resº -≡≡ º№ §§§§§ſae~§§§§§ £& !!!!!ſae£<;:º(',··§§§ ∞∞∞ √∞-~--~§§§∞∞∞ §**************-· �§§§ ∞ſae, §§ §§§§ º X2- #1 3rºW # #TTTTTTTTTº Fº \ iſſº [T] - jº | T1:. | | | rº C- | LIBRARYºº "JEa f ºf : / it tº - *\ tº Nº|| ||. * V …” E. - : a 3- ; : A Nº. 5: . . . "E º w # . * E § # , º, . §: E. §§ ſ º- tº º sº , . . . FE ɺ HE º- -. * \ . . U → Eºº. . . . E #3 Nº # fºr SNA. A lºss º E. Hº - N - || Nº === - a # ÉÉ; Nºsº ºf #AzºëSES:==-&ºsºft º e as - ‘. . . . […] É Enº ºvº.º.º.º. º.º. ººz & Jºº. 7 E E: E QE E: E HE E E -- E- º Ed E ºr #E -- º sº I. - I - E S 3.3 gº- º HE E E ÉÉ HE C-3 º E: E # E E [−. | Hºi H. H † º: r .* I. - ; - T H E GIFT OF Theta Kappa Psi iii. #44/5 ,6:3 // / 51: & ?|× ·ſ {{ſ^~> ae ſ'`\→ · ORGANON OF MEDIC INE BY SAMUEL HAHNEMANN. *-*-*-* Awde Sapere. TRANSLATED FROM THE FIFTH EDITION. BY R. E. DUDGEON, M. D. HAHNEMANN PUBLISHING CO., PUBLISHERS, CHICAGO, 1896. TRANSLATOR'S PREFACE. In this new edition of my translation of the ORGANON I have completely revised the text, in order to make it a still more exact reproduction of the original. In the Appendix I have given all the more important variations of the previous editions. I have also indicated the corresponding views as set forth in the Essay on a New Principle and the Medicine of Eacperience, both of which essays may be regarded as the precursors of the ORGANON. I have added Halinemann's later opinions on several subjects treated of in this work. In the growth of such a complex thing as a new system of medicine, it was inevitable that there should be considerable alterations and improvements effected in the course of forty-eight years, the time occupied by Hahnemann in the elaboration of his novel doctrine and practice. His first idea of the homoeopathic rule of practice occurred to him while translating Cullen's Materia Medica in 1790. The Essay on a New Principle, in which he propounded the homoeopathic therapeutic rule, as yet believed by him to be of only “partial application,” viz. to some chronic diseases, was published in 1796. Nine years after this, viz. in 1805, in the Medicine of Eagerience, he enunciated the rule with no such limitations of its applicability. This essay contains much of what we find in the first and later editions of the ORGANON. The first edition of this latter work appeared in 1810. The second edition, differing very consid- erably from the first, was published in 1819. The third edition, which hardly differed at all from the previous one, appeared in 1824. The fourth edition, which offers some important variations from the text of its immediate predecessor (chiefly determined by the new theory of chronic diseases), IV TRANSLATOR'S PREFACE. bears the date of 1829. The fifth and last edition, published in 1833, contains several novelties, such as the theories of the ‘‘vital force” and “the dynamization of medicines.” In previous editions, Hahnemann had in several places spoken rather slightingly of the vital force and its influence on the production and cure of disease, but these expressions are either eliminated or greatly modified in the last edition, and the ‘‘vital force” occupies quite a different and a much more important position in regard to disease, its cause and cure. The doctrine of dynamization of medicines by the pharmaceuti- cal processes peculiar to homoeopathy, which had only been hinted at in previous editions, is in this edition distinctly stated. The directions as to the repetition of the dose are also different from those in previous editions. These two last-named points are still further modified in Hahnemann's later work on Chronic Diseases (1838), as will be seen by the quotations I have made from that work. Thus while the body of this work contains the ORGANON precisely as it appears in the last edition, the Appendix gives a detailed history of the origin, growth and progress of the homoeopathic system of medicine in the mind of its author. I have not presumed to criticise the views or statements of the author. His denunciations of the practice of the old school, though quite deserved when he wrote, are not applicable to the present condition of allopathic medicine. It is beyond all question that it was mainly owing to the treatment and practice of Hahnemann and his disciples that the disastrous methods in vogue for centuries previous to and far into his time have been abandoned. It remains, however, doubtful if the allopathic methods of the present day have any greater claim to scientific character or success than those they have superseded. Were Hahnemann alive now we can easily imagine how he would have inveighed against the old school-medicine of the present day. The tonic, stimulant, anti-pyretic and nar- cotic practice of modern medicine is as far removed from the scientific simplicity of homoeopathy as were the venesections, blisters, cauteries, purgatives and mercurializations against which Hahnemann waged successful war. Hahnemann's vig- orous protest against the dominant medicine of his day is TRANSLATOR'S PREFACE. V useful as showing the negative good effects of homoeopathy, for almost all the irrational practices he denounced have been abandoned; it remains for his followers to exhibit its positive effects in the victory of rational and scientific medicine. I am indebted to Dr. Richard Hughes for several emenda- tions of my first translation, whereby the author's meaning has been rendered more exact and clearer; also for some rectifications of Hahnemann's quotations and for the idea of a comparative table or concordance of the aphorisms in the several editions, which he gave in the British Journal of Homoeopathy, vol. xxxix. The references in the text to the notes in the Appendix are indicated by the sign “(a),” and some needful explanatory notes are enclosed in square brackets, or divided from the text by a line. The latter are confined to the quotations in the Appendix. R. E. DUDGEON. LONDON, March. 1893. PREFACE TO THE FIRST EDITION. According to the testimony of all ages, no occupation is more unanimously declared to be a conjectural art than medi- cine; consequently none has less right to refuse a searching enquiry as to whether it is well founded than it, on which man's health, his most precious possession on earth, depends. I consider that it redounds to my honor that I am the only one in recent times who has subjected it to a serious, honest investigation, and has communicated to the world the results of his convictions in writings published, some with, some without my name. In this investigation I found the way to the truth, but I had to tread it alone, very far from the common highway of medical routine. The farther I advanced from truth to truth, the more my conclusions (none of which I accepted unless confirmed by experience) led me away from the old edifice, which, being built up of opinions, was only maintained by opinions. The results of my convictions are set forth in this book. It remains to be seen whether physicians, who mean to act honestly by their conscience and by their fellow-creatures, will continue to stick to the pernicious tissue of conjectures and caprice, or can open their eyes to the salutary truth. I must warn the reader that indolence, love of ease and obstinacy preclude effective service at the altar of truth, and only freedom from prejudice and untiring zeal qualify for the most sacred of all human occupations, the practice of the true system of medicine. The physician who enters on his work in this spirit becomes directly assimilated to the Divine Creator of the world, whose human creatures he helps to preserve, and whose approval renders him thrice blessed. PREFACE TO THE SECOND EDITION. Physicians are my brethren; I have nothing against them personally. The medical art is my subject. I have to enquire whether medicine as hitherto taught has, in all its parts, been merely developed out of the heads, the self-deception and the caprice of its professors, or whether it has been derived from nature. If it be merely a product of speculative subtlety, arbitrary maxims, traditional practices and capricious deductions drawn from ambiguous premises, it is and remains a nullity, though it may reckon its age by thousands of years, and be decorated with the charters of all the kings and emperors of the earth. The true healing art is in its nature a pure science of exper- ience, and can and must rest on clear facts and on the sensible phenomena pertaining to their sphere of action, for all the subjects it has to deal with are clearly and satisfactorily cog- nizable by the senses through experience. Knowledge of the disease to be treated, knowledge of the effects of the medicines, and how the ascertained effects of the medicines are to be em ployed for the removal of diseases, all this, experience alone teaches adequately. Its subjects can only be derived from pure experiences and observations, and it dares not take a single step out of the sphere of pure well-observed experience and experiment, if it would avoid becoming a nullity, a farce. But that the whole art of medicine as hitherto practiced, though it has been, for want of something better, practiced for these 2500 years by millions of physicians, many of whom were earnest high-minded men, is yet, in every respect an ex- tremely stupid, useless and thoroughly null affair, is proved by the following few incontrovertible considerations. Unaided reason can know nothing of itself (a priori), can Wiii IPREFACE TO THE SECOND EDITION. evolve out of itself alone no conception of the nature of things, of cause and effect; every one of its conclusions about the actual must always be based on sensible perceptions, facts and experiences if it would elicit the truth. If in its operations it should deviate by a single step from the guidance of percep- tion, it would lose itself in the illimitable region of phantasy and of arbitrary speculation, the mother of pernicious illusion and of absolute nullity. In the pure sciences of experience, in physics, chemistry and medicine, merely speculative reason can consequently have no voice; there, when it acts alone, it degenerates into empty Speculation and phantasy, and produces only hazardous hypo- theses, which in millions of instances are, and by their verv nature must be, self-deception and falsehood. Such has hitherto been the splendid juggling of so-called theoretical medicine, in which a priori conceptions and specu- lative subtleties raised a number of proud schools, which only showed what each of their founders had dreamed about things which could not be known, and which were of no use for the cure of diseases. Out of these sublime systems, soaring far beyond all exper- ience, medical practice could obtain nothing available for actual treatment. So it pursued its course confidently at the patient's bedside in accord with the traditional prescriptions of its books telling how physicians had hitherto treated, and in conformity with the methods of its practical authorities, un- concerned, like them, about the teachings of nature-guided experience, unconcerned about the true reasons for its treat- ment, and quite content with the key to easy practice—the prescription book. sº A healthy, unprejudiced, conscientious examination of this confused business shows plainly that what has hitherto gone by the name of “the art of medicine” was merely a pseudo- scientific fabrication, remodelled from time to time to meet the prevailing fashion in medical systems, like Gellert's hat in the fable, but, as regards the treatment of disease, ever the same blind, pernicious method. A healing art conformable to nature and experience did not exist. Everything in traditional medicine was the outcome of PREFACE TO THE SECOND EDITION. ix art and imagination, having no foundation in experience, but pranked out in the habiliaments of probability. The object of cure (the disease) was manufactured to order by pathology. It was arbitrarily settled what diseases, how many and what forms and kinds there should be. Just think! The whole range of diseases, produced in innumerable and always unforeseeable variety by infinite Nature in human beings exposed to thousands of different conditions, the pathologist cuts down so ruthlessly that a mere handful of cut and dry forms is the result! The wiseacres defined diseases a priori, and attributed to them transcendental substrata not warranted by experience (how could plain pure experience ever sanction such fantastic dreams?); no! they pretended to possess an insight into the inner nature of things and the invisible vital processes, which no mortal can have. Now, in order to decide on something positive with regard to the instruments of cure, the powers of the different medi- cines in the materia medica were inferred from their physical, chemical and other irrelevant qualities, also from their odor, taste and external aspect, but chiefly from impure experiences at the sick bed, where, in the tumult of the morbid symptoms, only mixtures of medicines were prescribed for imperfectly described cases of disease. Just think! the dynamic spiritual power of altering man's health hidden in the invisible interior of medicines, and never manifested purely and truly in any other way than by their effects on the healthy human body, was arbitrarily ascribed to them, without interrogating the medicines themselves in this only admissible way of pure ea:peri- ment, and listening to their response when so questioned! Then therapeutics taught how to apply the medicines, whose qualities had been thus inferred, ascribed or imagined, to the supposed fundamental cause or to single symptoms of disease, in conformity with the rule contraria contrariis of the hypo- thesis-framer Galen, and in direct opposition to nature; and this doctrine was held to be more than sufficiently established if eminent authorities could be adduced in support of it. All these unnatural human doctrines, after being connected together by all sorts of illogical false deductions, were then X PREFACE TO THE SECOND EDITION. welded into scholastic forms by the noble art that devotes itself to division, subdivision and tabulation, and lo! the manufactured article, the art of medicine, was ready for use,_ a thing the most opposed to nature and experience it is possi ble to conceive, a structure built up entirely of the opinions of various kinds furnished by thousands of differently constituted minds. In all its parts this edifice is a pure nullity, a pitiable self-deception, eminently fitted to imperil human life by its methods of treatment, blindly counter to the end proposed, incessantly ridiculed by the wisest men of all ages, and labor- ing under the curse of not being what it professes to be, and not being able to perform what it promises. Sober, unprejudiced reflection, on the other hand, can easily convince us that to hold correct views about every case of disease we have to cure, to obtain an accurate knowledge of the true powers of medicines, to employ them on a plan adapted to each morbid condition and to administer them in proper dose, -in a word, the complete true healing art, can never be the work of self-satisfied ratiocination and illusory opinions, but that the requisites for this, the materials as well as the rules for its exercise, are only to be discovered by due attention to nature by means of our senses, by careful honest observations and by experiments conducted with all possible purity, and in no other way; and, rejecting every falsifying admixture of arbitrary dicta, must be faithfully sought in this the only way commensurate to the high value of precious human life. It remains to be seen if by my conscientious labors in this way the true healing art has been found. DR. SAMUEL HAHNEMANN. LEIPZIG, end of the year 1818. PREFACE TO THE THIRD EDITION. In the five years since the publication of the Second Edition, the truth of the homoeopathic healing art has found so much acceptance from physicians far and near, that it can no longer be obscured, still less extinguished, by abusive writings, of which, however, there is no lack. I rejoice at the benefit it has already conferred on humanity, and look forward with intense pleasure to the not distant time when, though I shall be no longer here below, a future generation of mankind will do justice to this gift of a gracious God, and will thankfully avail themselves of the blessed means He has provided for the alleviation of their bodily and mental sufferings. A great help to the spread of the good cause in foreign lands is won by the good French translation of the last edition, recently brought out at great sacrifice, by that genuine philan- thropist, my learned friend, Baron von Brunnow.” He has enriched it with a preface which gives an exposition of the homoeopathic healing art and its history, and at the same time serves as an introduction to the study of the work itself. In this third edition I have not refrained from making any alterations and emendations suggested by increased knowledge and necessitated by further experience. S. H. KöTHEN ; Easter, 1824. * Orgamon de l'art guérir; traduit de l'original allemand du Dr. Samuel Hahne- mann, Conseiller de Son Altesse Sérénissime le Duc d’Anhalt-Köthen, par Erneste George de Brunnow; a Dresde, chez Arnold, libraire-éditeur, 1824. PREFACE TO THE FOURTH EDITION. Were that nature whose self-help in diseases is believed by physicians of the traditional School to be the incomparable healing art, a close imitation of which should be the physician's highest aim, great Nature herself, i. e. the voice in ineffable wisdom of the great Artificer of the infinite universe, we should then feel constrained to be guided by this infallible voice, though we might be puzzled to understand why we physicians should, with our artificial interference by medicines, disturb or injuriously aggravate these presumably incomparable opera- tions of nature's self-help in diseases (vis medicatria); but this is far from being the case! That nature, whose self-help was alleged by the traditional school of medicine to be the incom- parable healing art and the only thing worth imitating, is merely the individual nature of the organic man, is nothing but the instinctive, irrational, unreasoning vital force subject to the organic laws of our body, which is ordained by the Creator to maintain the functions and sensations of the organism in marvellously perfect condition so long as the man continues in good health, but was not intended nor adapted for the restoration in the best manner of deranged or lost health. For should our vital force have its integrity impaired by injurious influences from without, then this force strives instinctively and automatically to free itself from the adventi- tious derangement (disease) by revolutionary processes; but these very efforts are themselves disease; they are a second different malady substituted for the original one. The vital force, I say, produces, in accordance with the laws of the constitution of the organism to which it is a subject, a disease of a different sort, intended to expel the disease by which it was attacked, which it strives to accomplish by pain, metas- PREFACE TO THE FOURTH EDITION. xiii tases and so forth, but mainly by evacuations and the sacrifice of much of the fluid and solid constituents of the body, with difficult, often dubious, injurious, frequently even disastrous results. Were it not that men in all ages were aware of this imper- fection, and the not infrequent inadequacy of these blind efforts of the instinctive unreasoning vital force in its attempts at self-help in diseases, they would not have longed so much nor so zealously striven to assist the suffering vital force, so pow- erless to help itself efficiently, by the employment of better remedial means in order to terminate the morbid process in a more speedy and sure manner, thereby restoring the wished-for health as speedily as possible, –in a word, they would not have exerted themselves to discover a healing art. But as what has hitherto been termed “healing art” was a mere (imperfect) imitation of those unhelpful, useless, not in- frequently injurious efforts and operations of the instinctive, unreasoning vital force (misnamed nature) when left to itself in disease, it will, I think, be conceded that before me the true healing art was not discovered. But that homoeopathy is this healing art, which had hitherto been sought for in vain, its fundamental principles teach, its performances prove. SAMUEL HAHNEMANN. KöTHEN, January, 1829. PREFACE TO THE FIFTH EDITION. In order to give a general notion of the treatment of diseases pursued by the old school of medicine (allopathy), I may ob- serve that it presupposes the existence sometimes of excess of blood (plethora—which is never present), sometimes of morbid matters and acridities; hence it taps off the life's blood and exerts itself either to clear away the imaginary disease-matter or to conduct it elsewhere (by emetics, purgatives, sialogogues, diaphoretics, diuretics, drawing plasters, setons, issues, &c.), in the vain belief that the disease will thereby be weakened and materially eradicated; in place of which, the patient's suf- ferings are thereby increased, and by such and other painful appliances the forces and nutritious juices indispensable to the curative process are abstracted from the organism. It assails the body with large doses of powerful medicines, often re- peated in rapid succession for a long time, whose long-enduring, not infrequently frightful effects, it knows not, and which it, purposely, it would almost seem, makes unrecognizable by its commingling of several such unknown substances in one pre- scription, and by their long-continued employment it develops in the body new and often ineradicable medicinal diseases. Whenever it can, too, it employs, in order to keep in favor with its patient," remedies that immediately suppress and hide the morbid symptoms by opposition (contraria contrariis) for a short time (palliatives), but that leave the disposition to these symptoms (the disease itself) strengthened and aggravated. It considers affections on the exterior of the body as purely local and existing there independently, and vainly supposes that it. 1 For the same object the experienced allopath delights to invent a fixed name, by preference a Greek one, for the malady, in order to make the patient believe that he has long known this disease as an old acquaintance, and hence is the fittest person to cure it. PRIEFACE TO THE FIFTH EDITION. XV has cured them when it has driven them away by means of external remedies, so that the internal affection is thereby compelled to break out on a nobler and more important part. When it knows not what else to do for the disease which will not yield or which grows worse, the old school of medicine undertakes to change it into something else, it knows not what, by means of an alterative, –for example, by the life-under- mining calomel, corrosive sublimate and other mercurial pre- parations in large doses. To render, (through ignorance) if not fatal, at all events incurable, the vast majority (1%) of all diseases, namely, those of a chronic character, by continually weakening and tormenting the debilitated patient, already suffering without that from his disease, and by adding new destructive drug diseases, this clearly seems to be the unhallowed main business of the old school of medicine (allopathy)—and a very easy business it is when once one has become an adept in this pernicious practice, and is sufficiently insensible to the stings of conscience! And yet for all these mischievous operations the ordinary physician of the old school can assign his reasons, which, however, rest only on foregone conclusions of his books and teachers, and on the authority of this or that distinguished physician of the old school. Even the most opposite and the most senseless modes of treatment find there their defence, their authority—let their disastrous effects speak ever so loudly against them. It is only under the old physician who has been at last gradually convinced, after many years of misdeeds, of the mischievous nature of his so-called art, and who no longer treats even the severest diseases with anything stronger than plantain water mixed with strawberry syrup (i. e. with nothing), that the smallest number are injured and die. This non-healing art, which for many centuries has been firmly established in full possession of the power to dispose of the life and death of patients according to its own good will and pleasure, and in that period has shortened the lives of ten times as many human beings as the most destructive wars, and rendered many millions of patients more diseased and wretched than they were originally—this allopathy, I shall first expose XVI PREFACE TO THE FIFTH EDITION. somewhat more minutely before teaching in detail its exact opposite, the newly discovered true healing art. As regards the latter (homoeopathy) it is quite otherwise. It can easily convince every reflecting person that the diseases of man are not caused by any substance, any acridity, that is to say, any disease-matter, but that they are solely spirit-like (dynamic) derangements of the spirit-like power (the vital force) that animates the human body. Homoeopathy knows that a cure can only take place by the reaction of the vital force against the rightly chosen remedy that has been ingested, and that the cure will be certain and rapid in proportion to the strength with which the vital force still prevails in the patient. Hence Homoeopathy avoids everything in the slightest degree enfeebling," and as much as possible every excitation of pain, for pain also diminishes the strength, and hence it employs for the cure oNLY those medicines whose effects in altering and deranging (dynamically) the health it knows accurately, and from these it selects one whose pathogenetic power (its medi- cinal disease) is capable of removing the natural disease in question by similarity (similia similibus), and this it administers to the patient in simple form, but in rare and minute doses (so small that, without occasioning pain or weakening, they just suffice to remove the natural malady by means of the reacting energy of the vital force), with this result: that without weak- ening, injuring or torturing him in the very least, the natural disease is extinguished, and the patient, even whilst he is getting better, gains in strength and thus is cured—an appar- ently easy but actually troublesome and difficult business, and one requiring much thought, but which restores the patient without suffering in a short time to perfect health, –and thus it is a salutary and blessed business. Thus homoeopathy is a perfectly simple system of medicine, remaining always fixed in its principles as in its practice, which, like the doctrine whereon it is based, if rightly appre- 1 Homoeopathy sheds not a drop of blood, administers no emetics, purga- tives, laxatives or diaphoretics, drives off no external affection by external means, prescribes no warm baths or medicated clysters, applies no Spanish flies or mustard plasters, no Setons, no issues, excites no ptyalism, burns not with moxa, or red-hot iron to the very bone, and so forth, but gives with its own hand its own preparations of simple uncompounded medicines, which it is accurately acquainted with, never subdues pain by opium, &c. PREFACE TO THE FIFTH EDITION. xvii hended will be found to be so exclusive (and only in that way serviceable), that as the doctrine must be accepted in its purity, So it must be purely practiced, and all backward straying to the pernicious routine of the old school (whose opposite it is, as day to night) is totally inadmissible, otherwise it ceases to deserve the honorable name of homoeopathy. That some misguided physicians who would wish to be con- sidered homoeopathists, engraft some, to them more familiar, allopathic malpractices upon their nominally homoeopathic treatment, is owing to ignorance of the doctrine, laziness, con- tempt for suffering humanity, and ridiculous conceit; and, besides showing unpardonable negligence in searching for the best homoeopathic specific for each case of disease, has often a base love of gain and other sordid motives for its spring—and for its result? that they cannot cure all important and serious diseases (which pure and careful homoeopathy can), and that they send many of their patients to that place whence no one returns, whilst the friends console themselves with the reflec- tion that everything (including every hurtful allopathic pro- cess!) has been done for the departed. SAMUEL HAHNEMANN. RöTHEN, March 28th, 1833. 