THE INDEPENDENT 1259 7 ognize the value of a knowledge of the body, and of the physical conditions under which man can best secure the highest usefulness and enjoyment; but I do not think that as yet this subject has received attention at all commen- surate with its vital bearing upon the well-being, spiritual as well as physical, of those whom the universities equip. So long as a knowledge of the human frame was looked at from the standpoint of the dispenser of mysterious drugs to a mysterious organism for the purpose of expelling myste- rious foes; sq long as the body was regarded chiefly as a more or less disreputable tabernacle for the temporary uses of the soul; so long as its harmonious and significant rela- tionship to other forms of being lay largely beyond our ken -so long, I say, as all these conditions prevailed, accurate knowledge of the body and the factors necessary to its well-being did not command attention in the higher educa- tional outlooks." (The address was printed in Popular Science for Jan- uary, 1896.) Both addresses chiefly dwelt upon the progress within this century, and on the evils we have thereby escaped ; and it has seemed as if an examina- tion of the conditions previously obtaining might be valuable, if not practically, at least to make us thank- ful that we were not born too soon; and to be in touch with the present outburst of Americanism, a good point at which to begin seemed to be the actual condi- tions, medically speaking, that surrounded the fore- fathers. Previous to their departure from England, medicine consisted mostly in a knowledge and use of simples- i. e., of herbs-and the housemother was the purveyor and dispenser. Gervase Markham, who wrote " The English Housewife" some years before our ancestors left that country, says, "A knowledge of physic is a principal virtue of a housewife." He gives directions to the housewife how to cure most diseases, but con- fesses that ''some fevers may pass the housewife's capacity." He speaks as if each of his remedies were infallible; they were called " sovereign." While none were injurious, many of them were inert, others ridic- ulous; and here and there it is seen that the essential virtues of some of the most valuable of modern reme- dies had at least been partially disclosed. For instance, when he directs powdered saffron to be mixed with poppy seed and lettuce seed, and then mixed with woman's milk, to be bound on the temples for sleep- lessness, we see that the king of soothing medicines, opium, was even then beginning to be known. For apoplexy or palsy ''the strong smell of a fox is exceeding sovereign." For quinsy the patient was to drink a decoction of mouse-ear in ale, and there was to be *'a stone rubbed where a hog had rubbed, and then the swelling was to be rubbed with it." Pains in the bones were to be treated with oil of swal- lows, the directions for making which are " to beat about twenty kinds of vegetables"-which he enumer- ates-in a mortar with ' ' twenty quick swallows," and butter and wax are to be added. An ancient aphorism, " Every part strengthens a part," led to the use of the most repulsive and unlovely secretions, even to excre- ments of animals; and there were some which evidently held a mystic element, such as a bone from the heart of a stag, the left foot of a tortoise, blood from under the wing of a white pigeon, and many more equally absurd, but used through the authority of the most learned physicians of the time. When we read that for a new cold or cough sugar and aqua vitse-euphemism for brandy-was to be taken on going to bed, we are re- minded of rock and rye of to-day; and when we find that for that parasitical disease very rife in the old times-itch-quicksilver beaten with other substances as an ointment was used, we see that they were on the track of the great destroyer of microbes now universally used as bichlorid of mercury. Nearly every family had its own combination of wax, rosin, turpentine and lard as a plaster for burns, cuts and other wounds; and many of these salves bore the name of some famous physician. In England many medicinal plants were cultivated in gardens, and treatises upon them were written and printed; and the New Englanders planted from seeds brought from the old country sage, hyssop, rue, tansy, wormwood, celandine, comfrey, saffron, mallows, chamomile, Mayweed, yarrow, shepherd's purse, dandelion, patience, bloody dock, elecampane, motherwort, burdock, plantain (which the Indians named white man's footstep), cat- nip, mint, fennel and dill. A housewife was supposed to know at just what period the virtues of each particu- lar plant were most potent, and when was the propi- tious moment for its garnering in one of those aromatic attics that formed the pharmacopaeial armamentarium of the wise mother. Some physicians followed this vege- table schedule of treatment called galenical in contra- distinction to the chemical-which meant the use of minerals-found to be most efficient in many diseases but from that time to this encountering a prejudice wholly undeserved. A Dr. Balivant, of Boston, is