^l^iMl^s^liMlsi^^aijaijSifiii^ [ST^IAM /^ ^■a: $' GlBf)CT m i S Sfps fsfglifW ( %' si. * MM '60 1900 * X' Division. Section ,_,.. No Christian Science An Exposition of Mrs. Eddy's Wonderful Discov- ery, including its Legal Aspects A Plea for Children and other H elpless S ick BY. WILLIAM A. PURRINGTON Lecturer in the University and Bellevue Hospital Medical College^ and in the A^eiu York College of Dentistry upon Lazv in Relation to Medical Practice, one of the Authors of " A System of Legal Medicine " NEW YORK E. B. TREAT & COMPANY 341-243 West 23D Street 1900 " Christian Science demonsti-ates that the patient who pays whatever he i? able to pay for being healed is more apt to recover than he wlio with- bolJs a slight equivalent for health." — From Preface to Miseellafieous ITn'/iro^s of Mrs. EiUy. Copyright By E. B. Treat & Co 1900 PREFACE. It has seemed worth while to collect these papers, expounding the dangerous teachings of our latter-day delusion, Christian Science, and the theory and limita- tions of medical legislation, if only for the sake of children and helpless adults. Thanks are due to the Proprietor and Editors of the North American lieciem for permission to reprint the articles written for that periodical at the instance of my friend David A. Munro, Esq., and to the publisher and editor of the Medical Record^ and the Xew York ^un for the use of the matter copyrighted by them. They have proved less tenacious of their copyrights than is the discoverer of Christian Science of hers. The papers have not been altered from their origi- nal form in order to avoid in the bound volume repetitions due to treating the same subject before different audiences. When line upon line and precept upon precept are needed repetitions are not vain. Four of these papers deal with the exposition of Mrs. Eddy's teachings, her own account of herself and the status of her cult before the law. Another treats of the educational effect and policy of medical legisla- tion, and the last shows how by enforcement of medical laws not consonant with public opinion the apothecary in England became a general practitioner of medicine. The best proof that the articles in the North Ameri- can Beviev: are fair expositions of Mrs. Eddy's biogra- phy and teachings is that their accuracy has not been denied, so far as their author knows. How could it be when they consist for the most part of her own words quoted by book and page so that error might 3 4 CHKISTIAN SCIENCE. be easily corrected ? l^o willful misstatement has been made, and none, it is believed, unwittingly. The patient reader will see that there is here no denial, but rather explicit and repeated admissions of the ex- traordinary influence of suggestion, expectant atten- tion and mental excitation however caused upon the body. It is not denied that hysterical patients, the morbidly introspective, the worriers, the malades ini- aginaires, the victims of obscure nervous ailments have been helped by Faith Cure, Christian Science, Mental Healing, Mesmerism, Hypnotism, Yitapathy, and the like. But it is denied that eyery jyost hoc is a propter hoc, and that because, for instance, asthma, which often yields to a change of residence, or wears out by lapse of time, and childbirth, a normal func- tion, sometimes run successful courses under such methods, therefore gross ignorance and presumption are to be substituted without restraint or liability in daily life for demonstrably eflicient skill and science. We know that a surgeon can staunch the gush of blood from a severed artery, that the physician has sweet oblivious antidotes for pain, and, if called in time, can, often counteract the deadly work of poison. Eddyism cannot do these things. Will Mrs. Eddy or any of her disciples venture by personal experiment under test conditions to prove that Christian Science can counteract by its arguments the effects of mor- phine, atropine or strj^chnine ? AVhat must be obvious to any one who Avill think but a moment is that suggestion, expectant attention and such mental stimuli cannot operate upon babies as they do upon adults ; and accordingly, as one would PREFACE. 5 naturally expect, we find some of the most horrible instances of criminal wickedness on the part of Chris- tian Scientists, Peculiar People and like faddist in their treatment of children. One object lesson is worth a wilderness of words, and the photograph prefixed to these papers is a volume in itself. I am indebted for its use to Charles H. Tag, M. D., of Brooklyn. The case, referred to on page 113, was one of gangrene of the left foot of a child twelve years old ; the lower ends of tibia and fibula being exposed and the foot attached to the leg only by the internal lateral ligaments of the ankle. Physicians advised am- putation ; but an ignorant woman was called in who guaranteed by prayers, passes and salves to effect a cure. She professed belief in Christian Science and mental treatment, but- also in the efficacy of remedies, the use of which made her conviction possible under the law of JN'ew York. She was not a strict Eddyite, but had a system and book of her own. Eventually amputation was performed by Dr. Blaisdell assisted by Drs. Tag and Caffrey. The operation was success- ful and the child is now in good health. Is it not horrible to think of cases of this sort, of contagious diseases, of severed arteries and fractured limbs falling into the hands of ignorant and audacious " Scientists " even when patients are conscious and willing to accept the treatment ? How much worse it is when the patients are little children or unconscious adults whose lives are put by misguided kin or friends into the deadly keeping of those who lightly and boldly assume with ignorance, what the learned attempt with eare and miso^iving:. 6 CHRISTIAN SCIENCE. The questions submitted to Mr. Carol Norton as set out in the appendix remain unanswered by him. They are the crux of Eddyism. Would Mrs. Eddy treat her own severed artery by arguing with it like a congressman? Would Mr. Norton discuss a fish- bone out of a child's throat ? If not, who will deny that the pretensions of the cult are" humbug and sham of the commonest, wickedest sort ? It is by no means asserted that the disciples of Mrs. Eddy are ignorant or unintelligent. On the contrary their sincerity is willingly admitted, as well as that among them are persons of unusual intelligence. But persons of intelligence and honesty, ever since the world began, have been deluded in amazing fashions by vulgar and ignorant impostors in religion, medicine and finance. Hope tells its flattering tale to rich and poor, wise and foolish. All conditions of men blindly follow false beacons of health and wealth, set for them by fanaticism, greed and cunning. Fortunate are they who find the true light before shipwreck. If this exposition turns one Ephraim from his idols ; if it saves one child, one woman in peril of childbirth, one strong man in delirium from unnecessary suffering and death at the hands of the ignorant and criminally reckless, it will not have been written in vain. And because it may happen that some reader might wish to find again a droll absurdity of Christian Science's discoverer wherewith to confound him who accepts Mrs. Eddy's teaching on faith without knowledge, a sufficiently copious index has been made, and a table given of the cases cited from law reports. W, A. PUBRINGTON. 59 PVall Street, New York City, December ijth, i8gg. Contents CHAPTER p^Qj, Table of Cases Cited lo I. Christian Science and its Legal Aspects 1 1 II. The Case Against Christian Science 37 III. Manslaughter, Christian Science and the Law 69 IV. Christian Science before the Law gr V. How Far can Legislation Aid in Maintaining a Proper Stand- ard of Medical Education 123 VL The Evolution of the Apothecary i^e APPENDIX A. The Claims of Christian Science 165- B, Christian Science and the Law 17* Index ig^ ILLUSTRATIONS Photograph of child treated by incantations and salves . . . Frontispiece Copy of Charter of Massachusetts Metaphysical College . . & (COPY) Mo. 1251 ComitioniDealtb of n)a$$acl)u$em. !8Se it [?r\OWn That whereas Mary B. G. Eddy, Charles J. Eastman, James C. Howard, Edgar S. Woodbury, James Wiley, William F. Walker and Samuel P. Bancroft have associated themselves with the intention of forming a corporation under the name of the /iDassacbusetts /lDetapbK?stcal College for the purpose of teaching pathology, ontology, therapeutics, moral science, metaphysics and their adaptation to the treat- meht of disease, and have complied with the provisions of the Statutes of this Commonwealth in such case made and provided, as appears from the certificate of the President, Treasurer, and Directors of said corporation, duly approved by the Commis- sioner of Corporations, and recorded in this office: IROW, XTberetore, I, Henry B. Peirce, Secretary of the Commonwealth of Massachusetts, H)0 HDCrel)^ Gertit^ that said Mary B. G. Eddy, Charles J. Eastman, James C. I^oward, Edgar S. Woodbury, James Wiley, William F. Walker and Samuel P. Bancroft, their associates and successors, are legally organiied and established as and are hereby made an existing corporation under the name of the Massachusetts Metaphysical College, with the powers, rights, and privileges, and subject to the limitations, duties, and restrictions which by law appertain thereto. "CdttUCSS my official sionature hereunto subscribed and the seal of the Commonwealth of Massachu- setts hereunto affixed this thuty-first day of ^- ^- January in the year of our Lord one thousand eight hundred and eighty-one. HENRY B. PEIRCE, Secretary of the Commonxveallh. [A verbatim copy of the Charter or Certificate of In- corporation of Mrs. Eddy's so-called Metaphysical College, on file in the office of the secretary of the Commonwealth of Massachusetts. See page 52.] Table of Reported Cases Cited in this Book Apothecaries Co. v. Nottingham, 34 L. T. R (N. S.) 76 . Apothecaries Co. v. Lottinga, 2 M. & R. 500 " '* Harrison, 67 L. T. 232 Attorney-General ex rel. Apoth. Co. v. College of Physicians, 30 L. J. (N. S.) Ch. 757 Bailey v. Mogg, 4 Den. 60 Bibber v. Simpson, 59 Me. 181 . Commonwealth vs. Thomson, 6 Mass. 134 Corsi V. Maretzek, 4 E. D. Smith 1 Davison v. Bohlman, 37 Mo. App. 576 . Dent V. U. S., 129 U. S. 114 Eastman v. State, 6 Ohio, Dec. 296 Eastman v. People, 71 111. App. 236 Eastman v. State, 10 N. E. Rep. 97 Handey v. Henson, 4 C. & P. 110 Marsh v. Davison, 9 Paige 580 Morgan v. Hallen, 8 Ad. & El. 119 Mormon Case, (Reynolds v. U. S.) Nelson v. Harrington, 72 Wis. 591 Pierce v. Commonwealth, 138 Mass. 165 People V. Phippin, 70 Mich. 6 . Regina v. Wagstaffe, 10 Cox. Cr. Cas. 530 *' Senior, L. T. & L. J.; Dec. 17, 1898 Rice V. State, 8 Mo. 561 . Rex V. Long, 4 C. & P. 398 Reynolds v. U. S., 98 U. S. 145 . Rose V. College of Physicians, 3 Salk 17 ; 6 Mod 44 ; 5 Bro. Pari 553. . . 133, 152, 154, 155 Smith V. Lane, 24 Hnn. 6-32 . . 79, 106, 110, 153, 177 State V. Biiswell, 40 Neb. 158 . . . 82 " " Mylod, 49 Atl. 753 . . 16,84,85,116 " " Schulz, 55 Iowa 628 . . . 75 Toune v. Lady Gresley, 3 C. & P. 581 . . 155 154-159 160 160 148, 158 75 81 31,71,112 134 81 14 81 82 80 155 74 155 30,86,173 81 31, 76 81 87 88 74 31,88 30,86 10 Christian Science. " CHRISTIAN SCIENCE " AND ITS LEGAL ASPECTS.^ It is asked if existing laws impose any restraint upon treatment of the sick by soi-disant " Christian Scientists," and if further legislation in that regard is desirable. Mere charlatanism, unrelated to the general wel- fare, is not a proper subject for legislation, but quack- ery imperilling the public health is. Whether Christian Science falls within either category, every intelligent reader will readily determine when aware of its pretences — charlatanism being false pretension to knowledge, skill, power or achievement, and every one being a charlatan who falsely advertises himself as achieving greater results than his fellows, whether he be a medical man boasting of mysterious and im- possible cures, a religious teacher preaching what he does not believe, or a lawyer proclaiming achieve- ments that he has not accomplished or insuring re- sults beyond his power. The term is not used offen- sively, nor with any desire to impute insincerity to honest believers in this new cult. » From the North American Review, March 1S99. 11 12 CHEISTIAlSr SCIENCE. To answer the questions propounded, we must clearly understand, (1) the true purpose and proper scope of legislative control over medical practice and matters affecting the public health ; (2) the methods taught and adopted for the treatment of the sick by Christian Scientists ; (3) the status of these people under existing law. For the argument's sake let these concessions be made at the outset : (1) mental stimulus exercises, and has been always known to exercise, enormous in- fluence over the body, whether incited by such slight causes as " a harmless, necessary cat," or " woollen bag- pipe," or by such powerful emotions as hope, fear or faith ; and not only malades imaginaires, but sick persons, especially those afflicted with hysterical dis- orders, have been and will be restored to normal health by such stimulus ; (2) the wisest physicians, as they will be first to admit, not having yet attained the limits of medical or psychical knowledge, are fallible, and often make errors of diagnosis ; (3) the vis medicatrix naturae is great, and, if there should be called to the treatment of a sick man two ignorant and incompetent persons, one a gloomy believer in dos- ing by rule, the other merely a cheerful prophet, the latter Avould be, probably, the more helpful, or at least the less dangerous ; (4) Socrates, Galileo, Jenner and many other persons met with opposition in promulgat- ing truth, just as Simon, the sorcerer. Jack Cade, Cagliostro and other impostors eventually came to grief in their propaganda of lies. These concessions are made because, in the writer's experience, no charlatan or enthusiast has yet appeared ITS LEGAL ASPECTS. 13 before a legislative committee to plead for the substi- tution of ignorance in place of medical learning, whose argument has not been, in substance, this : There are mysterious powers not possessed or fully understood by physicians, who frequently make grave mistakes ; cures often follow the ministrations of clairvoyants, mediums, mind and faith curers ; new truth is always opposed; therefore, medical practice should be un- trammelled, and every one, regardless of character, intelligence, education or training, should be permitted to engage in the business of treating the sick for hire. A postulate must also be laid down, and he who denies it need read no further ; the acceptance of new doc- trines, or of old ideas revamped, by a large number of persons, of whom some may be very intelligent, is not of itself sufficient reason for general acceptance of such doctrines or ideas, or for toleration of practices founded upon them ; especially if the former be con- trary to ordinary experience and observation, and the latter be injurious to the public health, morals or safety. It was happily said by Dr. Oliver Wendell Holmes, of Bishop Berkeley's belief in tar water as a specific for pretty nearly all the ills of man, that it *' exhibits the entire insufficiency of exalted wisdom, immaculate honesty, and vast general acquirements to make a good physician of a great bishop ; " while, of Berkeley himself, the wise and witty Doctor said: " He was an illustrious man, but he held two very odd opinions ; that tar water was everything and that the material universe was nothing." Public health laws, including therein statutes regu- lating medical practice, should be and are framed 14 CHRISTIAN SCIENCE. solely to protect the public, by providing against such harmful practices as adulterations of food and drugs, the spread of contagious diseases, maintenance of un- sanitary conditions and medical treatment of the sick by unqualified persons. That the state may constitu- tionally and justly exercise its police power to protect health is by adjudication established beyond cavil, and by common consent so thoroughly accepted that if a pest-house or open cess-pool were established near the residence of the founder of Christian Science, she would doubtless apply, successfully, to the Courts or the Health Board to abate the nuisance, notwithstand- ing her teaching that a '' calm Christian state of mind is a better preventive of contagion than a drug, or any possible sanative method." ^ The justification of med- ical licensing laws is that the overwhelming majority of sensible men, at all times, have believed that knowl- edge and training are essential to qualify a man to cope with disease ; and, for this reason, the highest courts of many States and the Supreme Court of the United States, in Dent's case,^ have affirmed the con- stitutional power of a State to enact laws forbidding unqualified persons to practice medicine, and establish- ing general tests of such qualification. This is not the occasion to review the Medical Acts of the several States. It is enough to say that none of them prohibits or prescribes any special system of therapeutics or practice. To do that would block » Misc. Works, p. 229. Where in these foot notes only a page is cited the reference is to " Science and Health, toith Key to the ScriJ>tures" the text-book of the cult, edition of 18S7. 8 Dent V. West Virginia, 129 U. S, 114. ITS LEGAL ASPECTS. 15 scientific progress and discourage investigation. It is not for legislatures to say how either bodies or souls shall be cured, to enact pharmacopoeias into statutes or crystallize theories, medical or religious, into law. But it is entirely right and proper for them to declare that no man shall enter upon the business of treating the sick until he is of full age and has shown, upon examination, that he has studied for a prescribed time, and acquired competent knowledge of those branches of true science, familiarity with which is, by universal consent, necessary to equip one into whose hands life and health are to be committed — physiology, anatomy, surgery, obstetrics, hygiene, chemistry, pathology, di- agnosis. The licensed medical practitioner may act in any case upon any theory of therapeutics commend- ing itself to his judgment ; allopathy— if there be such a theory — homeopathy, hydropathy, electropathy, vi- tapathy, venopathy, osteopathy, Baunscheidtismus, magnetic healing, the Christian Science of Mrs. Eddy, the pagan science of the Yoodoo Queen, or a general Eclecticism. In short, the law aims, and should aim, to require, as the only prerequisite of a medical license, satisfac- tory proof that the candidate is of good character and average equipment through study and training. In New York, for example, there are three Boards of Medical Examiners, representing the regular practi- tioners, and the Homeopathic and Eclectic Schools. Examinations are uniform in physiology, anatomy, and all the other branches of science above enumerated, wherein there is no medical schism. In therapeutics, where opinions diverge, candidates for license may de- 16 CHRISTIAN SCIENCE. mand examination according to their schools. Ehode Island's Supreme Court said lately, in Mylod's case,^ by way of reditctio ad ahsurdum^ that Christian Scien- tists, were they held to be practitioners of medicine, w^ould be entitled under the constitution of that State to a separate Board of Examiners — offering this as one argument for not holding them to be such practition- ers. But why should not Christian Scientists, who make a business of attempting to cure the sick, be re- quired to submit to examination in general medical science, quite as much as homeopaths from whose loins they have sprung ; going, as do candidates from other schools, before their own board in therapeutics ? It is said that they give no drugs, but they must and do make diagnosis,^ and their " Mother " says that they often give medicine.^ Is it unreasonable to infer that their actual objections to being classed as medical practitioners subject to license are: (1) that to pre- pare for examination requires years of study in real science ; (2) that no one Avith a fair knowledge of the human economy, and equipped to practice medicine ' State V. Mylod, 40 Atl. 753. See the paper " Christian Science before the Law," p. 91. 2 Although Christian Scientists deny, in order to escape prosecution un- der medical laws, that they make diagnosis of disease, yet upon their own theory they must do so ; for their teacher bids them mentally to address by name the disease to be treated, and argue with it. They sometimes call "diagnosis" "discernment," and Mrs. Eddy says of herself, "I have dis- cerned disease in the human mind, and recognized the patient's fear of it many weeks before the so-called disease made its appearance in the body. . . . I a77i never mistake?! i7t Jtiy scientific diagnosis of diseased (P. 194.) 3 "Departing from my instruction, many learners commend diet and hygiene, T/iey even administer medicine for certain diseases, thinking thereby to initiate the cure which they think to complete with mind ! " (P. 376.) ITS LEGAL ASPECTS. 17 intelligently, would adopt the vagaries of their pseudo science ? Such being the purpose and proper scope of medical laws, the second inquiry is. What is so-called Chris- tian Science ? The answer may, best and most fairly, be given by quoting the very words of the remarkable lady, Mrs. Eddy, who, in 1866, made the somewhat belated dis- covery of this branch of healing. This is the more important because many who, without having read the text-book, fancy they know, in a general way, what it teaches, would be surprised, on looking into the volume, at the vagueness of expression, hopeless confusion of thought, vain boasting, complacent asser- tion of impossible occurrences, virulent denunciation of all other systems, and systematic, commonplace ad- vertising that everywhere appear. The publications to be quoted from are '' Science and Health, with Key to the Scriptures" (Edition of 1887, published by the author), and "Miscellaneous Writings, 1883-1896." The former, being the text-book wherein the new dis- covery is expounded, is read at the church service of the Scientist alternately with the Bible, and, if its au- thor is to be credited, the mere reading of it, under- standingly, has cured and will cure the most malig- nant diseases, even cancer, and indeed is the chief factor in all treatment. At the threshold of this magnum opus, we are told : " The time for thinkers has come." ^ Hitherto, the world has got along in a thoughtless fashion ; but at last the thinkers are upon us— not only those who >P.5. 18 CHKISTIAN SCIENCE. think they think, but real thinkers ; and it behooves us to heed their thought. Perhaps it is this state- ment, as much as any other in the book, that gives to Christian Science what vogue it has. The more ignorant the disciples, the more flattered he is to esteem himself a thinker wiser than all who have gone before. A cubit is added to his stature and he glows with self-satisfaction. When the author wrote of the Saviour : " Though Jesus is the impetus and pulse of Christianity, yet Christianity is larger than its human founder ;"^ and again of Bishop Berkeley : " He was a great natural Scientist in his day, and held opinions concerning ' absolute idealism ' which ad- vance his memory near to the border-land of Christian Science," ^ she, too, doubtless felt this gloAV, and failed to apprehend in the words what was blasphemous to the pious, humorous ^ to the merely instructed and of- fensive to good taste. Another reason why this text-book impresses the J p. 229. 2 p, 230. 3 The poems of Mrs. Eddy, published in Miscellaneous Writings, Ch. XI., afford evidence at once of her literary craftsmanship and of her en- tire lack of humor. Two verses from one of them, " Isle of Wight," (p. 393), may serve to illustrate her pellucid thought and style: " Soul, sublime 'mid human debris Paints the limner's work, I ween, Art and vScience, all unweary. Lighting up the mortal dream." " Students wise, he maketh now thus Those who fish in waters deep. When the buried Master hails us From the shores afar, complete." However trite or obscure her prose teachings, no one will deny the novelty and originality of rhyming ^* debris^'' with "unweary," "ween" with "dream," "now thus" with "hails us" and " deep " with " com- plete," and, to quote Calverley's saying of other poetry, " As to its mean- ing, it's what you please." ITS LEGAL ASPECTS. 19 superficial as containing oracles of wisdom is, that it so often, like Dr. Holmes's katydid, says " an undis- puted thing in such a solemn way ; " for example, that those who are sick, or think themselves sick, should be cheered up ; that fear strongly affects the system and even predisposes the timid to the sickness they stand in dread of ; that children should not be coddled over-much, and that men ought to be good ; trite sayings all, but to the thoughtless thinker reve- lations. Yet another reason that commends the book and its disciples to the credulous is their boastful assurance of impossible results. Eeputable practitioners of medicine or law do not insure success. Undoubtedly, however, such assurance inspires hope, especially in credulous minds. Mrs. Eddy does not hesitate to say that she cures the hundred cases where physicians lose the ninety -and-nine ; ^ and her disciples have been known to give equal assurances to a patient already in the death agony. A review of these books might be entertaining, and even profitable, if it served to enlighten any who may have accepted the " Science " without study of its genesis, by showing how, out of the time-worn specu- lation of idealism that matter does not exist apart from mind, a lady of Lynn, Mass., has spun a web of incoherent words ^ contradicting themselves on every ' P- 387. 