THE MEDICAL PILOT; OR, NEW SYSTEM: BEING A FAMILY MEDICAL COMPANION, ANO COMPENDIUM OF MEDICINE ON A TOTALLY NEW PLAN, AND EY WHICH ALL DISEASES CAN BE TREATED SUCCESSFULLY WITHOUT MINERALS, OR ANY POISONS WHATEVER J AND ALL THEIR CONCOMITANTS; CONTAINING ALSO A TREATISE ON THE DISEASES INCIDENT TO THE FEMALE SEX. THE WHOLE BEING ADAPTED IN SIMPLE AND FAMILIAR LANGUAGE, SUITABLE TO EVERY CAPACITY, FORMING A NEW ERA IN MEDICAL PRACTICE, ILLUSTRATED W'lTH ANECDOTES AND MANY COSTLY ENGRAVINGS-/*^ THOMAS GIBBONS HUTCH1NGS, A. M., M. D., 746 Broadway, corner of Astor TfiMe^^^Z^'"^^ NEW-YORK: / SMITHSON'S STEAM PRINTING OFFICE6, No. 11 Ppruce Street. 1 855. ESPECIALLY THE FOLLOWING COMPLAINTS: CONSUMPTION, RHEUMATISM. LIVER COMPLAINT, DISEASES OF THE HEART, DYSPEPSIA, FEVERS, DYSENTERY, BRONCHITIS, DIARRHOEA, DROPSY, ERUPTIVE DISEASES, \N ISA VW3m \ 0 55 Entered according to Act of Congress, in the year 1854, BY THOMAS GIBBONS HUTCHINGS, A. M., M. D., In the Clerk's Office of the District Court for the Southern District of New-York. Medical Pilot is sold by all the Booksellers in the Union. Price Odo Dollar. CONTENTS. PREFACE TO THE PEOPLE OF AMERICA. CHAPTER I. CHAPTER IV. Food and drink, 23—Vegetables, 24—Water, 25—Fermented liquors, 26— Wine, 27—Beer, 28—Medicated root beer, 28—Cider, 28—Mead—Abstinence, 28. CHAPTER V. Pulmonary consumption, 17—The disease perfectly curable, except in its last stages, 17—Air tubes, 17—Sounding the chest, 19—Stathescope and other instruments, 20. CHAPTER IV. General laws regulating health, 12—Diseased food and its consequences, 14— Air, light and neat, 14—The human frame, 16. CHAPTER HI. General observations on health, 7—Of matter, 7—Food, 8—Mastication and the teeth, 9—Digestive organs and the blood, 10. CHAPTER II. Short Essay on Man, 1—His general structure, and relation to divinity, 1— Disease consequent on his transitory life, 5—Longevity in the early period of the world, 5—Medicine a lawful means to assist obstructed nature, 6— The New System, " the life in the blood," 6. CONTENTS. CHAPTER VI. CHAPTER IX. CHAPTER X. Arterial system, 64—Great blood channel, 65—Veins, 66—Circulation of the blood, 66—Respiration. 66—The voinous system, 67—The atmosphere, 67. CHAPTER XIII. Sleep, 61 —Time necessary for sleep, 61—Damp apartments, 62—Its effects on children, 62—How to obtain refreshing sleep, 62—Cleanliness in person, 63 —Our clothes 63—Our houses, 63—Cities and streets, 64. CHAPTER XII. EH'ects of the mind upon diseases, 50—Hypochondria, 50—The hypochondriac lady, 51—Hypochondriac gentleman, 52—Homoeopathy, 53—Allopathy, 53—Water cure, 53—Scripture, 53—Inferior Animals, 54—A curious case in London, 55—The Hearing, 55—Feeling, 56-»-Taste, 56—Smelling, 56—Inflammation of the brain, 57—The nervous system, 58—The muscles, 58 —Muscular system, 69—The muscles of the front figure, 60. CHAPTER X. Dyspepsia, 46—Eating too fast, 46—All kinds of spices, 47—Mineral drugs, 47- Tobacco, 47—Exhaustion, 47—Abdominal viscera, 48—Bronchitis, 49—Acute bronchitis, 49—Chronic bronchitis, 49. CHAPTER IX. Of epidemics, 39—The cholera, 39 —Localities subject to it, 39—Contagious or otherwise, 40—What it arises from, 41—Rules for avoiding it, 41—Premonitory symptoms, 42—Bulam plague, 43—Case of the Rev. Mr. B.,44 — Case of Captain E., 45. CHAPTER VIII. Diseases of the kidneys, 34—Rheumatism, 35—Case cured in a curious manner, 36—Another case, 36. CHAPTER VII. Of the heart, 29—Diseases of, 29—Anecdotes, 29. CONTENTS. CHAPTER XIV. CHAPTER XVII. CHAPTER XX. Pear, 103—The effect of fear upon the human mind, 104—Joy, 106—Hope, 107—Jealousy, 10a CHAPTER XXI. The passions, 95—Temperance, 95—The sensual man, 97 —Of anger, 99— Love, 100—God is love, 101. CHAPTER XX. An incident, 89 —Another case, 91—Melancholy 92—Epilepsy 92—Apoplexy, 92—Fainting, 93 —Delirium tremens, 93. CHAPTER XIX. Putrid sore throat, 86—The mumps, 86 —Quinsy, 87—Croup, 87—Whooping cough, 88—Asthma, 88. CHAPTER XVIII. Of the small pox, 83—Vaccination, 84—Chicken pox, 85. CHAPTER XVII. Of the brain, in continuation, 79—The brain exposed, 80—The nerves connected with the brain, 81—The case of the brain, 82. CHAPTER XVI. Of fevers, 72—Typhus, or ship fever, 73—Fever and ague, 74—Bilious fever, 74—Nervous fevet, 75—Scarlet fever, 75—Remittent fever, 76—Inflammatory fever, 76—Simple continued fever, 77 —Putrid fever, 77—The plague, 77—Yellow fever, 78—Reflections, 78. CHAPTER XV. A book full of logic, 69—A case in Massachusetts, 71—A letter from Lynn, 72. CONTENTS. CHAPTER XXII. CHAPTER XXVI. Surgery in union with physic, 131—Mortification, 131—Wounds, 132—Lacerated wounds, 132—Venomous wounds, 132—Necrosis, 188—Locked Jaw, 134—A case, 135—Cancer, 136—That the life is in the blood, 136—Scrofula, 136—Dislocations, 138 —Case of an Indian in Canada, 138 —Fistula, 139—Ulcer of the urethra, 140—Ulcer of the eye, 140—The piles, 140— The bleeding piles, 141—White swellings, 141—Ophthalmia, 142—Treatment of the eye, 143—The old blind lady, 143—Egyptian ophthalmia, 144— Cataract, 144—Gravel, or stone, 145—Aneurism, 145—The surgical practice, 146—The New System, 146—Polypus, 146—Salt rheum, 146—Whitlow, 147—Hydocele, 147—Chilblains, 147—Suspended animation, 148— Punctured wounds, 150—Hydrophobia, 150—The symptoms, ISO. CHAPTER XXVII. Of bleeding, 128—The story of Mr. O'Flaherty, 130. CHAPTER XXVI. Mercurial practice, 124—Salivation, 125—Inmates of the lunatic asylum, 126—Its effects upon the system, 127. CHAPTER XXV. Of dress, 119—Woolen articles, 120—Cotton, 120—Leather, 121—Fashion has altered our habits, 123. CHAPTER XXIV. The pathology of diseases, 114—The skin, 115—The stomach, 117—The intestinal canal, 117—The kidneys, 117—The lungs, 118—Cures, 118. CHAPTER XXIII. Of bathing, 110—The cold hath, 111—Hot bath, 112—The vapor bath, 112— Topical bathing, 112—Sulphur bath, 113—Shower bath, 113. CONTENTS. CHAPTER XXVIII. The power of food and drink on the impregnation principles, 186—The Quaker and his small wife, 187. CHAPTER XXXI. The effect of the imagination on the sexes, 180—Unhappy marriages, 181— Forced marriages, 183—Prevention of conception, 184—Question as to its morality, 184—Preferable to abortion, 185—There is but one safe means to prevent it, in possession of the author of this book, 185. CHAPTER XXX. Diseases during pregnancy, 170—General observations, 170 —Cholic, sickness of the stomach, drowsiness, etc., 170—Heart-burn, want of sleep, swelled legs, 170—False pains, flooding, 170—The pig faced lady of Dublin, 171— Madam Stephens' Hospital, 171 —Marks on children, 171—Caused by fright, 171—Case of a lady in getting into a carriage, 171—Periodical progress of the foetus, 175—The foetus at the twelfth day, 177—At twentyfive days, 177—From the first month up to the ninth, 178. CHAPTER XXIX. Of the diseases of women, 151—General observations, 151—A beautiful female, 151—Distorted female, 151.—Healthy conformation, 151—Oh, woman, lovely woman, 152—Woman in another light, 152—Diseases incident to the human frame, 153—Woman in different countries, 154 —The belle of New York, 154—An African Hottentot, 154—A beautiful Signorita of Cadiz, 154 —The dark-eyed maiden of Circassia, 154—The Moorish merchant, 155—A perfect form, 156—To the mothers of America, 157—A fashionable and distorted lady, 158—Many walk through our thoroughfares the ribs out of their proper places, 158—Healthy conformation, 159— Good gracious, what a fright! 159—Other malformations, 161 —Care of young females, 161—Hurtful position, 161—Incorrect postures in writing. 162 — The result, 162—Deformity and disease, 162—Proper sitting posture, 163 — Improper sitting posture, 164—Judicious advice, 164 —Of the menses, 165 —Fulness of womanhood, 165—Northern climates, 165—The true cause of the menstrual flow, 167 —Ripening and expulsion of the egg, 167 —Im- 168—The first intimations, 168 —The old theory, 168. CONTENTS. CHAPTER XXXII. CHAPTER XXXIII. CHAPTER XXXVI. Surgical operations, 232—Amputation, 232—Dislocations, 232—Cancers, 234—White swelling, 234—Fistula, 234—Rupture, 235—Aneurism, 235. CHAPTER XXXVII. Minerals, 226—Mercury—ruinous, etc., 226—Salivation, 227—Blood-letting, a killing practice, 228—Fainting, 228—Delirium, 230—Sudden death, 230 —The heroic Washington killed by mercury, bleeding, and blisters, 230 —Doctor Beach's opinion on blood-letting, 231. CHAPTER XXXVI. Natural physical prevention, 216—The training of children, 217—Improper sitting posture, 218—Doctor Fitch's remarks, 219—Proper sitting posture, 220—Improper position in reading, 221 —Graceful position in reading, 222 —Country location, 223 —Parks, 223 —Disease and vice in large cities, 224 —How to prevent them, 225. CHAPTER XXXV. How to succeed in life, 212. CHAPTER XXXIV. Of diseases of children, 192—Of new-born infants, 192 —Clothing for children, 197—Bathing, 197—Good air and exercise, 197—The placenta and umbilical cord, 198—The thrush, 198—Teething, 199—Yellow gum, 200—Convulsions, 200—Child fever, 201—Croup, 202—Cholera infantum, 203— Whooping cough, 204—Worms, 205—The measles, 206—Malformations. 206—Tongue-tied, 206—Hare-lip, 207—Spitting of blood, 209—Painter's colic, 209—Night-mare, 209—Somnambulism, 210 —Suspended animation. 210—Freezing, 210 —Strangulation, 211—Stoppage of the windpipe, 211. CHAPTER XXXIII. The right age for marriage, 188—General observations conducive to health, 188—An instance of marriage, 190—General health tending to longevity, 191—Ages of men,'192. CONTENTS. CHAPTER XXXVIII. CHAPTER XXXIX. Religion as associated with man's physical nature, 268—Crime, poverty, and wretchedness in large cities are always in proportion to the comforts and luxuries enjoyed therein, 269 —Piety towards Ood, 270—Man a sublime creature, 272—His mental faculties are wonderful, 273—Tradition, 274— Discoveries, 274—The Holy Writ, 176. CHAPTER XLII. Miscellaneous subjects, 259—Marshes, 259—Sea air, 260—Baldness, 261— Anecdote of a barber, 261 —To prevent contagion and infection, 263—Fear in disease, 263—Cleanliness, 264—Disinfecting agents, 265—Diet, 265— Heat and cold in their adaptation to the system, 266. CHAPTER XLI. Vegetable medicines, 250—Sarsaparilla, 250—Sassafras, 251—Slink Weed, 251—Dog Wood, 251—Wild Cranberry, 252—May Apple, 252—Slippery Elm, 252—Bone-set, 252—The blackberry tree, 253—Camomile, 254— Sage, 254—Blood root, 254—Tansy, 254—Senna, 254—Manna, 255—Rhubarb, 255 —Wild Cherry, 256—Indian Tobacco, (Lobelia,) 256—Anecdote in commendation of vegetable medicines, 257 —Snake Root,,258 —Yellow Dock, 258—Blue Flag, 258—Wormwood, 258—Fox Glove, (Digitalis,) 259. CHAPTER XL. Virtue and vice in connection with medicine, 241—Childhood, 242—Schoolboy age, 242—Mature age, 242 —Old age, 243 —Mr. Bentley on death, 243—Effects of virtue on the life of man, 244 —Resignation, 244—Hope, 245—Confidence, 245—Kindness, 245 —Forgiveness, 245—Courage, 245— Love, 245—Despair, 246—Remorse, 246—Revenge, 247—Profanity, 247— Fear, 247—Anger, 247—Dr. Fitch's observations on this subject, 248— The three great divisions of the human being, 249—First division, 249— Second division, 249—Third division, 250. CHAPTER XXXIX. Symmetry of the internal man, 236—It is the key of health, 237 —Abdomi- supporters, 238 —A quiet mind quite necessary for the restoration of health, 239—A palpable instance of this truth, 240. CONTENTS. CHAPTER XLIII. A chapter for the ladies, 275—A moderate and tasteful adornment enhances the charms of beauty, 275—Medium between extravagance and negligence, 276 —Safe means of embellishment, 276—Questions for invalids, 276—To the ladies, 277—To the gentlemen, 278. TESTIMONIALS OP DR. HUTCHINGS 1 SUCCESSFUL PRACTICE. Successful cure of— Scrofula, 280—Consumption, 280—Dropsy, 281—Cancer, 281—Consumption again, 282—Catarrhal complaint, 282—Spinal complaint, 283— Neuralgia. 283—Wounded lung cured, 284—Cure of Asthma, 284— Cure of Dyspepsia, 185—Rheumatism cured, 285—Another cure of Scrofula, 287—A life spared, 287—Another case, 288—Liver complaint perfectly cured, 288 —Disease of the kidneys, 289—Case of Salt Rheum cured, 289 —Cholera cured, 290—Cure of Worms, 491—Case of Tumor, 292 —Female diseases cured, 292 —Cure of Diarrhoea, 292—Another case of Dropsy cured, 293—Eruptive disease cured, 293—An inveterate case of Rheumatism, 293 —A Paralytic cured, 294—Erysipelas cured, 294— Liver Complaint cured —testimony of a lady, 295. LIST OF MEDICINES, AND CHARGES FOR THE SAME. Examinations, - 297 Inhaling Balm, . 298 Female Pills, 297 Family Vegetable Pills 300 Toilet Box, ' 290 Dr. Hutchings' Address, 230 PREFACE. ®o tlje flteople of America. In the march of modern improvements it appears that Pharmacy, or the art of healing has been almost the only thing retained in such a form as to exclude the subject entirely from the people, and the treatment of diseases by the aid of a spurious latin in prescriptions, confined to those whose learning and skill were supposed to entitle them to hold the mystery ; while the sick have been left no method of ascertaining whether the doctor was capable or not in the fulfilment of the great charge he was about undertaking. Plausible, but not rational reasons have been promulgated for withholding this great and vital measure from public scrutiny; namely, that people would, were they to know all about the matter, be apt to prescribe for themselves to their own injury, while the real reason no doubt is, that "Othello's occupation " would probably be gone, and the profound ignorance of many aspiring Esculapians be exposed; indeed we may liken the Faculty, under these circumstances, to the silversmith's at Ephesus, who cried out when their craft was in danger, " Great is Diana of the Ephesians. In the middle of the nineteenth century however, it is high time to dispel this illusion; and it is with that intention the following pages are offered to the thinking and the reflecting people of the PREFACE. Union. What folly to argue that the art of healing more than any other art, should be kept a profound secret. As well might the Encyclopedia be prohibited to our children — perchance some fine lad might happen to read attentively of the utility and wonderful ingenuity of the steam engine, and pursuing his studies become an Engineer, and then run. the risk of getting scalded ! What preposterous nonsense ! And is it not equal folly to keep the otherwise educated, entirely in the dark as to the nature of the human system, the diseases consequent upon our common nature, and their simple remedies, for simple they must be, which if applied in time, assists nature to throw off disease, and resuscitate the injured fabric. Will not a knowledge of the subject rather induce a sick man to ask for immediate assistance, while ignorance so often induces a postponement until too late to retrieve the broken frame. Away then with all mystery ! — let truth appear in intelligible language, let he who " runs read and understand." Let us view this subject in another light, man has a right to know himself, and above all things to know sufficient to enable him to judge of the powers of that man into whose hands he entrusts the care of his sick body. We affirm that man has a right to know these things, and we hope to be the humble instrument in placing this hitherto grand secret, in such plain language that no one can mistake. And now before we go further, we have a word or two to say on the subject of some works published to the world as modern pharmacopieas, and where shall we find language to pourtray these charlatans who under the mask of science and of art, promulgate to the world a tissue of infamy too gross for Pandemonium, Oh ! ye fathers and mothers of young America, avoid these degraded, blasphemous episodes. What! is not vice well enough known to you to in- PREFACE. duce the utmost care and tenderness for your offspring without having such nausea paraded in gilt edge paper to shock the innate modesty of your sons and daughters ! How can the disciples of Paul De Kock, for they are nothing else, appear in the society of chaste females after sending out into the world effusions which have had their origin in darkness. But we will say no 'more ! We will merely state that while we shall unravel what has until now been held by the few as a mystery, we shall not allow our pen to grate upon the feelings of the most pure. We shall be content to lead you through the green pastures of Pharmecutical knowledge, and lay the matter bare in intelligible language, believing that the time has arrived when all things may be proclaimed in safety and in justice from the house tops ; moreover we will not lend ourselves to such " base uses " as some of the. modern would be Physicians have done. We will not, we cannot, we dare not quote the word of God, and in the same page transcribe the effusions of Belial. Forbid it all that is just, all that is righteous, forbid it Heaven. THE AUTHOR. THE MEDICAL PILOT. CHAPTER I. Short Essay on Man—His general Structure, and relation to Divinity—Dissease consequent on his Transitory Life— Longevity in the early period of the World—Medicine a LAWFUL MEANS TO ASSIST OBSTRUCTED NATURE The NeW SYSTEM—The " Life in the Blood." Among all created animals man evidently is the superior. The great Being who formed the earth, and them yriads of spheres rolling in space, perfected earth, as far as our globe is concerned, when the mandate went forth " Let us make man in our own image" and when all things were made, He looked out and behold they were 11 all good." Man indeed was created good, but alas! —how soon the favor in which he walked before his maker, was turned by his own sinfulness into enmity, and the beautiful garden that had been appointed for his residence no longer could endure his presence, so he was sent forth to till the earth, while the flaming cherubims with swords admonished him of his banishment, and his crime. It is with man of course in his fallen state, we have to do; with sin came misery, desease, and death, and to alleviate the two former we have been permitted by an offended yet still merciful Creator. We have said that man is superior to all animals in creation ; this appears evident. He alone of all animals while perambulating carries his head up, while his power to make known his wishes or his wants is performed by language through the medium of intelligible sounds. These properties alone make him superior to all 2 THE MEDICAL PILOT J other animals, independent of his being made mentally in the image of his maker. The ancient Philosophers were very much troubled to find a correct definition of man, and various were the schemes resorted to, to accomplish what they thought a great fete. Plato declared man to be " a two legged animal without featliers" but Diogenes in order to mock the great philosopher, procured a live Cock, plucked all the feathers from him, tied a label round his neck, bearing the inscription " This is Platoi's Man" and let the agonized bird walk into Plato's apartment, thus destroying the definition of the great Philosopher. Man from his mysterious nature has often been called a puzzle or enigma. So "fearfully " and so " wonderfully " made, it is no wonder he should appear so to himself, yet with all the subelty of his physical and mental qualities, he appears in every portion of the globe, whether in barbaric ignorance, or intellectual cultivation to be conscious of his affinity to his God, to be satisfied that hit; physical organization is only the earthly house or tabernacle thai holds for a short time that etherial part over which neither time, disease, or death, has the slightest power whatever, and which, when the house or tenement crumbles away, after wearing out, returns to him who " breathed into his nostrils the breath of life" The Psalmist has said that man is both fearfully and wonderfully made, and it is impossible to view the human face divine without at once acknowledging that such a piece of mechanism could not be constructed, but by a power far transcending our utmost ideas. It has been asserted that world's and their inhabitants were all formed by chance, and this assertion has been generally made without any enquiry as to the definition of chance, or any example that would show the distinction between it and design. If we ascend to the crater of Vesuvius or Hecla and look into the abyss, we behold full evidence of chance in the disorder which is there apparent among the piles of lava that were once projected from the burning pit, in any thing but mathematical precision, no law regulated the fragmentary assemblage after the convulsion, and chance there led to the result as thus viewed ; but when we turn to OR, NEW SYSTEM. 3 " And God Messed them ; and said unto them, Be fruitful and multiply and replenish the earth, and subdue it." 4 THE MEDICAL PILOT ; animate, and inanimate nature in tho world at large, we find not uncertain results, but on the contrary everything pursuing a regulated system. Let us look at the trees on the whole round globe, and we find that in the Spring the leaves appear upon them, in Autumn those leaves fall off, and this not for one season but for all time; again let us look at the cow, in every portion of the globe; the cow following the order of regularity goes the same length of time with young, and the order for one is the same for all. We might go through the whole catalogue of nature were it necessary, all of which demonstrating that chance (which is nothing but a series of circumstances taking place without regard to order or regularity) is not the cause of our being, and the world we dwell in. The savage who has neither the light of education or revelation, acknowledges the Great Spirit, and would reject the notion of chance, as much as the most renowned Christian Philosopher. It is not uncommon to find people also talking of our planet being a wilderness, an abominable world, and even passing worse encomiums upon it, but if our visual organs can demonstrate anything, surely they must belie these assertions. Let us for a moment ascend a portion of the Andes, and look out upon the face of nature, see the tiny rivulets as they trace their tortuous courses down the fissured hills until they form the broad, and shining river, " in whose ample wave the little naiads love to sport at large;" look at the stately and waving forests, the habitation of the songsters of the air; see the green pastures stretching out in vast expanse, upon whose bosom lie half embeded those hamlets, the home of man ; behold the flocks as they silently graze along the meadowed plain far as the eye can reach; look even beyond and see the ocean like a shining mirror reflecting the deep shadows of those barks so beautifully constructed, so systematically handled, as to become floating bridges for man to pursue his gregareous nature, and then cast one glance upward,and seethe "cold round moon" silently pursuing her periodical eliptic orbit, giving light to earth, while filling fond hearts with emotions which are akin to the heavens in which she rolls; look at all this and say, is it not a beautiful World! It is indeed a glorious world, and let such as think otherwise look into their 5 OR, NEW SYSTEM. principally through the conglomeration of redundant functionaries, leave cities and towns in any thing but a pure state, while the tax payers have invariably to pay whether they get what they-stipulate for or not; in New York, those who travelled in the winter of 1853, can well estimate the care and attention of public functionaries ; and, where such confusion of office and responsibility exist, what wonder that large cities are dens of filth, and just the spot for epidemics to revel in. Among the disadvantages also in populous cities may be reckoned the influence the wealthy possess, in obtaining the purification of those public promenades where the aristocratic " most do congregate," while those localities where their less fortunate brethren dwell, are left as sites for mud monuments to public delinquents. CHAPTER XIII. Arterial and Venous Systems—The Circulation—Respiratio —The Atmosphere. »ARTERIAL SYSTEM. The channels that convey the blood from the heart, are not the same through which it returns ; it goes from the heart by the arteries, which are deeply seated for protection, and consequently meet with few interruptions from accident while the blood is passed along by the most direct route to the very extremes of the system, this outpouring commences from the left ventricle of the heart; the first or largest artery is called the aorta, which passes upward some distance curving in the shape of semicircle, then branching off into what are called the carotids towards the head, the subclavian to the arms, and others to supply the vertebrae or spine, 65 OR, NDW SYSTEM. it now turns down the chest, passing through the diaphragm, and finally branches off in the direction of the legs forming the femoral and other arteries to the very extremes. It will be. observed that we here speak of the great blood channel, and that as the blood is conveyed towards the smaller or more isolated parts, an immense number of small arteries branch off and thus supply the whole system by an arrangement which to contemplate is as beautiful, as it is mysteriously defined. ARTERIAL SYSTEM. 66 THE MEDICAL PILOT J The blood having now traversed the arterial system is taken up by the capillaries, and having done its offioe here enters the VEINS, which are a large class of tubes, necessary to conduct the blood back again to the heart; these tubes like the arteries in one particular begin at the extremities in a series of almost imperceptible channels, and increase in size as they approach the body where the heart is seated, and like the arteries have three coats, wanting however in the elasticity enjoyed by the arteries. It is observable that in every part of the human frame the veins and arteries run very near each other, and conform so nearly in size, as the one set returns back, as much as the other sent out, only with this variety, viz: a difference in color, a thing perhaps better understood when we speak of the « m CIRCULATION OF THE BLOOD. The blood contains matter of several kinds, and is conducted through the ascending and descending vena cava, which carry the pure and impure blood, pouring it through their valves into the right auricle of the heart, and from which it passes into the right ventricle, this organ contracting, forces its contents through valves into the main pulmonary artery, and by branches into every part of the lungs to be purified. Thus it will be perceived a continual change is going en in our bodies although perfectly imperceptible to ourselves, and that in a given ratio which by analogy, it (in approximation) is supposed that every man changes wholly about once in seven years. What an idea this presents to us, of our physical constitution, and of the power that has called such a being into existence. Is not the conception of so much grandness of scheme, worthy our united praise and adoration. Let us now see how these subjects stand in relation to RESPIRATION. Every breath we draw is necessary to life, and yet every such 67 OE, NEW SYSTEM. breath assists to wear us out and to produce death, what a paradox is here represented, yet such is the case ; a few words therefore on the vital principle we draw into the lungs may not be uninteresting. THE VENOUS SYSTEM. THE ATMOSPHERE, which is commonly called air, or wind when in an agitated state, surrounds the entire globe, and travels with it, in its orbit round the sun ; it is providentially so contrived as to be of that density 68 THE MEDICAL PILOT J suitable to the exigencies of the human frame, and we are quite sensible when it becomes too rarified for our use. From experiments in ascending mountains we are enabled to ascertain the decrease in density as we go from the surface, thereby ascertaining its extent, which from many computations appears to be about forty-five miles, so that a limit has .been put to man's leaving the earth by natural means beyond a given distance. The principal ingredients in atmospheric air are oxygen, and nitrogen gas. There are to be sure other bodies found sometimes in air, but these two are the principal. It'must not be supposed that the volume of air we take in, in an inhalation, returns as it came, on the contrary, a considerable portion of the oxygen has been lost, and an equal quantity of carbonic acid added to it, while in the lungs, while the whole quantity at each inspiration may be set down for one man as, the full of a pint measure. These calculations have often been the means of saving the lives of individuals, as the following anecdote will prove. Happening to reside in the neighborhood of some extensive gravel pits, we were aroused by the intelligence that two men had been closed into a space seventy feet below the surface of the earth by the caving in of the sides of an old well through which they had descended ; all hands immediately repaired to the spot, spades, shovels and wooden shafts were at once in requisition, and ascertaining the where abouts of the cavity the men were in, the ground was at once broken, with the determination to rescue if possible the two sufferers. Information also was obtained from some men who had seen the cavity, and who were enabled to give an idea of its size ; knowing now how much air would be required for consumption by the poor prisoners, it became an easy problem to find out how long they could live, thus we were enabled to see what time we had for working a passage down to them. How gratifying that our calculation was so correct that we succeeded thoroughly in our wishes, and extricated the unfortunate individuals from the dreadful fate that hung over them. The blood becoming purified returns to the heart and, the air overloaded with carbonic acid, and deficient in oxygen is expelled. 69 OR, NEW SYSTEM. CHAPTER XIV. Phrenology tested by Disease—Dropsy— its Origin and Cure, &c, &c. Among the numerous systems founded in error that are periodically thrust on the community, may be reckoned Phrenology. To be sure it is bolstered up by special pleading, and a catacomb of skulls, enough to take the ignorant by storm, are ostentatiously paraded ; the whole no doubt arranged in such a way as not to fail in being conclusive to the accumulation of the root of all evil. The fact is, however, that all attempts to be universally correct in delineating character by the shape of the various compartments of the head has totally failed, and for a very good reason, namely, that disease naturally produces oppositions in character, without (of course) any alteration in the cerebellum, or cerebrum, or any other part of the upper region of the body. The man who in perfect health of mind and body must on phrenological principles be told his various virtues, vices, or dispositions, exactly as the same man whose attributes are all changed by disease of mind and body ; hence the folly of the system. As one illustration is better than a book full of logic, I shall relate a circumstance that I witnessed when on a professional tour in the Canadas. Arriving at a little village one afternoon, and having taken up my residence at the principal hotel, I found on one of the tables a bill, copies of which had been posted up through the streets, informing the public that a certain Phrenologist would that evening lecture in the large ball-room of the hotel, and among others, of course, I went to hear it. After the learned Theban had finished his discourse, he, accompanied by about a dozen gentlemen, retired to one of the hotel 70 THE MEDICAL PILOT ; private rooms, and to which I also received an invitation. During the conversation that ensued, a young lawyer who was present stated his wish to have his head phrenologically examined, and tendered a dollar for the written document required. The examination was proceeded with, and the document drawn out and handed to the lawyer, who immediately read it aloud, stating that whenever a phrenologist came that way, he invariably got him to give a written opinion on his qualifications, and then pulling out a set of papers from his pocket said, with a most sarcastic smile, " Gentlemen, these papers, seven in number, have been obtained from an equal number of phrenologists, and if you will inspect them with the one just obtained, you will find no two agree /" A cipher would only indicate the smallness of the Professor who, naturally enough to cover his own retreat, declared all but his were false, and only the lucubrations of persons assuming to be expounders of the great system. They might have been all correct, only taken when disease was operating more or less on the mental and bodily faculties; but under any circumstance it was clear that the system was fallacious, and consequently like astrology or fortune telling, only true when accident favoured the officiating charlatan; indeed it would be fallacy to think that a person suffering under some disease, should have the same properties of the same person when health and prosperity were predominant. ANASARCA. Let us now say a few words on the subject of anasarca, better known as dropsy. This is a formidable disease, and may be divided into two classes, local and general. There may be dropsy simply of the chest, head, or abdomen, but when the water is not carried off through the legitimate channels, it must find some resting place, which in general dropsy is the cellular tissue. The principal object in the last case is to divert the water into its proper outlets, and then build up the constitution ; for this purpose the kidneys must be the very first place to turn our attention to, OR, NEW SYSTEM. 71 and here my courses of medicine come in at once to the rescue while my other constitutional prescriptions build up the debilitated frame, compelling nature to have recourse to the outlets natu" rally organized; these medicines and a nutritious diet soon restoring the agonized and unwieldly patient to his former comeliness and beauty. I have had numerous testimonials sent me of the complete efficacy of the New System m this terrible malady, one case, however, I cannot refrain from narrating. CURIOUS CASE. Happening to be in Massachusetts on a professional visit, a lady in the house where I stopped, told me of the very distressing situation in which the husband of her washerwoman had lain for a length of time. She said that the man had been given up by the physicians that had attended him, and that the disease was general dropsy. I at once proposed to visit him, but she said that his case was hopeless, and she thought it better that he should die in peace. I told her that so long as he was alive I thought nothing should be left undone, if not to cure him, to alleviate his sufferings as much as possible, and that I would like very much to see him, with the proviso that I would on no consideration take any fee whatever. The lady acceded; we went, and certainly I never saw a worse case. The patient sat in a rocking chair, despair pictured on his haggard countenance, dreadful anxiety in breathing, and could but just falter out, " Doctor, I am a gone man.''' 1 I told him I had known people to die without any disease, merely because they took it into their heads to do so, that he ought not to despair so long as life lasted, and concluded by asking him would he try some of my new medicine, which I assured him had no minerals, or any thing poisonous whatever in their natures; he nodded assent. So I administered some of my kidney restorative, and leaving some other medicines to be taken at intervals, I left, telling him to be of good cheer, and I would come at the same hour next day to see him. On my next call, I found the urinary organs had been in full play; his breathing not so violent, and I felt gratified to see how my views had been carried out. The lady by my directions had 72 THE MEDICAL PILOT. prepared some calf's feet jelly, and I asked him to taste of it; at first he reluctantly complied, but before I left he had eaten nearly the saucer full; giving further directions and a new series of medi" cines to be used, I departed. In one week after I returned to New York, I was favored with the following letter from the lady already mentioned. Lynn, Feb. 5, 1854. My Dear Sir :—I hope you will excuse my troubling you with these few lines. How shall I express our united astonishment at the cure which you have made of the dying man Marshal; he is getting on finely, and I believe one hour in the day does not pass over without his fervent prayers being offered up for your welfare. The medicines you left have been all used up, and the poor fellow thinks if he had more of them he would certainly recover. Enclosed please find ten dollars which if not enough to pay for any thing further you may recommend, I will send you more, and should you deem nothing more expedient, please accept the amount for the trouble you have already had. I am very respectfully, Letitia Vanvrecken. I sent on a new package with instructions, and I have since learned that Marshal is up and about CHAPTER XV. Op Fevers. In the general description of fever, it will be well to make one remavk, namely, that we do not here intend to treat of all symptomatic fever, as few diseases arise where some fever is not; we therefore, will for the present treat only of fevers under those heads by which the disease may be considered primary, and first let us examine OR, NEW SYSTEM. 73 TYPHUS, OR SHIP FEVER. The name ship fever has evidently originated in the circumstance of its' continual attendance on the emigrant ships, where numbers of persons, are compelled to live between decks, and are therefore subject to foul atmosphere proceeding from their obligatory position, more especially during bad weather. When first this description of fever showed itself in Europe, it was (as cholera is now) little understood, hence its ravages among the poorer classes; few becoming a prey to it who were wealthy, and whose location aud personal cleanliness contributed to resist its approach; and here let me once again say, that in fevers nothing is more requisite than a perfect diagnosis ; to discriminate at once the description of fever, and the stage in which the patient is found. Typhus fever may be divided into two heads, namely, gravior, and mitior, in either case the disease is no trifling malady, for the less virulent type often assumes the character of the greater, and thus requires all its contingencies. The usual symptoms of the attack may be stated as follows : great thirst and pain in the head ; soreness all over the body, as if the patient had been severely beaten, or had performed a long journey, a desire to sleep, with apparent increase of muscular strength, and general heat. It may be observed that all fevers more or less exhibit periodical changes, some in three, five, nine, thirteen and twenty-one days. In the fever under consideration the changes are quite apparent, and after a certain time, say about thirteen days, if the symptoms show no change for the better, then it requires stimulants to keep the system up, a full proof that blood letting at any stage of fever must be a fatal error in treatment; great anxiety in paroxysms is experienced, and a commensurate debility, with subsultus tendinum, and a catching at imaginary objects in the air; these latter being visible in every instance almost on record. It has been long a query even among the faculty as to what gives rise to fever, some asserting it to be a want of stimulant in the blood vessels, others that it arises from a convulsive action of 74 THE MEDICAL, PILOT \ the same vessels, and others that the stomach was the seat of the disease, and therefore a disorganization of that organ was its cause.; the intimate connection of the stomach and liver however, makes it indeed a peculiar case for a true diagnosis, and it is here where the physician is called upon to use those qualifications that so much adorn his profession. FEVER AND AGUE. This disease has unfortunately become so common that it is better known than others of the same genus ; however it will be well to follow it a little in its progress, and explain that there are, generally speaking three distinct stages, one recuring every twentyfour hours, another every forty hours, and the third every fortyeight hours. These three stages are known generally under the denomination, cold, hot, and sweating. In the first instance yawning and stretching are found as symptoms, the feet and hands also get cold, the limbs falter; finally, a chill comes on, which is followed by a shake. In the second or hot stage, as the chill and shaking go off, a pain in the head and back comes on, succeeded bj flushings, this is superseded by thirst and heat, the face become! red, skin dry, pulse hard and full, and sometimes delirum. Iu the third and last stage the heat begins to subside, moistun breaks out, extending all over the body, the fever now abates, the thirst gets much less, the breathing more free, with an inclinati >n to make water; thus the system gradually becomes relieved and the attack vanishes. BILIOUS fever, There are many symptoms in bilious fever that are in some measure analagous to those in fever and ague, as for instance, in both cases the patient is taken with a chill; if the attack in this disease is severe, the skin indicates it by a yellow cast, the tongue also changes from white to brown ; as the fever increases the eyes assume a fiery color, and the whites leave their color and become yellow. It is not difficult therefore by attending to these symptoms to arrive at a correct diagnosis of this complaint 75 OR, NEW SYSTEM. NERVOUS FEVER. This fever may be said to arise from those circumstances that other fevers may be generated from, such as decayed vegetable and animal substances, or indeed from stagnant pools, filth, or personal neglect; by its title it is seen that the action is on the nervous system, by which the whole frame trembles, clammy perspiratio n is exhibited all over, and a great depression or sinking of the patient generally; the sleep is very much disturbed, the countenance changes, and becomes of a ghastly appearance', the stomach very much debilitated, difficulty of breathing and the forehead covered with perspiratitfn, and other symptoms common to most febrile disorders. It is quite impossible to understand how the faculty of old could have employed the lancet in this or typus fever, except through ignorance, acting upon the principle that because inflammation appeared in the primary stage, therefore they should reduce the system. I suppose it will be scarcely necessary to denounce this doctrine as dangerous in the extreme, and contrary to all common sense. I have treated hundreds of cases, and it requires all the blood that can be possessed in place of lessening the quantity, in order to produce a satisfactory result. SCARLET FEVER. We have now to speak of a disease which principally attacks young people, but at the same time is doubtless a contagious disease, as much so as measles. The diagnosis may be thus rendered ; it is known from the measles by the spots making their appearance on the second day of the fever, while those of the measles generally show themselves on the fourth. The color of the spots in scarlet fever being of a light flaming red, while those accompanying the measles are of a darkled ; these circumstances will at once admonish the practitioner or observer to decide on the disease extant; however, as I have before observed, all diseases of this class, whose premonitory symptoms are so much alike, cannot be decided on, 76 THE MEDICAL, PILOT ; until the spots make their appearance ; until then, the diagnosis must in a great measure be uncertain. REMITTENT FEVER. This fever from its name implies that it possesses at periods a modification, that is, that it abates for a time, and then assumes its former character, but the fever at the same time never going off entirely. The causes of this fever may be laid down as those for other fevers already spoken of, and is very prevalent on the borders of large lakes; also in those warm climates where rain falls during the hot season, thus producing considerable increased vegetation. In its simple state it is not very infectious, but neglected, runs generally into other fevers of a graver character. There are portions of the world where it is quite an acclimated disease, such as the coast of Spain or the Mediterranean sea, where a night spent on the banks of those rivers that mingle at their mouths with the salt water, will be sure to give it, particularly to those who are not natives of that clime. INFLAMMATORY FEVER. In ihis fever great inflammation and intense heat, with flushed countenance are the indications, while the great inflammation at once distinguishes it from typhus. No time of year may be said to be more congenial to it than another, although it may be considered the majority of the attacks are in the spring. The generally prevailing opinion as to the proximate causes of this species of fever, is that it lies in the vascular system, in the heart, capillaries, and arteries. T have had many patients in this complaint, and I have mostly found that sudden change from perspiration to cold has a retarding nature in throwing off the natural secretion, the matter becomes mingled with the blood, producing inflammation and the attendant disorganization. Nothing can exceed the false practice of bleeding in this disease, as it has been proved over and over again that such treatment 77 OR, NEW SYSTEM. tends to its running into typhus fever, and making matters much worse than at first exhibited. SIMPLE CONTINUED FEVER. That there are constitutions predisposed to fever, and* others repulsive to it, no one will deny. In this type where the predisposition exists, all and every thing tending to a debilitated state naturally favors not only its reception, but also its continuance, and although such is the case, still we must allow that like inflammatory and other fevers, the sudden checks in perspiration are the chief causes, in this as well as in all other fevers, great cleanliness of person must be regarded as at least a great object towards recovery; nothing tends to infection and contagion, so* much as keeping the air from carrying off the effluvia from all fever patients. PUTRID FEVER, This is only typhus fever in its worst state, and generally known as typhus gravior. It is a pestilence, and ranked at times from its malignity, with the title of plague. When typhus is of a slow nervous order, it is called typhus mitior, and sometimes runs into the more malignant species. THE PLAGUE. This may be considered simpljf as a fever of the most malignant nature, almost defying remedy, and bears some affinity to typhus gravior, and the Bulam fever already mentioned. The great difficulty in treating a plague is evidently occasioned by the rapid decomposition of the system; thus allowing no time sufficient for medicines to act previous to dissolution. It is considered an epidemic in Egypt, and has reached Northern Europe at times, though but seldom. Experience has added but little to our knowledge of its treatment; it is highly contagious, more especially where the healthy actually come in contact with the diseased. To prove a disease contagious or infectious, or vice versa, is not 78 THE MEDICAL PILOT | so easy a matter as people generally think, as we know of m. disorder occurring where there were not thousands, who performing all the duties necessary for the sick, were nevertheless not attacked, while thousands who kept themselves perfectly isolated were sacrificed. YELLOW FEVER. This fever, so well known in America from its awful character in the Southern States, has been so written upon, that it will be useless to take up much time in its discussion. It would be scarcely possible to enumerate the various opinions on its treatment and its causes, while different nations treat it differently. The predisposing causes generally admitted, are intemperance, fa•tigue, exposure to night air, wet clothes, checked perspiration, and many other matters enumerated as causes for fevers generally. One thing must be borne in .mind, that in its pestilential form it is confined to ivarm climates. It is also considered contagious ; and capable of being transmitted by persons, clothes, &c, &c.; still, cold climates are inimical to it, and though it may be imported, yet it soon dies out. Altogether, we are free to admit that up to the present time the greatest possible variety of opinion exists as to its origin, treatment, &c. Some contending that it may be generated any where, others the reverse. REFLECTIONS. When we view the foregoing catalogue of misery (hourly in one or other of the cases) to which the human frame is subject, even in this one specias of disease, what a field for reflection there is for the contemplative mind, and how grateful ought those be who on rising to enjoy the morning air, find themselves free from the pestilence in so many various forms, that daily surround them ; but, alas ! how ungrateful is man to his preserver ; day after day rolls on, and the ceremonies of time pass as if matters of necessity ; thoughtlessness is engendered, and life and health become, in the ungrateful and unthinking mind, as mere matters of course, instead of being viewed as the exceptions, for which all our homage to the great I AM would be but a paltry thanksgiving. OR, NEW SYSTEM. 79 CHAPTER XVI Of the Brain, in Continuation. As the brain is conceded to be the seat of the living principle generally denominated the soul, it may be a fruitful subject to lay it open, so as (if possible) to approximate to a proper understanding of the infinite wisdom which has contrived a terrestrial home, for that principle known man during his sojourn in this his transitory abode ; indeed, we cannot approach this subject but with the idea that we tread on sanctified ground, it being the earthly home of what is so beautifully imagined in the expression " And into his nostrils he breathed the breath of life." Surely the receptacle of a principle that can never be destroyed, that must exist, not simply through the small periods of time, but also through the endless and countless ages of eternity, is worthy of our highest consideration. When we look out over the world, and see what cares, what labors, what expenses, are bestowed on the economy of all the parts of the body more especially subject to disease, how curious to observe the little interest proportionally taken in looking after the well being of that, which is as far above the mortal tabernacle as the heaven is above the earth, and the almost utter disregard paid to the soul in its cultivation, while the symmetry and elegance of the external system is so regarded. If, as few will deny, it is conceded thai the soul will hereafter enjoy a higher state of intelligence than now, while joined to the earthly tabernacle, and that this state be regarded as a probation, how will all this accord with the negligence of the soul, which if fully cultivated would naturally be more efficient in its purer state. It would be well if those whose bodies are their sole object, would reflect on these things, while we pourtray the earthly mansion of this never d T 'ng principle. '' reviously however to making my own observations, I shall give 80 THE MEDICAL PILOT, a short paragraph from a clever work written by Dr. Nichols. The doctor says of the brain : The hollow of the scull from the top of the head down to a line formed by the base of the orbit of the eye, the opening of the ear, and the top of the back of the neck, and in its entire breadth is completely filled with a pulpy mass, grey without and of a pearly white within, called the brain or encephalon." THE BRAIN EXPOSED. EXPLANATION. a.a., the scalp turned down ; b.b., cut edges of the skull bones ; c, the dura mater suspended by a hook. * " It is divided into a large anterior and superior portion the cerebrum, and a smaller posterior and inferior portion called the cerebellum ; in the center, between these, a prolongation of the brain, containing fibres from both, passes down into the hollow of the vertebral column. The portion within the skull is the medulla oblongata, the remainder is the spinal chord. It is about half an inch in diameter, and like the brain is composed of both grey and 81 OR, NEW SYSTEM. white matter, and its different parts have distinct functions. The cerebrum is believed to be the organ of sensation, thought and most of the sentiments and propensities or passions. The cerebellum seems to preside over muscular motion, and the generative functions." Wc come now to THE NERVES CONNECTED WITH THE BRAIN. It is but a short time since it was discovered that the nerves are hollow tubes, and contain a subtle transparent fluid, while the nerves themselves are a species of pulpy matter running generally in pairs from the brain or the spinal marrow to all parts of the body, as we cannot understand feeling irrespective of nerves. The figure we have given will illustrate in a great measure the nervous system of the part under consideration. Wc now see how intelligence reaches us of external objects and circumstances, enabling us to form a judgment on all things, and thus regulate our actions while fulfilling the design for which we were created. 