A635 \827 ADDRESS DELIVERED IN THE i.NT)E,u. AT % •N THE THIRD DAY OF DECEMBER, 1837. #V //f } BY BB,. MILTON ANTONY, President of the Board of Physicians of the Stats of Georgfr. MILLEDGEVILLE: PRINTED BY CAMAK «^AGLAN»« 1827, V*.. - ,J M35, J $77 I "When we advert to the past medical history of Georgia, what objects do we find, on which the mind may dwell with pleasure ? What instructing or interesting in Medical Science arrests our at- tention?—What is there from which we may draw one gleam of satisfaction in the retrospect ? • Alas! we look into a wildernesss—a wilderness on which nature has indeed bestowed her bounties—We look on a land on which she seems to have lavished her gifts with a prodigal hand, but they might as well not have been. Time like a resistless torrent has passed by and left them in eternal night. We and our ancestors have looked into forests*, fields and meadows, and beheld them la- den with all of vegetation which was valuable and beautiful—They have vegetated, blossomed, and died ! They have reproduced, gen- eration after generation—They have continued to shoot forth with the genial breath of spring, and sink into death with the rude and chilling blasts of winter, and the footsteps of Medical Science are scarcely to be traced in all the land. If an Abbot, a Bibb and a Lee have sojourned awhile in this delightful land, who have shed a diamond lustre about them for a time, the record they have sought, has been the hearts of their per- sonal friends, or the annals of political fame; and their traces in Medical Science have been as the tracks of the weary traveller on the light and desert sands of Africa—dear indeed, to the travelling companion who follows immediately after ; but the Simoon blast of time has blown—the sands have moved—the traces are effaced forever!—Although the wide-spreading Indian Ocean may beat her Eastern, and the deep-rolling Atlantic her Western shore— Although the Mediterranean may roll her resistless waves on the north, and the vast Nile flow from the heights of Donga to Alex- andria, yet the dry sands of her deserts yield obedience to the dis- mal blast, and each trace becomes as though it had not been. Such, my friends, appears the Medical History of Georgia— Across it, as across the map of Tropical Africa, we seem to behold in large and glaring letters the inscription, " unknown parts." Contemplating on this humiliating retrospect, the mind is na- turally led to enquire into the cause of such dearth of science- such want of character, and such general neglect of the subjects of scientific investigation with which providence has surrounded us. Whilst the calls of philanthropy have-been- loud, the-bounty'of nature has been paramount. Instead of beholding health and longevity wafted to us by the perfumed breezes of Tropical grovon, we have suffered the Sijoee* 4 ©f the East, bearing in its course disease, pain, and death, with their thousand stings. ^\ e have beheld our cities, villages and cottages teeming with diseases, often spreading desolation far and wide ; spreading their spoliations, not only amongst our fortunes, but amongst the best feelings and enjoyments of our nature-—doing violence alike to the serene pleasures of parental affection and conjugal bliss. On whatever hand we turn our eyes, Ave behold the weeds of grief. Our melancholy catalogue of distressed widows and helpless orphans loudly speaks the mortality of our diseases; and so common are the habiliments of woe, that they have become the fashionable costume of the State. If we turn another leaf in the book of nature, we behold the vegetable and mineral kingdoms of our State yielding almost ey;ery natural production necessary for the healing of those diseases which are curable ; but not one article of them has become a com- modity of commercial importance, as prepared for medicinal purpo- ses, because science, has not yet spread her illuminating rays around : the Botanist and Mineralogist have not yet publicly no- ticed the existence and importance of such things. It is a truth not to be denied, that we have had many gentle- men of our profession to locate and labor amongst us, commenc- ing their medical career with high expectations, founded on a val- uable store of genius and acquirements ; they have engaged in the cause of humanity, fame, science and fortune, with the warmest zeal; but they have soon swerved from these important ptiposes, and have been forced to turn to trade for fortune, politics for famej abandon the cause of medical science, and turn a deaf ear to the calls of humanity. Fame, fortune, and philanthropy are the great incitants of phy- sicians ; and of these, the two former seem to be the most gener- ally'operative. But; my: fellow-citizens, and my brethren wif pardon me, whilst I state the facts, that no field of fame has been opened to the devotees of medicine; fortune, even competence, has been placed beyond their grasp, and heaven-born philanthropy has been blighted in its bud by want of that competence necessary to its useful displays, or has failed to be cherished into valuable growth, from a want of the genial influences of the christian reli- gion on the moral faculties of physicians. Recently a few valuable papers have been afforded to the journals —a pamphfcet or two, and one book !—These are, I bebeve, tie this day, the only written testimonials to tell the rising generation that physicians have resided in Georgia. These, it may be re- marked, have been the productions of the professional youth of their authors. Observations had not yet been made on the een thus falling around us, our country has basked under the vivifying in- fluences of a republican banner. It has become civilised—its citi- zens improved, and its legislators enlightened. The day has now arrived when our statesmen are capable of taking comprehensive views of the general weal—when they see alike the propriety of guarding the interests of the general com- munity and cherishing the sciences. Glancing at the history of the world, we find these are the le- gitimate effects of such a state of things. We find every thing which is valuable and liberal in the sciences, and more noble in the arts, and every thing truly noble in human character, has, been the production of that philanthropy which belongs to republicanism, either in individuals or in State institutions : and on the contrary, that all that is contracted, selfish, ignorant, and base, have been the production of high-toned despotism. For the proof of this, we have only to turn our eyes on Spain and Africa. The ancient republics have yielded Orators and Patriots, whose examples have thus far withstood