dilutions. The eflFect of resorting to these larger doses, upon the princi- ple oisimilia similibus as a general law, we can but see. A system of whatever kind consisting of parts dependent upon each other, cannot lose any of those parts without falling into dissolution. " In Nature's chain whatever liuk we strike, Tenth, or ten-thousandth, breaks the chain alike." So in this artificial toy system of alleged princii^les, like the circle of bricks set up by children, when one is toppled Tltmi) LICCTURE. 65 over, all must fall. Some of the parts may beheld up for :i time, but the superincumbent pressure must at length prevail, and ditterent from the bricks, if once completely prostrated and abandoned by the large body who are now playing with them, they will never bo set up again — certainly not, until af- ter the lapse of years. Some future antiquarian may exhume them, and some future generation of urchins may recnact the play. But are the "potentizations" really denied by Homoeo- paths ? By many, certainly. Rau in his Oi'ganon,\). 158, says: "Nor is it sufficient to assert that the quantity and quality of a horaoeopahtic agent are in an inverse proportion, and that the power of the drug increases as it is more highly attenuated. This is contrary to experience. We attenuate medicines to diminish their excess- ive action." Now, to be sure, llahnemanu's experience was just the re- verse of this ; and besides, the Sage declared that " all the ex- perience in the world could not disprove the /ac^ (?) that the smallest doses were the best." — the most powerful for good of course. This Homoaopathic " exj^erience" is a very curious af- faii". Itseemstobeable to^^raye anything that is desired. Rau, in the same paragraph, adds : "We know from '■ experience " that the dynamically disturbed organism is most powerfully affected by influences which have a tendency to realize a sim- ilar disturbance in the healthy organism." So, according to this evidence, that matter is settled. But experience has given the hundreds of symptoms recorded in the homoeopathic books as the eflfects of Charcoal, and Sulphur, and Silex, and Chalk, and other thingfr, even Avlien given in infinitesimal doses — those symptoms which llempel in one of his more lucid mo- ments designates as " the tens of thousands of puerile and ut- terly useless trioiallties which have excited the derision of both friend and foe." 3fat Jled. p. 04. He adds as an explana- tion disapprovingly — that some i^rovers "note down as drug- effects every sensation which he may experience after taking the first dose." This is indeed the common fact. GG THIRD LECTURE. In relatliiGj a roported lioma^opalliic "cure" by a medi- cine wliifli hu did not happen to believe in, the words of a man he evidently disliked, lie said, you will remember, " the remedy had as much to do with the recovery as the ' com- et's tail.'" Strange that it should not hare occured to him that the many cases, he and others relate of recoveries, after a globule had been swallowed or snuffed, might not have tlie same relation to the supposed remedy, the relation of this re- covery and the " comet's tail." As Polonius would have said, " Comet's tail," is good. In reference to this question of Potentization, the position of Dr. Ilempel is attempted to be expressed in his Mat. Med., vol. 1, p. 78-9. Here it is, and you shall see what you can make of it : "A Homoeopathic medicine acts by carrying the war into Africa; it acts like the lightning-rod inviting the thunders of Heaven. Here is the stranionium-cUsease, the creative stra- riioniian-force having invaded the organism where it meets a kindred recipient faculty, a pre-disposition whicli it excites into a violent, palpable disorder. We act upon it by means of material molecules for whicli the the stramonium-force or es- sence has a stronger attractive affinity than for the organic tissues. These material molecules are the stramonium-drug in a suitable state of preparation. If the drug-molecules are not endowed with sufficient force to draw the disease to them- selves, in other words to materialize it, to convert it from the dynamic or immaterial form in which it pervades the organ- ism, into molicular drug-atoms of limited dimensions, and harmless as disease — producing agents, the cure fails. Either the disease was not a stramonium-disease, or else the inimical force had so thoroughly assimilated the organic tissues that their dissolution had become inevitable. It is in this exact adaptation of our remedial agents to diseases, that consists their potency — their power to act. Potency has not refer- ence to quantity or number, but to t J le curative adajytation of drugs to diseases. In this sense a globule of the 12th attenua- tion of arsenic, may be a far more efficient potency than ten drops of Fowler's solution ; whereas, on the other hand, a few grains of quinine in fever and ague, may exercise a more posi- tive curative influence, and therefore constitute a more efficient potency, than a few globules of the 30th attenuation. Hahnemann taught the doctrine, and this doctrine is founded in Nature and Reason — that it is the drug-force which effects cures. By drug-force, we mean the morbific essence TniKD LECTURE. 67 wliicli materializes itself in the plant, and develops pathologi- cal lesions in the organism. This drug-1'orce can never be wholly separated from the material molecules of the drug ; but by resorting to various peculiar processes of shaking and trit- uration, this drug-force may bo set free, disengaged, and may by united with a temporary vehicle, such as alcohol or sugar of milk." The triturating and shaking are to be described. " For the present," he adds, " let it sufiice to know that it is the in-dwelling dynamic force of drugs which effects our cures by absorbing, attracting, as it were, the morbific essence to it- self, and amalgamating or incorporating it with the molecular atoms of the drug." He fiirllier says, "the process of rubbing and shaking is designated as an attsnuation by those who look upon this proceeding as simply a mechanical division or sepa- ration of the drug-molcculcs ; the term potency or dynara- ization, is applied by physicians, who regard the process of shaking and trituration as a development of the in-dwelling drug-force." He seems to hold t'lat the drug-force is in great quantity, in a medicine, and is separated and let loose by shaking. This is a modification of Hahnemann's notion of an added force — a new and unheard-of power 2^^'oduced hy the shaking. Hem- pel developes or separates it by rubbing. One view is about as rational as the other ; and practically they amount to about the same thing, viz. : that the power of the drugs in trituration and shaking is developed or increased. The medicine is po- tentized. But this is not the common view of Homoeopaths. Potentization, by the masses, is relinquished. Hempel is not a representative man of his school. But who is a representa- tive of modern HomcEopathy ? Ran finally explicitly says : " It is my opinion that the virtues of medicines are coui- jjletely developed in the first, clear, transparent dilution. Some agents pDsscss the power of deranging ^the organism in an extraordinary degree, compelling even Allopathic physi- cians to prescribe very small doses, lest the organism should be injured. This circumstance, of itself, is sufficient to show that the power of a drug is divided in proportion as the drug is attenuated. If that poAver were increased by the attenuat- 68 THIRD LECTUnK. iiig process, every rciueilial ngoiit wouM lie coiiverted into a deatlly poison." Marcy, p. 119, says : " We iiifor, tli:it no now properties arc dovc'lojH'd by the Ii()in(eo[)atliic nictlio'l of preparing drugs, except sucli as arise iVoni the mere subdivision of their parti- cles ; and that all ideas respecting spiritaalizatlon, dynnialza- tion, and magnetism, in the prepa ation of medicines, arc erroneous and untenable."" If medicines -were increased in power as Hahnemann taught, could the matter remain long in doubt? Could it not bo tested? AVould any Ilonioeopat'is deny it? Here, as else- wiiere, the discrepancies are seen. It seems almost a waste of time to attempt an argument against the effects of infinitesimal quantities of common mat- ter of ordinary drugs, such as Sulphur, Lime, Potash, Golden Seal, or the more powerful articles, even, as Nux Vomica, Aconite, Mercury, Arsenic, etc.. at the thirtieth dilution, or any other above the very loArest, if potcntization be rejected. It seems only necessary to remind you of the extreme minute- ness of the quantities in these dilutions, as already shown. Yet to give a show of plausibility to the alleged power of such dilutions, the effect of imponderable quantities of specific and c )ntagious poisons, and particularly of the poisons of Small-Pox and the Vaccine disease arc constantly adduced as illustrations. I need hardly remind those of you who are medical students and acquainted with the doctrine of contagion, of the want of analogy — the total difference between the mode of operation of Sraall-Pox and Vaccine poisons, and that of medicinal sub- stances referred to. The infectious or contagious poison i^f/in')jiinal,ixs has al- ready been stated — is a living cell or molecule, capable of multi- plication in the system. It must and does multiply before it pro- duces its effects. The smallest particle of this germinal matter introduced into the system by inhalation in the air, or by ir- noculation into the skin, thus reaching the blood, after a week or two, the period of incubation, as it is called, so increases in the body, taking nutritient materials to itself, as to manifest the XniRD LECTURE. 