1 I am therefore sorry that I once gave the advice, Savoring of allopathy. to apply to the back in psoric diseases a resinous plaster to cause itching, and to employ the finest electrical sparks in paralytic affections. For as both these appliances have seldom proved of service, and have furnished the mongrel homoeopathists with an excuse for their allopathic transgres- sions, I am grieved I should ever have proposed them, and I hereby solemnly retract them—for this reason also, that, since then, our homoeopathic system has advanced so near to perfection that they are mow no longer required. CONTENTS," INTRODUCTION. PAGE Review of the therapeutics, allopathy and palliative treat- ment, that have hitherto been practiced in the old school of medicine tº s º tº * - g-º ſº l Non-medical persons have also found the treatment on the prin- ciple of similarity of action to be the only efficacious mode 37 NOTE.—Isopathy º- tº- sº tº ſº * gº 37 Even some physicians of an earlier period suspected that this was the most excellent mode of treatment º - 40 TEXT OF THE ORGANON. tº 42 3 1, 3 2. The sole mission of the physician is to cure rapidly, gently, permanently. NOTE.-Not to construct theoretical systems, nor to attempt to explain phenomena. 4. He must investigate what is to be cured in diseases and know what is curative in the various medicines, in order to be able to adapt the latter to the former, and must also understand how to preserve the health of human beings. . Attention to exciting and fundamental causes and other cir- cumstances, as helps to cure. . For the physician, the disease consists only of the totality of its symptoms. NOTE.—The old school’s futile attempts to discover the essen- tial nature of disease (prima causa). . Whilst paying attention to those circumstances (4 5) the phy- sician needs only to remove the totality of the symptoms in order to cure the disease. NOTE 1.-The cause that manifestly produces and maintains the disease should be removed. - s NOTE 2. —The symptomatic palliative mode of treatment di- rected toward a single symptom is to be rejected. . If all the symptoms be eradicated, the disease is always cured internally also. NOTE.-This is stupidly denied by the old school. . During health a spiritual power (autocracy, vital force) ani- mates the organism and keeps it in harmonious order, XX CONTENTS. Ž 10. Without this animating, spirit-like power the organism is dead. 11. In disease, the vital force only is primarily morbidly de- ranged, and expresses its sufferings (the internal change) by abnormal sensations and functions of the organism. NOTE.-It is unnecessary for the Cure to know how the vital force produces the symptoms. 12. By the disappearance of the totality of the symptoms by the cure, the affection of the vital force, that is to say, the whole internal and external morbid state is also removed. 13. To regard those diseases that are not surgical as a peculiar distinct thing residing in the human frame is an absurdity which has rendered allopathy so pernicious. 14. Everything of a morbid nature that is curable makes itself known to the physician by disease-symptoms. 15. The affection of the diseased vival force and the disease symptoms thereby produced constitute an inseparable whole—they are one and the same. 16. It is only by the spiritual influences of morbific noxae that our spirit-like vital force can become ill; and in like manner, only by the spirit-like (dynamic) operation of medicines that it can be again restored to health. 17. The practitioner, therefore, only needs to take away the totality of the disease signs, and he has removed the entire disease. NOTES 1 and 2.-Illustrative examples. 18. The totality of the symptoms is the only indication, the only guide to the selection of a remedy. 19. The alteration of the state of the health in diseases (the dis- ease symptoms) cannot be cured by the medicines otherwise, than in so far as the latter have the power of also produc- ing alterations in man's health. 20. This power of medicines to alter the state of the health can only be ascertained by their effects on (healthy) persons. 21. The morbid symptoms that medicines produce in healthy in- dividuals are the only thing wherefrom we can learn their disease-curing power. 22. If experience should show that by medicines that possess similar symptoms to the disease the latter would be most certainly and permanently cured, we must select for the cure, medicines with similar symptoms; but should it show that the disease is most certainly and permanently cured by opposite medicinal symptoms, we must choose for the cure medicines with opposite symptoms. NOTE.-The employment of medicines whose symptoms have no actual (pathologizal) relation to the symptoms of the disease, but which act on the body in a different manner, is the allopathic method, which is to be rejected. CONTENTS. xxi ź 23. By opposite medicinal symptoms (antipathic treatment) persist- ing disease-symptoms are not cured. 24, 25. The other remaining method of treatment, the homoeo- pathic, by means of medicines with similar symptoms, is the only one that experience shows to be always salutary. 26. This is dependent on the therapeutic law of nature that a weaker dynamic affection in the living organism is per- manently extinguished by one that is very similar to and stronger than it, only differing from it in kind. NOTE.-This applies both to physical affections and moral mala- dies. 27. The curative power of medicines, therefore, depends on the symptoms they have similar to the disease. 28, 29. Attempt to explain this therapeutic law of nature. NOTE.-Illustration of it. 30—33. The human body is much more disposed to let its state of health be altered by medicinal forces than by natural disease. 34, 35. The correctness of the homoeopathic therapeutic law is shown in the want of success attending every unhomoeo- pathic treatment of a long-standing disease, and in this also, that two natural diseases meeting together in the body, if they be dissimilar to each other, do not remove or cure one another. 36. I. The older disease existing in the body, if it be equally strong or stronger, keeps away from the patient a new dis- similar disease. 37. Thus, under unhomoeopathic treatment that is not violent, chronic diseases remain as they were. 38. II. Or a new, stronger disease, attacking an individual al- ready ill, suppresses only, as long as it lasts, the old dis- ease that is dissimilar to it, already present in the body, but never removes it. 39. It is just in this way that violent treatment with allopathic drugs does not cure a chronic disease, but suppresses it only as long as the action of the powerful medicines, which are unable to excite any symptoms similar to the disease, lasts; after that, the chronic disease makes its appearance as bad or worse than before. 40. III. Or the new disease, after having long acted on the body, joins the old one that is dissimilar to it, and thence arises a double (complex) disease: neither of these two dissimilar diseases removes the other. 41. Much more frequently than in the course of nature, an arti- ficial disease caused by the long-continued employment of powerful, inappropriate (allopathic) medicine in ordinary practice, associates itself with the old natural disease, xxii CONTENTS. which is dissimilar to (and therefore not curable by) the for- mer, and the chronic patient now becomes doubly diseased. & 42. These diseases that thus complicate one another take, on ac- count of their dissimilarity, each the place in the organism suited for it. 43, 44. But quite otherwise is it on the accession of a stronger disease to a pre-existing One similar to it; in that case the latter will be removed and cured by the former. 45. Explanation of this phenomenon. 46. Instances of chronic diseases being cured by the accidental accession of another similar but stronger disease. 47–49. In cases where diseases come together in the course of nature, it is only one that displays similar symptoms that can remove and bure the other, a dissimilar disease can never do this; this should teach the physician what kind of medicines he can certainly cure with, namely, with ho- moeopathic ones alone. 50. Nature has but few diseases to send to the homoeopathic re- lief of other diseases, and these its remedial agents are ac- companied by many inconveniences. - 51. On the other hand, the physician has innumerable remedial agents, possessing great advantages Over those. 52. From what takes place in nature, the physician may learn never to treat diseases with other than homoeopathically selected medicines, whereby he will be able to cure them, which he never could do with heterogeneous (allopathic) remedies, that never cure, but only injure the patient. 53, 54. There are but three possible modes of employing medi- cines against diseases: 1. The homoeopathic, which alone is efficacious. 55. 2. The allopathic, or heteropathic; 56. 3. The antipathic (enantiopathic), or palliative. NOTE.-Remarks on isopathy, as it is termed. 57. The method of treatment in which a remedy which displays an opposite action (contraria contrariis) is prescribed for a single symptom of the disease. Examples. 58. This antipathic procedure is not defective merely because it is directed against a single symptom of the disease only, but also because in persisting ailments, after it produces a short apparent amelioration, real aggravation ensues. NoTE.—Testimonies of authors to the truth of this. 59. Injurious effects of some antipathic modes of treatment. 60. Increasing the dose at every repetition of a palliative never cures a chronic affection, but does still more harm. 61. Whence physicians ought to have inferred the utility of an opposite and only good mode of treatment, to wit, the ho- moeopathic. CONTENTS. . xxiii 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80, 82. The reason of the injurious nature of the palliative, and of the sole efficacy of the homoeopathic employment of medi- cines • Depends upon the difference between the primary action that takes place under the influence of every medicine, and the reaction or secondary action subsequently effected by the living organism (the vital force). Explanation of the primary and secondary actions. Examples of both. From the smallest homoeopathic doses of medicine employed in treatment, the secondary action of the vital force merely shows itself in the restoration of the balance of health. These truths explain the salutary character of the homoeo- pathic treatment, as also the perversity of the antipathic (palliative) method. NOTE.—Cases in which the antipathic employment of medicines is alone admissible. How is the efficacy of the homoeopathic system proved by these truths? --- How is the hurtfulness of the antipathic treatment proved by these truths? NOTE 1.-Opposite sensations do not neutralize each other in the human SensOrium; they are not, therefore, like opposite sub- stances in chemistry. NOTE 2.-Illustrative example. Short summary of the homoeopathic system of medicine. The three points necessary for curing: (1) the investigation of the disease; (2) the investigation of the effects of the medicines; and (3) their appropriate employment. General survey of diseases—acute chronic. Acute diseases that attack single individuals, sporadic, epi- demic, acute miasms. The worst kinds of chronic diseases are those produced by the unskillfulness of allopathic physicians. These are the most incurable. It is only when the vital force is still sufficiently powerful, that the injury can then be repaired. often only after a long time, if the original disease be at the same time homoeo- pathically eradicated. Diseases inappropriately named chronic. Chronic diseases proper; they all arise from chronic miasms. Syphilis and sycosis. 81. Psora: it is the mother of all true chronic diseases except the syphilitic and sycotic. NOTE.-Names of diseases in the ordinary pathology. Among the more specific remedies discovered for these chronic miasms, especially for psora, the selection of those xxiv. CONTENTS. for the cure of each individual case of chronic disease is to be conducted all the more carefully. # 83. Requisites for apprehending the picture of the disease. 84–99. Instructions to the physician for investigating and trac- ing the picture of the disease. 100–102. Investigation of the epidemic diseases in particular. 103. In like manner must the fundamental cause of (non-syphilitic) chronic diseases be investigated and the great entire pic- ture of psora be displayed. 104. Utility of noting down in writing the picture of the dis- ease, for the purpose of curing, and in the progress of the treatment. NOTE.—How the old school physicians go about the investigation Of the morbid state. 105–114. Preliminaries to be attended to in investigating the pure effects of medicines on healthy individuals. Primary action. Secondary action. 115. Alternating actions of medicines. 116, 117. Idiosyncrasies. 118, 119. The action of every medicine differs from that of every other. NOTE.-There can be no such things as surrogates. 120. Every medicine, therefore, must be carefully proved to as- certain the peculiarity of its special effects. 121–140. Mode of proceeding when we make trial of them on other persons. 8. 141. The experiments of the healthy physician with medicines upon himself are the best. 142. The investigation of the pure effects of medicines in diseases is difficult. 143–145. Only from such investigations of the pure effects of medicines on healthy persons can a real materia medica, be formed. sº 146. The most appropriate therapeutic employment of medicines known in their pure effects. 147. The medicine most homoeopathically corresponding is the most suitable, is the specific remedy. 148. Explanation of how a homoeopathic cure is probably effected. 149. The homoeopathic cure of a disease that has occurred quickly is quickly effected; that of chronic diseases, however, de- mands proportionally more time. NOTE.-Difference betwixt pure homoeopathists and the mon- grel Sect. 150. Slight ailments. 151. Important diseases have a number of symptoms. 152. For those with numerous striking symptoms a homoeopathic remedy can be more certainly found. CONTENTS. XXV 3 153. What kind of symptoms ought one chiefly to attend to in the choice of a remedy? 154. A remedy as homoeopathic as it is possible to be cures with- out much disturbance. 155. Cause of the freedom from disturbance of such cures. 156. Cause of the slight exceptions to this. 157–160. The medicinal disease very similar, but somewhat su- perior in strength, to the original disease, termed also homoeopathic aggravation. 161. In chronic (psoric) diseases the homoeopathic aggravations from (antipsoric) homoeopathic medicines occur during a period of several days, from time to time. 162—171. Rules for treatment when the supply of known medi- cines is too small to allow a perfect homoeopathic remedy to be discovered. I72–184. Rules for the treatment of diseases with too few symp- toms: one-sided diseases. e 185–203, Treatment of diseases with local symptoms; their ex- ternal treatment is always injurious. 204, 205. All chronic affections and diseases properly so called (that are not merely produced and maintained by a bad mode of living) must be cured only from within, by the homoeopathic medicines appropriate for the miasm that lies at their root. 206. Preliminary investigation of the miasm that lies at their root, of the simple miasm or its complications with a second (or even with a third). 207. Inquiry into the treatments previously employed. 208, 209. The other preliminary inquiries necessary for the ap- prehension of the morbid picture of the chronic disease. 210—230. Treatment of the so-called mental or emotional dis- €8, S6S. 231, 232. The intermittent and alternating diseases. 233, 234. The periodical intermittent diseases. 235–244. The intermittent fevers. 245—251. Mode of using the remedies. NOTE.-Repetition of the doses. 252—256. Signs of commencing improvement. 257, 258. False predilection for favorite remedies and unjustifi- able aversion to other medicines. 259—261. Regimen in chronic diseases. NOTE.-Injurious things in the habits of life. 262, 263. Diet in acute diseases. 264—266. Selection of the most energetic, most genuine med- icines. NOTE.-Change affected in Some substances in their preparation for food. xxvi CONTENTS. ź 267. Preparation of the most powerful and must durable forms of medicines from plants that can be obtained fresh. 268. Dry vegetable substances. NOTE.-Preparation of powders so that they shall keep. 269–271. The mode of preparing crude medicinal substances pe- culiar to homoeopathy, so as to develop their curative pow- ers to the utmost. 272—274. Only one single, simple medicine should be given to the patient at one time. 275–287. Strength of the doses for homoeopathic use—how it may be increased or diminished. Their dynamization. 288—292. What parts of the body are more or less susceptible to the influence of the medicines? NOTE.-Advantages of the olfaction of highly potentized medi- cines over every other method of taking them. 293, 294. Animal magnetism (mesmerism). Its positive and negative employment. INTRO DUCTION." Review of the therapeutics, allopathy(0) and palliative treatment that have hitherto been practiced in the old school of medicine. As long as men have existed they have been liable, individu- ally or collectively, to diseases from physical or moral causes. In a rude state of nature but few remedial agents were required, as the simple mode of living admitted of but few diseases; with the civilization of mankind in the state, on the contrary, the occasions of diseases and the necessity for medical aid increased in equal proportion. But ever since that time (soon after Hippocrates, therefore, for 2500 years) men have occupied themselves with the treatment of the ever increasing multipli- city of diseases, who, led astray by their vanity, sought by reasoning and guessing to excogitate the mode of furnishing this aid. Innumerable and dissimilar ideas respecting the na- ture of diseases and their remedies sprang from so many dis- similar brains, and the theoretical views these gave rise to they called systems, each of which was at variance with the rest and self-contradictory. Each of these subtile expositions at first threw the readers into stupefied amazement at the incomprehen- sible wisdom contained in it, and attracted to the system- monger a number of followers, who re-echoed his unnatural sophistry, to none of whom, however, was it of the slightest use in enabling them to cure better, until a new system, often diametrically opposed to the first, thrust that aside, and in its turn gained a short-lived renown. None of them, however, was in consonance with nature and experience; they were mere theoretical webs, woven by cunning intellects out of pretended 1 2 INTRODUCTION. consequences, which could not be made use of in practice, in the treatment at the sick-bed, on account of their excessive subtilty and repugnance to nature, and only served for empty disputations. Simultaneously, but quite independent of all these theories, there sprung up a mode of treatment with mixtures of unknown medicinal substances for forms of disease arbitrarily set up, and directed toward some material object completely at vari- ance with nature and experience, hence, as may be supposed, with a bad result—such is old medicine, allopathy as it is termed. (a) Without disparaging the services which many physicians have rendered to the Sciences auxiliary to medicine, to natural philosophy and chemistry, to natural history in its various branches, and to that of man in particular, to anthropology, physiology and anatomy, &c., I shall occupy myself here with the practical part of medicine only, with the healing art itself, in order to show how it is that diseases have hitherto been so imperfectly treated. Far beneath my notice is that mechanical routine of treating precious human life according to the pre- scription manuals, the continual publication of which shows, alas! how frequently they are still used. I pass it by unnoticed, as a despicable practice of the lowest class of ordinary practi. tioners. I speak merely of the medical art as hitherto practiced, which, pluming itself on its antiquity, imagines itself to possess a scientific character. The partisans of the old school of medicine flattered them- selves that they could justly claim for it alone the title of “rational medicine,” because they alone sought for and strove to remove the cause of disease, and followed the method em- ployed by nature in diseases. Tolle causam/ they cried incessantly. But they went no further than this empty exclamation. They only fancied that they could discover the cause of disease; they did not discover it, however, as it is not perceptible and not discoverable. For as far the greatest number of diseases are of dynamic (spiritual) origin and dynamic (spiritual) nature, their cause is therefore not perceptible to the senses; so they exerted themselves to im- agine one, and from a survey of the parts of the normal, in- INTRODUCTION. 3 animate human body (anatomy), compared with the visible changes of the same internal parts in persons who had died of diseases (pathological anatomy), as also from what they could deduce from a comparison of the phenomena and functions in healthy life (physiology) with their endless alterations in the innumerable morbid states (pathology, semeiotics), to draw conclusions relative to the invisible process whereby the changes which take place in the inward being of man in diseases are effected—a dim picture of the imagination, which theoretical medicine regarded as its prima causa morbi; and thus it was at one and the same time the proacimate cause of the disease, and the internal essence of the disease, the disease itself—al- though, as sound human reason teaches us, the cause of a thing or of an event, can never be at the same time the thing or the event itself. How could they then, without deceiving themselves, consider this imperceptible internal essence as the object to be treated, and prescribe for it medicines whose cura- tive powers were likewise generally unknown to them, and even give several such unknown medicines mixed together in what are termed prescriptions? But this sublime problem, the discovery, namely, a priori, of an internal invisible cause of disease, resolved itself, at least with the more astute physicians of the old school, into a 1 It would have been much more consonant with sound human reason and with the nature of things, had they, in order to be able to cure a disease. regarded the originating cause as the causa morbi, and endeavored to dis- cover that, and thus been enabled successfully to employ the mode of treat- ment which had shown itself useful in maladies having the same exciting cause, in those also of a similar origin, as, for example, the same mercury is efficacious in an ulcer of the glans after impure coitus, as in all previous venereal chancres—if, I say, they had discovered the exciting cause of all other (non-venereal) chronic diseases to be an infection at one period or an- Other with the itch miasm (psora), and had found for all these a common method of treatment, regard being had for the peculiarities of each indi- vidual case, whereby all and each of these chronic diseases might have been cured, then might they with justice have boasted that in the treatment of chronic diseases they had in view the only (tw/tilalile and useful cantwit mor- borum chronicorum (mon venereorum), and with this as a basis they might have treated such diseases with the best results. But during these many centuries they were unable to cure the millions of chromic diseases, because they knew not their origin in the psoric miasm (which was first discovered and after- wards provided with a suitable plan of treatment by homoeopathy), and yet they vaunted that they alone kept in view the prima cauxa of these diseases in their treatment, and that they alone treated rationally, although they had not the slightest conception of the only useful knowledge of their psoric origin and consequently they bungled the treatment of all chronic diseases! 4 INTRODUCTION. search, under the guidance of the symptoms it is true, for what might be supposed to be the probable general character of the case of disease before them; whether it was spasm, or debility, or paralysis, or fever, or inflammation, or induration, or ob- struction of this or that part, or excess of blood (plethora), deficiency or excess of oxygen, carbon, hydrogen or nitrogen in the juices, exaltation or depression of the functions of the arterial, venous or capillary system, change in the relative proportion of the factors of sensibility, irritability or reproduc- tion?—conjectures that have been dignified by the followers of the old school with the title of causal indication, and considered to be the only possible rationality in medicine; but which were assumptions, too fallacious and hypothetical to prove of any practical utility—incapable, even had they been well grounded, of indicating the most appropriate remedy for a case of disease; flattering, indeed, to the vanity of the learned theorist, but usually leading astray when used as guides to practice, and wherein there was evidenced more of ostentation than of an earnest search for the curative indication. And how often has it happened that, for example, spasm or paralysis seemed to be in one part of the organism, while in another part inflammation was apparently present! Or, on the other hand, whence are the certain remedies for each of these pretended general characters to be derived? Those that would certainly be of benefit could be none other than the specific medicines, that is, those whose action is homogeneous” to the morbid irritation; whose employment, however, is denounced and forbidden” by the old school as highly injurious, because observation has shown that in conse- quence of the receptivity for homogeneous irritation being so I Every physician who treats disease according to such general characters, however he may affect to claim the name of homoeopathist. is and ever will remain in fact a generalising allopath, for without the most minute indi- vidualisation, homoeopathy is not conceivable.(d) 2 Now termed homoeopathic. 3 “Where experience showed the curative power of homoeopathically acting remedies, whose mode of action could not be explained, the difficulty was avoided by calling them specific, and further investigation was stifled by this actually unmeaning word. The hornogeneous excitant remedies, the specific (homoeopathic) medicines, lowever, had long previously been pro- hibited as of very injurious influence.”—Rau, On the Value of the Homoeo- pathic Method of Treatment, Heidelberg, 1824, pp. 101, 102. INTRODUCTION. 