H 0 M CE O P A T H I A, A PRINCIPLE IN MEDICINE AND NOT AN EXCLUSIVE SYSTEM; IN A LETTER TO ALBAN GOLD-SMITH, M.D. BY JNO. AUG. McVICKAR, M.D. NEW. YORK: PUBLISHED BY JOHN S. TAYLOR & Co. BRICK CHURCH CHAPEL, 145 NASSAU-STREET. 1841: NEW- YORK. Hopkins & Jennings, Printers, 111 Fulton-street. My Dear Doctor : The attention with which you have favoured me, in our occasional conversations on Homceopathia, and your known disposition to elicit and encourage truth, have emboldened me again to tax your patience for a few moments, while I endeavour, very briefly, to bring together the facts and arguments which, at differ- ent times, I have advanced in our friendly discussions. And, in the first place, of the duty of physicians to examine Homceopathia. JVIorally, we are interested in whatever concerns me- dicine, and are bound, by every principle of duty and common honesty, to inquire whether these things be so or not. We owe it to our Profession. The science of medi- cine gives to her children high and honourable conside- ration throughout the world, and she justly demands, in return, the most disinterested exercise of our best faculties. We oive it to the Public. Our fellow-men, who have so great a stake in our hands, have a right to require a reason for our belief, or disbelief, of what, received and cherished by one as a truth, is rejected by another ; and, possessing the means and opportunity for testing its pretensions, how can we justify our contemptuous re- 4 jection without examination, of the result of years of la- bour, not of one mind, but of hundreds? We owe it to the cause of Science. She admits not our plea of its apparent absurdity; but expressly com- mands, that, “however contradictory two things may appear to our limited judgment, if they are proved to be facts, they must be admitted : leaving it to future ob- servation to account for the apparent anomaly.” And does not every-day experience in the discoveries of science, show us the folly of refusing facts, simply be- cause we cannot immediately reconcile them with our preconceived notions, or explain them on known prin- ciples ? Is it reasonable, then, is it philosophical, is it honest, in physicians, to reject, condemn, and ridicule that of which they know nothing ? Yet many unblushingly de- nounce Homceopathia as a humbug, and its discoverer and disciples as either knaves or fools. Secondly. Arguments based upon the wants of the old school system of medicine, and the possibility that Homceopathia may furnish the desideratum. The science of medicine embraces two general de- partments, viz : The knowledge of disease, and the knowledge of remedies. And from these is deduced what is termed the theory of medicine ; the modus operandi of remedies in the relief and cure of disease. Now admit that the theories of the old school are per- fectly philosophical; that medicines, administered on their principles, cure disease ; and that, as they for the most part apply medicines on these principles, they can account for the majority of the cures which they make ; but can they account for all the cures which 5 they acknowledge to have been the result of medicine ? Have not remedies been discovered accidentally to cure diseases, and afterwards been generally used in similar cases, with the same results, the modus operan- di of which the principles of the old school could not explain? And do not physicians confess,that they pre- scribe some remedies without being able to give the reason why they do so, except that they seem to act as specifics on such diseases, or such organs, — or that, in similar cases, they have proved serviceable? Again ; in observing the vicissitudes of reputation, which different medicines have suffered in times past, which for a season have had promise of immortality as remedies in particular diseases, and afterwards been discarded as useless, what is the most reasonable solu- tion of the problem? Is it to suppose that they never possessed the power for which they had credit ? — That can hardly be; for many of them are again re- ceived into favour, and some enjoy a reputation little short of what they had before their fall. Is it not, ra- ther, that their operation on disease could not be ex- plained by the known principles of medicine, (for they cannot be now,) and that, consequently, they were used only upon blind empyrical experience, and therefore could not be relied on ? Why have not bloodletting, opium, tartar emetic, and the like, passed through the same trials ? Simply be- cause their general effects are known, and on general principles only they are prescribed. Does not all this go to show, that, although the thera- peutics of the old school set forth correct principles, as far as they go, they yet want some other principle, or 6 principles, to explain the operation of some medicines in curing diseases — (cures they acknowledge,) which cannot be explained by those they already know l A sense of this deficiency led to the discovery of Ilomceo- pathia. Thirdly. It is unphilosophical to refuse to examine Homccopatliia. Whence have we derived all the know- ledge that we already possess of the operations of med- icines ? And from what source are we to look for more l Your answer can only be, “ from experience.” For what can we know of the effects of medicines, ex- cept from experience ? Would the colour, weight, smell, or taste of calomel and tartar emetic, teach us why the one acts especially on the liver, and glandular system, and the other on the stomach and skin ; or why one is given in ten grain doses, and the other in those plain. So in PJomceopathia. Hahnemann has his own theories, and each of its disci- ples creates them for himself, and Homceopathia is not affected by either. It is necessary that I should notice, in particular, one position of Hahnemann, which has given most offence to the old school, and especially to that portion who are devoting themselves to the enriching of medical science by pathological research; for it has done so entirely through their misapprehension of what that (so called) pathology was, against which Hahnemann wrote. It must be recollected, that when his Organon was writ- ten, what is now meant by the word Pathology scarcely existed, — or, at any rate, was in a crude and imperfect state. For, although the works of Morgagni, and one or two others, had appeared, yet, as Dr. Jas. Johnson remarks in the Medico-Chirurgical Review, Sept. No., 1820, “it is in vain to look for minute pathological anatomy, before the present century.” So that, had Hahnemann opposed the pretensions of pathological anatomy at that time, it was a very different thing from what it is now. But it appears that he has never writ- ten a word against pathological anatomy, but his opposi- tion w'as against the pathological theories of Brown and Broussais. Nor do Homoeopatlnsts disregard, or neglect, patho- logical investigations. In fact, they number in their ranks some of the ablest and most devoted pathologists in Europe. The charge, that in Homceopathia, medi- cines are administered for symptoms indiscriminately, without regard to their relative importance, is too absurd and trifling to merit even a reply. 