the reign of darkness, and will continue to stand, whilst generation succeeds generation, and cen* 4ury succeeds century, the patterns of excellence to all mankind: 8 whilst their other acta have withstood the dilapidations of ruthless time, and more ruthless tyranny, even down to the new republics. Of Medicine, in particular, in those days, we have not much to gay; because luxury had not yet spread her baleful influence over, nor enervating ease and indolence filled the world with their legi- timate offspring, human misery. Passing down the stream of time, we have little to interest us in this enquiry, through successive ages of despotism, dark supersti- tion and intolerance, until we arrive at the sixteenth century. About this time England, though monarchical, was tolerant, and extended much liberty to her citizens, and much patronage to pro- fessors of Medicine—-She made their rank honorable and their la- bours profitable—She chartered the London College of Physicians; securing to them certain privileges which were "calculated to raise the reputation of the profess.on, and prevent the people from being imposed upon by bold and ignorant adventurers, who had before sported with their lives and robbed them of their money." In the succeeding century, the College Royal of Physicians in Scotland was established by patent of Charles II, with similar pri- vileges and benefits. Ireland adopts the precedent. The reward to the United Kingdom has been, that she has given birth to the first dawn of philosophy in medicine. Here in the seventeenth century the immortal Harvey discovered the circulation of the blood, without the knowledge of which the science could never have prospered. To this we might add a long catalogue of those important dis- coveries in Anatomy, Physiology, Chemistry, Pathology and The- rapeutics, which opened the door to the modern reformers, Cullen, Brown, Hunter, Darwin, Black, Cavendish, Sir Humphry Davy, &c. whose names are held in grateful remembrance by all true friends of Medical Science. Whilst Italy, and other petty monarchies of the Continent were sinking into oblivion, and only continued to afford the faint em- blems of hereditary science and arts,—retaining some of the habits of freedom and independent thought, which however, were still in the wane, and shewing themselves only like the last glimmerings of an expiring taper, in the occasional discovery of a fact, as the valves of the veins by Fabrjcius ab Aquapendente, the lacteals bv Asellius, &c.—liberal patronage in England was thus producing its fruits in an increasing ratio. With the dawn of republicanism in America, we find a Rush, a Physic, and a Wistar, early embarking in the mazes which sur- rounded our Science, and dispelling the mists from before our eyes. Fired by the example of American liberty, Napoleon, who had wrested France from the hands of matchless tyranny, glowing with republican enthusiasm, commenced his reform in every department; and has left the indelible traces of his footsteps in the field, the senate, the forum, and the college ; but above all, and what peca- 9 liarljr interests us in the present enquiry, he extended a patronage to our Science unparalleled in any n»tiou.—He established Aca- demies, Colleges and Hospitals ; endowed Professorships liberally, and employed gentlemen of the first talents and energies in the improvement of the different branches of Medicine, undisturbed by the toils and perplexities of a complicated business—Franked his schools, so as to draw into them all the native genius of France, however poor and obscure of birth, and liberally rewarded every one in proportion to his merits. Behold the consequences!—Pre- viously, at least half a century behind the Science of Great Britain, she now presents to the world her proud list of Richerand, Dupuy- tren, Pinel, Bichat, Beclard, Larry, Lis Franc, Magendie, &c. &c.—She has raised for herself a character for Medical Science, which not only commands the high respect of all nations, but which compels us to look to her for almost every thing which is new and valuable in Medicine. We are not only receiving from her a continued series of facts and theories in Medicine, Surgery, Chemistry, Physiology, &c. &C.—But when we look on the pre- sent happy condition of the profession in France, we are daily ex- pecting such a developement of facts and independent thought, as shall lay the foundation of a revolution in all natural philosophy. A revolution which must ere long burst forth from some quarter, with all that splendor, that noon-day brilliance which belongs to truth ; dazzling all former theory, and sinking into eternal oblivion all that complexity which abounds in the errors, even of the pre- sent day; and like the light of creation, discovering at once to the mind of man, the simplicity, the beauty, the grandeur, and the sublimity with which the Supreme Architect of the Universe rolls on the perpetual tide of cause and effect—Simple, because all its parts are the product of one physical agent as a cause—Beautiful, because of perfect regularity and proportion, harmony and elegance —Grand, because of its universality, oversowing the imagination of man with its immensity—And sublim^ in elevating the mind above circumambient objects, to the contemplation of Him who first said " Let there be light." No matter if Napoleon did yield up his native republican views to the hereditary spirit of vassalage in France, and assume that despotism he found necessary for the government of those over whom he had to reign—no matter if he gloried in victory and sighed in banishment—no matter if at last he was conquered by the treachery of pretended friends and superior physical force, and finally languished out the remnant of his days on St. Helena— And no matter, if now, when he is no more, the voice of fame ex- claims "Tyrant!" Still he forsook not his plighted vows to Science ; and doubtless I speak the sentiments of my enlightened brethren of the profession, when I say that, notwithstanding all her scientific productions have been veiled for months and years by a language not generally known in Great Britain and America, France has, during the last twenty-five years, effected more for our Science than all the world beside :* and that these things are the result of Napoleon's policy, the leading feature of which was the * Sir Uumphrjr Darey alone excepted. 