5 highly increased in diseases, such medicines in the usual large doses are dangerous to life. The old school never dreamt of smaller, and of extremely small doses. Accordingly no at- tempt was made to cure, in the direct (the most natural) way, by means of homogeneous, specific medicines; nor could it be done, as the effects of most of medicines were, and continued to remain, unknown, and even had they been known it would have been impossible to hit on the right medicine with such generalising views as were entertained. However, perceiving that it was more consistent with reason to seek for another path, a straight one if possible, rather than to take circuitous courses, the old school of medicine believed it might cure diseases in a direct manner, a) by the removal of the (imaginary) material cause of the disease—for to physicians of the ordinary school, while investigating and forming a judgment upon a disease, and not less while seeking for the curative indication, it was next to impossible to divest them- selves of these materialistic ideas, and to regard the nature of the spiritual-corporeal organism as such a highly potentialised entity, that its sensational and functional vital changes, which are called diseases, must be produced and effected chiefly, if not solely, by dynamic (spiritual(g)) influences, and could not be effected in any other way. The old school regarded all those matters which were altered by the disease, those abnormal matters that occurred in con- gestions, as well as those that were excreted, as disease- producers, or at least on account of their supposed reacting power, as disease-maintainers, and this latter notion prevails to this day. Hence they dreamed of effecting causal cures by endeavor- ing to remove these imaginary and presumed material causes of the disease. Hence their assiduous evacuation of the bile by vomiting in bilious fevers; their emetics in cases of so- called stomach derangements;” their diligent purging away of 1 The estimable Hofrath Dr. Rau (loc. cit., p. 176). at a time when not per- fectly conversant with homoeopathy, but firmly convinced of the dynamic cause of these fevers, cured them Without employing any evacuating remedy, by means of one or two small doses of homoeopathic remedies, two very re- markable cases of which he relates in his book. 2 In a case of sudden derangement of the stomach, with constant disgust- ing eructations with the taste of the vitiated food. generally accompanied 6 INTRODUCTION, the mucus, the lumbrici and the ascarides in children who are pale-faced and who suffer from ravenous appetite, bellyache, by depression of spirits, cold hands and feet, &c., the ordinary physician has hitherto been in the habit of attacking only the degenerated contents of the Stomach; a powerful emetic should clean it out completely. This object was generally attained by tartar emetic, with Or without ipecacuanha. Does the patient, however, immediately after this become well, brisk and cheerful? Oh no! Such a derangement of the stomach is usually of dynamic origin, caused by mental disturbance (grief, fright, vexation), a chill, over-exertion Of the mind or body immediately after eating, often after even a moderate meal. Those two remedies are not suitable for removing this dynamic de- rangement, and just as little is the revolutionary vomiting they produce. Moreover, tartar emetic and ipecacuanha, from their other peculiar patho- genetic powers, prove of further injury to the patient’s health, and derange the biliary secretions; so that if the patient be not very robust, he must feel ill for several days from the effects of this pretended causal treatment, not- withstanding all this violent expulsion of the whole contents of the stomach. If the patient, however, in place of taking such violent and always(q) hurt- ful evacuant drugs, smell only a single time at a globule the size of a mus- tard seed, moistened with highly diluted pulsatilla juice, whereby the de- rangement of his health in general and of his stomach in particular will certainly be removed, in two hours he is quite Well; and if the eructation recur once more, it consists of tasteless and inodorous air; the contents of the stomach cease to be vitiated, and at the next meal he has regained his full usual appetite; he is quite well and lively. This is true causal medica- tion; the former is only an imaginary One and has an injurious effect on the patient. Even a stomach Overloaded with indigestible food never requires a medi- cinal emetic. In such a case nature is competent to rid herself of the excess in the best way through the Oesophagus, by means of nausea, Sickness and spontaneous vomiting, assisted, it may be, by mechanical irritation of the palate and fauces, and by this means the accessory medicinal effects of the emetic drugs are avoided; a small quantity Of coffee expedites the passage downwards of what remains in the Stomach. But if, after excessive overloading of the stomach, the irritability of the Stomach is not sufficient to promote Spontaneous vomiting, or is lost alto- gether, so that the tendency thereto is extinguished, while there are at the same time great pains in the epigastrium, in Such a paralyzed State of the stomach, an emetic medicine would only have the effect of producing a dangerous or fatal inflammation of the intestines; whereas a small quantity of strong infusion of coffee, frequently administered, would dynamically exalt the sunken irritability Of the stomach, and put it in a Condition to expel its contents, be they ever so great, either upwards or downwards. So here also the pretended causal treatment is Out of place. Even the acrid gastric acid, to eructations of which patients with chronic diseases are not infrequently subject, may be today violently evacuated by means of an emetic, with great suffering, and yet all in vain, for tomor- row or some days later it is replaced by similar acrid gastric acid, and then usually in larger quantities; whereas it goes away by itself when its dyna- mic cause is removed by a very small dose of a high dilution of 8wlphuric acid, or still better, if it is of frequent recurrence, by the employment of minutest doses of antipsoric remedies corresponding in similarity to the rest of the symptoms also. And of a similar character are many of the pretended causal cures of the old-school physicians, whose main effort it is, by means of tedious operations, troublesome to themselves and injurious to their pa- tients, to clear away the material product of the dynamic derangement; whereas if they perceived the dynamic Source of the affection, and annihi- INTRODUCTION. 7 and enlarged abdomen; their venesections in cases of haemor- rhage;” and more especially all their varieties of blood- lettings,” their main remedy in inflammations, which they now, following the example of a well-known bloodthirsty Parisian physician (as a flock of sheep follow the bell-wether even into the butcher's slaughter-house), imagine to encounter in almost every morbidly affected part of the body, and feel lated it and its products homoeopathically, they would thereby effect a rational Cure. 1 Conditions dependent solely on a psoric taint, and easily curable by mild (dynamic) antipsoric remedies without emetics or purgatives. * Notwithstanding that almost all morbid haemorrhages depend on a dynamic derangement of the vital force (state of health), yet the old-school physicians consider their cause to be excess of blood, and cannot refrain from bleeding in Order to draw off the supposed superabundance of this vital fluid; the palpable evil consequences of which procedure, however. Such as prostration of the strength, and the tendency, or actual transition. to the typhoid state they ascribe to the malignancy of the disease, which they are them, often unable to overcome—in fine, they imagine, even when the patient does not recover, that their treatment has been in conformity with their axiom, causam tolle, and that, according to their mode of speaking, they have done everything in their power for the patient, let the result be what it may. 8 Although there probably never was a drop of blood too much in the living human body, yet the old-school practitioners consider an imaginary excess of blood as the main material cause of all haemorrhages and inflammations, which they must remove and drain off by venesections, cupping and leeches. This they hold to be a rational mode of treatment. Causal medication. In general inflammatory fevers, in acute pleurisy. they even regard the coagul- lable lymph in the blood—the buffy coat, as it is termed—as the materta, peccans, which they endeavor to get rid of, if possible, by repeated venesec- tions, notwithstanding that this coat often becomes more consistent and thicker at every repetition of the bloodletting. They thus often bleed the pa- tient nearly to death, when the inflammatory fever will not subside, in order to remove this buffy coat, or the imaginary plethora, without suspect- ing that the inflammatory blood is only the product of the acute fever, of the morbid, immaterial (dynamic) inflammatory irritation, and that the latter is the sole cause of the great disturbance in the vascular System, and may be removed by the Smallest dose of a homogeneous (homoeopathic) medi- cine, as, for instance, by a small globule of the decillion-fold potentization of aconite juice, with abstinence from vegetable acids, so that the most violent pleuritic fever, with all its alarming concomitants, is changed into health and cured, without the least abstraction of blood and without any antiphl gistic remedy, in a few—at the most in twenty-four—hours (a small quantity of blood drawn from a vein by way of experiment then shows no traces of buffy coat); whereas another patient similarly affected, and treated on the rational principles of the o'd school, if, after repeated bleedings, with great difficulty and unspeakable sufferings he escape for the nonce with life, he often has still many months to drag through before he can Support his emaciated body on his legs, if in the mean time (as often happens from such maltreat- ment) he be not carried off by typhoid fever, leucophlegmasia or pulmonary phthisis. Anyone who has felt the tranquil pulse of a man an hour before the occur- rence of the rigor that always precedes an attack of acute pleurisy, will not be able to restrain his amazement if told two hours later, after the hot stage 8 INTRODUCTION. themselves bound to remove by the application of often a fatal number of leeches. (a) They believe that by so doing they obey the true causal indications, and treat disease in a rational manner. The adherents of the old school, moreover, believe that by putting a ligature on polypi, by cutting out, or artifi- cially exciting suppuration by means of local irritants in, indo- lent glandular swellings, by enucleating encysted tumors (steatoma and meliceria) by their operations for aneurism and lachrymal and anal fistula, by removing with the knife scirrhus tumors of the breast, by amputating a limb affected with necrosis, &c., they cure the patient radically, and that their treatment is directed against the cause of the disease; and they also think, when they employ their repellent remedies, dry up old running ulcers in the legs with astringent applica- tions of oxide of lead, copper or zinc (aided always by the simultaneous administration of purgatives, which merely de- bilitate, but have no effect on the fundamental dyscrasia), cau- has commenced, that the enormous plethora present urgently requires re- peated venesections, and will naturally inquire by what magic power could the pounds of blood that must now be drawn off have been conjured into the blood-vessels Of this man within these two hours, which but two hours previously he had felt beating in such a tranquil manner? Not a single drachm more of blood can now be circulating in those vessels than existed when he was in good health, nor yet two hours ago! Accordingly the allopathic physician with his venesections draws from the patient laboring under acute fever no oppressive superabundance of blood, as that cannot possibly be present; he Only robs him of what is indis- pensable to life and recovery, the normal quantity of blood and consequently of strength—a great loss which no physician’s power can replace!—and yet ho vainly imagines that he has conducted the treatment in conformity to his (misunderstood) axiom, causam tolle; whereas it is impossible that the causa morbă in this case can be an excess of blood, which is not present; but the sole true causa morbi was a morbid, dynamical, inflammatory irritation of the circulating system, as is proved by the rapid and permanent cure of this and every similar case of general inflammatory fever by one or two in- conceivably minute doses of a comite juice, which removes | Such an irritation homoeopathically. The Old School errs equally in the treatment of local inflammation with the topical bloodlettings, more especially with the quantities of leeches which are now applied according to the maniacal principles of Broussais. The palliative amelioration that at first ensues from the treatment is far from being crowned by a rapid and perfect cure; on the contrary, the weak and ailing state of the parts thus treated (frequently also of the whole body), which always remains, sufficiently shows the error that is committed in at- tributing the local inflammation to a local plethora, and how Sad are the consequences of such abstractions of blood; whereas this purely dynamic, apparently local, inflammatory irritation, can be rapidly and permanently removed by an equally small dose of aconite, Or, according to circumstances, of belladonna, and the whole disease annihilated and cured, Without such unjustifiable shedding of blood. INTRODUCTION. 9 terize chancres, destroy condylomata locally, drive off itch from the skin with ointment of Sulphur, oxide of lead, mercury or zinc, suppress ophthalmiae with solutions of lead or zinc, and drive away tearing pains from the limbs by means of Opodeldoc, hartshorn liniment or fumigations with cinnabar or amber; in every case they think they have removed the affection, con- quered the disease, and pursued a rational treatment directed towards the cause. But what is the result? The metastatic affections that sooner or later, but inevitably appear, caused by this mode of treatment (but which they pretend are entirely new diseases), which are always worse than the original malady, sufficiently prove their error, and might and should open their eyes to the deeper-seated, immaterial nature of the disease, and its dynamic (spiritual) origin, which can only be removed by dynamic means. A favorite idea of the ordinary school of medicine, until re- cent (would that I could not say the most recent!) times, was that of morbific matters (and acridities) in diseases, excessively subtile though they might be thought to be, which must be ex- pelled from the blood-vessels and lymphatics, through the exhalents, skin, urinary apparatus or salivary glands, through the tracheal and bronchial glands in the form of expectoration, from the stomach and bowels by vomiting and purging, in order that the body might be freed from the material cause that produced the disease, and a radical causal treatment(q) be thus carried out. (a) By cutting holes in the diseased body, which were converted into chronic ulcers kept up for years by the introduction of foreign substances (issues, setons), they sought to draw off the materia peccans from the (always only dynamically) diseased body, just as one lets a dirty fluid run out of a barrel through the tap-hole. By means only of perpetual fly-blisters and the application of mezereum, they thought to draw away the bad humors and to cleanse the diseased body from all morbific matters—but they only weakened it, so as generally to render it incurable, by all these senseless unnatural processes. (d) I admit that it was more convenient for the weakness of hu- manity to assume that, in the diseases they were called on to cure, there existed some morbific material of which the mind 10 INTRODUCTION. might form a conception (more particularly as the patients readily lent themselves to such a notion), because in that case the practitioner had nothing further to care about than to pro- cure a good supply of remedies for purifying the blood and humors, exciting the diuresis and diaphoresis, promoting ex- pectoration, and scouring out the stomach and bowels. Hence, in all the works on Materia Medica, from Dioscorides down to the latest books on this subject, there is almost nothing said about the special peculiar action of individual medicines; but, besides an account of their supposed utility in various nosologi- cal names of diseases, it is merely stated whether they are diuretic, diaphoretic, expectorant or emmenagogue, and more particularly whether they produce evacuation of the stomach and bowels upwards or downwards; because all the aspirations and efforts of the practitioner have ever been chiefly directed to cause the expulsion of a material morbific matter, and of sundry (fictitious) acridities, which it was imagined were the cause of diseases. These were, however, all idle dreams, unfounded assump- tions and hypotheses, cunningly devised for the convenience of therapeutics, as it was expected the easiest way of perform- ing a cure would be to remove the material morbific matters (si modo essent!). But the essential nature of diseases and their cure will not adapt themselves to such fantasies, nor to the convenience of medical men; to humor such stupid baseless hypotheses dis- eases will not cease to be (spiritual) dynamic derangements of our spirit-like vital principle in sensations and functions, that is to say, immaterial derangements of our state of health. The causes of our maladies cannot be material, since the least foreign material substance," however mild it may appear to us, if introduced into our blood-vessels, is promptly ejected by the vital force, as though it were a poison; or when this does not happen, death ensues. If even the minutest splinter penetrates à sensitive part of our organism, the vital principle 1 Life was endangered by injecting a little pure water into a vein. (Vide Mullen, quoted by Birch in the History of the Royal Society.) Atmospheric air injected into the blood-vessels caused death. (Wide J. H. Voigt, Magazin für dem meuesten Zustand der Naturkwºnde, i, iii, p. 25.) Even the mildest fluids introduced into the veins endangered life. (Vide Autenrieth. Physiºlogie, ii., § 784.) INTRODUCTION. 11 everywhere present in our body never rests until it is removed by pain, fever, suppuration or gangrene. And can it be sup- posed that in a case of cutaneous disease of twenty years' standing, for instance, this indefatigably active vital principle will quietly endure the presence of such an injurious, foreign, material exanthematous substance, such as a herpetic, scroful- ous, a gouty acridity, &c., in the fluids of the body? Did any noSologist ever see with corporeal eyes such a morbific matter, to warrant him in speaking so confidently about it, and in founding a system of medical treatment upon it? Has any one ever succeeded in displaying to view the matter of gout or the poison of scrofula? Even when the application of a material substance to the skin, or to a wound, has propagated diseases by infection, who can prove (what is so often maintained in works on pathology) that some material portion of this substance has penetrated into our fluids or been absorbed?" The most careful and prompt washing of the genitals does not protect the system from infection with the venereal chancrous disease. The slightest breath of air emanating from the body of a person affected with smallpox will suffice to produce this horrible dis- ease in a healthy child. What ponderable quantity of material substance could have been absorbed into the fluids, in order to develop, in the first of these instances, a tedious dyscrasia (syphilis), which when uncured is only extinguished with the remotest period of life, with death; in the last, a disease (smallpox) accompanied by almost general suppuration,” and often rapidly fatal? In these 1 A girl in Glasgow, eight years of age. having been bit by a mad dog, the surgeon immediately cut the piece clean out, and yet thirty-six days afterwards she was seized with hayrophobia, which killed her in two days. (Med. Com- ment. of Edinb., Dec. 2, vol. ii, 1793.) 2 In order to account for the large quantity of putrid excrementitious mat- ter and foetid discharge often met with in diseases, and to be able to represent them as the material substance that excites and keeps up disease–although, when infection occurs, nothing perceptible in the shape of miasm, nothing material, could have penetrated into the body—recourse was had to the hypothesis, that the matter of infection, be it ever SO minute, acts in the body like a ferment, bringing the fluids into a like state of corruption. and thus changing them into a similar morbific ferment which constantly increases with the disease and keeps it up. But by what all-potent and all-wise puri- fying draughts will you purge and cleanse the human fluids from this ever reproductive ferment, from this mass of imaginary morbific matter, and that so perfectly, that there shall not remain a particle of such morbific ferment, 12 INTRODUCTION. and all similar cases is it possible to entertain the idea of a material morbific matter being introduced into the blood? A letter written in the sick-room at a great distance has often communicated the same contagious disease to the person who read it. In this instance, can the notion of a matérial morbific matter having penetrated into the fluids be admitted? But what need is there of all such proofs? How often has it hap- pened that an irritating word has brought on a dangerous bilious fever ; a superstitious prediction of death has caused the fatal catastrophe at the very time announced; the abrupt communication of sad or excessively joyful news has occasioned sudden death? In these cases, where is the material morbific principle that entered in substance into the body, there to pro- duce and keep up the disease, and without the material expul- sion and ejection of which a radical cure were impossible? The champions of this clumsy doctrine of morbific matters ought to be ashamed that they have so inconsiderately over- looked and failed to appreciate the spiritual nature of life, and the spiritual dynamic power of the exciting causes of dis- eases, (a) and that they have thereby degraded themselves into mere scavenger-doctors, who, in their efforts to expel from the diseased body morbific matters that never existed, in place of curing, destroy life. Are, then, the foul, often disgusting excretions which occur in diseases the actual matter that produces and keeps them up? Are they not rather always eaccretory products of the disease itself, that is, of the life which is only dynamically de- ranged and disordered? With such false and materialistic views concerning the origin and essential nature of diseases, it was certainly not to be wondered at that in all ages the main endeavor of the most which, according to this hypothesis, must ever again, as at first, transform and corrupt the fluids to new morbific matter? Were that so it would evi- dently be impossible to cure these diseases in your way !—See how all hypo- theses, be they ever so ingeniously framed, lead to the most palpable absurd— ities when they are not founded on truth !—The most deeply rooted syphilis may be cured, after the removal of the psora with which it is often compli- cated, by one or two small doses of the decillion fold diluted and potentized solution of mercury, whereby the general syphilitic taint of the fluids is for ever (dynamically) annihilated and removed. . I Were this the case, the most inveterate coryza should be certainly and rapidly cured by merely blowing and wiping the nose carefully. INTRODUCTION. 13 obscure, as well as of the most distinguished practitioners, and even of the inventors of the sublimest medical systems, was always only to separate and expel an imaginary morbific matter, and the indication most frequently laid down was to break up and put in motion this morbific matter, to effect its expulsion by Salivation, expectoration, diaphoresis and diuresis; to purify the blood from (acridities and impurities) morbific matters, which never eacisted, by means of the intelligence of sundry obedient decoctions of roots and plants; to draw off mechanically the imaginary matter of disease by Setons, by issues, by portions of the skin kept open and discharging by means of perpetual blisters or mezereum bark, but chiefly to expel and purge away the materia peccans, or the injurious matters as they were termed, through the intestines, by means of laxative and purgative medicines, which, in order to give them a more profound meaning and a more prepossessing ap- pearance, were fondly denominated dissolvents and mild aperi- ents—all so many arrangements for the expulsion of inimical morbific matters, which never could be, and never were instru- mental in the production and maintenance of the diseases of the human organism, animated as it is by a spiritual principle —of diseases which never were anything else than spiritual dynamic derangements of the life altered in its sensations and functions. (a) - Let it be granted now, what cannot be doubted, that no dis- eases—if they do not result from the introduction of perfectly indigestible or otherwise injurious substances into the stomach, or into other orifices or cavities of the body, or from foreign bodies penetrating the skin, &c.—that no disease, in a word, is caused by any material substance, but that every one is only and always a peculiar, virtual, dynamic derangement of the health; how injudicious, in that case, must not a method of treatment directed towards the expulsion of that imaginary 1 There is a semblance of necessity in the expulsion by purgatives of worms. in so-called vermicular diseases. But even this semblance is false. A few lumbrici may be found in some children; in many there exists ascarides. But the presence of these is always dependent on a general taint of the constitu- tion (the psoric), joined to an unhealthy mode of living. Let the latter be improved, and the former cured homoeopathically, which is most easily effected at this age, and none of the worms remain, and children cured in this manner are never troubled with them more; whereas after mere purga- tives, even when combined with cina, seeds, they soon reappear in quantities. 14 INTRODUCTION. material substance appear to every rational man, since no good, but only monstrous harm, can result from its employ- ment in the principal diseases of mankind, namely, those of a chronic character! In short, the degenerated substances and impurities that ap- pear in diseases are, undeniably, nothing more than products of the disease of the abnormally deranged organism, which are expelled by the latter, often violently enough—often much too violently—without requiring the aid of the evacuating art, and fresh products are always developed as long as it labors under that disease. These matters the true physician regards as actual symptoms of the disease, and they aid him to dis- cover the nature of the disease, and to form an accurate por- “But, the tapeworm,” methinks I hear some one exclaim. “every effort should be made to expel that monster, which was created for the torment of mankind.” Yes, sometimes it is expelled; but at the cost of what after-sufferings, and with what danger to life! I should not like to have on my conscience the deaths of so many hundreds of human beings as have fallen sacrifices to the horribly violent purgatives directed against the tapeworm, or the many years of indisposition of those who have escaped being purged to death. And how often does it happen that after all this health-and-life-destroying purgative treatment, frequently continued for Several years, the animal is not expelled, or if so, that it is again produced' What if there is not the slightest necessity for all these violent, cruel and dangerous efforts to expel and kill the worm? The various species of tapeworm are only found along with the psoric taint, and always disappear when that is cured. But even before the cure is ac- complished, they live—the patient enjoying tolerable health the while—not exactly in the intestines, but in the residue of the food, the excrement of the bowels, as in their proper element, quite quietly, and without causing the least disturbance, and find in the excrement what Suffices for their nourish- ment; they then do not touch the walls of the intestine, and are perfectly harmless. But if the patient happen to be affected with an acute disease of any kind, then the contents of the bowels become intolerable to the animal; it twists about, comes in contact with, and irritates the sensitive walls of the intestines, causing a peculiar kind of spasmodic Colic, which increases mate- rially the sufferings of the patient. (So also the foetus of the womb becomes restless, turns about and kicks, only when the mother is ill; but when she is well, it swims quietly in its proper fluid without causing her any suffering). It is worthy of remark, that the morbid symptoms of patients suffering from tapeworm are generally of such a kind, that they are rapidly relieved (homoeopathically) by the smallest dose of tincture of male-ferm root; so that the ill-health of the patient, which causes this parasitic animal to be restless, is thereby for the time removed; the tapeworm then feels at ease, and lives on quietly in the excrement of the bowels, without particularly distressing the patient or his intestines, until the antipsoric treatment is so far advanced that the worm. after the eradication of the psora, finds the contents of the bowels no longer suitable for its support, and therefore spontaneously dis- appears for ever from the now cured patient, without the least purgative medicine.(4) INTRODUCTION. 15 trait of it, so as to enable him to cure it with a similar medi- cinal morbific agent. (o) But the more modern adherents of the old school do not wish it to be supposed, that in their treatment they aim at the expulsion of material morbific substances. They allege that their multifarious evacuant processes are a mode of treatment by derivation, wherein they follow the example of nature which, in her efforts to assist the diseased organism, resolves fever by perspiration and diuresis, pleurisy by epistaxis, sweat and mucous expectoration—other diseases by vomiting, diar- rhoea and bleeding from the anus, articular pains by suppura- ting ulcers on the legs, cynanche tonsillaris by salivation, &c., or removes them by metastases and abscesses which she de- velops in parts at a distance from the seat of the disease. Hence they thought the best thing to do was to imitate na- ture, by also going to work in the treatment of most diseases in a circuitous manner like the diseased vital force when left to itself, and thus in an indirect manner," by means of stronger heterogeneous irritants applied to organs remote from the seat of disease, and totally dissimilar to the affected tissues, they produced evacuations, and generally kept them up, in order to draw, as it were, the disease thither. This derivation, as it is called, was and continues to be one of the principal modes of treatment of the old school of medi- cine. In this imitation of the self-aiding operation of nature, as some call it, they endeavored to excite, by force, new symp- toms in the tissues that are least diseased and best able to bear the medicinal disease, which should draw away” the primary disease under the semblance of crises and under the form of excretions, in order to admit of a gradual lysis by the curative powers of nature.” 