commended forasmuch as " he does not direct his patients to the East Indies for drugs when they may have far better out of their gardens"; and this simple practice largely prevailed here, while into England, in 1660, there were imported 250 kinds of drugs, animal, vegetable and mineral, on which duty was paid; and so great was the number of substances used that a \ Sanitary♦ Miseries we Have Escaped by not Being Born too Soon. I. Dr. Edward G. Janeway, the eminent practitioner, and Dr. Y. Mitchell Prudden, the accomplished bacteri- ologist, have each given, within the last year, most interesting public addresses on that recent progress in medicine that has at last made of it a true science instead of a series of happy or unhappy guesses founded on very incomplete and imperfect knowledge. Each congratulates those at present living as having been born into a happier time, and each prophesies the great results to come to the general public through universally diffused accurate knowledge, and the appli- cation of that knowledge to what is certainly to be the medicine of the future-the prevention of disease through hygiene and sanitation. Dr. Prudden says: " Many of our institutions for higher education now rec- 8 1260 THE INDEPENDENT writer of the time indulges his satirical propensities thus: " Doctors are not slow to pour drugs of which they know little into bodies of which they know less." 1291 7 Sanitary. Miseries we Have Escaped by not Being Born too Soon. II. Educated physicians were so few, that almost per- force the clergymen were found shining forth in what Mather, in the " Magnalia" called the " Angelical Con- junction -combining minister and physician in one. It is also pleasant to note that the woman highly skilled in medicine had also come upon the scene, as early as 1631; for the wife of the Rev. John Eliot was one of those possessing skill in both medicine and surgery- but attending the sick and maimed without reward; and, later on, at the close of King Philip's War, Mrs. Allyn was allowed twenty pounds for attending sick and wounded soldiers by the Connecticut Council. Also the wife of William Miller, of Northampton, sometimes acted as a surgeon; and in 1688, in an au- thentic history of Virginia, "a gentlewoman, a noted female doctress " is mentioned, who cured those bitten by mad dogs! Many of the towns along the Connecticut River were without any resident physician for long periods-thirty and forty years; but it was almost inevitable that in their pioneer life there should be calls for the knowl- edge and services of a bonesetter-and there are men just as surely inspired to do this work as are the dic- tionary makers and the collectors of queer and useless articles. Their vivisection must have been confined to the killing and cutting up of domestic and wild animals for food; for Eliot, writing in 1647, says: "We never had but one anatomy [skeleton] in the country which Mr. Giles Firmin did make and rede upon well"; but Mr. Firmin was in advance of his times in medicine, and found it a scarcely paying business, for he writes to Governor Winthrop: " I am strongly sett upon to study divinitie. My studyes else must be lost, for physik is but a meene helpe." And he went back to England. For half a century after the settlement of the four towns, Northampton, Hadley, Hatfield and Deerfield, the average annual expense of doctor's bills was not more than $200, excluding those who were wounded by Indians. In 1727 the town of Hadley voted to give fifty pounds toward inducing " a good bonesetter " to locate among them if other towns would join them. We occa- sionally read of some of those tough old pioneers living to great age; but let no one imagine that those " former days " were better than ours. The average of human life was far shorter than now; and plain food and early hours were the rule-and the mischief of intoxicating drinks was almost unknown. Only those who can realize how anesthetics alone save life-for simple pain kills, if severe enough-can appreciate how suffering men and women laid down their lives untimely, because they had been born too soon; for, with all the flippant sneers at doctors and their inevitable limitations, there is no question that a well-educated physician, also en- dowed with common sense, is a valuable man in any community. The above sketch includes palpable diseases capable of being cured by tangible remedies, and does not touch on the large province of the diseases of " Faith " and Fascination, surrounded and enhanced by a pro- found belief in the abilities of what were called the "powers of darkness,'' among which was witchcraft, and the forces which were to be brought against it. THE INDEPENDENT 1323 7 Sanitary* The Miseries We Have Escaped by not Being Born too Soon- III. An account of the state of medicine as a science in the century of the arrival of the Pilgrims in America, would be incomplete without a reference to the delusion of witchcraft, which reached a fearful hight just at its close. In a curious old volume published in 1695-just two centuries ago-called a " Compendium of the