10 extension to it of the cherishing influences of State patronage—A policy, the excellent effects of which were so fully developrd before the end of the Emperor's reign, as to supply his army with talents of the first order, and to cause itself to be amply cherished by the monarchs who succeeded him, whatever may have been the desires of retrenchment. Let these examples suffice to impress on our minds the value of State patronage. America, more than France, has the materials for independent thought; and I blush not to say, that Georgia has a liberal share of valuable intellectual soil, unproductive only from the causes above alluded to. As my object on this occasion is not merely to fulfil their ap- pointment by coming before them with an anniversary address, but to promote in some humble degree, the interests of the community, and of the profession of which we are members, my brethren of the Board will pardon me whilst I digress from the ordinary course on such occasions. On the subject of State patronage, I would address my fellow- oitizens generally, because by t they are intended to be benefited ; and because, in our happy government, they are the sovereign power—But you, fellow-citizens of the Legislature particularly, because, from amongst them, you are chosen their worthy and au- thorised agents ; and you are those to whom they loon for the pro- tection of their interests, and the security of their happiness and prosperity. The science of medicine is a progressive one. So changed is it within the last eighty years, that scarcely are the land marks left to tell us what it was. During this period, more has been accomplish- ed in it than had been ia all past time from the earliest history.— It now presents to the £ind of man, monuments of genius and laborious research, wonderful and admirable. There can be no perfection in some of its branches, short of perfect knowledge of all cause and effect, which can never belong to the limited intellect ef man. But under proper auspices, progressive improvement, and consequently a nearer approach to that knowledge will be made. Looking still forward my fellow-citizens, as we most earnestly do, for a much nearer approach of man to God, by a greater knowledge ©f His works and His truths, we feel that it is peculiarly incumbent en physicians to examine those works, and discover those truths, so far at least as they are concerned in the various branches <*f Natural Philosophy, because there is not that branch of Natural Philosophy which is not more or less directly connected with the duties of the physician. If then you regard as of great importance, the general cause of humanity, or the professional character of the State whose guardi- ans you are, or the best temporal interests of those whom you represent, turn your attention to what is now the true state of 11 Medical Science—to the removal of those causes which, on a closer examination, may be found to have retarded its progress within this State—to the promotion of those means which may open the door to its progressive improvement—and finally, to the promotion to every possible extent, of those institutions which may reasonably be expected to result in the abundant improvement of the geuius of our own country. Some of the chief of the former objects of attention, have been already enumerated. On the subject of the latter, we feel it a duty to suggest a few ideas in this place. Our sister State, South-Carolina, has recently established a Me- dical College, which, from its great natural advantages, added to the exalted talents and laudable zeal of its Faculty, is at once better suited to the necessities of those who are preparing for Sou- thern practice, than any other College in the world; and should therefore be considered our College, and used as such. But we should have a regular system of private instruction at home : because, at present, young gentlemen aspiring to the pro- fession of medicine, are apt to turn to the nearest practitioner for their private studies, and shape their character by the very limited library, the prejudices, and the peculiar views of their preceptor. As a remedy for these inconveniences and injuries to the Science of Medicine, and to the community, I would respectfully suggest the propriety of establishing a Medical Academy within our State, on the following plan : Erect at the expense of the State, in Augusta or Savannah, an edifice with suitable apartments for study, boarding, laboratory, lec- tures, &c. for the accommodation of one hundred pupils. Ap- point a proper number of physicians, (say two or three,) of high moral character and professional zeal and acquirements, whose du- ty it shall be to direct the regular reading of the students—deliver regular lectures on all the various branches of medicine, in such manner as to give two complete courses in each year—to examine each pupil daily or semi-weekly, in such manner as to allow no part of his regular reading to pass, without ensuring the formation of correct ideas therefrom. Support these appointments by such salaries as will command the best talents, by enabling the first practitioners to take so much of their time from their other profes- sional engagements, as may be necessary for the faithful discharge of those duties. Supply a competent medical library and chemi- cal apparatus, and a steward whose duty it shall be to furnish plain board for all who will board in the institution. Support the stew- ard by a salary worth his services as such. #Let the rate of board be determined by the bill of fare, i. e. divide the cost of all the consumables by the number of students, and let each one pay his proportion of the expense. This will reduce the board from the common high price of that item in the medical student's expenses, down to the bare cost of what he actually consumes. Let his oth- er expenses be $100 per annum, for the privileges and benefits of 12 the institution, which in only the common price of private pupil- age, and less than the common price of tickets to one course of lectures. Certainly it may be said that, on this plan, the Institution will not only be an expense to the State at the outset, but an annually repeated charge for steward's and professor's salaries. This fact, though not so terrible as may at first sight appear, we admit to some extent. But this will annually diminish, as the school grows in reputation, and its patronage consequently increases. Let us examine the reasonableness of the view we have taken, by supposing that the number of students will, within a very short time, amount to forty, (which we think a very reasonable estimate, as there is, without doubt, that number of medical students at this time in Georgia, besides a considerable number who, so soon as the institution gains a name, may be calculated on from other Slates,) each paying $100, would make an ai'i'ual income of 4000 dollars, which would