A5ý7565 2V '1 K7 SI 1$' /1 / K4 - TI. / WA WA.' ' 'A,A '-"Ci '' -' ý ON HOM"IEOPATHLC MEDICINLE, ILLUSTRATING ITS SUPERIORITY OVER THE OTHER MEDICAL DOCTRINES, IWITH AN ACCOUTNT OF TILE REGIMEN TO BE FOLLOWED DURING THE TREATMENT OF DISEASES, BY M,.ACRo0S ERIO,03.'Doctor of Medicine, President of the Hommopathic Society of Paris, Mlember of, the French Homceopathic Society,, Physician to the Sardinian Embassy at Paris, de l'Etablissemenet de Charitý de Saint-Vincent de Paule, de ]a Socict." IFrotestante 4c Secours Mutuels, &c. neaus I ~rt~.1speak fr-om experience, oFlR E R A7BROUSSAIS,&c.,Ox 1'Nt (B 0P.ATRIA. B-v C. NEIDHARD, M.- D. PH1LaDELPHL,1: PUBLISHED BY KIDIERLEX TLLEE. I' N'o. 86. Arch Street, below Third. 18374 9N OMCEOPATHIC MEDICIN~ f LLUSTItAT1NG ITS SUPE RIORITY OVER THE OHER MEDICAL DOCTRINES, 'W*ITH iLAN ACCOUNT OF THE REGIMEN TO BE FOLLOWED DURING THR TREATMENT OF DISEASES, BYM R OS ERI105 Doctor of 'Medicine, President of the Homoeopathic Society or' Paris, Member of _the F1re'nch H otnceopathic Society, Physician to the 8ardinian E~mbassy at ~Pars, d 1'tablssenent de Charit,_ -de Saint-Vincent do Paulode I oiL,Protestante dc Secours Mutuels, &c. It *ab~e Aus ~fbu~ I speak fromn experience, Sp a f) it nt nU. HAHNXEMIN. -rUARS2q~tTE1D FROM T RTHEWrER9,WITH "NOTES, CONTAINTIN-G THE OPINIOMTS orBR ER A, B ROU S SA IS, &c., ox 1H1E~OPATHIA. By C. NEIDHARD, M. D. PHILd/DELPHI.J:.)UBLISTED BY KI(IERLEN & STOLLMEYER, No. 86. Arch Street, below Third. 1837.. P. A. SAGE, Printer, 3, La Grange Street. SR E FAC E. A#'TEtR having read the letter of the Royal Academy of Medicineto the Minister of Public Instruction, against Homceopathia, I 'had at first conceived the idea of critically examining the assertions which it contained; on reflecting, however, on the ignorance, which the members of this society had shown of this doctrine, 'during the discussion, which had preceded the adoption of this singular manifest, I thought that a rapid exposition of the fundamental doctrines and the advantages of Homceopathia, when compared with the imperfections of the old doctrine, would still better serve the cause of humanity, by acquainting the public with the Strue principles of the healing art, and at the same time enable them to estimate the objections of the Academy, such is the aim of this work: the physicians, who have not studied the classical works oii Homnoopathia, may hereby obtain an idea of its importance. It was besides impossible to make a serious refutation of a criticism, devoid of all solid reasoning. IHommopathia, repulsed by the learned and the schools of medicine, meets with the fate of all important discoveries made in this science,-For how long a time have not inoculation, vaccination, lithotrity and other discoveries been disowned by the Academies? The quinihn'so generally esteemed, was it not for a long time proscribed by them? The same is the case with antimony and gmetin. Harvey, for having made a discovery of immense importance by its results to physiological and medical science, was so perseuted and calumniated by his colleagues, that by their means, his patients forsook him, and he was reduced- to the greatest distress. Galileo, because he proclaimed the great truth of the motion of the earth was assuredly not sustained by the learned of his iv PREFACE. time, for he passed a part of his life in the. dungeons of the inqui. sition. In taking a cursory view of all great discoveries, we always see them rejected at first by persons, with whose opinions and authority they come into collision; the obscurity in which the name of the majority of those is enveloped, who introduced the most useful innovations is another proof of this caprice of the human mind. The profound Locke said: "Where is the man, who would be " induced by better reasons, suddenly to lay aside his old opinions, " his acquirements, the fruits of a long and laborious life and be " persuaded to adopt ideas entirely new. The justest and most " conclusive reasonings, will no more convince him, than the wind " could induce the traveller (in the fable) to quit his cloak."Never have these words been better applied, than to the discovery of Homceopathia, which completely overthrows all the theoretical fabrications (echaufaudages) of the ancient doctrines and forms a new creation. Is it, therefore, at all surprising that eminent physicians should oppose with all their might the admission of these principles? The passive resistance, which they have adopted, is, the surest means to obtain this object; for a serious examination, an examination by experiments, such as Hahnemann demands, would infallibly lead them to recognize the truth; this, as least, is what has always been the result of experimental research to this day; it is in this manner that some of the most celebrated men of Germany have been converted to the doctrines of Homosopathia.The experiments which they had undertaken for the purpose of proving its falsity, demonstrated to them its solid worth, and led to their conversion; but these experiments must not be made as M. Andral has conducted them, without rules, without principles, without conforming to the conditions prescribed by the Homccopathic doctrine, nor without leaving the habits of the old school of medicine. Homceopathia is too directly opposed to old opinions, and can therefore not be judged by them. Being founded on experience, it can be demonstrated by experience alone. Hahnemann does not demand a blind belief of his doctrines, he repeatedly says in his Missling viii PREFACE. the subscriptions of its adherents; when three-fourths of the inhabitants of the North of Germany, will not be treated otherwise than by this method, when the councils of Darmstadt have unanimously adopted the resolution of founding a chair of Homoeopathia in the medical schools of the Dutchy, and not hereafter to permit the practice of physic to any physician, who has not been also examined on Homceopathia, when 500 inhabitants of Hanover petitioned the government for the erection of a Homceopathic chair at the University of Goettingen; when 18 journals, which are exclusively devoted to it, disseminate it in every quarter of the globe, it had surely acquired sufficient importance, to merit an examination*~ " * The celebrated Brera, in the Anthologia medica of 1834, after having mentioned the great progress of Homceopathia, pronounced the following opinion of it: " Homceopathia is decried by some as useless and by others as strange, and though it appears to the great majority as ridiculous and extraordinary, it can nevertheless not be denied, that it has taken its stand in the scientific world; like every otherdoctrine, it has its bookar its journals, its chairs, its hospitals, clinical lectures, professors, and a public, forming a most respectable auditory. Nolens volens even its enemies must receive it in the history of medicine, for its present situation requires it. Having attained this rank, it deserves by no means contempt, but on the contrary a cool and impartial investigation, like all other systems of modern date: Homceopathia is the more to be respected, as it propagates no directly noxious errors. If Homceopathia proclaims facts and theories, which cannot be reconciled with our present knowledge, this is no sufficient cause as yet, to despise it and to rank it among absolute falsities. Woe to the physician, who believes, that he cannot learn to-morrow, what he does not know to-day. Do we not hear daily complaints of the insufficiency of the healing art? And are not those physicians, who honestly suspect the solidity of their knowledge the most learned, and in their practice the most successful? Such sentiments lave undoubtedly induced most of the German physicians to study Homceopathia and to conquer their aversion to the new doctrine. Let us always recollect, that the greatest discoveries have given origin to the most violent controversies. Witness the examples of Harvey, GalileQ, Newton, Deacartes, &c, PREFACE., ix This necessity seems very well to have been felt by the minister. The question which he put to the Academy, was it not an indirect appeal to engage its members to an early study of it? The Academy is, moreover, still more culpable in this decision, taken ab irato and without examination, against a doctrine supported by such a numerous body of facts, as the society of homceopathic physicians Sin Paris had offered by letter of the 1st of March last, to put in its possession, and to place at its disposal all the documents necessary to throw light upon the subject and even to make experiments underthe inspection of the committee. The Academy has prefered to pronounce judgment without a hearing, and to be guilty of a veritable prevarication..Under these circumstances, the Homoeopathists have got justice on their side; by the exposition of their doctrines it will be seen, if they have not reason also. "The injuries to which the sick are liable from the erroneous ideas As respects the small doses, continues Brera, they are by no means to be rejected indiscriminately. In the year 1797, I demonstrated the fact, that salivation produced by mercury could he quickly cured by a small dose of another mercurial preparation. Several intermittent fevers I have cured with small atoms of the arseniate of potash. (8. Annotazione medico-pratiche, &c. Pavia 1796-98.) In 1804, I stated that Belladonna produces in healthy persons a disease very similar to Hydrophobia, although it is a powerful remedy in this terrible disease. In the year 1822, Idiscovered in Stramo. nium (a few drops of the tincture) a most excellent remedy for Angina Pectoris, although it is well known from many histories of poisons, that it produces on the healthy subject, symptoms very much resembling this disease. An hysterical- gastrodynia which defied for the space of two years all antiphlogistics and derivative remedies as well as large doses of the magisterium bismuthi was finally removed by smaller doses of this medicine. I might enumerate a great many similar cases from the records of my long practice. To this mode of employing medicines, I have been led by an observation of Hippocrates to which Blumenbach of Gcettingen has drawn my attention, it is the following; ' Diseases are sometimes cured by medicines, capable if producing similar affections." x PREFACE. of the public on medical subjects, and the obstacles which these errors often oppose to the success of the best concerted Homceopathic treatment, have induced me to address this outline to the nonmedical part of my readers; and in order to make it of practical utility to the sick, I have added to the exposition of the homoeopathic doctrine, details on the manner of studying and expressing the symptoms, thereby enabling the physician to obtain an accurate knowledge of the disease, also a chapter on the dietetic rules to be observed during Homeopathic treatment. I am not ignorant of the disfavour attached to a popular work on medicine, but the present one is only in the nature of a defence, that is, an answer to the accusations which the royal Academy of Medicine has itself prefered against Homoeopathia, with the evident design of influencing public opinion; it becomes therefore necessary Another circumstance has also led me to it, namely the observation, that the diluted and afterwards inoculated matter of small pox, produces after some time such a powerful reaction of the organism, as to cover by ap immense multiplication of the contagion, the whole body with innumerable pustules. It is also to be considered, that the smaller and more subtile any substances are, the greater and deeper is their effect on the organism. The effects of light, heat, electricity and magnetism make this clearly apparent. The observations of Spallanzani on the fructification of eggs are also to be recollected. "* * Dr. Dufresne of Latour, says in a letter to the editor of the Biblioth. Homceopathique at Geneva: L Broussais addressed his audience in the Ecole de modecine at Paris in the following terms." " I do not reject an opinion, because it may be opposed to my former convictions; they may call it ridiculous or extravagant. I never laugh about it! thus, I do not laugh about Homceopathia (ironical murmurs by a part of the audience.) No, gentlemen, I do not laugh, and never have laughed about Homoeopathia; indeed it has not responded to my call, as I should have wished, perhaps I have not questioned it rightly. Many distin, quished persons are occupied with it, we cannot reject it without a hearing, we must investigate the truths it contains!"" Tr. ON HOMOEOPATHIC MEDICINE. ILLUSTRATING ITS SUPERIORITY OVER OTHER MEDICAL DOCTRINES. CHAPTER I. On Health and Disease. The object of the healing art is, to preserve health and to cure diseases. Health, that precious gift, which is truly appreciated by those only who have lost it, is the state of an individual, in which all the physical and moral functions are carried on regularly, with ease and without pain. "Perfect health does not show itself merely by the presence of a physical well being, by cheerfullness, good humour and moral contentment, but also by the faculty of resisting, without being affected, the odinary external or internal morbid causes to which life is incessantly exposed, physical injuries and the action of strong doses of poisons excepted. Even age does not change a perfect constitution; the aged man who enjoys good health, although he does not possess the strength of the young, and the capability of fulfilling the functions proper to youth, is yet not less cheerful and less generous, nor less exempt from suffering; he enjoys a physical and moral well being and knows nothing of the imbecillity attached to his age. 14 ON HOM(EOPATHIC MEDICINE. It cannot be said, that an individual enjoys perfect health, if a light current of air, the least bad weather, the changes of the season, or of the moon, a frost, a little over excitement, fatigue, somewhat prolonged vigils, the smallest excess in eating, the least vexation, or trouble, in a word the slightest deviation from his accustomed manner of living, produces indisposition and sickness. In looking around us, therefore, we shall soon be convinced, that very few persons, in our present state of civilization enjoy perfect health; almost all possess it in a relative degree only, that is, approaching more or less to the state of normal health or of disease, which may be the consequence either of our manner of living, so contrary to the laws of nature, or of an hereditary predisposition, which our ancestors have bequeathed to us. Disease may infinitely vary according to the constitution and habits of the individual; from the slightest indisposition, from a whitlow or wart, to a fever and the most serious disorganisations of the viscera. A state of debility, susceptibility, lowness of spirits or mental irritability may be a state of habitual health to one person, while it is to another, who is generally cheerful and healthy, a real disease. Disease differs, then, from health, when the functions of the various organs do not perfectly fulfill their destination. The same force, the same principle which governs health, contributes also to the formation of disease, if it receives an irregular impression. Physicians have at all times endeavoured to discover the internal changes, which were going on in the organs, stfficient to produce disease; but as they coul) never attain a knowledge of its real cause, or even of the principle of life in the normal state, it was naturally impossible for them, to discover the changes, which this cause, this unknown principle underwent during disease. How many hypotheses, how many absurdities have arisen from these investigations into the interior state of the disease on the part of the physicians, who would not acknowledge the impotence of the human mind upon this subject. All the ideas, which have successively prevailed in the schools of different ages, are full of such conjectures; at one time it was an evil spirit, the anger of the ON HOM(EOPATHIC MEDICINE. 