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第1章

  Thecharacteroftheoppositionwhichsomeofthesepapershavemetwithsuggeststheinferencethattheycontainreallyimportant,butunwelcometruths。Negativesmultipliedintoeachotherchangetheirsignandbecomepositives。Hostilecriticismsmeetingtogetherareoftenequivalenttopraise,andthesquareoffault-findingturnsouttobethesamethingaseulogy。
  Butawriterhasrarelysomanyenemiesasitpleaseshimtobelieve。
  Self-loveleadsustooverratethenumbersofournegativeconstituency。Thelargerportionofmylimitedcircleofreadersmustbequiteindifferentto,ifnotignorantof,theadverseopinionswhichhavebeenexpressedorrecordedconcerninganyoftheseAddressesorEssaysnowsubmittedtotheirownjudgment。Itisproper,however,toinformthem,thatsomeofthepositionsmaintainedinthesepageshavebeenunsparinglyattacked,withvariousdegreesofability,scholarship,andgood-breeding。Thetoneofcriticismnaturallychangeswithlocalconditionsindifferentpartsofacountryextendedlikeourown,sothatitisoneofthemostconvenientgaugesofthepartialmovementsinthedirectionofcivilization。Itissatisfactorytoadd,thattheviewsassailedhavealsobeenunflinchinglydefendedbyunsoughtchampions,amongtheablestofwhomitispleasanttomention,atthismomentofpoliticalalienation,theEditoroftheCharlestonMedicalJournal。
  “CurrentsandCounter-Currents“waswrittenanddeliveredasanOration,afloridrhetoricalcomposition,expresslyintendedtosecuretheattentionofanaudiencenoteasytoholdaslisteners。
  Itsucceededindoingthis,andalsoinbeingascuriouslymisunderstoodandmisrepresentedasifithadbeenapoliticalharangue。Thisgaveitmorelocalnotorietythanitmightotherwisehaveattained,sothat,asIlearn,oneingeniouspersonmadeuseofitstitleasanadvertisementtoaproductionofhisown。
  Thecommonestmodeofmisrepresentationwasthis:qualifiedpropositions,thewholemeaningofwhichdependedonthequalifications,werestrippedoftheseandtakenasabsolute。Thus,theattempttoestablishapresumptionagainstgivingpoisonstosickpersonswasconsideredasequivalenttocondemningtheuseofthesesubstances。Theonlyimportantinferencethewriterhasbeenabletodrawfromthegreaternumberoftherefutationsofhisopinionswhichhavebeenkindlysenthim,isthatthepreliminaryeducationoftheMedicalProfessionisnotalwayswhatitoughttobe。
  Oneconcessionheiswillingtomake,whateversacrificeofprideitmayinvolve。ThestoryofMassasoit,whichhasfurnishedacoral,asitwere,forsometeethingcritics,whensubjectedtoapowerfullogicalanalysis,thoughcorrectinitsessentials,provestohavebeentoldwithexceptionablebreadthofstatement,andthereforetoresumethemetaphorhasbeenslightlyroundedoffatitsedges,soastobesmootherforanywhomaywishtobiteuponithereafter。InotherrespectstheDiscoursehashardlybeentouched。Itisonlyanindividual’sexpression,inhisownway,ofopinionsentertainedbyhundredsoftheMedicalProfessionineverycivilizedcountry,andhasnothinginitwhichonrevisionthewriterseescausetoretractormodify。ThesuperstitionsitattackslieattheveryfoundationofHomoeopathy,andofalmosteveryformofmedicalcharlatanism。
  Stillthemereroutinistsandunthinkingartisansinmostcallingsdislikewhatevershakesthedustoutoftheirtraditions,anditmaybeunreasonabletoexpectthatMedicinewillalwaysproveanexceptiontotherule。OnehalftheoppositionwhichthenumericalsystemofLouishasmetwith,asappliedtotheresultsoftreatment,hasbeenowingtothefactthatitshowedthemovementsofdiseasetobefarmoreindependentofthekindofpracticepursuedthanwasagreeabletotheprideofthosewhoseself-confidenceitabated。