1 In place of extinguishing the disease rapidly, without exhaustion of the strength and without going about the bush, with homogeneous, dynamic medicinal agents acting directly on the diseased points of the organism, as homoeopathy does. ? Just as if anything immaterial could be drawn away ! So that here too was the notion of a substance and a morbific matter, excessively subtile though it might be supposed to be! (q) 3. It is only the slighter acute diseases that tend, when the natural period of their course has expired, to terminate quietly in resolution, as it is called, with or without the employment of not very aggressive allopathic remedies: 16 INTRODUCTION. This they accomplished by means of diaphoretic and diuretic remedies, blood-lettings, setons and issues, but chiefly by irritant drugs to cause evacuation of the alimentary canal, sometimes upwards by means of emetics, sometimes (and this was the favorite plan) downwards by means of purgatives, which were termed aperient and dissolvent * remedies. To assist this derivative method they employed the allied treatment by counter-irritants, woolen garments to the bare skin, foot-baths, nauseants, inflicting on the stomach and bowels the pangs of hunger (the hunger treatment), substances to cause pain, inflammation, and suppuration in near or dis- tant parts, as the application of horseradish, mustard plasters, cantharides blisters, mezereum, Setons, issues, tartar-emetic Ointment, moxa, actual cautery, acupuncture, &c.; here also following the example of crude unassisted nature, which en- deavors to free herself from the dynamic disease (in the case of a chronic disease, unavailingly) by exciting pain in distant parts of the body, by metastases and abscesses, by eruptions and suppurating ulcers. It was evidently no rational principle, but merely imitation, with the view of making practice easy, that seduced the old school into those unhelpful and injurious indirect modes of treatment, the derivative as well as the counter-irritant; that led them to this inefficacious, debilitating and hurtful practice of apparently ameliorating diseases for a short time, or re- moving them in such a manner that another and a worse dis- ease was roused up to occupy the place of the first. Such a destructive plan cannot certainly be termed curing. They merely followed the example of crude instinctive na- ture in her efforts, which are barely” successful even in the the vital force, having regained its powers. then gradually substitutes the normal condition for the derangement of the health that has now ceased to exist. But in severe acute and in chronic diseases which constitute by far the greater portion of all human ailments, crude nature and the old school are equally powerless; in these, neither the vital force, with its self-aiding fac- ulty, nor allopathy in imitation of it, can effect a lysis, but at the most a mere temporary truce, during which the enemy fortifies himself, in order, sooner or later, to recommence the attack with still greater violence. 1 An expression which likewise betrays that they imagined and presup- posed a morbific substance, which had to be dissolved and expelled. 2 In the ordinary school of medicine, the efforts made by nature for the re- lief of the organism in diseases where no medicine was given, were regarded as models of treatment worthy of imitation. But this was a great error. The INTRODUCTION. 17 slighter cases of acute disease; they merely imitated the un- reasoning life-preserving power when left to itself in diseases, which, entirely dependent as it is upon the organic laws of the body, is only capable of acting in conformity with these laws, and is not guided by reason and reflection—they copied na- pitiable and highly imperfect efforts of the vital force to relieve itself in acute diseases is a spectacle that should excite our compassion, and command the aid of all the powers of our rational mind, to terminate the self-inflicted tor- ture by a real cure. If nature is unable to cure homoeopathically a disease already existing in the organism, by the production of another fresh malady similar to it (§§ 43–46), which very rarely lies in her power (§ 50), and if to the organism alone is left the task of overcoming, by its own forces and without external aid, a disease newly contracted (in cases of chronic miasms its power of resistance is quite inefficacious), we then witness naught but painful. often dangerous, efforts of nature to save the individual at whatever cost, which often terminate in extinction of the earthly existence, in death. Little as we mortals know of the operations that take place in the interior economy in health—which must be hidden from us as certainly as they are patent to the eye of the all-seeing Creator and Preserver of his creatures— just as little can we perceive the operations that go on in the interior in dis- turbed conditions of life, in diseases. The internal operations in diseases aro manifested only by the visible changes, the sufferings and t're symptoms, whereby alone our life betrays the inward disturbance; s ) that in no given case can we ascertain which of the morbid symptoms are caused by the primary action of the morbific agent, which by the reaction of the vital force for its own relief. Both are inextricably mixed up together before our eyes, and only present to us an outwardly reflected picture of the entire internal malady, for the fruitless efforts of unassisted vitality to terminate the suffer- ings are themselves sufferings of the whole organism. Hence. ( ven i:1 those evacuations termed crises, which nature generally produces at the terrmina- tion of diseases which run a rapid course, there is frequently more of suffer- ing than of efficacious relief. What the vital force does in these so-called crises, and how it does it, re- mains a mystery to us, like all the internal Operations Of the Organic vital economy. One thing, however, is certain: that in all these efforts more or less of the affected parts are 8acrificed and destroyed in order to save the rest. These self-aiding operations of the vital force for the removal of an acute disease, performed only in obedience to the laws of organic life and not guided by the reflection of an intellect, are mostly but a species of allopathy; in Örder to relieve the primarily affected organ by a crisis, an increased, often violent, activity is excited in the excretory organs, to draw away the disease from the former to the latter; there ensue vomitings, purgings, diuresis, diaphoresis, aboesses, &c., in order, by this irritation of distant parts. to effect a sort of derivation from the primarily diseased parts, and the dynamically affected nervous power seems to unload itself in the material product. It is only by the destruction and sacrifice of a portion of the organism itself that unaided nature can save the patient in acute diseases, and, if death do not ensue, restore, though only slowly and imperfectly, the harmony of life— health. The great weakness of the parts which had been exposed to the disease, and even of the whole body, the emaciation, &c., remaining after spontane- ous cures, are convincing proofs of this. In short, the whole operation of the self-aiding power of the Organism when attacked by diseases displays to the observer nothing but Suffering—nothing that he could or ought to imitate if he wishes to cure disease in a truly artistic manner. 2 18 INTRODUCTION. ture, which cannot, like an intelligent surgeon, bring together the gaping lips of a wound and by their union effect a cure; which knows not how to straighten and adjust the broken ends of a bone lying far apart and exuding much (often an excess of) new osseous matter; which cannot put a ligature on a wounded artery, but in its energy causes the patient to bleed to death; which does not understand how to replace a dislo- cated shoulder, but by the swelling it occasions round about it soon presents an obstacle to reduction; which, in order to re- move a foreign body from the cornea, destroys the whole eye by suppuration; which, with all its efforts, can only liberate a strangulated hernia by gangrene of the bowel and death; and which, by the metaschematisms it produces in dynamic dis- eases, often renders them much worse than they were origin- ally. But more, this irrational vital force receives into our body, without hesitation, the greatest plagues of our terrestrial existence, the spark that kindles the countless diseases be- neath which tortured mankind has groaned for hundreds and thousands of years, the chronic miasms—psora, syphilis, syco- sis—not one of which can it diminish in the slightest degree, far less expel single-handed from the organism; on the con- trary, it allows them to rankle therein, until, often after a long life of misery, death at last closes the eyes of the sufferer. In such an important affair as that of healing, which de- mands so much intelligence, reflection and judgment, how could the old school, which arrogates to itself the title of rational, choose as its best instructor, as its guide to be blindly followed, the unintelligent vital force, inconsiderately copy its indirect and revolutionary operations in diseases, imagining these to be the mon plus ultra, the best conceivable, when that greatest gift of God, reflective reason and unfettered judgment, was given us to enable us infinitely to surpass it in salutary help to suffering humanity? When the old school practitioners, thoughtlessly imitating the crude, senseless, automatic vital energy, with their counter- irritant and derivative methods of treatment—by far their most usual plans—attack innocent parts and organs of the body, either inflicting on them excruciating pains, or, as is most fre- quently done, compelling them to perform evacuations, where- INTRODUCTION. 19 by strength and fluids are wasted, their object is to direct the morbid vital action in the primarily affected parts away to those artificially attacked, and thus to effect the cure of the natural disease indirectly, by the production of a disease, much greater in intensity and of quite a different kind, in the healthy parts of the body, consequently by a circuitous way, at the cost of much loss of strength, and usually of great sufferings to the patient." The disease, if it be acute, and consequently naturally of but short duration, may certainly disappear, even during these heterogeneous attacks on distant and dissimilar parts—but it is not cured. There is nothing that can merit the honorable name of cure in this revolutionary treatment, which has no direct, immediate, pathological relation to the tissues primarily affected. Often, indeed, without these serious attacks on the rest of the organism, would the acute disease have ceased of itself, sooner most likely, with fewer subsequent sufferings and less sacrifice of strength. But neither the mode of operation of the crude natural forces, nor the allopathic copy of that, can for a moment be compared to the dynamic (homoeopathic) treatment, which sustains the strength, while it extinguishes the disease in a direct and rapid manner. In far the greatest number of cases of disease, however—I mean those of a chronic nature—these perturbing, debilitating, indirect modes of treatment of the old school are scarcely ever of the slightest use. They suspend, for a few days only, some troublesome symptom or other, which, however, returns when the system has become accustomed to the distant irritation, and the disease recurs worse than before, because by the an- 1 Daily experience shows the sad effects of this manoeuvre in chronic dis- eases. Anything but a cure is (ffected. Who would ever call that a victory if, in place of attacking the enemy in front in a hand-to-hand fight, and by his destruction terminating at Once his hostile assaults, we should, in a cowardly manner and behind his back, lay an embargo on everything, cut off his sup- plies, burn down everything for a great way round him? By so doing we would at length deprive him of all courage to resist, but our object is not gained, the enemy is far from being destroyed,—he is still there, and when he can again procure provisions and Supplies, he once more rears his head, more exasperated than before—the enemy, I repeat, is far from being destroyed, but the poor innocent country is so completely ruined that it will be long be- fore it can recover itself. In like manner acts allopathy in chronic diseases, when, by its indirect attacks on innocent parts at a distance from the seat of the disease, instead of effecting a cure, it destroys the organism. Such is the result of its hurtful operations! 20 INTRODUCTION. tagonistic pains' and the injudicious evacuations, the vital powers have been depressed. Whilst most physicians of the old school, imitating in a general manner the efforts of crude, unaided nature for its own relief, carried out in their practice these derivations of merely hypothetical utility, just as they judged expedient (guided by some imaginary indication); others, aiming at a higher object, undertook designedly to promote the efforts of the vital force to aid ‘tself by evacuations and antagonistic metastases, as seen in dis- eases, and by way of lending it a helping hand, to increase still more these derivations and evacuations; and they believed that by this hurtful procedure they were acting duce natura, and might justly claim the title of ministri naturae. As the evacuations effected by the natural powers of the patient in chronic diseases are not infrequently the precursors of alleviations—though only of a temporary character—of troublesome symptoms, violent pains, paralyses, spasms, &c., so the old school imagined these derivations to be the true way of curing diseases, and endeavored to promote, maintain and even increase such evacuations. But they did not perceive that all these evacuations and excretions (pseudo-crises) pro- duced by nature when left to herself were, in chronic diseases, only palliative, transient alleviations, which, far from con- tributing to a real cure, on the contrary, rather aggravated the original, internal dyscrasia, by the waste of strength and juices they occasioned. No one ever saw a chronic patient recover his health permanently by such efforts of crude nature, nor any chronic disease cured by such evacuations effected by the organism.” On the contrary, in such cases the original dys- crasia is always perceptibly aggravated, after alleviations, whose duration always becomes shorter and shorter; the bad attacks recur more frequently and more severely in spite of the continuation of the evacuations. In like manner, on the 1 What good results have ever ensued from those foetid artificial ulcers, so much in vogue, called issues? If even during the first week or two, whilst they still cause pain, they appear Somewhat to check by antagonism a. chronic disease, yet by and by, when the body has become accustomed to the pain, they have no other effect than that of weakening the patient and giving still greater scope to the chronic affection. Or does anyone imagine, in this nineteenth century, that they serve as an Outlot for the escape of the materia peccans? It almost appears as if this were the case! 2 Equally inefficacious are those produced artificially. INTRODUCTION. 21 occurrence of symptoms excited by an internal chronic affec- tion that threaten to destroy life, when nature, left to its own resources, cannot help herself in any other way than by the production of external local symptoms, in order to avert the danger from parts indispensable to life and direct it to tissues of less vital importance (metastasis), these operations of the energetic but unintelligent, unreasoning and improvident vital force conduce to anything but genuine relief or recovery; they only silence in a palliative manner, for a short time, the dan- gerous internal affection, at the cost of a large portion of the humors and of the strength, without diminishing the original disease by a hair's breadth; they can, at the most, only retard the fatal termination which is inevitable without true hom- oeopathic treatment. The allopathy of the old school not only greatly over-rated these efforts of the crude automatic power of nature, but com- pletely misjudged them, falsely considered them to be truly curative, and endeavored to increase and promote them, vainly imagining that thereby they might perhaps succeed in annihi- lating and radically curing the whole disease. When, in chronic diseases, the vital force seemed to silence this or that troublesome symptom of the internal affection by the produc- tion, for example, of some humid cutaneous eruption, then the servant of the crude power of nature (minister naturae) applied to the discharging surface a cantharides plaster or an exutory (mezereum), in order, duce natura, to draw still more moisture from the skin, and thus to promote and to assist nature's object— the cure (by the removal of the morbific matter from the body?); but when the effect of the remedy was too violent, the eczema already of long standing, and the system too irritable, he in- creased the external affection to a great degree without the slightest advantage to the original disease, and aggravated the pains, which deprived the patient of sleep and depressed his strength (and sometimes even developed a malignant febrile erysipelas); or if the effect upon the local affection (still recent, perhaps) was of a milder character, he thereby repelled from its seat, by a species of ill-applied external homoeopathy, the local symptoms which had been established by nature on the skin for the relief of the internal disease, thus renewing the 22 INTRODUCTION. more dangerous internal malady, and by this repulsion of the local symptom compelling the vital force to effect a transfer- ence of a worse form of morbid action to other and more im- portant parts; the patient became affected with dangerous oph- thalmia, or deafness, or spasms of the stomach, or epileptic convulsions, or attacks of asthma or apoplexy, or mental de- rangement, &c., in place of the repelled local disease." When the diseased natural force propelled blood into the veins of the rectum or anus (blind haemorrhoids), the minister naturae, under the same delusive idea of assisting the vital force in its curative efforts, applied leeches, often in large numbers, in order to give an outlet to the blood there—with but brief, often scarcely noteworthy, relief, but thereby weak- ening the body and occasioning still greater congestions in those parts, without the slightest diminution of the original disease. In almost all cases in which the diseased vital force endeav- ored to subdue the violence of a dangerous internal malady by evacuating blood by means of vomiting, coughing, &c., the old school physician, duce matura, made haste to assist these supposed salutary efforts of nature, and performed a copious venesection, which was invariably productive of injurious con- sequences and palpable weakening of the body. In cases of frequently occurring chronic nausea, he produced, with the view of furthering the intentions of nature, copious evacuations of the stomach, by means of powerful emetics— never with a good result, often with bad, not infrequently dan- gerous and even fatal consequences. The vital force, in order to relieve the internal malady, sometimes produces indolent enlargements of the external glands, and he thinks to forward the intentions of nature, in his assumed character of her servant, when, by the use of all sorts of heating embrocations and plasters, he causes them to inflame, so that, when the abscess is ripe, he may incise it and let out the bad morbific matter (?). Experience has shown, hundreds of times, that lasting evil almost invariably results from such a plan. 1 Natural effects of the repulsion of these local symptoms—effects that are often regarded by the allopathic physician as fresh diseases of quite a differ- ent kind. INTRODUCTION. 23. And having often noticed slight amelioration of the severe symptoms of chronic diseases to result from spontaneous night sweats or frequent liquid stools, he imagines himself bound to obey these hints of nature (duce natura), and to promote them, by instituting and maintaining a complete course of sweating treatment or by the employment of so-called gentle laxatives for years, in order to promote and increase these efforts of nature (of the vital force of the unintelligent organism), which he thinks tend to the cure of the whole chronic affection, and thus to free the patient more speedily and certainly from his disease (the matter of his disease?). But he thereby always produces quite the contrary result: aggravation of the original disease. * In conformity with this preconceived but unfounded idea, the old School physician goes on thus promoting the efforts of the diseased vital force and increasing those derivations and evacuations in the patient which never lead to the desired end, but are always disastrous, without being aware that all the local affections, evacuations, and seemingly derivative efforts, set up and continued by the unintelligent vital force when left to its own resources, for the relief of the original chronic dis- ease, are actually the disease itself, the phenomena of the whole disease, for the totality of which, properly speaking, the only efficacious remedy, and the one, moreover, that will act 1 In direct opposition to this treatment, the old school not infrequently in- dulged themselves in the very reverse of this: thus, when the efforts of the vital force for the relief of the internal disease by evacuations and the pro- duction of local symptoms on the exterior of the body became troublesome, they capriciously suppressed them by their repercwtients and repellents; they subdued chronic pains, sleeplessness and diarrhoea of long standing by doses of opium pushed to a dangerous extent; vomitings by effervescent saline draughts; foetid perspiration of the feet by cold footbaths and astringent applications; eruptions on the skin' by preparations of lead and zinc; they checked uterine haemorrhage by injections of vinegar; colliquative perspira– tion by alum; nocturnal seminal emissions by the free use of camphor; fre- quent attacks of flushes of heat in the body and face by nitre, vegetable acids and sulphuric acid; bleeding of the nose by plugging the nostrils with dossils of lint soaked in alcohol or astringent fluids; they dried up discharging ulcers on the legs, established by the vital power for the relief of great internal suf- fering, with the oxides of lead and zinc, &c., with what sad results experience has shown in thousands of cases. With tongue and with pen the old school physician brags that he is a rational practitioner, and that he investigates the cause of the disease so as always to make radical cures; but behold, his treatment is directed, in these cases, against a single symptom only, and always with injurious consequences to his patient.(?) 24 INTRODUCTION. in the most direct manner, is a homoeopathic medicine, chosen on account of its similarity of action. As everything that crude nature does to relieve itself in diseases, in those of an acute, but especially those of a chronic kind, is extremely imperfect and even actual disease, it may easily be conceived that the promotion by artificial means of this imperfection and disease must do still more harm; at least, it cannot improve the efforts of nature for its own relief, even in acute diseases, because medical art is not in a condition to follow the hidden paths by which the vital force effects its crises, but attempts to produce them from without, by violent means, which are still less beneficial than what the instinctive vital force left to its own resources does, but on the other hand are more perturbing and debilitating. For even the in- complete amelioration resulting from the natural derivations and crises cannot be obtained in a similar manner by allopathy; with all its endeavors it cannot procure anything like even that pitiful relief the vital force left to itself is able to afford. It has been attempted to produce, by means of scarifying instruments, a bleeding at the nose, in imitation of that some- times occurring naturally, in order to mitigate, for example, the attacks of a chronic headache. By this means a large quantity of blood could be made to flow from the nostrils and weaken the patient, but the relief afforded was either nil, or much less than the instinctive vital force would procure at an- other time, when, of its own accord, it would cause but a few drops to flow. A so-called critical perspiration or diarrhoea, produced by the ever active vital force after a sudden indisposition, excited by anger, fright, a sprain or a chill, will be much more suc- cessful, at least for the time, in relieving the acute disease, than all the sudorific or purgative drugs in the pharmacopoeia, which only make the patient worse, as daily experience shows. But the vital force, which of itself can only act according to the physical constitution of our organism, and is not guided by reason, knowledge and reflection, was not given to man to be regarded as the best possible curative agent to restore those lamentable deviations from health to the normal condition, and still less that physicians should slavishly imitate its imperfect INTRODUCTION. 25 morbid efforts (to free itself from disease), and that with oper. ations incontestably more inappropriate and severe than its own, and thereby conveniently spare themselves the expendi- ture of reasoning, reflection and judgment requisite for the discovery and for the practice of the noblest of human arts— the true healing art—while they allege their bad copy of the spontaneous efforts of doubtful utility made by the crude natural force for its relief, to be the healing art, the rational healing art! What sensible man would imitate the efforts of the organism for its own preservation? These efforts are in reality the dis- ease itself, and the morbidly affected vital force is the pro- ducer of the visible disease! It must, therefore, necessarily follow that all artificial imitation, and likewise the suppression of these efforts, must either increase the disease or render it dangerous by their suppression, and both of these allopathy does; these are its pernicious operations which it alleges to be the healing art, the rational healing art!(a) No! that exquisite power innate in the human being, designed to direct in the most perfect manner the operations of life while it is in health, equally present in all parts of the organ- ism, in the fibres of sensibility as well as in those of irrita- bility, the unwearying spring of all the normal natural func- tions of the body, was not created for the purpose of affording itself aid in diseases, not for the purpose of exercising a heal- ing artworthy of imitation. No! the true healing art is that re- flective work, the attribute of the higher powers of human intel- lect, of unfettered judgment and of reason selecting and deter- mining on principle in order to effect an alteration in the instinct- tive, irrational and unintelligent, but emergetic automatic vital force, when it has been diverted by disease into abnormal action, and by means of a similar affection developed by a homoeopathi- cally chosen remedy, to eaccite in it a medicinal disease somewhat greater in degree, so that the natural morbid affection can no longer act upon the vital force, which thus, freed from the natural disease, has now only the similar, somewhat stronger, medicinal morbid affection to contend with, against which it now directs its whole energy and which it soon overpowers, whereby the vital force is liberated and enabled to return to the normal standard 26 INTRODUCTION. of health and to its proper function, “the maintenance of the life and health of the organism,” without having suffered, during this change, any painful or debilitating attacks. Homoeopathy teaches us how to effect this. Under the methods of treatment of the old school I have just detailed, no small number of patients certainly got rid of their diseases, but not of those of a chronic (non-venereal) character; only such as were acute and unattended with danger; and even these they were only freed from by such circuitous and tedious ways, and often so incompletely, that the results of the treatment could never be termed cures effected by a gentle art. Acute diseases of a not very dangerous kind were, by venesections or suppression of one of the chief symptoms through the instrumentality of an enantiopathic palliative remedy (contraria contrariis), kept under, or by means of counter-irritant and derivative (antagonistic and revulsive) remedies, applied to other than the diseased spots, suspended, until the natural time for the duration of the short malady had expired. These methods were, consequently, indirect, and at- tended with loss of strength and humors, so much so that in patients so treated the greatest and most important measures for the complete removal of the disease and for the restoration of the lost strength and humors remained to be performed by Nature herself—by the life-preserving power which, besides the removal of the natural acute disease, had also to combat the effects of improper treatment, and thus it was able, in cases unattended by danger, gradually to restore the normal relation of the functions by means of its own energy, but often in a tedious, imperfect and painful manner. It remains a very doubtful question whether the natural pro- cess of recovery in acute diseases is really at all shortened or facilitated by this interference of the old school, as the latter cannot act otherwise than the vital force, namely, indirectly; but its derivative and counter-irritant treatment is much more injurious and much more debilitating. The old school has yet another method of treatment, which is termed the stimulating and strengthening system' (by eaccitantia * It is, properly speaking, enantiopathic, and I shall again refer to it in the text of the Organom ($ 59). INTRODUCTION. 