DETROIT HOM(EOPATHIC MEDICAL COLLEGE. more clearly between the known and the unknown, and determine with more exactness the dividing line between the knowable and the unknowable. In chemistry and in botany, the physican of the future will, of course, become expert. But he will be far from satisfying himself with simply ascertaining the external and physical properties and relations to each other of the various organic and inorganic substances of nature. With patient industry and lifelong application he will investigate all the relations of these substances to the human system, in health and in sickness. It is ever thus-that one science leads to others still higher. And here we see how Pathogenesis arises-founded on chemistry and botany on the one hand, and connected with anatomy, physiology and psychology on the other. This new science, which investigates the influences exerted on the human system by the mineral, vegetable and animal substances, was inaugurated by Hahnemann, and by him carried to such a degree of perfection that his followers have done little more than imitate his example; or if apparently improving upon his method, they have never surpassed him in actual results. Eminently practical in its nature, pathogenesis becomes at the same time the foundation of Homceopathy, and the basis of all that is reliable and truly scientific in therapeutics. And it is even now being cultivated with great assiduity by the most learned and enterprising of the Old School. They have, indeed, a different namne, " The Physiological Method,"@ but the meaning is the same. And the fact that our brethren, the most enlightened of the allopaths, as if ashamed of silently stealing our system and appropriating our medicines, are at last building up similar pathogentic foundations for themselves, should increase our faith in Homoeopathy, and strengthen our efforts to keep the lead in this grand reformation in the theory and practice of medicine. But little, indeed, will genuine homceopaths care how much their allopathic co-laborers convey the thunder of our practice, if' they will but acknowledge the lightning of our principles. And we may state here that it is orthodox now in the Old School, to admit that the homzeopathic doctrine, the law of similars, is * Hahnemannian Monthly, July, 1873, p. 577. Dr. T. F. Allen. 8 INTRODUCTORY ADDRESS AT TIE OPENING OP THE indeed a real law of cure, but not the only and universal law. And the results of the great change, front reviling to imitation, that has come over the spirit of the Old School dream of exclusive possession of the healing art, already begin to become apparent. Statistics show that in some sections, in Philadelphia, for instance, the allopathic treatment of scarlatina is now nearly if not quite as successful as our own. And this immense improvement is simply due to the fact that, in the treatment of this disease the allopathists have followed our methods and employed our remedies, Belladonna in particular, which at the present time, as in that of Hahnemann, is as specific in the smooth or Sydenham variety of scarlet fever, as quinine ever is in ague. Solomon, the wisest of the ancients, discoursed of trees, " from the cedar tree that is in Lebanon, even to the hyssop that springeth out of the wall."* So shall the physician of the future, conscious that in all the substances of nature some good and usefill qualities reside, never cease his labors in the study of pathogenesis, until he has determined the virtues of all the solids, liquids and gases, and of all the vegetable and animal substances with which the earth is filled, and proved for each its exact sphere of usefulness for man. In this way remedies are obtained for all known disorders, and material provided in advance with which every new form of disease may be promptly checked at its first appearing. In those branches of scientific knowledge which belong more nearly to the practice of medicine, the physician of the future cIan hardly fail to improve upon the present and the past. In (liagnosis and the examination of the sick, he will be sure to employ all the recently discovered means and methods of exploration. The model husband, who now, somewhat facetiously, tells the doctor lis wife is ailing and desires him to go down Iand look- theproperty over, will then be more likely to ask hiln to look it through aod through! For to the speculum and spe(.troscope, the ophthalmoscope, endoscope, laryngoscope and microscope, the sphygmograph and dynamograph,t the spirorneter, dynamometer, galvanometer, thermometer, and various other * I Kings, IV. 33 t Quarterly Journal of Psychol ogical Medicine, Vol. 1I, p. 139, DETROIT HOM(EOPATHIC MEDICAL COLLEGE. 9 " scopes" and "meters " too numerous to mention, of the present davy, there will doubtless be added an automatic and selfrecording omniscope and omnimeter combined in one, by means of which every organ and tissue in the human body may be inspected and portrayed, and every movement of muscles, every vibration of nerves, every pulsation of arteries, and every evolution of infinitesimal cell-germs even, may be duly observed, and its dynamics determined and recorded. But even then the scientific physician, although so thoroughly armed and equipped for the detection of physical and objective symptoms, will need to study also those that are sensational and subjective. He will still need to listen to the patient's own account of' the feelings and sufferings which have given rise to, or resulted from, the morbid phenomena directly perceived by his senses, or discovered by the aid of his instrumental apparatus. Consciousness and intelligence on the part of' the patient will still be required, in order to show the connection of the internal and external symptoms with each other; and the physician's own judgment and experience will equally be needed to enable him to discern the true value and comparative importance of each class of