  Thestatement,thatmedicinesaremoresparinglyusedinphysicians’
  familiesthaninmostothers,admitsofaverynaturalexplanation,withoutputtingaharshconstructionuponit,whichitwasnotintendedtoadmit。Outsidepressureislessfeltinthephysician’sownhousehold;thatisall。Ifthisdoesnotsometimesinfluencehimtogivemedicine,orwhatseemstobemedicine,whenamongthosewhohavemoreconfidenceindruggingthanhisownfamilycommonlyhas,thelearnedProfessorDunglisonisherebyrequestedtoapologizeforhisdefinitionofthewordPlacebo,ortoexpungeitfromhisMedicalDictionary。
  Onethingiscertain。Aloudoutcryonaslighttouchrevealstheweakspotinaprofession,aswellasinapatient。Itisadoubtfulpolicytoopposethefreestspeechinthoseofourownnumberwhoaretryingtoshowuswheretheyhonestlybelieveourweaknesslies。
  VastasaretheadvancesofourScienceandArt,mayitnotpossiblyproveonexaminationthatweretainotheroldbarbarismsbesidetheuseoftheastrologicalsignofJupiter,withwhichweendeavortoinsuregoodlucktoourprescriptions?Isittheactofafriendorafoetotrytopointthemouttoourbrethrenwhenaskedtoaddressthem,andisthespeakertosubduetheconstitutionalhabitofhisstyletoagivenstandard,underpenaltyofgivingoffencetoagraveassembly?
  HomoeopathyanditsKindredDelusions“waspublishednearlytwentyyearsago,andhasbeenlongoutofprint,sothattheauthortriedinvaintoprocureacopyuntilthekindnessofafriendsuppliedhimwiththeonlyonehehashadforyears。Afoolishstoryreachedhisearsthathewasattemptingtobuyupstraycopiesforthesakeofsuppressingit。Thiseditionwasinthepressatthatverytime。
  ManyoftheargumentscontainedintheLectureshavelostwhatevernoveltytheymayhavepossessed。Allitspredictionshavebeensubmittedtotheformidabletestoftime。Theyappeartohavestoodit,sofar,aboutaswellasmostuninspiredprophecies;indeed,someofthemrequiremuchlessaccommodationthancertaingravecommentatorsemployintheirreadingsoftheancientProphets。
  Ifsomestatisticsrecentlypublishedarecorrect,HomoeopathyhasmadeveryslowprogressinEurope。
  InallEngland,asitappears,therearehardlyafifthmoreHomoeopathicpractitionersthantherearestudentsattendingLecturesattheMassachusettsMedicalCollegeatthepresenttime。InAmericaithasundoubtedlyprovedmorepopularandlucrative,yethowlooseaholdithasonthepublicconfidenceisshownbythefactthat,whenaspeciallyvaluedlife,whichhasbeenplayedwithbyoneofitsagents,isseriouslythreatened,thefirstthingweexpecttohearisthataregularpractitionerisbythepatient’sbed,andtheHomoeopathiccounselloroverruledordiscarded。Again,howmanyoftheardentandcapriciouspersonswhoembracedHomoeopathyhaverunthewholeroundofpretentiousnovelties;——havebeenboardedatwater-cureestablishments,closetedwithuterineandotherspecialists,andfinallywanderedoverseastoputthemselvesinchargeofforeigncelebrities,whodosedthemaslustilyastheywereeverdosedbeforetheytooktoglobules!ItwillsurprisemanytolearntowhatashadowofashadeHomoeopathyhasdwindledinthehandsofmanyofitsnotedpractitioners。Theitch-doctrineistreatedwithcontempt。Infinitesimaldosesarereplacedbyfulloneswheneverthefancy-practitionerchooses。GoodHomoeopathicreasonscanbefoundforemployinganythingthatanybodywantstoemploy。