2. 7 nervina, tonica, confortantia, roborantia). It is astonishing how it can boast of this method. º Has it ever succeeded in removing the physical weakness so often engendered and kept up or increased by a chronic disease with its prescriptions of etheric Rhine-wine or fiery Tokay? The strength gradually sank under this treatment, and all the lower, the greater the quantity of wine the patient was per- suaded to drink, because the source of the weakness, the chronic disease, was not cured by it, because artificial stimulation is followed by relaxation in the reaction of the vital force. Or did its cinchona bark, or its amara, so misunderstood, so multifarious in their modes of action, and productive of quite different kinds of injury, give strength in these frequently oc- curring cases? Did not these vegetable substances, said to be tonic and strengthening under all circumstances, as also the preparations of iron, often add to the old disease new sufferings, by virtue of their peculiar pathogenetic effects, without reliev- ing the weakness proceeding from an unknown disease of long standing? Has any one ever succeeded in diminishing in the very least the duration of the incipient paralysis of an arm or a leg, so often arising from a chronic dyscrasia, by means of the so- called unguenta nervina, or any other spirituous or balsamic embrocations, without curing the dyscrasia itself. Or haye electric or galvanic shocks ever been attended with any other result in such cases, than a gradually increasing, and finally absolute, paralysis, and extinction of all muscular and nervous irritability in the affected limbs?" Did not the renowned eaccitantia and aphrodisiaca, ambergris, lacerta scincus, cantharides tincture, truffles, cardamoms, cin- namon and vanilla invariably bring about complete impotence when used for the purpose of restoring the gradually declining sexual power (which always depended on an unobserved chronic miasm)? 1 Those affected with hardness of hearing were relieved by moderate shocks from the voltaic pile of the apothecary of Jever only for a few hours—these moderate shocks Soon lost their power. In order to produce the same result he had to make them stronger; until these stronger shocks had no effect; the very strongest would then at first excite the patients' hearing for a short time, but at length left them quite deaf. 28 INTRODUCTION. How can credit be taken for the production of a stimulation and invigoration of but a few hours duration, when the result that must follow and which is permanent—according to the laws of all palliative action—is a directly opposite state, the rendering of the disease incurable? The little good that the eaccitantia and roborantia did for re- covery from acute diseases (treated according to the old method) was a thousand times outweighed by their ill effects in chronic maladies. When physicians of the old school do not know what to do in a chronic disease, they treat it blindly with their so-called alterative remedies (alterantia); among which the horrible mer- curialia (calomel, corrosive sublimate and mercurial ointment) Occupy the foremost place—which they allow to act in such large quantities and for so long a time on the diseased body (in non-venereal diseases!) that at last the health is by their de- structive effects completely undermined. They thus certainly produce great alterations, but invariably such as are not bene- ficial, and they always utterly ruin the health by their improper administration of this excessively injurious metal. When they prescribe, in large doses, cinchona bark (which, as a homoeopathic febrifuge, is only specific in true marsh ague, uncomplicated with psora), for all epidemic intermittent fevers, which are often distributed over large tracts of country, the old school practitioners palpably manifest their stupidity, for these diseases assume a different character almost every year and hence demand for their cure, almost always, a different homoeo- pathic remedy, by means of one or a few very small doses of which they may always be radically cured in a few days. Now, because these epidemic fevers have periodical attacks (typus) and the adherents of the old school see nothing in all intermittent fevers but their typus [periodicity], and neither know nor care to know any other febrifuge but cinchona, these routine practitioners imagine, if they can but suppress the typus of the epidemic intermittent fever with enormous doses of cinchona and its costly alkaloid, quinine (an event which the unintelligent, but, in this instance, more sensible vital force endeavors to prevent often for months), that they have cured this epidemic ague. But the deluded patient, after such a INTRODUCTION. 29 suppression of the periodicity (typus) of his fever, invariably becomes worse than he was during the fever itself: with sallow complexion, dyspnoea, constriction in the hypochondria, disor- dered bowels, unhealthy appetite, broken sleep, feeble and desponding, often with great swelling of the legs, of the abdo- men and even of the face and hands, he creeps out of the hospital, dismissed as cured, and long years of homoeopathic treatment are not infrequently required, merely to rescue from death, let alone to cure and restore to health, such a profoundly injured (cured?), artificially cachectic patient. The old school is happy when it can convert the dull stupor that occurs in typhus fevers, by means of valerian, which in this case acts antipathically, into a kind of liveliness of a few hours’ duration; but as this does not continue, and to force a repetition of the animation ever increasing doses of valerian are requisite, it is not long before the largest doses cease to have the desired effect. But as this palliative is only stimulant in its primary action, in its after effects the vital force is para- lyzed, and such a patient is certain of a speedy death from this rational treatment of the old school; none can escape. And yet the adherents of this routine art could not perceive that by these proceedings they most certainly killed their patients; they ascribed the death to the malignancy of the disease. A palliative of a still more horrible character for chronic patients is the digitalis purpurea, with which the old school practitioners imagine they do such excellent service, when, by means of it, they compel the quick, irritated pulse in chronic diseases (purely symptomatic () to become slower. True it is that this dreadful remedy, which is in such cases employed enantiopathically, strikingly diminishes the frequency of the quick, irritated pulse, and greatly reduces the number of the arterial pulsations, for a few hours, after the first dose; but the pulse soon becomes more rapid than before. In order again to diminish in some degree its frequency the dose is in- creased, and it has the effect, but for a still shorter period, until even these and still larger palliative doses cease to reduce the pulse, which at length, in the secondary action of the fox- glove which can no longer be restrained, becomes much more rapid than it was before the use of this drug, —it then becomes 30 INTRODUCTION. wncountable; sleep, appetite and strength are lost—death is imminent; not one of the patients so treated escapes alive, unless to be a prey to incurable insanity!"(a) Such was the treatment pursued by the allopathist. The patients, therefore, were obliged to yield to the sad necessity, because they could obtain no better aid from other allopathists, who had gained their knowledge from the same deceitful books. As the fundamental cause of chronic (non-venereal) diseases, together with the remedies for them, remained unknown to these practitioners, who vainly boasted of their causal medica- tion of their diagnosis being directed to the investigation of the genesis of diseases; how could they hope to cure the im- mense numbers of chronic diseases by their indirect treatments, which were but hurtful imitations of the unintelligent vital force for its own relief, that never were intended to be models for practice? The presumed character of the affection they regarded as the cause of the disease, and hence they directed their pretended causal treatment against spasm, inflammation (plethora), fever, general and partial debility, mucus, putridity, obstruc- tions, &c., which they thought to remove by means of their antispasmodic, antiphlogistic, tonic, stimulant, antiseptic, dis- solvent, resolvent, derivative, evacuant, antagonistic remedies (of which they only possessed a superficial knowledge). But from such general indications really serviceable medi- cines could not be discovered, most assuredly not in the materia medica of the old school, which, as I have elsewhere shown,” is founded mainly on conjecture and false deductions ab usu in morbis, mixed up with falsehood and fraud. With equal rashness they attacked those still more hypo- 1 And yet Hufeland, the chief of this old school (v. Homöopathie, p. 22), ex- tols with much satisfaction the employment of digitalis in such cases, in these words: “None will deny” (experience invariably does so!) “that too great rapidity of the circulation can be removed (?) by digitalis.” Permanent- ly removed? and by a heroic enantiopathic remedy? Poor Hufeland! ? Which Hufeland in his pamphlet, Die Homöopathie, p. 20, makes a futile attempt to appropriate for his old pseudo-art. For since, as is well known, previous to the appearance of my book (Chronic Diseases), the 2500-years-old allopathy knew nothing about the Source of most chronic diseases (psora), must it not have attributed a false source (genesis) to such maladies? (?) 8 See essay in the first volume of the Materia Medica Pura (English edit.), “Sources of the Common Materia, Medica.” INTRODUCTION. 31 thetical so-called indications—deficiency or excess of oxygen, nitrogen, carbon, or hydrogen in the fluids, exaltation or diminution of the irritability, sensibility and reproduction, de- rangements of the arterial, venous and capillary systems, asthenia, &c., without knowing a single remedy for effecting objects so visionary. All this was pure ostentation. It was a mode of treatment that did no good to the patients. But all semblance of appropriate treatment of diseases was completely lost by a practice, introduced in the earliest times, and even made into a rule: I mean the mixture in a prescription of various medicinal substances, whose real action was, almost without an exception, unknown, and which, without any one exception, invariably differed so much among each other. One medicine (the sphere of whose medicinal effects was unknown) was placed foremost, as the principal remedy (basis), and was designed to subdue what the physician deemed the chief char- acter of the disease; to this was added some other drug (equally unknown as regards the sphere of its medicinal action) for the removal of some accessory symptom, or to strengthen the action of the first (adjuvans); and besides these, yet another (likewise unknown as to the sphere of its medicinal powers), a pretended corrective remedy (corrigens); these were all mixed together (boiled, infused)—and along with them, some medicinal syrup, or distilled medicinal water, also with different proper- ties, would be included in the formula, and it was supposed that each of the ingredients of this mixture would perform, in the diseased body, the part alloted to it by the prescriber's imagin- ation, without suffering itself to be disturbed or led astray by the other things mixed up along with it; which, however, could not in reason be expected. One ingredient suspended wholly or partially the action of another, or communicated to it and to the others a mode of action and operation not anticipated nor conjecturable, so that it was impossible the expected effect could be obtained; there frequently occurred a new morbid de- rangement, which, from the incomprehensible changes imparted to substances by their admixture, was not and could not have been foreseen, which escaped observation amid the tumultuous symptoms of the disease, and which became permanent from a lengthened employment of the prescription—accordingly an 32 INTRODUCTION. artificial disease was added to and complicated the original disease, causing an aggravation of the latter—or if the pre- scription were not often repeated, but superseded by one or more new prescriptions, composed of other ingredients, given in rapid succession, then the very least that could happen was a further depression of the strength, for the substances adminis- tered in that way neither had, nor could have had, any direct pathological relation to the original malady, but only attacked, in a useless and injurious manner, parts that were least impli- cated in the disease. The mixture of several medicines, even if the effects of each single medicine on the human body were accurately known (—the prescription writer, however, often knows not the thousandth part of their effects—), the association, in one pre- scription, of several such ingredients, I repeat, many of which are themselves of a very compound nature, and the peculiar action of any one of which is as good as unknown, although in reality it always differs greatly from that of the others, and the administration of this incomprehensible mixture to the patient in large and frequently repeated doses, in order there- with to obtain some purposed, certain, curative effect, is a piece of folly repugnant to every reflecting and unprejudiced person." 1 The absurdity of medical mixtures was perceived even by adherents of the old School of medicine, although they still continued to follow this slovenly plan in their own practice, contrary to their own convictions. Thus Marcus Herz (in Hufeland's Jowrmal, ii. p. 33) reveals the pricks of his con- science in the following words: “When we wish to remove the inflammatory state, we do not employ either nitre or sal-ammoniac Or vegetable acids alone, but we usually mix Several, and often but too many, So-called antiphlogistics together, or give them in the same case in close succession. If we have to combat putridity, we are not, content to look for the attainment of our ob- ject from the administration of large doses of one of the known antiseptic medicines, such as cinchona bark, mineral acids, arnica, Serpentaria, &c., alone; we prefer associating several of them together, and count upon their community of action; or from our uncertainty as to whose action is the most suitable for the case in question, we throw together a number of differ- ent substances, and almost leave it to chance to effect the end we have in view, by means of one of them. Thus' we seldom excite perspiration, purify the blood (?), overcome obstructions (?), promote expectoration, Or even evacuate the primae viae, by a single remedy; our prescriptions for these ob- jects are always composite, almost never simple and pure, consequently neither are Our Observations in reference to the actions of each individual 8wbstanee Com- tained in them. To be sure, we learnedly institute certain grades of rank among the remedies in our formulas; on the One to which we particularly commission the action, we confer the title of base (basis), the Others we call helpers, supporters (adjuvantia), correctives (corrigentia), &c. But this classi- fication is evidently almost entirely arbitrary. The helpers and supporters INTRODUCTION. 33 The result naturally belies every expectation that had been formed. There certainly ensue charºns and results, but none of an appropriate character, none be icial—all injurious, de- structivel I should like to see any one who ld call the pur-blind in- roads of such prescriptions on the d sed human body a cure! It is only by guiding what still remains of the vital principle in the patient to the proper performance of its functions, by means of a suitable medicine, that a cure can be expected, but not by enervating the body to death, secundum artem; and yet the old school knows not what else to do with patients suffering from chronic diseases, than to attack the sufferers with drugs that do nothing but torture them, waste their strength and fluids, and shorten their lives! Can it be said to save whilst it de- stroys? Does it deserve any other name than that of a mis- chievious [non-healing] art? It acts, lege artis, in the most in- appropriate manner, and it does (it would seem almost purpose- ly) &AXoſa, that is to say, the very opposite of what it should do. Can it be commended? Can it be any longer tolerated? In recent times the old school practitioners have quite sur- passed themselves in their cruelty towards their sick fellow- creatures, and in the unsuitableness of their operations, as every unprejudiced observer must admit, and as even physicians of their own school have been forced, by the pricks of their con- science (like Kruger Hansen), to confess before the world. It was high time for the wise and benevolent Creator and Preserver of mankind to put a stop to these abominations, to command a cessation of these tortures, and to reveal a healing have just as much part in the whole action as the chief ingredient, although, from Want Of a standard Of measurement, we are unable to determine the degree of their participation in the result. In like manner the influence of the correctives on the powers of the other ingredients cannot be quite indiffer- ent; they must increase or diminish them, or give them quite another di- rection; and hence we must always regard the salutary (?) change which we effect, by means of such a prescription, as the result of all its ingredients collectively. and we can mever obtain from its action a pure earperience of the in- dividual efficacy of any single ingredient of which it is composed. In fact, our knowledge of what is essential to be known respecting all our remedies, as also re- specting the perhaps hundred-fold relationships among each other into which they enter when combined, is far too little to be relied upon to enable w8 to tell with cer– tainty the degree and entent of the action of a substance, &eemingly ever so wrim- portant, when introduced into the human body in combination with other 8wbstancéS.” 3 34 INTRODUCTION. art the very opposite of all this, which should not waste the vital juices and powers by emetics, perennial scourings out of the bowels, warm baths, diaphoretics or salivation; nor shed the life's blood, nor torment and weaken with painful appli- ances; nor, in place of curing patients, suffering from diseases, render them incurable by the addition of new, chronic medicinal maladies by means of the prolonged use of wrong, powerful medicines of unknown properties; nor yoke the horse behind the cart, by giving strong palliatives, according to the old favorite axiom, contraria contrariis curentury nor, in short, in place of lending the patient aid, to guide him in the way to death, as is done by the merciless routine practitioner; but which, on the contrary, should spare the patient's strength as much as possible, and should, rapidly and mildly, effect an unalloyed and permanent cure, and restore to health by means of smallest doses of few simple medicines carefully selected according to their proved effects, by the only therapeutic law conformable to nature: similia similibus curentur. It was high time that He should permit the discovery of homoeopathy. (a) By observation, reflection and experience, I discovered that, contrary to the old allopathic method, the true, the proper, the best mode of treatment is contained in the maxim:(d) To cure mildly, rapidly, certainly, and permanently, choose, in every case of disease, a medicine which can itself produce an affection similar (Śpotov rá60s) to that sought to be cured! Hitherto no one has ever taught this homoeopathic mode of cure, no one has carried it out in practice. But if the truth is only to be found in this method, as I can prove it to be, we might expect that, even though it remained unperceived for thousands of years, distinct traces of it would yet be discov- ered in every age." And such is the fact. In all ages, the patients who have been really, rapidly, permanently and obviously cured by medi- cines, and who did not merely recover by some fortuitous cir- cumstance, or by the acute disease having run its allotted course, or by the powers of the system having, in the course 1 For the truth is co-eternal with the all-wise, benevolent Deity. It may long escape the Observation of man, until the time foreordained by Provi- dence arrives, when its rays shall irresistibly break through the clouds of prejudice and usher in the dawn' of a day which shall shine with a bright and inextinguishable light for the weal of the human race. INTRODUCTION. 35 of time, gradually attained the preponderance, under allopathic and antagonistic treatment—for being cured in a direct manner differs vastly from recovering in an indirect manner—such patients have been cured solely (although without the knowl- edge of the physician) by means of a (homoeopathic) medicine which possessed the power of producing a similar morbid state. Even in real cures by means of mixtures of medicines— which were excessively rare—it will be found that the remedy whose action predominated was always of a homoeopathic character. But this is observed much more strikingly in cases where physicians sometimes effected a rapid cure with one simple medicinal substance, contrary to the usual custom, that ad- mitted of none but mixtures of medicines in the form of a prescription. There we see, to our astonishment, that this always occurred by means of a medicine that is itself capable of producing an affection similar to the case of disease, al- though the physicians themselves knew not what they were doing, and acted in forgetfulness of the contrary doctrines of their own school. They prescribed a medicine the very reverse of that which they should have employed according to the traditional therapeutics, and it was only in consequence of so doing that the patients were rapidly cured. (a) If we deduct the cases in which the specific rem- edy for a disease of never varying character has been made known to physicians of the ordinary School (not by their own investigation, but) by the empirical practice of the common people, wherewith they are ena- bled to effect a direct cure, as for instance, of the venereal chancrous disease with mercury; of the morbid state resulting from contusions with arnica; of marsh ague with cincluona bark; of recent cases of itch with flowers of sulphur, &c.—if we deduct these, we find, that without almost any exception, all the other treatment of the old school physician, in chronic diseases, consists in debilitating, teasing and tormenting the already afflicted patient, to the aggravation of his disease and to his destruction, with a great display of dignified gravity on the part of the doctor, and at a ruinous expense to the pa- tient. (a) 36 INTRODUCTION. Blind experience sometimes led them to a homoeopathic mode of treatment," and yet they did not perceive the law of nature in obedience to which cures so effected did and must €InSUlé. Hence it is highly important, for the weal of mankind, to ascertain what really took place in these eactremely rare but sin- gularly salutary treatments. The answer we obtain to this question is of the utmost significance. They were never per- formed in any other manner than by means of medicines of homoeopathic power, that is to say, capable of producing a disease similar to the morbid state sought to be cured; the cures were effected rapidly and permanently by medicines, the 1 Thus they imagined they could drive out through the skin the sudatory matter which they believed to stagnate there after a chill, if they gave the patient to drink, during the cold stage of the catarrhal fever, an infusion of elder flowers, which is capable of removing such a fever and curing the patient by its peculiar similarity of action (homoeopathically), and this it does most promptly and effectually, Without causing perspiration, if but a small quantity of this infusion, and nothing else, be taken. To hard, acute swellings, in which the excessive violence of the inflammation prevents their suppuration and causes intolerable pains, they apply very warm poultices, frequently renewed, and behold! the inflammation and the pains diminish rapidly, while the abscess is rapidly formed. as is known by the yellowish Shining elevation and the perceptible softening. In this case they imagine that the hardness has been softened by the moisture of the poultice, whereas it is chiefly by the greater heat of the poultice that the excess of inflamma- tion has been homoeopathically subdued, and the rapid suppuration been enabled to take place.—Why do they employ with benefit in many ophthal- miae St. Yve’s salve, the chief ingredients of which is red oxide of mercury, which can produce inflammation of the eyes, if anything can? Is it hard to see that they here act homoeopathically?—Or why should a little parsley juice produce such evident relief in those cases (by no means rare), where there are anxious, often ineffectual, efforts to urinate, in little children, and in ordinary gonorrhoea, which is well known by the very painful, frequent and almost ineffectual attempts to make Water, if the fresh juice of this plant had not the power of causing, in healthy persons, a painful, almost fruitless, urging to urinate, consequently cures homoeopathically? With the pimpernel root, which causes great secretion of mucus in the bronchia. and fauces, they successfully combated the so-called mucous angina—and quelled some kinds of metrorrhagia with the leaves of savine, which can itself cause metrorrhagia, without perceiving the homoeopathic curative law. In cases of constipation from incarcerated hernia, and in ileus many medical men found the Constipating opium, in Small doses, to be the most excellent and certain remedy without having the most distant idea of the homoeopathic therapeutic law exemplified in this case. They cured non- venereal ulcers of the fauces with small doses of mercury, which is homoeo- pathic to such states—stopped some diarrhoeas with small doses of the pur- gative rhubarb—cured hydrophobia, with belladonna, that causes a similar affection, and removed, as if by magic, the dangerous comatose state in acute fevers with a small dose of the heating, Stupefying Opium; and yet they abuse homoeopathy, and persecute it with a fury that can only arise from the stings of an evil conscience in a heart incapable of improvement. INTRODUCTION. 