ItisevidentlyimpossiblethatIshouldattempt,withinthecompassofasinglelecture,anydetailedexaminationoftheverynumerouscasesreportedintheHomoeopathicTreatisesandJournals。HavingbeeninthehabitofreceivingtheFrench“ArchivesofHomoeopathicMedicine“untiltheprematuredeceaseofthatJournal,Ihavehadtheopportunityofbecomingacquaintedsomewhatwiththestyleofthesedocuments,andexperiencingwhateverdegreeofconvictiontheywerecalculatedtoproduce。AlthoughofcourseIdonotwishanyvaluetobeassumedformyopinion,suchasitis,Iconsiderthatyouareentitledtohearit。Sofar,then,asIamacquaintedwiththegeneralcharacterofthecasesreportedbytheHomoeopathicphysicians,theywouldforthemostpartbeconsideredaswhollyundeservingaplaceinanyEnglish,French,orAmericanperiodicalofhighstanding,if,insteadoffavoringthedoctrinetheywereintendedtosupport,theywerebroughtforwardtoprovetheefficacyofanycommonremedyadministeredbyanycommonpractitioner。Thereareoccasionalexceptionstothisremark;butthegeneraltruthofitisrenderedprobablebythefactthatthesecasesarealways,oralmostalways,writtenwiththesingleobjectofshowingtheefficacyofthemedicineused,ortheskillofthepractitioner,anditisrecognizedasageneralrulethatsuchcasesdeserveverylittleconfidence。Yettheymaysoundwellenough,oneatatime,tothosewhoarenotfullyawareofthefallaciesofmedicalevidence。Letmestateacaseinillustration。Nobodydoubtsthatsomepatientsrecoverundereveryformofpractice。Probablyallarewillingtoallowthatalargemajority,forinstance,ninetyinahundred,ofsuchcasesasaphysicianiscalledtoindailypractice,wouldrecover,soonerorlater,withmoreorlessdifficulty,providednothingweredonetointerfereseriouslywiththeeffortsofnature。
Suppose,then,aphysicianwhohasahundredpatientsprescribestoeachofthempillsmadeofsomeentirelyinertsubstance,asstarch,forinstance。Ninetyofthemgetwell,orifhechoosestousesuchlanguage,hecuresninetyofthem。Itisevident,accordingtothedoctrineofchances,thattheremustbeaconsiderablenumberofcoincidencesbetweenthereliefofthepatientandtheadministrationoftheremedy。Itisaltogetherprobablethattherewillhappentwoorthreeverystrikingcoincidencesoutofthewholeninetycases,inwhichitwouldseemevidentthatthemedicineproducedtherelief,thoughithad,asweassumed,nothingtodowithit。Nowsupposethatthephysicianpublishesthesecases,willtheynothaveaplausibleappearanceofprovingthatwhich,aswegrantedattheoutset,wasentirelyfalse?Supposethatinsteadofpillsofstarchheemploysmicroscopicsugarplums,withthefive’millionbilliontrillionthpartofasuspicionofaconiteorpulsatilla,andthenpublisheshissuccessfulcases,throughtheleadenlipsofthepress,orthelivingonesofhisfemaleacquaintances,——doesthatmaketheimpressionalesserroneousone?ButsoitisthatinHomoeopathicworksandjournalsandgossiponecannever,ornexttonever,findanythingbutsuccessfulcases,whichmightdoverywellasaproofofsuperiorskill,diditnotproveasmuchfortheswindlingadvertiserswhosecertificatesdisgracesomanyofournewspapers。
Howlongwillittakemankindtolearnthatwhiletheylistento“thespeakinghundredsandunits,whomaketheworldring“withthepretendedtriumphstheyhavewitnessed,the“dumbmillions“ofdeludedandinjuredvictimsarepayingthedailyforfeitoftheirmisplacedconfidence!