69 most decided effecls — the phenomena of the disease ; and producing the most sensible amount, even ounces, and perhaps pounds of the same kind of matter, in Small-Pox, passing off in effluvia, or accumulating in the pustules which are so abun- dant. But no one pretends that medicines are living germinal matters, thus multij^lying in the system. Thus the analogy and the ilUistration entirely fail ; and common sense and com- mon sanity so strongly protest against the i^ossibility of such effects, that I need say no more. ' The next homoeopathic doctrine in the system to be no- ticed, following the inverse order in which they were mentioned in a former lecture, is that respecting the totality of symptoms. According to Hahnemann, (I sho^ved that it was a necessary part of his system), Ave cannot know anything of disease except the symptoms. The symptoms in their totality reflect the in- ternal disease — the affection of the vital force. But says Ran, " the philosophical and argumentative ex- pounder of Homoeopathy," {Organon, p. 99) ^^ Sym2')toms are only one portion of the clue which leads to the perception of the true nature of the internal morbid process. * * In some cases the symptoms are not so clear, and the real nature of the disease has to be determined by a jmori reasoning." He goes on to urge at length the importance of enquiring into the history of tlie case, the tcjulencies of the constitution, the causes of the disease, the surrounding influences which are injurious or advantageous to the patient, as well as an appre- ciation of existing symptoms ; and in speaking of the objects of treatment, he says (p. 313) — "For a long time past it has been felt that the removal of single symptoms does not consti- tute a cure, any more than we can extinguish the flame of a burning house by directing the stream against one side only. The fruitless attempt to combat the totality of the symptoms by a combination of remedies producing opposite effects, finally led to the conviction that every disease, in order to be cured, must be seized by the root. In this way the idea of rational medicine has first been started, and will ultimately triumph." On p. 156, he adds: "In treating patients symptomatically, we often come in collision with the curative efforts of nature.'''' 10 THIRD LKCTURE. You have been taught, gentlemen, that it is more import- ant to change pathological conditions, and to remove morbid causes, than to aim ycur treatment at the mere palliation or removal of symptoms. But the homoeopathic method, based upon the alleged similarity of drug effects to the symptoms of disease, cannot act on this principle. Ilenriques, the forcible and plausible writer in favor of IIoma?opathy, (as he understands it), already referred to, in summing up a discussion on this question, says: "I trust I have shown that the symptomatic school of Hahnemann is cor- rect in assuming the primary and radical scat of disease to be the vital force, and that the only elements of disease that can be of real importance in a therapeutic point of view, and which can constitute the great basis of medical science, are the vital signs and symptoms." (p. 228.) But here, as everywhere, there are differences of views among Homoeopaths, Hahnem.ann's doctrine on this question seems to predominate. It is a part of the system, though de- nied and. abandoned by many. We regard pathological con- ditions — arriving at a knowledge of them by all means possible. — Causes and effects — all the morbid phenomena — as affording therapeutical indications — as objects of treatment. It is un- necessary for me to urge upon you considerations in favor of this view. But in thus presenting you with the views of dif- ferent Homteopathic writers on this subject, you may behold " with hearts full of reverence, the consistency and zmiversality of the teachings of this heavenly truth !" (Hempel.) Wc come back now to the first — the great central doctrine of Homeceopathy — Similia Similibus Curantur\ the alleged universal therapeutic principle — " the sole law of cure." We have found all the other essential doctrines of Hahn- emann, rejected and opposed by his professed followers, as not having sufficient plausibility, or evidence in their favor to com- mand the assent of all his disciples. I fancy also that none of these views which have been commented upon have received the assent of the judgment of any one of you who has given his attention to their statement. THIRD LECTURE. 71 If we should now lind tliat this dogma is also rejected by many of these same disciples and professed followers, and what is much more important, that it is clearly opposed to both facts and reason — what in our estimation, will have become of this wliole system, and of its several jjarts ? Homoeopathists in a general way, however, insist upon this as a great law and a great discovery : as the great central principle to which all others are subsidiary — and many say we ought to drop out of sight Hahnemann's other views, such as infinitesimal doses, potentizations, spiritual medicinal influ- ences, the itch-miasm as the cause of seven-eights of all chronic diseases, etc., etc., as mere subsidiary articles in the homa3op- athic creed, to which all his followers do not implicitly sub- scribe, while we look to ^^ Similia Similihui Curantur'''' as the sole vital part of this medical system. Dr. Scott, a leading English Homceopathist, and one of the most learned of their writers, says in the British Journal of Homoeopathy — " The essential characteristic of the homoe- opathic schools is singly and simply the adoption of a law of treatment applicable to all forms of disease, expressed by the words, Similia Similibus Curantur / this," he adds, " we conceive to be the whole distinctive creed." Most of the Homoeopaths of the present day in conversa- tion, will declare this the only principle upon which they in- sist, and by which they are governed in practice. But do they all adhere to it, as a universal principle — and are they all gov- erned by it in practice ? And what is still more important, is it true ? Is it a universal principle? Is it even a general law? Is it, in fact, any law at all ? Now as to whether Homoeopaths, even in their writings, where coming'down to facts and details, regard their law as universal; I will first refer to Rau, wliose work is so strongly endorsed by Hempel, his translator. Rau's first general therapeutic rule is stated to be " to re- move all morbid influences ;" and he remarks that many dis- eases disappear simply by removing the morbific influence. (O/y. p. 138.) This, to be sure, is a simple dictate of common 72 TIIIKU LECTURE. sense and common observation, but it disproves the dogma of similia siinilU)iis, as tlic onl;/ law of cure. On p. 140, he rec- ommends an emetic when the stomach is overloaded, or contains foul matter from other causes. Ji\ such cases he says, "The shortest and simplest way it to take an emetic." If warm water and butter Avill not do, he advises ipecac, in proper emetic dosea, followed by warm water ; and after the vomiting is over, a cup of black coftee to restore the tone of the stomach. Coffee, he thinks, has a good effect in slowness of digestion ; but frankly confesses, " The action is not homoeopathic, but it is Enanthiopathic, in accordance with the principle " co)i- trarla contrariis.'''' I mention this," he says, " by way of ad- vice to those who condemn every land of antipatlxic treatment xoithout rhyme or reason.'''' On p. 141, he recommends cathar- tics in constipation of the bowels, lie relates cases where homoeopathic remedies had failed, but where a cathartic, as of castor oil, had cured the patient! On p. 143, he says, "The object of treatment with the partisans of every school and system, is to neutralize a morbid action by establishing a con- trary influence." Speaking of the principle " contraria con- trariis samanda,^'' and the methods of treatment in accordance with it, he says: "These rules have been followed for three thousand years, sometimes with great success. This must be admitted." He then, to be sure, goes on to mention objections to the plan of large doses ; giving examples of enormous ones which any of us would condemn ; and relates remedies which he regards as having acted homaopathically, a specimen of which is, " O^jium has frequently been employed with great success for incarcerated Hernia and Illius.'' Is that homoe- opathic ? The opium in such a case is given to allay the severe pain, overcome spasmodic action and diminish inflammation. Does any one imagine that it will produce, however given, any of these effects? Such a position would be simply preposterous. On p. 151, he says: "The living organism possesses the power to oppose and neutralize noxious influences, and when the morbid influence is weakened the organism cures itself.'''' On p. 15C-7, in Debility, adynamic conditions, he THIRD LECTURE. 