37 medical prescribers of which made use of them as it were by accident, and even in opposition to the doctrines of all pre- vious systems and therapeutics (often without rightly knowing what they were doing and why they did it), and thus, against their will, they practically confirmed the necessity of the only therapeutic law consonant to nature, that of homoeopathy—a therapeutic law, which, despite the many facts and innumer- able hints that pointed to it, no physicians of past epochs have exerted themselves to discover, blinded as they all have been by medical prejudices. For even the domestic practice of the non-medical classes of the community endowed with sound observant faculties has many times proved this mode of treatment to be the surest, the most radical and the least fallacious in practice. In recent cases of frost-bitten limbs frozen sauer kraut is applied or frictions of snow are used." 1 It is on such examples of domestic practice that Mr. M. Lux founds his so-called mode of cure by identwals and idem, which he calls Isopathy, which some eccentric-minded persons have already adopted as the mon, plus ultra of a therapeutic method, without knowing how they could carry it out. But if we examine these instances attentively we find that they do not bear Out these viewS. The purely physical powers differ in the nature of their action on the living organism from those of a dynamic medicinal kind. Heat or cold of the air that surrounds us, or of the water, or of our food and drink, occasion (a8 heat and cold) of themselves no absolute injury to a healthy body; heat and cold are in their alternations essential to the main- tenance of healthy life, Consequently they are not of themselves medicine. Heat and cold, therefore, act as curative agents in affections of the body, not by virtue of their essential nature (not, therefore, as cold and heat per se, not as things hurtful in themselves, as are the drugs, rhubarb, china, &c., even in the smallest doses), but only by virtue of their greater or smaller quantity, that is, according to their degrees of temperature, just as (to take an example from purely physical powers) a great weight of lead will bruise my hand painfully, not by virtue of its essential nature as lead, for a thin plate of lead would not bruise me. but in consequence of its quantity and massive weight. If... then, cold or heat be serviceable in bodily ailments like frost-bites or burns, they are so solely on account of their degree of temperature, just as they only inflict injury on the healthy body by their extreme degrees of temperature. Thus we find in these examples of successful domestic practice, that it is not the prolonged application of the degree of cold in which the limb was frozen that restores it is pathically (it would thereby be rendered quite life- less and dead), but a degree Of cold that Only approximates to that (ſ. moeo- pathy), and which gradually rises to a comfortable temperature, as frozen sauer kraut laid upon the frost-bitten hand in the temperature of the room soon melts, gradually growing warmer from 32° or 33° (Fahr.) to the tempera- ture of the room, supposing that to be only 55°, and thus the limb is recovered by physical homoeopathy. In like manner, a hand scalded with boiling 38 INTRODUCTION. The experienced cook holds his hand, which he has scalded, at a certain distance from the fire, and does not heed the in- crease of pain that takes place at first, as he knows from ex- perience that he can thereby in a very short time, often in a few minutes, convert the burnt part into healthy painless skin." Other intelligent non-medical persons, as, for example, the manufacturers of lacquered ware, apply to a part scalded with the hot varnish a substance that causes a similar burning Water would not be cured iSOpathically by the application of boiling water, but only by a somewhat lower temperature, as, for example, by holding it in a vessel containing a fluid heated to 160°, which becomes every minute less hot, and finally descends to the temperature of the room, whereupon the scalded part is restored by homoeopathy. Water in the act of freezing cannot draw out the frost isopathically from potatoes and apples, but this is effected by water only near the freezing-point. So, to give another example from physical action, the injury resulting from a blow on the forehead with a hard substance (a painful lump) is soon diminished in pain and Swelling by pressing on the Spot for a considerable time with the ball of the thumb, strongly at first, and then gradually less forcibly, homoeopathically, but not by an equally hard blow With an equally hard body, which would increase the evil isopathically. The examples Of Cures by isopathy given in the book alluded to—muscular contractions in human beings and Spinal paralysis in a dog, which had been caused by a chill, being rapidly cured by cold bathing—these events are falsely explained by isopathy. What are called sufferings from a chill are only nominally connected with cold, and often arise, in the bodies of those predisposed to them, even from a draught of wind which was not at all cold. Moreover, the manifold effects of a cold bath on the living organism, in health and in disease, cannot be reduced to such a simple formula, as to warrant the construction of a system of such pretensions! That serpents’ bites, as is there stated, are most certainly cured by portions of the serpents, must remain a mere fable of a former age, until such an improbable asser- tion is authenticated by indubitable observations and experience, which it certainly never Will be. That, in fine, the saliva of a mad dog given to a patient laboring under hydrophobia (in Russia), is 8aid to have cured him —that “is said” would not seduce any conscientious physician to imitate such a hazardous experiment, or to Construct a so-called isopathic system, so dangerous and so highly improbable in its extended application, as has been done (not by the modest author of the pannphlet entitled The Isopathy of Contagioms, Leipzic: Kollmann), but by its eccentric supporters, especially Dr. Gross (V. Allg, h0m. Ztg., ii, p. 72), who vaunts this isopathy (a qualia dequalibus) as the Only proper therapeutic rule, and sees nothing in the similia similibus but an indifferent substitute for it; ungratefully enough, as he is entirely indebted to the simulia similibus for all his fame and fortune. (a) A" 1 So also Fernelius (Therap., lib. vi., cap. 20) considers that the best remedy for a burnt part is to bring it near the fire, whereby the pain is removed. John Hunter (On the Blood, Inflammaliun, &c., p. 218) mentions the great injury that results from treating burns with cold water, and gives a decided preference to approaching them to the fire, guided in this, not by the tra- ditional medical doctrines which (contraria contra iis) prescribe cooling things for inflammation. but by experience, which teaches that the application of a similar heat (similia &imilibus) is the most salutary. INTRODUCTION. 39 sensation, such as strong heated spirits of wine," or oil of turpentine,” and by that means cure themselves in the course of a few hours, whereas cooling salves, as they are well aware, 1 Sydenham (Opera, p. 271 [edit. Syd. Soc., p. 601]) says that 8pirits of wine, repeatedly applied, is preferable to all other remedies in burns. Benjamin Bell, too (System of Surgery, 3rd edit., 1789), acknowledges that experience Shows that homoeopathic remedies only are efficacious. He says: “One of the best applications to every burn of this kind is strong brandy or any Other ardent spirit; it seems to induce a momentary additional pain (see below, § 157), but this soon subsides, and is succeeded by an agreeable sooth- ing Sensation. It proves most effectual when the parts can be kept im- mersed in it; but where this cannot be done, they should be kept constantly moist with pieces of old linen soaked in spirits.” To this I may add that warm, and indeed very warm, alcohol is much more rapidly and much more certainly efficacious, for it is much more homoeopathic than when not heated. And all experience confirms this in a most astonishing manner. ° Edward Kentish, having to treat the workers in coal pits, who were so often dreadfully burnt by the explosion of fire-damp, applied heated oil of turpentine or alcohol, as the best remedy in the most extensive and severest burns (Second E88ay on Burns, London, 1798). No treatment can be more homoeopathic than this, nor is any more efficacious. The estimable and experienced Heister (Institut. Chirurg., Tom. i., p. 33) confirms this from his own observation and extols the application of turpen- tine oil, of alcohol and of very hot poultices for this end, as hot as ever they Can be borne. But the amazing Superiority of the application to burns of these remedies, which possess the power of exciting burning sensation and heat (and are consequently homoeopathic), over palliative refrigerant remedies, is most incontestably shown by pure experimentation, in which the two opposite methods of treatment are employed for the sake of comparison, in burns of equal intensity in the same body. Thus Benjamin Bell (Kühn's Phys. Med. Journ., Leipzic, 1801, Jun., p. 428), in the case of a lady who had Scalded both arms, caused one to be covered with oil of turpentime, and made her plunge the other into cold water. In half an hour the first arm was well, but the other continued to be painful for six hours longer; when it was withdrawn one instant from the water she ex- perienced much greater pain in it, and it required a much longer time than the first for its cure John Anderson (Kentish, op. cit., p. 43) treated in a similar manner a lady who had scalded herself with boiling grease. “The face which was very red and scalded and excessively painful was, a few minutes after the accident, covered with oil of twrpentime; her arm she had, of her own accord, plunged into cold water, with which she desired to treat it for Some hours. In the course of seven hours her face looked much better, and the pain was relieved. She had frequently renewed the cold water for the arm, but whenever she withdrew it she complained of much pain, and, in truth, the inflammation in it had increased. The following morning I found that she had had during the night great pain in the arm; the inflammation had extended above the elbow; several large blisters had risen, and thick eschars had formed on the arm and hand; a warm poultice was then applied. The face was completely free from pain, but emollient applications had to be used for the arm for a fortnight longer, before it was cured.” Who can fail to perceive in this instance the infinite superiority of the (homoeo- pathic) treatment by means of remedies of similar action. over the wretched treat- ment by opposite.8 (contraria contrariis) of the antiquated ordinary 8chool of †medicine/ 40 INTRODUCTION. would not effect a cure in as many months, and cold water" would make matters worse. , The old experienced reaper, although he may not be in the habit of drinking brandy, will not touch cold water (contraria contrariis) when he has worked himself into a violent feverish state in the heat of the sun—he knows the danger of such a proceeding—but he takes a small quantity of a heating liquor, a mouthful of brandy; experience, the teacher of truth, has convinced him of the great superiority and efficacy of this homoeopathic procedure, whereby his heat and fatigue are speedily removed.”(a) There have occasionally been physicians who vaguely sur- mised that medicines cure analogous morbid states by the power they possess of producing analogous morbid symptoms.” Thus the author of the book: "repi réirov rôv kär’ &v- 6porov,” which is among the writings attributed to Hippoc- rates, has the following remarkable words: Suð rà èuota vodoros yiveral, Kai 8tà tê špota trpoor pepôpeva èk voorečvrov i yuaívovrat, L 8wo to épéew épteros raiſerai.(*) Later physicians have also felt and expressed the truth of the homoeopathic method of cure. Thus, for instance, Boulduc” perceived that the purgative property of rhubarb was the cause of its power to allay diarrhoea. Detharding"(a) guessed that the infusion of senna leaves relieved colic in adults by virtue of its analogous action in causing colic in healthy persons. 1 John Hunter (loc. cit.) is not singular in asserting the great injury done by treating burns with cold water. W. Fabricius of Hilden, also (De Com- bw8tionibus libellus, Basil. 1607, cap. 5, p. 11), alleges that cold applications in burns are highly injurious and productive of the most serious consequences; inflammation, #Suppuration and sometimes mortification are caused by them. 2 Zimmerman (Ueber die Erfahrwmg, ii, p. 318) informs us that the inhabi- tants of hot Countries act in the same manner, with the best results, and that, after being very much heated, they swallow a Small quantity of Some spirituous liquor. 8 I do not bring forward the following passages from authors who had a presentiment of homoeopathy as proofs in Support of this doctrine, which is firmly established by its own intrinsic merits, but in order to avoid the im- putation of having suppressed these foreshadowings with the view of claim- ing for myself the priority of the idea. 4 Basil. Froben., 1538, p. 72. 5 Mémoires de l’ Académie Royale, 1710. 6 Eph Nat. Cur., cent. x, obs. 76. INTRODUCTION. 41 Bertholon' confesses that in diseases electricity diminishes and removes pain very similar to that which itself produces. Thoury” testifies that positive electricity possesses the power of quickening the pulse, but when that is already morbidly accelerated it diminishes its frequency. Won Stoerkº makes the following suggestion: “If stra- monium disorders the mind and produces mania in healthy persons, ought we not to try if in cases of insanity it cannot restore reason by producing a revolution in the ideas?” But a Danish army physician, of the name of Stahl, * has expressed his conviction on this point in the most unequivocal terms. “The rule generally acted on in medicine,” says he, “to treat by means of oppositely acting remedies (contraria contrariis) is quite false and the reverse of what ought to be; I am, on the contrary, convinced that diseases will yield to, and be cured by, remedies that produce a similar affection (similia similibus),-burns by exposure to the fire, frost-bitten limbs by the application of snow and the coldest water, in- flammation and bruises by distilled spirits’; and in like manner I have treated a tendency to acidity of the stomach by a very small dose of sulphuric acid with the most successful result, in cases where a number of absorbent remedies had been fruitlessly employed.” How near was the great truth sometimes of being appre- hended! But it was dismissed with a mere passing thought, and thus the indispensable change of the antiquated medical treatment of disease, of the improper therapeutic system hitherto in vogue, into a real, true, and certain healing art, remained to be accomplished in our own times. 1 Medicin. Electrisitat., ii, pp. 15 and 282. 2 M&moire lu & l’ Académie de Caen. 8 Libell. de Stram., p. 8. 4 In Jo. Hammelii, Commentatio de Arthritide tam tartarea, quam scorbutica, sew podagra et 8Corbuto, Budingae, 1738, viii, pp. 40–42. ORGANON OF MEDICINE.") 3 1. (a) The physician's high and only mission is to restore the sick to health, to cure, as it is termed.” $ 2. The highest ideal of a cure is rapid, gentle and permanent restoration of the health, or removal and annihilation of the disease in its whole extent, in the shortest, most reliable, and most harmless way, on easily comprehensible principles, (d) Ž 3. If the physician clearly perceives what is to be cured in diseases, that is to say, in every individual case of disease (knowledge of disease, indication), if he clearly perceives what 1 His mission is not, however, to construct so-called systems, by inter- weaving empty speculations and hypotheses concerning the internal essen- tial nature of the vital processes and the mode in which diseases Originate in the invisible interior of the Organism (whereon so many physicians have hitherto ambitiously wasted their talents and their time); nor is it to at— tempt to give countless explanations regarding the phenomena in diseases and their proximate cause (which must ever remain concealed), wrapped in unintelligible words and an inflated abstract mode of expression, which should sound very learned in Order to astonish the ignorant—whilst sick humanity sighs in vain for aid. Of such learned reveries (to which the name of theoretic medicine is given, and for which special professorships are instituted) we have had quite enough, and it is now high time that all who call themselves physicians should at length cease to deceive suffering man- kind with mere talk, and begin now, instead, for once to act, that is, really to help and to cure. ORGANON OF MEDICINE. 43 is curative in medicines, that is to say, in each individual medicine, (knowledge of medicinal powers), and if he knows how to adapt, according to clearly defined principles, what is curative in medicines to what he has discovered to be undoubt- edly morbid in the patient, so that recovery must ensue—to adapt it, as well in respect to the suitability of the medicine most appropriate according to its mode of action to the case before him (choice of the remedy, the medicine indicated), as also in respect to the exact mode of preparation and quantity of it required (proper dose), and the proper period for repeating the dose;—if, finally, he knows the obstacles to recovery in each case and is aware how to remove them, so that the restoration may be permanent: then he understands how to treat judiciously and rationally, and he is a true practitioner of the healing art. (a) § 4. He is likewise a preserver of health if he knows the things that derange health and cause disease, and how to remove them from persons in health. (a) 3 5. Useful to the physician in assisting him to cure are the particulars of the most probable eacciting cause of the acute disease, as also the most significant points in the whole history of the chronic disease, to enable him to discover its funda- mental cause, which is generally due to a chronic miasm. In these investigations, the ascertainable physicial constitution of the patient (especially when the disease is chronic), his moral and intellectual character, his occupation, mode of living and habits, his social and domestic relations, his age, sexual func- tion, &c., are to be taken into consideration. (a) § 6. The unprejudiced observer—well aware of the futility of transcendental speculations which can receive no confirmation from experience—be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived ex- ternally by means of the senses; that is to say, he notices only 44 ORGANON OF MEDICINE. the deviations from the former healthy state of the now dis- eased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceiv- able portrait of the disease. **) § 7. Now, as in a disease, from which no manifest exciting or maintaining cause (causa occasionalis) has to be removed,” we can perceive nothing but the morbid symptoms, it must (regard being had to the possibility of a miasm, and attention paid to the accessory circumstances, & 5) be the symptoms alone by which the disease demands and points to the remedy suited to relieve it—and, moreover, the totality of these its symptoms, of this outwardly reflected picture of the internal 1 I know not, therefore, how it was possible for physicians at the sick—bed to allow themselves to suppose that, without most carefully attending to the symptoms and being guided by them in the treatment, they Ought to seek and could discover, only in the hidden and unknown interior, what there was to be cured in the disease, arrogantly and ludicrously pretending that they could, without paying much attention to the symptoms, discover the alteration that had occurred in the invisible interior, and set it to rights with (unknown () medicines, and that such a procedure as this could alone be called radical and rational treatment. Is not, then, that which is cognizable by the senses in diseases through the phenomena, it displays, the disease itself in the eyes of the physician, since he never can see the spiritual being that produces the disease, the vital force? nor is it necessary that he should see it, but only that he should as- certain its morbid actions, in order that he may thereby be enabled to cure the disease. What else will the Old School Search for in the hidden interior of the Organism, as a prima causa mºrbi, whilst they reject as an object of cure and contemptuously despise the sensible and manifest representation of the disease, the symptoms, that so plainly address themselves to us? What else do they wish to cure in diseases, but these?” ? It is not necessary to say that every intelligent physician would first remove this where it exists; the indisposition thereupon generally ceases spontaneously. He will remove from the room strong-smelling flowers, which have a tendency to cause syncope and hysterical sufferings; extract from the cornea, the foreign body that excites inflammation of the eye; loosen the Over-tight bandage on a wounded limb that threatens to cause mortification, and apply a more suitable one, lay bare and put a ligature On the wounded artery that produces fainting; endeavor to promote the ex- pulsion by vomiting of belladonna berries, &c.. that may have been swal- * “The physician whose researches are directed towards, the hidden rela- tions in the interior of the organism, may daily err; but the homoeopathist who grasps with requisite carefulness the whole group of §º. poS- sesses a sure guide; and if he succeed in removing the Whole #º Of Symptoms, he has likewise most assuredly destroyed the internal, hidden Cause of the disease.” (RAU, op. cit., p. 103). ORGANON OF MEDICINE. £6) * -º essence of the disease, that is, of the affection of the vital force, (a) must be the principal, or the sole means, whereby the disease can make known what remedy it requires—the only thing that can determine the choice of the most appro- priate remedy—and thus, in a word, the totality" of the symptoms must be the principal, indeed the only thing the physician has to take note of in every case of disease and to remove by means of his art, in order that it shall be cured and transformed into health. (d) 3 8. It is not conceivable, nor can it be proved by any experience in the world, that, after removal of all the symptoms of the disease and of the entire collection of the perceptible pheno- mena, there should or could remain anything else besides health, or that the morbid alteration in the interior could remain uneradicated.” lowed; extract foreign substances that may have got into the orifices of the body (the nose, gullet, ears, urethra, rectum, vagina); Crush the vesical calculus; open the imperforate anus of the new-born infant, &c. 1 In all times, the old school physicians, not knowing how else to give re- lief, have sought to combat and if possible to suppress by medicines, here and there, a single symptom from among a number in diseases—a one-8ided procedure, which, under the name of symptomatic treatment, has justly excited universal contempt, because by it, not Only was nothing gained, but much harm was inflicted. A single One of the symptoms present is no more the disease itself than a single foot is the man himself. This procedure was so much the more reprehensible, that such a single Symptom was only treated by an antagonistic remedy (therefore only in an enantiopathic and pallia- tive manner), whereby, after a slight alleviation, it was subsequently only rendered all the worse. 2 (2) When a patient has been cured of his disease by a true physician, in such a manner that no trace of the disease, no morbid' symptom, remains, and all the signs of health have permanently returned, how can anyone, without offering an insult to common sense, affirm that in Such an individual the whole bodily disease still remains in the interior? And yet the chief of the old school. Hufeland, asserts this in the following words: ‘‘Homoeo- pathy can remove the symptoms, but the disease remains.” (Vide Homöo- pathie, p. 27, 1.19). This he maintains partly from mortification at the prog- ress made by homoeopathy to the benefit of mankind, partly because he still holds thoroughly material motions respecting disease, which he is still unable to regard as a state of being of the organism wherein it is dynami- cally altered by the morbidly deranged vital force, as an altered state of health, but he views the disease as a 80mething material, which, after the cure is completed, may still remain lurking in some corner in the interior of the body, in order, some day during the most vigorous health, to burst forth at its pleasure with its material presence | So dreadful is still the blindness of the old pathology | No wonder that it could only produce a system of therapeutics which is solely occupied with scouring out the poor patient. 16 ORGANON OF MEDICINE. 3 9, (a) In the healthy condition of man, the spiritual vital force (autocracy), the dynamis that animates the material body (organism), rules with unbounded sway, and retains all the parts of the organism in admirable, harmonious, vital opera- tion, as regards both sensations and functions, so that our indwelling, reason-gifted mind can freely employ this living, healthy instrument for the higher purposes of our existence. 3 10. The material organism, without the vital force, is capable of no sensation, no function, no self-preservation; it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital force) which animates the material organism in health and in disease. 3 11. When a person falls ill, it is only this spiritual, self-acting (automatic) vital force, everywhere present in his organism, that is primarily deranged by the dynamic influence upon it of a morbific agent inimical to life; it is only the vital force, deranged to such an abnormal state, that can furnish the organism with its disagreeable sensations, and incline it to the irregular processes which we call disease; for, as a power invisible in itself, and only cognizable by its effects on the organism, its morbid derangement only makes itself known by the manifestation of disease in the sensations and functions of those parts of the organism exposed to the senses of the observer and physician, that is, by morbid symptoms, and in no other way can it make itself known. Ž 12. It is the morbidly affected vital force alone that produces diseases,” so that the morbid phenomena perceptible to our 1 It is dead, and now only subject to the power of the external physical world; it decays, and is again resolved into its chemical constituents. * How the vital force causes the organism to display morbid phenomena, that is, how it produces disease, it would be of no practical utility to the physician to know, and therefore it will forever remain concealed from him; only what it is necessary for him to know of the disease and what is fully sufficient for enabling him to cure it, has the Lord of life revealed to his senses. ORGANON OF MEDICINE. 47 senses express at the same time all the internal change, that is to say, the whole morbid derangement of the internal dynamis; in a word, they reveal the whole disease; conse- quently, also, the disappearance under treatment of all the morbid phenomena and of all the morbid alterations that differ from the healthy vital operations, certainly effects and neces- sarily implies the restoration of the integrity of the vital force and, therefore, the recovered health of the whole organism. & 13. Therefore disease (that does not come within the province of manual surgery) considered, as it is by the allopathists, as a thing separate from the living whole, from the organism and its animating vital force, and hidden in the interior, be it of ever so subtile a character, is an absurdity, that could only be imagined by minds of a materialistic stamp, and has for thousands of years given to the prevailing system of medicine all those pernicious impulses that have made it a truly mis- chievous [non-healing] art. # 14. There is, in the interior of man, nothing morbid that is curable and no invisible morbid alteration that is curable which does not make itself known to the accurately observing physician by means of morbid signs and symptoms—an ar- rangement in perfect conformity with the infinite goodness of the all-wise Preserver of human life. 3 15. The affection of the morbidly deranged, spirit-like dynamis (vital force) that animates our body in the invisible interior, and the totality of the outwardly cognizable symptoms pro- duced by it in the organism and representing the existing malady, constitute a whole; they are one and the same. The organism is indeed the material instrument of the life, but it is not conceivable without the animation imparted to it by the instinctively perceiving and regulating vital force (just as the vital force is not conceivable without the organism), conse- quently the two together constitute a unity, although in thought our mind separates this unity into two distinct con- ceptions for the sake of facilitating the comprehension of it. 48 ORGANON OF MEDICINE. § 16. Our vital force, as a spirit-like dynamis, cannot be attacked and affected by injurious influences on the healthy organism caused by the external inimical forces that disturb the har- monious play of life, otherwise than in a spirit-like (dynamic) way, and in like manner, all such morbid derangements (diseases) cannot be removed from it by the physician in any other way than by the spirit-like (dynamic, virtual) alterative powers of the serviceable medicines acting upon our spirit-like vital force, which perceives them through the medium of the sentient faculty of the nerves everywhere present in the or- ganism, so that it is only by their dynamic action on the vital force that remedies are able to re-establish and do actually re- establish health and vital harmony, after the changes in the health of the patient cognizable by our senses (the totality of the symptoms) have revealed the disease to the carefully observing and investigating physician as fully as was requisite in order to enable him to cure it. ź 17. Now, as in the cure effected by the removal of the whole of the perceptible signs and symptoms of the disease the internal alteration of the vital force to which the disease is due—con- sequently the whole of the disease—is at the same time removed,” it follows that the physician has only to remove the whole of the symptoms in order, at the same time, to abrogate and annihilate the internal change, that is to say, the morbid derangement of the vital force—consequently the totality of the disease, the disease itself.” But when the disease is an- 1 A warning dream, a superStitious fancy, or a Solemn prediction that death would occur at a certain day or at a certain hour, has not unfrequent- ly produced all the signs of commencing and increasing disease, of approach- ing death and death itself at the hour announced, which could not happen without the simultaneous production of the inward change (corresponding to the state observed externally); and hence in such cases all the morbid signs indicative of approaching death have frequently been dissipated by an identical cause, by Some cunning deception Or persuasion to a belief in the contrary, and health suddenly restored, which could not have happened without the removal, by means of this moral remedy, of the internal and external morbid change that threatened death. 