2 As if realizing how incoherent, vague and self-contradictory is her writing, Mrs. Eddy says, somewhat in the manner of Mr. Bunsby, " In the spiritual sense of my subject lies the elucidation of it, and this sense you must gain in order to reach my meaning " (p. 391). And again, •' Mortal mind does not at once catch my meaning, and can only do so as thought is educated up to my spiritual apprehension " (p. 392). And finally to 20 CHRISTIAN SCIENCE. page, and yet so attractive to the credulous as to form the nucleus of a cult and of an excellent source of rev- enue for the writer, and for those of her disciples who, in absolute ignorance ,of medical science, assume to cure every human malady ; not only treating adults, but even helpless children, preventing the attendance of qualified medical men in critical cases, and even condemning observance of the rules of cleanliness, hygiene, diet and exercise. But with the metaphysics of the book we have here to do only in so far as it af- fects the practical system of treating the sick. Originally, Mrs. Eddy seems to have been a home- opathist of the " high potency " faction, and to have been led by recognizing the medicinal inertness of high attenuations to her present theories.^ She, herself, says : " Homeopathic remedies, sometimes not contain- ing a particle of medicine, are known to relieve the symptoms of diseases. "What works the cure ? It is the faith of mortal mind that changes its own self-in- flicted suffering, and produces a new effect upon the body." ^ This would be, at least, intelligible if she did not also teach that " there is really no such thing as mortal mind ; " ^ that " disease is an impression orig- inating in the unconscious mortal mind, and becoming at length a conscious belief that the body or matter suffers, ... a growth of illusion springing from a seed of thought, either your own thought or her disciples and general readers she intimates that she can " explicate spiritual meanings more fully " by " practical teaching," i. e., presumably by attendance on her well paid lectures (p. 17). 1 " Homeopathy ; Its Friends and its Foes." Annual address by Dr. H. M. Paine, President of the Homeopathic Medical Society of the State of New York, 1888, Trans. Vol. XXIII. 2 P. 312. 3 P. 419- ITS LEGAL ASPECTS. 21 another's;"^ that body "is the seedling that starts thought, and sends it to the brain for consciousness ; "^ that "the entire mortal body is evolved from mortal mind," so that a bunion would be insanity if mortal mind would only call the foot the brain ; ^ that matter " is another name for mortal mind " ^ and " disappears under the miscroscope of spirit ; " ^ and that pain, which is presumably suffering, is " a belief without an ade- quate cause." ^ We are also taught that " disease has no intelligence to move itself about or change itself from one form to another." ^ Taking again the sen- tence just quoted, and substituting these definitions for words, we have this remarkable result : " It is the faith of mortal mind (i. e., nothing) that changes its own self-inflicted sufferings {i. e., beliefs without ade- quate cause) and produces a new effect upon the body " {i. e., an evolution of mortal mind, or nothing, which therefore is itself nothing). Before this jargon one may fancy the delighted new thinker, like dear Alice after reading the Jabberwock, gloriously filled with ideas, but entirely ignorant of the meaning. The most that can be made of her theory is that disease does not exist save as a false belief to be treated with argument ; and the positive treatment of it is as follows : First of all, buy Mrs. Eddy's books and have the patient do so.^ This will increase the circulation — of the book, if not of the patient. Next, deny that there is any disease, and make the patient agree with you. " Eemember that all is mind and there is no matter. You are only ip. 182. 2 p. 191. 3p, 300. "P. 542. 5 P. 15. ^P. 342. 'P. 301- «I^-375- 22 CHRISTIAN SCIENCE. seeing or feeling a belief, whether it be cancer, de- formity, consumption, or fracture that you deal with."^ Having thus established that the disease does not ex- ist, you next proceed to "meet the incipient stage of disease with such powerful eloquence as a Congress- man would employ to defeat the passage of an inhu- man law."^ No disease can stand that. Still more oddly, you are to call this disease, whose existence you deny, by name, but mentally, lest if the patient hear its name, his mortal mind will hold on to the dis- ease ; for, apparently, the mortal mind, which itself has no existence, although impressed by absent treat- ment and the reading of Mrs. Eddy's book, cannot let go any disease whose name is spoken out loud. But if you only address the disease mentally and speak the truth to it, " tumors, ulcers, tubercles, inflammation, pains and deformed backs ... all dream shad- ows, dark images of mortal thought, will flee before the light." ^ To the practical mind it would seem that the " healer " would need some medical knowledge to make his differential diagnosis of " ulcers " and " tu- mors," and to distinguish between abscess, aneurism, and other abnormal conditions. And if disease does not exist, and has no intelligence to move or change itself, it does seem a bad waste of time to have any discussion at all with it. If this were all of Christian Science, it might do lit- tle or no harm. No one would object to letting a " Scientist " hold mental conversations with the patient's disease, or give " absent treatments," or encourage the sick to "look on the bri^^ht side." And a kindly soul if. 297. 2 p. 222. 3 p. 301. ITS LEGAL ASPECTS. 23 Avould no more restrain a '^ Scientist " from playing with bis metaphysics than he would interfere with a hopeful kitten that whirls in happy pursuit of its own elusive tail — always in sight, yet never quite attained. But it is the negative teachings of the so-called Science that render its disciples pestilent and dangerous to the public health. Declaring the incantations of the Es- quimaux to be " as effective in cure of the sick as the modus operandi of civilized practitioners," Mrs. Eddy goes on to teach that physiology is anti-Christian. *' It teaches us to have other gods before Jehovah. It is neither moral nor spiritual." ^ In its place she would substitute harmony ; for " discord is the nothingness of error, harmony is the soTnethingness of truth." ^ " Sickness is inharmony." ^ This " new thought " is even older than that famous little dinner given by Agathon, where, notwithstanding the presence of Plato and Socrates, Aristophanes got tipsy and asked Eryx- imachus, the physician, why, if the latter really be- lieved health to be only harmony and love among the members, he should prescribe anything so inharmonious as sneezing to cure hiccoughs. ]^o physician is to be called in by the sick. " The Scientist who understands and adheres strictly to the rules of my system ... is the only one safe to employ in difficult and dangerous cases." ^ Every form of treatment. Homeopathy,^ Mind Cure,^ Movement Cure,^ Animal Magnetism, Clairvoyance, Mediumship and Mesmerism,^ is impartially con- demned. Against animal magnetism Mrs. Eddy is IP. 171. 2 p. 22. 3 P. 177. ■»??. 186, 324. 5 p. 183. 6 p. 376. 7 p. 364. 8 PP. 212, 213, 219, 302. 24 CHRISTIAN SCIENCE. particularly bitter, apparently because, having been once " personally manipulated " by the late Mr. P. P. Quimby, "an uneducated man, but a distinguished mesmerist," it was thereafter stated that Mr. Quimby was the " originator " of her writings.^ " It is morally Avrong to examine the body in order to ascertain if we are in health," and " to employ drugs for the cure of disease shows a lack of faith in God.^ *' A Chris- tian Scientist never recommends hygiene." ^ Dieting, dosing and exercise are unscientific.^ It is foolish to suppose that it is exercise that increases the muscles of a blacksmith's arm ; for, if that were so the ham- mer, which takes just as much exercise, would also grow.^ This is one of the most powerful and char- acteristic arguments of the new thinker. Bathing is thus deprecated. " Bathing and rubbing, to alter the secretions or remove unhealthy exhalations from the cuticle, receive a useful rebuke from Christian Heal- ing. We must beware of making clean the outside of the platter only. A hint may be taken from the Irish emigrant whose filth does not affect his happiness when mind and body rest on the same basis." ^ " The Scientist takes the best care of his body when he leaves it most out of his thought, and like the Apostle Paul is * willing rather to be absent from the body and present Avith the Lord.' " ^ '' The daily ablutions of an infant are no more natural and necessar}^ than 1 P. 6. 3 p. 38. 3 p. 374; Mrs, E. D. O., " at an early age learned hygiene (!) and practiced it faithfully for over twenty years " with such poor results that she •• had once been laid out for dead " and " did not want to come to." A partial reading of " Science and Health " made her " a well and hearty woman." (Misc. W., pp. 401-403.) P. 199. 2 p. 199. 3 p. 186. ■•?. 358. 5 p. 317. 6 p. 328. ITS LEGAL ASPECTS. 29 heavily for your persumption ? " The fitting climax to this farrago of undigested metaphysics and vain boasting ^ is, that hunger and thirst are also mental impressions to be argued with,^ that food is not requi- site to support life, although ^' it would he foolish to stop eating until we gain more goodness / " ^ and, lastly, that, as there is no mortal mind from which to make a mortal body, immortality is already here.^ The methods of this extraordinary system of cure for the sick have been set out thus fully and, it is be- lieved, fairly, because in no reported law case have they been brought before the Court, and the author- ity of any adjudicated case depends upon the facts in- volved. Ohiter dicta are often as misleading as met- aphysical speculation. Summed up, these methods consist positively in reading Mrs. Eddy's book and arguing with non-existent disease ; and negatively in abstaining from everything that experience shows to be of benefit to the sick, not only specific medication and operative treatment, but diet, exercise and per- sonal cleanliness. The evidence of the senses is not to be heeded ; it is even forbidden to admit that a lit- tle child needs medical care. Surely no well-balanced mind will deny that this delusion is full of danger, no matter how sincerely and honestly many believe in it. Thus we are brought to our third inquiry : Do ex- isting laws suffice us in dealing with this delusion and its votaries, or is further legislation necessary in the ' " There are certain self-evident facts. This is one of them that who- ever practices the Science I teach, through wliich the Divine mind pours light and healing upon this generation cannot pursue mal-practice, or harm patient" (p. 219). » PP. 329, 334- 2 P. 332. " PP- 316-327. 30 CHRISTIAN SCIENCIi. premises! With tlie metaphysical and religious as- pects of the delusion, the law has no more concern than with those of Mormonism, Yoodooism, Shaker- ism, Oneidaism or any of the myriad forms of God or Devil worship. Ephraim may join himself to all the idols he desires, the law lets him alone. But neither in this life nor the life to come is every one wlio cries, *' Lord, Lord, have we not in Thy name done many won- derful works ? " to escape just punishment for working iniquity, or to be received among the saints upon his own uncorroborated testimony. By the Mormon cases, the Supreme Court of the United States has made it plaiu, if it were ever in doubt, that no one under the cloak of religion can violate law to gratify lust or greed, or for any other motive. Thugs may not kill because murder is their creed. And there is no rea- son why ignorant persons ^ should be allowed to trifle with human life to the public peril, even though they wish to do well and have no worse motive than to re- ceive a fee. The right of the State to forbid the ignorant to en- gage in the business of healing the sick by any system 1 In order to be satisfied of the ignorance, recklessness, credulity, and assurance of the •• Scientists," one need only read the "certificates" pub- lished in " Miscellaneous Works " along with Mrs. Eddy's " Poems." It seems that the new gospel has been successfully preached in the Massa- chusetts State Prison. One of Mrs. Eddy's correspondents, " J B. H." whether a temporary sojourner in the prison or not is not quite clear, writes that after reading " Science and Health " for some days he was "affected by drowsiness followed by vomiting. This lasted several hours." He then slept and "awoke healed." Thereafter in three treat- ments he cured a r//?7 Cf. Mrs. Eddy's express teaching that patients who pay a good fee, p. 56, 84 CHRISTIAN SCIENCE. two cases from one of the science's text-books, the Bible — the former, that of Simon the sorcerer (re- ported in Acts viii. 18-23), to Avhom Peter said, " Thy money perish with thee, because thou hast thought that the gift of God may be purchased with money ; " the second, that of Gehazi (II. Kings v. 20-27), servant of Elisha, who, finding that his master had gratui- tously cured of leprosy Naaman, the rich Sj^rian, thus establishing a precedent for dispensary abuses, re- marked, " as the Lord liveth, I Avill run after him, and take somewhat of him," and in the end took not only a fee but the disease. Upon these precedents the Nebraska court ruled thus : " The exercise of the art of healing for compensa- tion, whether exacted as a fee or expected as a gratu- ity, cannot be classed as an act of worship. JS^either is it the performance of a religious duty, as was claimed in the District Court." They further said: " The object of the statute is to protect the afflicted from the pretensions of the ignorant and avaricious, and its provisions are not limited to those wdio at- tempt to follow beaten paths and established usages." This, it will be noticed, is very different from the view of the JSTew York law taken in the 'New York case of Smith v. Lane and the Ohio case of Eastman V. State (supra), as well as from the latest case of the kind. State v. Mylod (40 At. Y53), decided in Khode Island last July upon these facts : Defendant under- took to cure one Hale of malaria and one Yaughan of grip, by apparently engaging in silent prayer and giv- ing them pamphlets on Christian Science. He received a fee of one dollar, but gave no medicines, made no MANSLAUGHTER AND THE LAW. 85 examination or diagnosis. He testified that he did not attempt to cure disease, had no knowledge of medicine or surgery, and that his only method was "prayer and effort to encourage hopefulness for all who come to him in public or private, and whatever diseases they imagine they have." The court held, citing Smith v. Lane, that in the absence of diagnosis, prescription of remedies, or surgical methods there was no medical practice. They suggested that if Christian Science is practice of medicine, then as a school it is entitled to recognition by the State Board, and that it would be absurd to hold, under the Khode Island statute which forbids discrimination against medical schools, that requirements could be prescribed which members of a particular school could not com- ply with, since that would be not to discriminate only, but to prohibit.^ And the court distinguished the cases of clairvoyant physicians upon the ground that therein the defendants had prescribed medicine and professed to cure diseases. There seems to be fallacy in the implication by the court that any educational requirements as a condition of medical license are pro- hibitory upon any persons except those who are un- able to acquire an education ; and it is quite proper to exclude such persons from the ranks of physicians. The question is full of difficulty. Every one admits the power of mental impulses in nervous diseases ; ad- mits nature's healing force that so often cures without any attendance at all ; and admits that it would be wrong to forbid all recourse to any aid. But this much being conceded, are we to admit also that any 1 See the paper «« Christian Science before the Law." Page 91. 86 CHRISTIAN Science. person should be entitled to take charge of the sick merely because he pretends to act under religious be- liefs and to abstain from using those remedies and methods arrived at by study and investigation ? Are we to punish the physician Avho fails to report yellow and scarlet fevers, diphtheria, and other contagious disorders, and allow a person who boasts his ignorance of medical and s^anitary science to treat and conceal such cases ? The Christian Scientist, in his madness or worse, says that there is no disease but only fear or loss of relation to God, which he in his blasphemy undertakes to restore, providing he is paid for his services. AYhat, then, would liis death certificate be ? AYould it be that Jones was permanently scared ? AYhat would his report of a contagious disease be? That Brown has a panic, which is likely to spread ? ^ In the case of Keynolds v. United States (98 U. S. 145, A. D. 1878), the Supreme Court of the nation ap- plied common sense to the proposition, that the name of religion may be used to cloak either lust or impos- ture. Defendant, a member of the so-called Church of Jesus Christ of Latter-day Saints, being indicted for bigamy, pleaded in defence that the penalty im- posed by his church upon its male members who failed to practice polygamy " when circumstances woukl ad- mit " was " damnation in the life to come." No such dreadful penalty hangs over a Christian Scientist who abstains from his lucrative practices. The Supreme Court said in Reynolds' case : " Laws are made for 1 As we go to press an entire church of Christian Scientists in Georgia has been fined for disobedience of the vaccination law, from which action appeal has been taken, MANSLAUGHTER AND THE LAW. 87 the government of actions, and while they cannot in- terfere with mere religious belief and opinions they may with practices." Can it be seriously contended, asked the court, that a civilized nation may not law- fully suppress human sacrifices and the Indian custom of suttee, because their votaries claim religious sanc- tion therefor ; or polygamy for the same reason ? To suffer such things, it was answered, " would be to make the professed doctrine of religious belief superior to the law of the land and in effect to permit every citizen to become a law unto himself." Government could exist only in name under such circumstances. These wise words of the court apply even to honest believers, whom we may respect, or, at least, sympa- thize with, even in their delusions. But if the defence of religion were allowed to the extent that the eccen- trics claim, the deadly sin of lying would become even more prevalent than it is, and the dangerous classes Avould go over in a body to soi-disant religion. There was an English case in 1868, Keg. v. AYag- staffe (10 Cox's Cr. Cas. 530), wherein parents were charged with manslaughter of a child because, pur- suant to their religion as members of the " Peculiar People," they neglected to provide medical attend- ance for it, in a case of acute inflammation of the lungs ; instead they anointed and prayed over it. The court charged that if they had let the child starve for want of food, the case would have been different ; for every one recognizes the need of food. But it was not the same when the question was one of medical attendance, for as to that opinions differed, and he read to the jury from the general Epistle of 88 CHRISTIAN SCIENCE. St. James (v. 14, 15) those words upon which the Ro- man Church rests the doctrine of extreme unction, and the Mormons and " Peculiar People " rest their doctrine of healing the sick by anointing and prayer only ; words which the learned and sensible commen- tator, Adam Clark, forcibly argues to be an exhorta- tion by the apostle to use the ordinary Eastern rem- edy, oil, as well as prayer, in treating the sick. The jury acquitted. Recently in a like case, Reg. v. Sen- ior, they disagreed.^ Beyond doubt there are very honest, intelligent, cultivated persons who believe in the efficacy of Chris- tian Science and faith cure. Among some twenty cases of death under such treatment, including cases of contagious diseases, the writer has noted the names of such persons. It is equally true that some " intel- ligent persons " find no " fad " too extraordinary for adoption. The writer knew of a most shrewd and cultivated Avoman Avho consulted in Sing Sing prison as to investment in stocks an " astrologer" convicted not only of illegal medical practice, but of abhorrent crime. It is said that where voudooism prevails, cul- tivated people consult its priestesses, after the fashion of Xicodemus. And when St. John Long, prince of quacks, was convicted of manslaughter at the Old 1 This case seems to have turned upon the Act for prevention of cruelty to children [(1894) 57 and 58 Victoria] which makes it misdemeanor for one in charge of a child under sixteen years of age willfully to neglect it so as to cause death. In imposing sentence Mr. Justice Wills said that he did not think the punishment would have any eflect upon the prisoner or his co-believers, and certainly it would not with regard to the prisoner, because it was the second child in respect of whose death he had been convicted. See Law Times and La7v Jotirval g{ Dec. 17, 1898, also Law Journal^ Pec. 14, 1898; and Medical Record, Jan. 21, 1899. MANSLAUGHTER AND THE LAW. 89 Bailey (4 Car. and P. 398) among the twenty-nine pa- tients who testified to the excellence of his treatment were divers '' ladies of quality," headed by the Mar- chioness of Ormond, than whom, save royalty, only a duchess could be better able to form a sound opinion in such case. But nothing is more false than to say that medical laws forbid the practice of Christian Science, faith cure, voudoo, vitapathy, or any other " pathy " or cult. Those laws provide only, at most, that no per- son shall practice medicine who has not pursued a course in medical study. There is nothing in them to prevent any licentiate from practicing as he pleases. There is nothing to prevent a masseur Avithout license from washing and rubbing a man, if he confines him- self to that. But there is no reason why unqualified persons should be allowed to pretend to cure disease, by their pretences deprive the sick of the benefits of science, and yet escape the just consequences of their imposture. The whole case of these people who de- sire to earn a livelihood by treating the sick without any adequate preparation therefor through study and investigation was summed up in the grotesque false- hood, circulated by way of petition to the New York Legislature of 1885 for the repeal of the medical law, which said : "The law deprives from practicing in this State persons who are gifted with the power of healing by the laying of hands, through the presence and impart- ing of vital magnetic force, and otherwise. Some of these powers are natural to the practitioner and can- not be imparted by the course of study required by 90 CHRISTIAIf SCIENCE. medical colleges." Could anything be more absurd ? The natural power to heal disease impaired by the acquisition of knowledge concerning disease ! And yet there were those prepared to believe even that, so true is it to-day, as of old, that the wonderful is the unknown and the credible that which is impossible of belief. It may be a question of policy whether Christian Scientists should be prosecuted ; whether cheap mar- tyrdom might not strengthen them. But there seems no good reason, as matter of law, Avhy they should not be punished for the evil they actually do, prohib- ited, if the policy seem wise, from treating the sick without adequate preparation by study of medical science, and convicted of manslaughter if death re- sults from interference. TV CHRISTIAN SCIENCE BEFORE THE LAW ^ About a hundred years ago at the close of the eighteenth century, when as now men were proud and boastful of their enlightened times, when from mis- rule and free thought, the Age of Keason and the red harvest of Dr. Guillotin were about to come into being, a man passed through Europe, captivating the fancy of the great Catherine and the small Louis, the reason of courtiers, the adoration of the mob. Bead- ing of Cagliostro, the mountebank, bedizened like a stage wizard, Avonderfully curing the sick, revealing the past, foretelling the future and protected by royal power from the prosecutions that the faculty and men learned in the science of the day were eager to direct against him, we are disposed from the height of our greater attainments to smile at what we consider the gullibility of the last Jin cle siede. But charlatan, im- postor and robber as he was, the vogue of Cagliostro, or Balsamo, is understandable. Beside his natural shrewdness he had, at least, the education that comes to the observant from travel and association with the intelligent, and seems to have possessed as well, a share of the medical learning of the time. JN'ot only were his cures gratuitous save when the rich rewarded him 1 Read by request of the Medical Society of this County of Westchester, New York, at its annual meeting Se]-)tember 19th, 1899. 