probably pay for the services of instruction. Let us suppose the steward's salary is $400. Now if we divide this amount by 40, the number of students, we find that by exact- ing a ten dollar fee in annual advance of each student, in addi- tion to his cost of consumables; we shall raise the steward's salary out of the students, and afford them board at as little as 70 to 90 dollars; less than half the cheapest board in towns, and altogether little more than half the present expenses of private pupilage, with much better opportunities; and aftbrd them two courses of lectures for about one half the cost of one course in a medical col- lege. Having taken a hasty view of the fiscal concerns of the Institu- tion in contemplation, we will define its powers. Let there be an annual examination on the first Monday in Oc- tober, to test the progress of the students, and confer the degree of Bachelor of Medicine ou all who are believed worthy of the de- gree of Doctor of Medicine. Thus will such receive their first degree, in time to visit any col- lege in the Union, the same fall ; and by an arrangement which (we doubt not) may be made with some one of the Colleges, re- ceive the second degree the following Spring. On this plan it is believed, that two to three years will accom- plish more for the well prepared student of genius and zeal, than double that time underlie present want of arrangements. We have said we doubted not, that an arrangement might be made with some one of the Medical Colleges, whereby the degree of M. D. might be conferred on the Bachelors of our school, after attending one course of lectures only. We believe this opinion will be found a very reasonable one, when we analyze the subject. Let us examine its claims. 13 There are but two leading reasons why Colleges require student* to attend two courses of lectures, viz: 1st. That they may, with the more certainty, acquire a compe- tent knowledge of the profession. 2d. That the institution may receive competent support Remove both these reasons, and the law predicated on them will be yielded up by any body of liberal-minded men. * In reply to the 1st. we say 1st. That we believe the plan suggest- ed for private instruction, if well executed, better calculated for minute instruction, and particularly for obtaining the ideas of va- rious authors, than that of College lectures only, because it em- braces means which cannot be embraced in a professor's lee* tures. And 2d. That it is proposed to send none from this Institution to College, but such as are considered by a competent Board,* wor- thy the degree of M. D. before they leave the academy. To the 2d reason we reply : That the College so agreeing would lose nothing, but derive, on the contrary, actual benefit from such an arrangement. This will be apparent when we reflect, that not one half of the students of Georgia, and a still less proportion of those who may ultimately be expected to attend the Academy, visit any one College ; and but very few indeed attend the same Col- lege more than once, but prefer taking their secondcourse in an- other. Thu9 it may be easily seen, that more than double, and perhaps thrice the number of students, would be sent from the State to the College thus agreeing, that would otherwise attend it. This effect would be ensured by the very circumstances of the agreement, viz: That under the arrangement, only the time and expense of one winter would be necessary to procure the degree of M. D. for the pvpils of the Academy., whilst elsewhere, one year's time and ex- pense additional would be required. In conclusion on this siibject, we will revert a moment to the State expense. We have admitted that in the beginning and rise of the,Institution, there would be an expense to the State—And now we Would ask, who are, to> be benefited by the Institution! It is not the members of the profession in the State at present. So far otherwise indeed, is the fact, that the more talent brought into operation in the State, the more will their profits be lessened, because of the increase of worthy competition. But it is the pop- ulation of the State at large whom you represent, and of whose in- terests you are the proper guardians, who, and who alone, are to receive the benefits. They are to receive them in all the endear- ing departments of life. 'Tis wives, husbands, parents, children, friends and servants, who are to be substantially and,particularly. * JLetttrat be the Medical Board of the Statt for the time being. 14 benefited: the Medical character of your state advanced by the pro- motion of Medical science, and its wealth increased by retaining within it, at least one half or two thirds of the money otherwise annually expended in foreign parts for the acquisition of Medical knowledge. For embracing the present opportunity of presenting you with a crude outline of a course for improving Medical Science within this State, we have no apology to offer you, but a sense of duty to which we hope ever to be found obedient. We now leave it to the ordeal of your own judgments. * I congratulate you my brethren of the Board—I congratulate the enlightened members of the profession generally, and the commu- nity at large, on that first display of State patronage which, in 1825, e-tablished the Board, on the duties of which we are now assembled. Late as it is that this patronage is extended to our prof<£- sion, it is genial as the cheering rays of Aurora on the verdant landscapes of May. I hail it as the first interesting era in the Medical history of Geor- gia, and as an ©men of the happy rise of professional character from the ashes of obscurity in which it has hitherto dragged on a miserable existence, (if indeed an existence it may be called,) to a level with that of the sister States, and of the other enlightened nations of the earth. Our Legislature has opened a portal through which we look into a vast uncultivated plain, which has in the distance, the eminence of fame and usefulness. It now becomes our duty to enter, and labour faithfully in the field, paving the way to the goal in view— The work before us is various and extensive. ' Let us be faithful and industrious; and as the mild rays of morning soon ripen into meridian splendor, illuminating, warming, and cherishing the well cultivated plains below, so as to perfect tlie harvest, so doubtless, as we shew a good cultivation of the talents given us, will our le- gislature directed by a wise and kind Proviaence, spread her fos- tering wings over, protect and strengthen us. As members of a high and responsible calling ; as professors of. those branches of Natural Philosophy which are decidedly the