19 It is a common remark, that if a system be true, it will gain proselytes and will succeed ; but if not, it will not bear the test of time. I would not bring this evi- dence forward in support of Homaeopathia, as it has not yet existed long enough (it has been known only fifty years) to expect this evidence to be admitted. But, as its opponents, from information derived from the same source whence they obtained what they know on the science of Homceopathia itself, have the idea that it is on the decline, I take pleasure in correcting the error into which they have been led, by the following extract from the Homoeopathic Examiner, published in this city; which (in passing) I may remark, as some evi- dence of the state of Homaeopathia in this country, is liberally supported. Its only danger is, in the arduous professional duties of its able and accomplished editor. “OPINIONS of eminent allopathists of the pres- ent AGE. Germany. — Huffland, the venerable Patriarch of German Allopathia, has conceded the existence of merit to the system of Hahnemann, whose first essay on Ho- moeopathy was published in his Medical Journal, and for whom he has acknowledged the highest personal respect. The success of a Homoeopathist, Dr. Stapf, in curing Egyptian Opthalmia among the soldiery in the garrisons of the Rhine, attracted the attention of the Prussian Minister of War, who solicited him to visit Berlin, to take charge of its military hospitals, Lazareth and La Charite. He accepted the invitation, and offi- ciated to the entire satisfaction of the Minister. Huff- land, who introduced Stapf to the assembled company 20 of La Charite, then paid him a deserved personal com- pliment, and, at the same time, expressed these impar- tial views respecting the Homoeopathic , system : — “ Homoeopathia seems to me to be particularly valuable in two points of view ; first, because it promises to lead the art of healing back to the only true path of quiet ob- servation and experience, and gives new life to the too much neglected worth of symptomatology ; and second- ly, because it furnishes simplicity in the treatment of disease. The man whom I have the honour to present to you, is not a blind worshipper of his system. He is, as I have learned with joy, as well acquainted with the entire science of medicine, and as classically educated, as he is well informed in the new science. I- have dis- covered in him an amplitude of knowledge, clearness of mind, and a spirit of tolerance, which last is the more worthy of notice in him, as it is not to be found in all the Homceopathists.” France.—Broussais, the founder and champion of the celebrated “ doctrine physiologique,” that has pro- duced such a marked revolution in the practice of med- icine, advised, in his public lectures, delivered in the Ecole de Medecine at Paris, that impartial trials should be made before Homoeopathia was judged or con- demned, concluding his address with words that are honourable to his candour and philanthropy. “ Many distinguished persons are occupied ivith it; we cannot re- ject it ivithout a hearing ; we must investigate the truth it contains!” He proved the sincerity of his advice, by instituting a series of experiments on his own person, and in general practice, which were only interrupted by his lamented demise. 21 Italy.—Brera, who holds a distinguished rank among the Ailopathists of Italy, has uttered opinions of Homceopathia with fearless liberality, which demand a careful perusal. In his Anthologia Medica, he thus writes: — “Homceopathia is decried by some ds use- less and by others as strange, and though it appears to the great majority as ridiculous and extraordinary, it can nevertheless not be denied, that it has taken its stand in the scientific world ; like every other doctrine, it has its books, its journals, its chairs, its hospitals, clinical lec- tures, professors, and most respectable communities to hear and to appreciate. Nolens volens, even its ene- mies must receive it in the history of medicine, for its present situation requires it.” “ Having attained this rank, it deserves by no means, contempt, but, on the contrary, a cool and impartial investigation, like all other systems of modern date : Homceopathia is the more to be respected, as it propagates no directly noxious er- rors.” “ If Homoeopathia proclaims facts and theories, which cannot be reconciled with our present knowledge, this is no sufficient cause, as yet, to despise it, and to rank it among absolute falsities. Wo to the physician who believes, that he cannot learn to-morrow what he does not know to-day! Do we not hear daily com- plaints of the insufficiency of the healing art ? And are not those physicians, who honestly suspect the solidity of their knowledge, the most learned, and, in their prac- tice, the most successful? Such sentiments have un- doubtedly induced most of the German physicians to study Homceopathia, and to conquer their aversion to the new doctrine. Let us alw'ays recollect, that the greatest discoveries have given origin to the most violent contro- 22 versies. Witness the examples of Harvey, Gallileo, Newton, Descartes, &c.” England. — Dr. J. G. Mii.lingen, Surgeon to the British Forces, and an Allopathic practitioner of dis- tinction, has offered the following comments on Homce- opathia in his “ Curiosities of Medical Experience “ The mere hopes of being able to relieve society from the curse of constant drugging, should lead us to hail with gratitude the Homoeopathist’s