第1章
加入书架 A- A+
点击下载App,搜索"Medical Essays",免费读到尾

  Thecharacteroftheoppositionwhichsomeofthesepapershavemetwithsuggeststheinferencethattheycontainreallyimportant,butunwelcometruths。Negativesmultipliedintoeachotherchangetheirsignandbecomepositives。Hostilecriticismsmeetingtogetherareoftenequivalenttopraise,andthesquareoffault-findingturnsouttobethesamethingaseulogy。

  Butawriterhasrarelysomanyenemiesasitpleaseshimtobelieve。

  Self-loveleadsustooverratethenumbersofournegativeconstituency。Thelargerportionofmylimitedcircleofreadersmustbequiteindifferentto,ifnotignorantof,theadverseopinionswhichhavebeenexpressedorrecordedconcerninganyoftheseAddressesorEssaysnowsubmittedtotheirownjudgment。Itisproper,however,toinformthem,thatsomeofthepositionsmaintainedinthesepageshavebeenunsparinglyattacked,withvariousdegreesofability,scholarship,andgood-breeding。Thetoneofcriticismnaturallychangeswithlocalconditionsindifferentpartsofacountryextendedlikeourown,sothatitisoneofthemostconvenientgaugesofthepartialmovementsinthedirectionofcivilization。Itissatisfactorytoadd,thattheviewsassailedhavealsobeenunflinchinglydefendedbyunsoughtchampions,amongtheablestofwhomitispleasanttomention,atthismomentofpoliticalalienation,theEditoroftheCharlestonMedicalJournal。

  “CurrentsandCounter-Currents“waswrittenanddeliveredasanOration,afloridrhetoricalcomposition,expresslyintendedtosecuretheattentionofanaudiencenoteasytoholdaslisteners。

  Itsucceededindoingthis,andalsoinbeingascuriouslymisunderstoodandmisrepresentedasifithadbeenapoliticalharangue。Thisgaveitmorelocalnotorietythanitmightotherwisehaveattained,sothat,asIlearn,oneingeniouspersonmadeuseofitstitleasanadvertisementtoaproductionofhisown。

  Thecommonestmodeofmisrepresentationwasthis:qualifiedpropositions,thewholemeaningofwhichdependedonthequalifications,werestrippedoftheseandtakenasabsolute。Thus,theattempttoestablishapresumptionagainstgivingpoisonstosickpersonswasconsideredasequivalenttocondemningtheuseofthesesubstances。Theonlyimportantinferencethewriterhasbeenabletodrawfromthegreaternumberoftherefutationsofhisopinionswhichhavebeenkindlysenthim,isthatthepreliminaryeducationoftheMedicalProfessionisnotalwayswhatitoughttobe。

  Oneconcessionheiswillingtomake,whateversacrificeofprideitmayinvolve。ThestoryofMassasoit,whichhasfurnishedacoral,asitwere,forsometeethingcritics,whensubjectedtoapowerfullogicalanalysis,thoughcorrectinitsessentials,provestohavebeentoldwithexceptionablebreadthofstatement,andthereforetoresumethemetaphorhasbeenslightlyroundedoffatitsedges,soastobesmootherforanywhomaywishtobiteuponithereafter。InotherrespectstheDiscoursehashardlybeentouched。Itisonlyanindividual’sexpression,inhisownway,ofopinionsentertainedbyhundredsoftheMedicalProfessionineverycivilizedcountry,andhasnothinginitwhichonrevisionthewriterseescausetoretractormodify。ThesuperstitionsitattackslieattheveryfoundationofHomoeopathy,andofalmosteveryformofmedicalcharlatanism。

  Stillthemereroutinistsandunthinkingartisansinmostcallingsdislikewhatevershakesthedustoutoftheirtraditions,anditmaybeunreasonabletoexpectthatMedicinewillalwaysproveanexceptiontotherule。OnehalftheoppositionwhichthenumericalsystemofLouishasmetwith,asappliedtotheresultsoftreatment,hasbeenowingtothefactthatitshowedthemovementsofdiseasetobefarmoreindependentofthekindofpracticepursuedthanwasagreeabletotheprideofthosewhoseself-confidenceitabated。