91 92 CHRISTIAN SCIENCE. richly, but he distributed largesse among the crowd with lavish hand. Presumptuous as his assumption of superhuman knowledge and skill was, it Avas still only the claim of the astrologer, the pretended adept in Eastern lore, the master of Masonic mysteries. He did not assume to be in the secret councils of the most High, to supplement the work of Christ or to found a religious cult. At the end of our wonder- ful century of material progress that has covered the world with iron roads for the steam monster and al- ready harnessed his swifter successor, the lightning ; that has enabled us to speak in a moment with the antipodes and in medicine and surgery has wrought wonders undreamed of in Cagliostro's day, lengthen- ing the average span of life, dispelling pain from the chamber where the knife works calmly, in vital re- gions, undisturbed by the patient's agony, finding with microscopic eye the causes of sickness, banishing, Avith antiseptic magic, putrifying germs that so lately de- feated the surgeon's skill, and checking once dreaded plagues by wise sanitation ; — at the end of this cen- tury of ours, surpassing all others in the progress of medical science and art, we have a more puzzling phenomenon. A sickly New England woman, twice widowed, once divorced and so without the vestal sanctity usually claimed by those of her sex who as- pire to lead religious thought, un travelled, unlearned, and uncultivated, even in the use of the mother tongue, has been able to impose upon many persons at home and abroad, not only a flatulent, incoherent theory of religion and metaphysics, which, as religion and meta- physics, would concern us little, but also a system of CHRISTIAN SCIENCE BEFORE THE LAW. 93 treating, or rather neglecting, the sick, that, founded upon bold denial of obvious facts, and of conclusions, harvested by the wise and learned from ages of obser- vation, fattens the greedy coffers of herself and her disciples, who follow it as a business, while leading down to dusty death many credulous adults and de- fenceless children. What is especially hard to under- stand is that among Mrs. Eddy's honest followers are persons of literary cultivation, Avho, we should sup- pose, might guage at once her ignorance and preten- tiousness by the ungrammatical ill-rhymed doggerel which she puts forth as poetry ; men of the law who, presumably, should be able to detect the contradiction and lack of logical coherence in her soi-disant system ; pious and refined souls, whom we would expect to find disgusted with the blasphemy and vulgarity of much that she has written. Pilgrimages are made to her Concord home. Churches are built in which her book of ineffable nonsense is solemnly read and her jargon, interpolated into the Lord's prayer, is recited. Men of judicial position have introduced her apostles to large audiences, and legislators seriously inclined to their tales of wonder. But although her followers are many, being estimated by her disciples between the rather wide limits of 60,000 and 600,000, it is comforting to reflect that those not under her spell are numbered by the millions. And although any delusion that controls the minds and actions of a con- siderable part of the community to its possible detri- ment is a proper subject for careful examination, we should not fall into the error of giving factitious im- portance to what is intrinsically ridiculous, by over- 94 CHKISTIAN SCIENCE. serious treatment of it. Examples of this mistaken course are not far to seek. It is probably true tliat if the ultra metaphysical theories of Hahneman, which Mrs. Eddy accepted before launching her own non- sense, had been consistently laughed at, homeopathy as a system would not now exist. How many intel- ligent homeopathists of our day believe in the efficacy of the thirtieth,— not to mention the 200th— potency of even the powerful drugs, leaving out of considera- tion the inert substances that Hahnemanites have proposed as curatives, dilutions expressed in figures that the human mind is incapable of grasping ? ^Yho now believes that the power of these infinite dilutions can be increased or diminished by the number and direct-ion of the shakes given to the vial containing them ? In thus suggesting that strict liahnemanism is a delusion of the past, I but echo gentlemen of the homeopathic school for whose ability and skill I have great respect. Turn to the files of New York City journals ^ when some years ago the homeopathic pro- fession in that city was agitated over the ever vital question of patronage, and you will find one of its leaders, if not the leader, reported as saying, that since Dr. Bayard's death there had not been one practitioner of true liahnemanism in that great city ; while his opponent, at the head of the professedly strict sect when taunted with the use in his practice of morphine, antipyrine, quinine and like drugs in large doses, retorted that he used them only as pal- liatives, not as curatives, as forerunners of the homeo- iSee New York Times, Sun, IVorld, Dec. 12; Dec. 13, 20, 1889; Jan. 10, 14 J Feb. 23; Herald, Feb. 24, 1890, and about those dates. CHRISTIAN- SCIENCE BEFORE THE LAW. 95 pathio remedies by which alone he effected his cures. Again when in 1887 it was my duty to urge before the New York Legislature the medical act of that year, the passage of which it is but just to say was largely aided by the hearty cooperation of the Homeo- pathic Society, one gentleman of that body whose friendship and confidence it was my pleasure and privilege to gain, said to me, if you people,— mean- ing the regular school I represented,— had good sense, you could destroy us. If you would only establish chairs in your colleges to teach what homeopathy is, or even do what was lately done at Harvard, let students formulate questions to be answered by a homeopath, there would be no place for our colleges ; but until you admit that we have done something for medicine, and so long as you denounce us, we will oppose you. These things need to be said because they bear upon the policy of legislation ; but this is neither the time nor the place to discuss that thesis from its strictly med- ical standpoint ; nor am I the person to espouse either side of such a discussion ; and certainly neither you nor I are here to deal intemperately or flippantly Avith any honest belief or to belittle what good may lie in any theory or system, even Christian science, — how- ever nonsensical some of its tenets may seem to us,— nor yet to be so foolish or discourteous as to deny the general intelligence and mental vigor of any one merely because he may accept some proposition that to us seems bizarre and fantastic. Had I the honor and privilege of being a physician— as fortunately for my possible patients, perhaps, I have not,— it seems to 96 CHEISTIAN SCIENCE. me that, so far as time and occasion served, I should examine carefully every new thing that promised well for poor humanity and be patient and long-suffering Avith even the erratic thinker, if satisfied that he was honestly striving to benefit his fellow-man, and not merely to fill his purse by obtruding recklessly, and with conscious ignorance, where only the learned should be allowed. That I apprehend to be the stand- point of the true physician, who above other men per- haps, should prove all things, and hold fast that which is true. Now some of you may be thinking what has all this to do with Christian science before the law ? The an- swer is simple : in discussing actual law, or proposed legislation it must be borne in mind that the aims of the law are above all things practical. It has no function to operate upon folly as folly ; and, pro- verbially, it does not concern itself with trifles. It is necessarily tolerant of widely divergent ideas and of much that to many seems wrong. Keligious beliefs, in so far as they are merely beliefs not reduced to criminal or dangerous practices, are not proper objects of its control, — at least not in our country. We are free, with a constitutional right of freedom, to work out our own salvation without legislative aid. Over- legislation to which, of late, there is an unfortunate tendency, is itself, in our theory of government, a dis- tinct evil, a disease of the body politic. Legislative regulation of the minor actions of men, their beliefs, their merely ethical conduct is intolerable. To legis- late for the benefit of any scientific theory to the det- riment of another would be, save perhaps in very CHRISTIAN SCIENCE BEFORE THE LAW. 97 exceptional circumstances, a great wrong, unwise and most harmful to the cause of true science and the ad- vancement of human knowledge. A statute for ex- ample ordaining that no person should worship except according to the Eoman Catholic or Presbyterian scheme, or treat the sick except secumdiim artem, whether by regular homeopathic or any other rule, would be an abomination, unwise and, God be thanked, unconstitutional. Because no well informed person disputes these truisms, charlatanism, religious and medical, seeks to make of them its refuge and strong bulwark. The Mormon for his polygamy, the Oneida Communist for his promiscuity, the Christian Scientist for his slaughter of credulous adults and helpless babes, alike claims protection from the law upon a theory that the free right to worship according to conscience implies the right to commit any act under the pretext of religion which an evil or erratic mind may inspire. The osteo- path, the venopath, the vitapath, the Kickapoo In- dians and all the rabble of ignorant quacks, in like fashion, seek exemption of their impostures from legal regulation in the contention, that because the last word has not been uttered in medical science, it is therefore class legislation to enact any law prohibiting the ignorant to assume, as a business, the entire charge and cure, of the sick. At first blush this superficial argument is plausible and influences many. When ^sop's ass masqueraded under the lion's skin, all the other animals, intelligent man included, stood for awhile in awe of him ; but when his tuneful note vi- brated on the air, they tore off his disguise, and dis- 98 CIIKISTIAN SCIENCE. closed him once more an obvious ass. In the long run the disguise must fall from pseudo — religious and medical imposture. Christian Science will not be an exception to the rule. Its mask of religion is very thin but the animal below it is rather the cunning fox than the honest useful ass. In tearing off its dis- guise the law may play a part ; but the unmasking will best be done by turning on the light and showing what an amusing misfit the garb of religion is, and what a greedy unscrupulous fox it covers. The questions then present themselves whether Chris- tian Science is such a phase of genuine religious belief, or so trifling in its evil results that its daily practices should be unrestrained by law ; and if not, whether the present condition of the law is adequate to deal with those practices or whether further legislation is necessary. Others as well as myself, have dealt so fully else- where with this delusion that these questions may be here answered in general terms without citation of specific authority. We may consider general princi- ples rather than particular cases. That many intelligent persons accept Mrs. Eddy's lucubrations as a religious and therapeutic system, has been already admitted to be a puzzling fact, its most probable explanation being that such persons accept as true, without investigation, all the marvellous tales of the Eddyites or generalize from particular cases known to themselves Avithout reading the farrago of nonsense constituting the so-called system, and with- out time or inclination, even if they have ability, to investigate in true scientific spirit the causes of what CHRISTIAN SCIET^CE BEFORE THE LAW. 99 arouses their astonishment. Having examined with care her fundamental books, I am at a loss to know what she has contributed to religious thought, meta- physical speculation or therapeutical knowledge, or yet what she says that is new. Even her doctrine that cleanliness and hygienic life are detrimental, has long been acted upon by the dirty fakirs of the Orient, and the great unwashed of Christendom. Her magnum- opus " Science and Health with Key to the Scriptures," that costly and most lucrative text- book of innumera- ble editions, pretends, as its name indicates, to be founded upon and to interpret the Bible, but not to be a new evangel. Mrs. Eddy's modest pretence is that while the Bible is God's word, its, and therefore his, meaning, utterly escaped the apprehension both of the simple, and the learned, during the long ages, only to be revealed to her in the year of grace, 1866. Pre- sumably it is the version of King James that she in- terprets, for she knows no Hebrew,^ no Greek, no Latin and precious little English. She is not in the babe or suckling class, from which, we are told, wis- dom sometimes emanates to confound the wise, but is said to be a mature dame of about eighty, having nearly completed her first half century when it pleased God, in his mysterious providence, to vouchsafe to her that key to his meaning which he had theretofore denied to saints and scholars. As nearly as one can spell it out, this key, which, for purposes of lucre, Mrs. Eddy has copyrighted, is the stale theory, as old as philosophic speculation, familiar to Sophomores but new to her, that everything is mind. Her corollary > Jier brother Albert however studied Hebrew in vacations. See p. 42, 100 CHRISTIAN SCIENCE. is that health is right thought, and disease, sickness and every other evil only wrong thought. Upon this theme, she rings her changes ; and it is safe to say, that had she confined herself to this peculiar exposi- tion of Scripture, her congregations would have been small, and she Avould have remained an obscure eccen- tric New England woman, confessedly feeble in health and poor in pocket. Her trifling interpretation of Scripture would no more have been suggested as mat- ter for legal control, than the wit and satire of Colonel Ingersoll or the broad learning of Dr. Briggs. Her religious views would concern us no more than those of the forgotten Matthias, John of Leyden, or Noyes, and far less than the still somewhat prevalent doc- trines of Joseph Smith and Brigham Young. But it seems that feeble health led the lady to dabble in medical theories, to accept at one time the views of Hahneman and later the doctrine of animal magnetism as expounded by one P. P. Quimby, whose patient she was in his life, whose memory after death she apparently execrates with all the hate of a jealous, envious, covetous woman. It seems too, that in a small way, she practiced homeopathy until becoming convinced that there was no medicinal virtue in its high potencies, and finding that their administration was followed, nevertheless, by cures, she arrived at her great discovery that health is Mind in capitals, and disease, mortal mind in small letters ; for not the least amusing part of her book is its use of different fonts of type to differentiate Truth from error, Health, or Ease, from Dis-ease ; a play of words that appeals strongly to her. Here, of course, is the grain' CHKISTIAN SCIENCE BEFORE THE LAW. 101 of truth in her system. Perceiving that suggestion plays an important part in the cure of certain dis- eases, being probably ignorant or possibly advised that this was no new thing, and, generalizing from the particular as the rash, the ignorant and the im- postor all do, she concluded and announced that be- cause striking cures often follow an access of faith or other strong mental excitation, therefore all diseases and bodily injuries are merely false beliefs to be treated by mental processes, and that all drugs, ma- terial remedies and even hygienic measures are not only ineffectual, but harmful. Her system of thera- peutics, then, amounts to this : disease, sickness, bodily injury of any kind do not exist except as mistaken be- liefs to be removed by argument with them, which argument is to be addressed to the disease silently, lest, haply, the patient overhearing the discussion be confirmed in his error. Diagnosis, as physicians and ordinary laymen understand the term, does not exist in her scheme. Under this principle it is quite unnec- essary for the healer to come in contact with the pa- tient. The one may be in Hong Kong, the other in Terra del Fuego. The effect will be just as great as if they were in conjunction. Now while as a theory, this arrant nonsense is merely comical, a moment's re- flection shows that its practice is obviously dangerous in a high degree, not only to the particular victim but to the community at large. That its promulgator is either dishonest in advancing it or doubtful of its full efficacy, seems apparent from her advice to disciples to '' leave the adjustment of broken bones and dislo- cations to the fingers of surgeons," "until the ad- 102 CHRISTIAN SCIENCE. vancing age admits the efficacy and supremacy of Mind," a precept that suggests her conviction of the truth of what worthy Quarles quaintly said : " Phy- sicians of all men, are most happy ; w^iatever good success soever, they have, the world proclaimeth ; and what faults they commit, the earth covereth." Is not this advice of hers the cunning of the fox rather than a delusion of the other animal ? Is it not manifestly a warning that while it is comparatively safe for her ignorant followers to treat the sick for rich reward, under the guise of religious aid, in cases of ordinary ailments, yet surgery is to be shunned by them, only because in that department of medicine malpractice is more demonstrable to a lay jury than in physic, w^here the healing force of nature may be relied upon to give the Christianly scientific practitioner success in many cases, while his failures are more likely to escape detection. It would seem to be perfectly clear from this sum- mary of her doctrine — which is I believe and certainly hope, entirely fair, and not travesty — travesty indeed, being impossible — that while from the standpoint of religion and philosophy, Mrs. Eddy's so-called science is beneath contempt, a banality Avith which the law should not concern itself ; it is on the other hand from the standpoint of the public health, a serious mat- ter, since it puts in peril not only credulous adults and their innocent children, but in cases of contagious and infectious diseases, great numbers of persons who repudiate its nonsense, thus menacing the whole com- munity. Let us concede, for argument sake, what the Eddj^ites vehemently declare, that if a man be willing CHRISTIAN SCIENCE BEFORE THE LAAV. 103 to subject himself to the treatment of Christian Science for any sickness, even smallpox, he should be allowed to do so ; are we also to concede that he should be allowed to subject his infant children af- flicted with that malady or scarlet fever, or malignant diphtheria to the same and no other treatment ? Is he to be suffered to sacrifice his own offspring and also spread contagion? Common sense affords the answer. What is dangerous and pestilential in Christian Science is its absolute denial in specific terms that dis- ease or bodily injury exists except as a perverted phase of thought ; its denial that any material remedy appliances or hygienic measures are of any use in the treatment of the sick, and its positive assertion that the whole materia medica is harmful. A consistent Christian Scientist must logically be opposed to vacci- nation, to antiseptic methods, to bandages, to cauter- ies, to prophylactics, to anaesthetics — in short, to every approved method of relieving pain, curing the sick and protecting the public from contagion or infection. Let us concede to the power of suggestion all that is established and far more. Let us admit for the argu- ment's sake, if not in fact, that even cancer may be cured, by convincing the patient that there is no such disease and that he is not afflicted with it ; still we are not up with Mrs. Eddy. For that astounding person distinctly says that the healer must not name the disease, but must argue with it mentally ; that her methods are as efficacious for infants, in whose minds such suggestion cannot be planted, as for adults ; that oceans may roll between healer and patient cutting 104 CHKISTIAN SCIENCE. off communication and therefore suggestion b}^ any means that human science as yet admits to be pos- sible. Thus she seems to eliminate from her theory the only grain of truth we have found in it and deny the very cause that produces what results follow its application in the restoration of the sick to the normal. I cannot better illustrate in passing the disingenu- ousness of the professional healer, the hypersensitive- ness of the healed and the difficulties in the way of investigating reported marvellous cures than by t^vo examples in my recent experience. Mr. Carol Norton is one of the Board of Lecturers of the First Church of Christ Scientist, "the mother church" so-called. He delivers with some variations, a copyrighted lecture, offering to give medical proof of the cure of cancer, locomotor ataxia and other obstinate maladies. I wrote some time ago for such proofs and also asked specifically if Mr. Norton himself would venture to substitute Christian Science for medical aid in the case of a fractured skull, a severed artery or confluent smallpox. After some correspondence he produced so-called medical proof, consisting of brief statements of conclusion, signed by Christian Scientists but of little or no evidential value from either a medical or legal standpoint ; not differing in kind from the cer- tificates with which nostrum venders have made us familiar. To my questions he replied that he " pre- ferred to shelve them." Having written an account of this effort at investigation to the New York Siin,^ a gentleman wrote in reference to it, asking if I had 1 See these letters in the appendix, pps. 165-182; also pps. 64, 65, 113. christia:n" science before the law. 105 seriously examined Christian Science and saying, in j^erfectiy good faith, as I believe, that while he was ignorant of its methods, he felt bound to testify to its marvellous results in his own family upon a patient " turned out to die " by a great hospital, and given up by three physicians, whom he named, two being well- known and one eminent. He expressed a desire to put the facts before me. I replied courteously, as I thought, expressing entire readiness to believe in the existence of the disease and its cure, under the treat- ment of Christian Science, but saying with perfect frankness, inasmuch as my correspondent professed ignorance of that cult's methods, that I should be dis- posed to explain the cure by suggestion and not by the theories of Mrs. Eddy, which it seemed to me im- possible for a sane mind to accept ; and I also asked that he would let me know all the facts. This gentle- man was, I regret to say, so offended at my unfortu- nate remark, that it did not seem to me any sane mind could accept those theories of which he professed to be ignorant, that he did not give me the informa- tion which he had volunteered. And it appeared that of the physicians he named, the eminent specialist had been consulted only once and then had incurred odium by charging an office fee of $10, while the other more prominent physician told me that he knew of no such person as the i>atient, although his brother might per- haps have a patient of that name ; to my further in- quiries I have had no answer.^ I Since this paper was read I have had accurate information from the attending physicians showing my correspondent to have been absolutely misinformed in the premises, however honest in belief. 106 CHRISTIAN SCIENCE. We are now at a point where we may consider whether the law, as it is, can deal adequately with the practices of Eddyism or whether further legislation is desirable in the premises. We have a statute in this state making it a misde- meanor for any one not a licensed physician to prac- tice medicine. There are also requirements as to re- porting contagious diseases, deaths, etc., with all of which you are familiar. Under the medical law, the only puzzling question is, in a given case, whether the acts proved constitute practice of medicine. A clever saying I have had occasion to quote before, in this connection is, that it is one thing to renounce the devil and all his works, and a very different and more difficult matter to recognize the devil and his works when you encounter them. No effort has been made, so far as I know to punish in our state's courts the practice of Christian Science as an offence under the Public Health Law, which contains no definition of medical practice as do the statutes of some other states. It is true that the daily press reported re- cently the conviction of a Christian Scientist in Brooklyn. The defendant in that case, however, was not an Eddyite but some other species of divine or mental healer, and moreover, had administered ma- terial remedies, upon which fact a conviction was pro- cured.