82 THE'MEDICAL PILOT J Those who have studied the formation of the brain deeply and scientifically, believe that it is composed of thirty-five distinct organs ; indeed, the ramifications almost appear as a labyrinth, yet there is not a part without its corresponding office; who can examine the representation here given without wonder and reverence. THE BASE OF THE BRAIN. I am aware that much scepticism exists as to the formation of the shell that contains the brain. Those who are convinced of the doctrines of Phrenology, pretend to be able to determine with complete accuracy by the bumps on the head, as to the qualifications of each individual; indeed, there are some professors of this science who say they require but a glance to form their opinions as to a stranger, 83 OR, NEW SYSTEM. and accordingly at once choose their acquaintances. I am of opinion that this is carrying the matter too far. I once went into a church where all within its precincts were perfect strangers to me. I saw an aged clergyman ascend the pulpit and preach one of the most excellent sermons I ever listened to ; while he officiated I could not resist perceiving that phrenologically, he had as imperfect a head as I had ever seen; his physiological developments were equally unprepossessing; indeed, I never saw so bad a countenance on any human being. After the service, I took occasion to get into conversation with the sexton, asked the parson's name, how long he had been pastor, how he was thought of by his congregation, and was answered, that he was twenty-eight years parson of the parish, the cleverest minister (acknowledged by all) within a great distance of the village, was kind and humane to a large extent, and I could vouch myself for his extemporaneous effusions ; all convincing me that no positive direct law founded on phrenology or phyniology had up to that moment been extant among mankind. And now turning for a moment from this abode of man in its physical construction, let us hope that the soul may be so cultivated here, with the helps which a kind providence has provided for us, that a really higher intelligence may attach to it when the earthly tabernacle is dissolved. The of the brain are of course treated in other places under their separate heads. CHAPTER XVII. Of the Small Pox—Chicken Pox—Measles—Vaccination— Cow Pox—&c, &c. As Wi) have already noticed, the premonitory symptoms in all eruptive diseases are so much alike, it becomes a matter of difficult, if not impossible diagnosis, to be certain which among many diseases a patient may be labouring under during the early attack of 84 THE MEDICAL PILOT J such kinds as are enumerated in the enunciation, until the eruption appears. One of the greatest blessings to the world was the discovery of vaccination. When first doctor Tenner introduced vaccination, ignorant people understood it as- a preventive to the small pox, and raised a cry against it when they found their children had imbibed the small pox after vaccination had been effected. 1 would wish to dispel this illusion; vaccination with the cow-pox is not a preventive to the taking of the small-pox; but, merely robs the smallpox when taken, of its deadly character, by familiarising the constitution to it; in fact those who have been vaccinated within a given time, that is, whose systems are under the influence of vaccination rarely have but a slight attack of the small-pox, a disease so fatal to adults, when not under the impression of the lesser disease. There are some essential remarks to be made on this subject. If the vaccination has been properly made, the patient may never take the small-pox, but if the natural pox be imbibed it will be certain to be in a mild form; if however, the vaccination be improperly performed, then if the small-pox be taken, and the patient suffers, it is surely wrong to place the blame on the vaccination. Parents would therefore do well to attend strictly to this, and be sure to subject the child's arm to the daily inspection of the opera tor, for eight or nine days after the operation. As a convincing proof of the value of vaccination, I shall mention that in Prussia out of five hundred and eighty-four thousand children that were vaccinated, only one thousand one hundred and ninety took the small-pox ; while the reports of the London College of physicians state that in almost all cases where vaccination was resorted to, the cases of small-pox were very slight and few To know whether the vaccination has been properly effected, observe that if there is only slight inflammation where the matter has been inserted, and no other appearances, then the system has not been brought under the influence of the cow-pox, and should be repeated. But if a pustule appears of a full oval form, with an OR, NEW SYSTEM. 85 indentation in the centre about the sixth or seventh day, and full of matter, then the vaccination has been complete. SMALL POX. This may be truly placed among those diseases most appalling to mankind; how few are aware of the danger attending it, and how thankful we ought to be that vaccination already spoken of, should have been discovered, to lessen its baneful influence. About the third day after feeling the premonitory symptoms, small specks of a dark color make their appearance on the neck, the face and the arms, extending finally over the whole body ; these spots continue to increase in size until the sixth day, when they turn white at the tops. On the eleventh day the pimples increase to the size of a small pea containing yellow matter ; about the twelfth or thirteenth day they discharge their contents. There are two kinds of this disease, the confluent and simple ; in the former, which is the worst, the pimples run into one another and form scabs, while in the latter, the pimples retain their form showing interstices plainly between them. Good nursing does more in this disease than even medicine ; the patient feels almost overwhelmed; and care, and kindness, and attention, day and night, are necessary to assist in a cure. CHICKEN POX. This disease among children is so slight that very little notice is taken of it, it has to be sure at first some resemblance to small pox, but the pimples remain but a few days, the fever if any is very slight, and altogether unnecessary to make mention of. It gives the patient little trouble and leaves the system very soon. 86 THE MEDICAL PILOT ; CHAPTER XVIII. Diseases of the Throat—Putrid Sore Throat —Mumps— Quinsy—Croup—Hooping Cough—Asthma—&c, &c. This class of diseases may be said to have for its character, pain, heat, reddish appearance, and more or less swelling. Some diseases of the throat are exceedingly dangerous if not remedied in time, and like some other complaints, resolve themselves into acute and chronic types. PUTRID SORE* THROAT. This is an infectious disease, and may be known by hurried breathing, while the breath is hot, and has an offensive smell; the swallowing is very difficult, skin hot without moisture, pulse quick and irregular, the mouth and throat assume a very red color, while the glands, and the palate of the mouth become much swelled. About the third or fourth day blotches of a dark red color appear on the face, which gradually increase in size, and then spread all over the body. The time of year that this formidable disease makes its appearance is towards the close of a sultry summer, when the inhabitants have been exposed to long continued heat, and the breathing in of vapors from stagnant pools, or decaying vegetation. In the West Indies this formidable disease is very prevalent, and the inhabitants have a remedy not generally tried in our latitudes ; but after long experience I am satisfied their method is not the one to look to in successful treatment, while the New Herbal Theory encompasses the whole field. THE MUMPS. This disease is nothing more than inflammation of the parotid glands of the neck ; it has this peculiarity however, that through sympathy other parts of the system may become affected. It is OK, NEW SYSTEM. 87 fortunate that in most cases this disease assumes a mild form; were it otherwise, and the tumor to discharge into the larynx, the patient would of course be suffocated. On the first appearance, the checks and whole face generally swell at first, continuing so for a few days, during which it is attended with some fever. Children are more subject to it than adults, if however the latter become its recipients great care is necessary in procuring timely assistance. It is my opinion that were all men to allow the hair to grow under the chin, diseases of the throat would be much less numerous, while women should during damp or cold weather keep a muffler round their necks. QUINSY. This disease is otherwise known as inflammatory sore throat; it is in point of fact, nothing more than inflammation of the tonsils, or the mucus membrane that lines the throat. One of the very best things to do for the patient in the absence of medical advice is continually to bathe the throat with cold water. The disease generally commences with great difficulty in swallowing, redness and tumor in one or both tonsils, and dryness of the throat; the voice becomes hoarse, and a great difficulty in expectoration ; as the disease proceeds these symptoms increase, and terminate generally either by suppuration or resolution, or in other words the swelling bursts and the contents are carried into the stomach, or in the latter case the matter is absorbed into the system. Young people are more subject to this throat complaint than those more advanced in life. . CROUP. This disease is known from other throat diseases by a peculiar whistling noise while breathing; children are more subject to it than grown people ; it is attended by a severe cough, occurring in paroxysms, restlessness, anxiety, and a laborious straining to eject mucus, with a sense of suffocation. 88 THE MEDICAL PILOT * In this complaint as in others, I would warn every one not to allow a lancet to be used. It is useless to say how many have lost their lives by this species of treatment; it is only necessary to say that no patient laboring under croup was ever benefited by bleeding. hooping cough. This is another disease incident to early life, and is taken by contagion; every one is familiar with it, and the fits of coughing are periodical in their attacks, terminating generally in discharging the contents of the stomach; it is one of those diseases that cannot be suddenly checked ; it will run its course in spite of all medicines, and seldom proves fatal, unless contracted by a child so young as not to have physical strength sufficient to battle successfully with its attacks. Its duration is generally from a few weeks to six months, or sometimes to a year. ASTHMA. This disease is said by many to attack males more than females ; I have known however, many females to be quite subject to it. The Spaniards believe that garlic is the best remedy, and scarcely ever use anything else as a curative, their cures to be sure are very often drawn from a highly romantic source, as for example, where they employ the harmony of a guitar to cure the bite of a Tarantula ; "but speaking soberly, asthma is a very distressing complaint, its paroxysms being attended by that suffocating principle so dreaded in most throat diseases. The causes are numerous and as the complaint is so well known it is scarcely worth enumerating them, except that it generally attacks those of full habit, in preference to the leaner kind. Asthma has also a great disadvantage, and that is, that it is scarcely possible to prevent its return ; those that onceJiave it will be always subject to it. It generally occurs during the nights, and thus deprives the patient of his natural rest, but in most cases leaves before the morning is far advanced; this is observable in many other diseases, as well as in asthma a circumstance that 89 OR, NEW SYSTEM. induces me to recommend persons to have those medicines requisite, at hand, where people know their predisposition to certain diseases. I have therefore arranged all my medicines in courses, "so that they can he always on hand, and with such directions in all cases, as to render the presence of the doctor not absolutely necessary. The suffocating principle in some, if not all of the diseases of the throat make the patient wish for the day to obtain assistance, which makes me so particular in referring to the subject already mentioned. CHAPTER XIX. Insanity—Melancholy—Epilepsy—Apoplexy—Fainting— Delirium Tremens. It has become quite common to hear people say that every one in creation is more or less mad, and there is in my own opinion, more truth than poetry in the sentiment; not indeed that the insanity implied is always of that species that would render the individual a fit inmate of a lunatic asylum, but that every one has a peculiar hobby as the term has it, which engrosses the thoughts, and forms the theme of conversation to such an extent, as to exclude almost all other subjects. The proximate or remote causes of insanity are so variously treated on, that I shall not enter into these matters, more especially as the friends of such unfortunate beings are always pretty well assured of the causes of such calamities. It may not however, be uninteresting to give an example or two as establishing the principle, that many people are astray on some one point, while their judgment is perfectly correct on all others. After the battle of Waterloo, a highly intelligent and brave officer (who had lost a leg on that memorable field,) was observed to 90 TIIK MEDICAL PILOT J be very excited whenever any allusion was made to the details of the fight; this not thought anything of for a considerable time; at length however, the subject could not be broached at all, as the uneasiness it produced became rather alarming; his friends consequently never mentioned the sircumstance, and all other subjects were treated in the calmest and most rational manner possible ; some one however, accidentally reverting to the excited topic one day, the poor monomaniac became quite fantic, and imagining I suppose, that he was pursuing the enemy, chased the whole household sword in hand to the utmost danger of their lives; a lunaticasylum now was the only resource left, and acordingly the victim of delusion was placed under surveillance.. Numbers of persons were permitted to visit him, and matters remained so for about two years, when the invalid wrote a complaint to the general commanding the district, in which he told his superior that he was incarcerated not only against his will, but that the object in confining him was to get a writ of lunacy against him and thus deprive him of his property. The letter was ably written and he conjured the general to send a committee to examine and report upon his case. The worthy commander, from the tenor of his letter, was induced to send three officers to the asylum, who were charged to probe the matter to the bottom, engage him in conversation for some hours, and then make their report. This was accomplished, when the committee reported that he was perfectly sane, and gave it as their belief that the worthy and gallant officer was wrongfully detained. The general, to be fully satisfied, now ordered three other officers to perform the same office, whose report fully bore out the preceding one. The general now, accompanied by his staff, went to the asylum, had an interview with the governor and keeper, when they learned to their astonishment that the subject of their solicitude was mad but on one point, and if that was not mentioned he was as sane as any other man. , The general now decided on testing the thing himself, only on 91 OR, NEW SYSTEM. these conditions, that the keeper with a large stick should remain outside the door in case assistance should be required. Everything was now adjusted, when the general entered the apartment and for the first half hour engaged in general conversation with the patient, found him perfectly rational, listened attentively to all he had to say, and condoled with him on all points. Leaving generalities, he asked the maniac did he ever feel any unpleasant sensation in his system by the loss of his leg at Waterloo ? The latter word was scarcely pronounced when the poor fellow became outrageous, and would no doubt have injured the general but for the timely intrusion of the keeper, when the maniac at once sunk into his chair in quiescence. He ivas mad, and detained in his melancholy abode to the last days of his life. ANOTHER CASE. I may mention another case, that of a gentleman of known generous disposition, in fact too reckless of money when he possessed it. When he had none he was continually building castles in the air, and allowing his fanciful creations to operate perpetually on his mind ; at last persuading himself into the belief these fanciful creations were absolute matters of fact • accordingly, he was continually making propositions, and arrangements, not indeed that he intended to deceive, but being a monomaniac, imagined all was true that he related, while his hearers, or those he wished to participate in the good fortune which was only chimerical that he spoke of, naturally did not believe the continued statements he made ; thus, at one time he would say he wanted to dispose, or become a purchaser as the case might be, of a carriage, when in the one case he had no carriage to sell, and in the other no money wherewith to purchase, yet with all the earnestness of truth the statements would come forth, evidently the creations of mental alienation; all of which in a few dajp would be forgotten, as soon as something new, and per haps more vividly fictitious, had gained ascendency over his mind. To multiply instances of this kind would be needless, for they are numerous enough for some sane people to see, and thus obtain 92 THE MEDICAL TILOT ; knowledge of human character from experience. In this particular, if we consider insanity, and the mere weakness of ill formed associations of ideas operating on a weak mind, as synonymous terms, then the whole world may be said to be mad. I am not inclined to join the extremes, but to allow a line of demarcation, inside of which I would rather be inclined to gather the negative description of mental alienation recorded. melancholy. This is another phase in lunacy of a harmless nature, and seems to be the offshoot of fear; gloomy forebodings appear continually to harass the unfortunate individual, while their attention can scarcely be kept above a few minutes at a time on one subject. Passivcness in this disease is a certain consequence. EPILEPSY. The causes of this complaint as laid down by all medical men are so numerous, as well as so general, that I do not think it necessary in a work (as mine is) written for the people, to enter into the minutiae of every proximate or remote cause. This disease is sometimes called the falling sickness, and as the causes are numerous, strict enquiry in each case is the first thing to bo observed by the medical attendant. The appearance of the patient to those unacquainted with the disease, is so distressing that they are apt to attribute to it a more alarming character, than perhaps the attack deserves, in consequence of the sudden prostration of the faculties, and the falling of the patient. It sometimes is hereditary and the periods of attack more frequent in proportion to the length of time the person has been afflicted. APOPLEXY. This disease to common observers may be mistaken for#epilepsy, as it may come on suddenly accompanied by a fall. It is not however by any means the same, and usually arises from an unnatural flow of blood to the head, causing that pressure on the brain that OR, NEW SYSTEM. 93 deprives the patient of all sensibility. It is truly a formidable disease, requiring the most abstemious course of life, as a persou having had one attack is liable through indiscretion to have another, while a third is almost certain to entail death. As there are very often premonitory symptoms however, it may be as well to state them, because in fact this is the stage during which the most can be done for the patient; these symptoms are a dull pain in the head, giddiness when stooping, an inclination to sleep, with a slight stammering in the speech ; these symptoms will enable ordinary people to form a correct opinion, and then the application at once for assistance. I am again called upon to draw the attention of the public to the fact, that my courses of medicines under the New System, are all made up, so that by a letter through the post with explanations, the medicines can be dispatched at once, in case the family should not previously have them on hand. FAINTING. It may not be thought necessary to place fainting in a catalogue of diseases, nor would it indeed were it simply to arise as the effect of some simple cause, but where a person is subject to continual fits of fainting, then there may be other disease which we may fear will ensue ; syncope therefore, should not on all occasions be treated too lightly, and the cause being discovered, the disease should be averted; which in most cases is not attended with much medical labor. DELIRIUM TREMENS, As the effects of this horrible disease is attended with symptoms so like insanity, it has been very appropriately called mania a potu. It proceeds as most people are aware from continual intoxcation, or in other words, a highly stimulated state of the stomach and brain. Were it not for the fact that it is the result of brutality ; of an appetite that reduces man below the brute creation ; of a practice that demoralizes and destroys the hope of thousands ; 94 THT3 MEDICAL PILOT J it would cause regret to witness any human being laboring under its effects. But sympathy is stifled, and benevolent feelings are changed into disgust, when we see that the horrors of this awful disease are the production of man himself, and that he alone is the sole cause of his misery and degradation. Many of the phenomena connected with it are curious, and melancholy ; some will go down upon their knees, and in the most supplicating oratorical persuasiveness invoke the god of mercy on their career, while others froth at the mouth, and betray violence, requiring to be handcuffed to prevent mischief to themselves, and others; but of all the concomitants attending on this malady, none is more fearful than the solemn conviction that the person entertains of being followed by ill shapen figures, generally called by them devils, while nine-tenths of those suffering under the malady, are convinced beyond the possibility of doubt that these ill shapen attendants are really hunting them through the world, and not the phantasies of a distracted imagination. In these days when the general tenor of affairs makes for us rulers whose qualifications for office depend on their being favorable or otherwise to an ad libitum license to drink highly poisoned liquors, would it not be well to lay in its real detail, the terrors of mania a potu, before that public whose voice should guide us in public affairs, and thus persuade men to shut their faces against all adulterated liquors. I say adulterated because the noxious poisons which now drug the liquor sold in the community, acts on the system when imbibed, so as to turn reasonable creatures into fiends and murderers. It is, I am aware, a matter of opinion among the community, whether it accords fully with the principles of the constitution to do away with the use, in consequence of the abuse of liquors; on this subject, I give at present no opinion, but surely all might unite in driving from the market the adulterated kind ; thus would the catalogue of murders, and other crimes be lessened, because there would be but little superinduced mania a potu. OR, NEW SYSTEM. 95 CHAPTER XX. The Passions. To"an inattentive reader it might appear quite irrelevant to treat on properties (strictly speaking) of the mind, but every one acquainted with medicine will fully understand the close connection between mind and matter, and the great effect certain mental dispositions have upon physical disabilities. It will not therefore be out of place to treat in some measure of what is described in our enunciation, and first: TEMPERANCE. This is in our day a most peculiar and appropriate subject, more especially as there seems to have gone abroad a general and prevailing opinion that the juice of the grape taken in excess has been and is destroying the human family ; and that, no matter under what phase we view the right of people to drink what they please yet that the welfare even of one soul more than counter-balances the infringement if it be so, even of the constitution itself. Like every other question that has been mooted or ever will be mooted, it has both supporters and opponents, the one affirming that all sacred history permits the use of strong drink, and only forbids the abuse, while it is considered quite lawful by the other party to abridge mankind in liberty because the end justifies the means. One thing is certain, that as ardent spirits is not absolutely essential to our welfare, it certainly will be a great mercy when its total banishment from the world will be hailed by all christian communities as the greatest benefit that has fallen to the lot of the children of men. There can be no doubt but nine-tenths of the murders, and other ev.l deeds that so disgrace all countries of the world proceed from the immoderate use of alcohol, and that both life and property will become more secure, and the community more peaceful and prosperous the moment it becomes, forever, as a thing that were. 96 THE MEDICAL PILOT J Every capacity or power of the human system, mentally and bodily when used in moderation, and exactly in a proper ratio to the required laws of nature, is essential of course, to happiness; and it is therefore the use of the propensities, when formed into habits of life that constitute temperance, while the reverse leads to disease, unhappiness and crime. There is a wide difference however between the man whose propensity for eating allows him to overload the system and thus engenders disease, and he who by drinking intoxicating liquors arrives at the same issue; if nothing but bodily infirmity were the consequence in both cases, there might be some shadow of reasoning against allowing men the former privilege while the latter is denied them, but when did over-eating ever induce murder, or the various crimes consequent on the use of ardent spirits ? It is asserted also that some of the greatest orators and writers in the world, were men who daily indulged largely in wine and other stimulants; every one knows from history that S heridan was a complete drunkard; and it is true that some of the most extraordinary brilliant speeches of that distinguished statesman were made while the orator labored under the effects of several bottles of wine; Lord Byron also could not write well when not under the influence of stimulants, but though the language might be flowery, the sentences well rounded and the action so suited to both as to bring down applause from an audience who did not possess equal gifts, will it be contended that that justice was made more sure, or the nation more benefited than if those transactions that required discussion had been probed in a quiet, steady, and careful frame of mind, emanating from the total absence of the fiery element ; such a position is not tenable. Let us look at this subject in another light. There are two very distinct classes of men in the world ; the one deriving all their qualification from sense, and the other from mind ; the former, as long as the sensual appetites are moderately provided for, being satisfied of living happily and contentedly, the latter caring little for food if the mental faculties are fully supplied; in the one case 97 OR, NEW SYSTEM. wc generally find the sensual man living longer, and the mental shorter in every generation. The sensual man who naturally has the animal fully developed may be noticed at once, by his physiognomy ; a general comeliness of features devoid of expression in the general outline, while the intellectual man possesses some very marked peculiarity, and ordinary contour in his features ; indeed it is generally observed that developed and good looking men, are generally very slender in intellect, while the intellectual are quite below mediocrity in the best formation of their kind ; of course these observations are not by any means intended to apply without a solitary exception, but as a general rule based upon experience. Thus we can perceive that temperance guides the pleasures and enjoyments, as well as the miseries and misfortunes of mankind. To the medical man it becomes a matter of special interest to see one of the most fruitful sources of pestilence removed from society ; to be sure as a profession we are subject to be taunted with the reflection that it would be a disadvantage to us in our calling, in as much as less disease would then exist. I will not believe that those who are above the base can harbor such an idea, and let those who would thus judge us, reflect that when a pestilence arrives it is the medical men who first take it in hand to push on the existing authorities to ends by which disease may be assuaged. Oh no ! —away with all and every thing calculated to increase, or retain disease, and therefore we lift our voice and say away with intemperance. I cannot pass over one particular set of men who are always harping against those who use liquor in moderation, and while using their plausible arguments have, perhaps, a junk of tobacco in their mouths. Now I would wish my readers to understand that all men are not alike in their inclinations as to any one drug as a stimulant. On the contrary, one man may not find any picasure in spirituous liquors from some peculiar physical organization, and therefore he keeps his system under the excitement of tobacco ; another may have no relish for either, yet keeps himself in a state of pleasurable excitement by snuff; another by opium, or condiments, and so forth. It would be well for those to reflect 98 THE MEDICAL PILOT* that although the generality of the drugs named do not generally induce to violence like alcohol, yet that they are positively rendering their system susceptible to a poison which sooner or later will bring on disease. Let these men then be a little more zealous in eradicating the evils they have themselves, and a little more thoughtful on the passage they so often have heard: " Let him who thinketh he standeth take heed lest he fall." Life has been very properly termed a battle, and as there are turning points in a passage at arms, so there are points in our lives when the same tactics will not suit; in early life or the commencement of the engagement, we come into the field flushed with strength, and hope ; everything appears to give way to our wishes and to mould itself to our views, and like the military organization, what occurs is but mere skirmishing ; but let it be remembered in life as well as in battle, the skilful general will survey the ground first, well knowing that the after part or great conflict will be served or injured in proportion as the plan of attack has been well or ill matured, — thus in early life, as in action, our resources should be husbanded, our health taken care of so as to have a good stock wherewith to meet the great assault which in after life disease may make upon us ; it is then the duty of the young men by temperance (not indeed only in one thing but in everything) to lay up such a store of life's ammunition that when the great battle has to be fought they may not be found among the vanquished. In the decline of life of course like an army that had been worn out by.constant toil, we must act on the defensive; and it is thus that we apply to the herbs of the field, administered by a judicious hand to ward off disease and death. And now with regard to the pleasures and pains of the man of mind ; —thrice happy is that man whose mind being highly illuminated, is not overcome by the pains which forever accompany the pleasures he enjoys. Does memory bring pleasures? if so, it also brings pains ; —does the understanding bring pleasures ? if so, it also brings pains; does the imagination bring pleasures ? 99 OR, NEW SYSTEM. if so, it also brings pains ; and with grief must it be admitted, that so many great men have been destroyed by intemperance, by the pains overbalancing the pleasures, derivable from their high mental qualifications. As a moral to the foregoing, it may be pertinent to remind the reader that nothing human is perfect, and that because some have obtained high mental qualifications, and have still run into intemperance, it is not therefore right that others should refuse to make a proper use of the talents committed to their charge, and live under the influence of those pleasurable associations which follow their mental improvement. It is impossible to close these remarks without adverting to one great peculiarity connected with the two classes of men just under consideration, and it is this, that those intellectual men whose ends were misery, were all living, more or less, outside of religion. It is in fact the province of the gospel dispensation alone that can regulate the mind of either class, becoming the real key-stone in the arch of man's structure in life. OP ANGER. It is not the possession of the passions but the improper use of them that tends to so much mischief and misery among men, and among all these is none so fruitful of misery as anger. Cain in anger killed his brother Abel, and ever since it has carried carnage with it in every age of the world. " Let not the sun go down upon your wrath " is a well known command of the great " I AM," as if to instil into our minds that no matter how we may be vexed by deceitful and wicked people, our animosity has no right to be harbored in our breasts, to break forth when occasion requires in ebullitions which may end perhaps in blood; when we see a man in a fit of rage to which there appears no bounds, how humiliating a spectacle it is ; how the countenance changes, the eyes flash, the eyebrows contract, and the placid countenance, hitherto lying in peace, are now ruffled and distorted giving the human countenance all the expression of insanity, and altogether a demoralizing configuration. 100 THE MEDICAL PILOT J It is melancholy indeed to think that this terrible bane insinuates itself into all the ramifications of life; shall we visit the hearthstones of men in every clime, if so, we find it engendered, and its poisonous influence undermining the most sacred ties ; —shall we look for it in the circle of politics ; when we do we find that anger, the unrelenting demon, takes its place in the breasts of men, and that even death arises from its hated fangs; in fact let us look where we will, we find its hydra-head laying waste those pastures of pleasantness which are alone the legitimate offspring of men's intercourse in life. Let us visit the emporium of justice and what do we find ? why, virulence and vituperation, the effects of anger, while the combatants write upon their Flags. " He who is not for me is against me." And here, to the shame of man be it spoken, will be found the same unholy passion among the intelligent as well as the ignorant, clearly demonstrating that nothing but the operation of the laws of God upon the mind and understanding can make man proof against the introduction of anger into his composition. That anger has from its irritating qualities, an effect upon the body as well as upon the mind, is certain, and disease in various forms may follow violent paroxysms of anger; indeed, many have lost their lives by the destruction of an artery when thus highly excited ; it will therefore be asked if we have a remedy for such a case ; for the bursting of an artery we have a remedy, in case it should prove but a small one, but as for a remedy for anger, alas ! we have nothing in all our index, to accomplish so desirable a cure, and therefore can only leave the aspirants to exasperated and insulted laws, to reap the whirlwind which was sown in the mind, unless education and religious principles step in between the Scylla and Charybdis of the temporary maniac. LOVE Although it may be necessary to touch carnally in other parts of this treatise on some of the pasions, still they each require a 101 OR, NEW SYSTEM. more severe scrutiny when treated on under their proper heads; thus love requires much more than a passing notice, and as a preliminary, I may remark, how many things we expatiate on whose essence still baffles the most astute philosophers ; this is really 'a case in point. -When we speak of love, of course we speak relatively, as it cannot be the same thing where the relations between the parties loving are so various; the love of the opposite sexes must naturally be of a different character to that between the members of the same sex, and then again how different is the love to God from all the love known to be subsisting between simple humanity. How beautiful is the expression " GOD IS LOVE." To understand love in this sense, let me illustrate, if possible, the love of God which the inspired book says " passeth all understanding." To understand the love of God appears almost at once when we cast our eyes over creation and behold the blessings he-has bestowed us with, the rich granaries he has in store for us. and for our pleasure and profit, and which can all be lawfully enjoyed when used in accordance with wisdom ; when we see our every want provided for, our senses all gratified in their order, and not a thing left uncared for to make our residence here one of comfort and pleasure so long as we confine ourselves to reason, what a glorious proof of the love of that great spirit who having made us, made all things at the same time for us. The meanest capacity can understand love in this sense, and if we recollect that when the three great virtues were contrasted by a sacred historian, viz : faith, hope, and charity, he said, but the greatest of these is charity, or love, for they are synonymous. To prove the superiority of the latter over the two former, it will be only necessary to remember that faith at the end of time will be lost in sight; hope, in possession, but love, that divine principle is only coeval with eternity. Now as to the love that exists between the opposite sexes. This is also a very high and worthy passion ; indeed, it could be no other as it is not only in accordance with nature, and nature's laws, 102 THE MEDICAL TILOT ' but also a command from Jehovah, or how should a man be ordered to " leave his father and mother and cleave unto his wife" and what let me ask can be more holy than the singleness of mind of a couple thus united rearing up their children in the fear and admonition of him that ordereth all things, and thus carrying out that principle by which the world is sustained until they are, after being blest in their day and generation, united in the kingdom where parting is forever unknown. And then as to love between members of the human family in a general way, what is usually understood as friendship ; how beautiful are the interchanges of these assurances that make us all members of one family sojourning to a promised land; to be sure, as imperfection reigns we must expect many instances where selfishness rules paramount, and it is these examples that have made poets say: " What is friendship but a name, A charm that lulls to sleep, A shade that follows wealth and fame But leaves the wretch to weep." Notwithstanding all this I am perfectly satisfied that a vast amount of friendship does exist in the world ; to be sure you are not to look for it among the herd who valuing wealth and the enjoyments it provides, make selfishness and intrigue the road to its possession. These persons it is to be hoped are in a great minority, while that brotherly sentiment whose guidance is the golden rule, prevails even largely among the tenants of mortality. There are other noble specimens of love: " Is there a man with soul so dead, " Who never to himself has said " This is my own, my native land." The love of country is a noble impulse ; what American can think of the ordeal his forefathers have passed through, in order to hand down Liberty as an heir-loom to posterity, but must feel the most unbounded reverence to the manes of his departed sire, and with what unconquerable love must he regard his country, which to day illuminates the world, acting as a brilliant Faro de OR, NEW SYSTEM. 103 Mesina for the benighted nations of the earth, leading them on to liberty and to peace. This is truly the most refined love. To the educated the love of letters is another refined species, and the man who is. endowed with abilities and education is recreant to his trust as a guardian of the ignorant, if he fails when ever opportunity offers, both by precept and example, to urge on to the same course his less favoured and indolent traveling companion ; thus fulfilling his mission whether the result be attended with success or not, knowing that when he shall be called upon to give an account of his talents he may not be found saying: " I knew you were an austere man reaping where you did not sow" so I hid the talent in a napkin, and here it is for you now that you have returned. CHAPTER XXI. FEAR. This passion is considered the meanest of all those incident to our common nature ; indeed, a coward is treated with contempt in every nation in the world ; nor is it necessary that great prowess and daring in feats of arms should be necessary to prove the reverse, for in the general intercourse with mankind the mean spirit of a coward will show itself in those little and mean deceptions, the practice of which is so contemptible in the eyes of the brave, who is also a generous man, and so honorable as surely to stop at the sight of a vanquished foe. So much was cowardice despised among the ancients, that no female would acknowledge such a character, it being a proverb that " None but the brave deserve the fair ;" While the valiant cavalier in the tournament received the prize at the hands qf the queen of beauty, thus rewarding chivalry and 104 THE MEDICAL TILOT ' courage with, the smiles and commendations of those who reign over men's hearts and desires. There are many actions however, performed by men, that must not be set down as true courage; for example ; in a battle on the continent of Europe a courier assured Lord Wellington that ten thousand Spaniards were running away ; the Duke rode to an eminence to witness the extraordinary retreat, and quietly remarked that it was the first time in his life he had ever seen ten thousand men running a race ; a general officer was dispatched after the fugitives, rallied them and again brought the chicken-hearted soldiers up to their original position ; the duke however, this time took the precaution to place the runaways between the enemy and the bayonets of his own army, who had orders, should they behave cowardly again, to bayonet them without mercy ; thus placed between two fires the hitherto cowardly set made the enemy fly before them ; it is needless to say that they were cowards still. In order to prove the effect of fear upon the human mind, an experiment was tried updh a man in London, who had been sentenced to death for murder ; he was asked whether he preferred hanging to being bled to death by the opening of an artery ; if he preferred the latter mode it should be granted him, and to this he assented. Accordingly a hole was made in a partition through which his arm was introduced, so that he could not see the operator, while a clock was left within his sight, that should warn him that in ten minutes after the operation with the lancet he would 'expire ; the doctor provided himself with a large pitcher of warm water and having made a simple flesh wound, trickled the water gently over the arm ; the culprit at once became quite pale, trembled and at the end of the ten minutes, although the whole operation was fictitious, was a corpse. In the military life nothing lessens a man in the estimation of his comrades so much as an idea getting afloat of his being a coward, and some rather ludicrous jokes have been played off upoa unsuspecting individuals \ one of which may not be uninteresting to re late. OK, NEW SYSTEM. 105 Attached to a very distinguished regiment was a surgeon, who was very much addicted to humor ; it occurred one day to the witty disciple of Esculapius to have some fun with the regiment, and by giving the soldiers an idea he was a coward, bring down their sarcasm upon him. The regiment were to go into action almost immediately, and as they marched toward the enemy, the doctor was seen to crouch down every now and again in the rear of the regiment, and hide himself whenever the least obstacle presented itself; this conduct was not long unobserved, and the worthy Esculapius every now and then would hear the expression, " Is'nt he a coward " reverberated through the ranks ; finally, the two hostile bodies arrived with bristling bayonets within about fifty yards of one another ; when the doctor issuing from one of the flanks, rushed sword in hand out in front and giving three cheers rushed into the enemy followed by his comrades, who bore everything before them. The doctor escaped to laugh at the ruse he had played on the supposed knowing ones. When Lore? Nelson was a boy it was told to his mother that he had ascended a frightful precipice to rob an eagle's nest; the fond parent expostulated with the daring youth, saying " I wonder fear did not prevent you," to which the admiral in embryo replied, " Who is Fear ? I met no one all the time I was out; besides, the cliffs don't belong to any one in particular." Fear is also an enemy to health ; that person who lives continually in apprehension, becomes highly nervous as a matter of course ; this produces other diseases, and although the process may seem slow, eventually wears the body down. There is a recklessness however, that must not be taken for gen uine valour ; the disciples of Mahomed are particularly tinctured with it, and it is only the effect of a very mistaken notion of predestination. This reasoning is simply that they suppose Grod has a particular day appointed to each for that of his death, it therefore (they argue) is of no consequence to avoid danger, in as much as, if your day is come nothing can avert it, and if not no exposure can hasten it. I need scarcely remark on the fallacy of this ICG THE MEDICAL PILOT. doctrine, else why should we not walk as careless on the edge of a precipice, as on the middle of a solid road. It may be said to be a paradox, to love and to fear God at the same time, but the word fear in this passage does not imply the slavish terror of a coward, but the horror naturally felt at transgressing the immutable laws of that being who alone is infinite love. JOY. There are numbers of people in the world who can bear adversity better than prosperity, however curious the fact may appear ; how often do we see men gifted with a generous nature when in the possession of wealth lavish it away, and in a reckless course which appears to have no bounds squander the entire, and then sit down calmly to ponder how another fortune may be acquired and spent, while in point of fact the only quiet and rational moments they possess are those incident to the period during which the purse is empty ; but watch the difference when some fortuitous circumstances place them again in possession of wealth, and it will appear as if all reason had left them, and their joy appears to have no limit, but leads them on to almost maddening efforts to dispose of the present accumulation. Joy also has other effects even to the loss of life, and there are not even numerous examples wanting to prove the fatal consequences attending the sudden arrival of joyous intelligence, indeed it is not to be wondered at, as the following anecdote will exemplify : A devoted missionary to the heathen determined to go into the centre of Asia with the hope of extending Christianity, and with his wife embarked for Alexandria in Egypt, where he left the lady determining to return if spared, at the end of a given time when they would both return to England. The missionary wrote to his wife from Cabul, stating that he had so far been favored ; however, two years from the date of the letter passed away, and no account had been received by the faithful wife of the whereabouts of her husband; and to make the matter worse, a rumor was current that Akbar Khan, had put all the white people to death \ as may be supposed, OR, NEW SYSTEM. 107 the lady in question was absorbed in grief and after arranging herself in the usual costume of a widow, sailed for England, where in sorrow she joined her relations. Not long after her departure-from Alexandria, it appeared that the East India Company sent out Captain Bournes to traverse Central Asia, and shaping his course by the Caspian Sea, he was directed to get down to the Persian Gulf, and reach India by the coast. On the arrival of Captain Bournes at Bockarra, he was informed that a countryman of his own was incarcerated in a dungeon, and that he was to be kept there for his life. The Captain immediately demanded an interview from the King, stating that should it become known in England that he kept the white man a prisoner, it would be the loss of his crown ; accordingly the interview was granted, when to the surprise of the gallant captain he found the long lost missionary, whose release he at once demanded, and received. The missionary now proceeded to Alexandria, and there learned that his wife, under the belief of his death had returned to England ; he immediately sailed, and on reaching home, walked in quite suddenly to the house where the lady lived. The joy occasioned by her beholding her husband whom she had so long believed to be dead, threw her into hysterical fits, that were very nearly causing her death; it happened under providence that she recovered, but was ever after subject tp general nervous agitation. HOPE. Of all the appliances connected with man's transitory being, this Is one that could be the least dispensed with ; indeed there is seldom a moment that we are not under its influence, and what a melancholy desert life would be were it not for this preserving quality ; for no matter what storm assails us, we know that " Hope the charmer lingere still behind ;" and how appropriate is the symbol of this valuable material where the anchor is made the resting place of the trusting female. Truly hope is our anchor. 