2 It is only thus that God, the Preserver of mankind, could reveal His wisdom and goodness in reference to the cure of the diseases to which man is liable here below, by showing to the physician what he had to remove in diseases in order to annihilate them and thus re-establish health. But what ORGANON OF MEDICINE. 49 nihilated the health is restored, and this is the highest, the sole aim of the physician who knows the true object of his mission, which consists not in learned-sounding prating, but in giving aid to the sick. (a) Ž 18. From this indubitable truth, that, besides the totality of the symptoms, nothing can by any means be discovered in diseases wherewith they could express their need of aid, it follows undeniably that the sum of all the symptoms in each individual case of disease must be the sole indication, the sole guide to direct us in the choice of a remedy. Ž 19. Now, as diseases are nothing more than alterations in the state of health of the healthy individual which express them- selves by morbid signs, and the cure is also only possible by a change to the healthy condition of the state of health of the diseased individual, it is very evident that medicines could never cure diseases if they did not possess the power of altering man's state of health which depends on sensations and functions; indeed, that their curative power must be owing solely to this power they possess of altering man's state of health. ź 20. (a) This spirit-like power to alter man's state of health (and hence to cure diseases) which lies hidden in the inner nature of medicines can never be discovered by us by a mere effort of reason; it is only by experience of the phenomena it displays when acting on the state of health of man that we can become clearly cognizant of it. Ž 21. Now, as it is undeniable that the curative principle in medicines is not in itself perceptible, and as in pure experi- ments with medicines conducted by the most accurate ob- servers, nothing can be observed that can constitute them would we think of His wisdom and goodness if He had shrouded in mysteri- ous obscurity that which was to be cured in diseases (as is asserted by the dominant school of medicine, which affects to possess a supernatural in- sight into the inner nature of things), and shut it up in the hidden interior, and thus rendered it impossible for man to know the malady accurately, consequently impossible for him to cure it? 4 A6) ORGANON OF MEDICINE. medicines or remedies except that power of causing distinct alterations in the state of health of the human body, and particularly in that of the healthy individual, and of exciting in him various definite morbid symptoms; so it follows that when medicines act as remedies, they can only bring their curative property into play by means of this their power of altering man's state of health by the production of peculiar symptoms; and that, therefore, we have only to rely on the morbid phenomena which the medicines produce in the healthy body as the sole possible revelation of their indwelling curative power, in order to learn what disease-producing power, and at the same time what disease-curing power, each individual medicine possesses. ź 22. But as nothing is to be observed in diseases that must be removed in order to change them into health besides the totality of their signs and symptoms, and likewise medicines can show nothing curative besides their tendency to produce morbid symptoms in healthy persons(a) and to remove them in diseased persons; it follows, on the one hand, that medicines only become remedies and capable of annihilating diseases, because the medicinal substance, by exciting certain effects and symptoms, that is to say, by producing a certain artificial morbid state, removes and abrogates the symptoms already present, to-wit, the natural morbid state we wish to cure. On the other hand, it follows that, for the totality of the symp- toms of the disease to be cured, a medicine must be sought which (according as experience shall prove whether the morbid symptoms are most readily, certainly, and permanently re- moved and changed into health by similar or opposite medicinal symptoms") has a tendency to produce similar or opposite symptoms. 1 The other possible mode of employing medicines for diseases besides these two (the allopathic method), in which medicines are given, whose symp- toms have no direct pathological relation to the morbid State, consequently are neither similar nor opposite, but quite heterogeneous to the symptoms of the disease, is, as I have shown above, in the Introduction (Review of the therapeutics, allopathy and palliative treatment that have hitherto been prac- ticed in the old school of medictme), merely an imperfect and injurious imitation of the eactremely imperfect efforts of the unintelligent, merely instinctive vital force, which, when made ill by moa;ious agents, strives to 8d've itself at whatever 8acrifice by the production and continuance of morbid irritation in the organism—an ORGANON OF MEDICINE. 51 Ž 23. All pure experience, however, and all accurate research convince us that persistent symptoms of disease are far from being removed and annihilated by opposite symptoms of medi- cines (as in the antipathic, enantiopathic or palliative method), that, on the contrary, after transient, apparent alleviation, they break forth again, only with increased intensity, and become manifestly aggravated (see 4% 58–62 and 69). # 24. There remains, therefore, no other mode of employing medicines in diseases that promises to be of service besides the homoeopathic, by means of which we seek, for the totality of the symptoms of the case of disease, a medicine which among all medicines (whose pathogenetic effects are known from having been tested in healthy individuals) has the power and tendency to produce an artificial morbid state most similar to that of the case of disease in question. ź 25. (a) Now, however, in all careful trials, pure experience,” the sole and infallible oracle of the healing art, teaches us that imitation, consequently, of the crude vital force which was implanted in our organism in order to preserve our life in health, in the most beautiful har- mony; but when deranged by disease, was so constituted as to admit of being again changed to health (homoeopathically) by the intelligent physi- cian, but not to cure itself, for which the little power it possesses is so far from being a pattern to be copied, that all the changes and symptoms it produces in the (morbidly deranged) organism are just the disease itself. But this injudicious system of therapeutics of the Old School of medicine can no more be passed by unnoticed than can history omit to record the thousands of years of Oppression to which mankind has been subjected under the irrational, despotic Governments. 1 I do not mean that sort of experience of which the ordinary practitioners of the old school boast, after they have for years worked away with a lot of complex prescriptions on a number of diseases which they never carefully investigated, but which, faithful to the tenets of their school, they consid- ered as already described in works of systematic pathology, and dreamed that they could detect in them some imaginary morbific matter, or ascribed to them some other hypothetical internal abnormality. They always saw Something in them, but knew not what it was they saw, and they got results, from the complex forces acting on an unknown object, that no human being but only a God could have unravelled—results from which nothing can be learned, no experience gained. Fifty years' experience of this sort is like fifty years of looking into a kaleidoscope filled with unknown colored ob- jects, and perpetually turning round; thousands of ever-changing figures and no accounting for them | 52 ORGANON OF MEDICINE. actually that medicine which, in its action on the healthy human body, has demonstrated its power of producing the greatest number of symptoms similar to those observable in the case of disease under treatment, does also, in doses of suitable potency and attenuation, rapidly, radically and per- manently remove the totality of the symptoms of this morbid state, that is to say (8% 6—16), the whole disease present, and change it into health; and that all medicines cure, without exception, those diseases whose symptoms most nearly re- semble their own, and leave none of them uncured. ź 26. (a) This depends on the following homoeopathic law of nature which was sometimes, indeed, vaguely surmised but not hitherto fully recognized, and to which is due every real cure that has ever taken place. A weaker dynamic affection is permanently eactinguished in the living organism by a stronger one, if the latter (whilst differ- tng in kind) is very similar to the former in its manifestations." ź 27. (a) The curative power of medicines, therefore, depends on their symptoms, similar to the disease but superior to it in 1 Thus are cured both physical affections and moral maladies.(6) How is it that in the early dawn the brilliant Jupiter vanishes from the gaze of the beholder? By a stronger very similar power acting On his Optic nerve, the brightness of approaching day !–In situations replete with foetid odors, where with is it usual to sooth effectually the Offended olfactory nerves? With snuff, that affects the sense of smell in a similar but stronger manner! No music, no sugared cake, which act on the nerves of other senses, can cure this olfactory disgust. How does the soldier cunningly stifle the piteous cries of him who runs the gauntlet from the ears of the compassionate by- standers? By the shrill notes of the fife commingled with the roll of the noisy drum! And the distant roar of the enemy's cannon that inspires his army with fear? By the loud boom of the big drum! For neither the one nor the other would the distribution of a brilliant piece of uniform nor a, reprimand to the regiment suffice.—In like manner, mourning and Sorrow will be effaced from the mind by the account of another and still greater cause for sorrow happening to another, even though it be a mere fiction. The injurious consequences of too great joy will be removed by drinking coffee, which produces an excessively joyous state of mind. Nations like the Germans, who have for centuries been gradually sinking deeper and deeper in soulless apathy and degrading serfdom, must first be trodden still deeper in the dust by the Western Conqueror, until their situation became intolerable; their mean opinion of themselves was thereby Overstrained and removed; they again became alive to their dignity as men, and then, for the first time, they raised their heads as Germans. ORGANON OF MEDICINE. 53 strength (8% 12–26), so that each individual case of disease is most Surely, radically, rapidly and permanently annihilated and removed only by a medicine capable of producing (in the human system) in the most similar and complete manner the totality of its symptoms, which at the same time are stronger than the disease. Ž 28. As this natural law of cure manifests itself in every pure experiment and every true observation in the world, the fact is consequently established; it matters little what may be the scientific explanation of how it takes place; and I do not attach much importance to the attempts made to explain it. But the following view seems to commend itself as the most probable one, as it is founded on premises derived from ex- perienced. (a) ź 29. (a) As every disease (not strictly belonging to the domain of sur- gery) depends only on a peculiar morbid derangement of our vital force in sensations and functions, when a homoeopathic cure of the vital force deranged by natural disease is accomplished by the administration of a medicinal agent selected on account of an accurate similarity of symptoms, a somewhat stronger, similar, artificial morbid affection is brought into contact with and, as it were, pushed into the place of the weaker, similar, natural morbid irritation, against which the instinctive vital force, now merely (though in a stronger degree) medicinally diseased, is then compelled to direct an increased amount of energy, but, on account of the shorter duration of the action' of 1 The short duration of the action of the artificial morbific forces, which we term medicines, makes it possible that, although they are stronger than the natural diseases, they can yet be much more easily overcome by the vital force than can the weaker natural diseases, which, solely in conse— quence of the longer, generally lifelong, duration of their action (psora, syphilis, sycosis), can never be vanquished and extinguished by it alone, until the physician affects the vital force in a stronger manner by an agent that produces a disease yery similar, but stronger, to-wit, a homoeopathic medicine, which, when taken (or smelt), is, as it were, forced upon the unin- telligent, instinctive vital force, and substituted in the place of the former natural morbid affection, by which means the vital force then remains merely medicinally ill, but only for a short time, because the action of the medicine (the time in which the medicinal disease excited by it runs its Course) does not last long. The cures of diseases of many years’ duration (§ 46). by the occurrence of smallpox and measles (both of which run a course of only a few weeks), are processes of a similar character. (a) 54 ORGANON OF MEDICINE. the medicinal agent that now morbidly affects it, the vital force soon overcomes this, and as it was in the first instance relieved from the natural morbid affection, so it is now at last freed from the substituted artificial (medicinal) one, and hence is enabled again to carry on healthily the vital operations of the organ- tsm. (a) This highly probable explanation of the process rests on the following axioms. Ž 30. The human body appears to admit of being much more powerfully affected in its health by medicines (partly because we have the regulation of the dose in our own power) than by natural morbid stimuli—for natural diseases are cured and overcome by suitable medicines. Ž 31. The inimical forces, partly psychical, partly physical, to which our terrestrial existence is exposed, which are termed morbific noxious agents, do not possess the power of morbidly deranging the health of man unconditionally;' but we are made ill by them only when our organism is sufficiently dis- posed and susceptible to the attack of the morbific cause that may be present, and to be altered in its health, deranged and made to undergo abnormal sensations and functions—hence they do not produce disease in every one nor at all times. Ž 32. But it is quite otherwise with the artificial morbific agents which we term medicines. Every real medicine, namely, acts at all times, under all circumstances, on every living human being, and produces in him its peculiar symptoms (distinctly perceptible, if the dose be large enough), so that evidently every living human organism is liable to be affected, and, as it were, inoculated with the medicinal disease at all times, and 1 When I call disease a derangement of man’s state of health, I am far from wishing thereby to give a hyperphysical explanation of the internal nature of diseases generally, or of any case of disease in particular. It is Only in- tended by this expression to intimate, what it can be proved diseases are not and cannot be, that they are not mechanical or chemical alterations of the material substance of the body, and not dependent on a material mor- bific substance, but that they are merely Spiritual dynamic derangements Of the life. ORGANON OF MEDICINE. 55 absolutely (unconditionally), which, as before said, is by no means the case with the natural disease. ź 33. In accordance with this fact, it is undeniably shown by all experience" that the living human organism is much more disposed and has a greater liability to be acted on, and to have its health deranged by medicinal powers, than by mor- bific noxious agents and infectious miasms, or, in other words, that the morbific moa;ious agents possess a power of morbidly deranging man's health that is subordinate and conditional, often very conditional, whilst medicinal agents have an absolute un- conditional power, greatly superior to the former. # 34. The greater strength of the artificial diseases producible by medicines is, however, not the sole cause of their power to cure natural diseases. In order that they may effect a cure, it is before all things requisite that they should be capable of producing in the human body an artificial disease as similar as possible to the disease to be cured, in order, by means of this similarity, conjoined with its somewhat greater strength, to substitute themselves for the natural morbid affection, and thereby deprive the latter of all influence upon the vital force. This is so true, that no previously existing disease can be cured, even by Nature herself, by the accession of a new dissimilar disease, be it ever so strong, and just as little can it be cured by medical treatment with drugs which are in- capable of producing a similar morbid condition in the healthy body. Ž 35. In order to illustrate this, we shall consider in three different 1 A striking fact in corroboration of this is, that whilst previously to the year 1801, when the smooth scarlatina of Sydenham still occasionally pre- vailed epidemically among children, it attacked without exception all children who had escaped it in a former epidemic; in a similar epidemic which I witnessed in Königslutter, on the contrary, all the children who took in time a very small dose of belladonna, remained unaffected by this highly infectious infantile disease. If medicines can protect from a disease that is raging around, they must possess a vastly Superior power of affecting Our vital force. 56 ORGANON OF MEDICINE. cases, as well what happens in nature when two dissimilar natural diseases meet together in one person, as also the result of the ordinary medical treatment of diseases with unsuit- able allopathic drugs, which are incapable of producing an artificial morbid condition similar to the disease to be cured, whereby it will appear that even Nature herself is unable to remove a dissimilar disease already present by one that is un- homoeopathic, even though it be stronger, and just as little is the unhomoeopathic employment of even the strongest medi- cines ever capable of curing any disease whatsoever. Ž 36. I. If the two dissimilar diseases meeting together in the human being be of equal strength, or still more if the older one be the stronger, the new disease will be repelled by the old one from the body and not allowed to affect it. A patient suffering from a severe chronic disease will not be infected by a moderate autumnal dysentery or other epidemic disease. The plague of the Levant, according to Larry," does not break out where scurvy is prevalent, and persons suffering from eczema are not infected by it. Rachitis, Jenner alleges, pre- vents vaccination from taking effect. Those suffering from pulmonary consumption are not liable to be attacked by epidemic fevers of a not very violent character, according to Von Hildenbrand. Ž 37. So, also, under ordinary medical treatment, an old chronic disease remains uncured and unaltered if it is treated accord- ing to the common allopathic method, that is to say, with medicines that are incapable of producing in healthy individuals a state of health similar to the disease, even though the treat- ment should last for years and is not of too violent character. This is daily witnessed in practice, it is therefore unnecessary to give any illustrative examples. ź 38.00) II. Or the new dissimilar disease is the stronger. In this 1 “Mémoires et Observations,” in the Description de l’Egypte, tom. i. ORGANON OF MEDICINE. 57 case the disease under which the patient originally labored, being the weaker, will be kept back and suspended by the accession of the stronger one, until the latter shall have run its course or been cured, and then the old one reappears uncured. Two children affected with a kind of epilepsy remained free from epileptic attacks after infection with ringworm (tinea); but as soon as the eruption on the head was gone the epilepsy returned just as before, as Tulpius' observed. The itch, as Schopf & saw, disappeared on the occurrence of the scurvy, but after the cure of the latter it again broke out. So also the pulmonary phthisis remained stationary when the patient was attacked by a violent typhus, but went on again after the latter had run its course.” If mania occur in a consumptive patient, the phthisis with all its symptoms is removed by the former; but if that go off, the phthisis returns immediately and proves fatal.” When measles and smallpox are prevalent at the same time, and both attack the same child, the measles that had already broken out is generally checked by the small- pox that came somewhat later; nor does the measles resume its course until after the cure of the smallpox; but it not infre- quently happens that the inoculated smallpox is suspended for four days by the supervention of the measles, as observed by Manget," after the desguamation of which the smallpox com- pletes its course. Even when the inoculation of the smallpox had taken effect for six days, and the measles then broke out, the inflammation of the inoculation remained stationary and the smallpox did not ensue until the measles had completed its regular course of seven days." In an epidemic of measles, that disease attacked many individuals on the fourth or fifth day after the inoculation of smallpox and prevented the de- velopment of the smallpox until it had completed its own course, whereupon the smallpox appeared and proceeded 1 Obs... lub. i, Obs. 8. 2 In Hufeland’8 Journal, xv, 2. 3 Chevalier, in Hufeland's Newesten Annalem der französischen Heilkunde, ii, p. 192. 4 Mania, phthisi superveniens eam cum Omnibus Suis phaenomenis auffert, verum mox redit phthisis et Occidit, abeunte mania. Reil, Memorab., fasc. iii, V, p. 171. 5 In the Edumb. Med. Comment.. pt. i, 1. 6 John Hunter, On the Venereal Disease, p. 5. 58 ORGANON OF MEDICINE. regularly to its termination." The true, smooth, erysipelatous- looking scarlatina of Sydenham,” with sore throat, was checked on the fourth day by the eruption of cow-pox, which ran its regular course, and not till it was ended did the scarlatina again establish itself; but on another occasion, as both dis- eases seem to be of equal strength, the cow-pox was suspended on the eighth day by the supervention of the true, smooth scarlatina of Sydenham, and the red areola of the former disappeared until the scarlatina was gone, whereon the cow- pox immediately resumed its course, and went on to its regular termination.” The measles suspended the cow-pox; on the eighth day, when the cow-pox had nearly attained its climax, the measles broke out; the cow-pox now remained stationary, and did not resume and complete its course until the desquamation of the measles had taken place, so that on the sixteenth day it presented the appearance it otherwise would have shown on the tenth day, as Kortum observed.” Even after the measles had broken out the cow-pox inocula- tion took effect, but did not run its course until the measles had disappeared, as Kortum likewise witnessed.” * I myself saw the mumps (angina parotidea) immediately disappear when the cow-pox inoculation had taken effect and had nearly attained its height; it was not until the complete termination of the cow-pox and the disappearance of its red areola that this febrile tumefaction of the parotid and sub- maxillary glands, that is caused by a peculiar miasm, reap- peared and ran its regular course of seven days. And thus it is with all dissimilar diseases; the stronger sus- pends the weaker (when they do not complicate one another which is seldom the case with acute diseases), but they never cure one another. Now the adherents of the ordinary school of medicine saw 1 Rainey, in the Edinb. Med. Comment., iii. p. 480. * Very accurately described by Withering and Plenciz, but differing greatly from the purpura (or Roodvonk), which is often erroneously de- nominated Scarlet fever. It is only of late years that the two, which were originally very different diseases, have come to resemble each other in their Symptoms. 3 Jenner, in Medicinische Annalem, August, 1800, p. 747. 4 In Hufeland's Journal der praktischen Arzemeikunde, xx, 3, p. 50. 5 LOC. Cit. ORGANON OF MEDICINE. 59 Ž 39. (a) all this for so many centuries; they saw that Nature herself cannot cure any disease by the accession of another, be it ever so strong, if the new disease be dissimilar to that already present in the body. What shall we think of them, that they nevertheless went on treating chronic diseases with allopathic remedies, namely, with medicines and prescriptions capable of producing God knows what morbid state—almost invariably, however, one dissimilar to the disease to be cured? And even though physicians did not hitherto observe nature attentively, the miserable results of their treatment should have taught them that they were pursuing an inappropriate, a false path. Did they not perceive when they employed, as was their custom, an aggressive allopathic treatment in a chronic dis- ease, that thereby they only created an artificial disease dissimilar to the original one, which, as long as it was kept up, merely held in abeyance, merely suppressed, merely sus- pended the original disease, which latter, however, always returned, and must return, as soon as the diminished strength of the patient no longer admitted of a continuance of the allopathic attacks on the life? Thus the itch exanthema certainly disappears very soon from the skin under the em- ployment of violent purgatives, frequently repeated; but when the patient can no longer stand the factitious (dissimilar) disease of the bowels, and can take no more purgatives, then either the cutaneous eruption breaks out as before, or the internal psora displays itself in some bad symptom, and the patient, in addition to his undiminished original disease, has to endure the misery of a painful ruined digestion and im- paired strength to boot. So, also, when the ordinary physicians keep up artificial ulcerations of the skin and issues on the exterior of the body, with the view of thereby eradicating a chronic disease, they cań NEVER attain their object by so doing, they can NEVER cure them by that means, as such artificial cutaneous ulcers are quite alien and allopathic to the internal affection; but inasmuch as the irritation produced by several issues is at least sometimes a stronger (dissimilar) disease than the indwelling malady, the latter is thereby sometimes silenced and suspended for a week or two. But it is only suspended, 60 ORGANON OF MEDICINE. and that for a very short time, whilst the patient's powers are gradually worn out. Epilepsy, suppressed for many years by means of issues, invariably recurred, and in an aggravated form, when they were allowed to heal up, as Pechlin' and others testify. But purgatives for itch, and issues for epilepsy, cannot be more heterogeneous, more dissimilar deranging agents—cannot be more allopathic, more exhausting modes of treatment—than are the customary prescriptions, composed of unknown ingredients, used in ordinary practice for the other nameless, innumerable forms of disease. These likewise do nothing but debilitate, and only suppress or sus- pend the malady for a short time without being able to cure it, and when used for a long time always add a new morbid state to the old disease. Ž 40. III. Or the new disease, after having long acted on the Organism, at length joins the old one that is dissimilar to it, and forms with it a complea, disease, so that each of them Occupies a particular locality in the organism, namely, the Organs peculiarly adapted for it, and, as it were, only the place specially belonging to it, whilst it leaves the rest to the other disease that is dissimilar to it. Thus a syphilitic patient may become psoric, and vice versa. As two diseases dissimilar to each other, they cannot remove, cannot cure one another. At first the venereal symptoms are kept in abeyance and sus- pended when the psoric eruption begins to appear; in course of time, however (as the syphilis is at least as strong as the psora), the two join together,” that is, each involves those parts of the organism only which are most adapted for it, and the patient is thereby rendered more diseased and more diffi cult to cure. When two dissimilar acute infectious diseases meet, as, for example, smallpox and measles, the one usually suspends the 1 Obs. phys. Tmed., lib. ii. Obs. 30. * From careful experiments and cures of complex diseases of this kind, I am now firmly convinced that no real amalgamation of the two takes place, but that in such cases the one exists in the organism beside the other only, each in the parts that are adapted for it, and their cure will be completely effected by a judicious alternation of the best mercurial preparation, with the remedies specific for the psora, each given in the most suitable dose and form. * ORGANON OF MEDICINE. 