^ On the other hand in a civil case. Smith v. Lane, our Supreme Court held, some years ago, that a masseur was not a practitioner of medicine and made the test of such practice to consist in the prescription 1 This was the case in which tlie photograph fornnng the frontispiece was taken. See preface. About the time this paper was read a similar case decided in like manner was reported in Chicago. — People v. Bratseh, Chic. Law Journal, Sept. 15, 1899, Vol. IV., N. O. 397. CHRISTIAIN* SCIENCE BEFOUE THE LAW. l07 or administration of drugs or remedies or the use of instruments. This is manifestly an imperfect defini- tion ; and it would have been better perhaps, had the court confined itself to deciding that the facts proven in the particular case, did not constitute such practice, without essaying to make a general definition, which is a more difficult task than on its face it appears to be. In the matter of business fraud courts have been wiser and contented themselves in each case with de- ciding whether the proven facts constitute a fraud, avoiding a general definition of fraud itself ; with full knowledge that to define that protean malfeasance w^ould only make easy the way of the transgressor. So, then, although the point has not been specifically decided in a criminal action under the medical law it is probable that in such a prosecution our courts would hold that the attempt to treat the sick by mental or pseudo-religious methods alone does not constitute the practice of medicine. In Rhode Island and Ohio, the case of Smith v. Lane has been followed. In Ne- braska and Illinois, it has been repudiated as incon- sistent with the statutes of those states, but under the new medical law of Illinois, it would seem that Chris- tian Scientists have been influential enough to secure exemption for their business. We may assert then, that Eddyism is not punishable under the medical law- of this state unless the defini- tion of Smith V. Lane shall be repudiated. So far as the reporting of contagious diseases, in- flamed eyes of babies, births and deaths by medical attendants in charge, the law is as you know substan- tially as follows : 108 CHRISTIAN SCIENCE. There are first the general laws authorizing the creation of local boards of health with certain powers, among them that of making and enforcing proper ordinances, and providing a penalty for dis- obedience. § 397 of the Penal Code provides that a fine not exceeding S2,000 or imprisonment not exceeding one year or both may be inflicted upon any one violating a provision of the health law not otherwise punished, or violating or refusing or omitting to obey, a lawful order or regulation of such a board. § 288 of that code provides for the reporting of inflamed eyes of an infant within the age of two weeks by the medical attendant, midwife or person having the child in charge. It also requires a person having by law the duty of furnishing medical at- tention to a child, so to do under the penalty of mis- demeanor. § 1172 of the Greater New York charter authorizes the Board of Health to make ordinances, violation of which shall be a misdemeanor. §§ 145 to 158 of the New York City Sanitary Code, and I presume of other codes, provide for reports of contagious diseases by physicians, lodging housekeep- ers, masters of vessels, undertakers and others, and § 5 defines the term Physician to include •" dentists and every other person who practices about the cure of the sick or injured, or who has the charge of, or pro- fessionally prescribes for any person sick, injured or diseased and any person who pursues the business of or acts as a midwife;" a definition as 3^ou see very different from and much wider than that of Smith v. CHKISTIAN SCIENCE BEFORE THE LAW. 109 Lane, and quite broad enough to include Christian Scientists. We may now consider first what, if any, is the civil liability of Christian Scientists for injuries resulting from their ignorance and lack of skill, to their pa- tients. Second, is a Christian Scientist guilty of man- slaughter or murder in case his patient dies, as a result of his neglect to use, or his prevention of, means that demonstrably would have saved life ? The rule of law is well established, that one who with culpable ignorance or recklessness, undertakes a duty requiring for its proper performance, special knowledge, skill or care, is answerable for the ill effects of his malfeasance. In the law of bailments the degree of care required of the bailee has been said to depend in some measure upon the compensa- tion. Thus if A give to B, a warehouse man, valu- ables for storage and pay therefor, more care is re- quired of A than where B gives the goods to a friend to be cared for gratuitously, — although even in the latter case, the friend would not be absolved from all care. It has been often sought to appl}^ this doctrine in cases of medical malpractice, the argument being made that one who undertakes the cure of the sick without fee should be held to a less degree of skill and care than where compensation is given or promised. But against this view the courts have set their faces ; rightly holding to be barbarous the doctrine that a medical man may be careless with the afflicted poor but must be careful with the rich ; and although the laws of some states only forbid unlicensed medical practice in cases where fees are taken, still the re- 110 CHRISTIAN SCIENCE. ceipt of fee is not an essential element of such practice, as a rule, and does not affect the liability for mal- practice. It has been said also, that although the rule is, that a physician's duty to his patient implies the possession by the former of at least the average knowledge and skill of his profession, — regard being had to the state of medical science, — and the applica- tion by him of that skill and knowledge with at least the ordinary and usual care of his fellow-practitioners, still where one professes to folloAV a certain school or system of medicine, he is to be held to its standards and not to those of another school; that a homeopath, for instance, is to be judged by the standards of his own system. The ancient judgment of the Cadi, cited by Puffdendorf , is ordinarily given as an illustra- tion of this point. A man having demanded damages of a veterinary for blinding him with an ointment used on the eyes of horses, the Cadi found for de- fendant saying that if plaintiff had not been an ass, he Avould not have gone to a horse doctor. This was very much the line of thought taken by the court in Smith V. Lane above alluded to as defining medical practice in this state. It there appeared that the de- fendant Lane had contracted for the services of Smith, a rubber and manipulator, induced by the latter's pre- tension that his treatment relieved the ills of life marvellously, and almost robbed death of its terrors. After taking the treatment, Lane refused to pay the agreed price and Smith brought his action to recover it. Our General Term held that the masseur was en- titled to his pay, even though his pretences were pre- posterous, since the patient had received the treat- CHRISTIAN SCIENCE BEFORE THE LAW. Ill ment he bargained for, while the fact that he was fool enough to believe the plaintiff's vain boasting was no defence, and not the court's affair.^ The law merchant recognizes a seller's right to praise his wares and to utter any opinion of them, no matter how extravagant, provided he does not mislead the purchaser of average intelligence, by false statements or fraudulent conceal- ment of facts as contrasted with conclusions. If he has a broken down old horse for sale, the defects of which are patent to any man of horse sense, he may praise the brute to the skies as a beautiful creature. And, in like manner, the law does not prohibit that self-laudation known in medicine as quacking, which may be unethical, but is not illegal. It is to be noted however, that, in Smith's case, there was no conten- tion that the patient had suffered from the treat- ment any injury, damages for which he might have offset against the bill ; and it might well be that a Christian Scientist, although allowed to collect fees under the doctrine of that case, might still be held liable for injury resulting from his recklessness in undertaking a duty without skill or knowledge to per- form it. It is, however, with the criminal or penal, not the civil side of the law, that we are here concerned : and in this domain of the law, the Cadi's judgment is without authority ; for if a veterinary should assume recklessly to prescribe an equine dose of cathartic for a man, as in the merry tale we all have heard, it would not be a defence in a criminal prosecution growing out of the patient's death that the latter had assented I See pages 79 and 80 for a further statement of the Court's opinion. 112 CHKISTIAN SCIENCE. to the treatment. In cases of manslaughter it is the state, not the individual, that is offended against ; and it is not to be presumed, even in the absence of specific legislation, that the state assents to the taking of life by gross recklessness or ignorance. In our own state an attempt at suicide is felony. To aid or abet the attempt is also felony, and to aid, abet, advise or en- courage the suicide is manslaughter in the first degree under the penal code, and has been held to be murder. If A says to B, " I will give you $50 to kill me," and B obligingly does so, the latter's felonious act is not the less murder because of A's request or his payment of the fee. And so if A is fool enough to submit to reck- less and ignorant practice for the cure of his actual or imagined maladies, his assent should not absolve an ignorant or reckless practitioner from criminal liability for the fatal result of his malpractice. Even if the rule be sound that each practitioner is to be judged by the system he professes, it should be at least established that he follows a system based upon, or at least not contrary to, ordinary observation and experience. He cannot call his whims and vagaries a system. Ac- cordingly in Massachusetts not long ago, when there was no medical law in that state, a quack was held by the Supreme Court, in a carefully reasoned opinion by Mr. Justice Holmes, now its Chief Justice, to have been properly convicted of manslaughter for causing the death of a woman by keeping her swathed in flannels, saturated with kerosene; and that learned court, — repudiating as unsound, or ill-reported, the earlier Massachusetts case, acquitting Thomson, founder of the Botanic or Thomsonian School, a case CHEISTIAJN- SCIENCE BEFORE THE LAW. 113 extensively followed in other states, — intimated that the kerosene practitioner might have been properly convicted of murder/ In a case occurring in your own county, last spring, the Grand Jury refused to indict, as I under- stand, because, upon the evidence before it, the ac- cused was not shown to have done more than render the religious offices of the cult to the deceased, tiie former testifying in her own behalf, that she received no fee, did not assume care of the case, medically, and had even suggested to the deceased, the propriety of calling in medical aid. While tried by the ordinary teaching and customs of the Christian Scientists, — who do assume full charge of such cases, and not only receive fees but teach that the patient gets well quicker if he pays a fat one, — this statement of the accused lacked veri-similitude, yet, if believed, it of course, ex- culpated her. But, in the hypothetical case put to Mr. Carol Norton, as to which he refused to commit himself, there can be no doubt that a Christian Scien- tist would be guilty of manslaughter if not murder. I said to that gentleman, if a lad should accidentally sever an artery and surgical aid were accessible, would you presume to set that aid aside, and essay to staunch the gush of arterial blood by your mental processes alone? The question presented a dilemma; to say that he would not do so, implied lack of faith in the doctrine he teaches and practices for a livelihood ; to admit that he would do so, w^ould confess willingness to commit felony. Is it any wonder that he preferred " to shelve " the question ? 1 See contents for paper on Manslaughter, pp. 73 to 77. 114 CHKISTIAN SCIENCE. On this point, then, we mcay feel assured that the malpractice of a Christian Scientist resulting in death would be a criminal offence under the law, and a ver- dict by a jury finding one guilty thereof, would be up- held; by malpractice I mean the substitution with gross recklessness or ignorance, or both, of mental proc- esses obviously inefficacious, for medical or surgical processes demonstrably efficacious, resulting in the death of the patient. It remains to consider the desirability of further legislation in the premises. Personally, as already indicated, I am not and never have been a zealous advocate of too much legis- lation. Our statute book has already upon it many laws that might be judiciously obliterated. A statute to be effective should be enforceable, and enforced w^ith moderation, with wisdom, and without any sus- picion of oppression, gain, or blackmail, upon the part of those charged with its administration. It is safe to say that the medical laws have been so enforced, oth- erwise there would be a strong popular movement for their repeal, such as has arisen and been successfully carried out heretofore. There is no use in shutting one's eye to facts. Many of the laws that are gotten through ostensibly for the public welfare, are really for the private good of individuals or organizations, and they are intrinsically selfish rather than public spirited. Medical legislation is in a sense, — a very limited sense, — inderogation of the right of every man to employ his knowledge and talents in winning his bread freely ; obviously, therefore, there is a point be- yond which it cannot go, and that point is, the limit CHRISTIAN SCIENCE BEFORE THE LAW. 115 of Avliat is necessary to protect the public health and individual citizens against the evil effects of ignorance and unskilfulness in the perfoi-mance of a duty re- quiring knowledge and skill of the highest standard. To say that no one should practice Christian Science or any other method of curing the sick, would not be desirable, politic, or just. To require, as has been sug- gested, that all sick men should call in physicians, is too absurd a proposition for serious consideration. The utmost that can be properly enacted as law is that no one shall be allowed to engage in the business of healing the sick and the injured, except those who have procured licenses by demonstrating that they are possessed of a fair knowledge of those branches of general and special knowledge which the general opin- ion of mankind agrees are requisite to fit them for the proper discharge of the duty Avhich they seek to assume. All men whose opinions are worthy of consideration, agree that to fit one to deal with human infirmities, a course of study in, and knowledge of, certain branches of science is necessary. One should know something of anatomy, of physiology, of diet, of the action of drugs and poisons, of remedies and antidotes, of the mechanism of labor,— in short, of what is generally known as medical science. By demonstrating such knowledge he procures his license. He is not called upon, and should not be called upon, to follow any cut and dried system, but should be left to the exer- cise of his judgment, being responsible to his patient, and also to the community, for his abuse of that judg- ment. He would be a very foolish man who did not vary his treatment in different cases, who did not seek 116 CHEISTIAN SCIENCE. to widen his knoAvleclge, who would belittle the great force of suggestion, or refuse to save his patient by some method that Avas not strictly secundum artem. A person so licensed might practice Christian Science regularly if he saw fit to do so, but, if I may be par- doned borrowing the language of our sporting friends, the odds are heavy, that he would not do so. This then is the sum of the whole matter. The state has a perfect right to require of persons practicing medi- cine, essaying the cure and care of the sick as a busi- ness, a requisite degree of knowledge. Of this princi- ple the Supreme Court of the nation, and those of most of our states, have expressed approval The gen- eral opinion of mankind approves of it. But, the Christian Scientists say, no education should be required of us because we do not practice medicine. The Supreme Court of Khode Island took this view of the matter in the Mylod case, and even went so far as gravely to suggest that if Christian Scientists are to be considered as practitioners of medicine, then they should be entitled to a State Board of their own, as are homeopaths and eclectics. A lawyer instinctively professes, or expresses the highest respect for the court ; but in reading this opinion one cannot help recalling the opening of a distinguished Massachusetts lawyer, who began his ar- gument by saying, " Your Honors, I have the highest respect for the Court — except in a few gross cases." It seems to me, and this is said with all due deference, that the learned Rhode Island Court in making this obiter suggestion missed the whole point of the mat- ter. The Christian Scientists are not in the same CHRISTIAN SCIENCE BEFORE THE LAW. 117 category with homeopaths, eclectics, or any body of men who, whatever their scientific opinions— call them whims and vagaries if you will,— nevertheless profess to found their systems upon human knowledge, ex- perience, and belief in the laws of what we call mat- ter, and to accept as a rule the fundamental knowledge of mankind and the evidence of the senses. Why should not the Christian Scientists have a State Board of Examiners upon the same terms as other schools or systems professing to cure the sick ? We have three Medical Boards in this state, representing the regular physicians and what are called the schools of home- opathy and eclectism. These schools profess to differ from the regular profession only or chiefly in their methods of treatment. As a matter of fact Ave lay- men believe, rightly or wrongly, that the learned among them are in substantial accord. However that may be, there is no pretence that there is any home- opathic anatomy, or eclectic physiology, or that chil- dren are born by different methods ; in short, these differing schools are agreed upon the same funda- mentals of what has been exactly achieved in medical learning. They all recognize that no man can be equipped for medical practice under any system, who ignores the basic facts of life; and our examining boards subject all candidates for license to the same examinations in every department of medicine except' in therapeutics. Now what objection would there be to letting Christian Scientists have a state board under these conditions, greater than the objection the Chris- tian Scientists themselves would raise ? If Mrs. Eddy or Mr. Norton, or any of the cult could demonstrate 118 CHRISTIAN SCIENCE. the possession of that knowledge of anatomy, physi- ology, hygiene, the action of drugs and poisons, ob- stetrics and other matters which all men, worthy to be called scientific, agree are necessary to lit one to care for the sick, why should he and she not be allowed to practice Mrs. Eddy's system, if, having attained to such knowledge, they still believed that system to contain the true therapeutic ? Of course I do not wish to be understood as favoring any such a proposi- tion, or believing it practicable. I do not believe it possible that persons conversant with the human economy w^ould be content to practice Eddyism ; but on the contrary, believe that if such a board as the Ehode Island Court suggested were established, it would result in the practice of medicine by Christian Scientists, even if they still kept to their name for the sake of the clientelage it would bring. But how can a State Board be constituted to ex- amine in scientific matters a class of persons who deny the existence of scientific knowledge as do the Eddy- ites, who deny the existence of matter, of disease or injury, of everything that is recognized throughout Christendom as a material fact ? How that wise Pa- gan Socrates would have laughed over the proposition that man is fitted to cure sickness in proportion to his denial of its existence ! How he would have rev- elled in putting Mrs. Eddy and her board of lecturers through such a cross examination as he gave to Eu- thydemus ! Socrates, whose sane mind preached con- stantly one gospel, that man must be trained and fitted for his work in order to do it well, that a pilot must know all about vessels and steering; a tailor CHRISTIAN SCIENCE BEFORE TllE LAW. Ill) about fabrics and cutting* ; a statesman about govern- ment and law ; and a physician about tlie human economy. The solemn nonsense uttered by intelli- gent men in support of this cunning and ignorant old lady's money-making scheme would be enough to make the gods shake with Olympian laughter, except that tears and wrath chase away the smiles when we contemplate how horrible it is to subject even the willing and credulous to the treatment of these mad people. It is bad enough to realize the mistakes of diagnosis and treatment made by men of skill and learning. Ko one but a fool believes that physicians are infallible, or that medicine is a perfect science ; no one with an atom of sense would consent to have the present medical practice established by law and the wheels of progress stopped. It is tiresome but necessary to say this a thousand times, in answer to the wearisome iteration of the quack fraternity, that medical law is only designed to maintain the present. How can we keep patience with the ever-recurring argument that because the learned and skilful make some mistakes, the ignorant and inept should have free hand to make errors innumerable ? Why must we forever answer seriously the argument, or rather the asseveration, that there is something solemnly precious in ignorance and something suspicious in knowledge ? A schoolboy who has once read Cicero's oration for Archias has the answer to this dismal pat- ter forever on his lips. Let us illustrate, with a few examples, just what Christian Science demands the right to do ignorantly, and Avhat its opponents say should only be attempted 120 CHRISTIAN SCIENCE. with knowledge and skill. Childbirth is not a dis- ease or a sickness but the healthy operation of a normal function. Without any attendance at all, or with the attendance of a Christian Scientist,— it is the same thing, — children are constantly brought into the world with labor and great pain. But, in our modern life especially, there are complications demanding the highest skill for their safe treatment ; and pain, if not banished, may be minimized. How horrible it is to imagine a case of jplacenta praevia^ or an abnormal presentation in the hands of these mad people who pretend that the mere reading of Mrs. Eddy's book of jargon fits the reader to take care of any case of sick- ness or obstetrics ! Is it much if anything short of murder for an Eddyite, taught only by the contents of that dreary book to attend such cases as those sup- posed ? Again, a child swallows poison ; then there is a possibility,— a probability,— it may be a certainty, — that competent medical aid seasonably called in, will save the child ; what is to be thought of the parent who calls in the ignorant Christian Scientist, what of the latter who mentally argues with the symptoms of poisoning that he cannot recognize and excludes the necessary and efficient aid ? Is he not a man slaugh- terer, nay a murderer ? Once more, a case of small- pox, malignant diphtheria, or scarlet fever breaks out in a tenement house full of children; medical aid being called may cure it, or, at all events, recognizing the disease, may isolate the patient, disinfect the premises and stop the spread of contagion. The Christian Scientist comes, in his crass ignorance denies that there is any disease present and sits down in solemn mad- CHRISTIAN SCIENCE BEFORE THE LAW. 121 ness to argue with what he calls an erroneous belief of mortal mind — the contagion spreads and there is a new slaughter of innocents. Is not the so-called scientist a pest, and should he not be incarcerated in a prison or a madhouse where the community may be safe from him in the future ? There is no further provision of law needed to deal with these people than to widen the definition of medical practice sufficiently to correspond with that of the sanitary code — require of them before they are permitted to take charge of the sick, the same degree of knowledge that is required of a Eoman Catholic, a Protestant or a Mohammedan. Is it too much to ask that the legislature do this, or shall we accept the argument — and it is the only one that is made in be- half of these people, that any scoundrel or sincere fanatic may commit any wicked act for reward and shelter himself under the plea that he considered it his religious duty to commit the offence. If all men were wise, if fallacies did not have a fascination for intelligent minds, if in our own day as ever since the world began, every unknown thing were not for some minds a wonderful thing, if an age of scepticism were not also notoriously an age of credulity, there would not be need even of this much legislation. It is for you and for other men of your profession and for laymen as well to turn the light into this reeking corner of superstition, strip the dis- guise away and show what is below it and you will not have need even of this much law, for after all the law has never been able to protect a fool against the consequence of his folly. HOW FAE CAN LEGISLATION AID IN MAINTAINING A PKOPEK STANDARD OF MEDICAL EDUCATION?