108 THE MEDICAL PILOT * There are times and circumstances of course when hope is not required, that is when things hoped for. are once possessed ; then hope resigns her mission to possession, and only remains in the hack ground until new demands are made upon her healing balm. In disease hope is a wonderful panacea. What patient would be likely to recover were despair to be forever brooding over the irritated mind and body, while on the other hand, thoughts of being restored to health and to friends which alone can arise from hope, stimulates the otherwise physical disabilities, enabling the trusting and the hoping patient to throw off the evil that weighs so heavily upon him. In a higher sense hope is equally our friend. In the multitude of aspirations after a new and a better world, from whence would spring the consolations found in the hope that however troublesome our journey here may be, we have an anchor from which no storm or no flood can drive us, and a sure hold of those true riches, which the blasts of adversity, the sneers of the sycophant, or the taunts of the ignorant and profane, can never wrest from us. In fine we can lie down in hope, rise in hope, and rest in hope until it shall forever resign its soothing influences, when as wanderers we obtain possession. JEALOUSY. This is a most contemptible passion, and one that has caused more trouble in the world than all the rest put together, and it is to be found, in all the ramifications of life ; it is the offspring of meanness and of selfishness ; it does not belong to any particular class, while it is seldom found among the truly educated ; on the principle that the more knowledge a man possesses, *-,he greater his deficiencies appear to himself, and therefore he sees the little cause he has to make it appear that he is above his fellows, while it is surely found among the ignorant, who ashamed of their inferior position when placed in juxta position with the more enlightened, make every effort to deteriorate their gifted contemporaries, resorting if necessary to falsehood and every species of exaggeration, so 109 OR j NEW SYSTEM. as if possible to pull those who by labor and research have cultivated their minds, down to the level of their own groveling intellects, the effects of neglect, laziness, or dissipation. Among females that possess it, it reigns almost supremo, whether in the shape of a new dress, a rare bonnet, or pcradventure a cashmere shawl, or in some article of furniture, or in a carriage, or in the attentions received from the opposite sex; in fact in some shape or other, bringing down on the devoted heads of the fortunate delinquents a torrent of conjectures, as to how such things can be afforded, and the wonder how the money is earned that pays for those articles, the innocent offspring of the hated vice under consideration. Between the opposite sexes this vice rages with the fury of a volcano ; when weak minded and ignorant people enter into the bonds of matrimony, they lose sight entirely of the fact that men and women are not angelic, and by turning every mole hill into a mountain become astonished that they should as they think, have been deceived in one another, while the least possible attention even through politeness to other persons, is at once turned into a grave offcnce,when the green eyed-monster becomes immediately on hand, and the hopes and peace of that family are at an end. Thus are tire parties estranged from each other and often fly to illegitimate sources to find if possible, what ten chances to one they are never destined to experience during time ; indeed, so common are these things in life that it is now reduced in London and Paris to a regular system ; the husband and wife having separate establishments, while all the circumstances of their lives are well known to each other. Jealousy on the other hand has ofterL^imbrued the hands of people in blood, and we have very correct representations of such in history ; all combining to make the virtuously inclined guard well the avenues to their hearts, and by all means never to allow this terrible enemy the least admittance to a place within their minds. 110 THE MEDICAL PILOT J CHAPTER XXII. Op Bathing. Ablution in eastern countries has almost always been a religious rite, a circumstance which greatly assisted to the cleanliness of the Mahomedans ; in consequence, there is not a country that has at any period of time been peopled by the Moors, but will be found the remains of those baths so celebrated in history, and just in as good a state of preservation as the day they were constructed, proving the vast superiority of the cement then made, to what we in the present day use in architecture. I once explored one of these baths on Europa point, the most Southern promontory of Europe • it was eleven feet in depth, and forty-two feet square on the floor ; the cement on the walls being as smooth as silk, and the whole in perfect order, although it had survived the ravages of seven centuries. Nothing that has been created for the use of man is of more importance to him than water; it is good externally and internally, and no other fluid will cure thirst effectually, while the advantage to the pores of the skin is beyond everything proverbial. Water is set down as a non-elastic medium; not that it is so beyond all cavil, but it is so much so, or rather it is so little elastic, as not to make any difference between what it is, and what it would be were it perfectly so. In this respect it bacomes one of the most useful things in nature ; had it been of as little specific gravity or nearly so of air, how paddles of the steamer, or the oars of a boat obtain a fulcrum by which progress could be made, or how would it turn the mill that grinds the flour for our use, how could we have boiled food, and the other thousand and one conveniencies which it brings us. Water also has been taken as the standard by which to weigh all other bodies; if a cubic foot of water contains as it does one thousand ounces, then by obtaining a cubic foot of every other 111 OB, NEW SYSTEM. material and comparing them, their exact density can easily he determined. Water also has many philosophical properties, as well as common; for example, as it is not possible to compress water into a smaller space than it occupies, and that we want to determine the weight of a ship, all we have to do is to find the weight of the displaced water when she is immersed, and that will be the thing sought ; again, were it not for the great pressure on the sides which would of course destroy the fabric, a drop of water would be sufficient to float the largest ship ever constructed ; this we can easily imagine, if we only suppose a vessel of the same shape exactly as the ship, only outside of her without touching yet infinitely near ; on the principle therefore that water presses as the depth, and not as to extent, then the space between the external vessel and the ship being infinitely small, would, in fact require less than a drop to float the ship. As to its use however to our frame which is the object of most consequence to us at present, I am sure that daily ablution by the bath tends greatly to health ; to be sure there is some judgment required in bathing as well as in all other things, and if immersion does not produce a glow of warmth over the system, then the bath has been too cold for the constitution; but all bathing should be preceded by tepid baths, until the system becomes inured to the colder element; of course it must be understood that here, I refer simply to general immersion, one great object of which is the opening of the pores of the body and thereby giving free egress to perspiration. THE COLD BATH. This bath may be either salt or fresh water ; salt water is preferable and weighs about thirty ounces in the cubic foot more than the fresh ; it is a fine auxiliary in many diseases, in its congealed or fluid state, and may be used with great advantage in fevers, in paralytic affections, debility, and even in rheumatism; in fact, I believe these are but isolated cases where the effects of cold water 112 THE MEDICAL PILOT * could be prejudicial; at the same time, I cannot ascribe to it all the properties sought to be established for it by the devotees of water as a general panacea. warm baths. I must confess I have great reliance on the warm bath, and it is a curious circumstance that this bath has been extolled through all history ; those who are acquainted with the dead languages and have perused- Homer, will find mention there made of it as being condusive to longevity; indeed it seems to have been an erroneous idea altogether, to think that immersion in warm water should invariably produce relaxation ; this has proved by experience to be a mistake, while it is a sure allayer of irritation, giving composure and sleep to the weary. HOT BATH, This bath is seldom used, in fact never unless for some very aggravated disease, such as severe fits, croup in children, or acute diseases of the urinary organs ; then this bath will produce relief, at all events until time can be obtained for the use of more general remedies. THE VAPOUR BATH. This bath is nothing but steam poured upon the body, until perspiration is freely attained ; there are diseases greatly benefitted by it; it is however, only another variety in the means to acquire perspiration, and by which to eject from the system foreign matter imbibed by sudden cold shutting up the pores, and thus engendering disease within. TOPICAL BATHING. Topical bathing is simply the application of warm water ovei the part where inflammation exists; this description of bathing is 113 OR, NEW SYSTEM. more especially useful in inflammatory action of the bowels, and is truly a useful process ; it relaxes the parts and lessens the irritation ; indeed it gives almost sudden relief in many cases, during the period internal applications require, before they can come to the rescue. SULrilUR BATHS. In my humble opinion little advantage if any is possessed by this bath over the common vapour bath; some medical men think it has, but I candidly say I cannot see any difference. SHOWER BATHS. These baths are of so common a nature that very little may be said on the subject; they are good for those predisposed to a rush of blood to the head, and in situations where sea bathing is not convenient they answer a very good purpose. I remember a few years ago being called in to see a patient who had been given up by three medical men ; they had disagreed entirely as to the nature of the complaint ; one of them was an army surgeon in bad health, and was of a very morose temperament, partly because he could not arrive at a correct diagnosis of the patient's disorder, and partly from his own bodily infirmities ; on the conclave retiring, the wife of the sick man asked the morose aJiMidant should she give her husband more opium ; certainly was the reply, give him as*much as you have a mind to, I can do nothing for him. I must confess I never saw a worse or apparently a more hopeless case, and I thought it would be achieving something were I so fortunate as to be of use. I made every enquiry, and I felt satisfied the disease was not what any of the medical men who had left, considered it. I at once saw that the spasms which every ten minutes came on, threatened momentary dissolution, and I felt satisfied there must be an abscess inside some where, perhaps in the bladder or contiguous thereto ; I immediately ordered the man to 114 THE MEDICAL PILOT* be put into a warm bath, and as soon as I got him in it, I gave him some of my own courses of medicine according to my New System. While thus employed the man's wife said, the doctors had decided that the warm bath would overpower him, and that he would die in it. I begged of her to be quiet, that I believed no such thing would happen; accordingly, after fifteen minutes immersion I had my patient removed to his bed, and in less than half an hour he fell into a doze ; I kept his pulse in my hand all the time enjoining strict silence, and remained at the bed side for three hours ; I then left with directions to call me should he awake. That night I received no call! and on coming to the bedside at ten o'clock, my patient was still asleep. Doctor, said the kind hearted and devoted lady, this is the first sleep he has had in sixteen days and nights. At the end of eighteen hours my patient awoke free from all pain! I immediately examined the bed, and found just what I suspected, an ulcer had formed in the neck of the bladder, the warm bath and my medicines had broke it and the patient lay at ease in a heap of blood and corruption. He was soon up and about. CHAPTER XXIII. The Pathology of Diseases. We have now arrived at a subject which has more or less attracted the attention, and engaged the faculties of scientific men in all ages of the world, and various have been the assertions, surmises, and opinions set forth on the vital issue in question; into an analysis of which I am not disposed to enter, as it would be only a debate without profit to elaborate the numberless speculations given to the world, and would only entangle the reader in a labyrinth of useless lore. It will accord therefore more with a popular OR, NEW SYSTEM 115 treatise to state what we know to he facts cognizable to us all, and derive such a practical lesson therefrom as by adhering to certain principles will ward off disease. It is a certain fact that all we take into the system for the maintenance or nourishment of the body is not used for that purpose ; that is to say, only a part undergoes that change which is required for our sustenance, and therefore there must be an outlet for the useless portion, so that nature may not be clogged up with what is very significantly called foreign matter. There have been provided for us several outlets by which this useless matter is to be carried off, and it behooves us to take care that these channels are always free to act, thus will the body be healthy; while if we be regardless of these human sewers, and allow them to become choked up, disease must assuredly follow. I shall examine these conduits separately, and having shown their peculiar avocations, give my advice as to the attention they deserve so as to ensure health. THE SKIN. This is evidently the great and principal outlet of redundant matter for the system, and when examined through a glass, exhibits a numerous set of pores from which emanate a vapour we call perspiration, and which has been properly divided into sensible, and insensible ; it may be imagined that when we don't actually feel the perspiration, that then these little vessels are inactive; but the case is not so, for in a healthy state there is continually issuing from them, day and night, what if it should not get out, would naturally be absorbed into the system, thereby producing disease, and forcing nature to use somg other process to get rid of the load; now to keep the skin continually in that state, that these pores shall carry out their functions in due course of nature is the point, hence we should continually prevent sudden chills of cold from taking effect upon us, while a thorough cleansing of the skin daily, will remove any obstruction jjhat may be in the apertures, and by which free vent will be given to these highly important vessels ; on the other hand, neglect in these particulars will be 116 THE MEDICAL PILOT* attended by a sudden closing up of the pores, and the morbid matter thus thrown back into the system will assuredly fall upon some weak organ which is thus predisposed to disease. Here then we have a fruitful cause of so much consumption, catarrhal affections, inflammation of the brain, kidneys, bowels, and a train of disorders too numerous to detail; while it will not be overrating the estimate to say that nearly three-fourths of the foreign matter necessary to be got rid of from the body, passes out through the pores of the skin. As the lungs however are the most essential part to protect, consumption being so common and so fearful a disease, I shall here give a view of them, and I earnestly entreat all my readers to beware of checked perspiration ; many a person finds a premature grave by what they often insignificantly term only a cold Let us now return to another outlet for this redundant matter. 117 OR, NEW SYSTEM. THE STOMACH. It is well understood that when the stomach becomes overpowered by foreign matter, nature at once exerts herself to get rid of the nuisance, and by vomiting, a discharge takes place and relief is gained ; but as we said before this is not the natural channel; hence nature has been taxed, and other organs employed, whose duty must be left undone while they are performing the office of others ; all this tending to the derangement of the system generally ; as an example, we may take the case of #inflammation of the bowels or hernia, where the legitimate channels become obstructed, and where nature makes the attempt to relieve itself by vomiting from the stomach. THE INTESTINAL CANAL. This is the next legitimate channel for the expulsion of foreign matter from the system, and any disorganization here is the cause of many troubles. Let us see what would result were the principal sewer from our dwellings closed up ; would not the air become poisoned, and living become insupportable from gases, and noxious vapours arising from decomposition; and if so, how much more aggravated must the fine tissues of the hunian body be, when suffering under the like offensive deposits ; how necessary therefore to keep up a daily irritation in the abdominal viscera, in order that nature should not be overloaded, and thereby health attained. It was a shrewd thought that was father to the expression : " Keep a cool head, regular boioels, and tvarm feet, and health will not desert you." This may be considered a multum in parvo, and equal in physic to the golden rule in morals, and religion. THE KIDNEYS. Here we have another legitimate channel for the troublesome matter under consideration ; from the blood naturally comes the urine, which in health carries off also morbific matter ; if there- 118 THE MEDICAL PILOT ; fore, any derangements occur here, the same reactionary measures occur, and disease in various forms arise ; one of the most common being anasarca, or what is generally known as dropsy ; when the urinary vessels refuse to perform their functions, nature tries to overcome the deficiency, and not finding an outlet lodges in the cellular tissue, and a frightful disease sets in. Here also we are called on to preserve this outlet from obstruction, so that the system may retain its equilibrium. THE LUNGS. These important organs in a state of disease simply prove that nature is trying to relieve itself by expectoration from disease engendered by the retention of morbid matter. During the previous discussion, I have been going upon what I suppose to be an undisputed fact; namely, that nature has not only the power, but the inclination to remove disease. I cannot imagine how this could have ever been a mooted question and shall not insult the reasoning faculties of the reader by going into any exposition of what common experience testifies as a fact. CUKES. When we see the quack advertisements of the day, it is enough to make the blood run cold to think that language should be so prostituted; honesty so annihilated, and the world so deluded in the effort to attain wealth under the assumption of curing all diseases. One sets out his universal balm, that on application makes the blind to see, the lame to run, the aged to put on youth, and in fact so universal in its powers and properties, that were it necessary, it would change the Ethiopian's skin; while another taking advantage of the greener portion of the world comes forward with recipes conjured Irom the conjunction or opposition of the planetary system ; while clairvoyants, who by the way never tell of things until after they take place, come to the rescue of the diseased in midnight trances and dreams ; the whole exhibiting a mixture of deception and chicanery, on one side, and the most deplorable OR, NEW SYSTEM. 119 ignorance on the other. How long the ignorant will continue to be the dupes of the knavish yet better instructed, will be just so long as the ignorant choose to remain in oblivion on the general welfare of their physical and moral natures. It is not for want of guides to direct them, for surely the press teems with works from the pens of as many able and faithful disciples of the healing art; and, to which I offer my mite in the shape of a Pilot, to warn them of the quicksands of knavery and legerdemain by which they are surrounded. I do not hesitate to say that no man ever cured a disease ; nature cures, and may be assisted by the skilful practitioner in obtaining her balance, after being thrown off it by circumstances over which she had no control ; this cure, the world is too apt to ascribe to the officiating practitioner and to which he lays no claim himself. The general moral I think to be derived from the foregoing is, that great attention ought to be paid to the various modes in which nature operates to work out the remedy ; a true knowledge of this essential point, would naturally suggest the most proper means to be applied, in assisting the natural exertions to a complete development. It is thus we may hope to benefit the sick, to see disease expelled from the human form, and a healthy generation spring up around us, as a monument, not to quackery, but to common sense. CHAPTER XXIV. Of Dress. This is a very essential subject for debate in a medical work ; more especially in our climate, where we are exposed to such sudden changes in the atmosphere. Upon this subject too, doctors differ ; some recommending flannel next the skin all the year 120 THE MEDICAL PILOT ' round ; while others prefer cotton next the skin, and the flannel outside it ; the flannel to be taken off always when retiring to rest. My own opinion is, that being creatures more or less of habit, we are individually the best judges of the clothing which from habit we have been accustomed to from early life ; besides, the naturally hale and robust will withstand the effects of any climate better than those who are physically weak ; hencq, the impossibility of laying down general rules for all in the matter under consideration. It will be matter for reflection however, for all to understand the nature, an* properties of the different material dress is composed, and thus make a selection which their own feelings will doubtless indicate better than others can advise. There are to be sure in this as well as in all other things something that may be well to point out • for example, that WOOLEN ARTICLES, by being both porous and absorbing are better for the drying up of the perspiration, and from which no chilly feeling results as from wet linen ; to be sure, care should be taken to remove such articles periodically, so as to prevent the possibility of the extraneous matter being again imbibed into the system. * COTTON. This as being worn is better than linen next the skin, as it is more of a spongy nature ; still I cannot think it at all so good as flannel. In this latitude where changes occur every three or four days in the temperature, it becomes next to impossible to take up so much time, as would be necessary to make the corresponding changes; hence to my idea flannel has the preference, more especially for weak or delicate people ; to be sure as I surmised before, some constitutions can bear with impunity, what others would fall under in a short time. I once knew a gentleman that bathed in a canal once a day all year round, and I have seen him break the ice, when the thermometer was considerably beluw zero, and 121 OR, NEW SYSTEM. jump in ; I am aware that one immersion like the one I witnessed would probably cause the death of others, who were hereditarily of a delicate frame and temperament. I should be sorry to recommend too much care either in these particulars, otherwise a degree of effeminacy may be engendered, altogether inimical to longevity. We must not forget the old, yet true song, " Too much care will turn a young man gray, And too much care will turn an old man to clay." LEATHER. A very unwise custom crept into practice at one time, namely, the wearing of chamois leather next the skin. How such a fallacy could have obtained, I am quite at a loss to understand, unless, indeed, on the principle that induced the leather merchants on one occasion to recommend the article as the only sure battlement to save the town in danger of a siege, and which every one may recollect was enunciated in our school books, as follows: " The currier, wiser than all these together, Said, say what you will, there is nothing like leather. How. a man could expect health by being hermetically sealed, is a curious reflection, and one would think that the commonest understanding would ask, if the atmospheric air cannot reach my body, by what means will the perspiration be carried away from the skin ? In Doctor Beach's excellent work on medicine, he closes his observations on dress by a quotation from Gobbett, as follows : " Let our dress be as cheap as may be without shabbiness ; attend more to the color of your shirt, than to the gloss or texture of your coat; be always clean as your situation will, without inconvenience permit \ but never, no, not for a moment believe, that any human being with sense in his skull, will love or respect you for your fine or costly clothes." Now, with great respect, I beg distinctly to differ entirely from the position laid down; indeed, the very contrary is experienced every day in life in New York, where we see dress almost every 122 THE MEDICAL PILOT ' thing, while the want of it makes a man unseen by his best acquaintances. Will a lady take the arm of a man, however good the stuff may be in his clothing, who has not the style, the cut, and the debonaire tout ensemble which fashion, and gold appendages suggest ? Certainly not. If you call on your friend who happens to live in some of the up-town mansions, and when the door opens, you exhibit to the gold-laced lacquey a plain underdressed appearance, ten chances to one but the menial closes the door in your face, and behold you are nobody, because you are not dressed, while the owner of the house is angry for your having outraged decency so far, as to give the servant the idea you were one of his employer's friends. One example more on this subject will be worth the perusal. About seven years ago I became acquainted with a very respectable merchant in our city ; fortune had smiled on his endeavours, and of course he had all the enjoyments of life, amongst others was dress of course and its adjuncts; he was a constant visitor, when leisure allowed, of a fashionable hotel yet extant in Broadway. Severe losses by the wrecks of his shij)S, and disappointments in monetary affairs ensued so close upon one another, that at length my friend was so reduced as to be obliged to accept the office of bookkeeper at a very moderate salary, at another establishment. It so occurred that his employer one day asked him to go to the hotel already mentioned on a matter of business, and not thinking it made any difference, proceeded there in his working clothes, it being quite necessary to keep the finery for Sunday. Hardly, however, had he entered, when a porter advanced and asked him what brought him there, at the same time gently taking him by the shoulder and politely escorting him to the door. My friend now felt considerably ruffled, proceeded to his boarding house, dressed up in all the fine clothes he had, gold watch and chain, rings, and the etceteras, and almost suffocated with rage, proceeded to the hotel again. The change in dress so suddenly, had deceived the porter, who now came up with all the mean superciliousness of a jackal: " Please Sir, what can I do for 123 OR, NEW SYSTEM. you ? do you wifih a carriage, sir ? what may I please do for you ?" " You turned me out of doors not fifteen minutes ago," was the reply. "What, me, Sir? oh! Sir, you must mistake, I never turned a gentleman out in my life, Sir," responded the lacquey. The owner of the house now appeared, and on hearing of the indignity offered to his old customer, was dismissing the functionary, but the dressed gentleman interfered, and prevented it. Fine clothes made the gentleman in this instance at all events! It cannot be denied that Fashion has altered our habits in dress very much to the disadvantage of our physical requirements; what is considered good taste and elegance in dress, requiring slender materials in its manufacture; for example, a lady would not parade Broadway with thick warm boots; her tiny feet, on which she places such a downward glance, might be taken by the beau cavaliers for snow shoes, therefore she must bear with wet feet, so that it may be said : " What a pretty foot that young lady has." She returns home, and for the pleasure of the compliment obtains an inflammatory attack of the mucus membrane of the air tubes; is confined to the house for weeks, and comes off well if it does not end in consumption. Thus can be easily figured out the wholesale price of vanity, and the downward tendency of stock in the market of health. As this work from the commencement treats (in a popular sense) of diseases, it cannot be out of place to say a few words in the way of advice to parents, guardians, and those who may have the care of youth in our land. If you are true to your trust; if you would wish to see America's sons men both in physical, and mental manhood, then as you value your country, neglect not the training of the rising generation. Our country was not won without muscle, and moral courage, and if ever it should be menaced from abroad, which God forbid, it will require the same moral attributes, and the same physical qualifications, to hold what was secured to us by the prowess of our sires; cultivate, therefore, in the young honorable principles, manly bearing, and an earnest love for the land which has proved at once the home of the happy, the blessed, and the free. 124 THE MEDICAL PILOT J CHAPTER XXV. Op Mercurial Practice. It is a solemn fact that mercury introduced into the practice of physic has killed more persons than all the other nostrums the world has seen, put together ; indeed, half a century ago, should a person complain of a cut finger, it was only to take mercury and it was cured—mercury was the sovereign remedy, and although in certain delicate diseases it was found to allay the incipient distress, yet it was sure to lay the foundation of other diseases equally difficult to get rid of. "We ought to be thankful that we live in a more intelligent age, that we look before us, and while Using our best abilities for panaceas, contrive to find such as will not entail a greater evil than the ones they are destined to expel. When we reflect on the millions that have found a premature grave by the unlimited use of mercurial poisons, we are sorry that some stringent law could not be made and executed, against the slaughter of humanity by the present legalized poisonous compounds. It is a mercy, however, that in the present day there is no absolute want of such remedies, and few, very few of the old school remain who assisted so powerfully to decimate mankind. The. herbs of the field have now risen up in judgment against human butchery, and the sad traces of the mercurial system are no longer to be seen in the attenuated frames and ghostly appearance of the sons of imprudent humanity. That mercury in large doses was fearful to contemplate no doubt, yet smaller ones were not without their aggravating consequences ; in fact, in all stages, whether in its more or less aggravated forms, mercury undermines the constitution, and by perseverance in its use no man can stand for any length of time. So common had it become among the daily recipes of physicians, that they had even the temerity to use it among children of tender years, and in those cases of obstruction in the bowels, and to which 125 OR, NEW SYSTEM. the young are so liable, mercury was resorted to, where other harmless operatives would have answered all the purposes of the case. Let us reason together, dear reader, on this subject; let us see what the fearful consequence to us all will be, if we don't at once and forever banish from amongst us this practice, and let us conjure those in whose hands the sick are placed, to weigh well the consequences to them as responsible agents in its administration. We have, thank God, in the preseat day, the testimony of some of the most enlightened men against its baneful effects, while its evil effects, by every day's experience, speak trumpet-tongued against this subtle enemy. If we take an example, and picture out before us a man who has been mad enough to lay himself under the effect of mercury, what do we see, we find salivation, followed by an emaciated and debilitated state, truly melancholy to look on, exhibiting increased action of the heart and arteries, and though existing as a living skeleton, is perfectly dead to all that in life is valuable to live for ¦ 126 THE MEDICAL PILOT ' liis whole system is nothing hut the irritable shell of humanity, from which he is never destined to resuscitate, his face elongated, his tongue swelled, and the dripping saliva, the effect of a barbarous treatment. When effects such as these have been continually exhibited, after the application of mercury, it is indeed curious to think that medical men should be found to persist against all reason in administering it ; yet such is the case, and although such practitioners are much lessened in number, still there are those who continue in the old routine. There are other awful attendants on the use of mercury in great quantities. How many inmates to the lunatic asylums of the land have been gathered from the population, exhibiting itself first partially, with horrifying dreams, and if not immediately looked to and corrected, evidently ending in complete mental alienation. It is curious to observe in the medical works of thirty years ago, that while recommending the use of mercury in private diseases, there seems to have been a ray of light even then dawning on the minds of the faculty, that the day would be when, as a medicine, mercury would no longer have a place; corroborative of this, I shall transcribe here a few lines from an old work on this subject. The author says— " I am perfectly aware that the idea of the abandoning the use of mercury will be considered a novelty by many of the faculty of this country; but I am fully as well aware that the sarsaparilla, as I have prescribed the use of it here, combined with the nitric acid or aquafortis, as before mentioned, will icmove the disease from the system, in its worst forms and stages." Here then we have a prophetic account, even when mercury was considered the great antidote, that the day was not far off when this great evil would be removed from amongst us. We have lived to see it partially done away with already. Every one will see how difficult it is for a reformer, at first, to stem the tide of popular practice and opinion; no sooner does the innovator of orthodoxy lift his voice against an old custom, no 127 Oa, NEW SYSTEM. ma tter how feebly supported by reason, than the whole fraternity come out in one avalfhche, and but that truth is omnipotent, would sweep the daring reformer off the face of the earth; such has been the case in all ages of the world, and no one can forget what poor Galileo had to endure in persecution for the assertion of doctrines, that now we would laugh at the smallest schoolboy were he to affect to deny. As, however, I would not like for fear of being considered egotistical, or setting my own opinion simply above others, equally entitled to respect from learning and other resources, I shall.quote a passage from one of the ablest authors of the present era. Doctor Beach, in his truly valuable treatise, says : Those who are subject to occasional fits of dyspepsia, particularly those who have resided in hot climates, are accustomed to appeal to their own personal experience, as directly evincing the great utility of calomel in such complaints. But if those persons could attend impartially to the effects of the medicine, they would find that its immediate operation is severe, and that it is followed for some time by uncomfortable feelings, and by an unusual susceptibility of derangement of the stomach and bowels. Perhaps, indeed, these very effects of calomel furnish in the majority of cases, an antidote to the poison, for they compel the sufferers to adopt restrictions in diet, and other necessary precautions which t\ie immediate relief that would ensue from the operation of safer medicines might make them suppose to be useless. ° Sometimes, it is true, a single dose of calomel seems to remove in a few hours the oppressive feelings produced by indigestion, and this happens from the sudden discharge of the acrid contents of the stomach and bowels. But a repetition of the same medicine, instead of being equally serviceable, generally aggravates the sufferings, inducing alarming fits of palpitation, or of faintings, or of such unaccountable feelings, as lead to the dread of immediate death." I shall wind up this short episode of a fearful poison, by saying that time and space in a popular exhibition of the New System. 128 THE MEDICAL PILOT J prevent any elaborate detail of all the djf eases supposed to be cured by this monster medicine, or, indeed, the terrible effects of minerals generally used with the intention of exterminating disease, such as the muriate of mercury, zinc, antimony, arsenic, iodine, &c, &c, which more or less tend ultimately to the destruction of all animal nature, and I can do no more than raise my voice with others in beseeching the community to " touch not, handle not," for it will be sure death. CHAPTER XXVI. Of Bleeding. This practice is, like that of mercury, fast dying out, and it is time that it should die, when it has been the cause of so many human beings dying. Bleeding has accompanied the use of mercury, as if one instrument of death was not enough without another to back it up!* If a man got a fall, he should be bled; if he got a fever, he should lose blood immediately, while it could not be unknown that there would arrive a stage of the disease when it would require all the possible strength he could muster to rally; if a man complained of a slight headache, well, out with the lancet, and let loose the red current; in fact, bleed at once, and then attack the internal economy with mercury, t and the doctor left, with the conviction that only he had been called in time, the consequences would be fatal. It was only a few days ago that I was looking over some rusty lancets, and by a natural instinct put oil on the blades, simply on the principle that rust is prejudicial to metal, and causes it to wear, for, as they have not been used for years, they will, in all probability, be as many more before they are taken from the now impoverished looking leather case in which they uselessly recline. 129 OK, NEW SYSTEM. I have become perfectly satisfied that in ninety-nine cases out of a hundred in which the lance is used, it would be greatly better not to have taken blood ; but, like other things, antiquity has been pleaded for its continuance, and we know how hard it is to rid ourselves of customs, no matter how unreasonable their practice. The simple method, to my mind, is to see by what process the blood necessary for a healthy body is made, and after its use, by what means is the offensive matter carried off", so as, to preserve equilibrium. Wo know that from food the blood is furnished, and we know the outlets that carry off the redundancy spoken of; if, therefore, we create a new channel or outlet for the fluid, surely the system loses its balance, and evil consequences will arise, while we invariably perceive that nature, true to herself, sets to work industriously the moment blood is taken from the system to renew it, by increasing the appetite for food and other appliances, so as to gain the balance lost by the piratical or fillibustering operation made upon her by the lancet. But, though nature thus exerts her influence to restore herself, will the wielder of the lancet be sure that he has not undermined the constitution, that the blood has not prostrated the whole fabric, and reduced the system to such a degree, that, with all her intentions, and all her powers, nature is overcome, and the patient sinks quietly into the grave ? I am sure this has been the case to a woeful extent, and though I am satisfied the matter is too serious to make light of, yet I cannot refrain from relating an old story, the effect of the indiscriminate use of the lancet in superstitious countries and times. Mr. Barney O'Flaherty, as his name would imply, was a wealthy Irishman, and had determined on leaving the mountains of Skibbcreen, and passing the winter, in company with his family, in the city of Cork. Barney was often heard to declare, that the priest, the schoolmaster, and himself, the three greatest men in the country, had come to the belief that more people were killed by the lancet than by all other sources known to mankind, and no physi cian should enter his door, that used that sharp instrument. On 130 THE MEDICAL PILOT J reaching his city dwelling, he found out that every medical man within its walls carried about him the hateful instrument, and used it, too, on every occasion. This intelligence startled the philosophical Irishman, who, arguing on the principle that the least was the better of two evils, determined, if possible, to find out which, of all the physicians in town, used it least, and then, in case of sickness occurring in his family, that man should be sent for. Mr. O'Flaherty (who always acted his part well) was extremely superstitious, having a full belief that the spirits of the departed could return to earth, and haunt, as he said, the dwellings of those who were in any way instrumental in their deaths, believing, also, that a midnight never came without the doors of the doctors being infested by the spirits of those who had suffered under the lancet; accordingly, this wise Hibernian paid a nocturnal visit to the hall doors of every physician in the city, and gave the experience of his peregrinations, by affirming that at the door of one doctor he found twenty spirits, at another one hundred and ten ! at another forty, and so on until he came to the door of the last, at which he could only count ten; this is the man for me, said Mr. O'Flaherty. It so occurred, that shortly after this period, one of Mr. O'Flaherty's children became sick, and, of course, the doctor was sent for, who bled the girl, gave her some calomel, and left; the same practice was continued, and the child died; others of tho family were also taken ill, underwent the same treatment, and with the same melancholy effect. Mr. O'Flaherty now told every one what made him choose his medical men, when, to his astonishment, on naming the evening he had made his midnight visit, was informed by an old inhabitant that he had made a great mistake, as the man he had chosen only came to reside in the city one day jyreviously to the choice being made, thus killing ten persons in twenty-four hours /" Let us hope, for the welfare of mankind, that the lancet may not be used to such a fearful extent as it has been, and that the 131 OR, NEW SYSTEM. day may not be far distant, when mercury, and the tivo-edged sword, may disappear from among the catalogue of things conf'dered indispensable to the healing art. CHAPTER XXVII. Surgery in Union with Physic. mortification. I shall take mortification as the leading subject under the head of the enunciation, because I am of opinion that many persons have lost their limbs, and numbers their lives, by too great an anxiety to perform an operation, and of the eclat arising to the operator when it is performed with expartness and skill. If, indeed, a case occurs where nothing can save the patient but the removal of the member, then it is well that the operation should be done well and expertly at the same time. Still, I am confident limbs are removed without necessity, and thus I would wish to see more deliberation on this important issue. It would be well in all such cases, before the dernier resort, to be sure that the patient is every way fitted to receive benefit from the operation, that the limb itself will not, after the amputation, be as bad as it was before, and that constitutionally the loss of blood, and nervous prostration will not be so great as to ensure the patient's not sinking under the operation. These are matters of no small moment, and require all the attention, all the skill, and all the experience to legislate on, previously to taking the last resort. I am sorry to think that an anxiety to show our skill in operations hasten our decision, when there are remedies now that, beyond all question, arrest mortification, and produce the necessary resuscitation where required; for my own part, I do not fear to say that, in ninety-nine cases out of every hundred amputation 132 THE MEDICAL PILOT ' for mortification may be dispensed with, especially when the original inflammation has been well attended to. WOUNDS. Of course the nature and extent of the wound will naturally guide the practitioner in the first place, as in some cases a simple dressing may be the only requisite ; but where there is attending a wound some fracture to one or more arteries, then these must of course be taken in the first place, and then the wound treated afterwards, such as to take care to remove all extraneous matter, dirt, or gravel; when clean, and the rugged portions all, as far as possible, brought into contact with each other, adhesive plaster must be bound over the wound in strips, the whole being kept on firm by clean white bandages. There are some wounds that require probing, in order to remove extraneous matter, such as those received by gun shots. I have seen a ball pass into a man through his coat, and by taking a piece of the cloth with it, give the surgeon in attendance fully an hour's work to get it out before he could consistently perform the remainder of the operation. Triangular or jagged wounds are harder to cure than others, which in part has determined the shape of the bayonet used on the end of military arms. When the injury assumes the appearance of a lacerated wound it very frequently happens that the edges cannot be brought into contact, hence we may be certain that suppuration must take place, and then great attention is required to the constitution, and to the medicines to be employed. I am happy to say that I have courses of medicine ready made up. that may be kept for years in a house, ready to apply the moment a casualty occurs, and so handy for those in the country, where accidents from the axe, in felling trees and other work, is to be feared. venomous wounds. There is very much uncertainty regarding the cure of the 133 OR, NEW SYSTEM. poisonous wounds inflicted by rattlesnakes, adders, centepieds, tarantulas, and scorpions, and the cure of such wounds are very uncertain. When I was in Spain, and first beheld a tarantula, I confess, from all I had heard of this reptile, I could not help shuddering on beholding it. It was a spider, only on a tremendous scale ; it's movements were very slow, but the stories told of it were such as to make the blood run cold. I asked an intelligent Spaniard what remedies were used for its bite, and was informed by his taking down a guitar that hung behind the door, and immediately commenced singing a sweet air, accompanying himself with the instrument, as much as to inform me that music was the only remedy. These people have this idea so engraven on their minds, that should a tarantula appear, the instrument is at once played, which they think deprives the animal of all harm. I was awoke one night by my servant crying out for assistance. I immediately sought his room with a light, and there beheld two of these brutes; one was slowly crawling over the bed clothes, while the other, equally dogged, was ascending the wall. I instantly got a large fork and killed them, while my valet lay in quite a nervous agitation, when he saw the character of the interlopers. Next morning I put the two fine specimens of this gigantic spider into a flask of Holland gin, to have them as specimens to examine on future occasions. NECROSIS. This is nothing more than decayed bone, and usually proceeds from the use of mercury ; an ulcer over the decayed part appears, and it is altogether a very procrastinating disease. The usual method, in a surgical point of view, is to cut down and take out the bone; but it is a matter of opinion whether it is not better to assist nature more gently in removing the bones that have become diseased, and consequently must be thrown off before a perfect cure can be obtained; years sometime elapse before it can be got rid of, so slow, and sluggish are the general operations in these 134 THE MEDICAL PILOT " sores, more especially when the disease is in the lower extremities, as the irritation of walking, and carrying the whole weight of the body, greatly retards a healthy development. LOCKED JAW. This is the common name for the disease known as Tetanus, and is one of the most fearful man can be subject to; the name has been derived from the fact that the jaws become closed, thus shutting out the avenue to sustenance; but the fact is, that all the muscular system, as of that particular part, are deranged, and this is generally caused by some wound, which, in its infliction, has shocked the nervous system. It is not an uncommon thing to find the attack brought on by the puncture of a nail in the foot, or even by a pin or needle in the hands, and is more likely to occur to those who are of a generally nervous temperament. When the case is a bad one, the muscles of the whole system become rigid, and the spasmodic affections very severe, and the disease generally sets in before the end of the third day ; if it should not, there may be little danger apprehended. This is another of those distressing maladies which momentarily may arise from accident, and I have for this' also prepared courses according to my New System, which can be always kept in a house for use. ULCERS. Ulcers arise from numerous causes, and, in accordance to the cause, require a particular treatment : under all circumstances, however, one of the first objects must be to allay the attendant inflammation, and to keep the sores perfectly clean with castile soap and water. There are just as many methods employed to cure ulcers, as there are kinds in the disease; some rely on poulticing entirely others on salves, while numbers, believing all ulcers to be nothing but a local disease of the skin, consider internal applications* useless, while others again look on them as being entirely constitutional, reject all external applications, and make use of internal remedies alone. My own opinion is, that both treatments should 135 OR, NEW SYSTEM. be resorted to. I was once present with a medical man who had been called in to attend a patient who had ulcers on one of his legs; the patient had, some years before, got a severe fall into the hold of a ship, and had received a considerable contusion on the bone, half way between the knee and the ankle; the bruise had got well, and nothing appeared amiss, except a little lameness for a week or two, which then wore off. On the same leg, and near the spot where the accident occurred, the first sore broke out, then others lower down, until the whole limb was shocking to behold ; it became necessary that the invalid should keep the leg in a recumbent posture, but the poor fellow's circumstances were such, that he should work to support himself and family, so he could not accord with what appeared absolutely necessary to a recovery, and therefore was compelled to walk about, and work every day, at the same time doing the best he could for the limb every night; thus matters went on without much sign of improvement, when his medical attendant requested me to accompany him on a visit to the patient, to which I assented. We found the poor fellow in great agony, the tears running down his cheeks ; again the adviser told him he could hold out little hope, if he did not give the leg the rest it required. The poor fellow said he should work, and work he would. " Well," said the worthy doctor, " all then I can recommend you to do in that case is, to muster up determination, and walk the disease off!" This doctrine appeared quite unique to my ears, and