most important to the community, it becomes us to'attend particu- larly to all things Avhich are calculated to procure and maintain for our profession, a character every way dignrfied in proportion to its real worth. Industrious effort, and a steady regard for moral rectitude must. be combined with great zeal for the advancement of our science, and a constant desire for the increase of our own knowledge. When we enter upon a medical lifev we should feel as if we were entering upon holy ground—We should feel as if we were enter- ing on a life of much self-denial, and relinquishment of worldly pleasures, and a life of servitude to the community in which we live. 16 In this life, our primary object should be the promotion of the safety and happiness of our fellow-creatures; our secondary ob- ject, the decent maintenance of our families; and the ternary object the advancement of our Science. Relative to your peculiar duties as a Board for testing the quali- fications of those who come forward to the practice of medicine, I am happy, by the experience and acquaintance of one session, to know that I needr^t say much. The great prudence, good feeling, and depth of professional ability displayed during that session, are worthy to stand as pre- cedents for your future imitation, whilst they warrant perpetuity and success to the Institution entrusted to your care. Nor is it but justice to you as individuals, and as members of the Board, to state in this place, that by avoiding every display of political feel- ing and sentiment, and devoting yourselves during your delibera- tions, entirely to professional duty, you have proven yourselves in- capable of error in the latter—from difference of opinion and feel- ing in the former. You have made medicine and politics entirely distinct branches of science, by keeping in view that "the common- wealth of medicine is of no party."* I well know your good feeling towards candidates for license, and your ardent desire that each should acquit himself well, and receive the reward which awaits the worthy. But allow me to say to you, that whilst every good and kind feeling towards candidates is desirable to justice on one hand, this will lead you into great er- ror on the other, without the countervailing influence of the con- sideration, that at the same time, you stand as the life-guards of this community ; and that your decisions are of the greatest im- portance to their properly and their lives. In order to be enabled the better to judge of the merits of can- didates, and ensure their good preparation previous to their pie- senting themselves, I would remind you, that your sessions as a test tribunal are not proper seasons for the instruction of candid- ates : and consequently, that it may be well to dispense with that practice during the examinations, into which the ability to do so, and the kind feeling of some of the members have heretofore occa- sionally led them. Let the only business of the Board with can- didates, (at least, until after decision on their cases) be to ascertain the qualifications they possess, and dispose of them accordingly. Another duty to our profession, as well as to the community, (a§ a Board,) if in your opinion the law which established the Board, admits of such exercise of sound discretion, requires not only that you weary not in your endeavors to ascertain the qualifications of candidates, and that you pass none but such as, by their acquire- ments and zeal, prove themselves capable of safe and useful prac- tice ; but that you consider all qualifications and acquirements nothing, without the accompaniment of good moral character. t Dr. Romeyn's Address, (page 77.) 16 ^Before taking leave of the subject of your duties as a Board, I would remind you that most of us are at a considerable distance from our families, and our other professional obligations j and that whilst we are willing to submit to painful privations for the pur- *' pose of giving all the time and attention here, absolutely necessary for the best possible discharge of the duties to which we are call- ed ; still, in order that we may the sooner be returned to the en- joyment of our homes and our families, where %lone the toils of life are lost in ease and comfort; and that we 9tiay the sooner re- sume our other labours in the cause of humanity, we trust that each member will feel it his duty to give his whole time to the bu- iiness of the Board. Your chief other obligation to the profession, (though not strictly to the Board) includes every effort which can possibly contribute to the immediate advancement of the Science. The character of the profession will certainly be improved by your passing such candidates only, as are well prepared ; but the improvement of the Science, can only be effected by the direction of your attention and labors to the acquisition and distribution of knowledge: and for these purposes the Central Medical Society of Georgia, formed by you at the first session of the Board,, is well calculated. By the formation of that society, you have afforded facilities for the interchange of ideas and information between the members from all parts of the State, and for collecting and examining the products of genius, which heretofore, for want of a point of con- vergence, have not only remained in obscurity, but have been lost forever. You have prepared a field not hitherto before the medi- cal public of the state, which with due management, will nourish into valuable growth that professional zeal which has hitherto been defi cient in this State, and stimulate to emulous effort in scientific re search many who would otherwise live and die but routinists. I congratulate you gentlemen, on the happy disposition for as- sociation and improvement in the Science which has caused: the formation of that Society. In it you have a voluntary assemblage of members of a respectable, a liberal, and an honorable profes- sion,—not, I hope, with mercenary views-*—not for the purpose of considering it as regards its emoluments to those who labor in its fields—not for the purpose of pledging yourselves to stipulated prices for professional services,—but, with the exalted motive of advancing its other interests as a high branch of Science; of ad- vancing the general literary, and'particularly the Medical character of the State* Nor is this all—I trust it is the honest intention of each one of you, by this association to cultivate in a more eminent degree, those social virtues which are so indispensable to the peace, har- mony, welfare, happiness, and character of each of you as brothers of the same profession ;—virtues which are calculated to give you