^ Mr. President^ Ladies and Gentlemen : — I desire, first of all, to express my indebtedness to those gentle- men in the different States and Territories of this coun- try and in the British Provinces to whose courteous replies to a circular letter of inquiry upon the general topic of Medical Legislation, sent to them in the early part of the summer, it is due that the conclusions of this paper may be said with fairness, I think, to rep- resent not only the opinion of others besides myself, but prevailing opinions among those whose chief in- terest in medical legislation is that it shall confine the practice of medicine to educated persons, regardless of any particular views they may entertain as to ques- tions of therapeutics. It is not intended to present statistics here. My correspondence has not yielded any from which I should care to deduce conclusions, nor are they needed to substantiate what I hope may prove fair reasoning and sound deduction. This paper must be, therefore, a statement of what I conceive to be general principles and fair inferences from an experience of some years, as counsel of the » Read before the American Social Science Association, Sept. 5, 1888. 123 124 CHRISTIAN SCIENCE. medical societies of the State and of the county of New York, in drafting and securing the enactment of the present by no means perfect medical statute of that State, and enforcing in the county of New York obedience to its provisions. It may be said, however, as the general result of the inquiries, which were made in every State and Terri- tory of this country, and also in the British Provinces, that almost every reply to the circulars expressed ap- proval of some system of regulating by statute the practice of medicine ; and the opinion was also strongly expressed that such legislation as has been already en- acted crude and imperfect though it be, has perceptibly improved the standard of medical education. At the threshold of this inquiry, it is worth while to lay down certain postulates. First of all, let it be said distinctly that such legisla- tion as we are about to consider is regarded by the courts both as constitutional and as highly desirable. It ought to be scarcely necessary to have to say this. But the opponents of statutory regulation of medical practice so constantly declare it to be an infringe- ment of the liberties of the citizen, and therefore un- constitutional, that one may well preface any remarks of this nature with the assurance that, so far as any principle can be considered as settled and approved by judicial authority, the principle involved in this sort of legislation stands settled and approved by the Su- preme Court of the United States, and that of every lesser commonwealth before which it has been brought. In the second place, it is necessary to state the only LEGISLATION AND MEDICAL EDUCATION. 125 principle upon which such legislation can be justified. That principle is salus popuU,— the iprmci^le of secu- rity, of self-protection against fraud and ignorance. It is a vulgar and frequent assertion of foolish persons, who really believe in the ^'z^^^i-supernatural powers of the ignorant and depraved, and of knaves who, professing to have such powers, prey upon the credu- lity of their suffering fellow-creatures that the only purpose of medical legislation is to increase the emolu- ments of a favored class by obstructing entrance into it with such barriers as will exclude many honest but ignorant voters from the right to practice physic, and so, by limiting the number of its practitioners to the educated, lessen competition. It is not necessary to demonstrate to you the falsity of this slander, or to argue in favor of the propriety and justice in princi- ple of throwing safeguards about a profession intrusted more than any other with the health, honor, and life of the citizen. Surely the State has a right to protect the lives, health, and bodily welfare of its members against the assault of the charlatan quite as much as against the assault of a more courageous homicide. JSTor is it altogether an answer to this argument to say that, inasmuch as a man voluntarily selects the char- latan as his medical attendant, w^hile he exercises no choice as to the homicide, there is no analogy between the two cases. It is quite impossible for me to see in what regard, except cowardice, a man who, with ab- solutely no knowledge of the human economy or the effect upon it of drugs, attempts to practice medicine for fee or reward differs, when his practice proves fatal, from the less crafty murderer who for reward, 126 CHRISTIAN SCIENCE. if not for fee, knocks his victim on the head. There is this difference also between the two offences,— the quack's is chronic, the homicide's sporadic. But, as between the courageous homicide and the venders of quack remedies compounded with morphia and like poisons, the former seems admirable. It is said, in- deed, that the patient having his choice of medical advisers will exercise it wisely ; and, if he does not, the civil remedy for malpractice, accruing to himself or his representatives, is a sufficient remedy for one foolish enough to seek such advice. But civil remedies are expensive luxuries of doubtful result, and, besides that, the interest of the community does not centre in punishing an offence committed on one of its mem- bers, but in preventing its repetition against others. I am not aware that it is recognized as a defence to a charge of homicide occurring, say, in the prize-ring, that the deceased invited his antagonist to fight with him in an amiable contention for a purse, which should be the fee or reward of the victor; and, indeed, it seems to me that the prize-fighter, unlucky enough to kill his opponent, deserves more sympathy than the charlatan ; for his antagonist had a chance to win the fee and perhaps do the killing himself, whereas be- tween quack and patient the former stands to win the fee, while the latter will never compel his adviser to swallow his own prescription. In considering what legislation can do in bettering any social condition, we must never forget that the best law which can be framed is but an exceedingly clumsy instrument for the enforcement of even the elementary moral obligations that are clear to all of LEGISLATION AND MEDICAL EDUCATION. 127 US. Almost everybody of cultivation can see a reason for prohibiting — not for the sake of those directly interested, but as harmful to the community — prize- fights, duels, bull-fights, bridge jumpings, and all other performances, including suicide, whereby foolish men not only risk their own lives, which might be no great loss to us, but set a pernicious and demoralizing ex- ample. The offence against society by such precedents is so palpable and gross that a very crude mind will assent to the justice of their punishment when com- mitted and the forbidding of their occurrence. But the transgression of the charlatan is somewhat more subtle and a thousandfold more dangerous ; yet, be- cause his services are sought by his victim in the belief that they are a prevention, not a source of danger, many consider his acts as matter of private interest, and overlook the public wrong. From the standpoint of morals alone, the quack, from whose ignorance, and worse than ignorance, a patient's death results, stands in the same relation to one who has committed murder while engaged in robbery that the subtle wrecker of a great corporation does to the un- lucky scamp who has stolen the wherewithal to get his daily bread or rum, as the case might be. The difficulty of tracing the effect to its cause is the safety of the former offender, and it is not unfair to say that the chief wrongdoing punishable by law is clumsiness in execution. To succeed in crime, one must be an artist. It is when we come to seek a legal remedy against the immoralities of quackery that the difficulty of reaching them without making laws themselves ob- 128 CHRISTIAN SCIENCE. jectionable becomes apparent. Bentham lias very well pointed out that moral and statutory law have identical purposes and are governed by the same principles, differing only in this : that, although both are circumferences in the same plane, they are con- centric and of unequal radii. Each circumference has the same centre, — namely, the greatest happiness of each and of all; but the circumference of morals bounds the entire plane of human action, whereas that of law, of which the radius may be said to be prac- ticability of enforcement, has a much narrower scope. Whatever is legal is, or certainly should be, moral. But there are a thousand moralities the attempt to enforce which by law Avould lead to evils far greater than those sought to be obviated. In one sense, law itself may be almost called an evil, since it is not only a restriction of freedom in action, but a restriction which unfortunately can often be enforced only at the cost of inflicting lesser evils than it is designed to prevent : thus, for example, the existing medical stat- utes of most of our States recognize, as the sole license for the practice of medicine, the possession by the licentiate of a diploma from a chartered college conferring the degree of doctor of medicine. And, while it may be perfectly true that the probabilities are greatly in favor of a beneficial result from these laws in limiting the number of uneducated practition- ers of physic, it is also quite as true that a factitious value is given by such legislation to a mere parchment, and a standard set which cannot be higher than that of the poorest college the diploma of which is recog- nized as a license ; and it is quite possible that in many LEGISLATION AND MEDICAL EDUCATION. 129 cases persons of fair attainments acquired through extra collegiate study may be debarred, temporarily at all events, from a right possessed by a far more ignorant graduate of some contemptible school incor- porated by a too complaisant legislature. These inci- dental hardships under existing laws are more than offset by the increased security of society against ignorant pretenders ; but they show how necessary it is to keep it in mind that a statute must be not only right in its purpose, but must neither work greater evil than it prevents nor be impracticable of enforce- ment. Of course, no penal or restrictive law can be effect- ively enforced if its purpose does not commend itself to the moral sense of the community ; and every en- actment that cannot be vigorously enforced is an en- cumbrance to the statute book", useless lumber, like the purchases of Mrs. Toodles at auction-rooms of coffins and door-plates that might be handy some day, — nay, worse than useless, for, like lumber in a dark garret, such statutes are stumbling-blocks for the un- wary. The law is a schoolmaster over and above all thing's. Its chief value lies in the fact that its daily enforce- ment is a constant voice crying in the wilderness against the evils that it prohibits and punishes. Any one so unfortunate, or perhaps I should say fortunate, as to be called often to a police court must at times feel that the attempt by legislation to check even the gross and palpable crimes against person and property is a never-ending toil of Sisyphus. The stone seems to roll back every night as far as it is rolled up every 130 CHRISTIAN SCIENCE. morning. The same faces turn up, the same crimes are committed over and over by the same persons. We grow disheartened when we seek the good effect of a penal statute among the individuals who have felt its heavy hand, — and this is most sincerely to be regretted, — but we pluck up heart when we see the number of individuals who are deterred from crime and educated to an appreciation of the common rights by the law's enforcement. The chief purpose of legislators in times past was the punishment and remedy of evil committed. The tendency of modern law is toward prevention. We are seeing more and more the wisdom of the clever Irishman who " hollered before he was hurt," because he could see little use in hallooing afterward. What has been said up to this point may seem, per- haps, if not irrelevant to the topic, nevertheless such a statement of general principles as it is not necessary to make before an audience of students of social science. And, if the words uttered here found no audience beyond these walls, it might have been well to consider only the desirable features of a good medical act. But I owe the honor of being asked to address you to the fact that it has been my profes- sional privilege for some years to advise those medical societies that have been striving to protect both the public and the medical profession of the State of New York against pretenders. What is said here is carried to many beyond reach of our voices. What to you may be truisms are to many intelligent men theorems to be demonstrated. Medical legislation is never asked for, but a cloud of misunderstanding and mis- LEGISLATIO]^- AND MEDICAL EDUCATION. 131 statement at once arises, and the proposed measure is attacked as unsound in principle and unfair in practice. It has therefore seemed proper both to clear away all such mistiness before ansAvering in the most gen- eral terms the question at the head of this paper, and to make plain to every one who may hear or read these words the spirit in which the medical societies of 'New York are acting in this matter, — a spirit that must commend itself to men of fair minds and common sense. Starting, then, with these general principles, — that under its police power the State has authority to reg- ulate the practice of medicine, and that no law can be of real utility that cannot be enforced actively, — we may examine within what limits it is wise to exercise that authority, and how far its exercise can aid in maintaining a proper standard of medical education. If no law can be effectively enforced that arouses strong antagonism in the community at large, it is manifest that a medical law enacted to favor any special class of practitioners of medicine, to uphold or suppress any theory of medical practice, to establish any set of regulations as to fees, or that is otherwise obnoxious to the great body of citizens would prob- ably soon become a dead letter and positively harmful to the whole medical profession. In the Medical Rec- ord of September 11, 1886, I endeavored, in an article entitled the " Evolution of the Apothecary," ^ to illus- trate this point by tracing the struggle of the College of Physicians to reserve to its licentiates the exclu- sive right under its charter to prescribe medicine. After some two hundred years of successful prosegu- » See page 145, 132 CHKISTIAN SCIENCE. tions of apothecaries and others, the college met its Waterloo in 1703, when Apothecary Eose, on his ap- peal to the House of Lords from the judgment of the courts in favor of the college, succeeded in having his appeal sustained, not on points of law, but because the system in vogue seemed to the Peers absurd, as neces- sitating the employment in trifling cases of two or three persons at large fees, — a physician to prescribe, an apothecary to dispense, and perhaps a surgeon to operate, — a state of things that a Peer would not sub- mit to in the case of his sick servant, and would not require a poor man to submit to in his own case. The physicians had their fee system and their professional pride to thank for their defeat in this as in some other instances. This decision having made it possible for every ignoramus to tinker with the health of John Bull, it happened in time that the apothecaries, w^ho had routed the physicians on the point of fees and acquired a right to prescribe as well as dispense their own drugs, after a hundred years' experience of the results of their freedom, during which period general medical education had sunk to a dismal condition and quackery had flowered abundantly, procured from Parliament the amendment to their charter known as the Apoth- ecaries Act, whereby their Hall was empowered to ex- amine and license apothecaries. The enactment of this statute according to Sir Henry Halforcl, who had opposed its passage, "raised the standard of that branch of the profession amazingly." In other words, the very men who procured the ex- tension to themselves of the right to prescribe, because of the burdensome regulations of the physician, solic- LEGISLATION AND MEDICAL EDUCATION. 133 ited a restriction of that right when they found that charlatanry and ignorance were rapidly getting con- trol of general practice. In this page of history, we find evidence that a law prescribing, with a view to the general good, educational qualifications for practi- tioners of physic will obtain favor where statutes par- taking of a trades-union spirit, using that word not in its better sense, will fail. I use the term " trades- union " here for lack of a better, and not as one neces- sarily conveying an objectionable idea. In the sense that a trades-union is a combination of artificers to im- prove their moral, physical, and mental condition by all lawful means consistent with a due regard to the rights of the community at large, it is a perfectly proper organization, and much to be commended as an element in the common welfare. In so far as such a combination, however, seeks to carry out a plan for procuring high wages by violently obstructing others in their rights to earn a livelihood in legitimate ways, it is an intolerable evil in society. What is true of the trades-union of artificers is equally true of organi- zations of capital similarly designed ; but, both in handicrafts and trade, — the ostensible objects of which are avowedly selfish, being the pursuit of wealth or the earning of livelihood, — such combinations as these are more understandable, if not more defensible, than like combinations among men engaged in the quest of scientific truth. The avowed object of incorporating medical societies is stated in their charters, in JSTew York at least, to be "to contribute to the diffusion of true science and particularly the knowledge of the healing art." When they transgress these limits, and 134 CHRISTIAN SCIENCE. seek to establish burdensome fee systems or to forcibly check what they consider schismatic opinions, the law interferes to restrain them within their proper bounds. The courts have wisely, in most instances, declined to pronounce upon any questions of opinion or to inter- pret the word " physician " in acts regulating medical practice so as to favor the therapeutical systems of any body of practitioners. It is all one to the law whether the doctrine of similia or the doctrine of contraria prevail, whether the patient be dosed with the highest potency or the most heroic bolus ; and this point was settled finally and wisely in the State of New York by the case of Corsi vs. Maretzek (4 E. D. Smith, 1), where the court refused to accept the contention that a homeopathist was not a physician in the legal sense of the term because he followed a system of healing disapproved of by the majority of practitioners of medicine. No statute can be effective that is even suspected of the design to shackle or suppress opinion. Free thought is the breath, the life, of the scientific search for truth, as humility is its badge. AVhen a man or a profession reaches the point where intoler- ance and self-satisfaction take the place of humility and fair inquiry, paresis of the soul has commenced. It is the law of our existence that " The old order changeth, yielding place to new; And God fulfils himself in many ways, Lest one good custom should corrupt the world." I dwell upon this point because the reason that we do not have in New York to-day a State Board of Medical Examiners, such as we find in Illinois and European countries, and such as is requisite to any ef- LEGISLATION AND MEDICAL EDUCATION. 135 fective scheme for securing a fair average of education among medical licentiates, is due to the fact that it has proved impossible up to this time to bring into ac- cord as to the organization of such a board regular physicians, homeopaths, and eclectics. About three- quarters of the entire number of medical practitioners in the State are regular physicians ; that is, practition- ers calling themselves by the name of no " school " or " sect." They number something like six thousand. The homeopaths and eclectics number about twenty- one hundred. Bills to create one or more central boards of medical examiners have been introduced into the legislature during the last four years at the instance of each of these parties. These bills have agreed substantially in all points save two : first, the examination in therapeutics ; and, second, the organ- ization of the board. The physicians have insisted that their numerical ratio of three-fourths entitles them to a representation in the board of at least two-thirds. The two " schools " insist that, if this ratio should be given, their candidates would be plucked and their "schools" effaced, and that, when this was accom- plished, the physicians would at once order new vials of enormous size, larger boluses and nastier drugs than ever before, that even the daughter of the horse-leech would be silent from satiety, and the cup and lancet would once more drench the land with gore. In other words, we have this condition of things : Three parties exist whose interests are at stake in the proposed legislation. All declare that they favor re- stricting the practice to men who have studied chemis- try, botany, physics, anatomy, physiology, diagnosis, 136 CHRISTIAN SCIENCE. microscopy, etc. The homeopaths and eclectics hold no sectarian views as to the atomic theory or the law of gravitation, and agree with those whom they dub allopaths as to which has the greater number of ribs a man or a woman. But, when we come to materia medica and therapeutics, we find a " state of things." Col. Jones, having a severe pain in the vicinity of his sword-belt, sends for his army surgeon, a regular physician ; the baby has a sensation in its correspond- ing region, and Mrs. Jones calls in her homeopathic adviser, — for Jones indulges her in matters affecting her own baby ; the nurse, experiencing a similar agita- tion, tries an eclectic ; and the old " mammy " in the kitchen, feeling a like distress, sticks a pin in the care- fully concealed rag baby she keeps for such occasions. All experience relief ; and each, like the pedler who was kicked off four landings of a factory in quick suc- cession, is lost in admiration of the beauty of the system. Let us admit the truth that, while surgery has be- come almost an exact science as compared to its sister, — physic, — the latter is yet in the condition that un- questioning faith in the efficacy of medication and a willingness to break a lance for a system of therapeu- tics is to be found rather at the bottom than at the top of the profession. Therefore, whatever our beliefs or prejudices, we may as well make up our minds that no law will be tolerated that shall endeavor openly or covertly to favor or obstruct any system of medical practice as a system, regardless of the attainments of its professors. AVhatever the facts may be, the law considers that the true physician is no blind partisan of any theory. He knows how feeble his best efforts are LEGISLATION AND MEDICAL EDUCATION. 