15 Gods; now a fire, a dessication, an internal humidity; sometimes it was a rigidity or relaxation of the fibres, sometimes a fermentation of humours, at others a salt, now it was an excess, now a want of the alkaline principle, of acidity, &c., now it was the equilibrium destroyed by certain fluids and solids, then an obstruction of the capillaries, at another time spasm, or a spasmodic contraction of these vessels, or of the fibres or nerves; sometimes it was also an excess or a deficiency of Caloric, (Phlogiston,) at others, it was a superabundance of bile, of black bile, which had penetrated into the blood, or oppressed the digestive organs; sometimes it was an excess or want of the power of excitability or of stimulation, sometimes an irritation, or want of irritation, inflammation, subinflammation, &c, &c; aceording as the reign of religious superstitions, alchymy, mechanics, mathematics, chemistry, spiritualism, &c. &c. prevailed in the doctrines professed by the learned of the age. All those theories, after having governed the opinions of physicians, have by degrees extended to persons not of the medical profession. And the sick successively thought themselves under the influence of divine punishment.or of an evil spirit, or believed they had a saline principle in the body, an excess of caloric in the blood, vitiated humours, relaxed or rigid fibres, contracted or irritated nerves, and of latter time, very nearly every thing is, according to them, an irritation or inflammation of the stomach, because the author of the prevailing medical theory has attributed to this cause the majority of acute, febrile and chronic diseases. These different theories, being the result of a species of reasoning, one necessarily succeeded another, and in proportion as the new opinions gained ground, the old ones were forsaken; one theory always took the place of another-with the physicians, but, with the public the case was different. The new doctrines which followed, were allied to the old; new theories were communicated to them by the faculty, the old they retained by the traditions of ancestors and. of non medical contemporaries, who had not yet been converted to the medical theories of the day. What a chaos, what incongruities do we thus generally hear in the account the sick ON HOM(EOPATHIC MEDICINE. 17 ological medicine was carried, more than six millions of leeches were used in the hospitals of Paris and at the Hotel Dieu; more than 200,000 pounds of human blood were spilled in one year. I shall not speak of the enormous quantities of violent poisons, administered by the disciples of Rasori, as the appearance of the Broussaian doctrine has fortunately placed a check to the extension of this doctrine of true poisoners in France. CHAPTER II. Origin of Horceopathia. We have seen in the preceding chapter, how vague, uncertain and absurd were the opinions, whichphave been promulgated to this day on the nature of diseases, and this uncertainty has been just as great, with respect to their treatment. This unsettled state of theories ought necessarily to have produced doubts, as to the best means to be pursued for the cure of diseases; hence, what incoherencies, what contradictions, among authors in the common medicine! Some will heat, others cool, some strengthen or weaken the fibres, some purify the blood, some correct or neutralize the-saline, acrid, acid, alkaline or putrid principles; some evacuate the bile, or the diffused milk, some will increase or diminish the excitability, others calm irritation or spasms, relax the rigidity of the fibres, or increase the tone of relaxed fibres, &c., &c.; These diversities, these uncertainties were still more opposed to each other, when the object was to employ a curative remedy. For, if in the mind of a conscientions physician, the theoretical illusions of the schools have given place to practical realities at the bedside of the patient, he soon perceives the insufficiency and uncertainty of the resources of his art, and being afraid of injuring his patient by active medical treatment, he employs the exspectative method, that is, he leaves to nature the cure, only removing the causes, which might disturb her salutary efforts. B 18 ON HOM(EOPATHIC MEDICINE. These truths, which are generally acquired by physicians, only after a number of years practice, deeply impressed Dr. Hahnemann at the beginning of his medical career. Having been educated by his father in an excessive, we might say, superstitious horror of every falsehood, and to account for every thing he did, his candour would not permit him to practice any longer an art, devoid of principles, and which he saw replete only with uncertainties; his up. rightness and veracity were repugnant to giving daily prescriptions to the sick, of which he neither knew the probable effects, nor the laws, which ought to determine him in their administration. He preferred seeking a livelihood from other departments of knowledge, more congenial to his exalted intellect and directed his attention to chemistry, natural history and general literature, rather than continue the practice of medicine, although it had acquired for him a well merited reputation. Occupied in 1790 with the translation of Cullen's Materia Medica, he was struck by the eulogies, bestowed by this author on cinchona, in a number of different maladies, and which seemed contradictory, according to the prevailing ideas, on the nature of diseases. Not being able to find a cause for effects, so oppos'd to each other, it occurred to him, that the only means, of learning the true effect of this so much vaunted medicine, was, to try it on an individual in good health, before its action in diseases could be ascertained; for this purpose he took early in the morning a decoction of bark for several hours consecutively and failed not to experience towards evening a febrile action, analogous to the fevers of marshy countries, and he observed, that this attack occurred for several days at the same hour. This phenomenon was to the observing genius of Hahnemann a ray of light, it made the same impression upon him, as did the fall of the apple upon the mind of the great Newton. From this attack of fever is dated the origin of TIomiopathia. Struck with the resemblance of the disease produced by Cinchona, with that which this medicine cures specifically, he thought, that the cause of these curative effects consisted in this similarity of action; in order to be assured of this, he repeated these experiments ON HOM(EOPATHIC MEDICINE. 21 cinal substances taken internally, constitutes the arsenal of those instruments which are employed in a homoeopathic cure. From this period Hahnemann publicly professed the medical reform at Leipsic; a considerable number of students or young physicians and even veteran practitioners congregrated around him with the view of studying the new method and employing it in practice, the majority, under the guidance of the master submitting to experiments for the purpose of learning the effects of new medicinal substances, and by these means of augmenting the resources of the new medical art. They have successively brought it to a state of perfection, sufficient to enable them, to become fully convinced of its efficacy in all cases of disease and of its superiority over th3 old method, as well by the certainty and quickness of the 'cure as by the gentle, expeditious and easy manner of its performance. If we take into consideration the obstacles, which the founder of HIomcEopathia has had to surmount, by reason of the professional interests, which were compromised, the self love, which was wounded, and above all, the despotic organization of the healing art in Germany, we shall not be astonished at the slow progress of this doctrine in its native country, Hahnemann, a private individual, by menacing the fortunes of the apothecaries and of an all powerful medical hierarchy, which possessed an exclusive jurisdiction over the physicians of that country, was persecuted in all possible ways and finally even proscribed, so that it needed all the constancy of the man of genius, convinced of the truth of his discoveries, to persevere for so long a time in such laborious exertions, and alone to sustain such an unequal contest. In the mean time, such great and courageous efforts have not been put forth without success. God has granted to its author a sufficient number of years to see his doctrine spread over the face of the globe, and although it has not, as yet, universally prevailed, yet all parts of the world are not without physicians, who propagate its principles by the performance of cures. Since the year 1822 several disciples of Hahnemann united, to publish at Leipsic a periodical work, entitled the ".'rchives of IlHon;eopachia," having for its object, the propagation of the new art Since that period, its progress has been very rapid, and so to ON HOM(EOPATHIC MEDICINE. the reasons assigned in the preceding chapter, considers all these divisions as arbitrary and inadmissible. Under the head of causes of diseases, we shall demonstrate the justness of this principle of Homceopathia. The division of maladies into general and local, (according as they attack the whole of the body or only one of its parts,) adopted by the old school, is not more admissible by Homceopathia. The life of the individual is indivisible in health as well as in disease; consequently, no part of the body can be sick, without the participation of the whole organism. There exists then, properly speaking, no local disease, except very slight and very recent mechanical injuries; for, when a serious physical injury has existed for some time, it will have affected the organism to such a degree, that it can no longer be regarded as a local disease. This opinion, already expressed by Hippocrates, when he said, Consentiunt omnia-is easily confirmed, if one will observe with attention, what happens during the developement of the slightest as well as gravest disorders. The diseases, produced by occassional causes, acting on one organ, as well as those, which manifest their action on the whole organism, are all preceded by a forming stage, more or less long, more or less perceptible, before their development takes place in a particular part, or in the whole body. Erysipelas, and even coryza (one of the slightest of the diseases considered local) are they not always preceded by general indisposition for a greater or less time, in the same manner as the most intense pneumonia, or small pox, and every other disease called general? This stage, which physicians call the incipient or forming stage, is a proof of the share, which the organism takes in the production of a malady appearing in one part of the body, and proves also that the principle of the localization of diseases, according to the physiological doctrine prevalent in France, is opposed to the imprescriptible laws of nature. IHahnomann, having better studied these laws, and justly considering all maladies as general, has rejected their division into local and general, and has in consequence directed all'his applications of medicine to the whole organism. The common healing method has also established a division of 24 ON HOMEOPATHIC MEDICINE. diseases according to their duration; it calls those acute,which terminate their course before the lapse of-six weeks, and those which reach beyond this term, are called chronic.-It is easy to perceive, of how little importance is this consideration of the duration of diseases, and what small influence it ought to have upon their treatment; for the long continuance merely of a disease cannot change its nature; a cold of eight days or six weeks will never be any thing else but a cold, if other circumstances are not combined; a phlegmasia to-day, will always be a phlegmasia, if its nature be not changed. IHomoopathia certainly admits of the division of diseases into acute and chronic, but the characters, which it assigns to them do not depend on their duration merely, but also on the cause of this continuance, which entirely changes their nature, and requires a special consideration in the treatment. Hahnemann calls those diseases acute, whatever may be their duration, which, if left to themselves, are cured by the powers of nature alone; in these diseases, the remote occasional cause is always accidental and often susceptible of being overcome, without the aid of art. He denominates those diseases chronic, which, if left to themselves, have an incessant tendency to aggravation, and generally finish by causing the death of the individual; the efforts of nature or a palliative medicine may, it is true, produce their disappearance for some time, but will never cure them. They can only be cured by appropriate specifics, because, they are always produced by an internal virus, which has a constant tendency to extend itself and which nature alone cannot destroy. The diseases brought on by a continued and incessantly renewed occassional cause as excess in eating or drinking, abuse of pleasures, noxious substances, an unhealthy habitation, excessive labours, in a word, by an improper manner of living, may be arranged in the class of acute diseases, (although their duration may frequently be very long,) because they disappear of themselves on removing the occassional causes which produce them. The virus, producing chronic diseases, according to the founder of Homceopathia are of three kinds: The syphilitic vir'j, the sycotic virus, and thl psoric virus. ON HOMWEOPATHIC MEDICINE. 25 The syphylitic virus was already known to the old medicine, until, during the rage of theories, a modern sect of physicians denied its existence, because its cure with mercury did not agree with the ideas, which they had formed concerning the modus oper(idi of medicines; for, according to the principles of the physiological school, every medicine must necessarily be a stimulant, and the precepts of that school did not permit them to prescribe it in a disease, where there often existed swellings, redness and the other characteristics of inflammation. Experience has not been slow in doing justice to this arbitrary supposition, and the reasonable and experienced physiological physicians no longer find any difficulty in admitting the existence of a virus. This virus, if not destroyed by a specific, remains perpetually in the organism, and if by repellent remedies and the usual regimen, we remove the local symptoms produced by an impure coitus, as is done by charlatans or physicians deceived by a false theory concerning the absorption of the virus, it identifies itself with the constitution, and is manifested sooner or later by ravages of different kinds in the organism, viz., by whatis called secondary syphylis. Thus a disease, which might have been cured in a few days by an atom of the proper specific, will require years of medical treatment and assiduous care to effect its removal. The sycotic virus manifests its presence by the development of excressences on the surface of the body or interior of the organs. This virus, which the old physicians confounded with the venereal, because the excrescences appeared on the parts of generation, or the surrounding parts, on the perineum and anus, in consequence of an impure connexion, is of a nature quite distinct from syphilis. Hahnemann, having observed, that the mercury had no effect upon these excrescences; it occurred to his penetrating mind to attribute them to another origin, because they required other treatment, and reproduced themselves, if they were not combatted by the proper specific. He has ascribed them to a particular virus, to which he has assigned the name of the visible phenomenon, which it generally produces. It is from this virus that the warts are derived, which appear on different parts of the body, and especially on 26 ON HOMEOPATHIC MEDICINE. the fingers, polypi of different organs, naevi materni, &c. Experimeats on the healthy subject, led him to find a specific in a vegetablk substance (Thuja occidentalis,) which has an action on this virus, and whose effects are nearly as certain as that of mercury in the syphilitic virus. The third kind of virus is called by Hahnemann, the psoric, that is to say, the virus of the itch. This virus, according to him, is of all others the most diffused among mankind, and exercises its ravages from the first conception of the germ to the last stage of life. From this virus are derived the malformations of the body, the congenital navi, crustam lacteas, worms, glandular swellings, rachitis, and all praternatural deformities of the bones, chronic diarrhoeas, catarrhs, chronic opthalmias, phthisis, herpetic eruptions, biles, scirrhus, cancers, dropsies, aneurisms, hamorrhoids, chlorosis, different nervous disorders, obstructions of the breasts, ulcers of the uterus, of the legs, &c., varicose veins, leucorrhoeas, chronic gonorrhceas, hysteria, melancholy, insanity, encysted ttnmours, corns on the feet, caries of the teeth, hydrophobia, cataract, amaurosis, rheumatism, gout, asthma, &c. &c. in a word, almost all the chronic maladies, which afflict mankind. If we reflect with a little attention, we will soon be convinced, that all the diseases which we have enumerated, arise from the same cause, because one of them often succeeds another in the same individual, and they always have a tendency to aggravation, if the cause be not destroyed by the proper treatment. As soon as an individual has had a fit of the gout, we may prognosticate, without fear of contradiction by facts, that these attacks will approximate each other and become longer, that probably he will afterwards be subject to gravel, urinary calculus, or vesical catarrhs, to deafness, etc., or that the virus will attack another system of organs, the heart, the brain, &c. The same may be remarked with regard to all other chronic affections, and might be infinitely multiplied. From year to year the condition of the patient deteriorates, the tolerable intervals become more and more protracted until the.dll Merciful, as the good Hahnemann expresses it, having pity upon the excessive sfferings of the patient, releases him from ON HOM(EOPATHIC MEDICINE. 