character as men and as philosophers'*—to render you more enjin- 17 vntly useful to your fellow beings, and to gild the evening horizon of your latter days with those benign felicities which alone can render them desirable to man. But for a spirit of pure ingenuousness ; but for a social and brotherly disposition ; but for a willingness for affable communica- tiveness, and a free disposition to impart to each other the pro- ducts of your observations and your reasonings, your attempts at useful association will be vain and futile. They will appear before the world only as idle presences to something, and will be remem- bered only as evidences of your want of those qualities as men and as philosophers, which alone could enable you to accomplish it. Emulation to excellence in every thing which is calculated to honoiably aid and adorn the professional man, will, I hope, be the polar star of each associate; and if it should, I will vouch for your success in Medical Science, and your happiness as social brethren. But in the exercise of a spirit of emulation you mu6t be care- ful that jealousy and envy be not allowed to enter into your as- sociations. Should this unfortunately be the case, enmity and hatred will enter in quick succession ; a baneful spirit of opposition to every thing, right or wrong, will haunt your deliberations and debates ; your efforts will end without fruition, and your otherwise prosper- ous harvest be marred into unprofitable and loathsome chaff. I look on the formation of the Central Medical Society as no trivial movement. A noble purpose is proposed to be effected.— The field before you is vast in extent; the invitations to it eminent- ly exhilarating: no less than the prospect of a nearer approach to God, by a greater knowledge of his works and his truths ; no less than a general change in almost all the philosophy of life and of disease. My cordial, my ardent desire is that you may be zealous in your exertions to promote the grand objects of this association, and that in those exertions liberality, generosity and candour may pre- side as guardian spirits of your intentions and operations. There is before you a great physical cause,* which demands your observation and your investigation, and to which I invite your at- tention as the richest of wordly treasures. A cause of which, im- portant as it is to all true philosophy, at present little more is known than a few of its many laws and some of its isolated phe- nomena. It is a cause in itself so wisely endowed ; so minute, so deli- cate, and yet so vast, so powerful, so universal, that the very con- templation of it in its incalculable minuteness and delicacy, as well as its power and ubiquity, must necessarily overwhelm the • Wsctricity, IB mind of man with sublimity and admiration. A cause every way indicative of the wisdom, power, extent and benignity of the Al- mighty God, who, by its instrumentality created, and continually preserves a Universe ! A cause which, being by His Almighty will cast into chaos, produced order out of confusion, and life and motion out of primeval stillness and repose ! A cause which seems proximate to the great intellectual cause of all causes, and which is itself, not only proximate, but final! A cause generally operating' throughout all the subjects of all the kingdoms of nature ; no* a cause of a moment or an hour, as a spark from a prime conduc- tor or a thunder storm ; but a first cause, (under God,) of all ex- istences ! Eternal t as matter ! beginning with, accompanyingr in- habiting and acting on all of it, from the simplest geological or atrial atom, throughout all mineral, vegetable and animal natures up to the incomprehensibly - extended universe itself! A cause competent to the production of all effects, from the most delicate chemical experiment in a test phial, up to the retention of Jupiter in his orbit—competent to the production of the slightest cobweb* sensation, or the movement of a hair, or fanning us with the gen- tlest summer evenings zephyr; to the production of the tempetrt which uproots the forests, and rolls the vast, the ponderous deep into mountain billows; or the lurid thunder storm which turns the noon day glare into twilight darkness, and in one little instant rends in twain the towering oak of centuries ! A cause which in less than one minute, whilst " distant falling mountains" thunder- ed the dismal requiem, could ingulf in one vast, one horrible Atlan- tic grave, a populous city ! \ Could whelm for seventeen centu- ries a Pompeii, and perhaps forever a Herculaneum and a Slabia in one mighty blazing ruin ; one boiling tide of sulphur, salt, bitumen, iron scum, in hundred torrents rolling on resistless 1 and make an " Ftna roar with dreadful ruins nigh, J " Then hurl a bursting cloud of cinders high, > " Involved in smoking whirlwinds to the sky; J " With loud displosion to the starry frame, " Shoot fiery globes and furious floods of flame"? Roll on resistless tide of time ! Thou great matrix of years, cen- turies and epochas ! Roll on the happy period, when philosophy shall be added to inspiration to establish the great truths of Divini* ty", and man shall approach nearer to God by a correct knowledge of His character—when We shall cease to wonder at effects, from our. ignorance of their physical cause—but when e\ery mind shall bask in perpetual love, ecstacy and admiration, on each contem- plat.on of His mercy, wisdom and power ! We come now to the last and greatest of our duties, and those with which all others should operate in sweet concert ; I mean our duties to God. It is a lamentable and deplorable fact, that so generally has in~ fidelity prevailed amongst physicians that, in public estimation it t It is not intended hereto say that either matter, or the physical cause spoken of was without be- ginning, or that eitherof them will be without end; but the paucity of the lynguat;.