137 to combat disease, how few the medicaments that can be used with certain results. In proportion as he is learned and wise, he pins his faith neither to a doctrine of similia nor of contraria^ realizing that differences of opinion arise not from knowledge, but from ignorance. The stumbling-blocks in the way of every eifort to achieve wise medical legislation are : first, the ig- norance and greed of the believers in and practicers of ^'i^a^^'-supernatural methods of treating disease ; second, jealousies among the more intelligent adher- ents to "isms" ; third, jealousies between the mother church of medicine and those of her children that wish to make of their specialties separate professions ; fourth, the obstruction from vested interests that consider themselves threatened, — the incorporated schools that have some capital invested, and regard their power to confer a diploma operating as a license to practice medicine as their chief stock in trade. The condition of our statute books to-day is this : they contain (1) special acts incorporating medical, pharmaceutical, and dental schools, with here and there a general act for that purpose ; (2) acts incorporating medical societies of physicians and of sectarian prac- titioners of motley nomenclature ; (3) general acts regu- lating the practice of physic and surgery ; (4) general acts regulating the practice of dentistry ; (5) similar acts regulating the practice of pharmacy ; (6) sanitary regulations and laws creating health boards. This jumble is itself an evil and an efficient cause of the propagation of false ideas. A logical law, which will of itself be an educator, will recognize that the principle on which all these statutes are to be de- 138 CHRISTIAN SCIENCE. fended is that already indicated, — the right of the State to protect the health as well as the life and the property of the citizen. One health statute will then be enacted, and a responsible board created that will have in charge the arrangements of quarantine and sanitation and also the licensing of medical practition- ers of every sort ; and here I contend that the dentist and the pharmacist, thoroughly accomplished in their calling, are both medical men, and that, the sooner they are so recognized, the sooner existing jealousies as to them will die out, and the scientific character of the profession and its specialties will be raised. The student of medicine and pharmacy must go hand in hand for a while at the outset of their career. The former goes forward to the battle with disease. The latter remains behind to provide suit- able ammunition. They are both fighting in the same cause, and will fight much better if each recognizes his fellowship with the other. It is equally true that the dentist is a specialist in medicine. To deny to these men professional standing is to repeat the history of the past and to create discord and jealousy among those who are working in a common cause. Legislation can aid in the education of all these fel- low-workers chiefly by vesting the licensing power in a central Board of Medical Examiners, and, to some extent, under the diploma standard : (1) by fixing a minimum age under which they Avill not be allowed to practice their calling ; (2) by requiring of each of them a fixed term of study of certainly not less than tw^o graded years, leaving to the board, where created, the care of details ; (3) by requiring proof by examina- lEGISLATlOlS- AND MEDICAL EDUCATION. 139 tion or certificate that each candidate for license had studied before beginning his professional course at least those branches of a general education in which law students are examined in this State before they commence their legal studies ; (4) by declaring that no medical school — including in the terms schools of dentistry, pharmacy, and midwifery — shall be in- corporated by special act, and providing a general law for the incorporation of such schools only upon proof made of the possession by the incorporators of suf- ficient capital — say not less than a hundred thousand dollars — and teaching plant to justify the belief that the school will be capable of exercising faithfully its franchises. Such an act should contain stringent pro- visions for its own enforcement and for the forfeiture of abused charters. How useless the mere enactment may be is shown by the fact that section six of chapter 114 of the ]^ew York Sessions Laws of 1853 contains a general provision of this nature. Nevertheless, since its passage, some six or more medical colleges have been incorporated by special act of the legislature; and had it not been for the vetoes of Governors Cleve- land and Hill, when their attention was called to this general statute by the medical societies, at least one col- lege would have regained by special act its charter of which the courts had deprived it. No greater service can be rendered to the cause of medical education by the State than the exercise of care in creating medical schools, and holding them to strict responsibility when created. The latter will never be done, I fear, except when the laws are invoked by medical societies. (5) A minimum course of medical study should be pre- 140 CHRISTIAN SCIENCE. scribed, in which a grade of at least seventy per cent, should be attained on examination. The regulation of all details of examination should be most wisely left to the board of examiners. But the topics in which examinations should be had might well be specified in the statute ; and I incline strongly to think that it would be most wise to omit any examination in those obscure topics of therapeutics and materia medica, upon which all medical heresies have been begotten by unscientific minds. One who should creditably pass his examinations in botany, chemistry, physics, anatomy, surgery, physiology, hygiene, diagnosis, ob- stetrics, and microscopies, especially if his clinical ex- amination should show him to be educated in a true sense to observe and draw sound deductions from ob- servation, rather than crammed like a parrot, might well be trusted to form his own conclusions and pursue his own studies as judgment should dictate in the terra incognita of therapeutics. It has been already said, but it cannot be repeated too often, that the law has nothing to do with medical theories. The utmost it can do successfully is to pre- scribe that none shall practice medicine except persons educated in those branches of science that all admit are essential to an understanding of morbid condi- tions of our species, and possessed besides of a fair general education. It cannot prohibit tlie practice of sectarian medicine and such delusions as mind-cure and Christian Science, for this would be an assumption by the law to prescribe what system of healing shall be followed ; and it might as reasonably command — as, indeed, I believe it does in Mormondom — that all LEGISLATION AND MEDICAL EDUCATION. 141 the sick should be treated by anointing with oil in conjunction with prayer by the elders. If a man who has passed his examinations in such branches as above indicated shall conclude to adhere uniformly in practice to the doctrine of similia or of contraria, or even to the profundities of Mumbo Jumbo, or mind-cure, the law cannot prevent him. For his errors, he will be liable always in damages, no matter what system he adopts ; and, with that, we must be content. If the education required of him does not keep him to the faith, we may perhaps find in some cases that his departure from it is the opening of a new way to fresh truth. (6) Finally, the law should not recognize any diploma as of itself conferring a right to practice medicine. Even if the possession of such a document should be required as an antecedent to examination by the health board, it should not be allowed to take the place of such examination. It is to the interest not only of the public, but of every medical college of high standard, that the diplomas of what have become known as " diploma mills " shall be deprived of the licensing power, which is their sole value. Any scheme of medical legislation will hereafter, of course, embrace that great safeguard against impos- ture and efficient tracer of frauds, the system of regis- tration, whereunder no one is allowed to practice medicine who has not made a public record under oath of his name, origin, and credentials for license. Beyond the point here indicated, it would not be wise for legislation to go. The chief desiderata in a good law are brevity, simplicity, and lack of detail. If a diploma standard is to be maintained, it would 142 CHRISTIAN SCiENCi:. certainly be desirable that the statute should provide that only diplomas of colleges giving graded instruc- tion and requiring preliminary examination of their matriculants should be received as licenses. But it may be well to say once more that the mere enactment of a law against a vicious practice will be no deterrent to the transgressor, and, therefore, of no service to the cause of education. He must realize that the law is enforced ; and, in order that it be en- forced, somebody must be charged with carrying out its provisions. In the State of ^N^ew York, the regular medical societies have of late charged themselves with the duty of executing the medical act. Such acts have been upon the statute book for more than a hun- dred years. But prior to 1880 they had fallen into neglect, largely owing to the clumsiness with which they were drafted. In that year, the State Medical Society secured the passage of a new law, and in 1887 of a codification or revision of all the medical statutes ; but the law in this State is yet far from perfect, and chiefly for the reason that there is no central body having control of its execution. The most that the medical societies can do is to punish those who prac- tice without diplomas. They are powerless to exercise any supervision over those granting the license. In this regard, the statute of the State of Illinois is far more efficient than ours ; and the Health Board of that State has entitled itself to the commendation of all who are informed of its excellent and efficient work. But the County Society of New York has done enough to show that even a poor law can be of ad- vantage to the cause of medical education. The ex- LEGISLATION AND MEDICAL EDUCATION. 143 ample of its prosecutions has stirred up allied societies to action, and has constantly called public attention to the fact that the practice of quackery is not safe within its jurisdiction. Adopting the new code of ethics, it has shown conclusively to all who have watched its course that its members have not had in mind the suppression of any system of healing the sick only because they disapproved the methods of that system. It has recognized that the utmost limit to which the law can properly go is to provide that nobody shall practice medicine at all, by which term the courts understand the use of drugs and instru- ments, unless he has the slender educational qualifica- tion prescribed by the statute. If possessed of that qualification, the society concede that the practitioner has a right to use whatever system may commend itself to his understanding or lack of understanding. The prejudices and jealousies that prevented the passage of the Examiners Bills have been already al- luded to. But, although those bills failed to become law, nevertheless, when the present statute incorpo- rating their points of agreement was obtained by an alliance of all parties, a distinct advance was made, in that the homeopaths and eclectics were convinced that, whether the other societies agreed or not with them in matters of practice, they were willing to join hands with them in securing, if not the best legisla- tion, at least the best possible under the circumstances ; and that they were quite capable of bringing forward in good faith a bill actually what it appeared to be, and not secretly designed for the destruction of schismatics. And it is very safe to say that it is only 144 CHEISTIAN SCIENCE. a question now of agitation of public and professional opinion that is necessary in the State of New York to bring about such legislation as will obliterate all sects in medicine, not indeed by harassing the individual practitioner or legislating against any system of prac- tice, but by educating the public mind to the fact that no one should be intrusted with the practice of any system who has not a fair attainment in those branches of study which all admit must be necessary to any one expecting to devote himself to the treatment of dis- ease ; and that every one is entitled to the name of physician who is learned in his science, skilled in his art, and capable in his profession of trying all things, holding fast what is true, facing bravely the errors of others, and admitting candidly his own, and, above all, recognizing the possibility of honest differences of opinion, which can be settled only by honest investi- gation and kindly exposition.^ If the law will forbid the practice of medicine to all but those who give proof of a fair general educa- tion and reasonable attainments in the branches of sciences and medical study as to which there are no " schools," it will do all that can be asked. Its licen- tiates will be too intelligent to indulge, as a class, in vagaries, sectarian medicine will disappear or dwindle to insignificance, and the physician will be free to fol- low where the torch of Truth lights the way. 1 Shortly after this paper was read, a system of State Examination was established and still remains in New York. In 1893 the practice of med- icine, dentistry, pharmacy, etc., were regulated by one Public Health Law. The suggestions of this paper have been adopted. The medical schools require a graded course of three or four years, and preliminary education. The standard of medical education and the value of the diploma have been greatly advanced. YI. THE EVOLUTIOIS^ OF THE APOTHECARY.^ The expression by Mr. Fox in an after-dinner speech, when on his special mission to St. Petersburg, of a patriotic belief that the " American language " was destined to become the universal speech, excited comment and curiosity. Matter-of-fact Britons re- sented this appropriation of their mother-tongue as an application of cuckoo methods to linguistics. Polyglot Kussians yearned to acquire a new dialect. Apothecary is one of those words in the use of which American differs from English and resembles Scotch ; for with us, as in Scotland, prior to the passage of the pharmaceutical acts, if not now — it denotes one whose business, of a trading nature, consists strictly in sell- ing, compounding, and dispensing drugs, chemicals, and kindred wares. The introduction into the stock- in-trade of soda-water, cigars, and confectionery, shows a tendency of the business to revert, even in great cities, to its type ; for grocers and poticaries were for- merly a single brotherhood, and were first incorporated into one worshipful society. Every grocer had an hT.od-qKTi^ by virtue of which he was a poticary. In the fourth year of his pedantic and witch-hating reign, James I. granted a charter to " The Ward ours and Fellowship of the Mystery of Grocers of the City > New York Medical Record, Sept. Ii, 1886. 145 146 CHRISTIAN SCIENCE. of London," making of them a body corporate. But, as often happens where a child of his works secures a recognized social status for his family, the lesser, or junior, portion of this Mystery soon felt itself finer and more mysterious than the entire fellowship. Moreover, the blending of trades had its own incon- veniences, easily conceivable to one who has been in rural districts where it still obtains. Our own Galen, who is heroic, once prescribed a very drastic remedy, and a combined haberdasher-grocer-apothecary of Westchester essayed to supply it. But the unusual dose, which " no one out here has ever took," drove him to a dispensatory, where for fifteen minutes he groped befogged, searching if a city man had anything in common with the ostrich. Only fear of not selling the drug decided him to risk decreasing the population.^ Perhaps episodes of this kind as well as a realization of the need of special care and training for the safe dispensing of medicines induced the " well-beloved Theodore de Mayerne and Henry Atkins," his " dis- creet and faithful physicians," to make those represen- tations to James that induced him, in the thirteenth year of his reign, to separate the apothecaries from the grocers after nine years of union, and grant the former a separate charter under the corporate name of " The Master, Wardens, and Society of the Art and Mystery of Apothecaries of the City of London." But although it was through the intercession of physicians that the apothecary, thus freed from the 1 Thus Romeo argued with his apothecary, hesitating to sell poison con- trary to law : " The world affords no law to make thee rich; then be not poor, but break it and take this." — Act v., Scene I. THE EVOLUTION OF THE APOTHECARY. 147 environment of grocerdoin, was able to set up his own m^^stery, Ave may be very sure that the said Theodore and Henry never intended bis evolution to go on until he should become, as he now is in England, a general practitioner of medicine. On the contrar}^, the new charter provided that the rights of the College of Physicians should not be abridged, that the college should exercise a certain supervision over the company, and that the apothecaries should consult the physicians on the use and properties of medicine.^ The exclusive privilege granted to the apothecaries by their charter was this : " J^o person, free of the Grocers', or any other mystery in London, except those of the Apoth- ecaries' Company, shall keep any apothecary's shop, or make, compound, administer, sell, send out, adver- tise, or offer for sale any medicines, distilled waters, compounded chemical oils, decoctions, syrups, con- serves, eclegmas, electuaries, medical condiments, pills, powders, lozenges, oils, unguents, or plasters ; or oth- erwise in any way practice the faculty of an apoth- ecary," etc., under a penalty of £5. The only limita- tions upon this power were the said provision pre- serving the rights of the College of Physicians, whose licentiates might, under the statute, dispense medicine in their own practice, and the further provision that "approved chirurgeons " might enjoy their art "as much as belongeth and appertaineth to the composi- tion and application of outer salves or medicines only, 1" Proviso semper quod pro tot et tal' ordinationibus qu£e medicamenta aut compositiones et usum earundem concernent' advocabunt de tempore in tempus Prsesidentem et quatuor censores, seu Gubernat', Colleg' & Com- munital' Medicorum London, aut alios jNIedicos Preesidentem proedict, jiominand' pro avisamento in hac parte." Charter, May 30, Jac. i. 148 CHRISTIAN SCIENCE. SO that they do not vend or expose to sale to others such salves or remedies, according to the common man- ner of the apothecaries of London." But these pro- visions were not restrictions, in any proper sense, upon the monopoly of the trade. Physicians and surgeons could only dispense medicine in their own practice ; they could not deal in it ; and it would seem that this statement of the " Encyclopaedia Britannica," under the title " Apothecary " : " The members of this society do not possess and never have possessed any exclusive power to deal in or sell drugs," is incorrect as a legal proposition. The broad charter obtained for the physicians from Henry YIII. by Cardinal Wolsey, giving their college the licensing power theretofore vested in the clergy alone, which charter Mary confirmed, made the College of Physicians supreme in the whole field of medicine. It could license persons to examine and advise the sick, write prescriptions, dispense drugs,^ and perform sur- gical operations ; ^ whereas surgeons and apothecaries were narrowly limited in their respective functions. Whenever an apothecary or surgeon attempted to pre- scribe for the sick he stood in the peril of the law, and the college was not slow to punish him. Thus in 1602 one Jenkins, a member of the College of Surgeons, did "give judgment on urines and undertake cures." 1 See the case of the Attorney-General ex rel Apoth. Co. v. The Royal College of Physicians (L. J., N. S., Ch. 30, 757), infra. 2 32 Hen. VIII., C. 40, 3, enlarging the original charier of the college, recites that the science of physic " cloth comprehend, include, and contain the knowledge o.f surgery as a special member and part of the same," with which statement Dr. Davies, in his pamphlet on medical legislation, compares this saying of Celsus : ** Illiid ante oinnia scire convenit, quod oinnes inedicin See Mr. Justice Creswell's distinction between chemists, surgeons, and apothecaries, in Apoth. Co. v. Lotinga, 2 M. and R., 500, 2 67 L. T., 232. THE EYOLTJTIOIS- OF THE APOTHECARY. 161 of Bramwell and Creswell, sujjra, concluded his own opinion with these words, the applicability of which in this State and County is obvious to one familiar with their law and charities : " I cannot, however, close this judgment without ex- pressing my conviction that the act was intended (which intention has, I think, been successfully carried out) to have a beneficial action on the poorer classes. The more scientific masters of medicine being other- wise engaged, have no time to compound and dispense their own prescriptions ; these, therefore, to save more valuable labor, are relegated to the chemists and drug- gists, who, if not a less highly educated class, are at least a class who have not passed the necessary exami- nation to entitle them to practice as apothecaries. Now if the chemists were permitted to advise on the ailments of the poor, as well as to make up their drugs into medicines, the sick poor would lack the benefit of that highest class of skill which the rich by their purses can command. But this want has been pro- vided for the necessitous at our public hospitals and dispensaries, where the ablest physicians, surgeons, and apothecaries in the land generously give their time and best skill to all comers, on whom not only sick- ness but poverty is pressing. The counsel for the de- fendant argued that the poor would suffer by limiting the action of the druggist according to the express language of the act ; but to this argument the best an- swer is given by the act itself, which protects, benefits, and furthers the highest interests of the sick poor, by pointing and directing them to our public medical in- stitutions for advice with reference to their ailments, and to the chemists for their medicines, when such are required, and are not provided for by those noble and charitable institutions." Here, then, we leave for the moment our apothe- 162 CHRISTIAN SCIENCE. cary. Having triumphantly established, within less than a hundred years from his abandonment of the grocer, his own right to practice medicine, and having as triumphantly blocked, for nearly two hundred years, encroachments, exactly similar to his own, by the chemist, we have seen him, within the last twenty- five years, lay violent hands upon the venerable col- lege whose members gave him his first start in life as a tradesman of a distinct sort ; and we have seen him beaten in this assault, planned in the interest of his corporation as a trades-union, and not as the dutiful public servant that every corporation should be. The apothecary's history is profitable for instruc- tion. Not its least obvious lesson is that so long as the laws affecting the practice of medicine and the incorporation of medical societies are exercised, in pur- suance of their ostensible object — i.e.^ the furthering of the public welfare by requiring of practitioners con- formity to a reasonable standard of professional at- tainment, those laws can be enforced ; but that, when- ever such legislation is attempted to be exercised in a selfish spirit of trades-unionism, for the benefit of corporations and their members, and in disregard of the public needs and convenience, the same laws will be nullified by close technical constructions, and if not repealed will fall into "innocuous desuetude." The medical profession in this country has been free, fortunately, from those arbitrary limitations which en- abled the untrained apothecary partially to supplant the physician in England, by making it unprofessional for the latter to engage in the practice of medicine to the full extent authorized by the charter of the college grant- THE EVOLUTION OF THE APOTHECARY. 163 ing his license. And there seems to be no adequate reason why the apothecary with us should be suffered to prescribe chalk-mixtures for "light cases of diar- rhoea," bromides for " nervousness," and so forth. A judge in ISTew York City said some time ago that the court would take judicial notice of the fact that a lawyer could be found in half an hour for any client. And what with hospitals, infirmaries, dispensaries, night medical service, and about twice as many well- equipped physicians as lawyers in our cities, there is certainly no crying need for laymen to render medical assistance except in cases of emergency.