  Thestatement,thatmedicinesaremoresparinglyusedinphysicians’

  familiesthaninmostothers,admitsofaverynaturalexplanation,withoutputtingaharshconstructionuponit,whichitwasnotintendedtoadmit。Outsidepressureislessfeltinthephysician’sownhousehold;thatisall。Ifthisdoesnotsometimesinfluencehimtogivemedicine,orwhatseemstobemedicine,whenamongthosewhohavemoreconfidenceindruggingthanhisownfamilycommonlyhas,thelearnedProfessorDunglisonisherebyrequestedtoapologizeforhisdefinitionofthewordPlacebo,ortoexpungeitfromhisMedicalDictionary。

  Onethingiscertain。Aloudoutcryonaslighttouchrevealstheweakspotinaprofession,aswellasinapatient。Itisadoubtfulpolicytoopposethefreestspeechinthoseofourownnumberwhoaretryingtoshowuswheretheyhonestlybelieveourweaknesslies。

  VastasaretheadvancesofourScienceandArt,mayitnotpossiblyproveonexaminationthatweretainotheroldbarbarismsbesidetheuseoftheastrologicalsignofJupiter,withwhichweendeavortoinsuregoodlucktoourprescriptions?Isittheactofafriendorafoetotrytopointthemouttoourbrethrenwhenaskedtoaddressthem,andisthespeakertosubduetheconstitutionalhabitofhisstyletoagivenstandard,underpenaltyofgivingoffencetoagraveassembly?

  HomoeopathyanditsKindredDelusions“waspublishednearlytwentyyearsago,andhasbeenlongoutofprint,sothattheauthortriedinvaintoprocureacopyuntilthekindnessofafriendsuppliedhimwiththeonlyonehehashadforyears。Afoolishstoryreachedhisearsthathewasattemptingtobuyupstraycopiesforthesakeofsuppressingit。Thiseditionwasinthepressatthatverytime。

  ManyoftheargumentscontainedintheLectureshavelostwhatevernoveltytheymayhavepossessed。Allitspredictionshavebeensubmittedtotheformidabletestoftime。Theyappeartohavestoodit,sofar,aboutaswellasmostuninspiredprophecies;indeed,someofthemrequiremuchlessaccommodationthancertaingravecommentatorsemployintheirreadingsoftheancientProphets。

  Ifsomestatisticsrecentlypublishedarecorrect,HomoeopathyhasmadeveryslowprogressinEurope。

  InallEngland,asitappears,therearehardlyafifthmoreHomoeopathicpractitionersthantherearestudentsattendingLecturesattheMassachusettsMedicalCollegeatthepresenttime。InAmericaithasundoubtedlyprovedmorepopularandlucrative,yethowlooseaholdithasonthepublicconfidenceisshownbythefactthat,whenaspeciallyvaluedlife,whichhasbeenplayedwithbyoneofitsagents,isseriouslythreatened,thefirstthingweexpecttohearisthataregularpractitionerisbythepatient’sbed,andtheHomoeopathiccounselloroverruledordiscarded。Again,howmanyoftheardentandcapriciouspersonswhoembracedHomoeopathyhaverunthewholeroundofpretentiousnovelties;——havebeenboardedatwater-cureestablishments,closetedwithuterineandotherspecialists,andfinallywanderedoverseastoputthemselvesinchargeofforeigncelebrities,whodosedthemaslustilyastheywereeverdosedbeforetheytooktoglobules!ItwillsurprisemanytolearntowhatashadowofashadeHomoeopathyhasdwindledinthehandsofmanyofitsnotedpractitioners。Theitch-doctrineistreatedwithcontempt。Infinitesimaldosesarereplacedbyfulloneswheneverthefancy-practitionerchooses。GoodHomoeopathicreasonscanbefoundforemployinganythingthatanybodywantstoemploy。

  Homoeopathyisnowmerelyaname,anunprovedtheory,andaboxofpelletspretendingtobespecifics,which,asallofusknow,failignominiouslyinthosecaseswherewewouldthankfullysacrificeallourprejudicesandgivetheworldtohavethemtruetotheirpromises。