We left. Six months afterwards, I happened to meet the patient, and of course I asked him how the leg came on, when he replied, " [ took the doctor's advice, and I tvalked it off;" in fact, he was perfectly cured. I do not give this example for the purpose of recommending persons thus situated to act the same way, as there are not many constitutions that could favor such a course ; I only give it to show what nature can perform, when perfect development, good health generally, and a sound constitution, agree as agents to establish* cure. 136 THE MEDICAL PILOT ' CANCER. It is now, I believe, fully admitted, that a surgical operation (for this hitherto incurable disease) affords no remedy ; indeed, the knife may be thrown away, as far as cancer is concerned, and I believe the world is now fully satisfied that no surgical operation can possibly effect a cure; truly, it seems curious to think that a disease pronounced by the ablest authorities to be constitutional, could be relieved by cutting away a part of the fungus, if I may be allowed the expression, which is the only effect produced ; that it is in the blood, is certain, and it is here we must look for a radical or rational cure. In what way, I should like to know, can an instrument act, so as to follow a cancer through all its ramifications from the external sore through the numerous minute fibres that connect it with the blood ? does it not appear a fallacy on the very face of it ? Let us, then, consider the subject as we ought constitutionally, and we shall find nearly as little cause to be entirely satisfied with external applications alone; to be sure, applications well directed, according to the new view of medicines, and of cures, assist as auxiliaries, and to these we give our adhesion. There are persons, to be sure, who, under the assumption of strictly vegetable poultices, perform operations which the public see from time to time heralded through the daily prints, but I feel satisfied that were those vegetable poultices subject to the scrutiny of a chemist, arsenic would be found to be the ingredient upon which the operators have based their plans ; if such be the case, how many may become martyrs to a terrible poison, who, with all faith, believe themselves to be only treated with vegetables; and how are we to be satisfied, after all, that the remedy is only just as transient as the relief obtained from the knife ? That the life is in the blood, we still insist, and it is there we must go, if we expect to root out a disease which may be, indeed, reckoned a pestilence among the children of men. SCROFULA. This disease has been nicknamed King's Evil. In the early part of English history, we find superstition so rife, that people 137 OR, NEW SYSTEM. were fools enough to believe that the king could effect a cure, by simply placing his royal finger on the part afflicted with scrofula. As we live, however, in an age and country blessed with a little common sense, we are inclined to believe the powers of kings, not only not greater, but more often less, than other people's; hence we look for a remedy more likely to avail us, than the supposed magic touch of royalty, feeling perfectly satisfied that the days of miracles are not these days, no matter with what plausibility kings, fortune-tellers, Rochester knockers, clairvoyants, et hoc gen/us omnes, assure us to the contrary. Scrofula, it is asserted by some to be hereditary, while by others not so. I give my own opinion, that although a person may be found who cannot trace the disease as one having ever been known in the family hitherto, still I feel satisfied most of the cases can be traced in their origin, and therefore I am persuaded it so far partakes of an hereditary nature, that it mostly descends through families, particularly among those whose complexions, hair, &c, are fair. How often we find red hair breaking out in families on the same principle; several generations may pass away and no trace found of it, and then, without any apparent reason, the red locks make their appearance again. We have on record an example of this not unworthy of notice. "-An English family fond of tracing back to remote times the peculiarities of their forefathers, kept a genealogical tree, which they handed down to posterity, faithfully chronicling all that was peculiar or interesting. I happened casually to get a perusal of this document, and one of the first things that attracted my attention was under date 16th February, 1612, when a child named Elizabeth was bom toith red hair ; this anomaly had not occurred previously in the family, although they were all a very fair-haired people; no sign of the red locks appeared again until I found under date 12th September, 1716, when the red hair once more came to light, and was accordingly registered ; again it lay dormant, and by turning over I found it appeared under the caption, Jane , born 8th July', 1798— red hair." 138 THE MEDICAL PILOT J Thus much for hair ; and I am fully persuaded the disease, as enunciated, appears also in families periodically; it may slumber for generations, but like the red hair, those who have it, are the descendants of those of fair complexions and fair hair. The present reigning family in England are the subjects of it and it is well known as the cause of occasional lameness in a cer tain magisterial lady. There are some diseases which, from the want of correct patho logy, are often mistaken for it. Great care must be taken in tk< diagnosis; and as the disease is constitutional, of course a verj early cure is not a thing looked for—patience and perseverance, under the New System, will be sure to effect the object. DISLOCATIONS. These distresses require in their cure, more fortitude, and nerve, than anything else. I shall give a case in point. Being in Canada about ten years ago, I put up at a country inn; it was a pretty isolated little village, and much the resort of Indians, who in this locality were quite peaceable and friendly; not a day passed but we were visited by numbers of them, who brought in venison for sale; I generally took pleasure in conversing with them, and I could not but admire the simplicity of their manners, their inoffensive demeanor, and their entire absence of that deception, so constant a handmaiden to civilization, and what, when well performed, gains for the deceivers, to use a lenient expression, in our populous cities, the soubriquet of smart men. There were none of these poor Indians smart men. Happening to look from my window one morning, I saw an Indian crossing the field just below the house; he was in a state of intoxication; he had bartered his furs to some smart man, who had paid him partly in bad whiskey, and he had drank too much. The poor fellow staggered along until he came to the fence, to get over which he made many fruitless attempts; at length, in the last effort, his elbow caught on the top rail, and he fell senseless to the ground. Several persons now went to his assistance, and having laid him on a bed in the lower part of the 139 OR, NEW SYSTEM. house, left him to recover as best he could. No one knew he had met with any accident beyond the simple fall. After remaining about two hours in a doze, the poor fellow came to, but could not rise from the bed, one of his arms being completely useless. I immediately went to see him, and found the arm out at the shoulder-joint. I then directed the tavern-keeper to find two or three stout men to assist me, and I would put all right, which he did. Sitting the man on a chair, I put a coarse towel across his other shoulder and breast, tying it, and directed two men to hold him to the back of the chair; I then put on three stout fellows to the arm, to pull in the opposite direction, while I kept my hand under the armpit, ready to assist the bone into the socket; but the men whom I had put on to the arm, absolutely refused to pull, saying, if they pulled more they would drag the man's arm off altogether. I upbraided them for their want of nerve, but no, they would give me no more assistance. I immediately asked the hotel-keeper to have a horse brought from the stable, to attach a whipple tree to him, and I would get the poor beast to do what men had no courage for. The horse was accordingly brought, backed up to the door, and I was just makingfast the rope to the Indian's arm, when the men at once said, that sooner than see the man torn to pieces they would obey me ; accordingly I put them on to the arm again, first having given the Indian a little wine. I gave the word to pull gradually on, beseeching them not to give up, and in less than one minute I sent the bone into the socket with a crack resembling that of a whip, thus settling the matter. I now asked the Indian how he felt. He stood up, and on finding his arm all right, said he had a mind to thrash some of the ignorant fellows who refused to obey the doctor at first. fistula. Wc have now to consider one of the greatest evils the human form is subject to. There are three species laid down by all medical writers, namely: Ulcer of the anus. 140 THE MEDICAL PILOT J Ulcer of the urethra. Ulcer of the eye. Fistula in ano, is a terrible disease, and very difficult to cure; the pain from it is excruciating, and in some aggravated cases extends inwardly to such an extent a's to endanger life. The knife has been greatly used in this disease, but by no means with decided effect. It is stated that a French surgeon operated on himself for this disease. He must have been a man of most uncommon nerve, if such were the case. I have great faith in the Ncio System, as relates to this scourge; and I have had so many cases under my care, all of which turned out so satisfactorily, that I feel confident in the new practice. It is astonishing with what pertinacity surgeons will cling on to the old system of butchery for this disease, as well as for cancer. When will the day arrive that the numerous failures of cures will be sufficient to induce the operator to sheath his sword ? We have far better remedies, and with which we can do what the knife never did yet. Of course the treatment naturally depends on the stage of the disease; for instance, you cannot prescribe for a state of inflammation, as you would for that of suppuration; of this the true diagnosis will at once be an informant. Altogether, such is the intricacy and delicate nature of this disease, that it would not suit the purposes of a popular treatise to go into the detail of, and the technicalities attached to it. All I wish .to say is that, like other diseases, the light of science has shed its illuminating influence over the efforts of reform in medicine, so that the afflicted have now a sure resort for a remedy, without being martys to a system which caused terrible anguish, without effecting a permanent cure. THE PILES. This is a disease more distressing than fatal, and one generally known to all. • They may be either external or internal. Females are more the subject of it than males, arising, I think, principally from the sedentary life they lead. Under any form, this disease is procrastinating in its cure, and by its constant teasing, bearing down, and pain, makes the patient very irritable; indeed, I have OR, NEW SYSTEM. 141 known a person become so morose, from having suffered a length of time from piles, that no one could become familiar with him. Using drastic purgatives will bring on the piles, and then costiveness, if permitted, will aggravate them; gentle laxative medicines must be given, avoiding all violent purgatives, and the diet so regulated by vegetables as to keep up a gentle irritation only in the bowels. There are many simple things that will alleviate the pain, such as sitting over the steam of hot water poured on hay. There are also great numbers of ointments sold for the bleeding piles, all of which may or may not have some useful property, but nothing in the shape of patent medicines can at all be relied on • therefore I have prepared specific courses which, if applied according to the New System, will work a cure in a wonderfully short time, and especially a vegetable ointment, the application of which gives almost instant relief. THE BLEEDING PILES. In this case there have been hemorrhages that have caused death, but not to any great extent in number, the disease generally being more of a teasing than of a fatal nature. When the piles take the form of prolapsus ani, or falling of the bowel, it becomes a severe jcase, and no time should be lost in applying remedies, as, by long negligence, the difficulty of cure is greatly increased. Great attention should be paid to diet, which ought chiefly to consist of vegetables, fruit, brown bread and oat meal; but no stimulants of any kind should be indulged in. It is not unusual to cure this disease by ligatures, and I have heard of some special cures having been made in this way; but I should place more confidence in the new practice, and therefore from experience conform to it. WHITE SWELLING. This is another disease, that, under the old system, was looked upon as almost impossible of cure, but, thanks to the light of science, we are enabled to handle it quite successfully now. If ever 142 THE MEDICAL PILOT ; there was a time to be thankful, it is in the present day, that, in this disease, also, the knife is, we hope, nearly discarded. What anguish the poor patients had to endure by the old system adopted; if, to endure suffering, we are sure of a cure, we would willingly submit, but when experience proves to us that, after all our sufferings, we have still to endure the knife, and in the operation lorse our lives, this is poor consolation. I venture to affirm, I can relieve the worst case of the kind, and have no difficulty here again under my new theory, which, contrary to the old system, exactly tallies with the practical results. I hope, when these lines go abroad, they will carry into the homes and the hearts of the enlightened American public, the solemn warning, that in the diseases thus enumerated, they will (if they should be so unfortunate as to contract any of them) remember that, so sure as they go upon the old plan, the knife will wind up the transaction, and that, in ninety-nine cases out of every hundred, the loss of their lives will be the consequence. What, may we ask, is the use of education, of popular printed knowledge ? what use in lavishing money on colleges and schools, if the instruction there should be so limited, so restricted, as that our people should still slavishly be obliged to hand over their living destinies to the ignorant to traffic in ? surely, it would be idiosyncrasy enough to place our wealth, our houses*r our lauds, under the surveillance of the old fogies of a bye-gone generation, but when we think how many throw their lives into such a false balance, it becomes even more than a wonder. ophthalmia. This is a severe disease, and occurs from one of many causes ; it may proceed from injuries ; it may arise from lime, gravel, or some extraneous matter being found within the eyelids, cold, excess in drinking alcoholic liquors, and not unfrequently, it is found in large military fortresses, in southern latitudes, where the fortifications are made of white stone, and reflect a great glare during the day-time. Every one is acquainted with the feeling when any thing gets into the eye, and the impossibility to resist the irrita- 143 OR, NEW SYSTEM. nion until it be removed. The eye is, indeed, a wonder in itself, and the study of optics secondary to none other, by which we become amazed at the skill of the All Wise. When we view the machinery of this organ, and the wonderful process in obtaining a concentration of the rays of light on the retina, we are indeed astonished; while the whole apparatus is so contrived in its locality, as to be sheltered from injury by obtrusive external objects, the whole completing what to us appears the highest stretch of miraculous power in a being infinitely above our comprehension. In the treatment of the eye, the greatest possible care must bo taken; first, because it is such a delicate organ, and, secondly, if injury follows, then the greatest of earthly blessings is lost to us, for what would man be without sight ? I once was in the habit of visiting an old blind lady; she had never seen any thing, and her closing remarks, previous to my departure, were almost invariably, i l Doctor, I have a great desire to die, for then I shall see; I am sure it must be a delightful thing to view the beauties that God has made, and I am satisfied that, as he has shut out this world from me, he will grant me a finer and a holier view in his own kingdom." It would be impossible to witness such dependence on Divine goodness, in an aged person, without a lesson that would form the groundwork of Christian philosophy for the benefit of a generation. Ophthalmia is generally treated, and properly, too, by removing the extraneous matter first, and then allaying the inflammation ; one thing, however, I must here enter my solemn protest against; it is the false practice of applying hot poultices to the eyes ; if you want to lose your sight entirely, you need only follow this practice, and you will soon be blind enough ; no poultice should be, when applied to the eye, more than lukewarm, but better still were it cold. How often I have been applied to by persons suffering from ophthalmia, when, on asking them how they have been treating it, the answer would be, " with hot poultices." These people invariably became blind. 144 Tilt: medical pilot; EGYPTIAN OPHTHALMIA. This disease-was introduced into America by contagion; it is a dreadful pestilence, and is a plague in Egypt; it is a very procrastinating disease, and highly contagious and infectious; it will run through a whole building or street, and often leaves the patient either wholly blind, or with the loss of one eye at least. Topical blood-letting, I believe to be sometimes of service in this malady, especially as the pains are so severe; indeed, I have seen a patient almost deranged with it, and as the light must be shut out, it is melancholy in the extreme to witness the feebleness of the tortured patient, searching for relief by change of position, or any thing that would, for the moment divert his attention. It will be necessary here to mention that there are many local disorders incident to the human frame, that I may say almost, if not altogether, proceed from a disordered state of the stomach and bowels. A gentleman once applied to me for something to relieve a toothache; I asked him to let mc see his tongue, and I felt convinced the whole disorder lay there; I said, will you actually try my remedy ? to which he faithfully assented ; I gave him a dose of medicine, according to my own plan, and the toothache vanished. I am fully persuaded I can relieve ophthalmia in the very same way ; of course, applications may be necessary at the same time, depending on the virulence of the disease. cataract. I am very much averse, as I have stated, to surgical operations, and I believe there are but very lew cases where the knife is at all necessary; still, in this one, I believe there have been cataracts removed from the eyes, where benefit resulted. I have,'in a former part of this work, alluded to the operation performed by Sir Astley Cooper on an American boy, which was effectual, and took a comparatively small time in completion, yet I do not say that it might not have been removed equally well, if not better, without risking the dangers from inflammation, in using the knife on so, tender an organ; under any circumstances, it is a disease extremely 145 OR, NEW SYSTEM. difficult to deal with, and it is well it is not one of very usual occurrence. There is another disease of the eye, resulting in the partial or total loss of sight, in consequence of the-alteration in the form of the eye; if the organ loses its shape, and the rays of light do not concentrate on the retina, these objects will, of course, be very indistinct, and it thus becomes requisite to use glasses. The old people's sight requires convex lenes, while those who are still in youth, have the glasses concave. GRAVEL, OR STONE. This is a very distressing complaint, and is generally attendant on old age; debility is evidently the chief cause, for when the system is weakened so as not to be able to throw off the impure sediments taken into it, by food and drink, the lodgment takes place either in the kidneys, or bladder. It is truly a very terrible disease, and many painful operations have been practiced for its removal; if the stone should become pulverized, its discharge is easily effected, but when not, theu, by remaining in the folds of the bladder, causes great irritation, and renders the life of the patient quite irritable. The old method of treatment was, by cutting into the bladder, and taking the stone out wholly; this was, no doubt, a dangerous operation ; again, there was an instrument in the shape of a common silver sugar tongs, which, by introducing into the bladder, along the urethra, enabled the operator to pulverize the stone, and effect a cure ; this, also, was an operation attended with danger, as it was not always possible to be certain, but that you might lacerate some of the folds of the bladder. There is one instance in which a surgeon undertook to operate upon himself for the stone, by means of a looking-glass, and succeeded. A thousand years might pass again without so extraordinary a feat. ANEURISM. The common understanding of this disease is that of turning into bone; it is, however, better defined, by understanding it as a 146 THE MEDICAL PILOT J tumor over an artery, and in proportion as the artery is a small or a large one, so is the danger attached to the disease. The surgical practice, I shall first speak of, declaring, at the same time, my solemn conviction, that few lives, if any, are saved by the operation. The surgeon cuts down, and takes, or ties up the artery, and the danger resulting is the sloughing of the limb, which then does not get sufficient blood, mortification, and then amputation, ending almost invariably in death. It is in these cases especially, that the New System shows its advantage over the ancient practice. What use is there in following a plan where such evidence exists of a failure ? better, far better, to let people die naturally, if there be nothing to do for them, than by following a mischievous plan, hasten dissolution. But we are not without a system to give relief, and I do not hesitate to say that gentle means, in nine cases out of ten, is better than what is vulgarly called, " taking the bull by the horns," and by violence try to turn nature out of her course. Were it possible to have the testimony of those who have lost their lives by surgical operations, what an army of martyrs would be arrayed before us. In this case, however, the herbs are all powerful, and from the cases I have witnessed, as well as those I have practiced on by my new theory, there is but one thing to do, to banish forever the idea of the cutting down, and tying up, for the disease under consideration POLYPUS. This is nothing more than an excrescence that generally comes in the nasal organ, hanging downwards. The difficulty is not so much the detaching the polypus, as it is to prevent its continued growth, which is the true source of a cure. I am happy to say I possess a course of vegetable powders which I have invariably used with success, and as yet have seen nothing that will bear comparison with them, in their immediate effects. SALT RHEUM. There are few who are not acquainted with this disease more or less, and is nothing in appearance more than an eruption; of course OR, new' system. 147 it is attended with inflammation, and is a disease entirely depending on the blood. After all, we see that nineteen out of every twenty cases, in all diseases, require a purification of the blood, but especially in eruptive diseases, where, on the blood becoming purified, the disease vanishes. There are several kinds of this disease, but it is scarcely necessary to go into a minute detail of them. I was 'called upon by a male patient a short time since who was much afflicted with what is termed the Corroding Tetter, and I had him perfectly well, after only two courses of my medicine. WHITLOW Is an inflammation that comes on the fingers, or toes occasionally; after a time a white spot appears in the centre of the top, which must be opened, to give egress to the matter ; a hand steam bath, and one of my courses, I find always sufficient to relieve the patient. The pain for a while is bad enough, but the steam bath generally is sufficient to allay the irritation. IIYDOCELE. This is but, in other words, dropsy of the scrotum, and is about the easiest operation in the surgical series we are considering. It is generally cured by introducing a seton; if the opening be not allowed to close too soon, the disease will soon subside ; still, as it is a dropsical complaint, it will be necessary to pay attention to the general system, so as to make it throw off the predisposition to anasarca which not unfrequently follows those symptoms. CHILBLAINS. These are itchy swellings that come upon the feet, and generally in the winter time. Children are more afflicted with these unpleasant swellings than adults. Sudden immersion in snow mostly brings it on children, particularly if they have not got on woollen stockings. Care must be taken to get the frost out of the swelling first, and this may be done by immersion in cold water, when friction generally relieves the patient. As they are so simple of cure, it is not worth while saying more on the subject. 148 THE MEDICAL PILOT } SUSPENDED ANIMATION. There is nothing that has received more attention in some countries, than the circumstance of recovering persons in -whom the spark of life still struggles for existence. In England there is a humane society, the members of which are always on the look out in the public parks, and other places where ponds or lakes tempt people to go for amusement, more especially in the winter, when the ice is just forming, and when the youth of the country are over anxious to put on their skates, and therefore do not give the canals and ponds sufficient time to gain a proper strength. Ladders and ropes of all denominations are kept at hand, and numerous lives are consequently saved by this humane association. As we are on this subject it would be well to give a word of advice to our young countrymen w T ho may be anticipating a pleasant skate. Be sure, when you do first trust yourselves on the ice, to have a pretty long stick with you; if you should break through, the stick, by crossing the hole, will preserve you until you can attract attention; but many are lost by trying to save one another. When one gets in, another goes to the brink of the hole, with the laudable intention of course of assisting his friend, when the edges of the ice give way, and the two are lost. The one who goes to the assistance of the other should call for a third person, and then a rope, which, if not convenient, tie two pocket, or neck handkerchiefs together, and then, each holding an end, advance singly. If the ice should appear to give way when the first gets to the opening, he knows that his friend is behind him on more solid ice, and a communication exists between them; thus he may rescue the first person, who we suppose is still holding on by the stick. If a rope can be obtained in time, then the ma tter is easier. The great loss of life, particularly to young persons, on the opening of the winter in London, suggested the idea to a chemist, that by making artificial ice, or rather a substance resembling it, and answering all its purposes, a fictitious pond might be made, where skating could be had all the year round on dry land. The 149 OR, NEW SYSTEM. thing was tried and accomplished, and the present beautiful place called the Grlaciarum is now in full operation.in London. It consists of an artificial lake, formed by digging out a certain portion of irregular ground, the bottom of which was made quite smooth, and the substance resembling ice by a chemical operation then laid on ; the banks were now rounded off, and a big artificial rocky projection occasionally as it were jutting out into the lake, while the banks were made quite green by sowing the seed as usual, and being kept closely cut, had a nice appearance; shrubs were now obtained, and planted about the rude stones and rocks already laid down, the whole encircled by a canvass panoramic view of the mountains of Switzerland, thus giving the place a most romantic air. This Glaciarum, as they termed it, was enclosed, and arbors for partaking of refreshments made in the little shrubbery with which the lake was surrounded. To this resort crowds flocked daily, and the admission, though small, amply repaid the skilful architects. Thus could skating be attained at any period of the year without danger. On natural lakes, and deep ones too, there will yet be numerous adventurers, and we would remind our readers, that there are certain offices to be performed for the unfortunate who may be so unlucky as to be in the water rather longer than desirable, so I would recommend attention on the following points. It has been customary with persons, on taking a body from the water, to commence rolling the body very violently on a table or barrel. This is not correct. The body should be placed with the mouth downwards, so as to give exit to the water that has been imbibed to run out; friction then should be resorted to, and spirits rubbed over the body; a bellows should then be employed to create action in the lungs, and the patient well wrapped in blankets, and, if possible, a little brandy and red pepper introduced internally. Attention to these simple rules, and not to give up the friction too soon, will in most cases where the spark has not fled, bring about resuscitation. 150 THE MEDICAL PILOT } PUNCTURED WOUNDS. Very small wounds are often the cause of death ; but as I said before, it depends upon the injury which is done to the nerves, and the state of the system in the person receiving the injury. I remember some years ago, a young lady in Ohio, who had a needle run into her foot accidentally. She was preparing to go to a party, and while crossing her room the needle entered one of her toes. She took no notice of it, and the next day was attacked with tetanus, from which she could not be saved. She died on the ninth day in great agony. HYDROPHOBIA. This is a terrible malady, and as yet without any certain remedy. "Were I so unfortunate as to get bitten, however much I deplore the wholesale traffic in the knife, I think I should feel more satisfied to have the piece cut out, as the poison appears to be too subtle to trust to other remedies requiring time. There are hundreds of opinions on the subject, and as many different systems of treatment, but we do not find any yet upon which we can in any measure depend. Caustic is usually applied, but it does not seem to stop the virus from infecting the entire system. There was formerly an idea that the removal of the worm from a dog's tongue, or tail, would prevent his bite from being poisonous were he to go mad, but there have been too many instances where this has been nullified, to place any confidence in the operation. It is also, in a humane point of view, a pity to see so many faithful creatures shut up in a prison, waiting only for the going down of the sun, to be led forth to an ignominious death. The number of dogs kept in a large city like New York, naturally obliges us to look to our safety, and, if needs be, to sacrifice the whole race so that we do not perish by such a fearful disease. The symptoms of Hydrophobia are always alike in every patient, especially the spasmodic action on the approach of water. Among the numerous remedies recommended by an old fogy in a treatise on this complaint, I find his recommendation, after washing 151 OR, NEW SYSTEM. the wound, to "fill it with mercury" at the same time to use " mercury inwardly and outwardly" On reading these awful remedies, one is inclined to ask—where do they bury their dead ? No wonder that our city burial-grounds should have grown even with the walls that form their enclosures. Mercury for every thing was the cry in those days, and in ninetynine cases out of every hundred the wiseacre that ordered it could not show in what way it bore any analogy to the disease it was supposed to cure. Thank God we live in a New Era, when a New System of medicine is offered that cannot injure the constitution ; but, on the other hand, when its prescriptions, taken from the herbs which have been given to us by a beneficent Providence, are used in the judicious way in' which I offer them, health will be restored, and constitutions built up where, under the old system of mercury, and the lancet, thousands would find a grave. CHAPTER XXVIII. Of the Diseases of Women. GENERAL OBSERVATIONS A BEAUTIFUL FEMALE DISTORTED FEMALE HEALTHY CONFORMATION, &C, &C. It is universally admitted, that Woman is the nicest object in nature. Man, indeed, however beautiful Eden might have been, no matter how rich the foliage, or what aroma the flowers gave out, or how silvery were the gurgling rivulets that flowed on, or how mossy were their banks, or how bright were the plumage of the feathered tribes that sung out choral anthems from the shady groves; Man, notwithstanding all these, and a thousand other beauties unmentioned, would still have been only in a wilderness, without Tier, who, even to this remote day, is the beautiful companion of his heart, the lovely sharer of his destinies, his only 152 THE MEDICAL PILOT J friend in adversity, the mother of his offspring,' the comfort of his years, whether in youth, or in age; his joy in prosperity, his solace in trouble, the lover of his virtues, and the rewarder of his heroic actions; in fine, the one only being to gladden his heart, and to urge him on to honorable endeavours in the performance of those achievements wecessary to his happiness here, as well as hereafter. This, then, is the being for whom w r e would gladly spend years, if, by our exertions, we could discover means whereby her life might be lengthened, her joys increased, her happiness insured, her sufferings and trials abated, and her frame assisted through all the contingencies of her being, making her life as easy and as comfortable as possible, while overcoming all that she has by nature to contend with in carrying out the destiny of the human race. Is it any wonder, then, that man, in all ages of the world, should be found extolling this delightful partner given him by his Maker ? thus, do we find her in all ages the theme of the philosopher, the poet, and the sage; thus, do we find the most austere princes, the most renowned prophets, and the severest anchorites, leaving their thrones, their altars, and their caves, and while untouched by the necessities of all other contingencies, at once become the subjects of Woman. Let us look at Woman in another light; let us see her as a lover, and behold the blush of maiden simplicity and modesty that adorns her every action; see her confiding, her trusting, nature, as she yields her devoted heart to the only man she considers worthy of her affections, and the hope that gleams from her eyes, in the belief that her affections are valued and reciprocated. Look at her in her new sphere of wife, and here it is where woman shines out with a lustre, that carries satisfaction, pleasure, and delight, not simply through her own household, but into every sphere with which her actions may possibly come in contact. " Oh ! woman, lovely woman; Nature formed thee to temper man ; we had been brutes, but for ye 1" Let us view her in the decline of life, and we shall see the same OK, NEW SYSTEM. 153 solicitude, the same care, and the same untiring devotedncss to the aged partner of her well spent life, the same anxiety for the welfare of the children she has reared to maturity, and the everlasting holy example she sets the whole circle ; at once a climax to that course for which the God of nature had originally destined her. When we reflect on all this, when wo think over the object of such solicitude, her chaste life, her meekness under all dispensations, her joy when fortune smiles, and her devoted intrepidity, braving the avalanche of adversity with piety and resignation, until the storm be past; when all these things are considered, will it be considered any thing but common justice, to say nothing of any nobler feeling, to enlist all our sympathies, all our devotedncss, and all our knowledge, to preserve such a being, both mentally and physically, to the latest moment of our lives ? It becomes my province, then, to add a small mite to attain these objects, and it is not without caution, without the highest sense of duty, and without a sacredness which so holy a cause requires, that I commence the subject. It will be necessary, of course, in the research, to speak of all diseases incident to tho human frame, and it must not be forgotten, that, in treating of such delicate subjects, that the plainness of expression is not to be construed into indelicacy; it would be wholly impossible to do justice to the case, if it was to be treated of in ambiguous language ; this false delicacy would then be worthless as advice, and the whole object entirely frustrated. But I am confident when I write for the women of America, they are too well informed, and too well educated, to require any allusion to the necessities of the case, knowing that it is their welfare that we all have at stake, and that the highest and most honorable motive we can have, is to enable them to ward off altogether, or ameliorate in some measure, the diseases to which they are subject, and which it has been our study for years -to investigate, thus enabling us to render them that advice and assistance so necessary to their physical formation, and their comfort through life 154 THE MEDICAL PILOT | THE WOMEN OF DIFFERENT COUNTRIES. Those who have never travelled, imagine, perhaps, that all the women of the world are like those we are in the habit of meeting every day, but they would, indeed, be surprised, were it possible to see the great variety there are in the world; indeed, such a line of demarcation exists among the women of different nations, that it would astonish many amongst us, were it possible to have one of each sort exhibited to view. "When we think what different beings is the Lapland woman, who creeps through a hole on all fours into a snow hut to regale off the blubber of a seal, and the belle of New York, sitting before a mirror, in a splendid boudoir, embellished with all the modern luxuries of the times. When we take an African Hottentot, and place her in juxtaposition with a beautiful seignorita of the city of Cadiz ; when we contrast a genuine squaw with all her very ungraceful robes, and swinging papoose, with a lovely dark-eyed maiden of Circassia, and then view all these, and numerous other equally opposed varieties, we find, indeed, great difference; still, they are woman, ministering to man, in their own spheres and capacities, and fully deserving of all that man can devise for their comfort and welfare. It is not so easy a matter to define beauty, as some would imagine; if, when woman was first created, she was the acme of beauty, as we have every proof that she was, why should we feel pleased with a different conformation ? surely the figures of the ladies every day promenading in Broadway, are not at all like the human frame, and therefore how vitiated the taste must be, when, in place of constructing the dress so as to fit the frame, the frame must be altered to fit the dress, as if the Creator did not understand the line of beauty better than the children of men, or as much as to say, we have not been made as well and as fashionably as we could have wished, so we will improve our own appearance, brace ourselves up, and alter our frame, so as to make good the deformity we were created- in. What impiety ! besides, disease and death are but too often the result. In various countries, also, various ideas are formed of what 155 OR, NEW SYSTEM. constitutes beauty in women; how curious to observe a Moorish merchant, in turban and toga, laugh ready to split his sides, on viewing a lady from a more western country, in the form of an hour-glass, and moving along with every indication of snapping off in the centre, at the same time the queen of his own harem is simply like a roll of butter, with a nose, eyes, and mouth, carved in the top of it; while, in some countries, people are admired for red hair, and very large feet, two characteristics one of our modern belles would rather not have while figuring in our public promenades. Thus it will be perceived that beauty after all is relative, if we except that form which infinite wisdom has thought fit to giye us, as an earthly house of this tabernacle, that sooner or later must be dissolved. As a matter of course, the healing art has not stood still, no more than other things, and improvements are daily springing up for the benefit of the human race ; old fogyism, in this as well as in everything else, is giving way before the light of increased knowledge; hence the relief for the diseases of women is proportionally augmented, while the antiquated and cruel observances, used in an equally antiquated practice, have also given way to simplicity and truth. I am sorry, however, to be obliged to admit that there are some accoucheurs who, tickled by the neatness and novelty of new instruments, are too apt to forget that nature, true to herself, would do better were she allowed a little more of her own way; and more time therefore should be given her, not allowing impatience on the part of the practitioner for one moment to use an instrument, thereby endangering in place of saving lives. 156 THE MEDICAL PILOT} The reader will here find a delineation of a BEAUTIFUL FEMALE, ¦WJASe And will do well to compare its outline with those wo see every day, so malformed by constant pressure at the waist, as to be satisfied there is too much reason to believe that numbers of females bring on consumption, and other diseases, which carry them to an early grave. 157 OR., NEW SYSTEM. To be so clad as to give full room for the development of the human frame would have been a custom in accordance with common sense, but fashion, that bane of society, creates novelties to gratify a morbid taste, and no matter how flagrantly opposed to reason, forces her foolish votaries to pursue the illusion even unto death. It would be a charity indeed, if those who are said to " lead the ton" were they to begin a revolution in female dress. How many anxious and devoted parents would have their offspring to bless them in their declining years, in place of erecting a marble monument in the cemetery deploring their early fall. To the mothers of America I would say : if you could only be as satisfied of these truths as he who addresses you, how soon you would seek a revolution in the matter. Men gain all they prize on earth by peaceable, and firm revolutions. If rulers are arbitrary, if the iron rod of despotism is so wielded as to shut them out from their just rights, public opinion, as a mighty avalanche, comes thundering along like a war horse, and despotism seeks refuge in flight; and if this be the case among men, where are the women of our land ?—how can they see despotic fashion rear its gigantic head, and prostrate year after year, even unto death, the children which God has given to them, and yet sit listlessly by, content to follow them to early graves, with the idea that they have fallen by the call of Providence, while the means which a wise Governor has placed in the hands of their guardians have not been used for their benefit, and for their lives. 158 THE MEDICAL PILOT \ By way of contrast, I give a specimen of A FASHIONABLE AND DISTORTED LADY, and how many answering to the description daily walk our thoroughfares ; the ribs are drawn out of their proper places, a circumstance that so confines the heart as to impede its operations, and force it against the lungs, these organs have no room then to perform their functions, the valves close, tubercles form, cough, and emaciation set in, and before the fashionable young lady is aware of it, she is far advanced in consumption; the medical attendant is sent for, pronounces the case hopeless, as he was not called in time, and within a period of from seven weeks to two years she drags out a miserable life until death puts a period to existence, while, as is usually the case with 'consumptive patients, she is planning some excursion of pleasure, or the mazy dances of some bal costume. 159 OR, NEW SYSTEM. As a counterpart to the foregoing, I shall give a small sketch of the HEALTHY CONFORMATION. I fancy I hear some lady say, " Good gracious, what a fright!— how could it be possible to dress so, why I should be laughed at were I to appear in public in that way I" Certainly, dear lady, you might, but which is best, to bear the laughter of fools, or the disease that ends in death ? besides, if it were only considered fashionable, then you would be more naturally fashionable than you are now. • To the philanthropic mind of the physician that happens to walk the saloons of the gay, how truly painful it is to see so many young, so many lovely, so many beautiful specimens of humanity passing along, little dreaming of the disease that is at the time germinating within them ; can thoughtful people behold it without a pang ? and if there be enough to rouse the sympathy of a stranger, where ought to be the solicitude of the relatives, and the friends ? but it is to be hoped, in the multitude of improvements in the present age, this will not be overlooked, and that the day is not far distant when medical men, after being faithful monitors, may live to see humanity clothed upon with life! While on this subject I cannot refrain from saying how gratified I am that others in the profession lift their voices, and join me in 160 THE MEDICAL PILOT J a crusade against these sinful practices, and as a specimen I give the following very cogent remarks taken from an English work. The author says : — " But we must speak - of this sin calmly, for sin it is undoubtedly, wilfully to destroy health, strength, or shorten life. If the fooiish practice of tight lacing is begun in early life, the lungs will, of necessity, be much smaller than they would have been had the physical laws of our nature been obeyed; nor is it possible for the body to attain the size, and strength it would have otherwise done. The ill effects would be much more serious, and in most cases prove fiatal, but for the temporary release cramped nature receives during sleep, as the chest then is generally left unbound. " Sometimes the chest is naturally narrow, and the waist small. Those persons we must pity, as we do other defects, and painful .deformities; but whether small lungs are natural, or caused by this baneful practice, the effects are nearly the same. It is utterly impossible for a proper sized physical structure to be kept in health, and strength in all its parts, by a small pair of lungs; or if they be of due size, and are tied up for fourteen or sixteen hours in every twenty-four, to conform with fashions made by people, who know so little about the organs of respiration, as to make room for the lungs outside the sptrie. " Those who are laced tight, find much difficulty in doing anything, that requires more than ordinary effort. Jumping, running up stairs, or a fit of laughing or coughing, produces evident distress in breathing; because, air and blood being admitted in such slow streams into the lungs, any sudden effort requiring an increased quantity, chokes up the vessels, and produces a sudden check in the whole system. Even a strong horse cannot kick or make any great effort, if a trace chain be tied round his chest ; because of the pain produced by drawing in sufficient breath for the purpose. How then can a weak, frail creature do anything without breath to do it with ? It is physically impossible to do this, and at the same time preserve good health. 161 OR, NEW SYSTEM. " What strange infatuation ! Should not death in these cases, as from those in intoxicating drink be called slow suicide." In concluding this part of the subject, I beseech the mothers of young America to look well to their charge in this affair ; go not I beseech you to your graves, with the blood of your offspring on your hands; but by every law that a parent justly is entitled to hold over the young of her own, by persuasion, importunity, example, and precept, banish this dreadful curse from your homes, and you will live to see your progeny healthy, and in their day and generation be living examples, that fashion and its follies could not, dare not, intervene to sever those tics that bind the daughter in honorable allegiance to her kindred; finally, to be a mother herself, and thus faithfully to carry out God's providence, in the multiplication of a healthy race. OTHER MALFORMATIONS. Before entering upon the general diseases of women, I wish to say a few words more on the subject of malformations. As the young tree will grow in proportion as it is bent, so will the youth of every age ; how much therefore depends on the way youth may be inclined from precept, and example, and how responsible we become for the occurrences of after life, in those of whom in infancy it devolved upon us to train up. In the care of young females the matter is even of more vital importance ; they are to be the mothers of the coming generation, and surely their physical conformation becomes a matter of the greatest moment ; how many young women from indolence and other causes destroy themselves ; false postures whilst sitting at their work, until their shoulders are rounded, their heads bent forward, and their spines turned completely out of their prOper course ; in school also how necessary they should be taught true positions, whether in the act of reading, writing, or elocution ; how many are allowed to lean in undue postures for hours, or when writing to spread themselves over the paper, and the table, not only in ungraceful, but very hurtful positions; all good teach- 162 THE MEDICAL PILOT J ers will therefore, if true to their trusts, be sure to look to their charge in this essential. I shall here for the benefit of my readers give a few delineations as specimens, hoping the advice may not be without its fruit in due season. INCORRECT POSTURES IN WRITING. Here we perceive that the spine is completely thrown out of its true shape, and should the practice be continued, the result must be deformity, and disease ; independently of this, the ungraceful posture takes away from the natural grace, that should attend the every action of a well informed, or well educated female. There is nothing that adds a greater charm to female loveliness than graceful movements or postures, and if females generally knew it, such graces have an effect upon the opposite sex, without which all their good qualities might be marred. One glance at a female as she enters a room, at once speaks volumes, and when such pleasing qualities can be obtained at such a trifling cost, it is to say the least of it, foolish to be satisfied with those forms and usages Avhich from their evidence of vulgarity b° come so unprepossessing. 