27 his disease, and at the same time from the tortures inflicted upon him by physicians. If, by reason of the development of vigour in youth or by some other circumstance the vital energy of the individual is so much augmented, that nature is able to master or balance the expansive force of the virus lodged in the system, its effects may be repressed for a.onger or shorter period, the virus will remain in that case in the body, in a dormant or latent state as it were, without showing a single sensible sign of its existence, and the individual will enjoy apparently perfect health; but, if age or a casual cause enfeeble the vital forces of the individual, the effects of the slumbering virus will renew themselves with impetuosity, and chronic diseases of various kinds will assail him; and this, we observe, if the psoric virus is hereditary. In infancy, when the forces of nature are not yet developed, the psoric virus exercises its ravages by producing, what are called the different maladies proper to that age, (and which are really nothing but the effects of an hereditary infection,) as crusta lactea, convulsions, worms, &c. The vigour acquired by increased age commonly puts an end to these sufferings, that is, generally after the second dentition; and with weakly children at the age of puberty, a period of good health commences for these psoric beings; with girls the beginning of the menstrual discharge is considered as the natural emunctory, but with boys there exists no such emunctory, and nevertheless this happy change is still more apparent; to what other cause could it be ascribed, if not to the development and increased energy of the vital forces? But towards the age of forty, or before, if by accidental causes, as a severe acute disease or a violent moral affection caused by the loss of a person who was dear to us, or that of fortune, an unhappy passion, jealousy, or by an unwholesome manner of living, sexual excesses, low diet, a too sendentary life, &c. &c., the vital power or the principle of life becomes weakened, the psoric virus becomes reanimated with renewed violence; now asthma, hypochondriasis, heemorrhoids, partial headache, rheumatism, gout, catarrh, &c. will begin to assail the years which follow manhood, and which make old age so sorrowful to us by 28 ON HOM(EOPATHIC MEDICINE. the infirmities, with which it is habitually accompanied, that they appear to be a necessary consequence of advanced age, while they are only the effects of the psoric virus which is so largely diffused among our species, and which was never recognized, until the penetrating genius of the founder of hommeopathia had clearly shown the cause of these infirmities. The psoric virus derives its origin according to Hahnemann from the itch. This so communicative plague has been greatly multiplied by armies and foreign wars; one of the causes of its great extension in Europe may also be ascribed to the holy wars of the 13th century, by the importation of the lepra. This virus, which was never destroyed by the proper specifics, has at length spread from one generation to another, and those who have escaped it by inheritance, have contracted it by the contact or approach of psoric persons; because it is not necessary that an eruption of the itch should appear, in order that the infection may take place; for, this virus being extremely diffusive, we cannot deteymine at what distance a person infected may communicate the taint to another individual. The psoric virus manifests its existence only during the increasing deterioration of the health of the individual, and then without any signs of local itch, it no less displays all the characteristics of a psoric malady. The transmission of the psoric virus takes place also at the present day by an operation otherwise very useful, viz: by vaccination; the matter of the vaccine pustule is often impregnated with the hereditary psoric virus of the individual from whom it is taken, and in this way transmittel to a newly vaccinated person. Notwithstanding the pertinacious denial of physicians, dictated by the laudable zeal with which they endeavour to distribute this preservative against small pox, we cannot disbelieve the evidence of our senses, that the commencement of psoric affections may be dated in many children from the time of vaccination, and is manifested generally by the character of scrophula. These children had always previously enjoyed very good health, whereas, a short time after vaccination, eruptions, tumours, scabs, &c. &c. began to show themselves. Very frequently after this operation a more or 30 ON HOM(EOPATHIC MEDICINE. the psoric virus, which is so widely disseminated among mankind, but these researches have not been more successful than those made on the origin of syphylis, small pox, scarlet fever, plague and other known contagious diseases. The acarus of the itch is only a guest in the pustules of that disorder, and it would be absurd to deny the existence of the psoric virus, because we have, as yet, been unable to discover its origin. CHAPTER IV. On the causes of Diseases. The discovery of the law similia similibus applied to the cure of diseases, would necessarily influence the views of its author with regard to their nature and causes, and induce him to leave the errors and the routine of speculative medicine. We have to consider three kinds of causes in diseases: the predisposing, the remote or occassional and the proximate cause, or the essence of the disease itself. The predisposing cause is the state of the living organism, by which the individual is disposed to contract a disease by some cause or other, which will have no effect upon a person, who does not possess this organization; we have already seen, that this predisposition, this particular susceptibility is a sign of an imperfect state of health., Homoeopathia consequently regards this remote cause itself as a morbid state, deserving the whole attention of the physician, either to remove it before a more severe form of the disease has developed itself, or if this disease exists, to manage it properly during its treatment. Hahnemann generally ascribes this predisposition to disease to one of the internal latent causes, of which we have spoken in the preceding chapter, and which he advises to combat during childhood with the suitable medicines, before it has developed itself by the occasional causes, and given rise ON HOM(EOPATHIC MEDICINE. 31 to a graver disease; the old medicine on the contrary pays no attention to these predisposing causes, because it has no other remedies to oppose them than a suitable regimen, always an insufficient resource to destroy them completely. The remote causes are those, the action of which on the living system determine the-developement of the malady: they may be either external or internal, that is, they may come from without, a cold air, humidity, heat, light, the distemperatures of the atmosphere, excessive fatigue, mechanical injuries, abuse of aliments, or drinks, or their bad quality, the different poisons, or contagious virus, &c. &c. These causes, which exercise such a great influence in the production of diseases, (since it is owing to their action that the latter are developed,) are yet very little studied or are even sometimes entirely neglected by the physicians of the old school: the disease; once developed, they direct their attention only to the supposed nature of it, without troubling themselves about the cause, which might have produced it; with them, a pleurisy is always only an inflammation of the pleura, which was produced by a cold, or by an abuse of stimuli, or some other cause, they always employ the same antiphlogistics to combat it, and similar views are taken with regard to all other diseases; they direct their attention solely to the supposed change of the organs. Homceopathists, on the contrary, never loose sight of the remote cause, at every period of the' treatment of the disease, because experience has taught them, that it often impresses some different _characteristics on the internal nature of the disease and exacts particular considerations in the choice of the remedy, designed to combat it; a diarrhoea caused by a cold, ought not to be treated by the same remedy as that brought on by a fit of colic, or by the use of unwholesome fQod; a rheumatic pain should not be treated with the same remedy, if it has been produced by a shower of rain, by a gust of wind, by an hereditary cause, or by fatigue. Meningitis or encephalitis (inflammation of the brain) could not be cured by the same medicine, if it arose from a repelled erysipelas or from a stroke on the head, or from a violent impression of the sun, or by an abuse of spirituous liquors, or from a fiff colic, or excessive 32 ON HOM(EOPATHIC MEDICINE. grief, mental anxiety, &c. The enlightened Homceopathist will always pay attention to the known determining cause of the disease in the choice of the medicine, and if the homceopathicity is equal, he will always prefer that one, which will correspond with this occasional cause, whilst the old medicine would see in these diseases only a diarrhea, an encephalitis, and direct its treatment only to the disease itself, that is to the morbid changes which it supposes to have been developed in the diseased organ, whatever might have been the determining cause. The proximate cause of diseases is the change which takes place in the body by the action of the remote cause, and constitutes, properly speaking, the disease itself. According to this definition it is clear, that it is as impossible for us, by the exercise of our senses, to know the proximate cause of diseases as that of life itself in health; that, what the common school represents as the proximate cause is really nothing but the immediate effect; the augmentation of the afflux of blood, the dilatation of the vessels, the heat, swelling, and the pain in the inflamed tissues are only the products of the disease in phlegmasia. Its proximate cause consists in the alteration of the vital forces, either in the whole system, or in the organ more particularly affected, and which has occassioned these physical disorders of the tissues. This alteration of the vital force is absolutely imperceptible to our senses, it is a secret which is not permitted to any living being to unravel. Thus the redness, the afflux of blood, the swelling of the tissue which we observe in the pleura and the lungs, in pleurisy and pneumonia, the redness of the tunics of the stomach in gastritis, the swelling of the liver in hepatitis, the serosities, accumulated in the cavity of the peritoneum, or under the subcutaneous cellular tissue in dropsy, ascites, or anasarca, the blood diffused in the brain in apoplexy &c., are only the material productions of the malady; they are no more the proximate cause, than the different organic changes, which we observe in post mortem examinations: all these changes in the structure, density, or form of organs, are only the product of the power which governs all the functions of life, in health as well as in disease, known by the name of vital fluid, vitality, &c. In the -same way, the expulsion of water, by ON HOM(EOPATHIC MEDICINE. 33 whatever method, be it by an artificial mechanical opening, or by the natural passages, by urine or stool, does not cure dropsy, if we do not correct the vital alteration, which has occassioned the morbid derangement of the exhalation: it will soon accumulate in greater quantities, than before its discharge. In inflammations of the chest, evacuation of sometimes enormous quantities of blood, does not prevent the disease from running through.its course, of from two to six weeks, if the vital force is strong enough to resist the morbid cause, and the fatal medications of the system of medicine called rational. The miserable and lingering life of so many people afflicted with pretended gastritis, sufficiently proves that the accumulation of the blood in the membranes of the stomach, was not the proximate cause of the disease; the little effect of bleeding and its bad consequences in the majority of apoplectic cases proves, that the few drops of blood diffused in the cavity of the cranium are not the proximate cause of this affection, but merely the effect of a much more profound alteration of the vessels and the tissue, in which it has originated; for, if apoplexy be the effect of a superabundance of blood, we would observe it in young persons, at the age, when this fluid seems to be superabundant, or when the turgescence of the vessels, and the energy of their pulsations seems to demonstrate its superfluity; and yet, apoplexy but seldom, and as an exception to general rules, occurs at this period of life. It is in old age, when the less abundant "nutrition, the feebler and more relaxed pulsations of the blood vessels attest a diminution of the mass of blood, that we observe it. The curious investigations, which a celebrated professor of Montpellier has made, with regard to the alterations observed in post mortem examinations of the brains of individuals, who had died from this disease, do in no wise show the cause of it, but merely the changes to, which it has given rise. The stone in the bladder cannot be reasonably regarded as the proximate cause of lithiasis, except it was produced by a foreign body lodged in the bladder. Operators therefore, have, unfortunately too often been convinced, that its extraction generally produces only a temporary relief to the patient, and that the stone is reproduced more or less rapidly, if the vicious sc * ON HOM(EOPATHIC MEDICINE. 