investigations. That many physicians, but especially apothecaries, who live by overwhelming their patients with useless, and too fre- quently pernicious medicines, will warmly, nay furiously, inveigh against any innovation of the kind, must be ex- pected as the natural result of interested apprehension; and any man who aims at simplicity in practice will be denounced as guilty of medical heresy. Have we not seen inoculation and vaccination branded with the most opprobrious epithets, merely because their introduction tended to diminish professional lucre ? But the facts I am about recording, — facts which induced me, from having been one of the warmest opponents of this system, to investigate carefully and dispassionately its practical points, — will effectually contradict all these assertions regarding the inefficacy of the Homoeopathic doses, the influence of diet, or the agency of the mind ; for in the following cases in no one instance could such influences be brought into action. They were (with scarcely any exception) experiments made without the patient’s know- ledge, and where no time was allowed for any particular regimen. They may, moreover, be conscientiously relied upon, since they were made with a view to prove the fal- lacy of the Homoeopathic practice. Their result, as 23 may be perceived by the foregoing observations, by no means rendered me a convert to the absurdities of the doctrine, but fully convinced me, by the most incontes- table facts, that the introduction of fractional doses will soon banish the farrago of nostrums that are now exhib- ited to the manifest prejudice both of the health and the purse of the sufferer.” At the conclusion of his experiments, Dr. Millingen adds : “ I could record many instances of similar results, but they would of course be foreign to the nature of this • work. I trust that the few cases I have related will af- ford a convincing proof of the injustice, if not the unjus- tifiable obstinacy, of those practitioners, ivho, refusing to submit the Homoeopathic system to a fair trial, condemn it ivithout investigation. That this practice will be adopted by quacks and needy adventurers, there is nc doubt; but Homoeopathy is a science on which numer- ous voluminous works have been written by enlightened practitioners, whose situation in life placed them far above the necessities of speculation. Their publica- tions are not sealed volumes, and any practitioner can also obtain the preparations they recommend. It is possible, nay, more than probable, that physicians cannot find time to commence a new course of studies, for such this investigation must prove. If this is the case, let them frankly avow their utter ignorance of the doctrine, and not denounce, with merciless tyranny, a practice of which they do not possess the slightest knoivledge.” America.—Yalentine Mott, justly the pride of American Surgery, imbued with the becoming liberality of an unprejudiced and noble mind, visited Hahnemann during his first sojourn in Europe. Instead of denoun- 24 cing this venerable philosopher as a conceptionist of a puerile and useless theory, he has had the moral courage to speak of the Master Spirit of modern medical history in the following language: “ Hahnemann is one of the most accomplished and scientific physicians of the present age.” Professor James McNaughton, of the Western Med- ical College of the University of the State of New-York, and late President of the New-York State Medical So- ciety, in his “ Annual Address” before the Society, made an avowal of sentiments that were inspired by the pure spirit of philosophy. To these, the attention of the phy- sicians he alludes to, is emphatically directed. “Gen- erally speaking, they have at once pronounced the whole subject absurd — a delusion — or a gross imposition upon public credulity. Now, is this the proper mode of treating it? Is it philosophical to call any thing ab- surd, professing to be founded on observation and experi- ment? If it be false, it should be proved to be so, by .showing that facts do not warrant the premises, or the deductions drawn from them.” “ It is possible, that the Homoeopathic reasoning may be erroneous ; it is possi- ble that the medicines may act as specifics, like the vac- cine virus, and that the mode of action may be altogether inexplicable, in the present state of our knowledge. We are therefore more interested in determining the correct- ness of the alleged facts, than in that of the theory offered to explain them. Many of these facts are of such a kind as admit of easy examination, and can be readily proved or refuted.” “ Whether Homoeopathy be true or not, it is entitled to have its claims fairly investigated. The object of the profession is to ascertain the truth ; and if 25 it should turn out that, in any disease, the Homoeopathic remedies are more efficacious than those known to the ordinary system, they ought unquestionably to be used. It will not do for the members of the professions to wrap themselves up in their dignity, and to call the new sys- tem absurd, without further inquiry. The history of the profession presents many lamentable instances of the obstinacy with which errors have been clung to, and im- provements resisted.” ALLOPATHISTS CONVERTED TO HOMCEOPATHIA. The renunciation of old and the adoption of new views, on the part of a few individuals alone, ought not, and do not, entitle their advocates to the confidence of the community. But, if scores on scores, hundreds on hundreds, and thousands on thousands, start forward with fixedness of purpose for resolute action to maintain and defend the revealed evidences of a reform, jests, ridicule and satire will prove but puny obstacles to their advance ; and, unless apparently equal forces are array- ed in antagonism, such reform will spread with irresisti- ble influence throughout the world, in proportion to the amount of testimony upon which it may be based, and to the sum of benefits it does and can confer. Homceopathia professes to be such a reform, and, in- stead of being sustained and propagated by a few fool- ish or knavish zealots, it is publicly advocated by more than one thousand physicians, who have relinquished Al- lopathia, to become its adherents. It numbers thousands and tens of thousands among its laymen, and, besides its extension in different