Iamsorrytosee,also,thatadegreeofignoranceastothenaturalcourseofdiseasesisoftenshowninthesepublishedcases,which,althoughitmaynotbedetectedbytheunprofessionalreader,conveysanunpleasantimpressiontothosewhoareacquaintedwiththesubject。ThusayoungwomanaffectedwithjaundiceismentionedintheGerman“AnnalsofClinicalHomoeopathy“ashavingbeencuredintwenty-ninedaysbypulsatillaandnuxvomica。Rummel,awell-knownwriterofthesameschool,speaksofcuringacaseofjaundiceinthirty-fourdaysbyHomoeopathicdosesofpulsatilla,aconite,andcinchona。Ihappenedtohaveacaseinmyownhousehold,afewweekssince,whichlastedabouttendays,andthiswaslongerthanIhaverepeatedlyseenitinhospitalpractice,sothatitwasnothingtoboastof。
Dr。MunnecheofLichtenburginSaxonyiscalledtoapatientwithsprainedanklewhohadbeenafortnightunderthecommontreatment。
Thepatientgetswellbytheuseofarnicainalittlemorethanamonthlonger,andthisextraordinaryfactispublishedintheFrench“ArchivesofHomoeopathicMedicine。“
InthesameJournalisrecordedthecaseofapatientwhowithnothingmore,sofarasanyproofgoes,thaninluenza,getsdowntohershopuponthesixthday。
Andagain,thecoolwayinwhicheverythingfavorableinacaseissetdownbythesepeopleentirelytotheirtreatment,maybeseeninacaseofcroupreportedinthe“HomoeopathicGazette“ofLeipsic,inwhichleeches,blistering,inhalationofhotvapor,andpowerfulinternalmedicinehadbeenemployed,andyetthemeritwasallattributedtoonedropofsomeHomoeopathicfluid。
Ineednotmultiplythesequotations,whichillustratethegroundsofanopinionwhichthetimedoesnotallowmetojustifymoreatlength;othersuchcasesarelyingopenbeforeme;thereisnoendtothemifmorewerewanted;fornothingisnecessarybuttolookintoanyofthenumerousbroken-downJournalsofHomoeopathy,thevolumesofwhichmaybefoundontheshelvesofthosecuriousinsuchmatters。
AnumberofpublictrialsofHomoeopathyhavebeenmadeindifferentpartsoftheworld。SixofthesearementionedintheManifestoofthe“HomoeopathicExaminer。“Nowtosupposethatanytrialcanabsolutelysilencepeople,wouldbetoforgetthewholeexperienceofthepast。Dr。HaygarthandDr。Aldersoncouldnotstopthesaleofthefive-guineaTractors,althoughtheyprovedthattheycouldworkthesamemiracleswithpiecesofwoodandtobacco-pipe。IttakestimefortruthtooperateaswellasHomoeopathicglobules。Manypersonsthoughttheresultsofthesetrialsweredecisiveenoughofthenullityofthetreatment;thosewhowishtoseethekindofspecialpleadingandevasionbywhichitisattemptedtocoverresultswhich,statedbythe“HomoeopathicExaminer“itself,lookexceedinglylikeamiserablefailure,mayconsulttheopeningflourishofthatJournal。Ihadnottheintentiontospeakofthesepublictrialsatall,havingabundantotherevidenceonthepoint。
ButIthinkitbest,onthewhole,tomentiontwooftheminafewwords,——thatinstitutedatNaplesandthatofAndral。
Therehavebeenfewnamesinthemedicalprofession,forthelasthalfcentury,sowidelyknownthroughouttheworldofscienceasthatofM。Esquirol,whoselifewasdevotedtothetreatmentofinsanity,andwhowaswithoutarivalinthatdepartmentofpracticalmedicine。
Itisfromananalysiscommunicatedbyhimtothe“GazetteMedicaledeParis“thatIderivemyacquaintancewiththeaccountofthetrialatNaplesbyDr。Panvini,physiciantotheHospitaldellaPace。Thisaccountseemstobeentirelydeservingofcredit。Tenpatientsweresetapart,andnotallowedtotakeanymedicineatall,——muchagainstthewishoftheHomoeopathicphysician。Allofthemgotwell,andofcourseallofthemwouldhavebeenclaimedastriumphsiftheyhadbeensubmittedtothetreatment。SixotherslightcaseseachofwhichisspecifiedgotwellundertheHomoeopathictreatment,noneofitsassertedspecificeffectsbeingmanifested。
Alltherestwerecasesofgravedisease;andsofarasthetrial,whichwasinterruptedaboutthefortiethday,extended,thepatientsgrewworse,orreceivednobenefit。Acaseisreportedonthepagebeforemeofasoldieraffectedwithacuteinflammationinthechest,whotooksuccessivelyaconite,bryonia,nuxvomica,andpulsatilla,andafterthirty-eightdaysoftreatmentremainedwithoutanyimportantchangeinhisdisease。TheHomoeopathicphysicianwhotreatedthesepatientswasM。deHoratiis,whohadthepreviousyearbeenannouncinghiswonderfulcures。AndM。EsquirolassertedtotheAcademyofMedicinein1835,thatthisM。deHoratiis,whoisoneoftheprominentpersonagesinthe“Examiner’s“Manifestopublishedin1840,hadsubsequentlyrenouncedHomoeopathy。Imayremark,bytheway,thatthissameperiodical,whichissoveryeasyinexplainingawaytheresultsofthesetrials,makesamistakeofonlysixyearsoralittlemoreastothetimewhenthisatNapleswasinstituted。