163 OR, NEW SYSTEM. As a counter part, I annex the figure of a female sitting in a proper position at a table, by which it will be perceived that the spine assumes its proper shape, the shoulders are not bent down, and the form is free from any constrained position. In writing, care ought to be taken to have the paper so situated, as not to require the form to bend down, thus the shoulders will not be rounded, and the chest not contracted, a matter of the utmost importance to health PROPER SITTING POSITION. It is very often made an excuse, by those who do not appreciate beauty in all its ramifications, that people had better be attending to the useful, and not mind the ornamental ; in this case the advice does not apply, for while possessing the ornamental, the useful will follow ; unless it be taken for granted that the preservation of health is not among the utilities of the day. In America, however, it is not for one moment to be thought, but that people will be always glad to blend wdiere practicable, the ornamehtal and useful together ; indeed it would be absurd to think other- 164 THE MEDICAL TILOT J wise, where education is so universal, and I feel satisfied no young lady would wish, by her male companions to be thought the acme of vulgarity, nor is it the least derogatory, while not neglecting the useful to have it said that " Grace was in her step, heaven in her eye, in all her actions dignity and love." In reading or elocution, the same may be said as in writing ; how many females from an indolent habit while reading, sit in a posture both unbecoming and hurtful to health ; it may not appear for a while, but they may be assured such a habit will grow upon them, and sooner or later they will be sorry for it. I have given the annexed figure to bear out these representations. IMPROPER. SITTING POSITION. Having now given a few general observations I shall proceed to investigate the nature of those diseases which, judicious advice, and treatment under the New System will conduce towards a OR, NEW SYSTEM. 165 healthy state of the constitution, thereby bringing health, and consequently happiness to the females of our age, and generation. OF THE MENSES. Nothing is more necessary to the health of women than the regularity of the courses, a circumstance depending more or less upon the climate, and the constitutional strength, or debility of individual ; in cold climates the discharge is much later in life in making its appearance, and on the contrary in warm countries, or those situated in the torrid zone, it comes on much sooner. Women like plants or fruit grow to maturity much sooner in Southern countries, while the reverse is the case as we approach the poles ; for example, in the south of Spain, in the province of Andalusia, women are in their prime at thirteen, and at thirty show evident symptoms of decay. On the Almaida at Cadiz, one is surprised to see some of the most beautiful Castilians in all the fulness of womanhood, and yet but fourteen, or at most perhaps fifteen years of age ; again, I have seen women of thirty in the same province, quite wrinkled and passe. Northern climates such as Norway, Russia and such, on the contrary, the women scarcely reach maturity until twenty-five or thirty, and do not degenerate before fifty. It has been asserted by travellers that in southern climates, so brief is the time that a woman retains her charms, that it favours Mahomedan ideas in the plurality of wives ; but, this I am not prepared to think, as the followers of the Prophet would not be satisfied with one wife, no matter in what latitude she might have had her origin. When on the coast of Barbary some years ago, I stopped at the house of a Moorish merchant. Hamet. was a tall brawny Arab, about half civilized, but like all his race, hospitable in the extreme to strangers ; he had four wives, three white ones, and a black, and had children by them all ; I asked him did they never quarrel through jealousy, at which he was quite indignant ; each lady and her offspring inhabited separate apartments in the domi- 166 THE MEDICAL PILOT | cile, appeared quite happy, and from the looseness of their attire gave their forms so much play that what with a lovely climate, they never complained of sickness. The worthy Arab shared his love in equal portions with the four women by spending a day alternately in the dwelling of each, which he significantly informed me of in broken English " one day one wife, four days four wives.' Here also the females arrived quite early at maturity, and a> suddenly decayed. Heturning however to our subject ; when the proper period for the discharge comes on, a very little maternal attention will be requisite to discover the symptoms which consist generally of great restlessness, fever, headache, pain in the back, swelled breasts, &c, &c ; the appetite becomes very delicate, the limbs become weak, the face pale, and a dark shade very perceptible under the eyes. When these symptoms arise all we can do is to assist nature in her operations, and great care should be taken that the patient should not get cold, by wet feet, or exposure to the night air; exercise at the same time should be resorted to, such as will assist circulation, and the mind be kept in a cheerful state, so as to banish everything that might possibly depress the spirits, as a melancholy temperament, or unpleasant apprehensions might have a very powerful effect in preventing nature from accomplishing her purpose ; thus, the discharges though small in the commencement will, in the healthy frame alw r ays occur at stated periods afterwards. In a state of pregnancy, women do not have these discharges, but when first it makes its appearance, and when it ceases, are two very important eras in woman's life, as they so bear upon the health, if not occurring strictly in accordance with nature. Doctor Hollick in his admirable work entitled " The Marriage Guide," in reference to the expulsion of the egg, which is the real cause of the menses, says : " The ripening and expulsion of the egg is effected by a real inflammation, similar to what is seen when a splinter of wood, for instance," is expelled from the flesh by the process of festering, and it is this periodical inflammation that causes the sympathetic irri- 167 OR, NEW SYSTEM. tation above described. The inflammation is slight at the begining of the month, but gradually increases to the end, when the ovaries are found to be highly congested, and the blood vessels in them, and the uterus, are much engorged. About the time when the egg is expelled from the vesicle the inflammation reaches its height, and to relieve it, the vessels pour out a quantity of blood and mucus, in the same way that a discharge occurs after inflammation in other parts. This is the true cause of the menstrual flow. It is a consequence of the action of the ovaries, and is only seen in those who possess these organs perfect. Females who have no ovaries, or in whom they are torpid, never menstruate.' Again the doctor very justly remarks— " In former times menstruation was attributed to the influence of the moon, and it was thought that it only took place when she was at the full, but this is well known not to be the case; there are probably females menstruating every hour of every day in the year. It is true the usual period between the cessation of one discharge, and the beginning of another is generally equal to the time of the moon's revolution around the earth, being twentyeight days, but they do not otherwise correspond. Indeed in some there are not more than two or three weeks between, while in others there are five or six, or even more, and yet this may be to them perfectly natural and proper. The real cause of menstruation is the ripening and expulsion of the egg, and of course it occurs whenever an egg is developed, whether that be frequently or rarely. It was found from observation that, in one hundred females, sixty-eight menstruated every twenty-eight days ; twentyeight every three weeks, and one every second week; while ten were irregular." What I would now instil into the minds of the mothers of families is, that too much attention cannot be paid to the young females under their charge just previous to, and at the time this period occurs; generally speaking they are ignorant of the natural change about taking place in their physical conformation, and 168 THE MEDICAL PILOT ; therefore imagine that something unnatural, rnd perhaps destructive of life has set in. As soon as menstruation has set in, the form appears at once to mould itself into beauty, and womanly loveliness ; the face even assumes quite a different aspect, and the manners hitherto girlish, are at once shaken off, as if instinctively woman became then, for the first time, aware of the real part she had to perform in her day and generation. What can be more lovely to contemplate than female beauty under the impression of womanhood, a mind correspondently enlarging, and a condition in which, being proud herself, she becomes the idol of the other sex. IMPREGNATION. The first intimations a woman has that she is enceinte, and that are not likely to be mistaken, are sickness and vomiting in the morning, heart-burn, soreness of the stomach, loss of appetite, and a disrelish for food generally, craving for things that form no part of the usual food of a household, such as chalk, and other things, and a stoppage of the menses; the pulse also becomes quicker than usual, while there is often a dizziness of the head, and, in nine cases out of ten, a woman under such circumstances improves in good looks. To be sure in the early part of pregnancy it is not easy to decide, but ere long those symptoms already mentioned will develope themselves, leaving the matter simply one of fact. Of late years the old theory of impregnation has been set aside, and the new one, founded on analogy from experiments on the inferior animals, has come to light; we are now, therefore, in pos session of the real method by which.it actually takes place. It appears that the propagation of the human species is similar, only in a higher degree, to that of other animals, and I cannot (before saying anything further myself) do better than quote from Doctor Hollick, who has indefatigably traced the matter to the fountainhead. The doctor says— " The old theory of impregnation was, that the semen was absorbed, or sucked up into the womb, and along the fallopian tubes 169 OR, NEW SYSTEM* till it reached the ovary, when it impregnated one of the eggs, and so stimulated it to commence developing. It was then supposed that this impregnated egg, after a time, separated from the ovary and passed down the tube into the womb, where it formed into the foetus. The facts just mentioned, however, show the fallacy of this theory, even if the correct process had not been given before, but still it has been received so long, and has become so orthodox, that many celebrated men hesitate to reject it even now." The "facts just mentioned" in the foregoing paragraph, are meant by the doctor (who is a profound thinker, as well as reasoner,] to allude to the following argument, founded on the third law of Poughet. The doctor continues—(and it would be well to attend to the reasoning)— " The third law says that the semen cannot reach the eggs, to impregnate them while they remain in the vesicles of the ovary, and » slight consideration of the numerous obstacles interposed will show that this must be so. In the first place the fallopian tubes, and the cilia which line their interior, as before explained, are such that nothing can pass towards the ovary from the womb, but only in the other direction. And, besides this, while the egg is in the vesicle it is surrounded by a number of different membranes, either of which would present an impassable barrier to the semen, even if it could reach the exterior of the ovary. But there is still another obstacle if these were overcome, as if nature had taken especial care that no such event should take place. The interior of the tubes is compactly filled with a thick mucus, in which the cilia work, and through which the semen could not possibly force its way." That the doctor's reasoning is complete there can now be little doubt, and a great problem on the principles as laid down by Pouchet demonstrated I think beyond cavil. That the zoospermes are the embryo of humanity there can be little doubt. When we reflect upon the grandeur of the scheme thus employed for the multiplication of the human raee, when we behold the insig- 170 THE MEDICAL PILOT ; nificance of man's puny efforts, in comparison with such wonderful wisdom, it seems indeed astonishing that even one human being exists who could persuade himself that omnipotence does not reign. " The fool hath said in his heart there is no God." And the word fool hardly defines the condition of such arrogance ; but what is above the presumption of the wicked heart ? indeed it has not been left to our generation to find a man hardy enough to argue with the Almighty; but how soon is the presumption set at naught, were it but by one question ? " Who can pull out Leviathan with a hook ?" Our object, and our writing, however, are not designed fo» fools, let them remain until 'they are punished in their follyour province is with the thoughtful, the sincere, the lovers of truth, the moral, and the religious of the land; for them we have struggled to arrive at the truth of all matters, and for them we publish it, so that we may, if possible, be deemed in some small measure* philanthropists, and being so give our advice freely in order to lessen the evils, as well as increase the joys of our fellow-travelers while journeying to another and a better world. CHAPTER XXIX. Diseases During- Pregnancy. GENERAL OBSERVATIONS CIIOLIC SICKNESS . OF THE STOMACH DROWSINESS CRAMP HEART-BURN WANT OF SLEEP SWELLED LEGS FALSE PAINS FLOODING, &c., &C. There is no time when women should be taken care of more than during pregnancy; it is beyond cavil that the mental faculties are very highly engaged at this period, and unfortunately there have been but too many cases where fright, or mental anguish, has had such an effect upon the female mind in these conditions, as to act OK j NEW SYSTEM. 171 upon the foetus, and in many instances bring a lusus natures into the world. Every one is acquainted with the pig-faced lady of the city of Dublin, whose tomb is in one of the principal burial grounds of the city, and whose charitable bequest in the shape of a refuge for the sick, under the title of Madam Stephens's Hospital, exists as a memento mori of her extraordinary case: she was as fine a model of a woman as could be found, from the neck to the feet, but with a perfect pig's head ; fed out of a trough made of silver, was educated, and could read and Write well. This lusus was of course caused by a fright, and it is the recurrence of such cases that makes it imperative that females in a certain interesting condition, should be particularly on their guard. It is equally noticeable, that the appetite becomes considerably depraved, and that longings occur for particular kinds of food, while every now and again some caprice, or sympathy will be evident, and the mind, and the passions involved in some novelty; all of which may be simply set down as contingencies of the state we are speaking of. It therefore becomes necessary for the female herself, as well as those habitually about her, not to be ignorant of such matters ; thus will they be guided in such a way, that nothing will probably be allowed to occur, by which a wrong turn may occur to her who is fulfilling the highest destiny to which a human being can be called. I am aware that considerable difference of opinion exists on this subject, nor do I wish to instil into people's minds that every thing women long for in pregnancy if denied them will for certain be for evil; neither would I entertain the idea that all the marks which are found on children after birth are to be attributed to some fright, or accidental cause; still I am satisfied that such things do occur some times, and it is just as well to avoid them as not, where possible by a little attention to do so. That I might not appear too self-opinionated, I shall give some remarks from Doctor Hollick's work on the same subject. The doctor says— " It is still a question, however, whether the imagination of the 172 THE MEDICAL PILOT ; mother can affect the child before birth, and if so in what way, and to what extent ? The popular belief in its influence this way is well known to be very strong, and probably it has some foundation, though there is no question but this belief is carried too far. The well known case in the Bible, in which Jacob caused his father-inlaw's animals to bring forth striped young, by placing peeled wands before the mothers, shows that this notion was entertained long ago, and the wonderful marks attributed to longings which we see every day shows that it still exists." Farther on the doctor says— " The fear that many people have of causing these marks is quite amusing, and has sometimes been acted upon for particular purposes. Thus I saw sometime ago, in a medical work, an account of a lady in England who induced her husband to buy a carriage and horses, which she longed for, by assuring him that if he did not do, so the child with which she was pregnant would be marlced with them. " In no case does the mother before the birth announce what kind of a mark the child will be born with, and yet if she knew about the longing that caused it, she ought to be able to do so. It is always after the mark is seen, that its resemblance is sought for, and then of course something can be thought of, that may at least be supposed to be like it." As I said before, I do not believe in every instance where longings and accidents arise, that therefore of necessity the child must be marked, but I have every belief, and I think sufficient to maintain it, that in many cases such is the fact. The case of Madam Stephens, already mentioned, is one undoubted example, and as to the doctor's statement, that it is only after the mark is seen, that a resemblance is sought for, is not, in my humble opinion, quite correct. The following instance is one that came under my own knowledge : One of the most lovely women I ever knew was enceinte, when, in getting into her carriage one day, the servant closed the door OR, NEW SYSTEM. 173 upon her wrist; the shock at the time startled her, and on returning from the. drive, and entering the drawing-room, she said I regret that Thomas should have shut the carriage door on my hand; Doctor, said she, I fear my child will be born without the right hand ; her words came true, and the child when born had but the left hand, the other arm exhibiting the stump exactly from the place where the lady in question had received the contusion from the door. CHOLIO. This will be found a very prevailing item in the casual sickness of the female during impregnation, if a confined or constipated state of the bowels is allowed to exist; great caution should therefore be used in diet, so as to avoid the continual action of medicines. There are two essentials that never should be forgotten here, namely, to keep the bowels regular, and to take moderate exercise whenever possible ; these precautions will prove of the greatest possible advantage, in ensuring an easy delivery. SICKNESS OF THE STOMACH. This is a common attendant on pregnancy, and requires but little observation, it rarely occurs to that extent which could cause alarm ; its period of duration is until that of quickening ; after this period, the female enjoys (generally speaking) better health, and looks better than she did previously. drowsiness. The inclination to sleep in a state of pregnancy is sometimes considerable, and the accompanying pain in the head, is apt to arise from the blood vessels being too full; a plethoric constitutional habit must be avoided by temperance and exercise, and if necessary slight cooling medicines. CRAMP. This is also an attendant on the same state, and does not generally exhibit itself until about the fourth month after pregnancy. 174 THE MEDICAE PILOT j It generally comes on at night in the legs ; some women do not suffer with cramps, but mostly those who previouslywere habituated to them. HEART BURNS. This is a sure attendant on pregnancy, and the desire which women very often show for eating chalk at this time, appears as if dictated by nature ; magnesia is a simple remedy, and always effective on such occasions. SWELLED LEGS. This usual attendant causes females who are uninformed, to think something very wrong is occurring in their frames, when it makes its appearance. No female however need be under any apprehension on this point, as it is simply the wei ght of the womb that presses on the vessels, which return the fluids from the lower parts of the body. The farther advanced in pregnancy the severer may be the cramps, but invariably go off by rest. FALSE PAINS. I Such pains often arise, and it is necessary that care must be taken not to mistake them for the real pains of labor ; they are generally caused by deranged state of the system, or perhaps from excessive fatigue, sudden exposure to cold, violent bowel attacks, or acrid food, indigestion, &c. The greatest care should now be adopted for fear of a miscarriage, and the true cause of the pains discovered, and removed. The skilful nurse will easily perceive the difference between these, and the natural pains of labor, the period of pregnancy assisting her in forming a just diagnosis. If assistance should be requisite, no time should be lost in obtaining it. FLOODING. This is a disease incidental to the state under examination, and as it is sometimes from accident or other causes rendered dangerous, no time should be lost in obtaining medical assistance. 175 OR, NEW SYSTEM I shall quote here from a respectable authority a few remarks quite pertinent to the subject, as I wish other persons to be heard when their views appear orthodox on any particular point. " It is a case in which merely common skill and experience will seldom answer, because it is frequently attended with abortion, and often with the loss of life. Flooding is usually produced by a sudden fall, by over exertion, by fright and alarm, and not unfrequently by the gloomy and depressing passions of the mind. It is also produced by weakness of the womb, originating miscarriages, or other injuries derived from severe labor or child-birth. It also arises from the after-birth separating from the womb, and the large blood vessels entering into it, discharging their contents through the mouth of the womb." " No discharges of blood ever take place from the womb in a natural and sound state of pregnancy ; the idea of regular discharges in pregnancy is entirely erroneous ; and whenever they do take place, they always prove to the man of skill and judgment, that there is something wrong. They always either proceed from the passage to, or from the womb itself. When they merely come from the passage to the womb, they are seldom, if ever, attended with danger ; but when they proceed from the womb itself, there is considerable danger that disagreeable consequences may be the result." " When but little blood comes away, from much walking or riding, or from standing in an upright posture, and there is only a trifling pain in the lower part, attended with no symptoms of fever, and no increased inflammatory action of the blood vessels, the blood may always be presumed to come from the passage to the womb. This can always be removed, and that very easily, by lying a short time in a recumbent or horizontal position." PERIODICAL PROGRESS OF THE FCETUS. It is no less true than extraordinary that the whole human race have for thousands of years been coming into, and going out of the world; and that only within the past few years, has there been 176 THE MEDICAL PILOT } any real light thrown upon the true method of impregnation, or the periodical changes in the foetus, during the nine months it is a tenant of the womb. This matter now however, by great research has in a considerable degree been brought to light, and although in a popular treatise like the present, it would not do to go into a minute examination of the mysteries connected with the female ovum, and the male animalcule, still there are points of practical value to mention ; not only to the female community themselves as mothers, but also to those whose province it may be to attend upon such, during the period of pregnancy. There is no meed of praise sufficient to be bestowed upon scientific men ; who, when for years advocating a peculiar system, on finding out from increased knowledge, and increased scientific research, that they have been in the wrong path, honestly admit the fact, and have no hesitation in rejecting the old, no matter how orthodox it may have been, and taking up at once with the New System \ where such of course bears the strict scrutiny of truthful investigation. To such men I say we are indebted as the true philanthropists of the age ; and I make no doubt, there is an era upon us when all the old erroneous systems will fly before the light of truth and science, like chaff before the wind. In the branch of medical jurisprudence we are now treating of, the most wonderful revolutions are occurring, and I make no doubt but within the next twenty years, more will be known of the great plan of man's existence, than has been revealed within the last five thousand years. * Among those whose labors deserve encomium may be reckoned Doctor Hollick, who, in his marriage guide has so successfully laid bare some of the old and erroneous doctrines, and at the same time given such satisfactory delineations of the new ones, that, on approaching the subject myself, although I confess to hold the same view, I think I shall be doing more justice in this one instance to the reader, to give the following narrative of the foetus during the nine months of its incarceration, in the Doctor's own words. The unaffected honesty of purpose which Doctor Hollick shows, 177 OR, NEW SYSTEM. even by resigning some of his own previous opinions, entitles him to the confidense of every one. He says— " At the twelfth day we first begin to see the new organization and its envelopes with the naked eye. The whole is about the size of a large pea, and the remains of the vitellus, or yellow, can be readily seen. It is surrounded by two membraneous coverings, the outer one called the chorion, and the inner one the amnion. Between these is a gelatinous substance, and within the amnion is a fluid, called the liquor amnii. The two membranes, the liquor amnii, and the enclosed ovum, are called the ovulum. Immediately after conception the uterus also commences to secrete, from its inner walls, a considerable addition to the decidua. This lines fche whole cavity, so that when the ovum first passes out of the tube it is met by this lining, which seems to prevent its entrance into the womb. The ovum, however, presses upon it and so makes a depression, like a nest, in which it lies. This prevents its moving about, or falling to the bottom of the womb. " The weight of the entire ovum is about one grain. The embryo commences in the germ, and may now be seen about the size of a pin's point. The vitellus removes away from it, but remains connected by a small pedicle or threadlike tube, down which it is gradually absorbed as nutriment. A small white thread, scarcely perceptible, may be seen sometimes as early as this period, being the commencement of the brain and spinal marrow. The mouth is visible also from the twelfth to the twentieth day, and frequently the eyes. These are placed at first on one side of the head, like those of quadrupeds, and move round to the front afterwards. " At twenty-five days, the embryo is about the size of a large ant, which it also resembles in form. It begins to have a little more consistence, and the future bones begin to resemble cartilage or gristle. A small groove may be seen, denoting the neck, which thus indicates the separation of the head from the trunk. The weight is three or four grains. " The first month, it is about the size of a bee, and is somewhat like a worm bent together; the arms may be seen like two little 178 THE MEDICAL PILOT \ warts; they are first formed under the skin, and shoot out like buds, growing straight from the body; afterwards they become folded together, in a curious manner, upon the breast. The head is as large as the rest of the body, and upon it we can now see distinctly the eyes, like two black dots, the mouth like a line, and also the nose. The lower extremity is lengthened out like a tail. Weight about ten grains. The second month. —Every part has now become much more developed, and the general form is that of the human being. The superior members are much more elongated, and the inferior ones begin to be distinguished, forming in the same manner as the others. The fingers are united together by a membrane like the web on a frog's foot. The weight is about one drachm, and the length one inch. "At about seventy days the eye-lids are visible, the nose becomes prominent, the mouth enlarges, and the external ear may be seen. The neck is well defined. The brain soft and pulpy, and the heart is perfectly developed. " Three months. —All the essential parts are well defined, the eye-lids distinct but firmly closed. The lips perfect but drawn lightly together. The heart beats forcibly, and in the larger vessels red blood is seen. The fingers and toes are defined, and the muscles begin to be apparent. The organs of generation are remarkably prominent. It now weighs about two ounces and a half, and measures four or five inches in length. " Four months. —The development is remarkably 'increased. The brain and spinal marrow becomes firmer, the muscles distinct, and a little cellular tissue is formed. The bones are ossified in a great part of their extent. " The uterus now is so large that it can no longer remaia in the lower part of the pelvis, but is compelled to rise up into the abdomen for more room. This change of position is improperly called quickening.' " Five months. —Every part is considerably increased in size 179 OR, NEW SYSTEM. The lungs enlarge. The length is now eight or ten inches, and the weight fifteen or sixteen ounces. " Six months. —The nails are marked. The head becomes downy. A little fat is formed. Length twelve inches, weight from one and a half to two pounds. " Seventh month. —The whole being has rapidly progressed. The nails are formed, the hair is perfect. The bones are tolerably firm. Length fourteen inches, weight about three pounds. " The two remaining months are merely devoted to further increase in size, and weight. " Nine months. —Every function has become active. The skin becomes colored, and perspiration occurs. There are no indications of the intellectual functions, but the animal functions are remarkably active, particularly that of taste, which no doubt leads to the act of sucking, from the natural desire for its gratification. The child can now experience all the ordinary sensations of pain, hunger, heat, and cold, and is capable of preserving independent existence if brought into the world." I am sorry want of space obliges me to cut short Doctor Hollick's able essay. Who can now find words to express his wonder at the consummate skill, the amazing benevolence, and the love, which the mysterious account we have just read elucidates, and how small is man, and all his boasted genius, and inventions, when the best of his works is«placed in competition with what still passes all the combined capacity of mankind. Where, let us ask, is the being, however proud before, that can resist putting his hand over his mouth after saying with Job— " Behold I am vile I" The most adoration we can pay to the great mysterious power that has thus contrived us, is to contemplate in silence, how we shall best act so as to fulfil the intentions of our being in satisfaction (to the best of our abilities) to his wish and to his laws, waiting for the time when those things which yet pass our finite capacity, will be unfolded to us in a higher and a happier intelligence. 180 THE MEDICAL PILOT J CHAPTER XXX. The Effects of Imagination on the Sexes. In every relation between the sexes the imagination or mind, cannot be separated from the physical conformation. How wonderful is this contrivance ; were the acme of beauty a certain fixed fact, and from which there could be no dissenting, no more than from a mathematical axiom, 7 what a dreadful state of things would exist; there would then be some one angelic female that happened to be up to the standard, sought for by all male creation ; besides, what a rush there would be for the only handsome pattern of a nice new frock! or the only shawl in the world, and so on; but on the other hand where there is an infinite number of tastes, Mid an infinite number of varieties to select from, then every one can be suited ; some prefer black eyes, some hazel, some blue ; others prefer auburn hair, others black, or brown ringlets ; in fact it is certain that in this particular as every eye forms its own beauty, and as there are full and plenty of varieties, how delightfully balanced these matters are. How often do we see in married life the apparently oddest mixture, and how often have we heard a frolicksome girl say, dear me, how could such a nice woman ever think of marrying that plain old fellow ; while again, some young man who joined a widow lady of some ten years his senior, has become the amazement of the public ; and so it goes on, indeed, so common is this that one would imagine there were but a single set of ideas in the world. It would be well for those who speak and think so heedlessly if they would begin to learn a little of human nature ; it is the greatest knowledge in the world ; it would be well for them to find out that it is neither youth or good looks separately, that cause nineteen-twentieths of the marriages in the world ; it would be a 181 OR, NEW SYSTEM. poor look out were it so, and I feel confident that half the unhappy marriages (early ones too) in the world, arise from a combination of good looking ignorant people, where there is no mind, where novelty and good looks have been the only criterion, and when these by familiarity have worn away, then the most marked disgust and estrangement follow. On the other hand we see many cases where the matrimonial life is one of perfect enjoyment; when we see a man of sense, a man of mind, a man of discrimination, a man of education, a man of refinement, of sensibility, a lover of goodness in the opposite sex, of pleasing manner, and withal one who on entering into those holy bonds, perfectly understanding that perfection is an attribute that belongs not to human kind ; when we see a man like this, with the woman of his choice, be sure you will find the female one of worth, one of manners, one of taste, of judgment, agreeable, skilful, domestic, accomplished, and a companion in every respect for him. While she, in place of looking for solicitude, for care, devotedness, and the manly principles of experience, in the volatile inexperienced boy, has found one who understands her worth, her domestic habits, her congenial way, enchanting manners and qualifications, and thus reciprocal approval warms into an affection wholly unknown to the thoughtless, the inexperienced, the good looking perhaps, and the ignorant. Imagination cannot be separated as I said before from these connections, and there is where the misery follows ; when this imagination is not guided by experience, education, knowledge, and all the refined and manly qualities of our nature, it has nothing to make a choice by, but what after a few fleeting years, perhaps months, make the same man wish he had never entered the bonds of wedlock at all. We have a vivid example in the case, when Desdemona declares in reply to the astonishment people were in, that she so loved the Moor. She answered with indignation that she loved him for the dangers he had passed. We have plenty of modern examples also. The late Thomas Moore, the Irish poet, was a very diminutive man in appearance, 182 THE MEDICAL PILOT J and by no means personally favoured ; yet it was notorious that no man had more lovers, ladies who had never seen him declared and owned their passion for him. His writing, and manners captivated hundreds, and finally he married a beautiful woman. There are very few persons indeed, either male or female, that possess both the charms of mind, and of body to the fullest extent individually, and it seems as if this was a kind provision of nature ; humanity is so addicted to pride, that were such persons very numerous, they would become an intolerable nuisance to the rest of creation ; it is wisdom therefore, that like the peacock they should have some deficiency in order that they should be always reminded, that still they are but mutable, and earthly beings. Imagination acts in other ways detrimental to matrimonial felicity when used as a criterion ; every one is conversant with the fact that members of both sexes are not to be taken by the beauty of their exteriors, as we sec them every day ; how many deformities lie concealed under the cleverly disguised habiliment ; whero rotundity js required artifice has lent her handy work, and if the fair one should be unfashionably en ton point a similar ability on the part of the French milliner makes the dear one come out like La Sylpide ; truly it may be said though " Imagination lends enchantment to the view," it becomes quite another thing when such matters are tested as tangible realities, and how many having been thus deceived engender a hatred for the opposite sex, that lingers with them through their lives. If, indeed, we could always view our partners for life at such a respectable distance as to be able to supply imagination by artifice, then it would answer, but alas ! the fanciful creations of romance one day or other have to submit to the searchi: g scrutiny of the common place realities of humanity; and, the disclosures which then occur, rob imagination of its prize, and the human being, whether male or female, crest-fallen, finds relief only in hatred of the object their vivid conceptions, like the mirage, had led them so eagerly after, but in vain. OE, NEW SYSTEM. 183 Among all honorable persons, where any bodily defect may be, it is nothing but honesty to disclose, in as delicate a way as possible, those matters, the denouement of which in after life might lead to the most distressing circumstances. As to forced marriages, I shall make no allusion beyond hoping that in our day and generation, no such parents exist as would compel a lovely girl to unite her destiny with one, whom her heart tells her never can have a place in her affections. I hope there are no such persons living. Doctor Hollick, on the subject I have just been discussing, says— " Between the two sexes there is a wide difference as to the manner in which the imagination acts, owing to the difference in their characters and organization. In the young woman there are two powerful sentiments which oppose each other, and which, by their antagonism, originate those caprices and eccentricities which are so captivating, at the same time that they are so tantalizing. In the first place she naturally desires to please, and all her arts and actions towards the other sex have this object in view. It is essential to her happiness, to her very existence even, that she should endeavor to be liked, or loved, and no misery is so great to her as the consciousness that her endeavors are in vain. The being that has not this desire of pleasing is not a woman in character, though she may be a female in organization. In the second place there is an innate sentiment in woman of modesty or shame, which controls her desire to please, and prevents her from exhibiting that desire in the way she would wish to do. These two sentiments are, therefore, continually struggling for the mastery, and their alternate and intermixed manifestations produce that bewildering, but universally adored mystery, the female character. Sometimes one of these sentiments predominates, and sometimes the other, and this gives us a key to all the apparent vagaries which this peculiar character presents. When shame preponderates we have prudery, when the desire to please preponderates we have forwardness or coo-uetry, and when both are properly active we have that aifable, 184 THE MEDICAL PILOT J engaging demeanor, corrected by true modesty, which makes woman truly entitled to the name of angel, and commands reverence, even when it does not awaken love." I know of nothing so beautiful, among all the charms of a social and family circle, than a young woman as just described; indeed there is a charm in the association of females of the kind that no language will portray, and if young men, in place of frequenting those resorts of their own sex where anything but improvement may be acquired, were to make it a practice to seek the society of learned and chaste females, their views, their sentiments, and their lives would be a blessing to themselves and to others ; but, alas ! how altered is the case otherwise; how soon the intellectual and the noble will discover, on a few moments' acquaintance with some of the youth of our day, where their education has received its bias, whether, by the loose and slang expressions they use, they have been herding with the profane and the ignorant, or, from their quiet, gentlemanly, and polite demeanor, they have been instructed at the waters of refinement, by associating with the gentle, the lovely, and the chaste of the softer sex. THE PREVENTION OF CONCEPTION. It would not suit the purpose of a popular work like the present to go into the minutiae of this very delicate subject; it has been treated of also by so many, and, as yet, no marked decision on the case has ever emanated from the public. The question, therefore, is an open one yet; some reason that it is altogether, and entirely wrong to turn nature out of its legitimate channel, no matter what the necessity may be, while others contend its perfect lawfulness, inasmuch as that it is no argument because a woman, from malformation, disease, or constitutional debility, cannot, with safety to her life, have children, that therefore she is not to enjoy the relationship existing .between man and wife. This, in point of fact, is the amount of both sides of the question. For my own part I do not see the utility of arguing the matter at all, because people have come to the knowledge of all that can be known on 185 OR, NEW SYSTEM. the subject, and ninety-nine out of every hundred will not be deprived of their marital rights; if, therefore, the thing exists is it not better to point out the danger arising from the foolish and absurd practices, which are used in hopes of preventing impregnation, and pointing out the only safe method, than to say nothing at all on the subject, and by which people may save their lives. This case is something like the permission which the law by its silence gives to establishments whose repute is questionable. In France it was found that to exterminate such places was a matter wholly beyond and above law, and then reasoned that as the evil must exist, it were better it should do so with the sanction and under the surveillance of the police, by which it was argued that lives and property were saved. On the other hand, the people of London repudiated such a course, because they said such a system declared vice to be sanctioned by law. This question, no more than the one we are attempting to elucidate, has as yet been decided upon. We must not forget, however, that if pregnancy could (and it can) be prevented without injury, surely it would be a much less evil than the practice of abortion; how many frail women have fallen under the hand of this executioner, and how many run the risk still, although they have time and again been warned of its consequences. I shall not, by any means, attempt to decide the question; I am certainly in possession of the way pregnancy can be effectually avoided without the shadow of danger, and there is but one way* * All letters addressed to Dr. Hutchtngs, on this suhject must enclose $5, on the receipt of which, the desired information etc., will "be forwarded to any address, by mail, postage free. 186 THE MEDICAL PILOT J CHAPTER XXXI. The Power of Food and Drink on the Impregnating Principle. It is a well known fact that what people eat and drink have a very great sway over the impregnating influence, and it has become quite a common circumstance for the London nobility whose lives are so enervated from high living, and late hours, to " leave the gay and festive scene " childless, and often spending a few months in a cottage on the west coast of Ireland, and never tasting anything but fish and potatoes, keeping regular hours at the same time, they would return, the lady in that interesting way that all ladies " wish to be who love their lords." There is no doubt as the great poet Byron said, that fish is amatory food, nor can there be any doubt, that gastronomy has a great deal to do in such cases. There are no people on the globe more prolific than the poor inhabitants of Ireland, hardly a family but ranges from six to sixteen children, and the explanation is easy ; simple diet fish and esculents, and a moderate climate. On the other hand, if you traverse the entire continent of Spain, scarcely any family will number more than three children, the consequence of this being that the continent is thinly inhabited, the whole of Spain having but about twelve millions of inhabitants. When the gem#al system is in good health,* when the mind is easy, when the climate is not too much in the extremes, when early rising and early lying down, are followed, when the food is plain, mucilaginous as it is in the case of fish, then may be looked for the fulfilment of the order to "replenish the earth." On the other hand when the constitution is racked by what is called fashionable dressing, late parties, visits to theatres, balls and suppers, nervous headaches in the morning, no appetite, light breakfast at noon, and all such irregularities ; is it any wonder OR, NEW SYSTEM. 