The- ory and Practice of Physic," by William Salmon, witch- craft is enumerated as a " Disease of Fascination." He says it may be known by " pinings and wastings of the whole body, which many times so alters it as if it was not the same Creature, caus- ing various and foolish actions, in so much as many have called their Children Changelings, the alteration in their outward form as well as of the mind has been so great." He enumerates twelve diseases; by touching people af- fected by them, bewitchment sickness will be produced by a mysteriously transferred power. Some of them are known as infectious diseases, like itch and leprosy; but think of the folly in the notion that a man suffering from common boils was able to " bewitch " another by the mere touch! In enumerating remedies, he names many substances which are to be worn about the sick, distinctly because " they are offensive to Devils." among them being mistletoe and ivy; but the majority of the prescriptions were substances to be worn amulet-wise about the neck. Among them were coral (lapis amian- thes}, grains of paris, and peony and rue, to defend from witchcraft, and especially to hang an amulet of loadstone, amber or red coal about the neck, as also carbuncles, sapphires and jacinths. Among minerals he commends gold (early form of gold cure), but especially native cinnabar and quicksilver to be hung against the pit of the stomach, having first been inclosed in a goose-quill, ''or which is said to be more sympathetical into a hazle-nut-shell and sealed up therein with wax " ; and he also recommends a ring made of an ass's hoof. Perhaps two hundred years from now, an electric finger-ring, worn as a remedy for rheumatism, will seem just as senseless and futile. In recommending prophylactic measures he quotes Porta as advising " to turn away the face of a Child that the witch may not fasten her Eyes on its Eyes, nor couple rays with the [child's] Eyes<" Salmon himself-who was living when the Durning of suspected witches in England was an every-day occurrence-says: " You must remove the Child from the cause, to hinder the Impression, and avoid the company of the supposed witch." Here it is only women who are supposed to have oc- cult powers-i. e., to be in league with the Devil; it was women only who were burned at Salem; and attention is here called to the fact that in the opprobrium which has been heaped on the forefathers for this act, it is lost sight of that in England, whence still emanated the ideas that dominated their lives, ten persons were burned as witches where one was in this country, no less than 3,000 persons being put to death for sorcery during the Long Parliament; and it was in America that a man-Judge Sewall-who had presided at the con- demnation of the witch in 1692, had the penetration to discover his error, and in 1696 had the humility and magnanimity to cause his public recantation of his error to be read from the pulpit. It is natural to ask why, when there was a witch, we find no corresponding wizard. The true reason runs far back in the centuries, and touches the history of all tribes and nations. The care of the sick and the knowledge of remedies in all the old barbaric nations was intrusted to the women; it was passed down from generation to generation in traditions, and the possess- ors of the knowledge accumulated in successive eras were looked upon as having mystical, if not superna- tural powers; and, to quote Petersen: " it was quite natural that with old, ugly women, to the eyes of young, suffering and impatient men this mystical- ness should assume the aspect of wickedness." The theologians explained it by Satan's seduction of 8 1324 THE INDEPENDENT Eve. However we explain it, there is the fact that the fin de siecle, in the century that brought the forefathers across the ocean, was lighted up by the fires of witch burnings and religious persecutions, and blessed are those born after their lurid flames had died down. An- other mystical element was mingled with the medicine of that time-astrology. Salmon, in giving directions for the hanging of disease-defying amulets about the necks of his bewitched patients, says: " These you may hang about the neck when Luna is in conjunction with Mercury in his own House, and they both in time to Sol, and, if possible, to Jupiter, also; not forget- ting to anoint the Pained with some of those Oils of Hy- pericon, aforesaid." As inunctions of oil do abate those pinings caused by the true starvation that follows upon irritability of the alimentary apparatus, perhaps his patients improved. The toad figured largely in the materia medica of the time; and for the plague he commends " the amulet of quicksilver, also a dried toad sewed up in a piece of silk and hung at the pit of the heart. Arsenic pure, not mixt with any other body lest its virtue be abated is profitable applied to the same place, wrapt up in silk; but it ought not to be heated lest it penetrate through the Pores into the Body." Among the influences that may cause the plague he enumerates comets, eclipses, the major and minor con- junctions and