37 the excessive aggravation of the fever, he thought the two enemies were struggling against each other, the poor patient rendered up his last breath. Another, seeing nothing but fermentation or inflammation of the blood, used the veins as an outlet, (robinet de degagement) and let the blood flow, which he believed could not be contained any more in the vessels, or which he supposed to be inflamed or deteriorated by putrid fermentation, and life escaped with the last drops of this fluid. In these latter times of the dominion of medicine called physiological,have we not seen physicians, more zealous than their master, in their persuasion that the proximate cause of diseases existed in an excess of energy or irritation, attack them by hundreds of leeches, and sometimes these animals crawl over the corpse of the unfortunate patient, of whom they had sucked the life in draining the last drops of his blood. And what shall we say of the revulsive method of treatment often not less barbarous, of setons from four to six inches in length, as if intended for horses, of moxa, of red hot iron, of sinapisms and of blisters, by which the sufferings of the sick are so cruelly multiplied? And what of that excessive abuse of opium, which agreeably to the presumed idea of the proximate cause of diseases, is to calm or subdue the irritation of the suffering part? They were not aware of the injury they did, in ruining irrecoverably a system of organs indispensable for the salutary reaction of nature, that is, the brain and its dependencies. With their doses of opium they relieve for the moment the most acute sufferings of the patient and calm his complainings, and they are ready afterwards to attribute to the malignity of the disorder the very severe symptoms, which result from this method of treatment. All the alterations of fluids, observed in diseases, and to which their causes have been attributed, are in reality only the effect. The buffy coat, which the physician examines with so much car, in certain diseases for the purpose of judging of the necessity of repeating venesection, are only an effect of the acceleration of respiration and of the irregular action of the vital forces produced by the disease; fluidity of the blood in scurvy is no more the 38 ON HOM(EOPATHIC MEDICINE. cause of that disease, than the bile diffused over the tissue of the skin, and which renders it yellow, is the cause of the affection of the liver in jaundice. Happily these errors and mistakes of theories and opinions which have been adopted concerning proximate causes, are soon discovered in practice by intelligent physicians; we see, therefore, very few, who after some years practical experience, continue to be guided by them in the treatment of the sick; they revert to the truths demonstrated by experience and observation, and having seen the injuries which were produced by a mode of treatment dictated in reference to these presumed proximate causes, rather than run the risk of hurting the efforts of diseased nature by active and hazardous means, they content themselves with preventing its entire prostration, by removing every thing which might retard or restrain its efforts for the cure of disease, that is, they practice the art of healing so much recommended by Hippocrates, the expectative method, or at least, they modify very much the precepts dictated by the theories of the schools, and these practioners are generally the most successful. Other physicians, dissatisfied with the prevailing opinions entertained on the proximate causes of diseases, owing to the bad results they experienced from their application in practice, entered into new theoretical speculations, with the hope of being more fortunate than their predecessors. In this way have sprung up in succession, the different medical theories which in their turn have decided the fate of mankind afflicted with disease: nor have their advocates reflected, that by following the same principles and reasoning upon laws unknown and impenetrable, they must necessarily fall into the same errors. Thus, every foundation of a new system of medicine, consisted of two pretty distinct parts, viz; the refutation of the old systems and the establishment of the new. The first part has always been made with the greatest facility and perspicuity, even by authors of an inferior class, because, having only to combat systems without foundation, they had only to follow the impulse of simple reasoning to overturn them; but when it was requisite to reconstruct the new theoretical edifice, the same rocks on whipi their predecessors were wrecked, arrested them ON HOM(EOPATHIC MEDICINE. 39 also in ther course, and they left the healing art in the same uncertainty. Three thousand years of this groping in the dark made no real advancement in the healing art, properly so called, until a superior genius, having followed another track, a track quite in an opposite direction, viz: that of direct experiment and observation, established new and more solid foundations for the study of diseases. Hahnemann, that profound philosopher, convinced of the impenetrability of the secrets of nature to our feeble intelligence, of the impossibility of discovering the proximate causes of diseases, Sthat is, the internal changes which give rise to disease, has, in order to appreciate these changes, regarded only the phenomena perceptible to the senses ol the patient or the by-standers, and which alone, God has allowed our feeble intellect to perceive. He entirely sets aside every definition of the causes which nature has covered with an impenetrable veil. Homceopathia, we cannot too often repeat it, does not then consider a disease as an over excitement, an irritation, or a want of excitement or irritation, a decomposition of the blood or humours, &c.: it considers them as an innormal state of life, manifested by the sufferings and derangement of the organic functions. The homceopathic'physician possesses superior means over that of the old school, to discover the true nature, or the proximate cause of the disease. For, by taking into account all the antecedent circumstances in relation to the patient, the causes which have produced the disease, the condition of all the physical and moral functions of the individual, the external changes, which are perceptible to him, the sufferings and sensations which are felt by the patient, he will acquire a much more positive and exact knowledge, than his antoganist, of the internal disease which gives rise to the actual sufferings of the individual. The latter will content himself with the investigation of the proximate cause, according to theoretical opinions which he has embraced. For, in good logic, an effect always indicates a cause, and as this cause is absolutely unknown to us, the more we examine its effects methodically, the more data we shall have of it; and if we have a just apprehension of all of them, we shalltnecessarily be 40 ON HOMEOPATHIC MEDICINE. possessed of the best indications of the cause itself, which we are called upon to combat. These effects, which characterize the disease, are called symptoms. With these arguments in view, it may be readily seen whether the old school is not wrong, in reproaching Homceopathia with neglecting'the proximate cause of diseases, because it only regards their symptoms. Homoeopathia searches into the proximate cause, and discovers all that is possible for our imperfect senses, disregarding no indication which might enable it to discover its nature, it merely stops at the point, beyond which human intelligence is not permitted to go. It rather prefers to avow its ignorance, than to throw itself into the darkness of hypotheses, while its adversaries, content with their suppositions, neglect the true indications, to busy themselves -only with the reveries of their imagination. An example will serve to illustrate in what respect the manner of proceeding of the hommopathic physician differs from that of his antagonist in the diagnosis, that is to say, in the examination of the nature of a disease, and the advantages of the former over the latter. A patient complains of fever, and a physician of the old system will immediately endeavour to discover the proximate cause of his sufferings, that is, to give a name to the disease. If he belongs to the physiological school, for example, he will investigate the organ which principally suffers, and if it be irritated, he would know what degree of irritation or inflammation exists in it, or whether it be in a state of debility or want of irritation. If the pain or sensibility of the stomach and the redness of the tongue lead him to suppose that the disease is an inflammation of the stomach, he will have recognised a gastritis and pursue his investigations no farther; he will neglect, or pay little attention to the phenomena which might divert his attention from the supposed proximate cause which he believes he has found, and directs his treatment against the latter. The homeopathic physician will, on the contrary, in the same case of disease, not be satisfied with the examination of the symptoms which might indicate an irritation of the stomach, he will inform himselfkof the cause, to which this irritation should be at 44 ON HOM(EOPATHIC MEDICINE. in particular; and, moreover, take into consideration the constitution and the previous habits of the individual, his mode of life, his age, sex, remote causes of the disease, its type, progress; finally, the hours of the day, when it is more or less violent, the seasons of the year, the state of the atmosphere, the changes of the moon, in short, all external circumstances, which may have any influence upon it. It is only after all these investigations have been made with the greatest possible accuracy, that the physician can acquire a just idea of the disease in a homceopathical point of view: that is, distinguish properly the particular case, which he has to treat, from those analogous to it, in order to make a selection of the specific medicine. The homoeopathic physician, who is fully penetrated with the spirit of his doctrine, will accurately note down in writing, at the dictation of the patient, all the symptoms of the latter and the circumstances which he mentions, together with the answers; which are elicited by the questions, which the physician thinks himself obliged to put to him, for the purpose of rectifying expressions or of perfecting ideas indispensable to a good diagnosis. Hahnemann counsels the sick, to mistrust the physician who will rely merely on his memory to retain minutiae, which are indispensable for obtaining an accurate idea of the disease, except in very slight and very common cases; for this physician practices Homceopathia with the superficiality of Alloeopathia, he generalizes diseases according to that method, that is, he will only see gastritis, meningitis, pneumonia, &e. and not the particular individualities, which they really represent. The necessity of minute investigations of diseases in the practice of Homceopathia will always remain one of the causes, which will prevent this doctrine from being adopted by physicians in extensive practice, who chiefly regard their pecuniary interests. For it is much more agreeable and especially more expeditious to come to a patient, feel his pulse, look at his tongue, press upon his epigastrium, beat a little upon the sides of the chest, ask two or three questions, and finally, write a prescription. In this manner one may make six visits in an hour, whilst a conscientious Homoopa ON HOM(EOPATHIC MEDICINE. 45 thist could not make a greater number during a whole day, because, besides the time necessary for the examination of the patient, a,period equally as long must be occupied for the proper selection of the medicine. Physicians of the former class, as soon as their patients become numerous, prefer retaining their expeditious routine, because, it combines the interests of their purse, with the demands of their indolence, CHAPTER VI. On the Prognosis of Diseases. Prognosis is that part of medicine, which teaches us to foresee the course and issue of diseases. This prognostication is founded on the knowledge of the disease and the means which science offers, to overcome it. We have already seen in the foregoing chapters, how much more careful Homceopathia is in its investigations, in order to know all the circumstances and the true state of the disease, than the common method; the general precept to consider every disease as an individuality, imposes upon the homoeopathic physician the obligation of acquiring a much more exact notion of the nature of the morbid alterations, than his antagonist of the old school, who contents himself by determining to what species it belongs. We shall see in the following chapters, that Homoaopathia is also much better instructed as to the remedies which it employs, because it has studied all of them in their effects on the living and healthy individual; whilst Allceopathia has only uncertain opinions of them, which it has gained by chance or inference merely, but never by accurate study. Homceopathia has an immense superiority over the old medicine, in the sources from which it derives its knowledge to establish the prognosis in diseases, consequently the probability fE its predictions is much greater, and we indulge the hope that D 46 ON HOM(EOPATHIC MEDICINE. it will arrive at mathematical certainty, when in the course of future ages, it will have acquired a knowledge of all the remedies which God has placed at our disposal for the relief of diseased humanity. In some kinds of diseases, such as are produced by an animal virus, always identical and which run a regular course, as the so called eruptive fevers, like measles, scarlatina, purpura, small pox and erysipelas, &c. the common medicine is tolerably exact in its prognosis, because it has no means of abridging their habitual course; but this certainty turns eventually to its disgrace and only serves to demonstrate its weakness: for, if these diseases had been treated according to their homoeopathic indications, their duration and their severity would have been much diminished, consequently their courses would have been modified. The Homceopathist however, must not be less. circumspect in the declaration of a prognosis: the human body is so complicated, it is so difficult to discover with certainty its internal condition, and so many unforeseen circumstances may disturb the action of a medicine, or infuence the patient, that, in the present state of our knowledge, it would be imprudent to determine in too absolute a manner the result of the treatment, and of the issue of the disease. These predictions, which in the case of Homceopathia, may be made with sufficient accuracy in acute diseases, are far more difficult to be established in chronic diseases, where the radical cure can only be effected by the destruction of the virus, which cherished them. The Homceopathist being possessed, however, of more efficacious means of correcting the morbific deviations of nature, his predictions may always be more favourable, than those of his antagonists. In all cases generally, where the old medicine can effect something, Hommcopathia will always perform cures in a much more expeditious, certain and gentle manner, that is, with less suffering to the patient. In the majority of acute diseases it cures in as many hours or days, as the old medicine requires days or weeks; and in many cases, where the latter can do absolutely nothing, Hommopathia performs a prompt cure, at least a real alleviation, where the other has given up all hope. It is impossible to fix the limits of its power in the present state of our knowledge; the ON HOM(EOPATHIC MEDICINE. 47 most severe and most desperate acute cases have been cured in a few hours: such, for example, as croup, peritonitis, puerperal fever, brain fever, &c., and the most dangerous organic changes have often been cured by the mild but pervading effects of its medicinal agents, so that its power appeared only to stop at the boundaries of existence. The cure of diseases by Homoeopathia requires three essential conditions: 1, The employment of a medicine corresponding wth the disease. 2, The reaction of nature. 