  Homoeopathyisnowmerelyaname,anunprovedtheory,andaboxofpelletspretendingtobespecifics,which,asallofusknow,failignominiouslyinthosecaseswherewewouldthankfullysacrificeallourprejudicesandgivetheworldtohavethemtruetotheirpromises。
  HomoeopathyhasnotdiedoutsorapidlyasTractoration。Perhapsitwaswellthatitshouldnot,forithastaughtusalessonofthehealingfacultyofNaturewhichwasneeded,andforwhichmanyofushavemadeproperacknowledgments。Butitprobablydoesmoreharmthangoodtomedicalscienceatthepresenttime,bykeepingupthedelusionoftreatingeverythingbyspecifics,——theoldbarbarousnotionthatsickpeopleshouldfeedonpoisons[Lachesis,arrow-
  poison,obtainedfromaserpentPulte。Crotalushorridus,rattlesnake’svenomNeidhard。ThelessdangerousPediculuscapilisisthefavoriteremedyofDr。Mure,theEnglish’ApostleofHomoeopathy。“Theseareexamplesoftheretrogradecurrentsettingtowardsbarbarism]againstwhichapartoftheDiscourseatthebeginningofthisvolumeisdirected。
  Theinfinitesimalglobuleshavenotbecomeacuriosityasyet,likePerkins’sTractors。ButtimeisaveryelasticelementinGeologyandProphecy。IfDaniel’sseventyweeksmeanfourhundredandninetyyears,asthelearnedPrideauxandothershavesettleditthattheydo,the“notmanyyears“ofmypredictionmaybestretchedoutagenerationortwobeyondourtime,ifnecessary,whentheprophecywillnodoubtprovetrue。
  ItmightbefittingtoaddafewwordswithregardtotheEssayontheContagiousnessofPuerperalFever。ButthewholequestionI
  considertobenowtransferredfromthedomainofmedicalinquirytotheconsiderationofLifeInsuranceagenciesandGrandJuries。ForthejustificationofthissomewhatsharplyaccentedlanguageImustreferthereadertothepaperitselffordetailswhichIregrettohavebeenforcedtoplaceonpermanentrecord。
  BOSTON,January,1861。
  ASECONDPREFACE。
  TheseLecturesandEssaysarearrangedintheordercorrespondingtothedateoftheirdeliveryorpublication。Theymust,ofcourse,bereadwithaconstantreferencetothesedates,bysuchascaretoreadthem。Ihavenotattemptedtomodernizetheiraspectorcharacterinpresentingthem,inthissomewhatalteredconnection,tothepublic。SeveralofthemwerecontainedinaformervolumewhichreceiveditsnamefromtheAddresscalled“CurrentsandCounter-
  Currents。“Someofthosecontainedintheformervolumehavebeenreplacedbyothers。TheEssaycalled“MechanismofVitalActions“
  hasbeentransferredtoadistinctcollectionofMiscellaneousessays,formingaseparatevolume。
  IhadsomeintentionofincludingwiththesepapersanEssayonIntermittentFeverinNewEngland,whichreceivedoneoftheBoylstonprizesin1837,andwaspublishedinthefollowingyear。Butasthiswasuponasubjectoflocalinterest,chiefly,andwouldhavetakenupagooddealofroom,Ithoughtitbesttoleaveitout,trustingthatthestraycopiestobemetwithinmustybook-shopswouldsufficientlysupplythenotveryextensiveorurgentdemandforapaperalmosthalfacenturyold。
  Someofthesepaperscreatedalittlestirwhentheyfirstfellfromthepressintothepoolofpublicconsciousness。Theywillslideinveryquietlynowinthisnewedition,andfindoutforthemselveswhetherthewatersarethoseofLethe,orwhethertheyaretoliveforatimeasnotwhollyunvaluedreminiscences。
  March21,1883。
  PREFACETOTHENEWEDITION。
  TheseEssaysareoldenoughnowtogoalonewithoutstafforcrutchintheshapeofPrefaces。Averyfewwordsmaybeaconveniencetothereaderwhotakesupthebookandwishestoknowwhatheislikelytofindinit。
  HOMOEOPATHYANDITSKINDREDDELUSIONS。