187 there should be so few mothers; and when children are given to such people, can we wonder, they are weakly, degenerate and consumptive. ** It was not such lives the fathers of the revolution led, if it had, perhaps the stars and stripes that now wave over the places of entertainment that seduce peopje to lose their health, might never have been unfurled to the breeze. I was once acquainted with a quaker, a very small man, who had an equally small wife ; they had been married for some years but had no offspring, and nothing could equal the desire they had to hand down a young one to posterity, but alas ! year after year rolled on, and still no sign that any fulfilment of their wishes should arrive. No doctor within any reasonable distance was left untried for advice, but all to no purpose ; at length some wag told the gentleman that he could inform him how the matter could be managed, which was a sure thing ; the quaker listened attentively, promising faithfully to perform everything in the order related ; the nostrum was nothing more than a simple salt water bath exactly as the sun rose out of the sea every morning, but that the bath was not to be taken alone ; on the contrary, the lady was to accompany him, when they were to take hands, and walk into the water together, with their faces uncovered and exposed to the rising sun, when on seeing the orb of day they were to dip three times, then kiss each other and return to their sleeping apartment, where coffee, toast, and eggs were to be in waiting for them. The next morning the wag add his companions secreted themselves behind some rocks just opposite the little beach where the phttwas to come off; accordingly just before sunrise the two little jnMds advanced in their bathing dresses, and taking hands walked out about waist deep, their faces fully exposed to the glare of day, and eagerly watched the lazy sun ; as soon as the upper limb of old Sol left his watery bed, down the two went three times successively, and the little man taking his dearly beloved around the neck almost smothered the little woman with kisses. Just at this moment a most tremendous shout of exultation burst from the audience, which was reverberated in echoes along the rocky 188 THE MEDICAL PILOT J shore, when for the first time the little quakers found they had been the dupes of a parcel of artful scamps. From that day forth no one ever heard more from the little quaker on the subject of his family misfortunes. Perhaps I cannot do better than give a few of those substances which are supposed, if lived on, the chances of an increase of family. Shell fish, and all kinds of the best fresh meat; in the vegetable line may be ranked asparagus, parsnips, onions and celery ; the potatoe and cauliflower ; of herbs, mint, penny-royal, and sage, espepecially when mixed with potatoes as a stuffing in a canvass back duck. Turtle may be considered very highly nourishing, but for my own part I consider potatoes, fish, and milk, with regular hours, by far before anything else. I have a preparation only known to myself, however, that far surpasses everything else named. CHAPTER XXXII. THE RIGHT AGE FOR MARRIAGE—GENERAL OBSERVATIONS C0NDUSIVE TO HEALTH, &c, &C. Among the different opinions entertained on the |exact age to enter the marriage state, I think there can be no doubt but that this subject can f0fcset at rest; that is to say, although the exact period cannot be named suitable to all, yet we certainly can name the extremes between which marriage ought to take place with propriety. With respect to females, of course it will at once be observed that some are greatly before others in the race for womanhood ; constitution, climate, and many other causes, account for this, and the matrons of the age are fully competent to form a good opinion on this subject; however it may not be amiss to say a few words on the subject. In the first place, some females, by 189 OR, NEW SYSTEM. arriving soon at maturity, are women at twelve and fifteen years, while others perhaps not till eighteen or twenty, still it is not well to recommend girls of fourteen or fifteen to marry, inasmuch as there may be yet a year or two, that all their constitutional energies are required for their growth, and by marrying too soon rob themselves of what ought by rights go towards a farther development of their frames; besides, in another view, they are not so calculated for the duties of the new life they are about to undertake ; they are but novices in the affairs of the world, and would profit more by being two years in their parent's house, and there becoming instructed in all the affairs, domestic and otherwise, that ought to attach to the wife who is capable of becoming the head of a family. There have been in all countries laws regulating marriage, some of which have been attended with good effects; for example, in England, it would be impossible to get any one delegated for such an office, to perform the marriage ceremony between a couple, either of whom should be below the age required by law, to give the child power independent of the parent's sanction, and the breach of this law would subject the ecclesiastic both to fine and imprisonment; even where the parties are of legal age, public notice must be given three Sundays in succession in the parish church of such intended ceremony, so that should there be any serious objections to said marriage there may be time to allow it to be known. In how many cases this law, were it in force every where, would prevent those awful circumstances that daily occur in our midst; where would the bigamist be, who now, by merely changing his name and appearance, and winning the affections of some unsophisticated girl, can, without a word of ceremony, get the marriage rite performed, and thus consummate the ruin of families. How melancholy to see the numbers of young females that are daily ruined by this loose system, by renegades and debauchees, and how many females live in after life to curse the day that such laxative rules enabled her to perform a ceremony never to be got rid of with one whom, were she a year or two older, her better discre- 190 THE MEDICAL PILOT ; tion, and knowledge, would have saved her completely from. When will the marriage laws be considered something more, by those whom the laws permit to tie people together for life in some, more honorable light, than merely the avenue to the possession of a fee ? When will a father remember, that the children he binds together on a moment's consideration, may yet curse the day he possessed the power to entail upon them such misery ? It is to be hoped that this matter some day or other will receive that attention it surely cries for. An instance occurred but a short time since in this city. A party of young persons were sitting in a circle about eleven o'clock at night in a drawing-room, when a play was proposed to see who should marry the other; a young lady happened to draw a ticket from a hat, and on it was the name of a young man who then sat in the circle; on their names being announced, of course a laugh went round, but it did not rest here, for in about a quarter of an hour the gentleman got an opportunity to rccal (in a tete a tete) the circumstance to the young lady, with an offer to have what was at first done in joke, practically performed. The lady assented, and the two, without being observed, left the party, and proceeded, just as they were, to the residence of the nearest clergyman. His reverence was in bed, and would not rise, so they had to go further on to the house of another ; in this they succeeded, for though the holy man had been in bed some time yet he rose, and joined the two in wedlock forever. On their return to the party, which had not yet broken up, a denouement took place which can be more easily imagined than described; suffice it to say, it nearly broke the heart of the young man's mother, who looked forward to other circumstances connected with her soil, and her family. I have every reason to believe the marriage has ended in the most unhappy manner. In a general way it may be laid down that between seventeen and twenty-six the best age will arrive to all females, to enter the marriage state; sweet eighteen has been much spoken of as the most interesting period of a woman's life, but I do not think any 191 OR, NEW SYSTEM. positive rule can be laid down on this head; some young women know more at seventeen than others do at twenty-five, and, therefore, all such things depend upon other materials than statistical reasoning. GENERAL HEALTH TENDING TO LONGEVITY. It has been quite common to propagate the notion, that the human race is deteriorating every century, and, by way of proving this, to refer to the ages of the Prophets and Kings related in sacred history; however, I think there is some mistake in this calculation. If we take every example the Bible furnishes us of longevity, we only see a few isolated examples recorded out of a period of four thousand years, but I cannot see how these few instances prove that all other persons that lived through that period were more aged than the people of our day. If, as the sacred book informs us, the population of the world came from two persons, it follows very naturally, that to make up for the slow progress in population in early time, the natural consequence would be by lengthening the lives of the early inhabitants, and that the necessity does not exist so much in our day for the same principle, as the world we can all see, has abundance of people to keep up the equilibrium. If we except the ages of the antediluvians which were*lengthened no doubt for the purposes of reproduction, we do not find generally speaking, that people lived much longer in ancient times than in the present day ; it may be inferred to be sure, as I said in a former part of this work, that simplicity in manners, dress, and diet, will keep people alive to a longer period ; still, we can show in modern times plenty of persons, attaining the ages of the prophets of old. For instance if we take Moses, Abraham, Isaac and Jacob ; we find their ages respectively as follows :— Moses, 120 ; Abraham, 175 ; Isaac, 180 ; Jacob, 109. And we can place as per contra such examples as the following, all occurring since the reign of Elizabeth: 192 THE MEDICAL PILOT J Countess of Desmond, 140 ; Henry Jenkins, 169 ; Flora Thompson, 150; Parr, 152; Bishop of Glasgow, 184. It is no wonder that the ancient Kings were men of long life ; the Almighty no doubt had to perform his wonders through them as they were mostly prophets, and of course very unlike the Kings of the present day ; still where temperate living takes place in the person who has been blest from birth with good constitutional development, he may be sure unless accident intervenes to see more than one hundred years. The entire idea may be summed up in saying that the human being is a complicated machine, and that by keeping each and every part in proper working order, the whole apparatus will naturally by wearing out evenly,-last the longest possible time ; while on the other hand by excesses, if we allow some of the parts to be overcome, and thereby throw their work upon others, the whole eventually become disorganized, and a short life is the consequence. CHAPTER XXXIII. Of the Diseases of Children. of new born infants thrush colic teething—yellow gum convulsions child fever croup cholera infantum whooping cough worms—measles, &c, &c. Of all the subjects entertained in a medical work, none can be of so much importance as that connected with children. It will be hardly necessary to remark, that were the love of children not universal, we ourselves might not have arrived at maturity. " Suffer little children, and forbid them not to come unto me, for of such is the kingdom of heaven." These are the words of one who came to inform the world that it would be well, were they always found as little children. No 193 OR, NEW SYSTEM. matter how vile, or how wicked people may be, they are invariably taken with the innocence as it is termed of little children ; besides, their helplessness alone commands our attention and our pity, while there is*nothing so strong as the affection of a mother for her offspring ; this of course has been implanted in her bosom by the great Allwise, knowing that upon her devolved the production necessary to fill the whole globe with humanity. There is but one drawback to the pleasure in contemplating the delight 4 and the rejoicing attending man's entrance into the world; it is the reflection that such holy feelings should ever be less among his kindred for him at any other period of his life ; but alas ! how true it is that when years have gone their ceaseless round, this celestial (for I can give it no less a name) feeling, becomes entirely obliterated, and thus you see whole families who in youth were united and happy, now in bustle, anxiety, and turmoil of life, in hatred opposed to each other in the race for wealth or honors, thus allowing the sordid natures they have acquired in their contest with the world, to engender selfishness, to banish the holy feeling they possessed toward each other, and which has been supplanted by jealousy, and a thousand other things by which they have now become aliens. Lord Byron once said, and it is on record in his poem of Manfred :— u Oh that I were the viewless spirit of a lovely sound, a living voice, a breathing harmony, a bodiless enjoyment, born and dying with the blest tone that made me." And how many may now pass along unheeded by the very persons who in joy surrounded the cradle in which they were rocked ; but who feel no more the rejoicing that once gladdened their hearts, because the vile world, its jealousies, and its hard hearted requirements, has turned joy and brotherly affection into complete estrangement, and how many thus regret that they did not, like the bugle notes in Byron's poem, •die before the rejoicing in which they were born had ceased. How truly Beranger understood human nature when he declares 194 THE MEDICAL PILOT J the fallacy in the continuation of this principle, and how deceived the man will be — "If on relations he relies Or trusts to men ; Welcome they say to babes born newly, But when your life is eked out duly, Good evening then." Another phase in this condition is worthy of consideration. How doubly melancholy is the picture when the children over whom you have spent years of toil and anxiety, in sickness, by day and night, when your waking and sleeping moments were employed not oiily in recommending them to the care of Providence, but devising plans for their honorable welfare through life ; how melancholy it is to think, that there should be even one child among created beings, who would afterwards forget all those parental benefits, but also the very authors of them ; and yet such is the fact; if therefore there be one who reads these lines whose conscience should accuse him, I entreat a careful perusal of the diseases to which all children are subject, and the care and attention they require, and then let him see whether the mercies , bestowed by parental solicitude should be thought of only as a matter of course, and not reciprocated by that honor, and that care, that old age, or infirmi'ty should expect. On the subject of rearing children, Doctor Beach says— " It is during infancy that the foundation of a good constitution is generally laid, and it is, therefore, important that parents be taught the best method of managing their offspring, in order to preserve their health. Great ignorance is manifested on this subject ; it is owing to this that so many children sicken and die; and, furthermore, it is in consequence of this ignorance in our forefathers that the present generation have become so weak, sickly and effeminate ; and most of those evils may be imputed to errors in diet, regimen, mineral and depletive agents." I fully agree with the Doctor in this, and therefore how necessary it is, where milk forms so large a portion of the food of children, that care should be taken that it be not adulterated. It will 195 OR, NEW SYSTEM. be asked how unadulterated milk can be had in the city of New- York ? This, indeed, is a natural question, and it would be very difficult to answer. To the everlasting shame of profligate, and unworthy corporate authorities, our city has been, as far as children are concerned, a regular charnel house, in consequence of the liberty to sell as milk, a # liquid obtained from diseased cattle; the disease engendered by feeding cows on the refuse of a distillery, whereby the unfortunate animals are kept everlastingly in a state of intoxication, which, with the want of exercise, soon reduces the cows to a state almost bordering on putridity; at this juncture they are killed, and the flesh sold in the market places. How awful the reflection, that nine tenths of the people of the largest city in the union are every day giving their children a terrible poison, and thus swelling the list of the deceased, as we see it recorded every day. How is it possible to look at the blindfolded figure daily figuring on the top pinnacle of the City Hall, belieing herself by holding an even balance in her hands ! and not shudder, as we read the weekly ravages among the children of the community ; while the knaves who vend the adulterated article, have the names of Orange County, and others of like character, emblazoned in gilt characters upon wagons, that were never more than two miles from the City Hall, since the day they were constructed. Doctor Beach continues— " If the mother or nurse has enough of milk, the child will need little or no food for the third or fourth month. It will then be proper to give it a little of some food that is easy of digestion once or twice a day ; this will ease the mother, will accustom the child by degrees to take food, and will render the weaning both less difficult, and less dangerous. All great and sudden transitions are to be avoided in nursing; for this purpose the food of children ought not only to be simple, but to resemble, as nearly as possible, the property of milk ; indeed, milk itself should make a principal part of iheir food, not only before they are weaned, but for some time after." Pure milk is no doubt the best ingredient, with good bread, that 196 THE MEDICAL PILOT { can be given to children, and it would be well if mothers who are healthy would, in every case, suckle their own children ; how seldom it is thought, the consequences of giving a child to be nursed by a stranger! How is it ascertained to what diseases such a person may be incident ? Let mothers remember this, and, except through delicacy of constitution, invariably nurse their own children. There is another evil that it would be well for young mothers to attend to; it is the fact that half the disorganization apparent in their child arises from the acrid humors imbibed in the milk from the mother, very generally brought on by a system of diet altogether inimical to the well being of the child. Mothers should remember that they do not in such cases live for themselves alone, and that the health, and existence of the babe, in a great measure, depends upon the regularity and abstemiousness in their living; they must be content, therefore, to yield a little of their former indulgence in the way of eating, to the well being of the offspring they are rearing; besides they will be saved a great deal of pain, and anxiety by having a good humored baby, in place of one which cannot help harassing the parent day and night, by the pain that has been inflicted on it. There is another error I would wish to point out, namely, the idea that when women are nursing, it is necessary they should alter their diet, and make it the most nourishing possible. If a woman is very delicate such a practice will not be inconsistent; but, where a mother is in the full enjoyment of health, the more she changes her diet for high living, the worse ; she does not require it, and the child invariably suffers by it. I consider it a good plan after about four months to begin to feed a child, and the reason is obvious, that you will thus accustom the child to the use of food, and you will experience less trouble in weaning afterwards. Some children who are kept very late on the breast have tery often hard times in breaking off the custom. OR, NEW SYSTEM. 197 CLOTHING FOR CHILDREN. It is my solemn conviction that much injury is done to children by overclothing them; the moment a child is horn it is almost choked with clothes; whereas it should have no more, and those loosely put on, than will make it comfortable, that is, while you fully clothe a child, you should never induce delisacy by too much solicitation as to the air that falls upon it; of course the medium is the right thing, but I remark it, because so many foolish young mothers rear their offspring up quite tenderly, under the idea that no place can be too warm for them; this is a great mistake however. BATHING. This is a very necessary thing in the daily discipline of children ; I confess I am not disposed to agree with a great many in immersing a child in the middle of winter into cold water; this I consider against reason; the very great cold ought to be removed from the water, and then there cannot be too much of it. A practice of daily ablution is attended with the greatest benefit, and the proof of this is, that in nine cases out of ten it induces the child, immediately after, to repose. Too much cleanliness can never be, in the rearing of children. Next to clothing, good air, and exercise are of importance, and here the children who are reared in the country, have greatly the advantage of those inured to city life; how many children never reach maturity by being confined daily to damp basements, and unwholesome bye-streets; while the children in the country have so much advantage in the purity and salubrity of the air, and the unconfined nature of their dwellings. The schools also in cities are not so well ventilated as those in the country, another disadvantage the city residents labor under. Altogether children, particularly of very unripe years, should have as much as possible both of good air, and exercise 198 THE MEDICAL PILOT \ THE PLACENTA AND UMBILICAL COED* THE THRUSH. This disease among children is evidently depending on a disorganized state of the stomach ; when the milk or other food disagrees with the child, and the contents of the stomach become acid, then the small white spots appear on the tongue, and forewarn you of the approach of the disease. To strike at the root of the dissease, the stomach must be relieved, and at the same time the tongue washed with a healing balm ; but if the balm is used without any resort to remove the acidity in the stomach, the disease will not be lessened. How necessary to remove all impurities from the food of a child, or rather how necessary to procure milk, bread, &c, that are pure, when half the diseases that children are subject to would be avoided, and the time, and feelings of the mother saved. This disease if not checked, will spread itself not only over the tongue, but inside the mouth and lips, as well as the throat ; removing the acidity from the stomach however, generally gets rid of the disease. OR, NEW SYSTEM. 199 THE COLIC. This disease in children arises no doubt from the same cause as the preceding one ; when a child cries, no doubt it is difficult to determine at once what may be the matter with it, as it cannot tell itself, and many mothers imagine that it wants food, and so stuff the child, doing it much more harm than good. If a child is found on severe crying to draw its legs up, then it may be inferred that the disease is colic, and the stomach ought immediately to be relieved of its acidity ; in many cases I have known a child to cry for hours before the real cause of the trouble has been detected, when at last it was discovered that a pin from some part of its clothes, got the point turned towards the child, and on its being removed of course the screaming at once stopped. What a pity it is that pins should be used at all in the clothes of very young children, surely strings could be substituted in every instance, and a vast deal of torture saved to the infant; as long however as they are used, mothers ought at once on the child's crying, examine all the pins before resorting to other means,, when in nine cases out of ten they will find out the cause of the disturbance. After a period of nine months children become much less liable to colic pains, and after fifteen months rarely have them. TEETHING. Of all the complaints incident to children this is the most procrastinating, and from which no children escape altogether ; some get their teeth with much less trouble of course than others, depending upon greater or less constitutional debility, and the difficulty experienced in the teeth making their way through the gums. One thing is certain and all experience proves it, that fat children suffer more by far than less robust ones ; I hardly ever saw a very fat child, that had not a considerable degree of fever always attached to it during teething, and was not less capable of resisting the continued operations of the disease • indeed, in some cases unable 200 THE MEDICAL PILOT ; to bear up under its pressure and fall a victim to the prolonged attack ; while what are called wiry children, who have great quantities of saliva flowing from the gums, battle bravely against this hard complaint, and successfully see it out. There is mostly a remitting period between the cutting of the lower and the upper rows, that gives the child a chance to recover its debility, and get strong, and this is a wise dispensation, as the complaint would otherwise overpower the generality of children, and the equilibrium be destroyed. Great attention should be paid during teething to the child's bowels, and its health in regard to air, and exercise. If also what is generally understood by a looseness in the bowels, should come on, it must not be suddenly checked, as nature may be exerting her influence to help the child, which in case of constipation would require artificial means ; care must of course be taken not to allow it to run on too long, or it might weaken the child and injury result. YELLOW GUM. This disease is so trifling in its nature that I should have omitted it altogether, but that some young mothers might think something strange had happened when it appeared; it is nothing more than a disease something similiar to Jaundice, that comes on children a few days after their birth ; the skin assumes a yellow tinge, and the general concomitant is sleep ; by attention to the bowels it soon leaves. CONVULSIONS. This is a disease that often proves of the most alarming nature among children, and I shall give a sketch of it from the pen of a physician whose opinion is justly entitled to confidence. " As these fits are frequently very sudden, I shall direct the means which may be used before a physician can be procured, and I will make some observations, as to the general causes which produce them. It is not unfrequently the case for convulsions or fits 201 OR, NEW SYSTEM. to come on suddenly ; in others the attack is gradual, and the symptoms so slight as to pass unobserved by the mother or nurse. In the former, the child from being in the most perfect health, turns of a purple color, the features and eyes are changed, and the whole frame is violently convulsed or agitated. In a short time these symptoms are followed by fainting, or, medically speaking by a suspension of the vital powers ; after which the child gradually recovers ; but for sometime remains stupid and drowsy. In the latter cases, the infant shows uneasiness, changes color suddenly, and frequently, the lips quiver, the eyes are turned upwards, and it stretches out, and the hands become clenched, when the convulsion or fit comes on." " Fits are apt to be produced by anything which affects the whole nervous system, or that which produces irritation of any particular nerve ; and by the sudden striking in of any eruptive disease, such as the measles, or any complaint which breaks out on the skin, from improper food, or irritating substances applied to the stomach or bowels, will produce this disorder. These convulsions frequently occur during the period of teething ; but I have found from particular attention to the causes which produce convulsions or fits, that worms are very often the cause of this complaint. But if they take place frequently, and with great violence, occasioned from pressure on the brain, or any cause in that organ, they generally terminate fatally, or cause the child as he advances in years to become foolish." Thus it will be seen that when this disease assumes the serious character just pointed out, no time should be lost in having immediate assistance. I am happy to say I have a most excellent course of medicines for these attacks, and have never known a case of failure when they have been used ; moreover they can be kept in a house, and therefore present on any emergency. CHILD FEVER. Irritability appears to be the leading feature that in children is productive of disease. Fever, however, so dreadful in its ravages among adults, appears to deal gently with the very young; 202 THE MEDICAL PILOT } many supposing that it has not sufficient to grapple with, and therefore becomes innocuous; be it as it may, the very young have quite enough of troubles on their hands, and it is well for them, that owing to immature age, they are not capable of appreciating their danger, and therefore struggle through trials that would force older people under like afflictions to succumb. Fevers in children seldom want more than strict attention to the stomach and bowels; in fact if the stomach of a child can be kept in order, the greatest possible is done for it under all the forms of disease to which it is subject; a very little experience will, in the cases of mild fever it is exposed to, be sufficient for the contingency. CROUP, Having made this disease in children the special object of research, knowing it to be the most fatal attached to infantile being, I am glad to be able to say, that it succumbs at once to the instructions and courses of my new system. In looking at the symptoms any one will be convinced of the necessity of immediate action, so sudden does the disease come on, and the patient may be suffocated and lost, if prompt measures are not at hand for relief. The croup may be said to come on with a difficulty in breathing, and wheezing, a short dry cough, and a rattling in the throat. The difficulty in the breathing increases, and the face becomes red; the cough has a shrill tone, and altogether the child is restless to a very great degree, while thirst is a regular attendant. According as the disease advances the cough becomes more severe, and more frequent, and the breathing more oppressive, and without immediate assistance the child dies. How necessary for persons who may live in remote regions, who may be so separated from medical assistance that time would not permit the presence of a physician, to have such remedies present with them as would effect a cure at once. I have, therefore, my OR, NEW SYSTEM. 203 new courses, all done up in packages, that will keep any length of time, each course accompanied by instructions that are just as good, and as easily applied by any one in a household as by a medical attendant; thus can families be safe who, having these, are not obliged to depend on the casualties, which possibly may lie between them and medical assistance. CHOLERA INFANTUM. From extensive travel, I find this disease much more prevalent in the United States than in any country of Europe, especially the western portions. It seems, indeed, to be among children a complete plague. Who can see the weekly list, or,obituary of the little ones, but must wish that we could arrive at some universal panacea for the evil ? but I regret to say that, although the new practice of medicine has done a vast deal, still I wish it could do a little more, and save the young ones from so early a grave. This subject has engaged the attention o.f all medical men for years, and I acknowledge I have made it one of deep research myself, and have what I believe, according to the best system, will in almost all cases restore the patient; still there are some constitutions that are so delicate, and have so little material to work on, that it cannot be said that anything will act as such a specific as to defy a fatal result; all we can do is to save the great majority, and this I consider to be the advantage of my New System. If, for example, a plague exists, and that we can discover something which by application reduces the virus by two-thirds, we must consider it a great desideratum, and rejoice at it. The entire difficulty in this disease is to find out what excites morbid irritation in the intestinal canal; indeed in children there are so many existing causes, that it is no wonder it should be very fatal, for, independent of those inherent in the child, there are a multitude of auxiliaries in the shape of exposure to the heat, to damp dwellings, to unripe fruit, and vegetables sometimes in a state of decomposition; all, acting together, it is no wonder that 204 THE MEDICAL PILOT J cholera infantum should have gained such ground as it has among our community. In the early part of last summer I was walking down the Bowery, when my attention was attracted by a crowd of children, between the ages of two and ten years, all gathered round a man who had just spread out on a table the first green apples of the season; with what longing eyes the poor unconscious children viewed these incendiaries of death, while the man would occasionally rally them with, " Now is your time, the first apples of the season, who has a penny, here they go." After waiting a while I found the children slip off by twos and threes, and soon returned, each with a penny or two, and in less than five minutes the board was almost cleared, and again replenished. How many of these children died of cholera infantum afterwards, of course is not for me to know, but if they did not all die I only think it the more miraculous. The hot weather, of course, assists the disease in its destructive qualities very much; indeed, we find that as the cool weather comes on in the latter end of the fall, it begins to subside, and almost vanishes by the end of the year. I do not know whether it may be of any service to say a few words to parents on this subject or not, for so much has been set before them already by periodicals, that it may appear a work of supererogation ; still, I would in sincerity ask them how they can aid their offspring in so ruinous a course; I say aid them, because the parents who give pennies to their children to buy what is no less than poison, is sheer madness ; how many pennies thus heedlessly spent, will cost them dollars afterwards in doctors and medicine ; but this is a thing they seem not to think of, nor of the responsibility they are under to God, for not taking better care of their offspring. WHOOPING COUGIL This is another incidental disease among children, and although seldom fatal, is occasionally very distressing; it is contagious OR, NEW SYSTEM. 205 also. It commences with a common cold to appearance, but soon the difficulty of breathing, and the spasmodic paroxysms develop its true nature ; the voice becomes rough or hoarse, and considerable thirst sets in. In a short time the noise peculiar to this disease begins, and the paroxysm generally ends with vomiting, thus relieving the patient. Pure country air and exercise are the curatives known ; indeed we cannot call them cures, as the disease will have its run, and therefore the most we can do is to relieve the paroxysms. I have made up some courses on the principle of my New System, which, given after every paroxysm, will lessen considerably the violence of the next fit, thus assisting nature to throw off the disease effectually. WORMS. Worms are the source of great annoyance to children, often producing convulsions, and creating a ravenous appetite. It ik certain that most children give signs of their being overrun with worms by picking at the nose. As I said in a former part of this work, there are certain species of worms that infest the human prima via ; of these, those that attack children are the round worm, the man worm, the tape worm, and the fluke worm. Is it any wonder then when these species, or any one of them, congregate within a child that they should produce disease, and a great amount of irritability. Hence the necessity of being well provided in every family, with a medicine which will expel them without doing injury to the fine fabric of the child ; and I have my worm 'courses on the new plan, made up which can be kept at hand, and which I guarantee will expel them, no matter how long they have been allowed to increase in the system. Two courses, or in slight cases even one, has been perfectly effectual, and if you should only suspect their existence, there will be no possible harm in proving it by taking the courses I speak of, for being entirely vegetable no possible injury can arise to the child, no more than had they not been administered 206 THE MEDICAL PILOT j These courses will be found highly useful to families in the country, who happen to be located at a distance from medical advice. The general opinion of the faculty with regard to what constitutes their production, is that it depends on climate, infancy, weakened state of the bowels, and improper food, among the latter may surely be reckoned the green apples, and vegetables I have already spoken of. THE MEASLES. This is another contagious disorder incident to children, the premonitory symptoms being very much like all other eruptive diseases, and therefore doubtful in its nature until it shows itself on the surface which is about the fourth day. A fever accompanies this disease, it soon however goes off. The measles as a disease is not malignant, and will go away in few days with a little care ; the consequences are by no means so trivial, for it must be observed that if care is not continued, and that the constitution is not well cleared of the disease, a sudden bad cold may lay the foundation of a much worse disease. Good nursing and attention to these particulars are better than medicines, still I have vegetable courses for this disease also, that will purify the system, and rout out any dregs the disease may have left behind. MALFORMATIONS. The first thing that should be done after a child's birth is to examine it, and see there are no malformations; this is a very essential thing, and should never be neglected, and where any such things occur immediate assistance should be procured. • TONGUE-TIED. This is by no means an unusual malformation, by which the tongue is fastened to the roof of the mouth by a small ligament preventing its motion. There is a story told of the celebrated Doctor Abernethy to the following effect: 207 OR, NEW SYSTEM. The doctor was called on one day by the parents of a Child whom they brought to ask advice about; the people ignorant of such matters were quite alarmed, and the Doctor looking into its mouth discovered that it was tongue-tied. " What makes you so uneasy " said the Doctor addressing the parents, " Is it a boy or a girl " —" a girl " was the reply ; then said the Doctor " I dont know but it will be better to leave it as it is, for the women produce such mischief with their tongues, it would not be much matter if there were more tongues tied than this one." I will not join the doctor in this, as I can bear testimony to the sweetness, and the harmony too of the voice of woman. A very slight operation however, loosed the young lady's elocutionary organ. HARE LIP. There are several kinds of this deformity. Where there is only a single hare-lip the operation is but trifling to make it good, but where the disease is double hare-lip it becomes a very difficult process ; the general operation of sewing it is not in my opinion successful. If by paring the edges of the lips, and pinning them together with silver pins, the lips being drawn together by silk passed alternately over the pins, the flesh will unite in a few days when on removing the pins, common adhesive plaster will complete the simple operation. I trust I have said enough on the subject of children, and their diseases to induce fond mothers who wish to retain their offspring, to have always provided in their homes those necessary ingredients which on sudden emergency supply at once the presence of the medical man, or at all events that will satisfy the demands of the case, until such can be procured. All my courses of medicines are so made up, that time in keeping them can have no deleterious effect upon them. 208 THE MEDICAL PILOT J MIDWIFERY. It is not my intention to write any long essay on this subject. I am glad the day has arrived when it becomes nearly unnecessary to employ men in these delicate cases. The profession being now extended to the female sex, they will naturally be the best doctors on such occasions, and save the feelings of women thus situated. How much better the plan. Ladies who have taken up the profession ought above all things to make themselves efficient in this branch. It is a thing long desired, and assuredly all male doctors ought to be glad, that such a system should become general. Besides, there has been too much legerdemain used in this branch of the profession, and the use of instruments became too common ; not allowing nature to have her own way, but by hurrying her in her operations, laid the foundation of the most serious disorders. It is a matter of congratulation that people are becoming aware that this branch of medical science is likely altogether to be transferred into the hands of females, when we shall hear no more of those indelicacies that have for so long a time been spoken of. I would not indeed from any false delicacy wish to see women thrown into the hands of the ignorant of their own sex, but I would gladly resign to those properly-qualified, this delicate matter which I think men should have nothing to do with. We have I regret to say, too much cause to have this system altered, if we can credit the accounts published of the way such things are carried on in many parts of the world. When we look back into history we are astonished at finding, that the delivery of woman was accomplished entirely by their own sex ; if therefore, for ages men were not wanting, why should the system be altered ; among the Israelites there were no male accoucheurs, and I do not see why there should be any in these days. America has set an example to the whole world ; one that will no doubt some day or other become general ; the true women of America have entered the list, have studied, practiced, and have 209 OB, NEW SYSTEM. become graduated physicians, and in their hands the practice of midwifery should be left. SPITTING OP BLOOD. This is not so alarming a disease as the appearance would indicate, that is to say where consumption is not at the bottom of it. I have known several musicians who spit blood occasionally ; no doubt the effect of severe exertion on a wind instrument, and yet they had sound constitutions in a general way. I would not recommend persons of a weak frame, and habit using their lungs in filling large brass instruments; but, that persons may spit a little blood without having any determined constitutional disease, is certain. If the lungs be weak and liable to rupture, then the use of them in a violent way is highly improper, and would no doubt if persevered in be attended with the greatest danger. I have heard of persons bleeding from the mouth large quantities, but I do not think the cases sufficiently authenticated to give them as examples, where the issue was harmless. painter's colic. This description of colic derives its name from its usually attacking persons, who are under the influence of the vapors arising from a decomposition of lead so continually used in the painter's profession ; in pain it rather exceeds the common colic, and becomes worse by its being attended by a very obstinate costiveness ; to remove this impediment requires very often some of the severest remedies. Croton oil has in many cases been successfully applied, but I have succeeded in making up a complete remedy in courses according to the New System which as yet has never failed. NIGHT MARE. This disease is very well known to every one, and, in nine cases out of ten, proceeds from indigestion; it generally attacks persons who retire to rest with a full stomach ; it may, however, arise from other causes ; there is no doubt but that it has been produced upon a sleeping person by laying a small weight on the sleeper's 210 THE MEDICAL PILOT J chest or stomach. It seems to produce some horrid dream, such as being chased by a wild or vicious animal, the propensity being to call for assistance, though all the time prevented from doing so. It does not last long, and the person generally returns to consciousness, and by turning on the side avoids a repetition of it. SOMNAMBULISM. It has been said that learning to swim is only getting rid of the idea of drowning, or rather the fear of being able to sustain yourself in the water; for, as the reasoning would suggest, how do the brute creation swim without learning, while man, the superior, in this becomes the inferior. In somnambulism fear appears to be entirely got rid of, and the most extraordinary feats are performed, which could not possibly be done, were the person awake to his situation. Men have been known to walk on the edges of a house, overhanging a street, where, under consciousness, it would not be possible to maintain the least footing, or balance. Generally speaking, these walking fits take place after the person has retired to rest, and if they are let alone, generally returns safely to bed ; on the other hand, it becomes extremely dangerous to awake them suddenly to a sense of their situation. Many a person, by such a course, has become the inmate of a lunatic asylum for the remainder of their days. * Suspended Animation freezing. After continued exposure to cold, a sleepy, drowsy sensation comes gradually over the frame, and if this sensation is allowed to progress, the sleep that knows no waking assuredly follows. Every exertion should be made by those under such exposure, by walking, running, or jumping, to keep awake, as the only hope of escape. Napoleon the First, out of four hundred thousand men that he marched against Moscow, brought back but a mere handftil of men; exhaustion from long marches in the snow, overcame 211 OE, NEW SYSTEM. them, and, on being compelled to get some rest, went to sleep, never to awake in this world. To produce reaction, the frozen person should be well rubbed with flannels, and a good ducking in cold water would be more likely to take the frost out of him, than any portion of hot liquid that could be used j a little brandy given internally will aid in his recovery. strangulation. Where this is accidental, as sometimes has been the case, no time should be lost in cutting down the body, then by cold water applications, rubbing, and inflating the lungs, to try and restore animation. If the vital spark has not fled, these measures persevered in will most probably succeed ; if the vertebrae of the neck are broken of course such experiments are useless, as apoplexy has supervened, death has resulted. In one of Sir Walter Scott's novels there is a case recorded where a prisoner who was condemned to be hanged bribed the sheriff, and the executioners of the law, who, for money, agreed to the following mock ceremony of hanging, and which ceremony took place before assembled thousands, who went away satisfied that the law had been fully carried out. An iron collar • was made that fitted the neck of the culprit loosely, from this collar, girths that would not stretch passed down behind and before, forming a loop for each leg to stand in, the rope was fastened round the collar, which was made with two rims, in the form of a groove, preventing the rope from slipping on to the neck; of course, when suspended, the whole strain was on the girths, in which the culprit stood, and by allowing his head to lean on one side, the whole had the appearance of reality. After the usual time the body was cut down, the prisoner pretending to be dead, while a coffin pierced with holes being prepared, the supposed corpse was taken away for burial. The man thus escaped. stoppage of the wind-pipe. Children are very apt to contract a habit of putting thimbles, pins, or money in the mouth, and sometimes lose their lives by 212 THE MEDICAL PILOT J swallowing improper articles. Sometimes also they stick in the throat, and even in grown persons, who are not careful in eating, the same thing may occur; it would be well to correct this habit in children; nothing is more painful than to witness the struggles of a person under the sensation of suffocation, and as instant relief must be afforded, presence of mind is essentially necessary in such cases of emergency. A few years previously to the death of the Duke of Wellington, while eating a part of a partridge, a small bone stuck in his throat, and remained there in spite of every attempt to extricate it, for a few days; when the old warrior was relieved, and entirely out of clanger; it was whispered about town that that was not the first time in his life the old Duke was nearly destroyed by a bony 2>art (Bonaparte.) The bon mot caused considerable amusement in military circles. CHAPTER XXXIV. HOW TO SUCCEED IN LlFE. There is not a more momentous subject pertaining to man, than the one given in the present enunciation; it is, in fact, what every man would like to know, and, indeed, when found, would be the real philosopher's stone. If a man could only know what course exactly to follow, so as to be sure of succeeding in life, he would have solved the great problem of his destiny here. There are many things that have to be taken into account in investigating this all absorbing question ; and the absolute necessity of understanding that it does not rest simply within the jurisdiction of our own opinions vigorously carried out; for such is the variety of mental hallucination as to what constitutes success, as well as the infinite number of different modes adopted by diffe- 213 OR, NEW SYSTEM. rent persons in its attainment, that unless there are some fundamental principles, authorised by wisdom, to commence the campaign on, the probability will be that our fond hopes will be wrecked. Success in life is by many supposed to be the realization of great means, honestly if you can, but whether or no, the realization of wealth. Is this success in life ? If so, the man who swindles the community out of millions of dollars, and flies to a foreign country, has succeeded in life. Others through vanity leave nothing undone to ascend the ladder of fame, and having gained publicity, perhaps at the expense of every virtue, consider that they too have had success in life. But what a short sighted and ignorant animal man is, under such false methods of obtaining what he knows nothing about. It has never entered into man's brains, that all his visionary dreams have to come to an end in a few fleeting years, and although while living he may have persuaded his fellows to erect a monument to his memory when he died, still he will be forgotten, and the costly monument will only survive him but a brief period, when all he labored for was vanity, and his place long since filled up by others equally vain, now knows him no more. If we look at the great pyramid of Egypt that stands on eleven acres of ground and over four hundred feet high, what does it record of those whose memories it was to have carried down to posterity ? nor do the mummies that are taken from this gigantic sarcophagus, lead us to an acquaintance with those whose lives it was intended to commemorate. If these are not mementos of the vain of those ages, where will be the memory of the foolish man who thinks while jostling in the great crowd of life, that he must do something to render himself a hero, while his wonderful success he leaves as he thinks a pearl of great price to posterity, who could not, were they inclined, find his dust among the commingled atoms of generations. Success in life as I said before, depends on other things than simply those we have enumerated. How gratifying is the thought 214 THE MEDICAL PILOT J ¦when bending over the grave of some dear departed friend we can conscientiously say: " After life's fitful fever he sleeps well." The first thing necessary for a man's mind to be imbued with is, that he is only one out of a number of agents placed by God on the theatre of life, to act a certain part, on the mathematical principle, that every whole is equal to the sum of all its parts taken together • that God will require at his hands a strict account of his agency, hence the absolute necessity in all his exertions, that they should be carried on with honor and integrity, that all his plans and resolutions should be only put into execution under a strict sense of God's providence, while blessings on his endeavors, and guidance in his judgment should be continually supplicated for, and when he finds himself prosperous, the greatest danger will be here ; thrice happy is he then when in thankfulness, for the honest independence he has attained, if he understands in the midst of his prosperity lawfully and honorably possessed, the maxim:— " He that hath this world's goods, and seeth his brother in need, and shutteth up his bowels of compassion from him, how dwelleth the love of God in him." And how blest is he when instead of hoarding up immense sums he searches for the hungry, the naked, the orphan and the widow to make their hearts glad. Success in life, under these circumstances may well be looked for, even enthusiastically, because the object and end of this man's existence is developed in him, and when the grave closes over his remains, and generations have passed away, and he is forgotten in time, his good works proceeding from a correct faith, have long before gone up as the morning incense, to meet him in another, a blessed and a better world. On reading a little work entitled* Health made Easy, I find some very trite observations on this subject, and I cannot forbear transcribing one or two passages. " It is universally admitted that in many departments of skilled labor, and especially in most of the professions, all engaged in them do, or may continue learning, and improving their skill and 215 OR, NEW SYSTEM. dexterity, during a long life. Superior activity, skill and taste, are not the result of bare knowledge of facts, styles, or principles, but they are attained by constant, steady, and a thorough love of the whole subject (whatever it may be) combined wit hlong practice, not only of the hands, but the ears, eyes, and mind, must be engaged in the work, if eminence in the particular calling be desired. Reason and experience prove this never can be done in a few short months, or by a little occasional study and practice ; for in that time and way the mind could not be trained to conceive, the senses to guide, or the hands to execute, the endless variety of thoughts, reasons and actions, which need combining together, before any one can justly be said to excel." " This is more especially the case with common life ; and to act our part well, in any, even the humblest station, much knowledge, united with great mental and bodily activity is necessary. Nor is this all ; our mind if not trained to move in a right direction, may only be active in doing wrong to ourselves and others. A bad mind is constantly employed in gratifying itself ; it sees no " sermons in s'ones or good in anything ; every thing being seen, heard, and felt, through a depraved, unnatural medium." " A serious error is committed by those who fancy it is quite sufficient if they guard against contracting vicious habits of thinking or acting. Success in life does not depend on our merely avoiding to do wrong, but also on our doing right. Such habits cannot be acquired without thinking right, and that must be based on correct knowledge. The fruits of knowledge grow from its being thoroughly engrafted into the mind, and so completely interwoven with all its passions and feelings, as to form a predominant spring of thought and action ; giving an instructive perception, under all trying, and varied scenes of life, what is best to be done, when and how to do it. As a general rule this can only be done in proportion as our knowledge is extensive, correct, and readily available, from its constant use, for the active business of life." Having said thus much on this all absorbing question, I would now show its bearing upon the subject of health, and here I would ask what are all our intentions, our anticipations, our resolves, or 216 THE MEDICAL PILOT J determinations, our counsels, theories, and calculations as to how we shall succeed in life, if we are not in health. Where will all our well digested plans be, if sickness, through our own foolish instrumentality, lays us prostrate on our beds. Will not the consideration of this prompt us to a careful, frugal life, or are the young people of the day satisfied with a few fleeting hours of .dissipation, to become shipwrecked, and all their hopes, their fond imaginations, and wishes for honorable welfare to be scattered to the winds, ending in a premature grave, going into which they can only consider themselves unprofitable servants indeed, in their day and generation. But better things are to be hoped. CHAPTER XXXV. Natural Physical Prevention. It is curious to remark how many works have been written on the subject of the treatment of diseases, and the small proportion ever found offered to the public as preventions. It is an old saying that a small quantity of prevention is worth more than a great deal of cure; and were the preventions as much canvassed as the cures, I am fully persuaded more good would arise. If people could be possessed with the idea of the absolute necessity of obeying certain physical rules, and that non-compliance with nature's laws would surely entail disease, if not death, there would be much less sickness in the world ; the fact is, however, that the idea prevalent among mankind is, take no precaution, but when you get siok send for the doctor. This, if not a maxim, is, however, followed out in practice by almost the whole world ; and it does not take much to understand, that if the physical laws of health were laid down in a code, to be taught young people as one of the most essential branches of-education, they