3, That the action of the medicine be not disturbed by any external or internal accidential causes: the prognosis must be pronounced according to the more or less complete union of these three anditions. The variety of our diseases is so great, that we may find one, for which the specific has not yet been discovered and that among the medicines experimented upon, none answers so exactly to the symptoms of the disease, as to cure it; but thanks to the new experiments made by physicians with new substances, this cause of the want of success, is daily diminishing. The second cause of unsuccessfullness will also much diminish, in proportion as the study of Homoeopathia becomes more general and as the sick resort to it before life has become exhausted, and before they become debilitated by venesection, want of nourishment and excessive doses of medicines, administered by physicians of the old school, which destroy sometimes for many years or for ever the power of nature to respond in an efficacious manner to the action of salutary medicines. The third conditions may in a great measure be regulated by the prescriptions of the physician and the docility of the patient. An immence advantage of Homceopathia is, that the patient is spared the period of convalescence in acute diseases, because, not having been exhausted by medicines, he passes immediatedly from the state of disease to that of health, to the regular exercise of his functions. This consideration ought indeed to open the eyes of those respectable persons, who-are charged with the management of the poor,, and the.direction of hospitals. It would appear that these esta 48 ON HOM(EOPATHIC MEDICINE. blishments very little merit their title, when we consider the situation of the miserable beings who inhabit them, and the state of excessive debility, and exhaustion in which they go out-(and are called convalescent,) a debility, which prevents them for a long time from working and gaining their livelihood. Poverty and miserable food, the consequence of it, soon reduce them to a condition worse than at first, and they are finally obliged to re-enter the Hopital, never t return. How much more useful would these places of refuge be, if the attending physicians followed the.precepts of Homceopathia! Economy of medicines, economy of time, and economy of strength, would render these houses the true asylums of consolation, the sick would leave them, full of life and health, and in resuming their occupations.would, with grateful hearts bestow blessing on the men, who had procured them such real benefits. CHAPTER VII. On the Treatment of Diseases. The treatment of diseases may take place i1 three different ways by medicine: 1, by the action of medicines opposed to the symptoms of the natural malady; 2, by revulsive means; 3, by medicines producing an effect, similar to the disease. The treatment by opposition (called antipathic,) is that which attacks maladies by means of agents having the property of producing a state, opposed to that which constitutes the disease, as cold by the application of heat, burns by the application of cold, over heating by refrigeration, constipation by purgatives, diarrhoea and the other morbid evacuations, by astringents, debility by tonics, &c. This method, always prefered by the old school, wherever it can be employed, would on a superficial view seem to merit the first rank, but it generally produces only a transient alleviation, ON HOM(EOPATHIC MEDICINE. times produces opthalmias and convulsions; scrophulous affections have been cured by vaccination; herpetic and other cutaneous eruptions and scrophulous affections were obliterated by the measles, because this disease produces similar eruptions of the skin and obstructions of the glands; how many obstructions of the abdominal viscera have been cured by an attack of intermittent fever, because these fevers are sometimes followed by similar alterations. Obstructions in the female breasts remaining after a first child-bed are often removed by the secretion of milk after a subsequent delivery, a disease originating in profound grief is often cured by a new disasterous event which befalls the individual, &c. Homceopathi,s we have seen, makes use of this method of treatment, because, it only produces a genuine cure; the reactive force of nature which renders the antipathic cure only transient, renders that produced by the homacopathic action of medicines lasting and durable, because the latter determines the vital movement necessary for the cure. It is not medicines, however, which cure diseases, they only aid nature in attaining the aim of her conservative efforts; the physician, who administers them according to this principle, is the only true minister of nature, and not he who by antipathic or alleopathic agents endeavours to counteract or destroy her efforts. The alloeopathic physician by his blood-lettings, exhausts the powers of nature; hegrevents her reaction; he fetters and baffles her salutary efforts; much better therefore, would he merit the title of her tyrant than her minister, and when he endeavgurs by enormous doses of medicinal substances to produce an action opposed to that of the disease, still better would he deserve the title of her executioner; because, already almost sinkinigunder the'action of accidental morbid causes, she is destroyed by the additio~i of this new impression of an opposite character. The diseases, which this perturbating method of treatment leaves behind it, sufficiently attest its impropriety. *These are the gastralgias, the different organic injuries of the stomach-and alimentary canal, of the liver, urinary organs,, uterus, lungs, &c. which are generally attributed to the malignancy of the disorders, but which are frequently nothing but 52 ON HOM(EOPATHIC MEDICINE. the effect of large doses of medicines given during the treatment of the disease, or during convalescence, or the result of debility caused by bleeding and low diet. The necessity of accounting for phenomena which pass before our eyes, and of uniting them by a common tie, did not allow the author of Hommopathia to confine himself exclusively to that which experience and observation taught him; he wished also to explain, how-the medicines acted; although incontestable reasons have led him to declare the nature of diseases and their proximate causes as impenetrable to our understandings; he nevertheless, thought it possible to understand the internal action of medicines. Hahnemann supposes that two similar diseases cannot exist at the same time in the same individual, without the stronger extinguishing the weaker one. But the action of the hommeopathic medicine being always the stronger, because it is the effect of an extraneous agency, always produces a more powerful disease which takes the place of the natural affection; but the action of the medicine having a tendency of itself to become extinct, this natural disposition of the new disease and the reaction of nature excited by it, cause its complete destruction. This theory, which the enlightened understanding of the author considers as a simple supposition, which he really declares it to be and to which, as he says, no importance is to be attached, has, during the few years, since the existence of Homoeopathia, been already followed by many others, so true it is, that when once engaged in the -field of hypothesis, little else but doubt and hesitation remain. The learned Dr. Rau has supposed the homceopathic action of medicines governed by the laws of the magnetical polarization. The system of universal harmony has also been put in contribution; and its theories have been applied to the action of hommeopathic medicines by the philosophical minds of Germany; Dr. Hering and other homoeopathic physicians explain by the laws of this system the origin and cure of diseases, a doctrine also lucidly taught by our friend Dr. Simon Leon, in his lectures on Homaeopathia. We will not proceed farther with the examination of these ON HOM(EOPATHIC MEDICINE. 55 The most common source, whence Aloeopathia has gained its knowledge of the virtues of medicines, is, ab usu in morbis, from their effects in diseases. The slightest reflection will suffice to convince any one, how much this process is subject to error; diseases are never perfectly similar, there never occur in practice two absolutely identical cases, consequently, even if we admit that the observations on preceding cases had been accurate, it would be a matter of the greatest uncertainty, that the remedy, which was salutary in another disease, would be precisely adapted to that which is now under treatment, although it might be of the same "species. The age, sex, idiosyncrasy, or temperament of the patient, remote causes, concomitant phenomena, &c., cause so many modifications in a disease, that under these circumstances it is absolutely impossible, to learn accurately the changes produced by a medicine; hence it is, that so many specifics and other medicines employed against different diseases, have failed in the hands of allceopathic physicians. One medicine, which was extolled for the cure of intermittent fever, because it had cured some affections of this kind, was found inefficaoious in others, and on that account entirely rejected; another for cephalalgia, diarrhaeas, &c. What eulogies has not Ipecacuanha, obtained, and merited for the cure of dysentery? What good results were not really sometimes obtained by it? But, as it was necessarily ineffectual in a great number of cases, to which it was not adapted, it was entirely abandoned in these diseases. Allceopathia is indebted almost always to chance for the discovery of the medicines, which it employs, (the history of all heroic medicines proves it;) at one time it conjectured the virtues of medicines by their physical or chemical properties, by their taste, odour, exterior aspect or elements, or by their family, or natural genus. If chance is a bad teacher, it offers us sometimes useful hints; but if we have no laws to classify them, they may lead us as easily to error as to truth. By chance it was discovered, that cinchona had-cured fevers; but empiricism, which took hold of this discovery made a wrong application of it; ignorant of the law by which the remedy had effected a cure in the given case, it supposed, that it would cure all analogous cases; and exhibited it in all kinds of 56 ON HOM(EOPATHIC MEDICINE. fevers; but instead of a cure, this remedy often produced obstructions of the bowels, marasmus, and other diseases still more serious than the one it was intended to cure. The analogy of the genera and species of different substances in nature, does not furnish us with a better indication of their medicii al virtues, for, one plant of the same family presents us with excellent nourishment, whilst the other is one of the most active poisons. Thus, the potatoe of our kitchen furnishes a very wholesome food, whilst the other species of this family (the Solanums) are the most violent poisons. Nor is chemical analysis any surer means of discovering the virtues of medicines; its apparatus and processes are entirely incapable of seizing the characters of the different medicinal properties. The celebrated Davy, to whom chemistry owes so many delicate and minute analyses, has not been able to find the difference between our culinary cabbage so innoxious and mild, and the virulent hemlock, a poison so active and violent. Our chemists can discern none between saliva and the virus contained in the maxillary vesicles of the serpent, of which the smallest drop is sufficient in a few moments to kill the stoutest man. External impressions made upon our senses, do not offer us any better data; the odour and the taste of substances do in no wise determine their medicinal properties; the most insipid substances are sometimes endowed with the most powerful virtues; arsenic has very little taste or odour in its simple form; and the truffle so much esteemed by our gourmands, has a very penetrating odour and taste. These conditions are so common in nature, that one might be almost tempted to consider these properties as negative indications. Since direct experiments with different substances have been repeated on a large scale, it seems to have been ascertained, that the more a substance possesses odour and taste, the less is it endowed with medicinal properties; or at least, its effects on vitality are less powerful, less pervading and less durable. Homceopathia does not proceed on such data to discover the virtues of medicines: Hahnemann believed, that in order to appreciate fully the action of a medicine, it was necessary to ON HOM(EOPATHIC MEDICINE. 57 make a trial of it on a healthy person. In this manner, with the necessary precautions it is easy to determine what changes were wrought by its action; by such experiments he has ascertained, that this action was not transient, momentary, or of a few hours duration, as had been hitherto believed, but that it was on the contrary prolonged in the case of several substances for whole months, even if taken in the smallest doses; and that if strong doses were taken, their action lasted for years and even sometimes during life, as is observed in individuals, who have made an excessive use of mercury. In order to make a trial with medicines, a healthy person must be chosen, or still better, we take ourselves, early in the morning, a small dose of the substances, with which we wish to experiment, and repeat it daily, until some sensible effect, or unusual phenomenon supervene; we must take care to mark these sensations whenever they manifest themselves and remark also in what order, or under what circumstances they are produced. The dose of the medicine is to be renewed as often as these effects entirely cease. During these experiments, we must avoid all impressions, having a tendency to disturb its action, that is, highly seasoned dishes, violent emotions, &c. &c. The same medicine must be tried on persons of different ages, sexes and temperaments. When a medicine has thus been tried on a number of individuals sufficiently great, the different effects produced by its use are classified and such as have manifested themselves most constantly, are marked down as the particular characteristics of the medicine. It is only after these direct investigations undertaken for the purpose of ascertaining its virtues, that a medicine is employed by Homceopathia in disease, and takes its place in the Materia Medica. In viewing this mode of proceeding, every disinterested and reasonable person will perceive, what advantages Homceopathia has in this so important branch of its doctrines over the ordinary medicine, leaving nothing to chance, and endeavouringby direct investigations, iade under the most favourable conditions to obtain certain results. By these means metlicine ceases to be conjectural, and takes its ranik among the exact and experimental sciences. 58 58 ON HOW(EOPATHIC MEDICINE. These studies of medicinal virtues the Homcaopathists have extended to the different kingdoms of nature, from man down to minerals; and in the space of twenty-five to thirty years, the small number of adherents of Homceopathia have already furnished us with more than 200 well tried remedies, the effects of which answer to an almost infinite Dumber of the most various diseases,* *The medicines, actually composing the Materia Medica homceopathica, are the following: d6co-nitum, Calcarea carbonica,.Rethusa cynapium, Cannabis sativa, S~garicus muscarius, Cant has-ides,.6'gnus cast us, (Capsicumn,./lhemina, Carbo animalis, SRmbra grisea, Carbo vegetabilis,.,qmmo-ni urn carbonicwnm, Cascarilla, 6'mmion~iurntmuriaticum, (Jastoreum,.1nacardiuos, Causticum, Ilnisumn stellatum, Chamomilla, an wustura, (Chelidonium maj., 26ntjmonium crudssr, Chi n a, /lrg-entunsfoliatum, Cicuta virosa,.8rnica montan-a, nina, arsenicum album, C(innabaris,.Rrum maculatum, Cinnamomurn, /?sa fctida,. Clematis erecta,.Rsarum Euvropaeums Coccionella septempunetata,.6'rrum foli alum, Cocculus, Badiaga, Uoffea Cruda, Baryla, C'olchicum Sui~umnale, Belladonna, Colocynt his, Berberis, Conium macualaurn, Bismutitum, C.o paivac balsam, Borax Venetd, Coral/ia rubra, Bot.ista,' Crocus sativus, Bry "ni a, Crolon tiglium, Caladium seguinumv Juprum, - ON HOM(EOPATHIC MEDICINE. 