1'i says: '"So-ctiliocl corroborants and stimulants have frequently been of great use." Page 177, "The derivative method has enjoyed great repute for severalthousand years past, and, with much evil has done some little good." "It is not my intention to defend cathartics, moxae, setons, etc. I confess, however, that I never hesitate to avail myself of all the means at my com- mand to relieve the patient ;" and then goes on to say, he uses external irritation to the chest when measles are slow to come out, "changing the whole scene" — hotfoot baths in congestion of head, etc. Cold to head with ice or snow in reaction after concussion of the head, " with incalculable benefit." In swoons and apparent death he recommends stimulants — when the vital action is prostrate, p. 17 G. On p. 189, he advises palliatou without regard to the homoeopathic law. In all these ways he denies in the most positive manner that similla similihus is the only method of cure, or that in many cases it is the best, or in- deed any method of cure at all. I need not insist that all these methods thus sanctioned by liau are opposed to the law of Homoeopathy, and subversive of all its essential principles. Henriques sjDeaking of the principles governing the old ;uid new schools— the old rule, he says, being contraria contra- riis acj'antur, and the new being similla slmllibus curantw\ on p. 240 remarks: "Nor can either claim the exclusive dig- nity of an universal law of therapeutic action. * * No doubt both are extremely useful, each in its respective and appropri- ate sphere, as empirical rules of practical guidance in the selection of a remedy; but neither can be considered as an absolute and universal law explanatory of the modus operandi of curative agents. He further says there can be "but one absolute principle of therapeutic art, which may be termed " cowiter-actlon,'''' operating by a two-fold law — " contraria contrarils^'' and^' similla simllibiis.'''' Where then, according to this authority, is the Universal Laio ? "These formulas," he continues, " are simply expressions of the only two fundamental modes of relation, as yet discov- ered, between the remedy and the disease." There are others, but no matter now ; according to this authority, Homoeopathy 10 T1 Illlia) l.liCTURK. is nut tlio only owv. Indeed, Ilcnriquos repudiates Ilahut- tnnnn's " Sy>tem of Medicine," and says there are three things whicli constitute the reformation of Hahnemann, viz. : 1. "TIk' tiefuiite knowledge of the action and eftects of piiarmaoeutical agents, acquired by direct provings upon man in the normal state." We have seen how much value can he attached to these as conducted by IToma'opaths. •_'. " The rule for a selection of a remedy, derived from the harmonic relation existing between the known specific ellecls of the remedy in health, and tlie ascertained vital signs of the given morbid disposition." But he has already stated that such relation is Antipathic :is well as Ilomceopathic. :?. "The practice aodpted hi the exhibiting of single remedial agencies ; and the administration of imponderable doses for the treatment of disease.'' You will remember that I have shown that the exhibiting of single remedial agents, triturated and reduced to imponder- able doses, is an impossibility ; and that most Homoeopaths alternate their medicines, and some mix them. From his stand-point, the " system" of Hahnemann is re- jected; and of the three things which ho retains, the first — that of the provings, is almost worthless — entirely unreliable, as seen by the recorded results of these provings by their stand- ard authors, and as acknowledged by the Homoeopathic au- thorities themselves. The second — the relation between the efiects of remedies and the symptoms of disease being one of counteraction — action against or in opposition to the dis- ease — manifesting itself in two modes — by Antipathy, or an- tagonism ; and Homoeopathy, or similarity — similarity being simply a less degree of difference, as we shall see. And the third thing — simple agents in imponderable doses — the first part of this being generally repudiated by Homoeopaths, and proved impossible ; and the last part, considered by Homoeo- paths of the present day as at least non-essential, and which is in the way of repudiation. I have thus given you the views of two distinguished European Homoeopathic authors in oppo- rniiu) LECTUEK. 75 sitiou to the universality of tlie law of Siniilia Similibics Cur- antur, as I have also already given various other homoeopathic authorities in opposition to the other views of Hahnemann. It is stated by those in the best possible position to know, that the condition of Homoeopathy is far better in America than in any other country — that is, there are far more homoeopathic physicians, colleges, societies, dispensaries, books, etc., in this country than in any other; and they attribute this greater success of the American, so-called homa>opathic physicians, to their departing more from Homoeoprithy, and adopting more from the Regular School here than any where else. It is not mere Homoeopathy that is successful, but the adoption of much of the science and treatment of the Regular School, of the so-called Eclectics and of the Hydropathists. " Very few," says Dr, Peters, (and the fact is perfecily well known to all who have observed their practice) " of the American homoeopathic physicians confine themselves exclu- sively to the liomEopathic remedies or homeopathic doses. The principle of Similia Similibus is not followed. In the Neio York Med. Gazette, vol. 1, p. 328, it is stated: '• Hahnemann taught that one grain of sulphur well rubbed up with 100 grains of Sugar of Milk, could be developed into a medicine of tremendous power and energy. But Dr. Barlow of Xew York, who ranks as a homoeopathic physician of ex- cellent standing, advises that 2 grs. of very pure sulphur bo mixed with 126 grs. of conium, quinine and morphino. A fa- vorite prescription is : Take Sulphur Pura, 2 grs. Ext. Conium Mac, 90 grs. Sulph. Quinia, 30 grs. Sulph. Morphine, 3 grs. Podophyllin, 3 grs. M. ft. pil. No. xxx. Dose onj or two, several times a day. Each pill contains one-fifteenth of a grain of the Sulphur, three grains of the Conium, one grain Quinia, one-teuth grain each of the Morphine and Podophyllin. In the Chicago Medical Examiner, an article on Modern Homoeopathy shows similar proscriptions and practices in the 7»» TniltT) LECTURE. TjOiuIoii lIuiiKpopatliic l)OS})it:il, ami in llic (l:iily doings of var- ious protondod Iloniocrpaths inXt-w York and clscwlicrc. In tilt' X. V, ^Icnlical Gazette, vol. 2, p. 0'), is a descrip- tion oi'a medicine prescribed by Dr. FreliL!;li to a rheumatic patient, consisting of a large quantity of Xit. of Potash, and not quite so mnch of Iodide of Potassium, dissolved in the Tincture of Actca Raccmosa, and given in one-half or whole teaspoonful doses. Dr. Frelif^h is in high standing among iroiiKPojiaths. The JVbrth American Journul of llomceopatloj — the largest and oldest horacropathic quarterly journal, in its Pro- spectus states, that " it will maintain a recognition of 'Sirailia Similibus Curantur,' as the only Therapeutic Law, and the superiority of the practice founded upon this law over all other systems and modes of medical practice.'' It will also oppose all attempts to amalgamate Homoeopathy Avith anything else, etc. But we find in it, Santoninc and Podophyllin prescribed in free doses by Dr. C. Judson Hill of Utica, X. Y. Also an ounce or more of bruised pumpkin seeds, followed by two drams of Sulph. Ether, and this by an ounce of Castor oil. Dr. Hedges of Chicago, recommends in it, excision of the part in Hydrophobia, and to cauterize with Xitrate of Silver ; then give Belladonna and Bromide of Potassium in free doses for six months. Dr. Henry A. Daniels of X. Y., recommends in all cases of Catarrh a solution of Sulphate of Copper, grad- uated in strength according to the necessity of the case. Dr. Stackers recommends an infusion of two drams of Senega in Pleuro-Pneumonia; and Prof. S.B. Barlow reports three cases of Goitre cured by 3d and l2th dilutions of Spongia — but adds an ointment of the crude remedy rubbed into the tumor each night. Journal for August, 1SG8. "The Chicago Homoeopathic Quarterly" is filled with similar things. A few years ago I was called to see a gentleman at some distance who had been my patient previously, and who was then in an alarming condition from an acute inflammation in the chest. Arriving by the cars late in the night, the attend- TIIIKD LECTUKE. 11 ing physician Avas not present, but he had loft a note lor lue, stating that the patient was taking niorpliinc, and, I think, some other medicine, in tlie ordinary doses as prescribed by regular physicians. In the morning, this physician came in, and a consultation -was held in the case, during wliich not an allusion was made, or an expression dropped, which excited the least suspicion of any irregularity in the views or practice; of the person with whom I was consulting. lie spoke freely of other cases which had occurred in his practice, and of his treat- ment— amon^ which I distinctly remember rheumatism, which he said he had treated successfully with large doses of alkalies; and pneumonia, in which the excitement of the pulse and other symp • toms had been controlled by the usual doses of veratrum viride. A course of treatment for the patient was agreed upon, Avith- out there being the slightest reference to homoeopathic princi- ples; and not until he had left the house to procure the medi- cine, when I was informed of the fact, had I the least suspicion that this man I had thus met, was a professed Homceopath. When he returned, in the presence of the family of the patient, I charged him with deception in professing a system he prac- tically repudiated — for giving to Homoeopthy the credit he had met with in the use of remedies given in accordance with the practice of the Regular School; and I enjoined upon the gentleman who had sent for me, to convey my apology and ex- planation to the regular physicians of the town for having been unconsciously in consultation with a Homoeopath ; who, had he adhered to his professed principles, could not have agreed with me in any