parts of the world, includes one- 26 half of the entire population of Germany among the re- cipients of its practice. Of the thousand physicians converted to Homoeopa- thia, the following examples will afford an impression : F. F. Quin, M. D., in London, recently physician to Leopold, King of the Belgians. Count des Guidi, doc- tor in medicine and sciences, officer of the University of France, late professor of mathematics, member of the Royal Academy of Naples, Turin, &c. A. L. Jourdan, M. D., of Paris, member of the Institute of France, and of many celebrated societies, has been long recognised as the associate of the prominent medical literati of France; Le Chevalier don Cosmo de Hora- tiis, M. D., President of the Academy of Medicine, and Physician to the Military Hospital ; Quadri, M. D., Professor of the University and Physician to the Opthal- mic Hospital; Bigelius, M. D., Physician to the late Emperor of Russia; Dr. Trinius, the distinguished Russian botanist, and Counsellor of State ; Dr. Stege- rrmnn, also Counsellor of State at St. Petersburg; and G. L. Rau, M. D., Physician to the Duke of Hesse Darmstadt. For other distinguished medical converts beside Muhlenbein and Schuler, we refer the inquirer to the next section, which will contain the names and titles of men who, with few exceptions, were adherents of the old school before their adoption of Homoeopathia. REPUTATION OF HOMCEOPATHISTS -AND HOMOEOPATHIA. This important link in our chain of evidences, indica- ting the present rank of Homoeopathia, and strengthened by the confirmation of authorities that are not Homceo- 27 pathic, is respectfully and especially submitted to the consideration of those who, either wilfully or ignorantly, have circulated the silly report of “ the downfall of Ho- moeopathia in Europe.” Dr. Quin, whom we have enu- merated among the converted Allopathists, is distin- guished as the first Homoeopathic physician in England. Besides the compliment of being selected as attending physician to the King of Belgium, he commands an im- mensely lucrative practice among the noble and intelli- gent of Great Britain. In the circle of his patients, the Marquis of Anglesea represents the former, Sir Edward Lytton Bulwer the latter. The names and reputation of other eminent converts to the new doctrine, having just passed under review, their repetition here would be superfluous. Professors.—The following doctors of medicine, who hold professorships of medicine, chemistry, or phi- losophy, in different universities on the continent, are recognised and respected as prominent advocates of Homceopathia : Professors Quadri, Guaranta, Arnold, Wahlenburg, Mabit, Leupoldt, Fleischmann, Roth, Werber, Succow, Crepu, Martin, of the Universities at Naples, Heidelberg, Upsalia, Bordeaux, Erlangen, Mu- nich, Carlsruhe, Jena, Grenoble. Counsellors. — The distinction of counsellors of state and counsellors in medicine, is conferred by the sovereigns of Europe upon such physicians alone as are distinguished for their acquisitions in general science and medicine, and is esteemed as a compliment of the highest order. Homceopathia has of such adherents, twenty-three state counsellors and nine medical coun- sellors. 28 Many physicians and surgeons in Europe, whose suc- cess in the practice of the healing art through the agency of Homoeopathia, has been undeniable, have been re- warded by places of honour, which Allopathic practi- tioners have always struggled to secure. From such we are enabled to record : Dr. Aegidi, appointed physician to Princess Frede- rica of Prussia. Dr. Muhlenbein, physician to the Duke of Bruns- wick. Dr. Kurtz, physician to the Duchess of Anhalt Dessau. Dr. Cramer, physician to the Grand Duke Charles of Carlsruhe. Dr. Romani, physician to the Queen of Naples. Dr. Necker, physician to the Duke of Lucques. Dr. Riickert, physician to Count Holberg and Count Hohenthal, Koningsbruck. Dr. Griesselich, surgeon to the Grand Duke of Baden. Dr. Atmiiller, court sugeon at Cassel. Dr. Horatiis, president of the Academy of Medicine, (Allopathic,) was selected physician to Francis I, the late King of Naples. Dr. Stapf was called to attend the Dowager Queen of England ; but (he important position he holds in Germany compelled him to decline the honour. Buongiovanni is physician to the Hospital of Invalids at Naples. Baldi is surgeon in chief to the Neapolitan army. La Raga is physician to the Mili- tary Hospital of Cotrone. Sannicola is chief director of the Civil and Military Hospital of the kingdom of Naples. 29 Army. — It contains thirteen surgeons and physi- cians. Collateral Testimony derived from sources not Homoeopathic. We offer it as it is ; it needs no com- ment. Le Moniteur, the official organ of the French government, thus refers to the distinction conferred on Dr. Mabit, in consequence of his successful Homoeo- pathic treatment of cholera at Bordeaux, and also for having founded a Homoeopathic hospital, the results of which were sufficiently striking to command the atten- tion of the French sovereign: “Dr. Mabit has been created knight of the legion of honour; a recompense rendered to his devotion and exertions on the appear- ance of the Asiatic cholera, as well as to his steadfast zeal and continued researches for the interests of hu- manity and progress of medicine.” William Leo-Wolf, M. D., an Allopathic physi- cian, who has published a large volume, entitled “ Re- marks on the Abracadabra of the nineteenth century ; or on Dr. Samuel Hahnemann’s Homoeopathic Medi- cine ; ” composed in the most rabid and virulent temper against Hahnemann and his system, admits thus much as to the condition of Homceopathia in Germany : “ The last accounts from thence state, that the chamber of deputies of Baden have resolved, almost unanimously, to have a special chair of Homceopathia in the Heidel- berg University ; the same, we are told, was resolved by the Bavarian government for the University of Mu- nich.” And again: “Wre are told also by men upon whose veracity we can rely, that new trials of Homoeo- pathia are contemplated in some other capitals of Ger- many, in consequence of the wishes expressed by many 30 distinguished individuals in the armies and in official stations, who have said they were cured by Homceopa- thists, after they had been long and unsuccessfully treated by other