4 43 and if the continually increasing number of physicians, cultivating this doctrine, imitate the zeal of its first followers we may enter Cyclamen Europaeum, Diadema, Dietamnus, -Digitalis purpurea, Drosera rolund~foiiav Duleamara, Eugenia Jarnbos, E uphorbittm, Euphrasia (Jfieinalis, Evonimus Europaens, Faba Tongro, Ferrum, Filix was, G~raph ites, Gratiola, Guaja-umn, Ilelleborus, Hepar sulphuris, Hyoscyaiaus, Jalappa, Jatropha Curcas, Ignatia amaara, Indigofera Iincloria, lodium, Ipecacuanha, Kali carbonicum,, Kiali liydriodicum, -Kreosottwm, - Laches'is, Lactuca vrnosa, La-urocerasus, Ledum palustre, Lycopodium, Magnesia earboriica, Magnesia muriatica, MAagne-sia 8ulphurica, Ma n ganum, Menyanth~es trifoliata, -M3ercurius vivus, Mercurius sublimatus, Meze-reum, Milhifolium, Mosehus, Muriaticum acidum, Natrum carbonicum, Natrum muriaticum, Natrum nitricum., Natrum Suiphuricum,.A~ccolttin, Nitrum, Nitriacidum, Nux vomica, Oleander, Oleznn animale, Oleum Terebinik, Oniscus.dselIU3, Opium, Paeon~ia, Paris qtiadr~folia, Petroleum, Petroselinum, Phellanciriu.7n, Phosphorus1, Phosphoricum acidum, Platina, Plurabuin, Prunus spinosa, P3oricum, Puilsatilla, Ramincu'lus bUlhostss, RanuiculIu3 sceleratus, ON HOMCEOPATHIC MEDICINE. 61 to debilitating and depletory means, as the only useful practice in the majority of diseases. As the adoption of this doctrine in -rance was the signal of an almost complete abandoning of every pharmaceutd al prescription, it has hereby rendered an immense service to our contemporaries in delivering them from all those disgusting and absurd amalgamations, with which the bottles of our pharmacopolists were filled, of all those electuaries, confections, opiates, extracts, elixirs, tinctures, wines, decoctions, prescriptions composed of a base, of one or several adjuvants, one corrective and a vehicle, &c. &c., with which the physicians overburdened the bowels of their patients; this service is so important, that, if the prevailing doctrine had not substituted its own excessively debilitating practice, its author would have merited much praise, becau'se in that case, nature would have had to contend against the pure disease only, without being counteracted by a powerful medicinal action, with which the vital forces were oppressed. Butsuch is the fabric of our minds, that when we recognize a fault, in order to avoid it, we fall into the opposite extreme. The author of the * Hahnemann however, was not the first to expose the absurdity of these combinations. More than one of the elder'physicians was aware of it. We shall only quote the opinion of Bichat, contained in his A An.tomie generale." "There have been no general systems in the Materia Medica. This science has been alternately ruled by the leaders in medicine. All have left their impressions upon it. From this cause arises the uncertainty, with which it presents us to this day. An incoherent medley of yet more incoherent opinions, it is of all physiological sciences that, in which the perversity of the human mind has most signally manifested itself. Yes, for a mind pursuing a method, it is no science at all. It is a formless collection of erroneous ideas, of childish observations, of fallacious remedies, of oddly conceived and disgustingly combined formulas. It is said, tho practice of medicine is often a disgusting art. I say more and maintain that under certain circumstances it is also contrary to reason, if its principles are taken from our common Materia Medica." Tr. 62 ON HOM(EOPATHIC MEDICINE. physiological doctrine, by proclaiming irritation or inflammation as the general type of diseases, has necessarily placed blood-letting at the head of his remedial resources. The principal treatment, of only a slight disease consists according to this doctrine in a more or less abundant abstraction of blood, either by venesection, leeches, or cupping: the second remedial means prescribed, is hunger or deprivation of aliments, and the third, revulsives; we might yet add a fourth class of remedies, viz: the specifics, that is, those medicines which cure special diseases without its being possible to explain their action by denominating it debilitating or exciting, for example, such as mercury, cinchona, &c. Of all these remedies none has been studied in a methodical manner, yet the first (bleeding) frequently takes place in the healthy individual by accident, as in the case of wounds or hssmorrhages, and in the domestic animals in our butcheries, these examples might have taught that the loss of blood causes that of life. Physicians have very often an opportunity of witnessing the sad effects which bleedings exercise on persons in health or with slight indispositions (in the case of pregnant women venesection is resorted to without remission on the least indisposition;) they could have seen how weak and sickly they generally remained during the whole period of their pregnancy and even during their confinement, and how often blood-letting is followed by abortion, (the foetus not finding any nourishment from the deficiency of blood in the mother). But all these facts will not open the eyes of persons who will not see them and who are fascinated by theories. In almost all fevers the pulse is frequent and quick, and the skin is hot, &c. As bleeding pushed to syncope is followed by a diminution and cessation of the pulse, and by general coldness and weakness, it was, according to the law of opposition, considered the best, or, to speak more correctly, the only efficacious means of opposing the fever or every increased movement of the arterial system; they do not consider, that if nature be not overcome by this abstraction of forces, her movements soon revive with double force, in order to react against thlis cause of destruction, when they will always have at command ON HOM(EOPATHIC MEDICINE. W, 0 63 the resource of new bleedings, until death puts an end to the contest, or until a more powerful nature grants a truce to the suffering of the patient, by changing the acute disease into a chronic one, which W11 render e stence a thousand times worse, than a speedy death. "We are far from asserting, that blood-lettings and the antiphlogistic method do not sometimes cure diseases, or at least contribute to their cure; the existence of the present generation is a proof of it; for there are few individuals, who have not been subjected to it, either before or after their birth, and it cannot be contested, that in certain purely inflammatory diseases moderate bleedings alleviate and often cure the patient; but it is no less true, that every cure effected by these means, is always followed by a remarkable debility and that its effect on the living body, has never been carefully investigated. At no period, in the history of medicine have Therapeutics been reduced to such a state of empiricism as under the medical doctrine called physiological: entirely disregarding the vital forces, which govern all the phenomena of organized beings, the physician takes blood in every derangement of the human system. This fluid, so precious, which some philosophers have designated as the seat of the soul and which has been confounded with it, (so great is its importance) he spills in the slightest as well as the gravest diseases; a fall, a wound, a haemorrhage, chilblains, haemorrhoids, vertigos, complaints of the eye, ear, teeth, stomach, abdomen and throat, rheumatism, menstrual derangements, palpitation, dropsy, &c. in a word, almost every disease requires bleeding. And is it to be wondered then, that mankind degenerates, that the human size becomes smaller and smaller, and the limbs less strong, that the powers of the mind become weakened, when we see a fluid, on which depends the nutrition, growth and vigour of the body, so rashly spilled. It was time, in order to prevent the complete degradation of the human race, that a more rational system of medicine should succeed one productive of such pernicious practice. In order to prevent our total destruction, God in his infinite goodness, has raised up the founder of Homaeopathia to heal diseases with reme ON HOMIEOPATHIC MEDICINEI dies more in conformity with the intentions of nature, and to re-establish health without destroying the source of life.* Hunger, which the common medicine advises in diseases, is a suffering, which those in the station of physicians haveseldom trie' on themselves, yet their profession calls them pretty frequently to prescibe it to persons, who have felt too often its terrible effects; but have physicians not been able to convince themselves that abstinence exhausts the sources of life nearly as much as the loss of blood itself, and produces a complete alteration in the organs of digestion? How dare they hope for a salutary reaction of the efforts of nature, when they exhaust all her vigour, when they weaken her by every means in their power? And they call themselves Ministers of nature! To witness the madness with which they persecute, exhaust and oppress her, they could with much more reason be called the Ministers of death. As to revulsives, there is always the sanie ignorance displayed of their direct effects on the human body; a blister is applied, without considering for a moment the injurious effects which cantharides may produce on the sick, besides those on the urinary organs. The inefficacy of this systematic mode of treatment and the injuries which often thereby resulted to the sick, has given rise to another sect of physicians called the eclectic, because they put into practice the different doctrines of the schools, which have preceded them. The eclectic physicians, in retaining bloodletting with the other antiphlogistic treatment, and not having a better knowledge of the virtues of the remedies which they employ, than their predecessors, endeavour to restore the formulas and pharmaceutical preparations of which professor Broussais has * This is undoubtedly very true. Several homceopathic physicians have already observed in their practice, that all children, born after the parents had been subjected to homceopathic treatment, were generally much stronger, healthier and less liable to disease than those born whilst the parents were treated in the old way. We may therefore justly entertain the hope, that with the extension of Homceopathia, a stronger and certainly also a more noble generation will rise up in future time. Tr. 66 ON HOMCEOPATHIC MEDICINE. ment by homceopathic remedies takes place only by the reaction of the vital force, excited by the medicine in the organism, we must give it time, fully to display that reaction and not endeavour to disl turb the salutary movementby new impressions, which might retard or hinder the cure; these two facts have given rise to two fundamental precepts of Homceopathia in the prescription of medicines, viz: the most minute doses and the necessary interval between each of them. The common medicine, always intending in its prescriptions, to act on a healthy part in order to cure a diseased one, or rather to excite in the latter an opposite movement, must employ a pretty strong action to make a more vivid impression on the healthy part than that produced in the diseased one by the malady itself, so that the latter may at least be rendered less sensible, or as it were produce in the diseased part a movement, oppbsed to that impressed upon it by the malady. Under all these circumstances it is indisSpensable, that the dose of the medicine should be strong; it is on this account that the physicians of the old school cannot comprehend, that Homceopathia can obtain any sensible results with such small doses, they call themselves rational physicians, but their reason does not even comprehend this remarkable difference between the two methods of employing medicines viz: the opposite ends which the two doctrines propose; besides, the efforts made by nature to' overcome the action of external agents renders their repetition necessary, if we do not wish to obtain a result quite the reverse of what we had intended; and as living nature possesses the property of accustoming itself insensibly to external impressions, there hence arises the necessity, of successively increasing the quantities of these agents: and thus it happens, that Allkeopathia is often obliged to give such frightful doses of the most energetic substances, of which physicians even boast, without regarding the grave and irreparable injury which is thereby generally inflicted upon the constitution of the patient for the rest of his days. Homceopathia, which never administers a medicine, without being well acquainted, as we have already seen, with its virtues and its action on the healthy system, always employs them in their ON HOM(EOPATHIC MEDICINE. 67 " tfate of purity and without admixture, because, if it were to combine two medicinal substances together, it would lose all its certainty, nor could it know, what effect they would have, when thus united; for, two perftetly well known substances, producing different effects (no substances possessing properties perfectly alike) would form by their union a compound, which would have quite different properties, and as the physician ought not to judge blindly, or hypothetically, the precepts of Homceopathia will not permit their application, before this compound has been duly tried on the healthy system. Physicians of the old school do not take so much trouble; not being acquainted with the virtues of the simple substances, they care little What may be their action in a state of combination, they do not think it amiss therefore, to unite two, three, six or ten together as imagination may suggest; to every phenomenon of the disease, or to every symptom they prescribe a medicine, which they deem capable, of combating it, the whole is then combined under the form of a potion, electuary, or pill, and thrown into the human body like a bomb, that each -of its fragments or pieces may strike that part of the malady, against which it is directed and destroy it,-this they call rational medicine! They are not aware that the body is one, that life is one, and that every thing-is contiguous in the living body; that all the symptoms, however complicated they may be in a disease, form nevertheless, a constituent part of the same; that it is contrary to the laws of nature, thus to separate an entity, of which the different parts alone impress it with its individual and proper character. If bleeding enfeebles the powers of nature and renders more difficult her salutary efforts, which are indispensable to the cure of a disease, the enormous doses of medicines and the compound prescriptions, besides exhausting the same powers, render the diseases still more complicated, by the production of symptoms proper to the different substances of which they are composed, and produce real poisoning. - 68 ON HOMCEOPATHIC MEDICINE. CHAPTER X. On the Preparation of Homceopathic Medicines. To prepare the medicines used by Homoeopathia, Hahnemann directs that one grain of one of the solid medicinal substances, or of those which are insoluble in alcohol should be taken in its state of greatest possible purity; this is triturated with the third part of 100 grains of very pure and dry sugar of milk in a mortar of unglazed porcelain with a pestle of the same material, for a quarter of an hour; to this mass the remaining two-thirds of sugar of milk are then added, half at a time, and each part triturated for a quarter of an hour: in the intervals of the operation the mass is stirred with a wooden or horn spatula for four or five minutes.-Again one grain of this mixture containing the 100th part of a grain of the medicine is taken and triturated with 99 grains of fresh sugair of milk in the same manner as before, with the grain of the pure inedicine. Every grain of this second trituration will contain o,WO of a grain of the medicine; another grain of this preparation is taken, and the trituration repeated with 99 grains of a new portion of the sugar of milk, every grain of this third preparation will contain,co0,00 of a grain of the medicine. All substances in nature triturated in this manner will become perfectly soluble in alcohol; consequently, in order to render the subsequent attenuations more easy, the 99 grains of the sugar of milk are succeeded, by 99 drops of a fluid, (distilled water or alcohol) to which is added a grain of this third trituration, and which is then strongly shaken twice. Every drop of this mixture contains 100,oo0,000 In the same manner all farther dilutions are made.