symptoms in every case. But it is not too much to affirm that the coming age may go far beyond the present, may by far surpass even the methods just described, in discovering the hidden springs of disease. Who shall say thaw the physician of' the future may not as freely employ the wonderful faculty of clairvoyance to ascertain the interior constitution and condition of the sick, as those of the present day do the spirometer to measure the quantity of the air respired? Why should not this mysterious power be fully investigated and regularly cultivated in those in whom it naturally appears? Why should it not be redeemed from the suspicion of' lnhallowed superstition, rescued from the degrading hands of' mountebanks and charlatans, and devoted to the noble uses of science and benevolence? It is not to be assumed that this remarkable faculty-which is natural to a few, and which may be acquired by many others-is ever given except for wise reasons; or that it was intended by Divine Providence to be prostituted to evil, rather than sanctified by being employed for good purposes! 10 INTRODUCTORY ADDRESS AT THE OPENING OF THE WVith such a faculty at his command the physician of the future would have no need of our supposed omniscope; the patient himself, or another for him, could be made to look within, and describe with accuracy the condition and operation of the most interior organization, in connection with the accompanying sensations. Such a method, reserved perhaps for the most difficult cases, could not fail to throw great and much needed light upon those obscure forms of disease in which a morbid state of the mind results from disorders, otherwise imtperceptible, of the voluntary or involuntary nervous system. In cases of this kind, and in those in which a previously existing bodily affection disappears, to be succeeded by mental or moral aberrations, nothing short of a clairvoyant inspection could point out the pathological condition of the delicate and subtle " meinbranes," "'plastic medium," or so-called " spiritual body," which forms the ultimate means of union between the immaterial soul and the material frame of man. But it must not be forgotten that even at the present day, these and other forms of physical disorder, whose causes may be unknown and whose relations to physical disease it may be impossible to discover, are successfully treated by administering the corresponding homweopathic remedies-remedies whose adaptation to these mental and moral disorders is ascertained, pathogenetically, by observing their effects when taken by persons in health. And this same clairvoyant faculty might also be applied to the investigation of the qualities and virtues of the various substances which may be employed as medicines. Such a method, if it could be reduced to practice-and why should not the fhiture realize all that the present can anticipate?-could hardly fail to reveal, in their fullest extent, those ultimate pathogenetic powers and corresponding curative virtues of drugs, which alone arle homzeopathic to the most advanced formns of disease, and whiclh are now only speculatively inferred from analogy, or imperfectly gleaned from experience. In this way the physician of the flture may be enabled to see at a glance the various and most recondite medicinal qualities of substances hitherto unknown. By this cultivation of the higher powers of the soul, those of the next DETROIT HOM(EOPATHIC MEDICAL COLLEGE. 1i age may be enabled to discern by a sort of intuitive perception all that is now only partially learned by the slow process of induction and painful experiment. And this will be but the conlmencement of the return to that instinctive knowledge of the essential nature and relations of things, which was the birth-rigllt of our first parents, and which enabled them to bestow upon each and every object in nature a name expressive of its true spiritual quality. But at the present day the few and scattered traces of this knowledge, which occasionally make their appearance, are scoffed at as evidences of superstition, or denounced as the fruits of sorcery. In pathology the physician of the future will be well skilled. Not, indeed, in that kind so fashionable at the present day-with our allopathic brethren, especially-which occupies itself with minute descriptions of the appearance of the various tissues after death, which fills learned volumes with the details of the consequences of death; but which is as impotent to reveal the cause of death, as it is to save life. The true and useful pathology of the future will consist in a profound knowledge of the different morbid conditions of the whole system while living; whether these morbid conditions are confined to one tissue or organ, or embrace an entire series of organs; whether they are located in the physical, mental or moral sphere; or are equally diffused through the whole economy of the individual being. The pathology of the future will also embrace a complete knowledge of disorders of the mind as resulting from corresponding bodily states; and will at the same time unfold, in all their varieties, the physical consequences of morbid affections of a purely mental or moral nature. And as an indispensable preliminary, this pathology, in connection with the physiology and psychology of the future, will decide the hitherto open question of the relation of the voluntary or involuntary nervous system to the various forms of disease. By means of' the method of self introspection, if in no other way, the physician of the future will be enabled to determine just what symptoms belong to the voluntary, or cerebro-spinal nervous system; what to the involuntary, or ganglionic, nervous system, and what morbid phenomena indicate that both are involved together. 