61 other, as has been before observed; yet there have also been severe epidemics of this kind, where, in rare cases, two dis- similar acute diseases occurred simultaneously in one and the same body, and for a short time combined, as it were, with each other. During an epidemic, in which smallpox and measles were prevalent at the same time, among three hundred cases (in which these diseases avoided or suspended one an- other, and the measles attacked patients twenty days after the smallpox broke out, the smallpox, however, from seven- teen to eighteen days after the appearance of the measles, so that the first disease had previously completed its regular course) there was yet one single case in which P. Russell' met with both these similiar diseases in one person at the same time. Rainey” witnessed the simultaneous occurrence of smallpox and measles in two girls. J. Maurice,” in his whole practice, only observed two such cases. Similar cases are to be found in Ettmuller’sº works, and in the writings of a few others. Zencker" saw cow-pox run its regular course along with measles and along with purpura. The cow-pox went on its course undisturbed during a mercurial treatment for syphilis, as Jenner saw. & 41. Much more frequent than the natural diseases associating with and complicating one another in the same body are the morbid complications resulting from the art of the ordinary practitioner, which the inappropriate medical treatment (the allopathic method) is apt to produce by the long-continued employment of unsuitable drugs. To the natural disease, which it is proposed to cure, there are then added, by the constant repetition of the unsuitable medicinal agent, the new, often very tedious, morbid conditions which might be antici- pated from the peculiar powers of the drug; these gradually coalesce with and complicate the chronic malady which is 1 Wide Transactions of a Society for the Improvement of Med. and Chir. Knowledge, ii. 2 In the Edinb. Med Comment., iii, p. 480. 3 In Med. and Phys. Journ... 1805. * Opera, ii, p. i., cap. 10. 5 In Hufeland’s Journal, xvii. 62 ORGANON OF MEDICINE. dissimilar to them (which they were unable to cure by similarity of action, that is, homoeopathically), adding to the old disease a new, dissimilar, artificial malady of a chronic nature, and thus give the patient a double in place of a single disease, that is to say, render him much worse and more difficult to cure, often quite uncurable. Many of the cases for which advice is asked in medical journals, as also the records of other cases in medical writings, attest the truth of this. Of a similar character are the frequent cases in which the venereal chancrous disease, complicated especially with psora or with the dyscrasia of condylomatous gonorrhoea, is not cured by long-continued or frequently repeated treatment with large doses of unsuitable mercurial preparations, but assumes its place in the organism beside the chronic mercurial affection 1 that has been in the meantime gradually developed, and thus along with it often forms a hideous monster of complicated disease (under the general name of masked venereal disease), which then, when not quite incurable, can only be transformed into health with the greatest difficulty. # 42. Nature herself permits, as has been stated, in some cases, the simultaneous occurrence of two (indeed, of three) natural diseases in one and the same body. This complication, how- ever, it must be remarked, happens only in the case of two dissimilar diseases, which according to the eternal laws of nature do not remove, do not annihilate and cannot cure one another, but, as it seems, both (or all three) remain, as it were, separate in the organism, and each takes possession of the parts and systems peculiarly appropriate to it, which, on account of the want of resemblance of these maladies to each other, can very well happen without disparagement to the unity of life. ź 43. (a) Totally different, however, is the result when two similar diseases meet together in the organism, that is to say, when * For mercury, besides the morbid symptoms which by virtue of similarity can Cure the venereal disease homoeopathically, has among its effects many Others unlike those of syphilis, which, if it be employed in large doses, CauSe new maladies and commit great ravages in the body, especially when complicated with psora, as is so frequently the case. ORGANON OF MEDICINE. 63 to the disease already present, a stronger similar one is added. In such cases we see how a cure can be effected by the opera- tions of nature, and we get a lesson as to how man ought to Cllre. % 44. Two diseases similar to each other can neither (as is asserted of dissimilar diseases in I) repel one another, nor (as has been shown of dissimilar diseases in II) suspend one another, so that the old one shall return after the new one has run its course; and just as little can two similar diseases (as has been demonstrated in III respecting dissimilar affections) eacist beside each other in the same organism, or together form a double complex disease. \ § 45. No! two diseases, differing, it is true, in kind," but very similar in their phenomena and effects and in the sufferings and symptoms they severally produce, invariably annihilate one another whenever they meet together in the organism; the stronger disease, namely, annihilates the weaker, and that for this simple reason, because the stronger morbific power when it invades the system, by reason of its similarity of action in- volves precisely the same parts of the organism that were previously affected by the weaker morbid irritation, which, consequently, can no longer act on these parts, but is extin- guished;” or (in other words) because, whenever the vital force, deranged by the primary disease, is more strongly attacked by the new, very similar, but stronger dynamic morbific power, it therefore now remains affected by the latter alone, whereby the original, similar but weaker disease must, as a mere dynamic power without material substratum, cease to exercise any further morbid influence on the vital force, consequently it must cease to exist. \ # 46. Many examples might be adduced of diseases which, in the course of nature, have been homoeopathically cured by other 1 Wide supra, § 26, note. 2 Just as the image of a lamp's flame is rapidly overpowered and effaced from our retina by the stronger Sunbeam impinging on the eye. 64 ORGANON OF MEDICINE. diseases presenting similar symptoms, were it not necessary, as our object is to speak about something determinate and in- dubitable, to confine our attention solely to those (few) diseases which are invariably the same, arise from a fixed miasm, and hence merit a distinct name. Among these the smallpox, so dreaded on account of the great number of its serious symptoms, occupies a prominent position, and it has removed and cured a number of maladies with similar symptoms. How frequently does smallpox produce violent ophthalmia, sometimes even causing blindness! And see! by its inocula- tion, Dezoteux' cured a chronic ophthalmia permanently, and Leroy” another. An amaurosis of two years’ duration, consequent on sup- pressed scald-head, was perfectly cured by it, according to Klein. 3 How often does smallpox cause deafness and dyspnoeal And , both these chronic diseases it removed on reaching its acme, as J. Fr. Clossº observed. Swelling of the testicle, even of a very severe character, is a frequent symptom of smallpox, and on this account it was enabled, as Klein” observed, to cure, by virtue of similarity, a large hard swelling of the left testicle, consequent on a bruise. And another observer" saw a similar swelling of the testicle cured by it. Among the troublesome symptoms of smallpox is a dysen- teric state of the bowels; and it subdued, as Fr. Wendt’ ob- served, a case of dysentery, as a similar morbific agent. Smallpox coming on after vaccination, as well on account of its greater strength as its great similarity, at once removes entirely the cow-pox homoeopathically, and does not permit it to come to maturity; but, on the other hand, the cow-pox when near maturity does, on account of its great similarity, homoeopathically diminish very much the supervening small- 1 Traité de l’inoculation, p. 189. 2 Heilkunde für Mütter, p. 384. 3 Interpres clinicus, p. 293. 4 Neue Heilart der Kinderpocken, Ulm, 1769, p. 68; and Specim., obs. No. 18 5 Op. cit. 6 Nov. Act. Nat. cur., vol. i., obs. 22. 7 Nachricht von dem Kramkaminstitutzw. Erlangem, 1783. ORGANON OF MEDICINE. 65 pox and make it much milder, as Muhry and many others testify. The inoculated cow-poa, whose lymph, besides the protective matter, contains the contagion of a general cutaneous eruption of another nature, consisting of usually small, dry (rarely large, pustular) pimples, resting on a small red areola, fre- quently conjoined with round red cutaneous spots and often accompanied by the most violent itching, which rash appears in not a few children several days before, more frequently, however, after the red areola of the cow-pox, and goes off in a few days, leaving behind small, red, hard spots on the skin; —the inoculated cow-pox, I say, after it has taken, cures perfectly and permanently, in a homoeopathic manner, by the similarity of this accessory miasm, analogous cutaneous erup- tions of children, often of very long standing and of a very troublesome character, as a number of observers assert.” The cow-pox, a peculiar symptom of which is to cause tumefaction of the arm,” cured, after it broke out, a swollen half-paralyzed arm. * The fever accompanying cow-pox, which occurs at the time of the production of the red areola, cured homoeopathically intermittent fever in two individuals, as the younger Hardege” reports, confirming what J. Hunter" had already observed, that two fevers (similar diseases) cannot co-exist in the same body.” 1 Willan. Ueber die Kuhpockenimpfung, aw8 dem Engl., mit Zusātzen von G. P. Mühry, Göttingen, 1808. 2 Especially Clavier, Hurel and Desormeaux, in the Bulletin des 8Ciences médicales, publié parles membres du comité central de la Soc. de Médecine dw Departement de l'Eure, 1808; also in the Journal de médecine continue, vol. xv, p. 206. 8 Balhorn, in Hufeland's Journal, 10, ii. 4 Stevenson, in Duncan’s Ammals of Medicine, lustr. 2, vol. i. pt. 2, No. 9. 5 In Hufeland’s Journal, xxiii. 6 On the Venereal Dised 86, p. 4. 7. The examples adduced in this place, in the former editions of the Or-- gamon except the last, of chronic maladies cured by the itch,(*) can, accord- ing to the discoveries and explanations I have given in the first part of my book on Chronic Diseases, be looked upon as only in a certain degree homoeo- pathic cures. The great maladies which thereby disappeared (suffocative asthma of many years’ standing and pulmonary phthisis) wore themselves originally of psoric origin. widely spread, life-threatening symptoms of an ancient psora, that had been fully developed in the interior of the system. which was again transformed into the simple form of the primitive itch dis-- ease by the cutaneous eruption resulting from the new infection (as always . 5 .#56 ORGANON OF MEDICINE. The measles bears a strong resemblance in the character of its fever and cough to the whooping-cough, and hence it was that Bosquillon' noticed, in an epidemic where both these affections prevailed, that many children who then took measles remained free from whooping-cough during that epidemic. They would all have been protected from, and rendered in- capable of being infected by, the whooping-cough in that and all subsequent epidemics, by the measles, if the whooping- cough were not a disease that has only a partial similarity to the measles, that is to say, if it had also a cutaneous eruption similar to what the latter possesses. As it is, however, the measles can but preserve a large number from whooping-cough homoeopathically, and that only in the epidemic prevailing at the time. If, however, the measles come in contact with a disease re- sembling it in its chief symptom, the eruption, it can indis- putably remove, and effect a homoeopathic cure of the latter. Thus a chronic herpetic eruption was entirely and permanently (homoeopathically) cured” by the breaking out of the measles, as Kortum” observed. An excessively burning miliary rash on the face, neck and arms, that had lasted six years, and was aggravated by every change of weather, on the invasion of measles assumed the form of a swelling of the surface of the skin; after the measles had run its course the exanthem was cured, and returned no more.” 3 47. (a) Nothing could teach the physician in a plainer and more convincing manner than the above, what kind of artificial morbific agent (medicine) he ought to choose in order to cure in a sure, rapid and permanent manner, conformably with the process that takes place in nature. happens in such cases), whereby the old malady and the dangerous Symp- toms were made to disappear. Such a transformation into the primitive form is therefore only to be considered as a homoeopathic healer of these extensive symptoms of highly developed ancient psora, in So far as the new infection puts the patient in a much more favorable condition to be cured , of the whole psora, by anti-psoric medicines. 1 Cullen’s Elements of Practical Medicine, pt. 2, i, 3, ch. vii. 2 Or at least that symptom was removed. 3 In Hufeland's Journal. xx, 3, p. 50. 4 Rau, Ueber d. Werth des hom. Heilv., Heidelb., 1824, p. 85. ORGANON OF MEDICINE. 67 % 48. Neither in the course of nature, as we see from all the above examples, nor by the physician's art, can an existing affection or malady in any one instance be removed by a dissimilar morbific agent, be it ever so strong, but solely by one that is similar in symptoms and is somewhat stronger, according to eternal, irrevocable laws of nature, which have not hitherto been recognized. % 49. We should have been able to meet with many more real natural homoeopathic cures of this kind if, on the one hand, the attention of observers had been more directed to them, and, on the other hand, if nature had not been so deficient in help- ful homoeopathic diseases. ź 50. Mighty Nature herself has, as we see, at her command, as instruments for effecting homoeopathic cures, little besides the miasmatic diseases of constant character, (the itch,) measles and smallpox," morbific agents which,” as remedies, are either more dangerous to life and more to be dreaded than the dis- ease they are to cure, or of such a kind (like the itch) that, after they have effected the cure, they themselves require curing, in order to be eradicated in their turn—both circum- stances that make their employment, as homoeopathic remedies, difficult, uncertain and dangerous. And how few diseases are there to which man is subject that find their similar remedy in smallpox, measles or itch! Hence, in the course of nature, very few maladies can be cured by these uncertain and hazard- ous homoeopathic remedies, and the cure by their instrumen- tality is also attended with danger and much difficulty, for this reason that the doses of these morbific powers cannot be diminished according to circumstances, as doses of medicine can; but th patient afflicted with an analogous malady of long standing m ° subjected to the entire dangerous and tedious disease, to the “e disease of smallpox, measles (or itch), 1 And the exanthematous contagious principle present in the cow-pox lymph. 2 Namely, smallpox and measles. 68 ORGANON OF MEDICINE. which in its turn has to be cured. And yet, as is seen, we can point to some striking homoeopathic cures effected by this lucky concurrence, all so many incontrovertible proofs of the great, the sole therapeutic law of nature that obtains in them: Cure by symptom similarity! & 51. This therapeutic law is rendered obvious to all intelligent minds by these instances, and they are amply sufficient for this end. But, on the other hand, see what advantages man has over crude Nature in her happy-go-lucky Operations. How many thousands more of homoeopathic morbific agents has not man at his disposal for the relief of his suffering fellow- creatures in the medicinal substances universally distributed throughout creation! In them he has producers of disease of all possible varieties of action, for all the innumerable, for all conceivable and inconceivable matural diseases, to which they can render homoeopathic aid—morbific agents (medicinal sub- stances), whose power, when their remedial employment is completed, being overcome by the vital force, disappears spontaneously without requiring a second course of treatment for its extirpation, like the itch—artificial morbific agents, which the physician can attenuate, subdivide and potentize almost to an infinite extent, and the dose of which he can diminish to such a degree that they shall remain only slightly stronger than the similar natural disease they are employed to cure; so that, in this incomparable method of cure, there is no necessity for any violent attack upon the organism for the eradication of even an inveterate disease of old standing; the cure by this method takes place by only a gentle, impercepti- ble and yet often rapid transition from the tormenting natural disease to the desired state of permanent health. Ž 52. Surely no intelligent physician, after these examples as clear as daylight, can still go on in the old ordinary system of medicine, attacking the body, as has hitherto been done, in its least diseased parts with (allopathic) medicines that have no direct pathological (homoeopathic) relation to the disease to ORGANON OF MEDICINE. 69 be cured, with purgatives, counter-irritants, derivatives, &c.," and thus at a sacrifice of the patient's strength, inducing a morbid state quite heterogeneous and dissimilar to the original one, to the ruin of his constitution, by large doses of mixtures of medicines generally of unknown qualities, the employment of which can have no other result, as is demonstrated by the eternal laws of nature in the above and all other cases in the world in which a dissimilar disease is added to the other in the human organism, for a cure is never thereby effected in diseases, but an aggravation is the invariable consequence,— therefore it can have no other result than that either (because, according to the process of nature described in I, the older disease in the body repels the dissimilar one wherewith the patient is assailed) the natural disease remains as it was, under mild allopathic treatment, be it ever so long continued, the patient being thereby weakened; or (because, according to the process of nature described in II, the new and stronger dis- ease merely obscures and suspends for a short time the original weaker dissimilar one), by the violent attack on the body with strong allopathic drugs, the original disease seems to yield for a time, to return in at least all its former strength; or (because, according to the process of nature described in III, two dis- similar diseases, when both are of a chronic character and of equal strength, take up a position beside one another in the organism and complicate each other) in those cases in which the physician employs for a long time morbific agents opposite and dissimilar to the natural chronic disease and allopathic medicines in large doses, such allopathic treatment, without ever being able to remove and to cure the original (dissimilar) chronic disease, only develops new artificial diseases beside it; and, as daily experience shows, only renders the patient much worse and more incurable than before. (q) 3 53. (a) True, mild cures take place, as we see, only in a homoeo- pathic way—a way which, as we have also shown above (% 7–25) in a different manner, by experience and deductions, * Vide supra in the Introduction: A Review of the Therapeutics, &c., and my book, Die Allóopathie, ein Wort der Warnwng für Kranke jeder Art, Leipzig, bei Baumgårtner [translated in Hahnem imm's Jesser Writings]. 70 ORGANON OF MEDICINE. is also the true and the only one whereby diseases may be most Surely, rapidly and permanently extinguished by art; for this mode of cure is founded on an eternal, infallible law of nature. Ž 54. (a) This, the homoeopathic way, must, moreover, as observed above (% 43–49) be the only proper one, because, of the three possible modes of employing medicines in diseases, it is the only direct way to a mild, sure, permanent cure without doing injury in another direction, and without weakening the patient. The pure homoeopathic mode of cure is the only proper way, the only direct way, the only way possible to human skill, as certainly as only one straight line can be drawn betwixt two given points. % 55, The second mode of employing medicines in diseases, the allopathic or heteropathic, which, without any pathological relation to what is actually diseased in the body, attacks the parts most exempt from the disease, in order to draw away the disease through them and thus to expel it, as is imagined, has hitherto been the most general method. I have treated of it above in the Introduction," and shall not dwell longer On it. % 56. The third and only remaining method” of employing medi- cines in diseases, which, besides the other two just alluded to, is the only other possible one, is the antipathic (enantiopathic) or palliative method, wherewith the physician could hitherto appear to be most useful, and hoped most certainly to gain his patient's confidence by deluding him with momentary amelioration. But I shall now proceed to show how ineffica- 1 Review of the Therapeutics &c. 2 A fourth mode of employing medicines in diseases has been attempted to be created by means of 1sopathy, as it is called—that is to Say.. a method of curing a given disease by the same contagious principle that produces it. But even granting this could be done, which would certainly be a most valuable discovery, yet, after all, seeing that the virus is given to the pa- tient highly potentized, and thereby, consequently, to a certain degree in an altered condition, the cure is effected only by Opposing a simillinum. to a simillimum. (9) ORGANON OF MEDICINE. 7I cious and how injurious this third and sole remaining way was, in diseases of a not very rapid cour: e. (a) It is certainly the only one of the modes of treatment adopted by the allopaths that had any manifest relation to a portion of the sufferings caused by the natural disease; but what kind of relation? Of a truth the very one (the exact contrary of the right one) that ought most to be avoided if we would not delude and make a mockery of the patient affected with a chronic disease. 3 57. In order to carry into practice this antipathic method, the ordinary physician gives, for a single troublesome symptom from among the many other symptoms of the disease which he passes by unheeded, a medicine concerning which it is known that it produces the exact opposite of the morbid symptom sought to be subdued, from which, agreeably to the fifteen-centuries-old traditional rule of the antiquated medical school (contraria contrariis) he can expect the speediest (palli- ative) relief. He gives large doses of opium for pains of all sorts, because this drug soon benumbs the sensibility, and administers the same remedy for diarrhoeas, because it speedily puts a stop to the peristaltic motion of the intestinal canal and makes it insensible; and also for sleeplessness, because opium, rapidly produces a stupefied, comatose sleep; he gives purga- tives when the patient has suffered long from constipation and costiveness; he causes the burnt hand to be plunged into cold water, which, from its low degree of temperature, seems in- stantaneously to remove the burning pain, as if by magic; he puts the patient who complains of chilliness and deficiency of vital heat into warm baths, which warm him immediately; he makes him who is suffering from prolonged debility drink wine, whereby he is instantly enlivened and refreshed; and in like manner he employs other opposite (antipathic) remedial means, but he has very few besides those just mentioned, as it, is only of very few substances that some peculiar (primary) action is known to the ordinary medical school. § 58. If, in estimating the value of this mode of employing medi- 72 ORGANON OF MEDICINE, cines, we should even pass over the circumstance that it is an eactremely faulty symptomatic treatment (v. note to 47), wherein the practitioner devotes his attention in a merely one-sided manner to a single symptom, consequently to only a small part of the whole, whereby relief for the totality of the disease, which is what the patient desires, cannot evidently be ex- pected,—we must, on the other hand, demand of experience if, in one single case where such antipathic employment of medicine was made use of in a chronic or persisting affection, after the transient amelioration there did not ensue an in- creased aggravation of the symptom which was subdued at first in a palliative manner, an aggravation, indeed, of the whole disease? And every attentive observer will agree that, after such short antipathic amelioration, aggravation follows in every case without eacception, although the ordinary physician is in the habit of giving his patient another explanation of this subsequent aggravation, and ascribes it to malignancy of the Original disease, now for the first time showing itself, or to the occurrence of quite a new disease.” # 59. Important symptoms of persistent diseases have never yet been treated with such palliative, antagonistic remedies, with- out the opposite state, a relapse—indeed, a palpable aggrava- tion of the malady—occurring a few hours afterwards. For a persistent tendency to sleepiness during the day the physician prescribed coffee, whose primary action is to enliven; and when it had exhausted its action the day-somnolence increased;— 1 J_ittle as physicians have hitherto been in the babit of observing accu- rately. the aggravation that so certainly follows such palliative treatment could not altogether escape their notice. A striking example Of this is to be found in J. H. Schulze's Diss. Qwa corporis humani momentamearum alter a- tionum specimima quaedam facpendumtur, Halae, 1741, § 28. Willis bears to stimony to something similar (Pharm. rat., § 7, cap. i., p. 298: “Opiata dolores atro- , cissimos plerumque Sedant at que indolentiam — procurant, eamque— -aliquamdiu et pro stato Cuodam tempore Continuant, quo spatio elapso dolores mox recrudescunt et brevi ad solitam ferociam augentur.” And also at page 295: “Exactis opii viribus illico redeunt tormina, mec atrocita- tem suam remittunt, nisi dubm ab eoderm pharmaco rursus incantuntur.” In like manner J. Hunter (On the Ven-real Disease, p. 13) says that wine and