prescription I could conscientiously have made. This man was no obscure and unknown pretender; but at the time, an associate editor, as I was informed, of a New York Homoeopathic Journal ; was soon after, and I believe now is, a professor in a Homoeopathic College, and is the author of a work on homoeopathic Materia Medica ! A year or two since, a womau in Detroit, in the care of a homoeopathic physician, died suddenly with symptoms of nar- cotism. Before a coroner's jury it was proved that a very large quantity of morphine was left by this Homceopath and ordered 78 THIRD LECTURE. to l)e administered — suflicient in tlie opinions of sonic of tlic pliysicians who investigated the subjcet, to cause her death. Dr. Taylor, of London, in liis Medical Jurisprudence^ re- lates eases of poisoning from morpliine prescribed by HomoR- opaths. Some months since, in conversation Avitli a distinguished clergyman and advocate of temperance, on the subject of phy- sicians so freely and indiscriminately prescribing alcoholic drinks; he said that he had had occasion to know much of the practice of both the regular and homoeopathic physicians in his own city — Brooklyn, N. Y. — and that the latter, as much as the former, prescribed the diftercnt ibims of alcohol, but neither upon the principle of similia similibiis or in infinitesi- mal doses. Whiskey by the glass-full for symptoms of debility, is certainly not honest Homoeopathy, and in many cases where prescribed, by men of any school, is not good practice. But, like the other cases, the use of this article by Homoeopaths shows the practical abandonment of the professed principles of the system. Dr. Cormack, of England, says, patients that have been attended by Homeopaths often come to him, and he finds the commonest and coarsest of the " ordinary " means of cure M'ithout the slightest reference to the homoeopathic principle, are used by them hahitualbj. Dr. Russell, of England, in an address published in the British Journal of Homoeopathy, adduced, it as a most gratify- ing reflection that, naturally. Homoeopathy welcomed and could include within it, the cognate sciences and curative methods, such as hydropathy, mesmeric cures, etc. Only yesterday, a man came to me who had been under the care of a homoeopathic practitioner of this city, who, after giving him imponderable doses for a long time with no effect, resorted to free ordinary doses, as he said, with some relief of his symptoms, but without effecting a cure.* *This case was one of cystic irritation. The man was a free drinker of strong cotfoe, and was advised lo discontinue his favorite beverage, but no medicine was prescribed. Wome days after he returned witli the account of freedom from hjs lung continued and distressing symptoms. Had he lalceu sugar pellets with the injunction to avoid coffee, leslitshould counteract their eUecis, he would have attributed his relief to the medicine. "Experience-' would have in'ovedits eflicacy^j THIRD LECTDKE. VO Many of these means, outside of their own medicines, they call " therapeutic auxiliaries" — helps of their homoeopathic, remedies. Ti*eating patients with infinitesimals until they sec something else must be done, they resort to these other meas- ures, but attribute the cure to their "infallible specifics." One is reminded of the story of the drummer-boy, who is said to have vaunted that he had defeated the French at Wa- terloo — though he allowed at the same time, that for this pur- pose he had incidentally used the English cannon, cavalry, and troops as his " auxiliaries'' in the work. How diametrically opposite is all this'to the teachings of Hahnemann and to real Homoeopathy ! " For," says Hahne- mann, in the prefixce to his Organon^ p. xi : " homoeopathy sheds not a drop of blood ; administers no emetics, purgatives, la.xatives, or diaphoretics ; drives off no external afl:*ections by external means ; prescribes no warm baths or medicated clys- ters, applies no Spanish flies or mustard plasters," etc. We thus see. Gentlemen, that homoeopathic professions and practices by no means correspond. It may be clauned that this system, like others, is progressive ; but when it is claimed that any dogma in a system is essential, infallible and universal, any progressing — any change from it is abandon- ment. The essential doctrine of Homoeopathy — that without Avhich it does not exist, is the universality of the principle that " like cures like.'''' To be sure, attached to this, and as a necessity going with it, are several other principles or practi- ces, such as imponderable doses, eci., and if one is abandoned the System is destroyed ; and certainly if the fundamental,esseu- tial principle is given up, all is gone. The principle o^ shnilia similibus is so definite in its character, and so broadly and posi- tively asserted as a universal law, that its abandonment in part is impossible — at least, is fatal to the claims of Homoeop- athy. Its distinct claim is to the discovery of an infallible, universal law of cure. We have brought sufficient evidence from the statements and practices of its own acknowledged authorities to show that this claim of universality is un- founded. In the next lecture we shall proceed to inquire into its claims to be considered as a law of cure in any sense. HOMCEOPATHY. LECTURE IV. Gentlemen. — As intimated in the lecture of ycstei'day, we shall now proceed to the examiuation of the claims of this central dogma of the system we have been considering, not so much as to its being a universal law, as to its being any- law at all. That the principle of " shnilia similibus cv.rantw^'' is not the only infallible laAV of cure, the testimony and practice of Homceopaths themselves, as already shown, has proved. Cer- tainly it may be so regarded in the absence of any direct proof of the assumption. But is similia similibus a law ? Does like cure like with sufficient a2y2)arent frequency to enable us to regard it as a principle of at least any considerable applicability ? In the first place let us enquire, what, indeed, is meant by like curing like? How much like, must the eftect of the rem- edy be to the disease. No where in Hahnemann's writings, or elsewhere, so far as I know, has the amount or degree of similarity been accu- rately defined that will make the agent curative, or the degree of dissimilarity that will cause the remedy to fail. All is left vague and indefinite. To be sure Hahnemann has said the eftect of the remedy must not be identical, but similar only. In similarity there is difference. Hahnemann further says, 11 82 FOUHTII LECTURE. the similarity must be the greatest possible, yet, nowhere docs he specify the degree of similarity necessary for the oper- ation of the "law." Measles is so similar to Small-Pox that for a long time they were confounded ; yet one does not cure or prevent the other; and the case of Small-Pox and the Vac- cine disease so often referred to as illustrating the *' law," en- tirely fails to do so, when closely examined. These affections do not cure, but they jt;?'eyen< each other — and each attack of either Small-Pox or the Vaccine disease, will prevent other at- tacks of the same disease in the same person, fully as effec- tually as they will prevent eacli other. Identity \\cyq, prevents, as well as what is regarded as similarity ; and the Vaccine dis- ease exhausts the susceptibility of the system to Small-Pox because of its essential identity with it. It is Small-Pox, modified by having passed through the body of the cow. But the actions of medicines have no analogy to the actions of these diseases. Medicines do not, by impressing the system, exhaust its susceptibility to another imjjression, either of the same or a similar medicine ; and they do not exhaust the sus- ceptibility to a disease whose symptoms are similar to their 'effects. No one pretends this. In the alleged examples of diseases horaoeopathically cur- ing each other, adduced by Hahnemann, he has mentioned some exceedingly dissimilar — such as Small-Pox curing Dys- entery, Small-Pox curing Amaiyosis, and Dyspnoea, and Deaf- ness. He seems as acute in seeing a likeness where he wishes to, as Polonius. " Do you see," says Hamlet, " yonder cloud that's almost in shape of a camel? '' " By the mass," says Polonius, " and it is like a camel, indeed." Ham. •' Methinks its like a wea- sle." Pol. " It is backed like a weasle.'' Ham. " Or like a whale?'' Pol. " Very like a whale." It must be acknowledged that Small-Pox is not as like Amaurosis, etc., as is "possible." How unsatisfactory in this respect, as in every other, is this whole system ! The principles of Alteration and Supersession are of fre- FOUBTH LECTURE. 