  HomoeopathyhasnotdiedoutsorapidlyasTractoration。Perhapsitwaswellthatitshouldnot,forithastaughtusalessonofthehealingfacultyofNaturewhichwasneeded,andforwhichmanyofushavemadeproperacknowledgments。Butitprobablydoesmoreharmthangoodtomedicalscienceatthepresenttime,bykeepingupthedelusionoftreatingeverythingbyspecifics,——theoldbarbarousnotionthatsickpeopleshouldfeedonpoisons[Lachesis,arrow-

  poison,obtainedfromaserpentPulte。Crotalushorridus,rattlesnake’svenomNeidhard。ThelessdangerousPediculuscapilisisthefavoriteremedyofDr。Mure,theEnglish’ApostleofHomoeopathy。“Theseareexamplesoftheretrogradecurrentsettingtowardsbarbarism]againstwhichapartoftheDiscourseatthebeginningofthisvolumeisdirected。

  Theinfinitesimalglobuleshavenotbecomeacuriosityasyet,likePerkins’sTractors。ButtimeisaveryelasticelementinGeologyandProphecy。IfDaniel’sseventyweeksmeanfourhundredandninetyyears,asthelearnedPrideauxandothershavesettleditthattheydo,the“notmanyyears“ofmypredictionmaybestretchedoutagenerationortwobeyondourtime,ifnecessary,whentheprophecywillnodoubtprovetrue。

  ItmightbefittingtoaddafewwordswithregardtotheEssayontheContagiousnessofPuerperalFever。ButthewholequestionI

  considertobenowtransferredfromthedomainofmedicalinquirytotheconsiderationofLifeInsuranceagenciesandGrandJuries。ForthejustificationofthissomewhatsharplyaccentedlanguageImustreferthereadertothepaperitselffordetailswhichIregrettohavebeenforcedtoplaceonpermanentrecord。

  BOSTON,January,1861。

  ASECONDPREFACE。

  TheseLecturesandEssaysarearrangedintheordercorrespondingtothedateoftheirdeliveryorpublication。Theymust,ofcourse,bereadwithaconstantreferencetothesedates,bysuchascaretoreadthem。Ihavenotattemptedtomodernizetheiraspectorcharacterinpresentingthem,inthissomewhatalteredconnection,tothepublic。SeveralofthemwerecontainedinaformervolumewhichreceiveditsnamefromtheAddresscalled“CurrentsandCounter-

  Currents。“Someofthosecontainedintheformervolumehavebeenreplacedbyothers。TheEssaycalled“MechanismofVitalActions“

  hasbeentransferredtoadistinctcollectionofMiscellaneousessays,formingaseparatevolume。

  IhadsomeintentionofincludingwiththesepapersanEssayonIntermittentFeverinNewEngland,whichreceivedoneoftheBoylstonprizesin1837,andwaspublishedinthefollowingyear。Butasthiswasuponasubjectoflocalinterest,chiefly,andwouldhavetakenupagooddealofroom,Ithoughtitbesttoleaveitout,trustingthatthestraycopiestobemetwithinmustybook-shopswouldsufficientlysupplythenotveryextensiveorurgentdemandforapaperalmosthalfacenturyold。

  Someofthesepaperscreatedalittlestirwhentheyfirstfellfromthepressintothepoolofpublicconsciousness。Theywillslideinveryquietlynowinthisnewedition,andfindoutforthemselveswhetherthewatersarethoseofLethe,orwhethertheyaretoliveforatimeasnotwhollyunvaluedreminiscences。

  March21,1883。

  PREFACETOTHENEWEDITION。

  TheseEssaysareoldenoughnowtogoalonewithoutstafforcrutchintheshapeofPrefaces。Averyfewwordsmaybeaconveniencetothereaderwhotakesupthebookandwishestoknowwhatheislikelytofindinit。