* Of all substances soluble in alcohol, one drop instead of * Every dilution (from the Millionth to the Decillionth,) may be employed with advantage according to the susceptibility of the patient; sometimes, even the original tinctures will become necessary, If we Swish to be successfull in practice, we should, however, always commence ON HOM(EOPATHIC MEDICINE. 09 one grain is taken and diluted in that vehicle in the manner indicated. Hahnemann for a long time used much stronger doses; but the necessity which he felt to aim at perfection in his art, afterwards led him to adopt the mode of preparation just described. The results which he has obtained from them, demonstrate, that in proportion as the attenuations of medicinal substances were carried beyond their crude or gross state, or in-other words, as they became more refined, in the same proportion, to a certain degree, they were rendered more energetic and penetrating in their effects on the living fibre. This remarkable phenomenon has led homoeopathists to give the name of potential to an operation, which at first view, would appear to constitute a mere dilution or diminution of power in the medicine. Physicians, accustomed to regard medicines as acting only in virtue of the properties inherent in matter, cannot be persuaded to believe that any active virtue can remain in'such small quantities of medicinal substances; it is especially this part of the Homceopathic doctrine (although its essence by no means consist in it, as experience shows, that we may cure homoeopathically by the ordinary material doses) which the most excites their incredulity, and yet, they are daily witnesses of quite as great and even more sensible effects on the human body by agents no less imponderable, no less incommensurable. Can these detractors of the discovery of Hahnemann tell us, the weight in grains, or the dimensions in square inches, of a piece of news, capable of producing the sudden death of the individual who has received it, or of recalling to life a man who is about descending into the grave; how many ounces or grains the rays of light weigh which are reflected from the body of a toad, and sometimes produce syncope in the person with the smallest doses, as a small dose will often effect what a large will not. The alternate exhibition of higher and lower dilutions, as well as the external application of the medicines and the solution of them in,water, will also be found sometimes very useful. Tr. Irw ON HOM(EOPATHIC MEDICINE. whose retina they strike; what is the weight in grains or ounces of the luminous rays emitted from the mouth of the adder, forcing the nightingale to throw itself into the adder's throat; but to give some illustrations from medical observations, of which the recollection is' yet unfortunately too recent; can they tell us how many grains or pounds of the miasma of cholera are required to communicate the disease to an individual or to a whole country? I-low many pounds must the miasma at its departure from Calcutta weigh, - in order to make the round of two-thirds of the earth, without having lost an atom of its virulence in traversing all climates and seasons, leaving every where the same mourning and desolation? And the atom of the plague (cited by Hahnemann) imported in a small parcel of wool, and which in a few months infected a whole continent, what fraction of a grain ought it to weigh? The small pox, how many pounds of the virus are required to infect a town or a whole country? How many grains or what part of a grain of the vaccine virus are required to protect an individual against the small pox? The point of the lancet, moistened in the pustule, is placed on the epidermis before penetrating the sensible or vascular part of the skin, the blood which generally issues from the wound, carries away a part of the matter, and yet inoculation takes place. If from these phenomena, which may chiefly be attributed to morbid causes, we pass to the examination of phenomena proper to organized beings, or to nature at large, it would be necessary to cite all the phenomena of force and of action in order to mention all the powers not material, or, to speak more exactly, the powers which are destitute of the proper ies of extension and weight inherent to matter, and we should arrive at the conclusion, that all the real powers in nature are subject to these negative conditions. What measurable extension, for example, can we discover in the vegetative power, which governs the extraordinary phenomena of germination -and the growth of plants, their efflorescence, the maturation of Afruits, &c., the fecundation of germs, the nutrition and growth of all organized beings? What is the weight of the power which governs life? What is its measurable extent? a Io one, however, will deny, that the power which governs all our functions, oftr ON HOM(EOPATHIC MEDICINE. 71 entire being, is very great. That energy of man, tenax propositi vir of Horace, so admirable, so powerful, which faces every danger in the accomplishment of duty, which prefers the horrors of a prison, exile, and even death, to the pleasures of wealth, to honour and power, is it capable of being estimated by weight and measure? Hoiv many more ounces or pounds was this power in Socrates than in Anitus? How much did that of Leonidas weigh more than that of Xerxes? Is not the force of affinity itself in direct ratio with the attenuation of the atoms of a body? The power of nutrition in organized beings, is it not exclusively to be attributed to the imponderable and incommensurable divisions of the minute particles of matter? What weight has an atom of light emitted from a light-house, which strikes the eye at the distance of five leagues? Every point of a circumference, comprised in this same ray, is yet equally impregnated at the same instant with this light. Now, into how many fractions must the drop of oil, consumed during this instant, be divided, in order thus to fill a space of ten square leagues? This property of medicinal substances called by its discoverer, their dynamic property, which is -susceptible of being developed by their trituration with inert bodies, is not without analogy in nature. Electricity is disengaged from bodies by friction alone, caloric is also developed by the friction of two solid bodies, and the spark emitted from steel, of which the heat is so great as to fuse the metal, is caused only by the simple percussion of two very hard bodies, steel and silex. And why refuse to admit, that a similar 'action, when exercised upon various substances, may, in like manner, develope their medicinal powers? Do we not see a piece of amber, nearly inodorous in its natural state, fill a room with its perfume, if it is rubbed a few moments with the hand. Gold and silver in bars, and generally all non-oxydized metals were considered by the old medicine as entirely inert bodies, and experience has demonstrated, that powerful inedicinal properties were developed in them by homcsopathic preparation; the same may be said of a great number of earths: as silicea, calcarea, and vegetable powders such as lycopodium, &c. 72 - ON HOMWEOPATHIC MEDICINE. But does this development of the medicinal power take place from the minute division of the particles of the medicine, so that their mobility is increased and placed more in affirnity with the fibres on which they are to act; or is it caused by the real development of a new power by the trituration, and is this power transmitted by successive infection to inert substances, with which it is brought into contact, so that the extreme dilutions contain no other part of the medicine, than the medicinal dynamism? Both opinions have found advocates among the Homceopathists; we shall not be able to estimate them in a work like the present, merely destined to give an outline of the Homceopathic doctrine; we incline, however, to the latter opinion, when we consider the necessary affinities between the two powers, which must act reciprocally upon each other, the vital power and the power of the medicine; under whatever relation we examine the first, we can never discover in the alleged minute particles the qualities proper to matter, gravity and extensibility. Now, in order that the medicinal power may have a perfect affinity to the vital, the former must also be divested of its properties of matter, and acquire the qualities of the general imponderable powers which govern all nature; what renders us also favourably disposed towards this opinion, is, that it is the immaterial agents which most profoundly and sensibly affect our organism. - The effects of grief are much severer and of longer duration, than those arising from an injury received by a material cause.-Joyful news, the impression of sweet melody, penetrating the organism, produce much more agreeable sensations, than all the physical impressions on the senses.-A word of Napoleon imparted more strength and courage to the soldiers to support the fatigues, the privations and the dangers of war, than all the Eau de vie, or the opium, that, could have been distributed to them. These abstract questions, which, as we have before remarked, by no means constitute Homceopathia, (since its founder wishes, that only the propositions, demonstrated by experience should be admitted) we have brought forward for the purpose of proving, that the physicians, cultivating this doctrine, are far from meriting the epithet of empirics, which their antagonists have applied to them, ON HOM(EOPATHIC MEDICINE. 76 matter; the sense of smell, if it be too strong or two weak, or a bad odour be perceived, particularly as if of old cheese, wine, &c. The teeth:- their colour, if they are covered with tartar or decayed, if they are loose or drop out, from whence the pains arise and where they terminate, the state of the gums, if they bleed, are retracted from the teeth, eroded, swollen, &c., the causes and "the circumstances under which the pains arise, are more or less violent, or dissipated. The mouth: to examine the state of its surface, the tongue, the sensations felt in it; the saliva, the condition of the throat and the tonsils, deglutition, &c. The digestive organs: the condition of the taste, if it is obtuse, if the patient perceives any extraordinary flavour, as bitter, salt, acid, earthy, &c. if the aliments appear to him to have a flavour improper to them; if they leave a bad taste in the mouth; the state of the patient's appetite, if food is repugnant to him, if he is soon satiated, what food or drink he prefers or has an aversion to,-the thirst, if he drinks much or little at a time,-if the patient seizes the clp with eagerness-if he pushes it back as soon as it is brought to his lips. If he has eructations, if they have a taste and what-if he has hiccough-if the food rises into the throat or mouth-if there is water-brash, on what occasions, If he has nausea-irclinations to vomit-of what natuFe are the matters ejected, do they consist of food, drink, green or yellow bile, slimy matter, &c. and on what occassions. The symptoms in the stomach and other parts, produced by food, the different sensations in the stomach, and the abdomen, to describe accurately, in what particular region they are seated-if the abdomen is "hard, inflated, if there are any tumours, dropsical effusions, borborygmi, if there is flatulency, if there are hernias, pains in the loins, and the condition of the groins. The 'nature and frequency of the stools, their colour, their consistence, if they contain worms or blood, &c., if they are followed or accompanied by painful sensations, or not, and in what parts f" th- hdy At t the same time it is observed, if there are hemor 76 ON HOM(EOPATHIC MEDICINE. hoids, their condition; if there are any eruptions, running, itching, painful sensations, strictures, prolapsus of the rectum, &c. The urinary organs: the nature of the urine, its quality, the sedimeyt which it deposits, the manner in which it is voided and the sensation by which its emission is preceded, accompanied, or followed, as well in the urethra, as in the adjoining parts. The sexual functions of man: besides the enquiries in relation to the different organs connected with them, and the different sensations the patient experiences in them, we inform ourselves of other circumstances in reference to these functions, not necessary here to particularize. In the case of females, enquiries in relation to the condition of menstruation in all its particulars are of the highest importance, viz: in regard to quantity, quality, and frequency of the discharge, and sensations preceding, accompanying, or following. If the patient has leucorrhea, what is its nature, and what the acc@ompanying sensations, &c. -The state of pregnancy also merits particular enquiry with reference either to the symptoms, with which it may be accompanied, or the morbid phenomena, by which it may be followed; such as hemorrhoids, premature deliveries, false labour pains, and generally all the symptoms of pregnant women, which find no relief from the ordinary medicine, and in which Homoeopathia offers us such precious remedies, as well as in the diseases, which may occur during delivery, or the. time of confinement and lactation. The respiratory organs; if there is sneezing, dry or humid coryza; if the nose is, stopped up; the nature of the nasal mucus; if there is hoarseness, loss of voice; tickling, pain in the trachea, bronchia, or larynx, squeezing, contraction or suffocation. The different sounds in the respiratory organs, rattling, whistling; the state of the respiration, if it is difficult, what sensation or cause seems to prevent the free exercise of it; what is the posture of the patient, the hour of the day, or the circumstance by'which this difficulty becomes most manifest, &c. The condition of the cough, if it is dry or accompanied by expectoration, degree of violence, if it occurs by fits or not, the time of the day and on what occasion it is most violent; the symptoms by which it is accompanied or 78 ON HOM(EOPATHIC MEDICINE. in the evening, before, or after midnight, or in the morning; if there is an inclination to sleep during the day, if the sleep is heavy or easy; if there is a difficulty of falling asleep, if in the morning on awakening the patient be fatigued or less refreshed, than in the evening on retiring to rest; what is the position of the body during sleep; if the arms are placed under the head, the limbs drawn up or extended, &c.; if the patient had dreams and of what kind, if they are easily recollected; if he suddenly starts out of his sleep or has frightful images; if he has sonnambulism, if the patient speaks or cries out during sleep, if he has alvine or urinary dischar.res during sleep? Fin- lly, we have to notice his previous diseases. If his parents have teen subject to hereditary diseases, the affections he had during childhood, crusta lactea, glandular swellings, biles, corns; if he has had the itch'; at the period of puberty in women, how the menses have comrhenced; if they have born children, what health they erjoyed; if they had abortions; what medical treatment the patients have been subjected to, and what is their customary manner of living; by what is the present disease supposed to have originated; the temper of the patient, his complexion, the colour of his hair and what was his temper before, or during the disease; if he is cheerful or sad, choleric, lively, passionate, gentle, patient, phlegmatic, morose, irritable, a scolder, grumbler, melancholic, disposed to suicide, if he has a fear of death, if he is stupid, gloomy, &c. After the physician has made himself acquainted with all these circumstances of the disease, (which we have given in detail, in order to instruct the sick to express their sufferings fully, particularly such patients as are at a distance from their physician, and wish to consult him with benefit,) he next examines, what are the principal symptoms characterizing the disease, and then selects among the medicines which have produced in healthy individuals analogous characteristic affections, that one, the symptoms of which correspond to the greatest part of the morbid phenomena of the disease to be treated; that is, the aggregate of whose symptoms QN HOM(EOPATHIC MEDICINE. 