^ ' Such has been the spread of the hospital and dispensary system in New York City of late years that many physicians have banded together to correct what they allege is its abuse in furnishing free medical treatment not to the poor only, but to those in moderate circumstances and even to the rich. Some of these allegations if well founded are certainly startling. Appendix A. THE CLAIMS OF CHEISTIAN" SCIEIS-CE/ AS MADE BY ONE OF ITS EXPOUNDERS AND AC- CEPTED BY A JUDGE. To the Editor of the Sun : Sir : — Last Sunday afternoon Mr. Carol N^orton lec- tured upon Christian Science at the Metropolitan Opera House. The building was thronged and the audience fairly representative of the average intelligence and education of this city. Although many present were doubtless led thither by curiosity, a very large num- ber, perhaps the majority, were honest believers in the pretensions of Mrs. Eddy. Mr. Justice JSTorton^ of Allegheny introduced the lecturer as one of the foremost teachers of the new re- ligion, as he undoubtedly is, and warmly upheld the citizen's constitutional right to entertain any religious belief, a right that it would be foolish for any one to assail. Unfortunately, no one alluded to that valid objec- tion to Christian Science which would have com- mended itself to so intelligent an audience, and may be thus briefly stated : Mrs. Eddy and her adherents 1 From the New York Sun, June 9, 1899. 2 Judge Norton is not, as would seem from this title, a justice of the Supreme Court, although thus entitled by other speakers at the meeting. He is a county judge. 165 166 CHRISTIAN SCIENCE. pretend that without the use of those remedies or ap- pliances shown by universal experience to be certainly, probably or possibly adequate to relieve or cure sick- ness and wounds, they can by vague mental processes alone effect cures where medical aid is unavailing. They even pretend that the mere reading of her book cures all human infirmities, even cancer. If honest in their belief, these people are willing to put, and do put, all medical and surgical aid aside, substituting therefor mental processes. If they have not this Avillingness, they are dishonest accord.ing to their own pretensions. If, on the other hand, they thrust aside scientific aid, demonstrably adequate to save life, and substitute therefor a treatment under which death results, they are certainly guilty of homicide in some degree, and this practice is dangerous to the public health. From this dilemma there is no escape. It is worth while, therefore, to ask every thoughtful and candid person who has listened to or read the words of Mr. Norton, Mrs. Eddy's foremost apostle, to ponder carefully the manner in which that gentleman, upon whom no imputation is cast, answers inquiries that he himself solicits. Let him and his teacher be judged, in all fairness, by their own words. Mr. Norton offered medical proof that Christian Science has cured locomotor ataxia, cancer and many other diseases. This offer is not new. Mr. Norton copyrighted a lecture in 1898, which he has been delivering since with more or less variation. It was printed in full by the Troy Record of February 28, 1899. On March 30, I wrote to him, apropos of that publication, as follows : ~ THE CLAIMS OF CHRISTIAN SCIENCE. 167 A copy of your lecture . . . has been sent to me. You therein say that " regular medical confir- mation of cases two, three, four, five and eight will be furnished any honest skeptic." I am certainly a skeptic, and, if I may say so, an honest one, and I should be very much obliged to you if you will give the names and addresses of reputable and competent medical practitioners who will certify to the second case, the cure of an incurable cancer; the third case, the cure of a child suffering from epileptic fits from birth, and having forty spasms a day at the commence- ment of treatment ; the fourth case, a cure of '' con- sumption of the lungs in the second stage of that dis- ease ; " the fifth case, a cure of a patient ill with typhoid fever in Paris and treated by a practitioner in New York; the eighth case, the cure of a lady forty years old unsuccessfully treated for thirty-five years for " organic valvular diseases of the heart" by physicians who pronounced the disease incurable. I should like to know what persons made the diagnoses in these cases, the course of treatment followed, the method taken to exclude in the cure other factors than treatment by Christian Science, and the present condition of the person cured. Mr. Norton replied courteously on April 3, promis- ing the information. On April 18, politely explain- ing his delay upon the ground of many engagements, he wrote : " I will have the positive proof of my ut- terances in the lecture that you read in the Troy Record properly prepared for a lawyer's gaze within a few days." On April 29, reminding Mr. Norton that a month had elapsed since my request, I wrote : "With the desire to be entirely fair in discussing the theories of Mrs. Eddy and yourself I beg now to ask that you kindly give me an early reply to the fol- lowing questions for immediate use : 168 CHRISTIAN SCIENCE. "First— If Christian Science, as you say in your Saratoga lecture of August 26, 1898, 'removes the possibility of human and personal contention,' why has Mrs. Eddy had so much contention concerning the late P. P. Quimby and the copyright of her book that she has threatened legal proceedings, and, I under- stand, actually resorted to the courts ? " Second — If ' matter ' is only erroneous thought in 'mortal mind,' and, therefore, non-existent in mind illuminated by the right thought of Christian Science, and if the material aids to the injured of drugs, band- ages, splints, etc., are unnecessary and even harmful for the proper treatment of physical injuries, will you kindly tell me Avhat course you or Mrs. Eddy would adopt in any of the following cases : " (a) Walking along the street, a brick falls from above and cuts your head, causing blood to flow ? " (b) A child at table swallows a fishbone and is in peril of strangulation ? " (c) Your child is riding in a street car and a per- son with confluent smallpox sits down beside it? " (d) A child in the street is run down by a cable car and bleeds from a severed artery ? " (e) A baby falls from a window and fractures its skull ? " On May 4, Mr. Norton civilly replied, kindly prom- ising to call upon me on May 8, with the promised medical confirmation, and, as to the foregoing ques- tions, said : ''The questio7is in your letter of April 29, I will he obliged to shelve for the present^ desiring to do one thing at a time. I think you will agree with me that neither of us could expect to master the ideas of Mr. Spencer or Mr. Darwin in a hurried or impetu- ous way, no matter how honest our purpose." Upon May 8, Mr. Norton did me the honor of call- » The italics are mine.— W. A. P. THE CLAIMS OF CHEISTIAN SCIENCE. 169 ing with the promised " medical confirmation," which consisted in each case of a brief statement of conclu- sions signed by a Christian Scientist. Of these sign- ers one was said to have studied in a homeopathic, and another in a regular medical college. No facts were set forth upon which the conclusions were based, no names were connected with the certificates that would carry any weight with the general medical profession or any body of trained investigators. Nor would the evidence have been admissible in Judge Norton's court. It is not meant by this to cast the least reflection upon the honesty, sincerity and good repute of the signers. Doubtless they are ex- cellent persons, but their names are unknown in the field of accurate investigation. In a very pleasant and good-tempered conversation, Mr. Norton referred to this actual case mentioned in my letter of April 28 : A mother affected with Christian Science, but not to the point of infanticide, called a physician to see her child sick from eating stone-fruit. " Doctor," she said, " I really do not know whether the stone is in the child or in my mind." " Madame," he replied, " I cannot undertake to prescribe for a stone in your mind, but I can manage one in the boy." And this he did very successfully with castor oil. Of this ma- terial thought Mr. Norton, in flat contradiction of Mrs. Eddy (" Science and Health," pp. 158, 159, edi- tion of 1887), said : " How silly ! Of course, the stone was in the boy. But there are fools among Christian Scientists as well as among other classes." It was a proposition upon which we unexpectedly found our- selves in entire accord. He was understood also dis- ITO CHRISTIAN SCIENCE. tinctly to say that Christian Scientists made differ- ential diagnoses, and would presume in the case of a severed artery to put aside a surgeon and substitute for his their own treatment. But in order that no misapprehensions might arise on this score a letter was written on the following day to his secretary, saying : I understood Mr. Norton yesterday to say that Christian Scientists both make and accept differential diagnoses of disease ; that if a patient came to him complaining of a sore, he would make diagnosis to de- termine whether it was cancer, abscess, ulcer, carbun- cle, boil, or what not ; and so with diseases he would make diagnosis between pneumonia, fever, appendi- citis, etc. I further understood him distinctly to say that if the clerk in my outer office should accidentally sever an artery and there were a surgeon present with adequate surgical appliances to stanch the flow of blood, he, Mr. Norton, would assume the responsibility of checking that arterial gush by the mental processes of Christian Science, and would dispense with the surgeon's aid and appliances. To my mind these are very startling propositions, and I wish, in justice to Mr. Norton and the cause he represents, to be entirely sure that I apprehend him rightly, and I shall be obliged to him or to you for a prompt reply on these points. And I should also be glad to have replies to the questions that I last submitted to Mr. Norton in writing as to what he would himself do in the case of certain accidents occurring in his presence, such as the fracture of the skull by a falling brick, the sever- ing of a leg by a cable car, etc. To this Mr. Norton himself replied thus on May 29, the italics being his : You most thoroughly misunderstood me in relation THE CLAIMS OP CHRlSTlAK SCIENCE. 171 to what I said about deferential ' diagnosis of disease. I make no diagnosis except along the lines of consist- ent mental therapeutics. An expert in mental thera- peutics will naturally know the character of this diag- nosis. Discord is discord. Pain is pain. Disease is disease. The principle that cures one, if rightly ap- plied, will cure all. This is the beginning and end of rational mental healing. In relation to mental treat- ment for a severed artery, I said simply that I be- lieved the proper application of mind power would do the same work, if not better than any other method. I beg that you quote me correctly, if you ever quote me, and I most thoroughly disagree with the under- standing you got about diagnosis. In reply to the list of questions that you wrote to me in a recent let- ter, I have but to repeat my recent utterances m a letter to you, that I f refer to slieUe tkem^ because to answer them would bring about wholly indifferent re- sults. Space forbids the publication of all the letters verbatim, nor is that necessary. Mr. ISTorton has been accurately quoted upon the point at issue. Every one can decide for himself whether the questions were fairly put and fairly answered. The learned Judge who presided at Sunday's meeting should be eminently competent to decide whether Mr. Norton would be guilty of manslaughter under this hypothetical state of facts : A child is bleeding to death from a severed artery. A surgeon at hand with ligatures and all proper appliances is demonstrably able to stop the flow of blood. Mr. [N'orton thrusts him aside, saying: " Here is only an error of mortal mind. My revered mother, Mrs. Eddy, teaches, on pp. 158 and 159 ©f 1 ^i^^ 2 These italics are mine.— W. A. P. 172 CHRISTIAN SCIENCE. * Science and Health,' thus: *Mind can regulate the condition of the stomach, bowels, food, temperature of your child, far better than matter can do so. Your child can have worms if you say so, or whatever malady is timorously holden in your mind relative to the body.' And at page 183 she says : ' Anatomy, physiology, treatises on health — sustained by what is called material law — are the husbandmen of sickness and disease.' Accordingly, dismiss the surgeon while I apply mind power. If I do it properly I will do the same work, if not better than the surgeon." The child dies. Would Judge ISTorton's belief in liberty of conscience, which no sensible person wishes to curtail, lead him to instruct a jury that a person thus suffering a little child to bleed to death and thrusting aside the aid that would have saved life is guiltless of manslaughter ? If it be said that Christian Scientists would not attempt to treat such a case, it is admitted that the whole solemn preachment of Mrs. Eddy, Mr. Norton and their fellows is nonsense, a humbug, a snare and a delusion ; that their alleged cures are due not to any peculiar virtue of Christian Science, but to that action upon the body of the mind in a certain class of cases that has been known and acted upon both by phy- sicians and intelligent laymen since before the time of Ileraclitus : that operates for the voudoo priestess as well as for Mrs. Eddy. If it is depressing to see an intelligent audience listening seriously to such teaching, it is equally regrettable that a member of the Court should pre- side at such a meeting, when it is considered that THE CLAIMS OF CHEISTIAN SCIENCE. 173 cases may come before him involving violations of the law-whether by homicide or failure to report births, deaths and contagious diseases-under cover of theories which he publicly defends, apparently, as reducible with safety to common practice. Surely this learned Judge knows that in the Mormon cases the United States Supreme Court lucidly pointed out the wide distinction between religious liberty and license to commit, in the name of religion, acts for- bidden by the law of the land enacted withm the scope of the police power. W. A. PUKEINGTON. New York, May ig. Appendix B. CHKISTIAN SCIENCE AND THE LAW.^ To the Editor of the Sun : Sir :— In a recent editorial quoting a number of the excerpts from Mrs. Eddy's book lately appearing in the reviews systematic effort was urged " to ferret out and punish " Christian Scientists. The editorial omitted, however, to show the state of the law and the diffi- culties in the way of following its advice. It would be unfortunate if the adverse sentiment toward Eddy- ism aroused by exposure of its methods and the nu- merous reported cases of its manslaughters should be perverted or lessened by ill-considered action ; it seems, therefore, worth while to make the situation clear. No medical law of any State enjoins or prohibits any system of medical practice. No law forbidding the practice of Christian Science or any other system of treating the sick, no matter how foolish, has been proposed. Those who assert the contrary do so igno- rantly or with intent to mislead. What medical laws require, and in the opinion of the Supreme Court of the nation and of almost every State properly require, is that no person shall practice medicine before he has pursued a proper course of study and furnished some evidence that he has a fair knowledge of the human » New York Sun, July 12, 1899. 175 1T6 CHRISTIAN SCIENCE. economy and the sciences relating thereto. This reg- ulation applies to Eoman Catholics, Protestants and Jews. It is objected to by Christian Scientists and Spiritualists, who stoutly maintain that to require the same education of them as of others engaging in the same business is to infringe their liberty of conscience and right to worship in their own way, although it is undeniable that when a man has once obtained a license to practice medicine upon proof of his scien- tific attainments he may follow any system he chooses. He may, if he see fit, rely solely upon mental proc- esses. Every physician does largely take into account and rely upon the effect of the mind upon the body, especially in certain classes of cases. There are few to-day who pretend that the high potencies of home- opathy have any medicinal action, and it was a realiza- tion that their effect was due to the patient's imagina- tion that led Mrs. Eddy, as she says, into her own extraordinary system. But homeopathists admit the existence of disease. They often administer drugs as heroically as regular practitioners — sometimes more heroically. They use surgery skilfully. In fact, it is often difficult to differentiate them from regular physicians by their practice alone ; nor was there ever a time when they did not claim to be called physi- cians. The Eddyites, on the other hand, although eager to dub themselves "doctors of Christian Sci- ence," declare that they are not practitioners of medi- cine. Mrs. Eddy, as was fully pointed out in the North American Review for March, condemns not only drugs, remedies and instruments, but even hy- giene, exercise and bathing. Her method of curing CHRISTIAN SCIENCE AND THE LAW. 177 disease is first to deny its existence and then to argue with it as one would argue with a Congressman. Herein lies at once the danger of her crazy method and the immunity of its practitioners from punish- ment under the law of this and many other States. A druggist who prescribes a proprietary nostrum or so simple a remedy as rhubarb or chalk mixture may be convicted of a misdemeanor. Our Supreme Court has so held in several cases. But it also has laid down in Smith v. Lane (24 Hun., 632) the narrow rule that the use of drugs, medicines or instruments is an essential element of medical practice, holding, in substance, that the medical law was intended only to protect those seeking treatment secundum artem from false pretenders to skill in the use of dangerous drugs or instruments, but not to protect from their mistake or folly, persons who, lured by wonderful promises of cure, submit themselves to the treatment of those avowedly discarding ordinary medical methods. This case, expressly approved of in Ohio, Ehode Island and perhaps other States, is the joy and bul- wark of Christian Scientists. It was held to be in- applicable under the Nebraska and Illinois statutes ; but from the last Legislature of the latter State the Eddyites are said to have secured a proviso in the new medical law adopting its rule. It will be remembered that a letter in The Sun of June 9, the accuracy of which has not been denied to my knowledge, showed that when Mr. Carol Norton, Mrs. Eddy's apostle hereabouts, was asked if he would dare to exclude medical aid and treat severed arteries, fractures, strangulations and contagious diseases by 178 CHEISTIAN SCIENCE. mental processes he twice wrote that he preferred to shelve the questions. It must seem startling to a layman that a druggist violates the medical law by prescribing rhubarb, while a Christian Scientist who *' thinks at " the severed artery of a child is exempt from the operations of that statute. And perhaps it may seem easy to rectify the anomaly by legislation. Two recent experiments in this direction may be profitable for instruction. In 1898 a bill was introduced into the Massachusetts Legislature defining the term " practicing medicine " so as to include all methods of treating the sick and wounded for hire, including, of course. Christian Sci- entists and every sort of " healer." As was naturally to be expected, Mr. "William Lloyd Garrison and Prof. James — the latter of whom seems bent upon forcing Harvard, ancient mother of scholars and conservative men, to associate, in the public mind, with Mesdames Eddy and Piper — lifted up their voices against the bill. These gentlemen represent the best of the host that rally to Mrs. Eddy's support ; sincere, educated, intelligent, dearly loving to run a tilt with the ma- jority, with Athenian fondness for new things and not unwilling to fill the trump of Fame. Mr. Garrison, therefore, who a short time ago — I think it is the same Mr. Garrison — clamored at the top of his pen for aca- demic rules to prevent the ingenuous youth of Har- vard from inflicting or submitting to the cautery of a boyish and rather silly initiation of a secret society — Mr. Garrison, who has harrowed all our feelings by pointing out the awful brutality of football, actually obstructed the passage of the law requiring Christian CHEISTIAN SCIEKCE AND THE LAW. 179 Scientists in Massachusetts to have as a condition of treating the sick the same education required of Prot- estants, Catholics and Jews engaged in the same business. And what was his delightful argument? As reported bv the Christian Scientists, it seems to have consisted" of two main premises: First, "John P Kobinson, he, said they didn't know everything down in Judee," or, in common English, "the physi- cians don't know it all: therefore let all the ignorant have free field." Second, homeopathy was formerly ridiculed. The answer seems simple enough. Mr. Robinson, whose dictum has been much over^Yorked was ri^ht. In medical science we know a good deal more than was known in Judee. Moreover, Mr. Garrison himself doesn't practice all theories ema- natino- from that district. He may surpass the rest ot us but it may be doubted whether he gives to every one that asks of him or turns away from none who would borrow of him; and as for resisting what he considers evil he has a perfect mania for it, using the sonnet with deadly effect. It is true that the meta- physical theory of Hahnemann that a drug has me- dicinal properties when attenuated to a degree repre- sented by figures that overwhelm the imagination, and that such properties are further affected by the number and direction of the shakes given to the phial containing the potency, was ridiculed, and very justly so as appears from the fact that few homeopathists of to-day profess the theory, and fewer, if any, prac- tice it, except, perhaps, as a form of mind cure. Prof. James was not less convincing than Mr. Garrison. With neat appreciation of the proprieties he pro- 180 CHEISTIAN SCIENCE. claimed his professorship at Harvard, thereby drag- ging a reputable mother's name into company where most of her offspring would blush to see her. Next he took the bold, broad, not to say bad, ground that the State should not regulate medicine at all, because it is not a " finished science." This is the most de- licious tid-bit of logic yet offered. If we are to legis- late only about " finished sciences " our statute books will soon be made up of enactments that straight lines shall be the shortest distances betAveen points, and that it shall be a misdemeanor for the square de- scribed on the hypothenuse to exceed the sum of the squares described on the other two sides. In the same year Senator Coggeshall introduced into the Kew York Legislature, at whose instance I do not know, a bill that would have affected Christian Scientists. At its hearing in committee so many Eddyites, most of them in skirts, were present that adjournment was had to the Senate chamber. Ap- parently no one spoke for the bill and no one of note against it. After the usual platitudes concerning liberty and the customary depreciation of medicine as an unfinished science, the Senator is reported to have smiled, bowed to the ladies, and abandoned the bant- ling upon Mrs. Eddy's doorstep as cheerfully as he took it from its parent, whoever that may have been. It was another instance of an enthusiastic and organ- ized few carrying their point, while the unorganized multitude was indifferent and apathetic. It seems obvious, therefore, that attempts at legislation in this matter should not be made ill-advisedly or without due organization. CHKISTIAN SCIENCE AND THE LAW. 181 But does it follow that we are without remedy under existing law? It would seem not. If it can be demonstrated that a Christian Scientist has caused death by excluding proper medical or surgical treat- ment and substituting his mental processes — in such cases, for instance, as those submitted to Mr. Norton and " shelved " by him— it ought not to be diflacult to obtain a conviction of manslaughter, if not of murder. The societies for prevention of cruelty to children can act in the premises. English courts are extraordi- narily lenient with fanatics, but although Wagstaffe escaped punishment prior to the enactment of the Prevention of Cruelty to Children statute, that law seems to have been passed in consequence of his ac- quittal ; and recently another member of the "Pe- culiar People," whose child died under a similar treat- ment by anointing with oil in Apostolic fashion, was convicted of manslaughter. If memory serves, Mr. Gerry, some years ago, took from a missionary a child whose fractured arm the father was treating solely by such anointing ; and the Bishop forbade the parent to go back to his post. There is no reason why Christian Scientists should not be compelled to report births, deaths and contagious diseases under the usual penalties for disobedience. If they say that it is wrong to compel them, who do not believe in disease, to report its existence, once more the answer is simple: Mrs. Eddy herself has reported in print that her first husband, Col. Glover, died of " yellow fever," that " insidious disease." But after all, that which will destroy Christian Science is the true exposition in the reviews and daily 182 CHRISTIAN SCIENCE. press of its absurdities, its vulgarities, its false pre- tences as well as its dangers. It does not seem possible that a sane or reverent mind or one with any sense of humor could accept seriously the preachment of the exceedingly shrewd, but very ignorant and ungram- matical old lady, once of Lynn but now of Concord. And it is safe to say that unless Christian Scientists can win some temporary advantage by cheap martyr- dom the time will come very soon when sane and reputable persons, many of whom now accept the doctrine ignorantly, will blush with shame to think they ever could have been disciples of Mary Moss Baker Glover Patterson Eddy, whose name seems to be legion. W. A. Purrington. July 10. Index. Absent Treatment, 22, 30", lOI. Advertising, methods, (see Mrs. Eddy). ^sop's fable, ass and lion's skin, 97. Agamo-genesis, possible in " Sci- ence," 47. Agathon's dinner, 23. Agnosticism, confounded with gnosticism, 42. Anatomy, study of condemned, 25, 47; a cause of disease, 172. Anecdotes, of Bishop and Luna- tic, 63; of Faith Cure, 38. Afiimai Magnetism, condemned, 23, 47, 58, (see Cerberus). Anti-diploma Law of Massa- chusetts, 51. Apothecary, meaning of, 145; and grocer, 146; originally dispenser not prescriber, 147, 148, 151; wins right to prescribe, 132, 151 to 155; in America, 158", 163; in England, 160; English apothecaries act, 155; ex- aminations, 157; try to en- join college of physicians from licensing general practitioners, 158; differs from chemist, 158; contrast between his legal liability and that of a " Scientist," 178. Argument against Christian Science, remedy for dis- eases, 21, 22; summed up, 63. Aristophanes ridicules harmony cure, 23. Artery, Christian Science tested by, 65, 67, (see Norton). Astrologer, consulted when in prison, 88. Babies, daily ablution of, 24, (see Children). Baker, maiden name of Mrs. Eddy, 40. Barbers, ancient surgeons, 149. Bates, General Erastus N., 52, 58. Bathing, condemned, 24. Baimscheidtisnms, death from, 75- Bayard, last strict Hahneman- nist in N. Y., 94. Bentham on legislation, 128. Bequests of Ch7'istian Science, costly and martial, 59. Berkeley, Bishop, tar-water the- ory, 13; almost discovered Christian Science, 18. Bible, (see Scriptures). Bishop, anecdote of lunatic and, 63. 