would naturally grow to ma- 217 OR, NEW SYSTEM. turity impressed with those principles, and that practice, that would materially lessen disease. The training of children is indeed a sacred matter, and of course worthy of all our thoughts, and anxieties. It rarely occurs that parents are entirely the instructors of their own offspring, for after a certain age they are more or less under the guardianship of teachers; those who can afford it send their children to some public seminary, while others become day scholars at some public or private school; and what a great duty devolves upon teachers under those circumstances ,• in fact it is to the teachers of America the American youth must look for that care, and instruction in physical, as well as mental culture, that is to rule them for good or evil in after life. As there are no institutions on earth perfect, so the common school system has its evils, one of which is worthy of notice ; it is, the invariable disproportion of teachers to the number of children. Let us take, for example, a school in the country containing four hundred children ; here we find one male, and one female teacher. Now supposing the number of children equally divided between the sexes, and that the school hours are between nine A. M., and four P. M., thus allowing one hour for dinner, there would be left six hours for study, and recitations ; or three hundred and sixty minutes, which number divided by the number of students would give the services of each teacher to each scholar not quite two minutes every day, on the supposition that each was attended singly. As, however, the scholars are formed into classes, this time is in a measure increased; still we must not forget that to take charge of the school in the way of deportment, forms a large item in the time of the teacher; it can be plainly seen, then, that no justice whatever, individually, can be done to the scholars, and it results in the fact, when people are interrogated as to the advantages of the school to their children, they invariably acknowledge what has been stated, but put in as a rejoinder, that the chief advantage they themselves gain is, that the children by being at school are kept out of the streets, and out of the way during business hours 218 THE MEDICAL PILOT J in their own homes. It is to be hoped that this crying evil will by some means or other, be altered for the benefit of the rising race. In private academies, where the amount demanded for tuition is so large, of course matters are quite different, and you will find the proportion generally of four teachers to about forty ox fifty scholars. In all cases, however, more or less the student is almost the whole of every day, depending, both for physical and mental culture, on the teacher, and it is to be believed as much is done for the children, as the erroneous system will admit of. One very essential requisite that teachers should strictly enforce is the position of the scholar during school hours. How many get into a careless lounging habit, that they are ashamed of in after life, and even this might be borne with, were it the only evil resulting from the practice • but how often is it the means of engendering disease, by throwing the shoulders forward, and thus deranging the functions of the heart and lungs, from which consumption and other diseases arise. IMPROPER SITTING POSTURE. We will here see what injury may be done to the frame by such 219 OR, NEW SYSTEM. a habit; the shoulders come forward, the spine is curved, and the whole chest contracted. Doctor Fitch, in his excellent treatise on the functions of the lungs, thus remarks— " I have in my lecture on the uses of the lungs, remarked that the chest is a basket of bones, so constructed and framed as to be most remarkably under the government of the will, and totally unlike any other bony cavity of our bodies, it can be enlarged or diminished at pleasure. The first and natural mode of enlarging the chest is by breathing, by inhaling the air. The lungs, I should say, are air bags, hung up on each side of the chest, and folded into cells comparable to the honey comb, and capable of being expanded, or correspondingly contracted. The largest lung may be made to hold a gallon, or so reduced as not to hold a gill. Now, the larger the lungs, and the more air they can receive, and digest, the stronger and healthier they will be. They will also enjoy an exemption from disease, almost exactly in the ratio of their large and full development. These changes in the lungs would, of course, produce corresponding changes in the basket that encloses them, the chest becoming broader, larger, and fuller. No one should be afraid of the air, but consume as much of it as possible by taking long breaths ; draw in all the air you can. Make a practice many times a day, when in pure air, and especially when in pure cold air, to suck in all the air you can, and in this way strain the chest open to its utmost dimensions, and hold the air in the chest as long as you can, and blow strongly upon it, not allowing it to escape from the mouth until forced to do so. Should the person be of a stooping figure, or of a contracted, narrow, stooping chest, let him on rising frc r:i bed in the morning, and as many times during the day as he pleases, draw in the air as long as he can, and fill the chest to its utmost capacity; now hold in the air, and throw back the head and neck as far as possible, and at the same time throw back the arms and shoulders with sudden jerks, as if to tear the shoulders from the back of the chest, at the same time retaining the air in the lungs. If the lungs are 220 THE MEDICAL PILOT ; kept full of air during this exercise, on throwing hack the head, neck, and shoulders, the air in the lungs becomes an elastic cushion, that acts powerfully on the inside of the chest, lifting the ribs and breast bone outward, upward, and backward, and, in this way, rapidly enlarging the chest, and greatly assisting to give it full size and perfect symmetry." PROPER. SITTING POSTURE. In writing and reading how necessary it is to form a correct healthy habit. Dr. Fitch on this subject also very justly observe — " One would suppose by the positions of writing masters and students at the writing desk, that they supposed the shoulders, or eyes, or head, had something to do with the mechanical performance of writing. The hand and fingers alone are called into exercise while writing. "During a series of years in the occupation of writing, far more may be done by choosing a perfectly erect posture, not bending the head or chest at all, and with one half the fatigue. In all these occupations, the elegance of the person may be perfectly preserved, the svmmetry of the figure not in the least impaired, the natural form 221 OR, NEW SYSTEM. of the chest may be continued, and round shoulders prevented, at the same time more labor can be performed with vastly less fatigue." Thus are all medical men of the same opinion on this vital principle ; indeed it is not alone the youth of the age that acquire this unhealthy practice, but many among the adult population, especially in reading, or writing. It is however a habit that is easier to correct in early life, and I would therefore indulge a hope that parents and guardians, and teachers, understanding the consequences that may result in negligence of it, give such attention to the subject as will show that they have been faithful to their trust. IMPROPER POSITION IN READING. The teaching of elocution, the military drills, and gymnastics, introduced in these days into schools, have a wonderful effect on 222 THE MEDICAL PILOT ; the physical bearing of the youth of the day ; of the athletic exercises I give the preference to military exercise ; a man well drilled is not only obliged to conform to those positions favorable to health, but the same obligations engender a grace, and gentlemanly deportment that commands respect wherever he goes ; besides there can be no risk of bodily injury, comparatively speaking with the liability to accident in a regular gymnasium ; of course no powder need be used in the arms placed in the hands of young people ; independent of this, of course no drill takes place except under the surveillance of competent teachers. GRACEFUL POSITION IN READING. In oratory, graceful attitude carries with it a great moral effect; indeed, an awkward orator, no matter how fluent in speech, never commands much respect. 223 OR, NEW SYSTEM. It will be at once seen how necessary are those laws that operate for the well being of the physical conformation, which naturally sympathize also with the mental faculties ; good air, exercise, and correct delineations of the human system, being indispensable towards health, and are in fact the real preventives to disease, and doctors. It will naturally at once occur, how much more conducive to health must be a country location, and country life, than the closed up, ill ventilated factories of populous towns ; indeed, there has yet to come a day when the public, and its authorities are to be brought to the understanding, that proper places for exercise and air are the just requisites of the population of our crowded cities, and that at the present day, the inhabitants of our city require a park, in which they can from its contiguity seek that fresh air, exercise, and recreation, their harassed frames require, after their toil in confined habitations during a long summer day. What multitudes of lives would be saved were there within a reasonable distance of our city, a park at least two miles in circumference, having in its centre a Zoological garden, where the mechanic after his daily labor could resort with his family and breathe the fresh air, under the shade of the groves either naturally or artificially made ; this would be indeed a boon ; how much better than being obliged to resort to thickly wedged theatres, or bowling saloons, or taverns, and what pleasure would result from it in more ways than one ; enjoyed also without cost, and thus renovating the flagging spirits, and renewing the constitution so as to render a man able to begin his toil again, with the sweet consolation, that again, he can accompany his children to a rural scene where pure air, and exercise await them. An English work on this subject under the head, To Public Men, very justly remarks : " Far too little practical knowledge exists in the minds of public men, as to the best means for attaining health and long life; and the little they do know, makes them liable to commit great errors in their social and legislative efforts tO do public or national good, and consequently they meet with great disappointments. 224 THE MEDICAL PILOT ; " The striking contrast between the healthful, enlightened, and joyous amusements and recreations of the useful classes in most continental towns, and the unhealthy, sensual, immoral, and vicious pastimes and entertainments unfortunately prevailing in our own country have long excited public notice. "If we look at the contagious nature of some diseases, selfpreservation, as well as enlightened benevolence, will prompt us to adopt all the sanatory means in our power, for promoting public health; by inculcating habits of universal obedience to the physical laws of our nature. Both disease in the body, and vice or crime in the mind, spread with fatal rapidity, if not duly suppressed by wise precautionary measures; ultimately, the obedient suffer with the disobedient, to a less or greater extent, when filth or famine send forth pestilence, and when ignorance or passion deluge a country with war. " G-reat as disappointments are, they ought on no account cause despair; but rather to urge the philanthropic, and ingenious mind to the discovery of more effectual means for securing health, and rational amusement, to the sons and daughters of mental and physical toil, in our populous towns. " It may not be long before public benevolence brings science and right principles thus practically and effectually to aid her in doing good to society; but no one at all conversant with the organic laws of respiration, or with the sanatory condition of most, if not all, large towns, can for a moment doubt, that an incalculable good might easily be conferred, in very many cases by the adoption of such a plan. When a public garden or park is laid out, close on the borders of a town which has 100,000 inhabitants, living in an area of two miles in diameter, one half the people for whom it is intended being from one to two miles distant, cannot enjoy the offered boon, except at the expense of an hour's walk, going and returning. Could such a healthful promenade be established in or near the centre of the town, two thirds of the inhabitants would be within half a mile of it; so that those who never went to enjoy a walk with their wiser neighbors, would constantly 225 OR, NEW SYSTEM. enjoy a far more pure air for breathing, and consequently be much better able to avoid disease, or to bear and overcome it, than they otherwise could have been, because the new vegetation, growing in the heart of the town, would absorb the superabundant carbon for its own growth, and distribute a necessary supply of oxygen, for promoting health, and prolonging life, among those people who had shown so much practical wisdom, as to seek health and happiness according to God's laws." There are, to be sure, many towns and cities so situated that public parks cannot be so formed in location, as to serve all the inhabitants alike. New-York, in consequence of the shape and limit of the island on which it stands, may be said to be one of those; still a park could be made, which would go pretty nearly to the mark already desired, and as the generality of people, that is artisans, live up town, and the cars run so regularly, and the fare so small, it would no doubt be a most desirable retreat for our toiling and care worn working people. From the work already quoted from, I shall conclude this chapter with the following paragraph, so worthy of the christian mind that dictated it: " Every enlightened mind delights to dwell on the fact, that our blessed Creator gave us the power of holding, as it were, the helm of our physical constitution; and its laws are of such a nature, that when this is done rightly, the whole vessel is obedient to it, and all goes on well. We only are to blame, if we remain in unknown, stormy seas, without compass, rudder and pilot; when every thing necessary for our comfort and safety is so bountifully provided. Let all who have hitherto neglected to use these means of common prudence, thank God for them, take courage, and no longer trifle with the life, and health, he has, for his own wise ends bestowed ; even those who have impaired their constitutions by neglecting to observe the laws of health, may do much towards restoration by prompt and thorough reform." 226 THE MEDICAL PILOT J CHAPTER XXXVI. MINERALS MERCURY SALIVATION BLOOD LETTING FAINTING DELIRIUM SUDDEN DEATH, &C, &C, &C. It is curious to think that although the effects of calomel (or in fact every preparation of mercury) have been so thoroughly written upon, and the injury to the system of tho3e who take it so emphatically proved; yet there are still many who yet think it the sovereign remedy in all disease. It would, therefore, be injustice to those whose benefit I seek, to send the Medical Pilot to the world without pointing out the bearings of those poisonous shoals that lie in the way of the health seeking public, who still insensible to the wrongs of modern science, continue to waste their systems by a continued use of minerals. MERCURY is the " very head and front of the offending," and no one can use it without laying the foundation of worse consequences, than those resulting from the disease it proffers to annihilate. Doctor Beach, in his excellent discourse, says— In detailing the changes produced on the system by preparations of mercury, it is necessary to premise the well known fact, that there are some individuals on whom such medicines, though continued for a considerable time, have little or no perceptible influence, unless the activity of their form, or the magnitude of their dose be calculated to excite immediate effects. For example, whatever the constitution of the person may be, a very few grains of the muriate of mercury, given in substance, prove rapidly fatal, and large doses of the submuriate are quickly followed by vomiting and purging. On the other hand, instances of constitutions which are unsusceptible of the influence of the ordinary doses and preparations of mercury, are very few in comparison with those which are affected by the smallest quantity of that mineral." 227 OR, NEW SYSTEM. " Preparations of mercury, exhibited either internally or externally for any length of time, increase in general the action of the heart and arteries, and produce salivation, followed by emaciation and debility, with an extremely irritable state of the whole system." "These effects of mercury are expressly mentioned, or virtually admitted by every author, ancient and modern, who has directed its use ; and it must appear very extraordinary, that their full influence should have been misunderstood, or at least not sufficiently regarded." " It appears therefore, that the increased action of the heart and arteries, excited by mercurial medicines, produce not only the same injurious changes upon the body with those arising from inflammation, but also certain effects peculiar to itself. This important fact has been incidentally noticed by numerous authors, although the natural inference to be deduced from it, has been very much overlooked." " The health is rapidly undermined ; and if there be ulcerations in any part of the body, they must as certainly degenerate into malignant sores, as blistered surfaces or scarifications mortify in cases where the living powers are much exhausted." SALIVATION. Thus we see some of the horrors of taking this prince of poisons, but it is not all by a great deal ; who that has ever witnessed a patient under the salivating effects of mercury but will remember the swelled tongue, the discharge from the mouth, the shocking state of the gums, the loose teeth, and sallow complexion, and the cadaverous face ! Doctor Beach on this subject also says :— " Salivation, or an excessive and unusual flow of saliva in general, follows the increased action of the heart and arteries, and is preceded by a certain metalic taste in the mouth, and is attended with a peculiar odor of the breath, different from what is ever perceived in any natural disease." There are other evil effects that assuredly follow the use of this slayer of thousands ; general emaciation takes place in the whole 228 THE MEDICAL PILOT J system, with general debility and loss of appetite, restlessness, nervousness and a great change towards irritability in the temper; not unfrequently insanity, and sudden death. How people after such a catalogue of evils, will still continue to take into their systems, anything that would thus lay them prostrate, is almost inconceivable. Let us hope and trust that the day is not far distant when mercury, zinc, antimony, arsenic, and iodine, may be as-though they were not, then will the people have cause to rejoice, and we may expect a generation able to maintain both physically and mentally the dignity of that country, which was won by the stalwart and manly bearing of our sires. BLOOD LETTING. This is another baneful practice, and one it is to be hoped will cease with the administration of mercury. The life being in the blood, of course if the blood be taken, then the life must go. It is not exactly certain at what period of the world this killing practice was introduced, one thing is certain, viz : that bleeding has killed more people than any disease ever did ; indeed, there seemed at one period a perfect mania for the lancet, and let the complaint be what it might, nothing else was adopted as the first course in every medical desert. .Of late years, however, the faculty appear as if to awake from a dream, and the practice now has greatly subsided ; indeed, most physicians now agree in thinking it altogether useless, even in those diseases which hitherto claimed it as a specific. Doctor Beach on this subject says— " I am perfectly satisfied that there is no necessity of bleeding, scarcely in any case. A few days ago I was called to a patient laboring under a violent attack of the pleurisy. Almost every practitioner, however averse to blood letting in general, recommends it in this disease. As soon as I examined the person, he requested me to bleed him, and give a dose of mercury and rhubarb* as a certain physician always was in the custom of doing in this complaint. I intimated to him that nothing was more common 229 OR, NEW SYSTEM. than for physicians to disagree, and hoped that he would abide by my directions. I, in the first place, ordered a decoction which produced a most copious perspiration. This was about four P. M. Early the next morning a vegetable purgative was administered. I called to see him on the same day about twelve o 'clock, when I found the inflammation and cough had subsided; the pain in his side, which was very acute, entirely gone, and all symptoms of the disorder, which were violent in the extreme, abated." Just so, I am fully convinced that hardly a case exists in which bleeding becomes necessary. About two years ago I was called in to see a man in typhus fever; when I took my seat at his bed-side I found that he had been many days ill before I had arrived, and that the fever was then on a turn, which from circumstances looked quite unfavorable; the patient during lucid intervals requested me to bleed him; he said the doctor he had formerly employed, always bled him the first thing; now, to bleed the man under such circumstances must of course have been instant death, surely he wanted all the blood his constitution could command, and to rob him of what he should depend on for his life, would have been rather too bad. I told him so, and he appeared to be rather disappointed, but said he would take whatever I thought best. I immediately commenced with one of my courses, and before dark that evening I found a great alteration for the better; leaving my medicines, with proper instructions, I departed and did not see the man until nine o'clock next morning, when, to my surprise, he said, (before I could get time to address him,) Doctor I feel better to-day ! I now put him through another course, and before he finished it, he was out of danger ! Let us now see what are the immediate effects of blood-letting. FAINTING. This is a natural effect of bleeding, and who can witness its concomitants without perceiving the inconsistency of the act, when supposed a curative in disease. The first sensation the patient 230 THE MEDICAL FILOT ] feels is dizziness, then loss of feeling, the breathing affected, until the patient is observed to draw long sighs. The pulse and heart beat slowly, while the whole frame becomes cold, and clammy with perspiration, and not unfrecjuently the result on recovery, has proved to be delirium. Convulsions also attend the act of bleeding ; in this case of course the brain becomes affected by losing its usual energetic appropriation; in fact numerous well attested experiments on the inferior animals prove beyond a doubt that convulsions and death are consequences upon blood-letting. DELIRIUM. This also is an effect of blood-letting, in some cases to be sure it is only temporary, but it has often ended in perfect madness ; were there but one case of insanity occurring from the practice it is not too much to say, that it should be entirely given up. SUDDEN DEATH. It is a certain f .ct that even sudden death has been caused by bleeding, and I shall copy (in concluding this subject) the remarks on the death of Washington, as I find it detailed by Doctor Beach. The Doctor's work thus speaks — " Think of a man being, within the brief space of little more than twelve hours, deprived of eighty or ninety ounces of blood; afterwards swallowing two moderate American closes of calomel, which were accompanied by an injection ; then five grains of calomel, and five or six grains of emetic tartar; vapors of vinegar and w r ater frequently inhaled ; blisters applied to his extremities; a cataplasm of bran and vinegar applied to his throat, upon which a blister had already been fixed; is it surprising that, when thus treated, the afflicted general, after various ineffectual struggles for utterance, at length articulated a desire that he might be allowed to die without interruption." Thus was the father of the Republic bled, blistered, and dosed with mercury, until the heroic Washington, that had braved dan- 231 OR, NEW SYSTEM. i-er and fatigue, was forced, through the mal-practice of the day, in physic, to succomb. I can not close these observations better than transcribing the few remaining sentences of ths able author already spoken of—he says— " In concluding this chapter on the morbid and dangerous effects of blood-letting, I anticipate the remarks of an objector or enquirer, ' Do you then reject bleeding in every disease ?' In answer to which I have to observe, that ever since I commenced the practice of medicine, I have witnessed the effects of bleeding in different diseases. The practice has been so popular, and recommended by such high authority, and been adhered to by physicians for such a great length of time, that I concluded to follow it, until I satisfactorily ascertained the effect of it upon the system. At one time I even took a bleeder with me in my visits to my patients, and in some degree followed the footsteps of Doctor Sangra*do, and bled almost every one of them. I soon found that I injured, instead of benefitting them; and although I discontinued the practice of bleeding so constantly, and indiscriminately, yet I have for years occasionally resorted to it, till more recently I havo laid aside my lancet, and it is now rusting in its scabbard. It is true my students sometimes bleed patients, who insist upon its being done, but this is not in conformity with my practice. I can fulfil every indication for which bleeding is practiced, by the substitution of otlier means more rational, natural, and congenial xvith the system, and therefore, after a most extensive observation, and practice at the bed-side of the patient, I must, as an honest man, whatever may be the opinion or practice of others, adopt the following maxim, seldom or never bleed" 232 THE MEDICAL PILOT J CHAPTER XXXVII. The Knife—Amputation—Dislocations—White Swelling— Cutting foe. Cancee—Pistula—Rupture—Aneurism— Trepanning. What a curious thing habit is, and even when the lives of the people at large are hanging on the die, even then habit will not restrict itself, but go on just as if custom made right what to our experience we know to be wrong. Thus in the cases under consideration, how many cures are attempted by means of the knife, when no necessity whatever requires it ; on the contrary, when all tlfe indications requisite can be arrived at, by other and simple means ; but habit calls for the knife, and as it were to show consummate skill in the handling of it, every poor patient must submit to be mutilated, in order to raise some one to the rank of a good carver. If indeed the line of demarcation was so nicely defined between disease and health, as to be sure that no traces of disease will be left behind after an operation, there might be some plausability in the wholesale slaughter ; but as is too often the case, When the diseased parts spread out almost imperceptibly into the healthy parts, and that no certain line of distinction can be traced, then common sense asks how does the surgical operation effectively cure disease ? It is truly gratifying to see under the present enlightened age, that medical men of all nations cry out against the frequency of cutting and carving the human frame. Hear what a celebrated English physician says : " If operations, bloody, cruel operations, are looked on with admiration it can only be by those, who regard plague, pestilence, and famine, as beneficial also. No ! — operations are our opprobrium, our disgrace, not our proper and legitimate boast; the mere operator is little better than a human butcher by rule. There is too OR, NEW SYSTEM. 233 groat a taste for the knife at present; operations bring discredit on surgery ; unsuccessful ones, even when perfectly justifiable, inspire doubt and repugnance to it in the public mind. Patients who see or hear of their relations or friends submitting to barbarous and frightful mannings, only that they might live for a month or a week, feel no great relish for the knife when its use might bring safety and a cure. What a sarcastic, what a damning catalogue of great operations performed within these last few years, might a diligent cynic.compile for the gratification of the world." AMPUTATION. Let us see how the great rule is applied in the different cases of amputation. Is it possible always to be sure whereabouts to cut when mortification sets in ? This appears to me to be always problematical until time shows whether sloughing will take place or not, in the limb after the operation. If the limb slough, where is the effect of the surgical process. It is of no use ; where then is the certainty, and where the remedy ? the disease has too many ramifications, and of course no operation can command it entirely, so without other means the patient must fall. Such a case I contend for it, can have no good result under the knife of the operator, and therefore can alone look to medicines, and those vegetable ones too, for a satisfactory result. One case in point I can mention among others in my own practice. I treated a man with my courses according to the New Theory, who had a sloughing in a limb, after sloughing had commenced. The case was one of the first that had come under the application of the New System, and of course I was anxious to watch its progress, so as to see if theory and practice would agree; to my gratification I found after a few courses the sloughing began to decrease, and the stump to show a healthy intention ; in two weeks the man was well! DISLOCATIONS. In consequence of some of the best authorities having almost entirely given up the knife, there are but few amputations now, propor- 234 THE MEDICAL PILOT; tionally to those of former years; still it would be indeed desirable if the knife was less used even than it is. The late Sir Astly Cooper set his face against the practice, and it is not too much to hope that his successors in every country may do the same. In dislocations there cannot be any pretext for it ; and no doubt operations for such accidents will in future be unknown. CANCERS. Operations for this disease have never been more than transient; were we to know the history of every patient who has been operated on for this disease, we should no doubt find that at some period within a year or two it returned in all its violence, and as the disease is a fearful one, and females subject to it, I cannot but impress the reader with the absolute folly of looking to the knife for a cure; depend on it, it cannot do away with the disease ; nothing but medicines that will attack it in the system can be depended on. I have therefore on hand always certain courses of medicines according to the New System, by which I undertake the radical cure of this terrible disorder. I have so fully tested the thing that I have reduced it to a mathematical certainty, and only require a letter, or a call to prove what I assert. If there be a philanthropic act done in the world, surely without egotism it is providing a certain remedy for this terrible bane ; this I consider 1 have accomplished, though not by arsenic as some are supposed to use. WHITE SWELLING. Here is another case where amputation only makes matters worse. Be warned ye children of men! — amputation is not necessary in this case. Your leg may be saved, can be saved by medicines, when by amputation your leg must be lost, and the probability of your life also. FISTULA. Operations for fistula are terrible, and rarely have ever been attended by success, It would be soul harrowing to enter into a description of this surgical operation ; it would make the blood 235 OR, NEW SYSTEM. run cold, and if it were surely attended by a good result, there might be some satisfaction in bearing the terrible ordeal, but it is no better in this case than in the former, and thus the poor stricken patient is destined to drag out a miserable existence. RUPTURE. I shall mention one case in particular of rupture, that I successfully treated after a consultation of physicians had pronounced it incurable except by operation. The patient was a very fat lady, and the case one of abdominal strangulation ; she very fortunately was entirely against the operation in a surgical point of view. I was sent for by her, at the request of a friend who had heard of my success elsewhere, and the moment I arrived and made a proper examination, I told her if she wished I would try my method ; to which she assented as soon as I promised her that the knife should not have any part in the performance ; when I told her that my belief was that she would die under an operation of the kind, and that my practice was in direct opposition to such, she immediately complied. I now procured the assistance of three or four able bodied women of nerve to assist me, and preparing all things I had her suddenly inverted, that is made to stand on her head ; the operation was sudden, and during the inversion I was favored by being enabled to reverse the casualty that had occurred, and giving her a course of my medicines had the gratification to find that the faeces were discharged by the natural route, the sickness at the stomach entirely allayed, and from that hour she gradually recovered. Thus I consider under providence that this complicated case was successfully treated, without the use of the knife. It will not be wondered at, that I became her family physician always afterwards. ANEURISM. "Where large arteries are concerned, this is a very fatal disease ; indeed it cannot be otherwise; who could think of even tying the arteries of the heart with any degree of success; but there are 236 THE MEDICAL PILOT ; some few cases perhaps where arteries may he stopped for a period so as to lengthen a patient's life for some purpose, such as the settlement of worldly affairs—all attempts, therefore to cure a complaint of this nature by the knife is useless. It is a fact, therefore, that the whole community is over-operated on. CHAPTER XXXVIII. Symmetry op the Internal Man. The most casual observer will acknowledge the wonderful symmetry, and beauty of the human frame. It has been laid down by all men of learning and of taste, that symmetry and beauty are contained in a deviation from the straight line, and that natural objects never show themselves in mathematical figures. If we contrast the pictures traced out by children, as representations of men, we find them generally composed of a figure of a tea chest, with arms and legs, and a round or circle stuck on for the head. If, I say, we contrast this square representation with the departure from the straight line, in the real contour of the human frame, how soon we shall be convinced of the beauty exemplified in the structure made by the Allwise. In architecture from year to year there were improvements, until it was agreed that the five orders disputed the palm, and thus has man's limit in the beautiful rested even unto this day; indeed so far from these very orders being established by design, we find that the Corinthian order was designed by chance. The beauty of man, externally, is the theme of admiration all over the world, and it is no less so internally ; indeed the machinery of the living being is the most beautiful, and the most harmo- 237 OR, NEW SYSTEM. nious that finite capacity can contemplate, and sufficient surely to induce us to give all homage to the great creator, who Plants his footsteps in the sea And rides upon the storm. In contemplating this subject, I have been struck with a very lucid description given by Doctor Fitch, and it is so clear, and excellent, that I cannot forego the pleasure of inserting the extract entire. The learned Doctor says— " I now come to speak of the symmetry of the body. I mentioned to you, that symmetry was the very key of health; that the human system is a machine, put together, and acfing upon mechanical principles ; that each part has its appropriate bearings, every part being constructed to a symmetrical arrangement. These remarks applying to the external form of the person, also apply with equally great force to the internal parts of the body. I believe that all diseases proceed from two causes only; one is loss of symmetry, either in size, proportion, function, or integrity ; the other is from poison. The human person may be likened to a box or trunk. Now, suppose this trunk, the person, to be laid flat upon the back, we should then find the bottom and sides mostly solid, whilst the top or covering of the trunk would be solid only at one end, across the chest, whilst the lower part of it is covered with elastic belts. Now fill this trunk full, as it is laid flat on the back, and set it up on one end, we shall find that everything inclines to settle down to the lower- part, and press against the elastic belts; now unless these belts are extremely firm they will become relaxed, or stretched, and allow the different parts of the inside of the body, more or less to fall down out of their places. On examining the trunk of the body, we find the lungs, the heart, with the blood vessels, air-pipes, &c, &c, besides some small glands, filling up the whole chest. These parts possess considerable weight. The chest is a basket of bones, entirely open at the bottom, or its only floor is a loose, fleshy, moveable curtain, that floats up and down between the chest and abdomen. At the top of the abdomen, towards the left side, and stowed up against the 238 THE MEDICAL PILOT ; loose floor of the chest, we find the stomach, \ v hat when full, with its contents, weighs several pounds. We find also, the liver at the top of the right side of the abdomen, a solid, heavy mass of several pounds weight. " Beneath these, we have the large bowel, which, with its contents, is very heavy, and besides these the caul and the small bowels. All these, in some large persons, weigh fifty or sixty pounds, or even more. Now all this immense weight, checked only by slight fastenings, is at last fully supported by the abdominal belts, by the belts that cover the front of the abdomen, which take their origin or insertion from the lower edge of the breast bone, from the lower edge of all the short ribs, from the back bone in the small of the back, and from the upper edge, all around the basket of the hips. Whilst in perfect health and whole, these belts keep all the different parts of the inside of the body, fully and snugly up to their places; but when broken any where, very promptly we see the bowels gushing out, and dragging every thing inside out of its place ; and if any way considerable, the individua\ can neither stand or walk. This is exemplified in the case of ruptures." Here we have a review of the wonderful organization, or internal economy of man ; where, may we ask, is the most subtle piece of mechanism that has ever been invented by man when compared to this machine, and then, after all, the power of giving life, and energy to the whole mass !-»—• who can comprehend this ? In connection with this subject may be mentioned that of abdominal supporters. It absolutely becomes necessary very often, both as a preventive, as well as cure, to have recourse to such a process, and the necessity for their use by both sexes. There is great necessity for a perfect knowledge of the disease in order to have the proper required support, as numbers of persons have been ruined, especially females, where improper supporters were improperly worn, and by which disease has been engendered, in place of cured. I would therefore advise all persons to be extremely careful not to use supporters at all, without the advice of a physi* 239 OR, NEW SYSTEM. cian well skilled in the matter; I have arranged this so satisfactorily, that any communication on the subject can be replied to satisfactorily, and I have such supporters, as, with instructions, will raise the abdomen into its proper, and primitive place, without deranging in the least the action of those parts contiguous, and Avhich should not be borne upon, or looked to for assistance. Of course it does not always follow that supporters by themselves will secure a perfect cure, but the support is actually essential, while medicines are employed, to bring back the tone of the natural belts so as to perform their own functions without artificial aid. I have found a strict attention to these principles absolutely essential on the part of my patients, and the result has always been satisfactory. Almost the last words I invariably give to those who seek my counsel, is, after prescribing for their physical necessities, to recommend them to help me, by a corresponding symmetry of the mind • how much depends on this feature, and but few patients seem to understand it ; it is an essential requisite however, for we find children who are mentally unconscious of what is going on, struggle successfully through diseases that would lay nine-tenths of our adult population in the grave Let your minds under disease be as peaceable, and unruffled as possible. Dr. Fitch on this subject also says : " In conclusion I cannot pass over the vast importance to health, that the mind, in all its parts, should be well balanced ; no one attribute of mind acting at the expense of the others. A disordered, and distempered mind is totally incompatible with health and long life. It soon destroys the body of its possessor. Tranquility and repose of mind, are indispensable to health and long life. It is an interesting fact, that all the vices contribute to disturb the mind, whilst all the virtues contribute to its repose and tranquility. The effect of vice is to shorten life, and destroy 240 THE MEDICAL TILOT J health while we live. On the other hand, virtue in all its demonstrations, inclines to lengthen the duration of life." Truly the mind has a great part to play in the remedial agencies to enjoy health ; indeed, many who have been cursed by irritable dispositions have suffered for years under disease, that would have given way long before under the influence of proper treatment. A physician can find medicine, and advice, but he cannot find a placidity of temper, to back up his advice and prescriptions on all occasions. I had a patient once very much afflicted with the neuralgia, whose whole nervous system was deranged ; he suffered very much indeed, and had tried every kind of physician and nostrum. I saw him on a gre.it many occasions, but I could perceive that with his irritable temper, little could be done to allay the disease ; his spine was dreadfully affected, and he could not rest at times, either day or night. *It was curious to trace the powers the mind exerted upon his complaint, and when circumstances in his business were reported to him in his sick chamber, if they were of a flattering description the disease almost seemed to leave him, but if the contrary, the pain would appear to increase, and oaths would mostly be the result. He was a complete miser in money affairs, and if the gold came in, no matter in how few dollars, ho would become quite agreeable, was sure to feel much better and he fancied himself comparatively well, as the glittering coin passed from his hands to his purse ; gradually the excitement wore off, and the same savage (for I can call it nothing else) nature appeared until the next post came in, which was sure to be the arbiter of his pleasurable feelings, or his rage. At one time he considered his recovery impossible, and a thought seemed for the first time to flash across his mind that soon he should leave the gold, and all his transitory affairs, for (to him) some other unknown existence. Religion he had none, so cunningly scanning over the various creeds of the nation, he wisely thought that at the eleventh hour, that system which discarded future punishment suited his case best for the mo- OR, NEW SYSTEM. 241 ment, professed his belief, and when the disease really lessened, left it, like Agrippa, for a more convenient season. It is needless to say that his mind was the sole cause of his lingering so long, and that had he been gifted with a religious, complacent, mental feeling, and disposition, he would have been a well man long before. Let me entreat my readers to lay in such a stock of religious, and moral feeling, that should the Almighty dispenser of all things, seem good in his wisdom to afflict you, you may be able to show such a front to. the attack, as that under providence and the skill of able physicians, your bodily suffering may be so greatly abated, that you may rise again without delay, to health and your family circle. CHAPTER XXXIX. Virtue and Vice in connection with Medicine. Of all animals, man is the most helpless on coming into the world; every other animal is more easily reared; but man is helpless indeed, while if left to himself would have no hope of existence, and it is only by time, degrees, and education that he arrives at manhood. Inherently a child could ascertain nothing by sight; if it were not to hear the things around and about it, called by certain appellations, and on their being so called then used, it would never be certain of distinguishing one thing from another, or one person from another; the human being is, therefore, a creature of habit, and this proves how much in after life depends the education which the child receives, and whether the moral tone of those about it, is such as to lead the future man to virtue, or, on the other hand, misery and vice. How well it would be before persons enter into the marriage state, to get a glimpse 242 THE MEDICAL PILOT; of the necessity of proper action in the tuition of the young, and the heavy responsibility they will have to bear, if by negligence or positive malfeasance, their offspring grow up only in dishonor to themselves, their sires, and the country at large. There are generally three stages in life; childhood, maturity, and old age. There are many persons who imagine that childhood is the happiest period, others that the school boy days, when care forms no ingredient in the affairs of life, and again others who having buffeted the waves of life for long years, have outlived misfortune, friends and enjoyment, and are but too happy to think the time short, when a resting place will be awarded to their weary limbs. CHILDHOOD. Every age has its pleasures, and its alloy. If the child has no care, from want of knowledge, still when we see the numerous complaints it is subject to, the everlasting restlessness for something it cannot describe, the pain it has to undergo because it cannot tell what the matter is; surely we must say the child has its own sufferings. SCHOOL BOY AGE, In the school boy days to be sure, still there is no care, but if there be not, there are many joys attendant on more mature years, to which the school boy is a stranger, and the centre of gravity still is doubtfully poised. MATURE AGE. In maturity the man has come to a perfect knowledge, we will suppose, (for he ought to,) of the objects, and intentions of his existence, and thus we should suppose that, guided by all the acquisitions of his period, he would be able to shape a course more independent of evil than the rest; but here again we find, that the excess on the one part is again balanced by the defects on the other; so if he has greater enjoyments offered to him, he has also greater difficulties to surmount. The business that now entails 243 OR, NEW SYSTEM. upon him, in order to have those enjoyments, brings with it disappointments and. losses, and thus the balance is still trembling and uncertain. OLD AGE. In old age it is the same thing. As soon as a man is physically and mentally past the age, he is soon forgotten ; forgotten at once by the community generally, and nearly as soon by his relatives ; he becomes like the old horse, worn out in the service, and because he cannot still work, his former toils are not thought of, and he is cast to the dogs. Here also the balance trembles, and if the hard worked old (beast) man has not sufficient money to have his shoes taken off, and the means to purchase a meadow to ruminate in during his last hours, he must be satisfied to die without friends ! and without a home. On this subject it may be instructive to quote the following passage from the work of Mr. Bentley, an Englishman : " Death, sooner or later, comes upon all men. If our physical laws have been neglected, or disobeyed, it may come early, to stop further transgression, and suffering. It may seem hard for us to suffer disease and early death, not only for our own physical errors, but also those of our parents, yet there is much benevolence in this seeming hardship of ' visiting the iniquities of the fathers upon the children, unto the third and fourth generation of them that hate ' God; as this law tends to arrest the spread of evil which might, if not thus checked, destroy all human happiness, or even extinguish the whole family of man. No diseased individual, family, tribe, nation, or race, can long continue to transgress God's laws, without meeting inevitable destruction; but he encourages to well doing by saying, ' I will show mercy unto thousands of them that love me, and keep my commandments,' so that blessings are not confined to the ' third and fourth generations.' The good man endures disease, under the consolation, that He who inflicts it always punishes with the least possible amount of severity; and calmly awaits death, not as the ' king of terrors,' but as a messen- 244 THE MEDICAL PILOT J ger from the giver of life, come to ' dissolve ' the ( earthly house of this tabernacle,' making room for others on our limited stage of existence, to be ushered into a boundless eternity of bliss, and hear the glad tidings, ' Well done thou good and faithful servant, enter into the joy of thy Lord.' " EFFECTS OF VIRTUE ON THE LIFE OF MAN. There is no one that is absolutely unacquainted with the fact, that a tranquilized mind tends greatly in individuals to their recovery from disease ; it is this that induces me as a medical man to point out these things, which many persons might be disposed to think are more fitting subjects for the discourses of pulpit orators ; but when it is considered how much these influences run into the medical profession, and how much the cultivation of virtue aids us in our endeavor to overcome disease, surely it will at once be conceded that of all professions, ours is the one that requires the cultivation of moral requisites more than any other; besides, as we are brought into contact so often with both sides of this momentous question, and perceive the little trouble to the one class, to get rid of disease, and the lingering nature of the other, surely we have a right to expatiate on, and point out the benefits of the one, and the evils of the other, if by any means we lessen disease among mankind. I shall only enumerate a few of the prominent virtues, which predominating in well tutored minds, act like a charm when the person possessing them happens to be afflicted with disease. RESIGNATION. How calm will be the mind who having a full assurance that providence works in all things for the best, sees in his dispensations that being the God of love, he designs the evil for some good purpose ; the brain is therefore undisturbed ; the whole frame is, through the medium of the nerves, quieted, and the physician sees at once, that as far as possible all things are favorable towards his efforts to restore perverted nature. Thus is another virtue enlisted. 