83 quent application in Scientific medicine. By Alteration is un- derstood the action of a medicine upon some particular dis- eased process, changing its character or course, rendering it milder or shorter; and by Supersession is meant the substitu- ting for a morbid jorocess, a medicinal impression or action of a less severe character, or shorter continuance. These therapeutic princi[)les are similar in their natures and objects, and are not always distinguishable from each other. Considered in a general sense as the same therapeutic law, it is illustrated in the application of an astringent or mild caustic to an inflamed or granular eye-lid, or to an ill-conditioned ulcer ; and also in the application of Tincture of Iodine, or a Solution of Bromine to Erysipelas, or other forms of external inflammation ; and of the apjjlication of Nitrate of Silver, or Oil ol Turpentine, to a chronic, or low form of inflammation of the stomach or bowels. This is claimed by the Homoeopaths as treatment in accordance with the principle of like curing like, as these articles applied to the healthy jaart would produce more or less disturbance, resembling in some] degree the con- dition sought to be cured. Now, if such changes — such alterative or substitutive effects, are Homoeopathic — then is the Homoeopathic principle one of the laws of cure ; but a law of cure which has ever been recognized from the dawn of medical science, and which ever will be recognized as long as the art is practised by sensible men. It is a law of cure of quite extensive application ; but by no means applying to all, or even a very large proportion of cases. But is this kind of action properly Homoeopathic ? Is the cure effected in consequence of the similarity of the medi- cinal action to that of the disease, or in consequence of the medicinal action differing from it? Dr. J. C. Peter?, of New York, already spoken of, raised this question some years ago, and his argument which strikes at the very root and foundation of the Homoeopathic " law," has never been successfully answered. Certainly the substituted action is a different one, and it 84 FOrUTII LKCTURE. overcoiiK'S tlii- morbid action, because il is dillereiit. Its pro- ducing iu sonic cases somewliat similar etrects is a mere incider.t — is by no means necessory to tlic curative action, and is as lai- as i)ossible from being the reason of tlie remedial eifcct. Dr. Peters justly says, that a thing Avhich resembles an- other is not identical with it, but it differs more or less, l^e- semblanc3 always includes some dittereuce. Hence, a remedy whicli acts similarly to a given disease, also acts somewhat diff'ureiithi from that disease. If there be an identity in the actio;i of the r.'medy and that of the disease, then can there be no cure, but an aggra- vation. If the similarity or homceopathicity between the ac- tion of the remedy and the disease be too great, then will there be aggravation instead of cure. But in i)roportion as the simi- larity grows less, and the difference increases, so will the rem- edy alter, change, remove, take the place of, or cure the dis- ease. Our remedies then produce an effect different from the disease. This difference may be so great as to amount to an- tagonism — antagonism being the greatest degree of difference — or the difference may be so slight, as to morge into similar- ity; for similarity is merely a lesser or least degree of differ- ence. No remedy can cure any disease, unless there is some dlf- /erence between its action and that of the disease it is given to cure : otherwise it would not alter, modify, change, or substi- tute its action for that of the disease. If there is no difference between the action of the remedy and that of the disease, then each dose or application of the drug would only add so mucli more to the disease — would aggravate it. In other words, the greater the homceopathicity, at least, after going beyond a cre- tain point, the more it will aggravate ; Avhcn, of ecurfi^e, a suf- ficient dose is given to produce a sensible eflect. Now, in a vast majority of internal diseases, where a med- icine whose effect strongly resembles the disease, is given in doses sufficient to produce any sensible effect, an aggravation is produced — the patients are made worse but [not better by the drug. In proportion as the similarity grows less between FOUUTll LECTURE. H5 the action of the roinedy and that of the disease to be cured, so, as a general rule, will tlie chance of altering, modifying, or changing the disease into something milder or better, increase ; that is, the less the similarity or homoeopathicity, and the greater the difference or allojjathicity (if you please), so will the chances of improvement or cure increase ; but of course the dose must be large enough to produce an alteration, or change, or modification, or lessening of the disease. Infinit- esimals — certainly, unless potentized, will produce no percep- tible effect. I repeat the point to which I wish to call partic- ular attention, that the fact of an agent producing a somewhat similar condition to the disease it modifies, where given to a person in health, is a mere incident or accident of its action, and not of an essentially curative nature. It is one of the strangest phenomena of the human mind, that this mere acci- dent of some remedial agents, should have been seized upon and exalted into a law of cure ; especially into one universal, sole law of cure. But in the greater number of cases, says Dr. Peters, the remedies given by the Homoeopaths have no kind of homceo- pathic relation to the disease intended to be cured; or at least a very slight one. Morbid conditions are so exceedingly di- verse, and the Materia Medica of the Homoeopaths so limited; the effects of medicines are so imperfectly known, and their relations to symptoms so slight and illydefined, that if the prin- ciple of "like cures like" were a true one, its application would be too imperfect and difficult to render it of value. In examining the works of Homoeopathic writers, one cannot but be impressed, by the extreme looseness and inaccu- racy of their statements, admitting the correctness of their pretended, law. They all seem to see likenesses where they do not exist, or where they are of the most obscure and doubt- ful character ; and most absurdly attribute changes to the effects of their medicines which occur in the natural course of disease. The pretended similarity of the effects of their rem- edies to the phenomena of the diseases they are given to cure, have, in most of the cases, no reality. The Homoeopaths, for 86 FOURTH LECTUEE. example, declare that Pleurisy will be cured in twenty-four hours by Aconite. Will that agent cause a pleurisy, or any- thing like it ? Who could have the hardihood even to pretend that such is the fact? Such similarity certainly does not exist between tlie effects of remedies and the phenomena of those diseases most certainly known to bj cured by them. If anything is certain in Therapeutics — if there are any specifics in medicine, they are to bo found in quinine for ague — in sulphur for scabies or the itch — in lemon-juice and succu- lent vegetables for scurvy — in iodine for goitre — and in col- chicum, at least as a palliative, for gout. Now does the effect of either of these remedies resemble the symptoms of the dis- eases they are respectively known to cure ? Will quinine pro- duce intermittent fever, or anything like it ? Of medical men I need not ask this question. Many of you, Gentlemen, have been in the army. Most of you have seen quinine adminis- tered there or elsewhere, in a great variety of doses, large and small ; and for longer and shorter periods of time. Have you ever known a case where the occurrence of ague was attributed to the action of this agent ? General experience, in thousands upon thousands of cases, denies any such results ; and partic- ular experiments by Simpson, and others, have failed to produce any such effects. IIow quinine does operate in curing the ague, we may not positively know. Probably, either by neu- tralizing the malarial poison, or by restoring some needed element to the system, or by impressing it insuch a manner as to prevent the effects of the poison ; but in neither of these supposed modes of its action is there the slightest evidence that the -principle of similia simillbus has any part. On the contrary, it is certain that no such principle operates in the case. Sulphur is well known to cure the itch. But will it pro- duce it, or anything essentially resembling it? Genuine itch which sulphur so certainly cures, is produced by a parasitic insect burrowing into the skin, Avhich the sulphur kills, but does not produce. The idea that it produces its effects on the prin- ciple of similia similibus curantur is too ' absurd to admit of discussion.^" _^ , FOURTH LECTURE. 87 Will lemon-juice and fresh vegetables cauBe the scurvy ? or colchicum the gouL ? It has already been shown that iodine do8s not cause the goitre. The virtues of all these articles became known, not from experiments upon the well, and de- ductions from such experiments, but from observations upon the sick. The facts stand out by themselves, unconnected with any vague, absurd, or fanciful universal principle. These illustrations might be extendod indefinitely — at least, as far as cures are eftected by remedial agencies ; and on investigation we should find the same results. The pre- vention of small-pox by vaccination, so frequently adduced to illustrate the homoeopathic " law," we liave already seen has no analogy to the operation of medicines in curing disease ; and if it had, the statement of Hahnemann that the "remedy must be somewhat stronger than the disease, in order to over- come it," would lead to the position that the vaccine disease is somewhat stronger than the small-pox ; a position that one who has observed both could not admit. The application of snow to frozen parts has already been shown to operate on a principle entirely dilFerent from the ho- moeopathic law it is so constantly brought forward to illustrate. Rubbing snow upon the frozen part, like pouring cold water upon a frosted plant, simply makes the thawing more gradual, and thereby preserves the vitality ; as the slow change from the frozen to the thawed condition of the potato deep in the earth, keeps it alive and fresh. The effects of moderate, but not infinitesimal doses of ipe- cacuanha in arresting some forms of nausea and vomiting, more nearly resembles the operation of the alleged homoeop- athic law, than any other