physicians ; perhaps, also, because Dr. Kopp, known as the learned and experienced practi- tioner, and author on legal and practical medicine, has seemingly joined the Homoeopathic ranks.” In the Journal de JVlcdecine Pratique de Bordeaux, (an Allopathic Journal,) the subjoined confession from an Allopathic correspondent, to its editor, is recorded : “ In my recent communication to you, in which l stated that the new German doctrine had made but slight pro- gress at Bordeaux, I uttered the truth ; but what a dif- ference has been accomplished in one month! Many of our most distinguished citizens, to the astonishment of the envious, have displayed the most absolute confi- dence in the mild and agreeable rules of Homceopathia ; and men of serious reflection — learned and illustrious — men in every respect exempt from the blind credulity of the vulgar, have not disdained to depend upon its sin- gular therapeutics.” During the past year, at one of the sittings of the Diet of Hesse-Darmstadt, the subject of Homceopathia was publicly discussed. Wolff, counsellor of state, thus remarked : “ Facts speak louder than words, and, as my colleague, Glaubrech, has justly observed, one sin- gle fact is worth more than a shipload of proofs a priori, hypotheses, &c. On this account I have confined my- self exclusively to facts. I state further as a fact, that about fifteen Universities and Academies allow lec- PROFESSORSHIPS OF HOMCEOPATHIA. 31 tures on Homoeopathia; and of these professorships eight or ten of the most celebrated are recognised in Germany.” According to this recent communication of Counsellor Wolff, five foreign and two German pro- fessorships, whose names we have not yet obtained, have been established within the past two years, beside the following : 1. At Heidelberg a professorship has been created, and Dr. Arnold has been chosen professor. 2. The G overnment of Hanover has decreed the formation of a professorship at the University of Gottingen. 3. At Erlangen, Professor Leupoldt occupies the chair of Homceopathia with flattering success. 4. At the Uni- versity of Munich, the professorship of Homceopathia has been conferred upon Dr. Roth. 5. At Jena, the Homoeopathic professorship is held by Dr. Martin. 6. A professorship has been created at Leipzig. 7. Another at Freiberg. 8. A professorship has been re- cently formed in the Duchy of Darmstadt, to which Dr. Rau will probably be called. HOMOEOPATH1C LITERATURE. The literature of Homceopathia has been as little known, and has encountered as much misrepresentation, as any one of its departments. It can be scarcely cred- ited, even among the friends of Homceopathia, except by its physicians, that about seven hundred volumes have been issued from the press, developing the pecu- liarities of the system, and many of them possessed of a scientific character, that savans know well how to re- spect. Controlled by an earnest desire to confirm our statement of facts by personal observations and testi- 32 mony, we have taken especial trouble to investigate this subject, and thus feel personally enabled, after a direct inspection, to enumerate, as the result of our labours, the existence of six out of seven hundred volumes that have enriched the Russian, Danish, Italian, German, French and English languages. Twenty periodicals of the system have been estab- lished in different parts of the world, the most prominent of which are Arcliiv fur die Homceopalhische Heilkunst, Allgemeine Homceopalhische Zeitung, Bibliotheque Ho- mceopathique, and Archives de la JSledecine Homoeopa- thique. HOMOEOPATHIC HOSPITALS, INFIRMARIES AND SOCI- ETIES. Leipzig. — This city has the honour of establishing the first Homoeopathic hospital in Europe. It has had a successful existence of six years, up to the present time, deriving its support from voluntary contributions and an annual grant from the Saxon Government, w'hose warm approval it has obtained. JMunich. — A hospital has been formed in this city under the sanction of the government of Bavaria. Charles, Prince of Oettingen and Wallenstein, one of the ablest advocates of Homoeopathia in Europe, pre- sented the subject of its institution to the Bavarian Chamber of Deputies, which unanimously voted an an- nual contribution of four thousand florins toward its sup- port. An extensive and suitable edifice has been grant- ed, and “ Homoeopathia,” as Counsellor Widnmann remarks, “ has become a national concern in Bavaria.” Paris. — In consequence of the extension of Homce- 33 opathia in France, an application was made to the French government for the establishment of a national Homoe- opathic hospital. The government referred the matter to the Royal Academy of Medicine, which, composed entirely of Allopathists, with the exception of Jourdan, most vehemently opposed and reported against its or- ganization, and successfully for the present. A private hospital was subsequently formed, the dispensations of whose signal benefits, with the powerful influence that is daily accumulating, must, before long, accomplish the desired grant. Gaspari, Guizot, and Duchatel, mem- bers of the French ministry, are ardent Homceopathists, and will contribute their aid. Bordeaux.—'The great eclat that attended the suc- cessful issue of Homceopathia against the ravages of cholera in this place, very naturally led to the establish- ment of a general hospital. This institution is now open under the able management of Dr. Mabit, who is assisted by several associates. The hospital contains a hundred and fifty beds, and several thousand patients have experienced its benefits since its organization. Hungary. — A hospital was formed in the town of Guns, about five years since, under the guidance of Dr. Michael Bletz, and has fully sustained the reputation of the Homoeopathic practice. London. — The London Homceopathie Dispensary” was established several years since by Dr. Curie, and has materially aided in extending the knowledge of Ho- moeopathia among the citizens of London. Its pros- pective value has been very much enhanced, of late, by the liberality of a London banker, Mr. Leaf, who has proffered pecuniary aid to any extent that will render its 34 dispensations useful. The dispensary being securely organized, as to permanency, Dr. Curie has recently promulgated the desire of the friends of the German doctrine, to have its merits publicly canvassed and ad- judged, as stated in his circular: “To enable the sub- scribers and the public to form an opinion of the value of this institution, it is intended, monthly, to publish a faithful report of the cases treated in it; and, while the names will be carefully excluded, a reference will be kept, in each case, whereby the truth of the report may be. ascertained.” Oxford. — Mr. Langston, another wealthy patron of Homoeopathia in England, has founded a hospital in the vicinity of Oxford, the superintendence of which has been conferred upon Dr. Mottal. The provisions made for its extended utility are of such a munificent charac- ter, that the prospects of Homoeopathia in Great Britain are of the most gratifying promise. Glasgow.