-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. iotentized 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 mealc 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. 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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