  HOMOEOPATHYANDITSKINDREDDELUSIONS。

  Homoeopathyhasprovedlucrative,andsolongasitcontinuestobesowillsurelyexist,——assurelyasastrology,palmistry,andothermethodsofgettingalivingoutoftheweaknessandcredulityofmankindandwomankind。Thoughithasnopretensionstobeconsideredasbelongingamongthesciences,itmaybelookeduponbyascientificmanasacuriousobjectofstudyamongthevagariesofthehumanmind。Itsinfluenceforgoodorthecontrarymaybemadeamatterofcalminvestigation。IhavestudieditintheEssaybeforethereader,undertheaspectofanextravagantandpurelyimaginativecreationofitsfounder。Sincethatfirstessaywaswritten,nearlyhalfacenturyago,wehaveallhadachancetowitnessitspracticalworking。Twooppositeinferencesmaybedrawnfromitsdoctrinesandpractice。Thefirstisthatwhichisacceptedbyitsdisciples。

  Thisisthatalldiseasesare“cured“bydrugs。Theoppositeconclusionisdrawnbyamuchlargernumberofpersons。Astheyseethatpatientsareverycommonlygettingwellundertreatmentbyinfinitesimaldrugging,whichtheyconsiderequivalenttonomedicationatall,theycometodisbelieveineveryformofdruggingandputtheirwholetrustin“nature。“Thusexperience,“Fromseemingevilstilleducinggood,“

  hasshownthatthedealersinthispreposteroussystemofpseudo-

  therapeuticshavecooperatedwiththewiserclassofpractitionersinbreakingupthesystemofover-dosingandover-druggingwhichhasbeenoneofthestandingreproachesofmedicalpractice。While。

  keepingupthemiserabledelusionthatdiseaseswerealltobe“cured“bydrugging,Homoeopathyhasbeenunintentionallyshowingthattheywouldverygenerallygetwellwithoutanydruggingatall。

  Inthemeantimethenewerdoctrinesofthe“mindcure,“the“faithcure,“andtherestareencroachingontheterritorysolongmonopolizedbythatmostingeniousofthepseudo-sciences。Itwouldnotbesurprisingifitswholegroundshouldbetakenpossessionofbythesenewclaimantswiththeirflatteringappealstotheimaginativeclassofpersonsopentosuchattacks。Similiasimilabusmayprovefatallytrueforonce,ifHomoeopathyiskilledoutbyitsnew-bornrivals。

  Ittakesaverymoderateamountoferuditiontounearthacharlatanlikethesupposedfatheroftheinfinitesimaldosingsystem。TherealinventorofthatspecioustrickerywasanIrishmanbythenameofButler。Thewholestoryistobefoundinthe“OrtusMedicinm“ofVanHelmont。Ihavegivensomeaccountofhischapter“Butler“indifferentarticles,butIwouldreferthestudentsofourHomoeopathiceducationalinstitutionstotheoriginal,whichtheywillfindveryinterestingandcurious。

  CURRENTSANDCOUNTER-CURRENTS

  Myattackonover-druggingbroughtoutsomehostilecommentsandtreatment。ThirtyyearsagoIexpressedmyselfwithmorevivacitythanIshouldshowifIwerewritingonthesamesubjectstoday。

  Someofmymorelivelyremarkscalledoutverysharpanimadversion。

  Thusmyillustrationofpreventionasoftenbetterthantreatmentinthemother’swordstoherchildwhichhadgotapoisonousberryinitsmouth,——“Spititout!“gavemortaloffencetoawell-knownNewYorkpractitionerandwriter,whoadvisedtheMassachusettsMedicalSocietytospitouttheoffendingspeaker。Worsethanthiswasmystatementofmybeliefthatifaship-loadofmiscellaneousdrugs,withcertainveryimportantexceptions,——drugs,manyofwhichwerethenoftengivenneedlesslyandinexcess,asthenused“couldbesunktothebottomofthesea,itwouldbeallthebetterformankindandalltheworseforthefishes。“Thiswastoobad。Thesentencewasmisquoted,quotedwithoutitsqualifyingconditions,andfrightenedsomeofmyworthyprofessionalbrethrenasmuchasifI

  hadtoldthemtothrowallphysictothedogs。Butfortheepigrammaticstingthesentimentwouldhavebeenunnoticedasaharmlessoverstatementattheveryworst。

点击下载App,搜索"Medical Essays",免费读到尾