—We have been informed in a late com- munication from Dr. Curie, that a dispensary is also about being instituted in this town under the manage- ment of Dr. Scott. Palermo. — Dr. Mure opened a dispensary in this city in 1838, in which, at first, about twenty-five patients were treated daily. In 1839, the number had increased to two hundred, daily, requiring the attention of six Ho- moeopathic physicians. The increase of patients in the Homoeopathic infirmary, advanced in the ratio of their decline in the Allopathic hospitals, and so palpably, that the attention of the Abbe Baudiera, M. D., was called to the investigation of the system, which he has finally adopted. The Abbe, who is physician in chief to the 35 Hospital des Freres de St. Jean de Dieu, introduced the Homoeopathic treatment, at once, into this hospital, which may now be considered an institution of the Hahnemannean method. Montreal, Pietraperzia and Mistrella. — Each of these towns had Allopathic hospitals in 1838. The conversions at Palermo, extending throughout Sicily, embraced their physicians, including the chiefs of their hospitals. These hospitals are, at the present time, Homoeopathic. Beside these establishments for the sick in the towns enumerated, there are many forms of infirmaries organ- ized in many of the prominent towns on the continent, in all of which, nearly similar results of treatment are obtained. Homoeopathic societies have grown with the growth of the system, and according to the information acquired by Counsellor Wolff, there are at present forty associa- tions in Europe, composed of physicians and laymen of eminence. Much brave talk has arisen on all sides of Homceo- pathia, about the results of its adoption in public hospi- tals, by order of several governments, for the avowed purpose of testing its merits as a system. The staunch adherents of both sides have taken steps which should have been avoided. The opponents of the new mode, evidently feeling that the honour of Hippocrates repos- ed on their prowess, have uniformly striven to furnish their distant colleagues with the means of asserting, that it had suffered a signal defeat; while the over-zealous PUBLIC TRIALS OF HOMtEOPATHIA IN HOSPITALS. 36 followers of Hahnemann, spurred on equally by an es- prit propre, have not failed to affirm a triumphant suc- cess. Both parties have forgotten, for the time, that the contest might not end with them — nor be confined to their country — nor await, in troubled humility, the decisions of court ephemerae — but that it may last to another age, be tested by other people, and that its de- cision, maugre the will of princes and cabinet ministers, depends alone on the dispassionate decrees of that ca- tholic tribunal, calm, sound philosophy ! whose ultimate and irreversible dicta are seldom pronounced, till the witnesses and noisy appellants have left her halls for ever. It is easy to make assertions on medical expe- rience, which, though not founded upon real testimony, thousands will believe, merely because they have been asserted ; but it is also very difficult, often impossible, to demonstrate, at once, the fallacy of such illegitimate assertions. This is, perhaps, more true of medicine than of theology, though the history of both the sciences is full, to overflowing, of devious heresies and marvel- lous relations, which have seldom, if ever, quite died away, in the age which gave them birth. And it cer- tainly will not hasten the slow advances of truth to get angry at the perverse habits of the race to believe mere words, or to attempt, by wholesale counter assertions, to mark out the path which she is destined to occupy. Enough of this old-fashioned folly has been commit- ted, as we have said, on both sides of the present con- test in medicine; and perhaps no department of the conflict has been more fruitful, in these respects, than the reports, debates, and conclusions, which have grown out of the hospital trials of the new mode within the 37 last ten years. So far as we have been able to learn, one party has gained as much as the other; neither has been victor nor vanquished — and, of course both have, been loud in their claims for the palm of victory. With respect to the public at large, we have no doubt of the new party having gained by each of these quasi tests for their theory. There have been six public and formal trials of the Homoeopathic practice, undertaken by order of the con- tinental governments, viz. 1. At Vienna, in 1828, conducted by Dr. Maronzeller; 2. At Tulzyn, (Russia,) 1827 ; 3. At St. Petersburgh, in 1829—30, conducted by Dr. Hermann ; 4. At Munich, (Bavaria,) in 1830- 31, by Dr. Attomyr; 5. At Paris, in 1834, by Dr. An- dral, jun. ; and 6. At Naples, in 1835, by several phy- sicians. The Austrian Government received the report of the commissions appointed to oversee the trial at Vienna, consisting wholly of Allopathists, and upon its recommendation, interdicted Homoeopathia by an impe- rial decree. This edict was, not long after, entirely re- pealed. The Russian commissions, consisting, in both cases, of Allopathists, reported that the trials were not decisive, and the government took no steps, at that time, either in favour of, or against the new practice. The commission went so far in relation to the St. Peters- burgh trial, (which appears to have been conducted with more care and patience than the others,) as to report, that “ the results were not unfavourable to Homceopa- thia.” In 1833, the government issued an Imperial Ukase, recognising the new school, and establishing, through- out that