internal remedy which I can now call to mind ; but this produces its effects by impressing the stomach in a manner differently from the previous state. But should we admit that there is a grain of truth in this principle — that it has a certain limited application, we are fully entitled to use it, as we profess no exclusive system, are limited by no dogmas, bound by no arbitrary rules, fixed in no grooves that keep us from any truth, new or old, coming from whatever 88 I'ouraii i-ectuke. Kourcc it may. Wc coulil act upon the jninciple, even without being indebteil to tlie honia'opathic fraternity; as we have shown that it was taught long before the time of their founder. But the whole field of truth is before us — belongs to us. " No pent-up Utica contracts our powers, The whole unbounded continent is ours." Dr. Marcy, in his Iloraocopathic Practice, after referring to the principles of Antipathy, and Allopathy, and the Chemi- cal methods of treatment, says : " AUopathists do not, how- ever, uniformly adhere to any of the above doctrines, but often encroach upon homoeopathic ground, and by practicing accord- ing to the law oi similia similibiis curantur, cifect their speed- iest and safest cures," He afterwards goes on with an imper- tinence and disregard of truth which might be provoking were it not too puerile and ridiculous, and exclaims — "Gentlemen of the Old School, your practice too often belies your profession ; you pretend to be AUopathists and Antipathists (precisely the thing we don't do — just the thing we repudiate), while con- stantly administering medicines after the manner of the Ilomoe- opathists." (Not quite thus, either.) " Where is your pride, where your consistency ? You have the boast of antiquity, you have received your 'bundle of ideas' from 'Hippocrates and Galen, to whom you pay reverence and allegiance — you disdain innovations and despise discoveries and improvements; you have withstood the changes of more than two thousand years, and by your powerful dicta have continually discouraged all original induction, and endeavored to crush in the bud every advancement in medical knowledge !" Gentlemen, you know how utterly and intensely untrue all this is. The man that could write such a paragraph as this is capable of anything in the way of reckless statement and outrageous misrepresentation. No confidence can be placed in anything he should afiirm. Instead of professing to be AUopathists and Antipathists, we repudiate these appellations give i to us by these men ; and ignoring all terms indicating the belief in exclusive systems, we call ourselves simply Physicians, and strive to administer KOUBTII LECTURK. 89 medicines only after the methods which science, reason, com- mon sense and experience may dictate. Although we have the boast of antiquity, and pay due respect to Hippocrates and Galen, but few of the principles upon whicli we now proceed are obtained from them ; and as to disdaining innovations, we seek for, and embrace ihom, often with iinj^rudent hasto ; and discoveries and improvements are our special claim a«d our highest glory. Instead of withstanding the changes of two thousand years, those we have effected are innumerable ; and we are continually encouraging original induction, and are promoting every advancement in medical knowledge. Most of the history of the triumphs of modern science would be included in that of the regular profession, and every material advancement in the science of life, of lieallh and of disease, are due to its members. Nothing, indeed, can be more absurd than the charge that the regular profession opposes discoveries and improvements ; and this must be evident Avhen we con- sider that in its ranks stand Harvey, Jenner, and Hunter ; Pai'e, Sydenham, and Cullen ; Booerhave, Haller, and Henle ; Andral, Lacnneck, and Louis ; Larrey, Dupuytren, and Vel- peau; Warren, Mott, andMussey ; Liebig, Owen, and Carpen- ter; Esquirol, Prichard, and Brigham ; Bartlett, Drake, and Wood; Atlee, Sims, and Simpson ; Garrod, Beales, and John- son, and a host of others, equally worthy of mention, who with cacli issue of our periodicals, and in the more permanent pro- ductions of the press, are constantly presenting to the world of science, accounts of new experiments carefully conducted, and of new facts clearly demonstrated ; and from these, new principles are deduced, new suggestions constantly arc made, and new modes of practice instituted. Indeed, so many 7ieio facts and principles are urged upon our attention, that we are in danger of neglecting the old ones which have withstood the test of time. Thus changes are constant, and every real im- provement is at once embraced. In no dej^artment of science or art are chan ;es more readily effected, and improvements more rapidly made than in regular medicine. For the three-quarters of a century that Homoeopathy has 12 00 riKinii i.Ei ruiMc. iiuml)iM-L'cl its :ulli(.'rc'iits, to \vli;it sii);^lo iiiiprovcmcnt in science can they poinl U'^ the I'nii', of tlit'ir l;il)ors? What single man cnn they sliow iis among thoin, who lias a'lvanced Pathqlogy, Surgery, Physiology, Diagnosis, Chcmisiry, or even their spe- ciality, Therapeutics V Why, their oNvn Journals complain in the bitterest majiner of their paucity (»f talent, and deficiency of progress. In the ironneopathic l'. S. M,: I. <ui'l Snrij. Journal for Jan., 18G7, p. 212, we lind the lollowing lamentation: "A leaden apathy has lor a long time past l)een upon our honiffi- l)athic physicians East. We want solid acquirements every- where ; "vvc want in our schools more pathologists and learned physicians— as Bennett, Watson and a score of othois. Writers, for instance, upon female diseases, and ihvir surgical and me- chanical treatmemt; and writers on obstetrics, such as Bennett of London, Sims, Simjjson, and Barnes. When will issue from our ranks, writers of such worth as Ilayer, Casenave, or Wilson on diseases of the skin? Louis, Andral and Skoda, on diseases of the chest — West on diseases of children — Ricord on syphilis ; or such pathologists as Rokitansky, Vircliow, or Hock? Hom- iEopathy is here a humiliated beggar to Allopathy. Produce — produce ! Were it but the pitifuilest iniinitesitii il fraction of a product, produce it, in God's name I" But this cry, like the calling upon Baal, though like his p:iests they cut themselves with stones, will be in vain. Men Avho believe, or even pretend to believe, in such doctrines as we have been discussing, will never produce such works as are called for. Never. If we analyze the systems of medicine which arc arrayed in opposition to the regular school, we shall find them based upon exaggerated notions of the importance of some one frag- ment of legitimate medicine. Thus the Thompsonian, and its successor, the so-called Kch-.-tic School, is based upon the use of vegetable rcmedic:, especially of the indigenous kind, and upon oi)position to the use of mineral remedies, especi- ally raereiry. This school flourished for a time upon this strict basis. But noAV the Eclectics are coming back to the regular I'OrKTH LECTURK. 91 methods — usincrall oui-inhu'r.il remedies, even morcurv, as ibov may judge occasion requires. Their doses and mixtures arc not very different, and their [.rinci[)h.'S of practice are ahnost identical wilh those of the regular scliool. They quote all our leading authorities, atid ni my of our standard works and our periodicals for their knowledge of Anatomy, I'liysiology, Sur- gery, Pathology, Obstetrics, and nine-tenths of their Materia Medica and Therapeutics — and what new reuiedios they have discovered are being added to our conmion stock. The time is not distant when they will abandon their si:)Ocial notions, and will be merged in the regular profession they are approaching. The Hydropathists, simply use cold water to the exclusion of everything else — a remedy which has always been a stan- dard article in the regular profession. The same with regard to the "Movement Cure" — Electropathy — Inhalation Cure, etc. And thus have we seen the case with IIouKeopathy. Em- bracing an idea always fanciful, but held from time inimemor- ial, exaggerating it into a universal law — connecting with it a "bundle of ideas," grov.ing out of the exaggeration— these ideas are being rejected one by one, — the exaggeration is ■psing its unnatural proportions, and all will in time return to the " Static quo ante bellum.'''' While, however, the war upon legitimate medicine is profit- able, it will continue. While there is a demand for this kind of practice there Avill be a supply ; and our only hope of victory over the enemy — for enemies to true science we are obliged to consider the members of this homoeopathic fraternity — is to destroy the demand by a proper enlightenment of the people_ One object, I have had, in discussing this subject, has been to aid you in obtaining the means of so doing. We have now, Gentlemen, presented and reviewed all the; chief and essential original doctrines of Homoeopathy. You will readily call to mind that we have found them to consist of: 1st, The principle of Slmilla Siniillbus Curantur, as a univer- sal law. 2d. The prescribing of medicines for symj^toms alone. 3d, Infinitesimal doses. 4tb, Potentization — the de- P2 F(1UUTII LECTURE. vclopment of luw iiower by trituration and sliaking. otli, The special mode of preparation by trituration with Sugar of Milk, and by shaking with alcohol or alcohol and water, the dilutions on the centesimal scale. 6th, The prescribing of sin- gle, simple medicines at a time. Tth, The method of prov- ings. 8th, The mode of administration by placing the med- icines upon the tongue, and by olfaction or smelling. 