12 INTRODUCTORY ADDRESS AT THE OPENING OF THE With such perfect pathological knowledge, the essential character of diseases, in their several manifestations, cannot but be more thoroughly understood. While the location and principal symptoms, both external and internal, of each disorder, with their producing causes, as well proximate as remote, will at once suggest the appropriate treatment and indicate the remedy which must exactly correspond to the whole case. Thus will the average duration of disease be shortened, and that of human life prolonged. In paying the most marked attention to hygiene, both public and private, the physicians of the coming age will but imitate the great fathers of medicine of the remotest antiquity. Pythagoras, who lived in the golden era of the world, when medicine was not yet separated from philosophy, taught his disciples to pay supreme regard to the regulation of the diet. * And no services rendered to society by physicians or other scientific men, can equal in value those which point out the dangers that from time to time may threaten the public health. Could the physicians of Shreveport, La., have notified their fellow citizens that the method there pursued of disposing of the town sewage was dangerous in the extreme, they might have prevented the pestilence which has rendered that place the Golgotha of the South.t And just such inestimable blessings we think will be conferred upon mankind by the physician of the future, by warning communities against influences and practices which may prove destructive to the public health. In all the departments of practical knowledge the physicians of the past, and we may say of the present also, have always signalized themselves as leaders. To them are due a great part *Medicince eam maxime speciem amplectebantur, qnua dietam moderatur.-JAMBLICUS, DI)e Vite P~ythagorw, No. 163. t A remarkable illustration of this occurred in the early history of one of the oldest homceopathic practitioners of Pennsylvania-Dr. H. Detwiller — who, by the discovery cf lead poisoning, from apple butter kept in glazed earthen crocks, as the cause of a wide-spread epidemic. delivered thousands from a disorder which had hitherto proved incurable. As a homceopathic physician, familiar with the pathogenetic or drug action of lead, he had no difficulty in at once recognizing the nature, and ascertaining the source, of the most painful and destructive disorder that prevailed where he first settled. DETROIT HOM(EOPATHIC MEDICAL COLLEGE. 13 of the noblest advances, and many of the most important discoveries, in those natural sciences which become the foundation of useful arts. Under the influence of dominant minds, each succeeding age has its own favorite study and field of research; each has also had its own peculiar fashion of doctrine and tone of thought. The previous age was largely devoted to natural philosophy, and many of its leading spirits openly denied, or tacitly ignored as unscientific, all that was not physical and material. In the present age this tendency is still manifest, although far less obtrusively so than before. Some from whom better things might have been expected, have not scrupled to claim everything for the sphere of the sensual; to repudiate all that is called spiritual or supernatural. While others even venture to assert, in so many words, that the brain secretes thouzlAt as the liver secretes bile!* But this doctrine is now avowedly rejected by many naturalists of the highest eminence; men like Agassiz, whose profound studies in nature have not blinded their eyes to the God of nature. Still it is not to be denied that too generally there lhas been shown a disposition to reckon nothing within the sphere of science that could not be measured, weighed and counted, or that does not come within the cognizance of our external senses. But the limits of human knowledge and discovery in this latter direction are already well nigh reached. And the most important problems of science, unexplained hitherto, and reserved, in part at least, for the physician of the future, relate rather to the spiritual than to the physical nature of man. They are problems that pertain, as already stated, to the union of matter and spirit; problems, therefore, which defy all physical calculus, whether mathematical, chemical or electrical, and which demand * This oft quoted expression originated with Cabanis —bolrn in 1757-a disciple of Condillac, and friend and relation (by marriage) of Condorcet. Similar is the doctrine of Mr. Toland (John), quoted by Haslam in his "Observations on Madness and Melancholy," London, 1809. Cogitatio (hic minime prweterunda) est motus peculiaris cerebri, quod hujus facultatis est proprium organum: Vel potius cerebri pars quadanl, in medulla spinali et nervis cuml suis meningibus continuata, tenet anili principatum, rnotumque perficit tain cogitationis quam sensationis; qyti secunduml cerebri diversanm in omniurn animalium structuram, mire variantur.-Pantheisticon, p. 12. 14 INTRODUCTORY ADDRESS AT THE OPENING OF THE for their solution the application of a higher law, that of the spiritual principle itself, which is so intimately associated with our material frame. The sphere, therefore, in which the physician of the future will achieve his greatest triumph is neither exclusively physical, nor yet purely spiritual, but, like man himself, it is a compound of the two, and its doctrine is called psychology. This science of psychology is the outgrowth and ultimate development of physiology; it is the science which considers the soul of man in its connection with the body; which investigotes the nature and mode of' union of the human body with the human soul, and in which is studied the reciprocal influence of' the body upon the spirit and of the spirit upon the body. With this wonderful and mysterious union of matter and spirit in man is connected the greater part of the hitherto undeciphered questions in philosophy; such as the doctrine of life, its identity with the soul;* the mode in which the spirit operates upon and through the body; the nature and principles of