vast domain, depots of drugs, prepared accord- 38 ing to Hahnemann’s rules and practice. The results in Munich are not within our immediate reach, but it is probably that they were quite satisfactory, since the King added a professorship of this practice to the Uni- versity of Munich, which still exists ; and recently, he has caused a Homoeopathic hospital to be estab- lished, on a very liberal plan. The trial in Paris was conducted by an eminent and very enlightened Allopa- thist, without the assistance of any person acquainted with the method. Judging from his tabular report, which, we do not doubt, is frank and faithful, it is pretty evident that he did not know enough of the method to select the reme- dies, with any tolerable precision. Nevertheless, his reports were considered, by many doctors of medicine, in England and America, as quite conclusive against the system of Hahnemann, and great pains were taken in these countries, by aid of non professional reviews, and common newspapers, to deal a death-blow at it, with this javelin forged by Andral, though he never made use of it himself. It certainly was no test of the method. The symptoms were not recorded ; the drugs were not selected by comparing such records with the materia medica ; and the doses of the drugs adopted were not repeated scientifically, if at all. The operator applied dubious Allopathic names to the maladies, and prescribed, against such names, drugs, Homoeopathical only to determinate sufferings, between which and these fanciful names, M. Andral supposed some es- sential relation to exist. This test consisted in apply- ing Homoeopathic preparations upon Allopathic princi- ples — than which no proceeding can possibly be more 39 absurd — and we by no means wonder at M. Andral having observed a profound silence as to his general conclusions. We are not quite certain, whether Andral undertook these experiments by order of the minister of public health, or merely with his consent. As it regards the influence of Andral’s experiments upon the state of the system in France, it cannot for a moment be pre- tended, that they retarded its progress in any sensible degree. The number of converts among physicians and savans is certainly on the increase. There are several provincial Homoeopathic societies, and one ge- neral association, for all France, called “ Gallicain.” At Bordeaux, there is a flourishing infirmary, under the charge of Dr. Mabit, who received the decorations of the legion of honour, as before stated, on account of his alleged brilliant success in the Homoeopathic treat- ment of cholera, in that city. In a letter, quite recently received from the celebrat- ed Dr. Peschier, we are informed that, at the great medical school of Montpelier, the new doctrine has many adherents and teachers. Dr. Peschier thinks that school will very soon publicly avow its attachment to the Homoeopathic method. In 1835, the King of Naples ordered a trial of Homoeopathia to be made, under the supervision of a mixed commission in La Trinite, at Naples. The royal programme for this trial, directed, that each day’s journal should be attested by all the members of the commission. As the trial progressed, there arose difficulties among the members of the commission : tumultuous disturbances, accord- ing to published statements of a clergyman attending the trial, interrupted its proper course; the Allopathic 40 members neglected to attend and attest the diary, and made a separate secret report to (he minister of health, during the absence of the King, and his physician, Dr. Horatiis, (one of the commissions Homceopathist.) About the fortieth day of the trial, the government arrested it, “ because,” to use its own language, “ the instructions contained in the programme liad not been follmved faithfully /” The decree closing this public trial concludes by saying that it is not decisive, the King reserving to himself the right of opening another, whenever private practice shall produce a sufficiently extensive impression upon the public opinion in favour of the new system. There were but two deaths during the forty-five days which this trial lasted; although quite other statements have been made. Our authori- ty for this assertion is, the publication of the priest above alluded to, who was present every day of the trial, and faithfully examined each case. This imper- fect trial seems to have had little or no influence upon the state of Homceopathia in Italy — certainly none of an unfavourable character. At the present time, there are probably a greater number of adherents to this sys- tem in the Roman States, Naples and Sicily, in propor- tion to the number of medical men, than elsewhere, out of Saxony, in the world. At Palermo, there appears to have been a much more general adoption of the new mode, than in any other single city in Europe. It is to be regretted that the foregoing trials were not undertaken with a very specific object, instead of the too general one of ascertaining the truth of Hahne- mann’s mode, as a system assumed to be complete in all its parts. Had the commission in each case been 41 directed to ascertain for example, whether the principle of Homceopathia ‘ similici similibus curantur ’ be true, in the first instance, and, if found to be true, next to ascertain, as nearly as possible, the minimum dose of each drug with reference to the due execution of this law, we are persuaded that actual results would have been obtained. This was the process in Hahnemann’s own course, and has uniformly been that of every con- version from the old methods to Homceopathia. No medical man of sound education, can, we think, attempt the dilutions, till upon trial with very Small Allopathic doses, he is quite satisfied of the truth of the main law of the new plan. It is far from being a just or neces- sary conclusion, that if the 30th dilution fail in a given instance, the lower dilutions will also fail; and if these fail in the same case, neither is it necessary that the still cruder preparations, as the powders or tinctures of the shop should also fail. The trials should have been ordered for some tangible specific purpose, to ascertain the truth of some one or two important propositions. The comparison of the bills of mortality among an equal number of sick, treated by divers methods, is a most poor and