oppositions of the planets and other " ill Configurations of the Celestial bodies, and all these happening in the Sixth, Eighth, or Twelfth Houses of the Revolution of the world." Puerile as these things seem, he talks like a man of sense when describing the course and symptoms of the Great Plague, saying: " All which I can affirm from my own Experience who was an eye-witness thereof, during the whole last great Plague in London Anno 1665, in which died more than a hundred thousand. My constant visiting of the sick even some thousands of them through the whole course of the Plague has given me a more experimental knowledge of that disease than all that I have ever learned from any Author or Tutor whatsoever." It seems that the times were taken advantage of by men who made anti-pestilential " salts " and " drinks"; and Salmon gives a list of hundreds of prescriptions, some containing twenty or more ingredients, and many preservatives, and some excellent sanitary directions; e. g., not to handle garments or quilts used about those who have died, etc.; and in his " Lastly" he says: " The pestilence is the Rod of God, and Man cannot fly from the presence of the Almighty or Beyond the reach of His Power, therefore as the greatest and chiefest thing; that every Man and Woman turn from their evil Ways, from all their Vices, Wickednesses, and Abominations and daily manifold offences, whether public or hidden by which God Almighty is provoked to wrath, and to manifest his displeasure in the destruction of mortals, yet retributing upon their heads but a small portion of their Crimes and Impieties, for as much as without such a speedy return and amendment, no trust or security can be put in any Caution, Preservative, or Antidote, what or how prudently soever composed." Two hundred years later than when these works were written, Dr. Kitasato investigated' this identical plague at Hongkong, discovered its specific microbe, which paid no attention to what house any of the planets were in, but promptly infested those whose blood was not strong enough to withstand it. Now news comes from Japan, that he has found a serum, bearing the same relation to it that antitoxin does to diphtheria. Between the "simples" of the foremothers, consist- ing of an herb, often bitter or nauseous, steeped in water or vinegar, or " spirits," and the prescriptions of the learned physicians of England, often consisting of twenty ingredients, there is a wide difference. The first did no harm, but cleared the way at times for Nature's own restorative work; and hidden, among the mulitudi- ous ingredients of the latter, we often find a trifle of mercury, or antimony or arsenic, and poppy juice, and occasionally opium. In the century 1700 to 1806 came a revolution in dosage for which the world is largely indebted to Germany; for there the medicinal metals were studied, caught and tamed, so to speak, and adapted to the healing of mankind. It is difficult to trace the claims of mineral remedies as compared with the vegetable, and the list of the most efficient remedies that the modern physician depends mainly upon, is about equally divided between vegeta- bles and minerals, tho the place formerly accorded to opium would, now that bichlorid of mercury is the most universally used antiseptic, be disputed by many. While the condensing and simplifying of medicines was going on in the last century, so that the "shot- gun" prescription-containing so many ingredients that some one must " hit " if all the other " missed," could be abolished, what may be called " healing by an attack from the outside " was discovered, in the prac- tice of defeating the smallpox by inserting a prophy- lactic virus of the same disease in 1717, and the im- measurable improvement on that, of vaccination, intro- duced just a century since in 1796, and constituting a glorious medical fin de siecle for the preceding hundred years. To this day the prejudice against mercurials, etc., survives in the appeal of the patent-medicine vender, of a " purely vegetable " remedy; but the man who has had most uncomfortable symptoms subdued by a few small white tablets, will not care to drink quarts of bitter vegetable concoctions, and as to animal remedies, they are repulsive to the last degree; vipers'-flesh, es- sence of vipers, crabs' eyes, crabs' claws and toads be- ing recommended by Salmon, while Dr. Winthrop (Bos- ton, 1643) dwells with complacency on " my black powder " against the plague, smallpox, etc., which was made by putting live toads into an earthen pot so as to half fill it, and then baking them or burning them in the open air " till they could be reduced by pounding to a powder." Let us all be glad that a phial with a few small tablets holds the potential curative ability of myriads of toads and vipers; and when we wish to pass into an ecstasy of gratitude let us reflect on anesthetics -the production of temporary insensibility at will- safely, quickly, pleasantly, which Dr. Holmes calls " one of those triumphs over the infirmities of our mor- tal condition which change the aspect of life ever after- wards."