the soul's action as mechanical or otherwise, and the possibility of the spirit's ever being in this life, as the Apostle expresses it, " either in the body or out of the body."t These are the great problems of psychology, and these are the questions whose solution will in no small degree depend upon the physicians of the future; since they will at the same time interest him as a man of science, and associate themselves with him in his practical duties, and professional lite.t The key to many of the difficulties of normal physiology is found revealed in the phenomena of abnormal physiology, or pathology. This is plainly seen in the electro-magnetic examination of nerves, whose failure of action in disease discovers their special functions in health. In like manner the solution of many important questions in psychology —notably those relating to the union of body and spirit-can only be reached by studying the phenomena of morbid psychology, where the curtain seems partially withdrawn, and the inmost veil of the sacred temple of * Porter's " Human Intellect," p. 36. ~ I Corintllians, 15: 44, and II Corinthians, 12 2.: " Why should we leave an unknown quantity to the luture, which, perhaps, will not consider it unknown? "-" Outlines of the Infinite," p. 100. DETROIT HOMCEOPATIIIC MEDICAL COLLEGE. 15 nature temporarily rent in twain. And it is in this direction alone that, we shall find a truly scientific answer to the materialistic tendencies and teachings of much of the so-called science of the present day.* In the astonishing facts of natural somnambulism, and in those of animal magnetism or artifical somnambulism; in the wonderful phenomena of clairvoyance, including both far-seeing and prevision or " second sight," and in the still more recondite experience of those who become subject to ecstacy or trance, are seen innumerable testimonies to the power of the soul when acting in partial independence of the body. And these exhibitions of the apparent separation of the soul from the body throw more light upon the natural relation of the body to the spirit, and of the spirit to the body, than could ever be obtained from the whole science of normal psychology. These irregular and infrequent exhibitions of spirit-power are well calculated to strike terror into the observer's heart —powers of this kind being commonly, but incorrectly, attributed to demoniacal influence. Such, for example, was that wonderful display of spirit-force made by an Indian Medicine Mlan, Black Snake, of whom it is authentically related that,in a contest with a rival medicine man, concentrating all his powers, or as the Indians term it, gathering his medicine, he commanded his opponent to die, when the unfortunate conjuror succumbed as to a superior moral force, and his spirit, in the words of the Indian informant, went beyond the Sand tButtes!t Of another, it is related by a highly educated and deeply religious Catholic priest, European by birth, and formerly professor in a Continental University of hiigh repute, that he had himself seen a Kootenai Indian command a moutntain sheep to fall dead, and the animal, then leaping among the * This materialism even in (Christian lands and modern times is put to shamle beside the profound philosophy and almost spiritual insight of the most ancient pagan philosophers. N1ar, MENS, ex P~ytbagore sententie, cutneta cernit, cunctaque audit; Sw,'da coca, cetera Sunrt. PORPuIYRIUS, De tita Py/thag. N. 47 (Grrce et Latirne) Amstelodami, 1707. "For, according to Pythagoras, THE MIND SEES ALL THINGS, AND HEARS.ALL THINGS; everything else is deaf and blind." t Atlantic Monthly, July 1866, p. 114. Vide also " Night Side of Nature," by C. Cr'owe, Vol. 1, p. 273. 20 INtrIRODUCTORY ADDRESS AT THE OPENING OF THE In this wide field of involuntary disorder of the mental and moral nature-based as it so largely is upon physical diseasethe physician must first enter and perform his appropriate part. And when, through the united operation of all the hygienic means, medicines and moral influences at his command, he cures these unfortunates, so that they may be found sitting and clothed and in their right minds;* when he has thus so far elevated and transformed their degraded and depraved natures as to restore them to voluntary and responsible life, then he will have but prepared them for the physician of the soul, whose blessed office it is to lead them in the green pastures and beside the still waters of higher and heavenly life. II. THE PHYSICIAN OF THE FUTURE WILL BE A MAN OF HEART. Ever conscious of the sufferings and sorrows of those to whom he is called to minister, he will deeply sympathize with them in all their misfortunes. But his sympathy will not be of the softhearted kind of some whom I have known, whose tears are but too ready to flow, and whose excess of feeling and tell tale countenance augmnent rather than assuage their patients' anxiety and distress. But it will be that silent, practical, efficient sympathy, that manifests itself in employing the best means of relief. HIow much true philosophy is expressed in those well known words of the old Roman: Haud ignari malis, disco succurrere miseros. Not unconscious of suffering, I learn to succor the miserable. And no one surely can attain to the high order of the true physi('ian who is not tolerant of the weaknesses and follies even of the afflicted, knowing that these are often but the consequences of' the physical and psychical disorders which it is at once his duty and his greatest glory to remove. Let no one, therefore, aspire to the noble office of the physician of the future who cannot, in the largeness of his own heart, appreciate to their full extent the physical and spiritual sufferings of his fellowmen; who cannot at once personally and practically sympathize withi themi in their distresses. This kindly, helpful symp.athly forms the very life and outflowing spirit of the true physician. By * Mark V: 15.