lame way to get at conclusions touching prin- ciples of the healing art. Supposing the climate, sea- son of the year, local advantages, &c., to be as nearly the same as possible, in a trial between the two modes of treatment, the diversities in regard to diseases treat- ed, would certainly forestall any just conclusions. But supposing (an impossibility) the disease be one and ex- actly the same in both hospitals, and admitting the age and sex of all the patients to be the same, who could make the allowance imperatively necessary for diversi- 42 ties in the vigour and power of endurance and in the morale of the patient! Besides, admitting (another im- possibility) the constitutional vigour and moral state to be the same in all the sick, by what scale are we to graduate the disease with respect to intensity, and therefore danger, so as to make sound and available conclusions from the bills of mortality? The attempt must for ever prove as unsatisfactory as it is absurd — unphilosophical. We close this subject, for the present, at least, with a recapitulation, showing the actual history and popular results of the several misnamed public tests of Homceo- pathia. 1828. Austria. 1839. RECAPITULATION. The Allopathic commission report- ed against Homoeopathia, after the trial at Vienna, although they stated that “ system is not inefficacious.” The government, therefore, interdict- ed its practice. The interdict has been removed. Medical men of eminence have ac- knowledged their belief in Hornoeol pathia. And part of the imperia- household is at present under Homoeo- pathic treatment. 1827. Russia. 1839. The experiments were not suffi- ciently satisfactory to obtain the es- tablishment of Homoeopathic hospi- t.als under government patronage. Homoeopathia is now recognised by government, and Homoeopathic insti- nations are organized for the better regulation of the practice throughout the empire. Trials were made by Andral with- out a knowledge of the system, and he did not succeed. 1834. France. 1839. The system has widely extended throughout the kingdom, with the prospect of the school of Montpelier in its favour. A public trial undertaken by order of the King of Naples, was closed be- fore it was complete, because the All- opathic commission wou'd not obey the instructions contained in the royal order. 1835. Italy. 1339. The extension of IlonuEopathia in Italy exceeds that in any other part of Europe, excepting Saxony. Physi- cians, priests and literati, have em- braced its doctrines. Hospitals and infirmaries are being orjranized, and many that were Allopathic have been appropriated to the use of the Ho- moeopathists. 43 STATISTICS OF HOMCEOPATHIC TREATMENT. The treatment of cholera and its results produced the first strong popular impression in Europe, as to the efficiency of Homceopathia. Summary made by Dr. Peschier of the results of the Homoeopathic treatment of Cholera in Europe, up to 1832. In Russia (documents of Admiral Mordvinoff; obser- vations of Drs. Seider and Peterson,) there were 1557 patients treated, 1394 cured, and 163 died. In Austria (documents of Dr. Roth; observations of Drs. Schre- ter, Hanusch, and Quin,) there were 1408 patients treated, 1314 cured, and 94 died. At Berlin, (obser- vations of Drs. Stuller and Haynel,) there were 32 pa- tients treated, 26 cured, and 6 died. At Paris, (obser- vations of Dr. Quin,) there were 19 patients treated, and 19 cured. Total — 3017 patients treated, 2753 cured, and 264 died. LEIPSIC HOSPITAL. We have already alluded to the successful continua- tion of this Hospital under the Saxon government. Abstract from the official and public reports of the in- door patients of this institution. During the year 1833, 118 patients were treated, of which number 4 died; 1834, 120, of which 5 died; 1835, 93, of which 11 died; 1836, 110, of which 5 died ; 1837, 107, of which 8 died. Total, 548 patients, of which 33 died. Deaths at the rate of about 6 per cent. Abstract from the re- port of the out-door patients attended by the physicians of the Leipsic Hospital. During the year 1833, 1086 44 patients were treated, of which number 17 died ; 1834, 463, of which 7 died ; 1835, 283, of which 9 died ; 1836, 261, of which 5 died; 1837, 332, of which 10 died. Total, 2425 patients, of which 48 died.” In the foregoing pages, I have confined myself to their expressed object, that of endeavouring to call your at- tention, as a physician, to what has been unadvisedly rejected as an absurdity, by the mass of the profession. I have represented it to you, as I have adopted it myself; as a principle on which medicines may be applied for the cure of disease. Starting with this as a foundation, that nature cures the disease, and the object of medicine is to assist nature, the question is, what are the princi- ples on which remedies are to be applied? Experience teaches us that there are three, viz : Ailopathia, Antipa- thia, and Homceopathia. The first (Ailopathia) is the exciting of another dis- ease, or disease in another organ or tissue, to relieve the existing one ; as by purgatives in diseases of the head, chest, limbs, &c. Blisters to the skin in affections of the lungs, and other internal diseases, and the like. The second (Antipathia, or palliative treatment,) is the temporary mitigation of suffering, or moderating of threatening symptoms by means of a remedy whose primitive effect is the opposite of the existing trouble- some symptom or symptoms, that, during its action, the system may have time to rally its forces, or derive aid from other remedies, which have a more direct reference to the entire disease : as, for example, the application of cold to a hot inflamed surface ; the abstraction of blood in inflammation ; exciting secretion, where it is 45 deficient, by medicines whose primary effect is to favour such secretion — as calomel in deficiency of bile, anti- mony in dryness of the skin, &c. The third (Homoeopathia) I have already explained. Experience teaches us, that they are all applicable in the treatment of disease, and that the choice of one, or an- other, or all, in a given case, must depend upon the cir- cumstances of the case. I will not tax your patience farther, but subscribe myself, with sentiments of respect and sincere regard, Your obliged friend, JiNO. AUG. McYICKAR. No. ], Le Roy Place, 4th April, 1841.