183 184 INDEX. Boards of Exaininers, (see Med- ical Examiners). Boastf Illness, badge of charla- tan, II, (see Mrs. Eddy). Body, evolved from mortal mind, 21; not to be cared for, 24; seedling that starts thought, 21. Botiuiical School, Thomson's, 71- Browning, Robert, poetry com- pared with Mrs. Eddy's, 59. 60. Buchanan s. College, compared with Mrs. Eddy's, 54. Bunions may be insanity, 21. C. S. D., symbolic letters, 55; first displayed by Mrs. Eddy, 45. Cabbage, eaten heartily by a baby under Mrs. Eddy's care, 27. Ca^z, judgment of a, 25, no, III. Cagliostro, 67, 91; offer to swal- low poison, 45" . Cancer, cured by Mrs. Eddy in one visit, 27; by merely reading her book, 17, 166; Mr. Norton's statement as to, 167. " Catnip and Christ,'' Mrs. Eddy's profane compari- son, 58. Cerberus, devours Delilah's vic- tims, 58. Certificates, Mrs, Eddy's, 27; evidence of their fabrica- tion, 60", (see Mrs. Eddy's advertising methods, Death). Charlatanism, 1 1 ; homicide and, 127. Charter, (see College, Mrs. Eddy). Chemist, English equivalent of American apothecary, 158. Childbirth, normal operation of function, not disease, 66,, 120 ; danger of Christian Science in, 67. Childreti, cured of bowel com- plaint, 27; "dumpishness," 61; hayfever and rupture, 30"; diseases of, due to ma- ternal ideas, 25, 169, 171; danger to, of Eddyism, 25, 26, 37, 169, 171; medical neglect of, 26, 87, 88, (see Peculiar People); exposure of to contagion, 26, 65, 103, 120; not amenable to force of suggestion, 103; inflam- mation of eyes, to be report- ed, 108; severed artery, 64: 104; 113; 168; protection from cruelty, 181, (see Nor- ton). Christ, corner-stone of Mrs. Ed- dy's church, 41; and catnip, 58; less than Christianity, 18. Christianity, larger than its founder, 18. Christian Science, alleged cures due to suggestion, etc., 66, loi; no peculiar efficacy in, 64; basis of Mrs. Eddy's church, 41; causes of suc- cess, 18, 19, 66 ; condemns all other systems, 24; dan- ger of, 23, 29, 37, 177; de- stroys Mrs. Eddy's edu- cation, 42; differs from homeopathy and eclecti- cism, 117; discovery of, 17, 48, 49; "hopelessly origi- nal," 47; inefficacious and sham in surgical cases, 28, 64, loi, 171; only means of cure, 23, 24; originated INDEX. 185 in homeopathic idea, i6, icx>; practice of should not be absolutely forbidden, 34, 115,180; pretences summed up, 166; publicity will de- stroy, 36, 98, 182; suc- cess dependent on fees, 56; therapeutic methods, 21,82, 84, loi; unimportant as a religious or metaphysical theory, 22, 63, loo, 102, (see Manslaughter, Medical Boards, Mrs. Eddy). Christian Scientists, disingenu- ous, of 104 ; liability of for malpractice, 32, 33, 109, 114, 181, (see manslaugh- ter); reports of contagious disease and death by, 86, 108, 120, 181; held to be or not to be practitioners of medicine according to law of the particular jurisdic- tion, 31, 79 seq., (see cita- tions of Smith V. Lane) ; Mrs. Eddy's advice to, 56; their comfortable fortunes, 57; their fees, 56, 83, 84; reasons of their objection to classification with physi- cians, 16. Church, Mrs. Eddy's, 41; civil liability of Christian Scien- tists, (see Christian Scien- tists). Clairvoyance, is medical practice if coupled with material remedies, 81, 85; con- demned by Mrs. Eddy, 23, 47. Cleanliness, discouraged, 20, 24. Clergy, formerly practiced physic and licensed physicians, 149. Clothing, unnecessary to Chris- tian Scientists, 25. *' Coffee,'' Thomsonian remedy, Coggeshall, legislative bill of senator, 180. College, (Mrs. Eddy's), 50 to 57; course of instruction, staff and fees, 51, 52; closed on account of pros- perity, 55; or anti-diploma law, 51; enormous success, 54. College, Royal of Physicians, chartered, 148; by-laws, 157; right to license, 158. Conjugal Rights, Mrs. Eddy's ideas of, 46, 47. Copyright, Mrs, Eddy's zeal for her, 47, 48, 49, t68; in- fringement of declared theft, 48. Constitutionality of health and medical laws, 14, 124. Contagious Diseases, duty to re- port, 31, 33, 86, 108, 120, 181; exposure of children to, 26, 65, 103, 120. Crous, Jno. M., his hydro- phobia cure, 70. Cures, due to faith of mortal mind, 20; scandal, 78"; Mrs. Eddy's book, 47; of hayfever, heart disease and insanity, 30"; " dumpish- ness," 61; dropsy and in- fantile bowel complaint, 27; crushed foot, etc., 28, (see Cancer and Mrs. Eddy's ad- vertising methods). Damages, (see civil liability). Danger of Eddy ism, (see Chris- tian Science). Darwin, comparison of Mrs. Eddy with, 168. Death, certificates of, 86, 108, (see Manslaughter). Deformity, a belief, 22, 186 INDE^. Delilah, leads victims to Cer- berus, 58, Denf s case, 14. Veniistry, a branch of medicine, 138. 139. Diagnosis, physicians err in, 12; immorality of medical, 24; Mrs. Eddy's certain, 16"; by Christian Scientists, 16", loi; Mr. Norton's explana- tion of, 65, 170, (see Dis- cernment); need of, 22. Diet, care in, condemned 16", 20; unscientific, 24. Diphtheria, exposure of children to by Faith curer, 26. Diplomas, poor standards of medical qualification, 128, 141; Mrs. Eddy's scruples as to hers, 51; medical, 139 seq. "Discernment," equivalent of, diagnosis, 16". Discord, the nothingness of error, 23; is discord, 171, (see Norton). Discovery, Mrs. Eddy's Avas "hopelessly original," 47. Disease, (see Norton). Diseases, conscious beliefs of unconscious mind, dream shadows and growths of illusion, 20, 22; feigned and self-limited, 66; non-exist- ent, 21; to be argued with, 21, 22; cured by Mrs. Eddy's book, 21; mortal mind, 100; unintelligent, 21. Disingeniiousiiess, of Christian Scientists, 104. Diss de Bar, the adventuress, 35. Draughts, " harmless to scien- tists," 25. Dreams, Mrs. Eddy's history a record of, 43, 44, 45. Dresser, H. W., Arena article on Mrs. Eddy, 38. Dropsy, cured by Mrs. Eddy, 28. Drowsiness, caused by Mrs. Eddy's book, 3on, 61, Drugs, use of shows lack of faith in God, 24, 58. Druggist, (see Apothecary). Dying, restored to life, 28. E Eating, unnecessary, 29. Eclectics, (see Schools of Medi- cine). Eddy, Asa B., marriage to Mrs. Patterson, 44; first pupil of Mrs. Eddy to display sign of Christian Scientist, 45; death of from poison men- tally administered, 45". Eddy, Ebenezer J. Foster, 52. Eddy, Mrs. Mary Baker Glover Patterson, autobiography, 37; advertising methods, 27, 28, 36, 6on, 61, 62; admitted to church, 41; advises disciples to charge fees, etc., 56; admits that her disciples are not fit to treat surgical cases, 28, 64, 172; boastfulness, 17, 18, 19,48, 49. 5O' 57 '• certainty of diagnosis, i6n, 99; child- hood early studies, 40, 41, 42, 99; compared with Cagliostro, 67; with Lydia Pinkham, 60; danger of her teachings, 37; disparage- ment and denunciation of P. P. Ouimby and all sys- tems of treating the sick, 23, 24, 38, 47; disdain of Lindley Murray, 43; dis- courages all study except of her book and the Bible, IKDEX. 187 25, 54; Defines infringe- ment of her copyright as "theft," 48; experiments on herself with poisons, 45"; forgets all she ever learned from books, 42; first person to interpret the scriptures, 48, 49; gains in substance, 50; forgets her grammar, 42, 43, 60; high potency homeopath, 16, 20, IGO; " hopelessly original," 47; hears mystic voices, 40; humorous sense, 38; "in- telligent ease" in facing about, 39, 40; ignorance, 42, 99; incoherence, 19; mar- riage, her views of, 46; un- necessary to procreation, 46, 47; to Col. Glover, 42; to Mr. Eddy, 44; to Dr. Patterson, 43; her mar- riages were dreams and shadows that declined, 44; mathematical logic of her teaching, 40; her methods, 21, 29, 82, 84, loi; "mother," her title of, 40; more than mortal, 40, 49; her poetry, 18, 36, 43, 59; her weird rhetoric, 58, 59; her spiritual grace of divine origin, 39; scriptures read through belief in eyesight, 57 ; summary of her system, 100, 104; shadow not grow- ing less, 50; separation of years from her child, 43; unselfishness in accepting large fees divinely sug- gested, 52, 53; teaches that prayer to personal God is injurious, 27; vagueness of thought and vulgarity of expression, 18, 19, 58; vin- dictiveness toward P. P. Quimby, 24, 38, (see Agnosticism, Certificates, Christian Science, College, Pantheism). Education, Mrs. Eddy's, lost upon discovery of Chris- tian Science, 42; unneces- sary, harmful and distaste- ful' to "Scientists," 54, 116; purpose of medical laws to ensure, 115, 175; (see medical laws and legis- lation) in England prior to apothecaries act, 156, (see Medical Education; Health, and Anatomy, Study). Electricity, administration of as a remedial agent is practice of medicine, 81. EryximachuSy cure of hic- coughs, medical theory of harmony, 23. Exami7iations, (see Medical Boards, etc.). Exercise, disapproved, 20, 24, 47; does not increase mus- cular power, 24. Experience, medical treatment should accord with, 13, 73. Eyes, reading not done by, 57. Faith, affects bodily con- dition, 12, 20. Faith Cure, ridiculed and con- demned by Mrs. Eddy, 38, 47. Fear, affects body, 12. Fees, of Christian Scientists, 56, 81, 83, 113; aid cure of the sick, 55; for Mrs. Eddy's tuition divinely in- spired, 52, 53; and un- selfishly accepted, 43; as element of medical prac- tice, no. Felo7iy, intent as element of, 'j^^ 188 INDEX. 'J'], (see Manslaughter and Suicide). Fever, Mrs. Eddy's, 41; Col. Glover's death from in- sidious disease yellow fever, 43- Fishbone, in child's throat as test of •• Science," 65, (see Norton). Flannel, less protection than mind, 25. Food, not necessary to support life, 29; depriving a child of, criminal, 29. Fractures, cured by Mrs. Eddy, but to be avoided by her disciples, 28. Forgetfulness, Mrs. Eddy's, after discovering her ' • Science," 42. Frederic, Harold, case of, 33, 69. G Galileo, 12, 13. Garrison, Wm. Lloyd, 178. Gehazi, Christian Scientist, compared to, 84. Glover, Col. Geo. W., first hus- band of Mrs. Eddy, 42, 43. Godliness, mystery of unlocked, by Mrs. Eddy, 48; no mor- tal could have unlocked it, 49. Gnosticism, confused with ag- nosticism, 42. Grammar, Mrs. Eddy's weak- ness in English, 42, 43, 60. Grocers, of same guild with apothecaries, 146. H Hahnemannism, decadence of. 94, 176; differentiated from Christian Science, 176; high potency theory starting- point of Mrs. Eddy, 16, 100; properly ridiculed, 179. Hale, Lord, (see Manslaughter). Halford, Sir Henry, on apoth- ecaries act, 132. Harmony, Aristophanes and Eryximachus discuss, the somethingness of Truth, substitute for physiology, 23. Healing sick. Christian Science has no distinct efficacy in, 64. Health, treatises on cause sick- ness, 25, 47, 172; is Mind, 100. Health Laws, purpose of, 14, (see Constitutionahty, Leg- islation, Medical Laws). History, useless except to illus- trate truth, 46. Holmes, Dr. Oliver Wendell, on Berkeley, 13; Judge Oliver Wendell, (see Manslaugh- ter). Hoineopathy, (see Hahneman- nism, Medical Schools);Mrs. Eddy's starting-point, 16, 20, 100; denounced by Mrs. Eddy, 23; agrees with other medical systems in accept- ing the teachings of general science and reality of sick- ness, 176. Homeopathists, aid passage of N. Y. Medical Law, 95, 143; not to be classed with Christian Scientists, 117; dissensions among, 94, (see Schools of Medicine). Homicide, (see Manslaughter); compared with quack prac- tices, 125. Hope, aftects body, 12. " Hopeless originality," of Mrs. Eddy's discovery, 47. Hmnor, Mrs. Eddy's, 38. INDEX. 189 Humbug, of Christian Science, 65, loi, 172. Hunger, a mental impression, 29. Hutitoon, Mehitable, hears mys- tic voices call Mary Baker, 40. Hydrophobia, Crous's cure for, 70. Hygiene, denounced by Mrs. Eddy, i6n, 20, 24, 47. Ignorance, Mrs. Eddy's, exam- ples of, 18, 42, 43, 48, 59, 60, 99. Illinois, Medical Laws of, 82"^ 134. 142. Immortality, already here, 29. Incoherence, of Mrs. Eddy's writings, 19". Infants, folly of bathing, 24. Insanity, no defence of Christian Science, 32. Iowa, (see Manslaughter). Irish, happiness of emigrants in filth, 24. James, Professor, 178, 179. Jenkins, case of, 148. Jenner, 12, 13. Jesus, (see Christ). Keithley's case, 74. Kerosene, malpractice by use of, j6. Kershaw's case, 69, (see Man- slaughter). Law, affects practices, not the- ories and religious beliefs, 30, 34, 86, 96, (see Legisla- tion and Medical Laws). Laws, regulating medical prac- tice, reports of contagious diseases, etc., in New York, 106. Legislation, Bentham on, 128; favorable to Christian Sci- ence, 33, 178 to 181; neces- sarily imperfect, 128; need of to control "Scientists" doubtful, 33, 90, 114, 180; not confined to exact sci- ences, 180; obstacles to medical, 137; purpose, scope and limits of, (see Law and Medical Laws). Liberty, Religious, (see Reli- gion). Liability, of Christian Scien- tists, (see. Penalties, Man- slaughter, Christian Scien- tists). License, to practice medicine, (see Medical Laws). Lobelia inflata, Thomsonian remedy, 72. Long, St. John, quack convicted of manslaughter, 31; ladies of rank testify to his cures, 88. Lovett, Ezra, death from Thom- sonian treatment, 71, 72. Lunatic, anecdote of Bishop and, 63. M Malpractice, in medicine lia- bility for, 30, 109, III, 181, (see Manslaughter). Manslaughter, American rule, 73; by Baunscheidtismus, 75; constructive, by un- licensed medical practi- tioner, 31, 72. 74, ']'j\ cases of Keithley and Rice, 74 ; 190 INDEX. of Lovett and Thomson, 71, 72; Bemis and Pierce, 76; by recklessness, 32,72, 77, 114, 125; by substitut- ing negations of Christian Science for right practice, 32, 78, 114, 120, 166, 171, 181; duty to deceased ele- ment of, 31, 33, 109, 112; Enghsh rule, 33. Hale, opinion of Lord, 72, 'j']\ Holmes, opinion of judge, 73 to 78; intent to cure consistent with criminality, 73' ll'y by negligence, 32; offence against state gov- erned by different rule from that of civil liability, 112; victim's willingness to die, no' defence, 126, (see Sui- cide). Marshrosemary, "coffee " of the Thomsonians, 72. Marriage, Mrs. Eddy's to Col. Glover a dream, 43, 44; to Dr. Patterson a shadow that declined, 44; to Mr. Eddy a blessed spiritual union, 44; unnecessary for procreation, 47; celibacy preferable, 46; convenient, pleasant or a love affair, 46, (see Mrs. Eddy and Conjugal Rights). Martyrdom, cheap, a boon to the Scientists, 34, 182. Massachusetts Metaphysical college, (see College). Material History, only a dream, 44. Matter, non-existent, another name for mortal mind, 21. Matteran, Q. C, on apothe- caries act, 161. Matthias, imposture and indict- ment of, 34, 35. Medical Boards of Examiners, in New York, 14, 15, 135, 144" '. do not demand uni- formity in practice, 14, 15; suggested for Christian Science, 16, 116, 117; why not for Catholics and Prot- estants, etc., 121. Medical Education, (see Edu- cation, Study, Diplomas). Medical Laws, approval of by courts, 14, 124; argument against, 13; do not pre- scribe one system of prac- tice, 14, 15, 136, 140; en- forcment of, 86, 114, 129, 130, 142, 162; petition for repeal of, N. Y., 89; pur- pose and scope of, 89, 114, 123 seq., 134, 137.144. 175; widened by defining medi- cal practice will include Christian Scientists, 121; obstacles to enacting, 137. Medical Practice, (see Practice of Medicine). Medical Schools, (see Schools of Medicine). Medical Societies, function of, 133- Medical Study, impairs natural gifts of healers, 89; prereq- uisite to license, 15, 85; Mrs. Eddy's denunciation of, 25, 54; legal regulation of, 140, (see Education, Study). Medical Systems, (see Schools of Medicine). Medical Text-Books, cause dis- ease, 25. Medicine, administered by sci- entists, 16"; practice of, (see Practice); not an exact science, 12, 119; right ot physicians to dispense, dis- puted, 147, 148; use of ■■ INDEX. 191 condemned by Mrs. Eddy, (see Drugs). •' Mediumship," denounced by Mrs. Eddy, 23. Mental stimulus, affects body, 12. Mesmerism, denounced by Mrs. Eddy, 23. Midwifery, a branch of medi- cine, 139. Mind, (see Mortal Mind); regu- lates your childs stomach, 25. Mind cure, denounced by Mrs. Eddy, 23, 47. Misdemeanor, unlicensed prac- tice of medicine may be in U. S., 36; is in New York, 106; is not in England, 31; practice of Christian Sci- ence is not in N. Y., but is in Nebraska, 106. Missouri, (see Practice of Medi- cine). Mormon cases, 64, 86, 87. Mortal Mind, does not exist, 29; another name for mat- ter, 21; is disease, 100. " Mother," title of Mrs. Eddy, 40. Mothers, cause diseases of chil- dren by their thoughts, 25, 169, 171. Mother's Darling, and Evening Prayer, poems of Mrs. Eddy, 43, 60. Movement cure, denounced, 23. 47- Murder, malpractice may be, 31, 78, 120. Murray, Lindley, grammar of, 42, 43, (see Grammar). N Nebraska, medical practice in by " Scientists," 82, Negligence t (see Manslaughter). New York, Boards of medical examiners, 14, 15, 133, 144"; legislature of, buys hydrophobia cure, 70; practice of medicine in, 31, 72, 82, (see Citations of Smith V. Lane). Nexus, importance of the, 46. Norton, Mr. Carrol, eulogy of Mrs. Eddy, 39; defines disease as disease, pain as pain, etc., 171; idea of diagnosis, 65, 171; lack of faith in his own teachings, 64; lecture in Metropoli- tan Opera House, 64, 165; offers medical proof of cer- tain cures, 167; scouts idea that a child's malady is in the maternal mind, 169; "shelves" test questions, 104, 113, 168, 169, 171; suggests comparison of Eddyism with philosophy of Darwin and Spencer, 168. Ohio, practice of medicine in, 82. Onnonde, Marchioness of testi- fies for St. John Long, 89. Osteopathy, 81. Pain, a belief without adequate cause, 2t; is pain, 171. Paijtd, Dr. H. M., reference to Mrs. Eddy's homeopathy, 2on. Pantheism, Mrs. Eddy's under- standing of, 42. Patterson, Dr., Mrs. Eddy's second husband, 43, 44. 192 INDEX. "Peculiar People," deaths of children under their neg- lect, 87, 88. Penalties, amenability of "Scien- tists " malpracticing, etc., to, 31, 33, 109, 114, 181, (see Misdemeanor, and Practice of Medicine). Petition, for repeal of N, Y. Medical Law, 89. Pharmacy, a branch of medi- cine, 138, 139. Physical sejise, is error and shadow, 50, Physic, less exact than surgery, 136. Physician, dispensing of drugs by, 147 to 150; duty to ex- amine theories candidly without prejudice, 96, 137; may follow any system, 15; hability for malpractice, 31, 33, 109, III, (see Man- slaughter); not infallible, 12, 13, 119; should not be consulted by Christian Scientists, 23; Physiology, anti-Christian, 23; a cause of disease, 172; should be replaced by har- mony, 23. Pinkhain, Lydia, Mrs. Eddy compared to, 60. Placenta pravia, 67. Poetry, Mrs. Eddy's 18", 36,43, 59- Poison, mental administration of to Mr. Eddy, Mrs. Eddy's immunity to, Cagliostro's offer to swallow, 45. Police power, medical practice regulated under, 14. Policy of enacting laws against Christian Science, 90. Pop ham, Sir John, on medical practice of apothecary, 149. Practice of Medicine, by apothecaries, 132, 148, 151, 155; defined in Eng- land, 160; in general, 106, 108; Illinois, 82n; Indiana, 80; Maine, Michigan and Missouri, 81; Nebraska, 82; New York, 79; Ohio, 82, 107; Rhode Island, 84, 107; Wisconsin, 81; Mrs. Eddy's opinion of, 23. Prayer, to a personal God is in- jurious in science, 27. Predestination, rejected by Mrs. Eddy in childhood, 41. Prevention of Medical aid, (see Manslaughter). Prophylaxis, of Christian Sci- ence, 25. Public Health Laws, (see Med- ical Laws) in New York, 106, 108. Publicity, will destroy Christian Science, 36, 98, 121, 182. Puffendorf, cites Cadis' judg- ment, 25, no. Quacks, their argument against Medical Laws, 13; com- pared with homicides, 125; pretences to peculiar gifts, 85. Quackery, (see Charlatan); not forbidden by law, in; in- crease of, in England, after Rose's case, 132. Quarles, on the good fortune of physicians, 102. Quimby, P. P., disparaged by his former patient, Mrs. Eddy, 24, 38. Ram-cats, Thomsonian edy, 71. rem- INDEX. 193 Readi7ig, by belief in eyesight, Recklessness, in treating the sick, (see Manslaughter, Malpractice.Civil Liability); of " Scientists," 30". Registration, of physicians, 141. Religion, not to be used to cloak crime, lust and greed, opin- ion of U. S. Supreme Court, 30, 86, 87; of Nebraska Court, 84; Mrs. Eddy's, unimportant apart from its dangerous practices, 22, 63, 100, 102; not a test of med- ical skill, 13, 121; not as- sailed by preventing the ig- norant from treating the sick, 63. Retrospection ajid Introspection, Mrs. Eddy's autobiography, Z7- Rhetoric, Mrs. Eddy's wonder- ful, 58. Rhymes, Mrs. Eddy's, (see Poetry). Rubbing, denounced, 24. s Scandal Cure, 78". Science and Health with Key to the Scriptures, deeply dip- ping into last edition quali- fies to cure disease, 52; only text-book except Bible, 54; drowsiness and vomit- ing caused by reading, 30", 61. Science of Man, Mrs. Eddy's first book, cures from read- ing it, copyright infringed, 47. «• Schools " of Medicine, disap- pearance of differences with growth of exact knowledge, 144; equality before the law, 134; differ from Chris- tian Science in accepting results of learning and ex- perience, 117, 136. Scriptures, inadequate prior to Mrs. Eddy's discovery, 48. Scruples, Mrs. Eddy's as to diplomas, 51. Senior, twice convicted of man- slaughter of his children by refusing medical aid, 88". ' Senses, their evidence not to be heeded, 57; error and shadow, 50. Sham, of Christian Science con- fessed by Mrs. Eddy, 28, 65, loi, 172. Sickness is inharmony, 23, (see Disease). Simon, the sorcerer, Christian Scientists compared to, 82. Slander, to say a licensed prac- titioner has killed a patient by malpractice, 74. Smallpox, as a test of Christian Science, 65, 168, (see Norton). Socrates, 12, 13; ridicules pre- sumption of ignorance, 118. Soul, is substance, 50. Spencer, Herbert, comparison of Mrs. Eddy with, 168. itualism, denounced, 23. State Boards, of Medical Ex- aminers, (see Medical Boards); suggested for "Scientists," 16. 116, 117. Strangulation, of child a test of "Science," 65, 168, (see Norton). Study, of medicine causes dis- ease, 25; of general science condemned, 54; of Bible with science and health all sufficient, 54. Substance, is soul, 50. Suggestion, effects "cures" of 194 INDEX. Christian Science, loi, 104; children not subject to, 103; eHminated by Mrs. Eddy, 104. Suicide, a felony to attempt, or aid, or abet, 33, 1 12. Surgeons, once barbers, 149. Surgery, more exact than physic, 136; to be avoided by Christian Scientists, 28. Systems, of medicine, (see Schools). TAR-water, Bishop Berkeley's, Tenement house, children ex- posed to contagion in, 26. Test questions, in Christian Science, (see Norton). Theft, infringement of Mrs. Eddy's copyright declared to be, 48. Therapeutics, no system favored by law, 14, 15, 136; should be based on experience, 112; Mrs. Eddy's system of, 21, 22, 10 Thinkers, their time has come, 15- Thirst, a mental impression, 29. Thomson, Samuel, founder of " Botanic School," 71. Trades-union spirit, not scien- tific, 133, 156. Vagueness, of Eddyism, 19". Vis medicatrix natures, force of, 12, 66. Vomiting, due to reading Science and Health, 30, 61. W Well-my-gristle , Thomsonian remedy, 71. Woodbury, Mrs. J. C, article in Arena, 38. Worms, caused in children by maternal thought, 25. Yellow fever, an ease," 41. insidious dis- BP953 .P98 Christian science : an exposition of Princeton Theological Seminary-Speer Library