9th, The Psora or Itch doctrine ; and some others of minor import- ance. In tlic review we have seen that none of these doctrines will stand the test of critical examination ; and each of them is repudiated by leading Homoeopathic authors themselves while all of them are generally ignored in the daily practice of their professed adherents. What then, you naturally inquire, is left of this system? As a system of medical doctrines, if not already extinct, it seems rapidly tending to dissolution. There is, however, a sect and an organization existing, constantly in the field, pre- tending to an improved method of practice, opposing with vigor the Regular School of physicians, yet seeking on occa- sions to obtrude themselves into association with them ; and without stating to the public their distinctive doctrines — gen- erally concealing, if not denying, their infinitesimal absurdities — they are constantly pushing their claims to recognition, and appealing to that public for patronage and support, availing themselves of the ignorance prevailing on these subjects, and of the existing prejudices which they use every means to in- crease. All deal in sugar pellets and tasteless solutions, — sufficient at least to keep up appearances, — but most of them use larger doses on what they would call Allopathic principles, accord- ing to their knowledge or presumption; and as a rule attribute every recovery which occurs in their ijracticc, Avhether from the powers of Nature, or the effects of so-called Allopathic treatment, to the Ilomojopathic remedies. Speaking, as it seems to me without prtyudice, and cer- tainly without passion ; and with an earnest desire to present FOURTH LECTURE. 93 the exact truth — to say nothing which you will find to be oth- erwise — this is what I fully believe to be the present Homoeo- pathy which surrounds us; and I ai)pcal to your judgment whether this conclusion is not justified ; — is not indeed forced upon us by the examination in which we have been engaged. There remains but one thing farther to be considered, and it is the one which carries more influence with the public than everything else, and that is, the claim of experience and suc- cess. It should however be remembered that all medical doc- trines however absurd, and all systems of practice however useless or destructive, have claimed to be sustained by exper- ience. • The testimony of the experience of the most reliable wit- nesses, induced the British Parliament to pay a sum of money to Perkins for the communication of the secret of his useless Tractors ; and all the nostrums of the present and the past are accompanied with testimony of their wonderful effects. The evidence that is required to prove or disprove any proposition in medicine is of a peculiar kind. Says Dr. Moore, " It differs entirely from that species of proof which satisfies a court of law." The declarations or oaths of the most consci- entious and able men are insufficient to establish or even ren- der probable, in very many cases, the fact of a cure having been effected by a supposed remedy. " The reason of this is, that few men, even those of considerable capacity, distinguish between opinion and fact,";^especially in reference to medical subjects. When a man or woman asserts that he or she has been cured of a particular disease by a drug, the imj^ression is a confident one that asingle/ac^is stated ; whereas tioo opi7iions are declared, both of which may be entirely erroneous. The first opinion is that the patient had the disease, and the second is that the medicine removed it. These opinions are made uji, partly from the person's own sensations and previous informa- tion, and partly from the declarations of those around him. It is well known that sensations are deceptive and their tes- timony imperfect ; previous information may be meager and 94 rOURTH I-ECTURB. iuaocurratc, ami the statfinciits of attendants may he errone- ous or false. A patient recovered from an illness during which he has received attention and kindness, is induced by gratitude and all his better feelings to attribute his recovery to the means used, whether they arc really efficient or not. He is thus easily prevailed upon to state strongly, or even swear posi- tively, to the existence of a particular disease, and the curative efficiency of the remedy employed, whereas, the truth may be, that the disease he thought himself affected with, never existed, and the medicine had nothing to do Avith his recovery. Thus we have sworn statements, doubtless sincerely made, of cures of cancers and other diseases incurable, as Avell as of disorders which have disappeared of themselves — by their own self-limitation. Dr. Moore says, that in Europe, " clergymen, judges, and peers are daily swearing that they have been cured of incura- ble diseases ; but the meanest apothecary smiles with contempt when he reads their splendid testimonials." Whether the remedy be Bishop Burkley's Tar-water, Dr. Morrison's pills, Mr. Perkins' Metallic Tractors, Priessnitz's cold water, Swain's Panacea, or old Dr. Jacob Townsend's Sarsaparilla, sworn certificates to any extent have always been obtainable from the most respectable sources. Illustrations of the fallacies of tills kind of experience, even in scientific hands, might be ad- duced to any extent. The late Prof. Chomel, of Paris, makes a statement as evidence of the care necessary in drawing conclusions, which you will allow mc to quote : — " The common holly having been much praised as a remedy for ague, he determined to test it in the Hospital La Charite. * * Twenty-two cases of the disease were directed to him. After their admission, be pur- jjosely abstained from all treatment for several days, in order to see that they Avere well marked cases. He found that of the twenty-two, sey«i never had another paroxysm, ,/bwr had par- oxysms of decreasing intensity, eif/ht had nothing but symp- tomatic paroxysms, connected with slight inflammation of the FOUR'in I,ECTURE. 95 mucoiis moiubranes, which yielded to simple aiitii)hlogistio treatment; three only were fit subjects for experiments, i. e., had essential intermittent fever, preserving all its intensity for three or four paroxysms. The remedy (holly) was 'given to these, but entirely failed in all of them. Quinine was then given in the ordinary way and the i)aroxysms were immedi- ately stopped. If, from the day of admission the remedy had been jxiveu to the whole, the conclusion would have been that it had cured nineteen out of twenty-two — and the thi-ee cases — the only ones proper to test the remedy, would have been re- garded as exceptional." London Lancet, 1841-2. ^j. 107. The fallacious character of homoeopathic experience, so often contradictory and absurd, wo have observed as we pass- ed over onr subject. In estimating the value of all experience iu medicine, under whatever system, it must be remembered that a large proportion of sick persons as commonly met with in practice, would recover without medicine, under ordinary nnrsing and the direction of some one in whom they had confidence. It should also be remembered when comparing the success of any plan or nostrum with orthodox medicine, that the efticacy of much of the latter, even when used sectcndem artem, is at least doubtful ; and if nnskillfully used, becomes positively hurtful. We must also take into the account the mistakes that are made in diagnosis ; the uncertainties in the most skillful hands aris- ing from difl:erencos of constitutions, and other peculiarities which cannot be anticipated, and the imperfections in the judgment of even well trained medical men. In accounting for popular judgment, we must remember that the people gen- erally attribute all recoveries to the medicines used with that object; and in accounting for that judgment when applied to homoeopathic treatment, we must consider the greatly exagger- ated reports of favorable results ; and the persistent reiterations of unscrupulous men and their enthusiastic adherents. When all these things are considered, we need not be surprised at the deceptions of experience, even when the homoeopathic practice is adhered tajaixd where, as is so often the case, it is 9G rounrii lecture. abandoucd, and elliciout means are used in cases requiring active interference, tlie general evidence ot liomoeopathic ex- perience becomes positively and entirely worthless. But I must not deal in these general statements without illustrations and evidence. Two homoeopathic pliysicians in Cincinnati reported that in 1840, they treated lllG cases of genuine cliolera, witli a loi?s of only 35 — oh per cent. — and this statement has been the standing formula of the success of Ho- mosopathy in articles, reports, addresses, etc., of the adherents of this school in this country ever since. In the Jivitlsh Journal of llomcepatJuj, (vol. lo, p. 120) an account is given of the statement of a Dr, Stens, that the mortality of IIoma'0})atluc treatment of cholera is only 8^ per cent, but the Editor says: "Wc should rejoice very much were this tlie case ; but, alas ! we know from sad experience that it is at least three times as high as here stated." Dr. Gerstel reported (see vol. 13 p., 329) to an AiTStrian Medical Society that he had treated 300 severe cases of cholera with a loss of about 10 per cent ; but Avhen an offer was made to him to i^ractice under the control of the District Supei'intend- ent. Dr. Nushard, in order to establish the proofs of the suc- cess of such treatment, it was declined. In the British Journal of Homojopathy, (vol. V, p. 179) Dr. Russell, one of its editors, says: "We cannot heljJ (Im- precating the boastful tone we so often hear assumed by Hom- oeopathists on this subject — the treatment of Cholera.''' "It would argue a singular callousnes.s of feeling not to be pene- trated with a profound sense of the comparative impotence of our art in arresting or even greatly modifying this terrible })lague." Dr. Tessier of Paris, in charge of an excellent Hospital, St. Marguerite, admits a loss of forty-eight or forty-nine per cent. (Brit. Jour. Horn. vol. 9, p. G93.) lie was after trans- terred to another hospital, Beaujou, where the mortality was still greater. (Vol. 12, p. 098). Dr. Fleischman of Vienna, has had the largest hospital experience of the Homa3pathic treatment of Cholera. lie says : FOURTH I.KCTUKE. 