M。Andral,the“eminentandveryenlightenedallopathist“ofthe“HomoeopathicExaminer,“madethefollowingstatementinMarch,1835,totheAcademyofMedicine:“Ihavesubmittedthisdoctrinetoexperiment;Icanreckonatthistimefromonehundredandthirtytoonehundredandfortycases,recordedwithperfectfairness,inagreathospital,undertheeyeofnumerouswitnesses;toavoideveryobjection——IobtainedmyremediesofM。Guibourt,whokeepsaHomoeopathicpharmacy,andwhosestrictexactnessiswellknown;theregimenhasbeenscrupulouslyobserved,andIobtainedfromthesistersattachedtothehospitalaspecialregimen,suchasHahnemannorders。Iwastold,however,somemonthssince,thatIhadnotbeenfaithfultoalltherulesofthedoctrine。Ithereforetookthetroubletobeginagain;IhavestudiedthepracticeoftheParisianHomoeopathists,asIhadstudiedtheirbooks,andIbecameconvincedthattheytreatedtheirpatientsasIhadtreatedmine,andIaffirmthatIhavebeenasrigorouslyexactinthetreatmentasanyotherperson。“
AndheexpresslyassertstheentirenullityoftheinfluenceofalltheHomoeopathicremediestriedbyhiminmodifying,sofarashecouldobserve,theprogressorterminationofdiseases。Itdeservesnoticethatheexperimentedwiththemostboastedsubstances,——
cinchona,aconite,mercury,bryonia,belladonna。Aconite,forinstance,hesaysheadministeredinmorethanfortycasesofthatcollectionoffeverishsymptomsinwhichitexertssomuchpower,accordingtoHahnemann,andinnotoneofthemdidithavetheslightestinfluence,thepulseandheatremainingasbefore。
Thesestatementslookprettyhonest,andwouldseemhardtobeexplainedaway,butitiscalmlysaidthathe“didnotknowenoughofthemethodtoselecttheremedieswithanytolerableprecision。“
[“HomoeopathicExaminer,vol。i。p。22。
“Nothingislefttothecapriceofthephysician。Inaword,insteadofbeingdependentuponblindchance,thatthereisaninfalliblelaw,guidedbywhich;thephysicianMUSTselecttheproperremedies。’“Ibid。,inanoticeofMenzel’spaper。]WhoaretheythatpracticeHomoeopathy,andsaythisofamanwiththeMateriaMedicaofHahnemannlyingbeforehim?Whoaretheythatsendthesesameglobules,onwhichheexperimented,accompaniedbyalittlebook,intofamilies,whosemembersarethoughtcompetenttoemploythem,whentheydenyanysuchcapacitytoamanwhoselifehasbeenpassedatthebedsideofpatients,themostprominentteacherinthefirstMedicalFacultyintheworld,theconsultingphysicianoftheKingofFrance,andoneofthemostrenownedpracticalwriters,notmerelyofhisnation,butofhisage?Ileavethequibblesbywhichsuchpersonswouldtrytocreepoutfromunderthecrushingweightoftheseconclusionstotheunfortunateswhosupposethatareplyisequivalenttoananswer。
Dr。Baillie,oneofthephysiciansinthegreatHotelDieuofParis,invitedtwoHomoeopathicpractitionerstoexperimentinhiswards。
OneofthesewasCurie,nowofLondon,whoseworksareonthecountersofsomeofourbookstores,andprobablyinthehandsofsomeofmyaudience。Thisgentleman,whomDr。Bailliedeclarestobeanenlightenedman,andperfectlysincereinhisconvictions,broughthisownmedicinesfromthepharmacywhichfurnishedHahnemannhimself,andemployedthemforfourorfivemonthsuponpatientsinhisward,andwithresultsequallyunsatisfactory,asappearsfromDr。Baillie’sstatementatameetingoftheAcademyofMedicine。AndasimilarexperimentwaspermittedbytheClinicalProfessoroftheHotelDieuofLyons,withthesamecompletefailure。
Buttheseareoldandprejudicedpractitioners。Verywell,thentakethestatementofDr。Fleury,amostintelligentyoungphysician,whotreatedhomoeopathicallymorethanfiftypatients,sufferingfromdiseaseswhichitwasnotdangeroustotreatinthisway,takingeverykindofprecautionastoregimen,removalofdisturbinginfluences,andthestateoftheatmosphere,insisteduponbythemostvigorouspartisansofthedoctrine,andfoundnottheslightesteffectproducedbythemedicines。Andmorethanthis,readnineofthesecases,whichhehaspublished,asIhavejustdone,andobservetheabsolutenullityofaconite,belladonna,andbryonia,againstthesymptomsoverwhichtheyarepretendedtoexertsuchpalpable,suchobvious,suchastonishinginfluences。Intheviewofthesestatements,itisimpossiblenottorealizetheentirefutilityofattemptingtosilencethisassertedsciencebytheflattestandmostperemptoryresultsofexperiment。WereallthehospitalphysiciansofEuropeandAmericatodevotethemselves,fortherequisiteperiod,tothissolepursuit,andweretheirresultstobeunanimousastothetotalworthlessnessofthewholesysteminpractice,thisslipperydelusionwouldslidethroughtheirfingerswithouttheslightestdiscomposure,when,astheysupposed,theyhadcrushedeveryjointinitstortuousandtrailingbody。