  Homoeopathyhasprovedlucrative,andsolongasitcontinuestobesowillsurelyexist,——assurelyasastrology,palmistry,andothermethodsofgettingalivingoutoftheweaknessandcredulityofmankindandwomankind。Thoughithasnopretensionstobeconsideredasbelongingamongthesciences,itmaybelookeduponbyascientificmanasacuriousobjectofstudyamongthevagariesofthehumanmind。Itsinfluenceforgoodorthecontrarymaybemadeamatterofcalminvestigation。IhavestudieditintheEssaybeforethereader,undertheaspectofanextravagantandpurelyimaginativecreationofitsfounder。Sincethatfirstessaywaswritten,nearlyhalfacenturyago,wehaveallhadachancetowitnessitspracticalworking。Twooppositeinferencesmaybedrawnfromitsdoctrinesandpractice。Thefirstisthatwhichisacceptedbyitsdisciples。
  Thisisthatalldiseasesare“cured“bydrugs。Theoppositeconclusionisdrawnbyamuchlargernumberofpersons。Astheyseethatpatientsareverycommonlygettingwellundertreatmentbyinfinitesimaldrugging,whichtheyconsiderequivalenttonomedicationatall,theycometodisbelieveineveryformofdruggingandputtheirwholetrustin“nature。“Thusexperience,“Fromseemingevilstilleducinggood,“
  hasshownthatthedealersinthispreposteroussystemofpseudo-
  therapeuticshavecooperatedwiththewiserclassofpractitionersinbreakingupthesystemofover-dosingandover-druggingwhichhasbeenoneofthestandingreproachesofmedicalpractice。While。
  keepingupthemiserabledelusionthatdiseaseswerealltobe“cured“bydrugging,Homoeopathyhasbeenunintentionallyshowingthattheywouldverygenerallygetwellwithoutanydruggingatall。
  Inthemeantimethenewerdoctrinesofthe“mindcure,“the“faithcure,“andtherestareencroachingontheterritorysolongmonopolizedbythatmostingeniousofthepseudo-sciences。Itwouldnotbesurprisingifitswholegroundshouldbetakenpossessionofbythesenewclaimantswiththeirflatteringappealstotheimaginativeclassofpersonsopentosuchattacks。Similiasimilabusmayprovefatallytrueforonce,ifHomoeopathyiskilledoutbyitsnew-bornrivals。
  Ittakesaverymoderateamountoferuditiontounearthacharlatanlikethesupposedfatheroftheinfinitesimaldosingsystem。TherealinventorofthatspecioustrickerywasanIrishmanbythenameofButler。Thewholestoryistobefoundinthe“OrtusMedicinm“ofVanHelmont。Ihavegivensomeaccountofhischapter“Butler“indifferentarticles,butIwouldreferthestudentsofourHomoeopathiceducationalinstitutionstotheoriginal,whichtheywillfindveryinterestingandcurious。
  CURRENTSANDCOUNTER-CURRENTS
  Myattackonover-druggingbroughtoutsomehostilecommentsandtreatment。ThirtyyearsagoIexpressedmyselfwithmorevivacitythanIshouldshowifIwerewritingonthesamesubjectstoday。
  Someofmymorelivelyremarkscalledoutverysharpanimadversion。
  Thusmyillustrationofpreventionasoftenbetterthantreatmentinthemother’swordstoherchildwhichhadgotapoisonousberryinitsmouth,——“Spititout!“gavemortaloffencetoawell-knownNewYorkpractitionerandwriter,whoadvisedtheMassachusettsMedicalSocietytospitouttheoffendingspeaker。Worsethanthiswasmystatementofmybeliefthatifaship-loadofmiscellaneousdrugs,withcertainveryimportantexceptions,——drugs,manyofwhichwerethenoftengivenneedlesslyandinexcess,asthenused“couldbesunktothebottomofthesea,itwouldbeallthebetterformankindandalltheworseforthefishes。“Thiswastoobad。Thesentencewasmisquoted,quotedwithoutitsqualifyingconditions,andfrightenedsomeofmyworthyprofessionalbrethrenasmuchasifI
  hadtoldthemtothrowallphysictothedogs。Butfortheepigrammaticstingthesentimentwouldhavebeenunnoticedasaharmlessoverstatementattheveryworst。