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。