79,presents the greatest possible resemblance to the disease, and he exhibit' it in the manner already indicated. In an acute disease, a medicine may be taken during every hour of the day,,as the urgency of the case requires it; in chronic disorders, Hahnemann advised (nuxvomica excepted) that it should be taken early in the morning, the patient to keep quiet, and not breakfast for two- urs afterwards; other Homceopathists prefer giving it in the evening, before going to bed; they find, that the ten or twelve hours passed in sleep and repose, exempted from every foreign impression, physical or moral, are very favourable for the development of the action of the medicine in the organism, because the "more or less lively moral impressions, which persons (particularly those occupied with business) are subject to during the day, mav disturb the action of a medicine, which may have been taken som? moments before. We have for some time generally adopted t.is practice, and are convinced of its practical utility by experience. CHAPTER XII. On IHomoopathic Diet. The adversaries of Homceopathia maintain, that the greater number of its cures are to be ascribed to the strictness of the regimen prescribed to patients; we might answer, why do you not prescril e this regimen rather, than torment and weaken your patients by.hunger, or by aliments incapable of affording nourishment? The dietetic precepts of Homoeopathia are by no means severe; they are comprehensive enough to satisfy any reasonable taste. Bearing in mind, that the cure of diseases is effected by the forces of nature. the patient must consequently receive sufficient niourishment to sustain him; and as the suitable doses of the medicines must be very small and not be counteracted by other medicinal substances, or by strong impressions on the animal economy, which might disturb their action and render thelm ineffectual, we may easily 80 ON HOM(EOPATHIC MEDICINE. form an idea of the precepts, which directs Homoeopathia in the.. prescription of its regimen, which may be summed up in these few words: Partake of purely nutritive and easily digested aliments, and of the most natural drink in quantities necessary to satisfy your appetite and quench your thirst; perform all other functions of life in the most simple manner, and the most conformably to the laws of nature. In order to facilitate the application of this general and simple rule to the sick and to prevent doubts on the subject, we shall review the different functions and the different wants of the sick, for the purpose of showing them what particular means they have to pursue, that they may not overstep the limits of moderation prescribed by Homoeopathia, which are like all its other precepts, consonant with philosophy and morality. Food and drinks.-Nature indicates to man the necessity of taking nourishment by the internal sensation of the appetite and thirst; every time, that this sensation shows itself in the normal state of the body, we must never omit to satisfy it within reasonable bounds, always avoiding substances containing medicinal properties. In acute febrile diseases the appetite is generally wanting, we will consequently give the patient something to eat only when this sensation recurs, and, as in such cases a small quantity is "sufficient, warm milk, bread and butter, or farinaceous aliment, very ripe fruits of the season, cooked or i-aw, or boiled vegetables should be.used. In febrile diseases of long duration, we may add to these aliments fresh meats, if the stomach is able to digest them; Homceopathia follows in this respect the precepts dictated by the experience of Hippocrates and which medicine has entirely disregarded. The thirst must also be the regulator of the drink in acute febrile diseases; if it does not exist, we dare not compel the patient to drink under the pretext of refreshing him and calming the internal heat; as every foreign body applied to our organs always produces some kind of impression or other, the presence of a drink in the stomach, if not demanded by thirst, causes irritation in it, disturbs ON HOM(EOPATHIC MEDICINE. sl81 itsfuncetions and augments the febrile heat more than it diminishes it, (exept the patient be deprived of consciousness.) The most proper drink is pure water; which may be sweetened to the patient's taste with sugar, syrup of raspberry, oranges, liquorice root, the juice of fruits of little acidity or their decoctions, as well as that of oat.ral, rice, bread, marshmallow, or any other non-medicinal substance; pure boiled milk is also a very good drink in acute diseases. We must avoid giving the drinks too hot, in general it is best to raise them to the temperature of the room; sometimes it is useful, to cool the drink with ice, or to give it tepid, in this respect, we must follow the instinct of the patient. In acute diseases, with6iot fever, or chronic diseases, the appetite,and thirst must in general also be the measure of a supply of food and drink, but the food may be of a more substantial quality; it may consist of meat and vegetables in suitable proportions. It is necessary, that the patient eat meat, if it agree with him, (and in chronic diseases he can generally digest meat better than vegetables) at least once a day. In the selection of food, we must pay regard to the habits and taste of the patient and choose such substances, as he can digest the most easily. All meats are good (except pork, duck and geese too fat, particularly in diseases of the skin,) all fresh fish except salmon and eel, crabs and shell fish; all salt meats as well as smoked or salted fish, must be soaked in fresh water before being eaten. All farinaceous and other vegetables are allowed, except those which are sour and possess medicinal properties, like garlick, onions, celery, asparagus, and the different aromatic plants, used as spices. Well baked and stale bread, all farinaceous food including pastry not too fat, all ripe fruit not too sour, or aromatic, preparations of milk of every kind, (except old cheese) and fresh eggs are very wholesome. The diseases of the stomach and the digestive organs often demand the greatest precaution in the choice of aliment; besides those articles of food prohibited generally, patients with these diseases should abstain from all dried leguminous vegetables, (Mrs. * otherwise very healthy, is attacked by the most violent symptoms of cholera on taking the least quantity of these vegeG^ 82 ON HOM(EOPATHIC MEDICINE. tables) from the flesh of very young animals, or eggs (particularly in diarrhoea.) In the last case preparations of milk and fruits should be used with great precaution. The best drinks in chronic diseases are the same as those which we have recommended in acute febrile diseases, but patients accustomed to wine, may continue its use by diluting it with 10 parts of water; but children, females, and all those afflicted with indigestion, ought in general to abstain from it. There exists a universal prejudice with regard to wine, namely, that it aids digestion, that it strengthens the stomach, and that it is therefore necessary for persons whose digestion is disturbed or troublesome: an experience of twenty years, for which we are indebted to the influence of the physiological doctrine, proves, that persons in this condition, digest much better by drinking pure water: this is not the smallest service, which we owe to Professor Broussais, in having delivered the sick from the use of wines, which physicians in former times, were in the habit of prescribing to their patients. In a treatise on dietetics according to the Homceopathic doctrine, which we shall publish forthwith, we shall give a detailed account of the effects produced by wine, and of the cases, in which its use may be beneficial; we will here only remark, that.the cases wherein wine is necessary, are very few and mu-t be determined by the physician. Light unadulterated beer and cider are also very good drinks, Coffee is a very active medicinal substance, the effects of which are especially felt by the nervous system, and by the gastric, urinary and sexual organs. Hahnemann has in a work devoted to the subject, forcibly described the ravages, produced by its daily use. Coffee is besides known to be an antidote to several Homceopathic medicines; consequently the sick have to refrain from it; yet persons of advanced age, long accustomed to it may continue to use it, though in diminished quantity. Chinese tea is less active than coffee, persons therefore, who are habituated to it, may continue to use it by taking it very weak and mixed with milk. Alcohol and every kind of spirituous liquor, spices aromatics, oils and acids are prohibited. ON, HOM(EOPATHIC MEDICINE. 83 u Theuse of every medicinal substance or liquid, which, either aby akg or smelling, may counteract the effects of the medicines, must be abstained from; this precept refers also to the habitual use of enemata, (except with pure water or milk) smelling bottles, scent bags, and perfumes of every kind, above all to musk, amber and camphor, to medicinal tooth-powders, soaps and aromatic pastes. Tobacco is one of the most active medicines; its action on persons making use of it, is manifested in too sensible a manner, not to consider it as hurtful to the action of medicines; but the effects of an old habit modify this proscription; in such cases we have only to diminish the quantity and cause the patient to abstain from it for several hours after taking the medicine. A sir, light and heat.-It is very evident, that it is difficult to obtain a favourable result of the treatment, if the air in the vicinity of the patient be not kept in a state of purity; fumigations of chlorine gas, or others which may be used in the room, will destroy the action of the medicines. The best means of purifying the air, is to open the windows at those hours, when the atmiosphere is the driest. If the patient is capable of going out, he must be freely exposed to the air: the air of the country in an elevated and dry spot, sheltered from the north-wind, is to be prefered. The light of the sun, which animates all nature, is necessarily also of great advantage to patients, and in all cases of disease, (except in inflammation of the brain and cerebral congestion.) We may procure its influence by selecting for the patient rooms, exposed to the midday sun and sufficiently lighted by windows accessible to the rays of the sun. The temperature of the chamber must be moderated from 12 to 18 degrees, R., in the chamber, a too great heat debilitates the patient and too little exposes him to colds. Clothing, attention to cleanliness.-Too warm clothes, and those of a texture particularly apt to excite perspiration, must generally not be used; for, besides the loss thereby sustained by excessi* transpiration, the skin becomes debilitated and deprived of the power of counteracting external agents, as the changes of the atmosphere, humidity, &c. The wearing of linen next to the skin is to S4 ON HOM(EOPATHIC MEDICINE. be prefered, the other clothes must accord with the state of the temperature, and large enough, not to interrupt the circlation or the other functions; persons accustomed to the use of flannel may.generally dispense with it after an homceopathic treatment which lasts long enough to render the system less sensible to cold. The best means of preserving the cleanliness of the skin is by simple ablutions wvith pure water and soap, or sweet almond flour. In acute diseases of every kind, the hands and face are washed at least once a day with tepid water and the other parts of the body every three or four hours, exanthematous diseases excepted. In chronic diseases daily cold ablutions of the whole body have the advantage of powerfully assisting the beneficial action of the homceopathic medicines, especially in debilitated subjects or scrophulous children, and females; we have sometimes seen the medicines act only after the patients were subjected to this practice.* The teeth must be cleaned with tepid water, or with the powder of burned bread and a light brush. The too frequent and long continued use of hot baths, generally debilitates the constitution and the dermoid system particularly. Cold baths produce a vigorous and strong impression on the whole organism, consequently the physician only ought to determine the cases, in which these hygieinic means may be useful. We do not * The free external and internal use of cold water has been found particularly useful in gout, rheumatism, scrophula, haemorrhoids, paralysis, mercurial diseases, hypochondriasis, &c., and also diseases, brought on by excesses of any kind. Indeed, by these means alone we are often ena. bled to effect a permanent cure. The astonishing cures performed at some celebrated watering places in Europe, where the pure cold spring water alone is made use of, sufficiently attest its immense utility. The proprietor of one of those establishments (Grefenberg in Austrian Silesia) by the astonishing cures he has performed in the most hopeless cases, has even acquired an Europocan reputation, and has been several times called to Vienna to treat members of the Imperial family. This celebrated establishment is frequented every year by more than 400 visitors from all parts of Europe. Tr. ON HOM(EOPATHIC MEDICINE. 4ipi 85 wiition the mineral or other medicated baths applied by means of wapour,pumping, &c. because being very powerful remedies, they ought o0*y to be employed ia particular diseases. Baths for the purposes of cleanliness of an agreeable temperature and used sufficiently long to wash the body (for ten or fifteen minutes) will be very useful, and we cannot too highly recommend them. Clean linnen is of great advantage in diseases; the patient will be less subject to cold, if it is often changed. This precaution is especially useful during the critical diaphoresis, by which the curative effect of medicines in acute diseases is often manifested. Exercise, repose and sleep.-The exercise of the body ought neveir to be neglected in the treatment of diseases. Of all species of exercise, that of walking in the open air is to be prefered; an 'ur's walk, once or twice during the day, is indispensable in the cure of all chronic diseases; if the patients cannot walk, riding in a carriage must be resorted to. The vertigo, nausea, and other disagreeable effects often produced by swinging, sufficiently demonstrate that exercise of this kind may sometimes be hurtful and ought, therefore, to be avoided during the treatment. Dry frictions must be employed, if no other exercise can be borne. Singing and conversation, or loud reading are also very useful exercises in many eases. If the patient cannot leave the house, he must take exercise as much as possible in his chamber, taking care to let hi the fresh air, by keeping the windows open; it is understood that these precepts chiefly relate to the non-febrile diseases: in febrile diseases absolute repose is often indispensable. The advantages of sleep cannot be too much appreciated in diseases; it is by a natural sleep more or less prolonged, that the beneficial effects of the Homceopathic medicines ordinarily commence, and manifest themselves in diseases, and that the crisis often takes place; the persons waiting upon the sick must do every thing in their power not to interrupt it. In order to satisfy properly this want of nature, the patient ought to retire soon to bed and rise early. Reading in bed upon interesting subjects, which occupy the imagination is generally a bad habit for persons subject to sleeplessness and sometimes the only cause of it, owing to