- require* the use of this word to mean that the causo spoken of was Teateu at least as ewly, and wiU at least be lasting as matter. tPort Royal. JWhartmi, 19 has become identified with the name of the profession ; and Quacks have thought they could not be considered physicians until they had openly professed infidelity ! This character of the profession has induced many a worthy, pious citizen to withhold his son of much promise, from the study of a profession which he honestly believed would contribute to the eternal ruin of his offspring. But I am thrice happy in being able thus publicly to state, that there is nothing in the nature of our profession, which is necessari- ly conducive to such a state of mind. So far otherwise indeed ie the fact, that it seems to me, the mind which is well informed in the various philosophy of our science, and is capable of contempla- ting on the wisdom, order, harmony and beauty of thousands of subjects of nature presented to its view—on the perfect adaptation of cause to effect, and these to the purposes of life—to the preven- tion or reinoval of those things which tend to produce disease and death—in a word, the whole economy of nature, from the simplest subject of botanical investigation, up to the perpetuation of human life itself, and its connexions again with Satellites, Comets, Plan- ets and Swis ; the mind I say capable of these contemplations, and can deny the existence of a creating, and continually preserving power—'in short a God, who superintends, causes or allows all events, must labor under, at least, a very considerable derangement of* its judging faculty. And when the experienced practitioner reflects on the endless variety and perpetuity of human miseries he is culled to witness^ the general fallacy of human designs for worldly happiness, the impotency of human power, both physical and moral, and the abundant overrulings of Providence, where his own reasonings have appeared most plain and conclusive ; when, to use the lan- guage of Cuvier, " he beholds a female in the state of youth and health, her form round and pleasant, her movements graceful and eupple, her warmth genial, her cheeks tinctured with the roses of pleasure, her eyes sparkling with love or the fire of genius, her countenance enlivened by sallies of wit, or animated by the glow of passion—every grace and every charm united to render^jler a being the most enchanting; he beholds again, and one instant has sufficed to destroy the fond allusion ! Without any apparent cause, motion and feeling have ceased—her body has lost its warmth—the beautiful roundness of her muscles has shrunk away, and her bones appear in angular jettings—her eyes have become dull, her cheeks and lips livid ! These are the harbingers of a change even more horrible ! Her flesh passes to blue, green, or black ! Dissolving into moisture, one portion evaporates in foul emanations, another melts into putrid sanies, which also hastens to dissipate'itself in the air! In a word, at the end of a few days only, there remains visible, nothing but a few earthly and saline principles!" When he sees the dying christain recline his head softly on his pillow of faith and " Breathe hi* life out sweetly there;" which, in the perfectly honest moment of death shews that it pos- se v.-jes the wonderful and desirable power of guiding him safely 20 through, that last, solemn, closing scene; and that it is the surety of his kind reception into the presence of his God, where he is to bask in all eternity in unalloyed bliss ; and when again he- sees the vain and proud infidel chilled in the iron grasp of death; still ineffectually exerting his expiring powers to ward oft' the im-" pending and certain fate—and that, not for the enjoyments of this world, but because he has no eye of faith by which he can see through the gloomy vale of death, into the bright eftulgencc of eternal glory ; because he sees no pleasures blooming on the bor- ders of his grave, nor cheering joya springing around his truly woful bed of death, nor even one fancied hope to shield him from the wrath of God ! When 1 say he reflects on or witnesses these scenes, (which are so commou in the profession,) even putting re- velation aside, and giving reason her reign, he must sayt that God is not God, because his works and providences are not wise, just and merciful, or that all orders of people are made for immortality, and that that immortality must be happy or miserable, according to the judgment of a just sovereign on that conduct || which the pro- bationary life affords. Taking these reflections, we find no motive nor reason—no ob- ject worthy the vast expense of wisdom and labor in the construc- tion of a universe, and the creation of rational beings, consistent with the attributes of God, short of another life. All we know, and all we can learn of man, can only tend to prove to us that this life is but a probationary moment; and when on the other side the Jordan of death, we cast back a retrospec- tive glance, it will doubtless appear to us as a point in the grand scale of eternal existence, and as valuable only for having afforded the means of preparation for a better estate. I have reflected much on the source of this trait of character, so common amongst my professional brethren, and have been in- duced to conclude that it is 'ess excusable in them than in any Other class of human beings; not only because 1 can find no rea- son peculiar to our profession, but because it should lead its vota- ries to the habit of taking enlarged views of all subjects presented to their minds ; and because, in the pursuit and practice of their profession, they necessarily witness more of the displays of God's character in his works and providences than others. But, judging by my own experience, i should say there appears to me to be two ways, (not rational causes,) in which this infidelity is generated, cherished and perfected; of one only will the present opportunity allow us to treat. In the study of our profession, we acquire the habit of ocular demonstration, and of confining our judgments too much to tangible and visible causes, and our convic- tiofis to tangible and visible effects, to the exclusion of principles. abstracted from these, ff ||I!yconduct, is n.it meant, aets of morality alone, l:ut that moral and physic; 1 ccmorLy which is ve:-lly the fruits and certain accotnpanimepts of genuine christian faith. 'j-Perhajis^lhere may bea Mijht apology formed forthis error in tlie alnv>-t innumc -;,ule ia!^.- •Iieories which have been advanced in medicine,and which it has at all times been th'- I..ib,vi"■:- met disagreeable dufy of the nWical philosopher f< ►<■: z :d» ;u ruliUsb. 