97 *' Every remedy wliicli luis been rccomraencled has been tried and tried again by us, but I liave little to say in praise of any of them." (Brit. Jour. Honucopathy, vol. 14, p. 27). ])r. Churze, of Marseilles, Ilomoeopathist, reported so fa- vorably of his success in the treatment of Cholera, in general practice, in 1S49, that he received the order of the Legion of Honor, and an honor from the Pope. "In 1854 he was ap- plied to by the Mayor of Marseilles, to tako charge of two Cholera wards in the Hotel Dieu. Patients were to be sent on alternate days to tlie Homoeopathic and "Allopathic" wards. Dr. Churze resigned his trust after three reception days. Dur- ing those three days 26 patients ware received and 21 died." (Brit. Jour, Hom. vol. 15, p. 1*73). It is true Dr. C. complained of having sent to him the worst cases. This was denied, but the facts as to the mortality are not disputed. Thus do these extraordinary claims of success when pro- perly'tested come to naught. Belladonna in liomoeopathic doses has been greatly vaunted as u specilic in Scarletina, the most wonderful suc- cess being among the standing references; but the highest Homoeopathic authorities now admit its total inefficiency in the severer forms of the disease. The celebrate 1 Andral of Paris, years sim;e, when Ilom- (i3pathy was urging its claims, admitted some of the most cel- ebrated of tlie School into his wards to try the efficiency of their treatment, and after a lair trial he reported to the Acade- my of Medicine that in no one case had he witnessed the slight- est beneficial effi^ct from the infinitesimals used. The Russian Government is reported to have had this system of treatment under trial for some time past, and as the result of the investigation, the practice has been prohibited. I have not been able to obtain a full and authentic account of the particulars, but newsjaaper reports are t 3 this effect. But the inquiry may still be made, how a system so des- titute of m3rit should have had so much success in its spread among tlie people ? But is a success, in this sense, a proof of merit or tratli';' ^Mohammedanism is a success, spreading 13 08 rOUllTll LECTURE. ovor the primitive scat of Christianity. Monnoiiisiii is a suc- cess, and unless the strong arm of our Government is put forth in time, it threatens the establishment oi^ iinado/im our midst. Modern Si)iritualism is a success ; it numbers its adherents by millions, Thompsonianisra and its modification Eclecticism in medicine, is a success, numbering more adherents to-day in the country at large, than Homoeopathy. Hydropathy is a success, sustaining more "cures" in the country than there are Ilonucopathic hospitals. But after all, if numerical success be the test of truth it does not lie with Homoeopathy. The system has urged its claims for the last 70 years or more ; Hahnemann having an- nounced his doctrine in the latter part of the lastcentury ; and since that time up to 1S55, to which the last authentic statistics on the subject within my reach are brought, at least two genera- tions of medical men had come on to the stage ; but in Great Brit- ain and Ireland in a population of 30,000,000 with about 30,000 physians, (one medical man to 1000 population being the aver- age in all civilized countries) there were only 20G HomcEopaths. This would make one out of 150 ; while the other 140 vehem- ently protest against its truthfulness. In counting the Homoeopathic Physicians in the " British and Foreign Homoeopathic Directory and Record," for 1853 and 1855. there are put down for France, 78 ; for Spain, 8G; for Italy, 30 ; for Austria, 65 ; for Russia, 93 ; for Saxony, 48. From the data before referred to, of one physician to each thousand people, it is concluded that upon tlie continent of Europe there was at that time but one Homoeopathist out of about 500 medical practitioners. No great cltange has oc- curred there, in the proportion, since that time. It is computed that in Europe and America about 3,000 medical men are engaged as public teachers of the Science of Medicine, in regular established Medical Schools. Of this number not more than thirteen had expressed opinions in any degree favorable to Homoeopathy — only one out of about 250 ; — while the other 249 denounce it as the greatest absurdity. In this country there are about forty ^Medical Colleges of the FOURTH LECTUKK. 99 Regular School, employing, at least, about t'nree huiidrecl pro- fessors, and]of all this number not one has ever expressed opin- ions in the least degree favorable to the Hahnemannic System. These certainly are enlightened men and must be regarded as sincere in their convictions. They are as well qualified as any other class of men to judge of the truth in such matters, and their judgment is that the whole thing is a complete ab- surdity. Of the comparative number of people who patronize Regular Medicine and Ilomceopathy, I have no statistics which will give me a proximate estimate, but we all know the pre- ponderance is vastly in favor of the Regular School. That it makes a great deal of noise and prevails to a large extent in certain places and circles, is true; but when the whole popu- lation is taken into the account its numbers are comparatively insignificant. The simile is familiar, of the cricket in the meadow, making more noise than a whole herd of oxen quietly feeding, or reposing upon its verdure. But should that herd be aroused its power Avould be felt. That cricket might be silenced. At present it seems chirping on quite briskly. Is it not time for the regular profession to examine this subject — to enlighten the people respecting it, — showing them its utter absurdities and inconsistences, and appealing to them to resist its aggressions We are often accused of not examining this subject, and of prejudice and intolerance in regard to it. That we do exam- ine it, these lectures may afford evidence. Our prejudices, if they may be so called, are certainly founded on rational convictions; but how is it possible to be tolerant of a system so utterly ab- surd, and of men who denounce with such bitterness the prin- ciples to which we adhere, and the fraternity of which we are members ; and yet in practice, repudiating their own pretended infallible dogmas, so often follow our methods, and use our measures? Whatever views may be entertained of their doctrines or practice, as a system for the sick, all must see the necessary incompatibility existing. Every impulse of a legitimate pro- fessional pride, every sentiment of fraternal allegiance, every JUN 1 1997 100 FOUHTII l.KCTURE. iecliiig of soli" rcsjiert, ami every ))riiic-ij)le ol" lienor impel us to refuse professional associations with such a system, and Avith such men ; ami sui^h associations, whether in the sick-room, in societies, or in schools of medicine, could only result in strife, discord and confusion. In tlie language of Dr. Kau, one of their own highest au- thorities, " The principle of ' shnilia simiUhus'' is tlic barrier whicli separates the New from the Old School. It is impossi- ble to combine these two Schools ; any such combination would constitute a most n iserable abortion." There are differences of opinion as to the policy of attack- ing Homoeopathy, and, as to that, much will depend upon the manner in which it is done. I>utthe policy which has generally been pursued of passing it by as unworthy of serious attention has resulted in its advancing pretentions, in its assuming a bold- ness of front, which it could not have done had its real merits been more fully discussed before the people. Common sense is not extinct, and would be applied to medicine as to other subjects, was there a proper basis of knowledge for it to rest upon. Should you not be prepared to supply that basis ? 15ut whether you should say much or little, or nothing, directly upon these subjects to the people, there is one means of opposing false systems, and inspiring respect for Legitimate Medicine, respecting which there can be no question. This consists in the acquiring of a thorough acquaintance with the domain ol' Science — a mastery of the i>rofe3sion — in miintaiiiing a high- toned sense of honor — a contempt for all trickery and decep- tion — and a:i enthusiastic devotion to the s icre 1 iliit'es of tlie profession of your choice. Those of you present who are medical students will judge whether your teachers have been inspired by feelings of parly rivalry, or a love of the Truth in presenting you with their views — with the views taught by science, by reason and by common sense. Thanking you all, Gentlemen, for the perfect order whieii has prevailed during the delivery of these lectures, and the close attention which has been given to all that has been said; — I wish you a very Hanpy New Year. U. C. 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