2i Unwatchful of ourselves as we generally are at that period of life which is devoted to studentship only, and next, to the early practice of the profession, we easily fall into scepticism ; and the habit of giving corporeity to every thing * soon leads us to deny whatever is insusceptible of ocular demonstration, and consequent- ly to the denial of spiritual existences, which is materialism. Here let us examine our inconsistency and weep over our weak- ness. Let us remember that in our profession, we deal in those identical things, the existence of which our false philosophy leads us to deny : spiritual existences. We know that the bodies of living men possess life, and that the important branches of our profession we call Physiology, and Pa- thology are founded on the knowledge of the different states of that life. Yet the substance of that life is insusceptible of ocular de- monstration. We know the magnetic needle has polarity, but we cannot make ocular demonstration of the substance of magnetism. We know that electricity exists, and gives qualities to matter without being itself always demonstrable to the eyes. We know that we labor to do good to our fellow creatures, and to procure sustenance by intellect; yet we cannot see the substance of that intellect; nor can we, by microscopical examination find a space allowed for the residence of either of them in the material substan- ces they occupy or influence. Why then do we admit their existence ? How do we become conscious of them ? Not surely, by any des- cribable nature they possess in the abstract; but solely on the evi- dence of their existence, afforded by their effects on matter. We can have no consciousness of matter itself—the God of materialist1? abstracted from its qualities, and without these should deny its ex- istence. But its qualities so sensibly prove its existeuce that the understanding is easily convinced of the fact, and thus we are in- capable of denying it. Not less plain is the reasoning in favor of spiritual existences. The qualities of matter could not be without something to possess those qualities. Nor can the effects of spirit (which are the sensible qualities of this mode of living,) exist with- out the existence of spirit. But we did not dispute the existence of life, magnetism, electricity, intellect, &c. &c. on the least inti- mation of the fact, before we were well informed of them by siu- Jying and observing their laws and effects. We can believe a King has swayed his sceptre over a nation because we see his pal- ace or his throne—we can believe the republic of Rome ended in the year of the world 3973, and that the Roman Empire commen- ced immediately after the battle of .Actium the same year, under Augustus, being 31 years before Christ. We can believe that Louis XVI commenced his reign over France in 1774. ' We find it not less easy to believe those things which depend on the slight- est intimation by the words of man. We find i.o difficulty iu be- lieving even air Indian tradition relative to some of the barbarities of their ancestors. We can believe and weep over a fiction of the imagination, if nature be well portrayed. Mark the inconsistency of our nature ! Here we are very credulous. We implicitly be- * Or ji'dguig of, cy tbirHngcr. it on'y I y its <;v.a!it:cs as lrcttrrcrl.odj-. 22 lieve the word of fallible-man, and as confidently deny the truth of the unerring and infallible God ! We can deny the existence of an immortal soul, because we cannot, in our anatomical inves- tigations, find that part which seems to have been peculiarly adapted to tlie residence of some material substance—of which material sub- stance only Ave can conceive—and we can deny the existence, of a wise omnipotent omniscient, just and merciful God, although surrounded by His innumerable works and blessings, and although created and continually preserved by—we know not what else ; thus we seem to acquire to ourselves such an intolerable share of vanity and presumption as to imagine we can " bind the sweet in- fluences of Pleiades ; loose the bands of Orion ; bring forth Maz- zaroth in his seasons, and guide Arcturus with his sons ; that we know all the ordinances of heaven, and set the dominion thereof in the earth, and can send the lightnings," that they may go forth and say, " behold us."* Nay more—without spending a thought on the reasons for believing its authenticity, and without learning from its sacred pages the inherent evidences of its truth, discard at ence as a fiction or an imposition that history t whose truths are more firmly substantiated than any other, and which, so far .as ether history goes, derives additional substantiation therefrom. That book whioh came " from the love and embrace of God, and was given in mercy to man and the children of men," which dis-i eloses " to us the mysteries of hereafter and the secrets of the throne of God," which sets open to us the gates of salvation, and shews us " the way of eternal life, hitherto unknown;" which Bi withholds nothing in heaven from our hope and ambition, and pours upon our earthly lot, the full horn of divine providence and consolation ;" which brings to us " the fulness of the knowledge of God, and speaks welfare to us and our children"—whose " an- cient residence was the bosom of God," but which has come to occupy its throne in our hearts ; which will accept of no residence " but the soul of an immortal; which would, if we would receive it, possess us of that peace which God alone can give ; which calls ©n and entreats us, " but we refuse; which stretches out the hand of God to us, but we regard it not;" and of whose truths millions of intelligent beings of pur own species, at all times for many cen- turies in steady succession, have borne indubitable testimony from internal evidence ; and which has not only stood firm as a iQck, amidst the desolating whirlwinds of infidelity which have spruncr from a Phorphyry, a Hierocles, a Celsus, and an apostate Julie* of ancient, and a Voltaire, a Hume, a Paine, and a Mirabeau of modern t;ines, and 1 may add a Laurence of .the present day, but which hasflourished in immortal green, until it has spread its grate- ful and soul-cheering shadow over almost all the lauds and seas of this planet on which we have our temporal residence ; and which w 11 continue to grow and thicken until the grand catastro- phe of universal dissolution ! If then tc; frie;vls, you*value tle.t which can sever your aftec- iio:;'j from r, aisha' i pleasures and fix themon imperishable one.s; if you value serene pleesure in life; if you would approach ' Job, chap, sxxviii, v. 31, et seq. 1 The Bib.!' aa With ease the solemn ordeals of death and judgment; and if you would value the smiles of a reconciled God in all eternity, seek shelter under its umbrageous foliage : seek knowledge on its pa- ges ; examine well its authenticity, for it is well able to bear the test of scrutiny. Fear not to compromit the dignity of your wisdom ; for a Quadratus, an Aristides, and an Athenagoras of Athens, a Clemens, an Arnobius, and an Annatolius of Alexandria^ md a Justin Martyr and aTertullian of Rome have believed before you. It will arm you with the " sacred precepts of Christianity," and thereby enable you to " meet the King of terrors without dis- may, and without a tear to bid adieu to these. regions of mortality iferever. I NLM032035235