245 OR, NEW SYSTEM. HOPE. Here then comes another auxiliary which all physicians know to be of great importance in restoring the stricken man, and the cheerfulness that it engenders, helps in no small measure to a final cure. CONFIDENCE. What can be more important than this virtue ; it is tantamount to faith, and therefore almost equal to the removal of mountains ; confidence in the great i am, and under his providential care, confidence in the medicines administered. KINDNESS. This is truly a great virtue whether in sickness or in health ; it is the equivalent to the great axiom " love one another "; how pleasing to see even in a.sick chamber, expressions of kindness from the mouth of the sick man, and the reciprocity in its return by those who so hope, that soon the invalid will be restored to health. FORGIVENESS. This is a peculiarly blessed trait in all, but when sickness is present, what can be more delightful than to see all old animosities buried in oblivion, and the once disunited forgive and forget. COURAGE. When the Saviour said to his diciples, " In the world ye shall have tribulation," he also added " but be of good cheer I have overcome the world." Good cheer ! what is this but that they should have courage ; and how well it would be if all patients be sure to have this courage, how lightly would disease sit upon them. LOVE. It would be hard to be possessed of the other virtues enumerated and be wanting in love; this love is the one indeed which passeth knowledge, and is so universal as not simply to be confined to a few devoted friends, to a small or even a large community, but a love that embraces all mankind. 246 THE MEDICAL PILOT { How much more reason would medical men have for thankfulness, were all their patients thus imbued, and with what alacrity, and satisfaction they would give their advice, and administer their medicines, knowing, that the mind was devoting all its energies to help them in restoring the disorganized body to its wonted state of energy and health. Unfortunately the medical profession have to contend with a great deal that does not emanate from these circumstances, and when a patient falls, how seldom the public know how to weigh all the considerations that have been opposed to the exertions of the medical attendant. How can it be expected that favorable issues will arise from vices, perhaps of an old growth. How can a man really expect to see his exertions attended with success, where the patient is the unfortunate possessor of the evil passions of our nature ? impossible. Let us look at a few of those evils by way of contrast, and it will soon be seen what medical men have to contend with, unknown to the world. Is it not too often the case that a physician has merely to order certain medicines, and that those must effect a cure, or he is no physician at all ; as if the patient has got no part to play at all in the recovery. I shall enumerate a few of the vices which sometimes almost bid defiance to medical skill. DESPAIR. This vice proceeds from the want of hope in the infinite goodness of God, and acts on the brain and consequently on the nerves, thus frustrating the intentions of the physician, as he is very often obliged to administer something soothing first, and thereby loses time in making a successful cure. Then we may have REMORSE. How shocking it is to witness the effects of a troubled conscience on a sick bed, and with what earnestness you will find a patient sometimes regret matters that have occurred, and that need to be repented of; how many like Queen Elizabeth offer worlds for an hour's life. Here again the physician is thwarted ; the system 247 OR, NEW SYSTEM. enervated, the brain in painful operation; in fact all telling powerfully against medicine and medical advice. REVENGE. This is an ignoble passion. It has been often said that a brave man stops at the sight of a fallen enemy ; but what shall we say of the man who carries animosity to the grave. How noble the impulse that will prompt a man to succor his enemy, if circumstances should place him in his power, and thus " heap coals of fire on his head." PROFANITY. This is another foul blot in the escutcheon of the invalid ; how monstrous it is to hear a sick man, (and the cases are not few,) vent imprecations on the head of his child or his nurse, if a moment too much according to his calculation is spent in bringing a drink of tea or of water to his bedside ; how let us ask, can a favorable issue be hoped for under such blasphemous circumstances, except indeed, that the tares and wheat must grow together until the harvest. FEAR. The Scripture says "perfect love casteth out fear ; " we see then, that where fear is, love cannot be, and here again the faculty have an enemy to their endeavours to exterminate disease. ANGER. Who can but feel regret to find anger a component part in the constitution, figuratively speaking, of the sick man, and how necessary to allay the irritation, before any medicines can have a fair chance, or the patient hope for a favorable issue to his case. Let us now take a short review of what we have been laboring to explain, and we find all the virtues a great help in restoring the sick to health, and we find on the other hand all the vices utterly opposed to the well being of the sick man, while they are often the cause of the medical man losing his reputation, because forsooth he cannot perform miracles, by making a cure, against all the contingencies produced by vice and its concomitants. 248 THE MEDICAL PILOT; Dr. Fitch's observations on this subject are worthy of all commendation, and I cannot lose the opportunity of having the benefit of his experience on the truth of what I have laid down. The Doctor says : " The sword has slain its thousands, but these vices have slain their millions. Go to the gallows, to the States' prison, to the murderer's grave, to the resting place of the suicide, to the hospitals for the insane, to the residence of the outcast, and they will tell you, in words not to be mistaken, the effect of these vices. The diseases engendered by them are among the most terrible the human machine suffers. It is out of my power now to tell you the number of deaths annually arising from these vices. But, taking the whole habitable globe, the number is absolutely incredible, and contributes greatly to shorten human life. On the contrary, see how peculiarly friendly to the human machine is chastity, purity, and virtue. No triumph can be greater than that of the ardent man over his passions. And this triumph greatly contributes to lengthen his days. Let me also say that, in general, all our vices unite together, and contribute to strengthen each other, and whether few or many, they are always at war with the peace, and health of the human machine. All of them together contribute largely to shorten human life. It is another curious fact, that none of these are so incorporated with the system, as to be uncontrolable or out of our power to prevent, and cannot be said, in any respect to form a part of the human machine in any way; they being entirely under the control of the will, and, whenever present, exist as abuses, none of them ever being committed voluntarily, we must always consent before we do them. Again, all the virtues unite together and support each other. Each triumph we make over vice, powerfully strengthens our virtues. All the virtues contribute to the well being of the human machine, and give a mighty preponderance to those elements that strengthen and fortify it, contributing to confer upon it immunity from some diseases, and assist to bestow upon it great length of days, even the days designed in its original formation, which I believe to be from 249 OR, NEW SYSTEM. one to two hundred years. I said that I had noticed these facts in relation to virtue and vice as a physician. Allow me now to add, that I delight in them as a christian. They assist much to strengthen my belief, that when that change comes to me, and will come to us all, my eyes will then be opened to that other state of existence, whose glories and grandeur are heightened by the feeling that there can be no change except from glory to glory, and whoso great endowments are health, purity, and immortality." I am happy in joining issue with the foregoing christian observations. Who that has ever felt the love of God shed abroad in the heart, but must see that the more we excel in virtuous qualifications as professing christians, the higher intelligence we may hope for elsewhere; that our enlightened capacities here only give us a relish, and a longing for that purer state, where neither disease nor death can affect us. In concluding this subject, I shall, merely in a short way, review the three great divisions into which the human being may be considered to be divided. I have remarked in a former place that those materials necessary for our existence, are the very things that are quietly killing us. Air we must breathe, yet every breath helps to wear out one of the main springs of our existence. The food also that- we crave for, and which we must have in order to live, is wearing out the stomach in its operations to keep up vitality ; thus are we living, and dying, ivhile we live! and thus is man a complete paradox. FIRST DIVISION. The brain may be considered the first division, or the mental portion of the human being, the seat of life, the abode of intellect, and the repository of that principle which it is supposed will never die. SECOND DIVISION. The heart, lungs, stomach, kidneys, &c, are the components of the second division; as they are in fact the propellers of the ma- 250 THE MEDICAL PILOT ; chine, and must work handsomely together or disease will set in, while the THIRD DIVISION may be those organs which are the means of propagating the species. It appears evident, that no matter how you may subdivide the human frame, still all the parts you can enumerate fall under one or other of these grand divisions; indeed they embrace every thing connected with us as human beings, and when all these parts act fully in unison, none obliging others to do more than their own share of the work, health will be the result, and the object of our being will be fully attained. How necessary then is it, that every one (not medical men alone) should be acquainted with himself, thus will a man know the danger of acting in opposition to the laws of nature, and knowing what will be the result, pause before he does what is against health. As there is no excuse for ignorance, so there is every benefit in knowledge, more especially when such knowledge will enable every man to fulfil his destiny in that life, to which it has pleased G-od to call him. CHAPTER XL. Vegetable Medicines. SARSAPARILLA. The Spaniards have the honor of first bringing into notice this useful root, and by all accounts its properties were first discovered by its use in the middle of the sixteenth century. Of late years it has got quite commonly into use, and there is no doubt but it 251 OR, NEW SYSTEM. is one of the first blood renovators we have; to be sure this root no more than other could escape adulteration by the quacks in medicine; hence we find it often mixed up with corrosive sublimate and other poisons. As it can be easily obtained, however, the best way to use it when it is only required by itself, is to get the root, and make the liquid irrespective of all the dealers, in the market. It can, indeed, be compounded with other herbs that add greatly to its effect, and I have myself a course of it, that never fails to extirpate such diseases as scrofula, et hoc genus; it is one of the most useful roots known, and very questionable whether all its properties are yet completely known. SASSAFRAS. This herb is so well known that little may be said on the subject ; the root, leaves, and flowers are made into a tea and drank ; it is also very commonly chewed ; a very valuable oil is deduced from it; it is also a purifier of the blood. SLINK WEED. This weed by the learned is called stramonium, and by others Jamestown weed, it having been first used in Virginia by a party of English soldiery, who using it as a vegetable, and of course not knowing its qualities, all went more or less crazy for a time. It can be found every where in the United States, and has at times been wonderfully successful when given in small doses in curing insanity. It acts as a strong narcotic, and if taken indiscriminately becomes a poison; still administered properly it is an excellent cure for fits) and is used also in poultices with great effect; altogether this weed is one of the most valuable we have, and in conjunction with others is invaluable in a great many diseases. DOG WOOD. This is another valuable article in medicine, and the bark is considered by some equal to Peruvian ; it is also an excellent purifier of the teeth, and the berries are used to make bitters. 252 THE MEDICAL PILOT ; WILD CRANBERRY. This berry is well known, and a very useful one in some diseases. " It is a low shrub, which grows and spreads itself near the surface of the ground, and has hanging branches, bark of a redish or pink color, and is thickly set with oblong, oval, and entire fleshy leaves ; The flower is oval shaped, and broader at the base than at the mouth, which has an edge scolloped into five divisions, with small blunt and curled points." It is an excellent medicine in conjunction with others for all urinary diseases. may apple, (Mandrake.) It must be borne in mind that it is the root of this vegetable that is of value only. It is generally used as a purgative, and in many cases with good effect. I have known some constitutions to be repelling to it, but when used in connection with other herbs it is most useful. The time to gather it is in the month of November, and as it is much used by the Indians it may be considered a valuable root. It is sometimes used with excellent effect in cases of colic. SLIPPERY ELM. In every respect this tree deserves our special notice. It is indeed one of our best remedies in many diseases, and is used both internally and externally. In the case of wounds where suppuration is desired it becomes an excellent poultice. In dysentery, and consumption also, it is used with other things with wonderful effect, and it acts wonderfully soothing on the bowels ; it can be taken also in the shape of jelly, resembling that made from calves feet, altogether this is one of the most valuable medicines we possess, and deserves the greatest possible confidence in its healing qualities. BONE-SET. What the derivation of this name is I am not prepared to say, but as the poets say, " what's in a name; " the nature of the plant 253 OR, NEW SYSTEM. is all we want, and in truth in its nature it is one of our most useful applications to disease. It is found plentifully at the edges of ponds, in low damp places, that are surrounded by woods. When tasted it is like most plants, very bitter to the taste, and an astringent. It is a fine tonic, and when drank in the shape of a tea, invariably produces great perspiration. It is therefore much used in common colds, which when neglected very often induce consumption. In fevers also, its value is perceived, because while not adding in any way to the fever, it at once produces perspiration. It is much used by the Indians in fever and ague. In connection with other medicines also it will cure rheumatism ; indeed, its uses are so various and effective, that too much praise cannot be bestowed on its recommendation, a full preof that the wise governor and ruler of earth has given us the " herb after its kind " to resuscitate the frail tenement when anything goes wrong. With what a watchful eye we should guard against the use of minerals ; they were never by nature intended for man's use, but assuredly will if taken, lead to the most awful consequences. THE BLACKBERRY TREE. This is another gift among the herbs of the field, whether the berries or the roots are used, they are both excellent remedies, especially in all bowel attacks. Among children it is a great specific ; it is good by itself but still better in union with other medicines. There is one piece of advice necessary to give the heads of families. In cases of using this root, it is quite necessary to be sure that no matter uncongenial to the system is left in the stomach or bowels, before applying the juice of the root internally. If morbid secretions are left behind, they must be got rid of before taking the decoction, otherwise the cause of the disease is only the more hermetically sealed. Many bowel complaints are only the effects of nature trying to retrieve herself, and until these obstructions are removed, it would -be a fallacy to use the blackberry decoction. 254 THE MEDICAL PILOT; CAMOMILE. Every one is conversant with this plant; the flowers are excellent, and an excellent tonic is derived from them. It is generally used to create an appetite ; it must be drank cold and in moderate quantities, it helps an irritable stomach wonderfully, and is found very successful in allaying cramps. Its uses and properties are so well known that little may be said more about it; it is in connection with other medicines one of the most useful plants known. SAGE. This garden herb also has the quality of producing (when drank as a tea) great perspiration. It may be used safely in fevers, and was considered among the ancients as a real specific in all and every disease. BLOOD ROOT. This plant is entirely indigenous to North America. The leaves and seeds of it are poisonous, and should never be used no more than those of stramonium ; the whole value is in the root. It seems to be of great service to old sores, that are hard to heal, and may be used externally as well as internally. In ulcerous sore throat, and croup, it is also a good medicine when combined with others, and when used carefully will be found valuable in many natural dis eases among females. It may be used either as a tincture or a tea. TANSY. This herb grows wild and like others is generally used as a tonic for the stomach. It is useful in a family, and when in connection with other medicines, a good ingredient in exterminating worms in children. ' SENNA. This plant makes a valuable, and quite harmless purgative medicine, and is mostly used in connection with manna or with herbs of different kinds. There is one uncomfortable thing about taking this medicine by itself; it causes considerable pain. It is used as 255 OR, NEW SYSTEM. a tea, and is much better when used with manna. There are other things when compounded with senna make it a very useful auxiliary in disease. It is a plant not indigenous to Europe, as the American senna has been in many cases found to be just as good as the European kind. I have used both myself, and do not see the difference, however those who prefer the European kind can have it, as it has been imported into the United States, and now grows here. MANNA, The word manna brings to our recollection the scriptural account of the feeding of the Israelites with it in the wilderness. It is supposed by some doctors of divinity that it derived its name from the Hebrew word Mahna, that is, what is it! as it were an ejaculation of the starving people when they saw it descending; be this as it may, it is a simple, and useful article as to its remedial effects. It is indigenous to the coasts of Sicily and Calabria, and that vicinity, and flows from the tree in a kind of liquid gum, which the sun hardens into flakes; it may be thought curious how the people could live upon it, and it is a purgative, but the fact is, that unless taken in large quantities it will not have a purgative effect. As will be perceived, it has a sweet taste, and on this account is easily administered to children. It is extremely mild in its operations, and is generally used with senna. RHUBARB. This is indeed one of the best medicines on record, and far superior to every thing else as a purgative. It takes some years to come to perfection, and the Turkey rhubarb is the best. A physician of considerable note says on the subject of this plant — " Rhubarb is one of the mildest, best, and pleasantest purgatives now in use in this or any other country, because, with its purgative powers, it is also astringent and strengthening; and in this it certainly differs from almost every other purgative of the same class known in medicine. It is superior to nearly all others 256 THE MEDICAL PILOT J for another reason; it may be taken with opium, and act on the bowels, as well as if taken without. This is a vast advantage; because where purging would be connected with great pain, its being combined with opium relieves the pain, while the rhubarb is left free to do its duty. The operation of rhubarb is slower and milder than any other purge; but it is very certain in its effects, when given in proper doses." Truly, rhubarb is an excellent medicine, and especially for those who have a costive habit of body, or are afflicted with indigestion, or nervous complaints. WILD CHERRY. This is a useful tree, and is used in combination with other medicines, for the cure of fever and ague, bilious fevers, and many other diseases; it is also made into beer, and makes not only an agreeable, but also a good medicinal drink, partaking greatly of the properties of Peruvian bark; combined with snake root also, it is much used with advantage. It is good in dyspepsia, and consumption. It is a root well known for its pure medicinal qualities. indian tobacco, (Lobelia.) This is a wild herb, growing in common even on the highways. Its chief properties may thus be described, as recorded in an American treatise on medicine, plants, &c , &c. " Lobelia is emetic, and, like other medicines of the same class, is occasionally cathartic, and, in small doses, diaphoretic and expectorant; it is also possessed of narcotic properties. The leaves or capsules chewed for a short time, occasion giddiness, headache, general tremor, and ultimately nausea, and vomiting; when swallowed in the full dose, the medicine produces speedy and severe sweating, and great relaxation. " In its operation upon the system, lobelia bears a strong resemblance to tobacco." It is wonderfully effective in spasmodic asthma, catarrh, croup, and other diseases. 257 OR, NEW SYSTEM. And here I_ must remark ; how many useful medicines are lost to what is termcrd orthodoxy; how many valuable roots, and herbs have no share in curing the maladies flesh is heir to, because, forsooth, they have not been regularly entered in the pharmacopeia. The following anecdote was told me by a gentleman who had served twenty-one years in the British arm}'-. I shall give it in his own words " My youngest child had become very sick, and of course I sent for the military surgeon, who came and saw the child ; after making every proper enquiry and examination, he turned to me and said : If you were to employ one of the orthodox faculty, your child would be one month in the doctor's hands, because he could not leave the legitimate treatment used by the profession, your child would have to suffer for four weeks, and you would have to pay roundly for the cure; as I have no object in all these things, I know an herb that will cure the child in twenty-four hours, and true enough I found the child completely cured in the time specified." Now here is a convincing case. The military surgeon was paid by the government, whether he had sick people on his hands or not, so the sooner he removed them from the sick list the better for himself. In connection with this I cannot forbear transcribing the following from an English publication. Speaking of lobelia, the journalist says— " It has been recommended in other spasmodic diseases of the nervous system, and it certainly deserves a fair trial; for this is the fault of our profession, if any thing is brought forward new; instead of investigating it, and free from all selfish motives, four, or five, or perhaps more, Jackpuddings of the profession, who before were never known, commence scribbling in the different newspapers of the day, about what they know less than nothing; and this is the reason that many valuable roots, herbs, and remedies, are at this advanced period of medical knowledge, unknown, or not appreciated fully by physicians." What volumes these few lines speak, what a vast amount of 258 THE MEDICAL PILOT J useful herbs, and plants, and roots are lost to the world, while their places are filled by mercury, and other mineral poisons. SNAKE ROOT. The properties of this root are diuretic, expectorant, and stimulant, and is excellent in hives, and croup, as well as a number of other diseases, particularly dropsical complaints, when given in connection with other medicines is a very valuable root indeed. YELLOW DOCK. The properties of this root, when combined with other ingredients, will cure cancers, and forms a fine auxiliary in the purification of the blood; it is also used as poultices for ulcers, and as a decoction, will remove king's evil, or any constitutional bad humors. BLUE FLAG. Here we have another noble root, and found all through the United States, on the borders of swamps, and in wet meadows. It is almost a specific where there is the least taint of a secret disease ; in fact in any kind of syphilitic disorder, or in anasarca ; altogether it is one of the best medicines of the age, curing every thing, for which mercury has already been so prodigally and fatally used. WORMWOOD. Doctor Beach says of this plant—" Wormwood is possessed of very valuable stimulant, and tonic properties. When given in moderate doses it promotes the appetite and digestion, quickens the circulation, and imparts to the whole system a strengthening influence. It is given in all cases requiring the administration of tonics, in dyspepsia, in certain cases of amenorrhea, chronic leucorrhea, and obstinate diarrhea." What can be more apparent than the value of this plant. 259 OR, NEW SYSTEM. GENTIAN. This is a much prized root, and very properly so ; it is a famous tonic, and in combination sustains its reputation completely. It is used in all kinds of bitters. fox glove. (Digitalis.) This is a most useful plant, and the tincture when used to lower the pulse is extraordinary ; in all affections of the heart, it is used with wonderful effect. It is used also for many other diseases. It would be wholly impossible in a work like the present to enter into a minute detail of all the herbs, plants, and roots which God has spread abroad all over the world, for our use in sickness ; indeed, if examples were wanting of his fatherly care of us, no better field could be taken to illustrate the 1- subject ; no want is left without its equivalent, no disease without its corresponding cure ; in fact, nothing left undone to prove his bounty, his benevolence, and his love for a fallen race, and surely we must be hardened indeed, if in return for all these mercies, we refuse to give up ourselves ; to give ourselves into his holy care and keeping, so that when time is turned into eternity, and all his plans connected with us are. unfolded, we shall see that his wisdom, his justice, his mercy, and his love were all combined for our welfare on earth, and the final consummation, our felicity through all eternity. CHAPTER XLI. Miscellaneous Subjects. MARSHES SEA AIR —BALDNESS, ieO., &C, kO. MARSHES. Every one knows without perhaps being able to assign a reason for it, that low swampy ground is an unhealthy location 260 THE MEDICAL PILOT ; for persons to reside in. The injury is however in breathing the noxious gases, the result of vegetable decomposition. What is generally known in Europe as " Les pays bas" is a swampy country, and Holland is drained by canals, and sluices to a vast extent. The inhabitants are obliged to use every precaution so as to secure health, and the uses of tobacco are considered among the best preventives ; fevers, agues, and bowel complaints, are the general diseases attendant on these localities. There is one general rule strictly attended to by the inhabitants of such situations ; namely, that as soon as the sun is down the people retire within their dwellings, and do not appear again abroad before sun rise in the morning ; thus do they escape breathing that foul air so inimical to life ; while considerable fuel is consumed within each dwelling, a circumstance that tends greatly to purify the air. ¦ SEA AIR. Sea air has been greatly extolled for its virtues, and justly so ; although it docs not suit every invalid. The air of the sea is of a cool, and pure nature ; it passes over no swamps, no poisoned morass, nothing impure, and consequently is more invigorating than the breezes of the land ; to those in health or at least not suffering from catarrhal affections, it proves a complete balm, especially in the summer season when the sea water is equally efficacious in the way of bathing. This no doubt is the reason that so many physicians recommend a sea voyage to their patients. There are indeed exceptions to this rule ; it has of late become very much the practice to recommend persons in the last stage of consumption to go on a sea voyage, but how cruel is this practice*; the warm climate at that stage of the disease, so far from benefiting the patient rather aggravates it, and the sufferer would have a better chance were he to remain under the influence of the atmosphere, to which his lungs have been in a great measure accustomed. If indeed in the incipient attacks, a change of scene, and of air is recommended, well and good, but under any other circumstances, is only tantamount to saying, pray go and die somewhere else. 261 OR, NEW SYSTEM. BALDNESS. As a tree will not grow without roots, so if the roots of the hair be not there, the hair will not grow. The first consideration for a bald man to apply himself to is, whether the roots are there, if so, then obtain what will cause it to sprout. I need not remind my readers that there is any amount of trash in the market purporting to be a sure remedy for baldness, and they may also rest assured that these specifies as they are called are humbugs in the main ; knowing this I have prepared courses for this special purpose, which will be detailed in another place. Nothing surely can be of more consequence than a splendid head of hair, and I have given this subject my very best attention according to the New System, and have succeeded in accomplishing the object in the fullest sense. I shall give a more detailed account of it under another head, when I come to detail my toilet arrangement, in which I shall prove clearly that half the drugs sold for the hair are ruinous compounds, and that the real way to beautify the is simple yet effectual, and wholly free from any deleterious article whatever. The hairs of our head are all tubes, receiving nourishment from the roots, as branches of the tree receive their active principle. The hair should be kept clean as well as any part of the body, of course ; but even so, as the hair will fall off, in consequence ot disease, then there will be a necessity to provide for this contingency, and to this subject I am happy to say I have turned my attention with the happiest result. ANECDOTE OF A BARBER. I remember being out West on a professional tour a few years ago, and wishing to get my hair cut, I proceeded to the hair-dresser of the place, when at the close of the operation I was asked if I would like Honorificabilitudinity ! rubbed to my head. The word acted like magic on my nerves, and I requested to see the articlb whose name had caused me"so much agitation ; accordingly a bottle was produced very handsomely papered, and labelled, on which in 262 THE MEDICAL PILOT } splendidly engraved characters was the awful cognomen that, in consequence of the low ebb my ink has attained while I write, I must be excused from decyphering again. I asked the composition, but this was a secret, only known to the maker, as the recipe had cost ten thousand dollars. Thus you will percieve that I was while having my head operated on, treated to an enigma, and by way of giving a Rowland for an Oliver, I asked the operator how long he had been in his profession, being answered laconically ; all my life. Then said I perhaps you can unravel a mystery for me connected with the human hair, as I have been long looking for a skilful person to do so ; my attendant asked me what it was, when I told him that as some two persons in the world must have the same number of hairs on their heads, to a hair, I wanted to know if he could explain how that fact was exhibited ; if I was surprised by the long name 01 hair restorative, the barber now in his turn was equally juggled, and in his astonishment having paid my shilling I left. Two days afterwards I met my friend of the scissors and comb, who begged of me to enlighten him on the subject of my enigma, to which I assented on condition he would give me the recipe of his hair restorative ; accordingly I went to his house, procured pen, ink, and paper and thus commenced. You are aware my good friend that there are more people in the world, than any one person, can have hairs on his head ; you admit this. Oh yes, certainly, there are one thousand millions of people in the world, and no one has even a million of hairs on his head, all that is true. Then said I, let us for brevity sake take any number, say eleven as the number of people in the world, and place down eleven dots representing the entire population, thus : 1 23456789 10 Now on the premises already agreed to, the most hairs any one can have on his head are ten, as there are eleven people, because, as, we said before, there are more persons in the world than any one can have hairs on his head ; now awarding all the numbers, commencing with ten downwards, to the eleven persons, there will 263 OR, NEW SYSTEM. be one person left, the hairs upon whose head must be represented by one of the numbers already used, as we can not use any number beyond ten by the data agreed upon; hence in this example, as in every one, no matter how many or how few we suppose the population of the world to be, there will be some two that must have the same number of hairs on their heads to a hair. The recipe I got for the hair was a parcel of trash. TO PREVENT CONTAGION AND INFECTION. As it is impossible to leave sick humanity in their own hands, hence it is but right to use all the means within our power to ward off disease, while attending those who may have contracted contagious or infectious diseases. FEAR IN DISEASE, There is one preliminary I would here observe on, that in all my experience I have found fear to operate greatly in favoring infection, and contagion ; where the person feels a dread, or apprehension, then that person should not remain with the sick. I was assured by a gentleman that had been four months in the midst of the plague, that fear acted powerfully on the minds of many, and had caused the death of thousands. In the case of the Bulam fever, where the black line running from the root to the point of the tongue is the death warrant, numbers have died through fear that it might be visible on their looking at their tongues in the mirror, which was generally the first thing done in the morning. No person therefore could be a good nurse, who was the least in dread of taking the complaint of the invalid. In contagious epidemics, separating the patients as much as possible from those who are healthy, is the first prudent step, and pestilences have thus been stopped by timely adherence to this great law. In 1810, when a terrible pestilence visited a portion of Andalusia, in Spain, it was arrested in its progress in the following way : The district in which the first cases were discovered was surrounded 264 THE MEDICAL PILOT J by the military under the governor of the Province, and communication entirely cut off from the rest of the inhabitants ; a quantity of wagons were then procured, and all the residents, with all their furniture, clothes, &c, &£., were removed into tents pitched on a plain two miles distant, while the camp was guarded so as still to cut off all communication. This had the desired effect, and the plague was stayed. Doctor Beach in his excellent treatise gives a code of rules, so epigrammatic that I think it well to mention a few of them; they are trite and to the point. The Doctor say^ — " When any person is attacked with a disease which is contagious, or supposed to be contagious, he should be immediately removed to a place expressly for that purpose; or, if convenient or desirable, let him be taken to a separate or remote part of the house, distant from the rest of the family, into a clear and well ventilated room. The upper portion of the house is preferable. First, because it is drier, and secondly, because it admits the contagious effluvia arising from the body of a patient more readily to pass off, as the current of air more rarified is naturally upward. " In all boarding houses, and where a great number of persons are crowded together, there ought to be a separate room for those that are sick. Where there is not a suitable place, one should be provided in the vicinity or neighborhood. " There should be as little intercourse with the person affected with any contagious disease as possible. No one should be allowed to visit him, except the nurse, or immediate relatives, and those should be careful to keep at a proper distauce from the bed, that his breath, and the vapor arising from his body may not be inhaled." * This is excellent advice, and to which I may add CLEANLINESS. Nothing can be more necessary than cleanliness, especially in all eruptive diseases, where the bed clothes should be often changed, aired, or washed. 265 OR, NEW SYSTEM. DISINFECTING AGENTS. There are many disinfecting agents recommended, and which can be had quite easily, such as vinegar, chloride of lime, and others; snuff is a good thing to use on entering a sick chamber, and never go abruptly among diseased persons with an-empty stomach. DIET. It is astonishing to see in some of the medical works of the day, the vagaries set forth on this subject, which if followed would sooner end a man's life than either mercury or bleeding. It is the fashion to run into extremes, whether it is from monomania on the part of some of the doctors themselves, or from a desire to appear eccentric, with the hope that eccentricity may be taken for wisdom, I cannot exactly say. Some say that meat under any form should never be used, others that tea is poisoning the community, and as to coffee there are pamphlets of one hundred pages written to prove that every disease known to humanity is engendered by its use—while the vegetarians consider, that long life, wisdom, virtue, and all the moral qualities that adorn mankind, spring only from the mucilage of potatoes, parsnips, and cabbage, while others would confine us to bread made of " wJteat ground coarse, and unbolted "; which on being read to a yankee he quaintly observed, that for his part he could not see how the bread could be used at all unless it was bolted ! I cannot refrain from pleasantry altogether on considering the ridiculous extremes which all matters, even the most serious, may sometimes take, when pushed beyond limits, that only excite risibility. The plain matter of fact may be stated as follows in this connection. Whatever food a person of a healthy habit is in the practice of using, stick to it; depend on it, nature knows better than any doctor what is good for the body; it is only in very delicate constitutions, or where sickness exists, that a selection of light digestible material should be sought for. I have in another place explained the broad principle of the quantity, and quality, 266 THE MEDICAL PILOT J and best method of distributing meals. I shall not waste time like others in detailing the analization, and specific gravities of the different kinds of food, as I consider it worthless to spend so much time on the philosophy of gastronomy, the whole case having already been disposed of. In natural philosophy for scientific purposes, and research, such things are of use, but I much question whether, taking the specific gravity of a mutton chop as the standard, and from it, eliciting the density of the leg of a snipe, would add such knowledge to the mode of existence, as to secure longevity to our generation. Heat and Cold, IN THEIR ADAPTATION TO THE SYSTEM. There is hardly any deviation from general health, in which both heat and cold do not act a prominent part; cold may be said, in its sudden application to the surface of the system, to do more harm, and bring on more sickness than almost any other known thing. To the commonest observer this fact must be apparent, and when we examine the subject, and reflect upon the old system of practice, (I say old for I hope it is now obsolete,) namely, bleeding, it causes the utmost astonishment. Let us examine the matter closely. If the body, under that proper degree of heat necessary to existence, is suddenly exposed to a piercing cold draught, the blood vessels that carry out their ramifications to the surface, at once are acted upon, and the blood forced back into the interior, the circulation becomes uneven, morbid secretions follow, and wherever the weak spot in the system is, there will the effect be at once felt. Now I should like to know, in this state of affairs, what must be the consequence to the person, who loses blood that he has not too much of it by any means, but simply that it is not distributed in the way it ought, in consequence of the disturbance it received from the sudden exposure; the consequence is that the person loses a part of his life which ought not to be taken from him 4 as 267 OR, NEW SYSTEM, there are other methods perfectly available for restoring the circulation to its original healthy intention, by encouraging it again to the surface by heat. Indeed it may be said that both heat and cold are productive of disease, and both in their turn, when properly applied, capable of inducing a healthy organization. If a man gets, by exposure to the rays of the sun, a coup de soleil, cold application is resorted to as a cure, and, on the other hand, if a person exposes himself to a sudden chill blast, by which the circulation is obstructed, and the pores closed, then we have recourse to heat to restore the body to health; all this will appear plain by considering, that in order that the body should maintain the even tenor of its way, in its healthy temperature, the cold on the one hand, and the heat on the other, are ready to supply the loss, whichever way the scale has turned by the error committed. One would imagine that in the course of years, and suffering under so many irregular actions, the human frame would become exhausted, and fall a sacrifice; but the wisdom of providence in our construction has been such, that the reproductive, or resuscitating qualities are enormous. No sooner is nature offended than she sets to work to repair the damage, as if she was determined that the citadel should not be stormed, and that the living principle must be guarded at all hazards. To assist this principle is the office of the wise physician, not indeed by overloading the damaged walls by placing the heavy granite blocks on the top, (calomel and bleeding,) but by gradually laying the foundation in simplicity yet stability,-and of such materials as the wise master-builder will find when reared up, the fabric to be even stouter than it was originally, having all the parts well moulded together, and showing a healthy front once more to those vicissitudes, which experience now has shown, must be in future guarded against. 268 THE MEDICAL PILOT J CHAPTER XLII. Religion as associated with Man's Physical Nature. No one will deny that religion has very great sway over the physical constitution of man, that as mind and matter are inseparable while we occupy the body, so religion acts a prominent part in our well being. If. from uncertainty on the subject of our destiny hereafter the mind labors under despairing apprehensions, is it to be wondered at, that the whole physical nature becomes out of order. How necessary then is it that every one should be at rest on this great, this essential point, so that no interruption may take place in the structure we are so careful of, and that causes us such pain, and anxiety when disorganized. Although it is not generally considered any part of medical science, to introduce religion, yet we cannot be blind to the fact, that any and every disturbing cause should, if possible, be quelled, before we can expect our medicines to have their proper effects; hence above and beyond all others are the effects of religion on the mind, and the assurance under sickness, that God's providence overrules even severe illness, oftentimes to our everlasting benefit. Men must not think that those palmy days will occur in our time, when sin shall be no more, when the earth, in place of yielding thistles and briars, will only bring forth those delicacies that are supposed to make the land flow with milk and honey, that we shall live hundreds of years, under a cloudless sky, without trouble or disease, oh, no! —this will not be seen by us ; our road is thorny, and our only solace while treading carefully along, is to know that he who called us into existence condescends to be our guide, and that as the way is thorny, it has been mercy that shortened our days. It is quite true also, that man as civilization advances, unless he has strength of mind to avoid its temptations, and still live, as 269 OR, NEW SYSTEM. it were, in simplicity, only brings on difficulties which evidently tend to shorten his life, by bringing on diseases altogether foreign to his wild and aboriginal nature, and it is no less certain that this same gregarious civilization, brings upon him artificial wants, the enjoyment of which enervates him, and lessens the term of his natural life, by a multitude of diseases unknown to his primitive state. Political economists have been induced to consider it very inimical to man, his congregating in too great numbers in any locality, for although the comforts, and luxuries of life are in some measure exhausted, crime, poverty, and wretchedness are surely more in proportion in their midst than in less numerical communities. If we take London, with its two millions and a half of people, we shall of course find by amalgamation of mind, every description of luxury produced, but by whom are these luxuries used, by the few of course, while the crime, the wretchedness and misery of the many that exist within its walls, are scarcely possible to estimate. On the other hand, let us view one of our own small towns, or villages; to be sure there are no such luxuries to be found in their communities, but in place of it, all are in a thriving, healthy condition, and vice, wretehcdness and disease are hardly if at all known. It is in large communities then that disease has its sway, and there can be no doubt that ninety-nine cases out of every hundred, are brought on by man himself, for having discarded the simplicity of his forefathers, and taken up with a fictitious mode of existence. It has been wisely said that man is a creature of habit, and by his persisting in disobedience of the primitive laws of his existence, incurs disease, shortens life, and violates the laws of an offended creator. Man by nature alone is to himself an enigma, no reason that he inherently possesses can give the most remote clue to him, of the object of his creation, nor indeed the ultimate destiny to which he is continually moving while he lives. Man has been in his life very aptly figured out by the seasons; how like the young sprout 270 THE MEDICAL PILOT J peeping out from the soil, is the infant; it cannot thrive without the nurturing hand of the gardener or caretaker. In summer it has assumed a hardier life, and under the warming influence of the sun blooms out; so with the young man. In autumn (or the turn of life) it begins to feel that the glory of its days has passed with the declining sun, when winter comes with its shrivelling blast; it dies and leaves the scene. Thus is it also with man. How necessary then for this plant while in the human being to be so satisfied of the goodness of the creator, that while it performs its changes, it may, by conformity to revealed will, lessen the trouble the body must as a matter of course be subject to, thereby assisting, instead of preventing the disciples of the healing art. While on this subject I cannot refrain from giving an extract from " Gunn's Domestic Medicine," it is fraught with tender and pious feeling, and ought to be characterized in letters of gold. " Piety towards God should characterize every one who has any thing to do with the administering of medicine; nor should any individual ever administer medicine, without first imploring the Almighty for success on his prescriptions; for where is the man who can anticipate success without the aid and blessing of heaven ? Galen vanquished Atheism for a considerable time, by proving the existence of a God, from the wise and curious structure of the body. Botallus earnestly advised a physician never to leave his house, without proffering a prayer to God to aid and enlighten him. " Cheselden, the famous English anatomist, always implored the aid and blessing of heaven. Boerhave spent an hour every morning in his closet, in reading and commenting on the scriptures, before he entered on the duties of his profession. Hoffman and Stahl were not ashamed of the gospel of Christ, and Walker has left behind him a most eloquent defense of its doctrines. Dr. Fothcrgill's long life resembled an altar, from which incense of adoration and praise ascended daily to heaven; and Hartley, whose works will probably only perish with time itself, was a devout christian. To this record of these great medical men I shall add but one remark, which is, that the authoritative weight of their 271 OR, NEW SYSTEM. uames alone in favor of the truth of revealed religion, is sufficient to turn the scale against all the infidelity, that has eypv disgraced the science of medicine since its earliest discoveries. " I have seen the flower of life fade, and all its freshness wither ; I have seen the bright eye of beauty lose its lustre; and my last and best friends close their eyes in the cold and tranquil slumbers of death —and have said, £ where are the boasted powers of medicine, the pride of skill, the vain boast of science ? How humiliating to tire pride of man ! Let every physician put this solemn question to himself; what will avail all the means I can use, without the aid of the Almighty ? All efforts founded on years of experience, and study, vanish at the touch of death, and the hold on life by the physician, is as brittle and slender as that possessed by his patient; and those remedies so often used with success in the case of others, will assuredly fail him in his own case at last. In some unexpected moment, a wave in the agitated sea of life will baffle all his struggles; and he in his turn, will be compelled to pay the debt, which nature has claimed from thousands of his patients. When on the couch of death, and whilst perusing the works of Rousseau, the last words of the great Napoleon were, in the language of that author—' It is vain to shrink from what cannot be avoided ; why hide that from ourselves, which must at some period be found ; the certainty of death is a truth which man knows—but which he willingly conceals from himself We shall all shortly finish our allotted time on earth, even if our lives are unusually prolonged, leaving behind us all that is now familiar and beloved. Numerous races of men will succeed us, entirely ignorant that we once lived, who will retain of our existence, not even the vestige of a vague, and empty remembrance." How necessary then is it that the mind should be at rest concerning the ultimate object of our destiny in order that, when the body becomes diseased all those irritating qualities which unbelief naturally produces should be abolished; and the frame through composure be best qualified to resist disease, or to aid in the performance of a cure under medical science. 272 THE MEDICAL PILOT J " Considered merely in relation to his vital and animal functions, man seems % occupy the highest point in the scale of animated nature; but notwithstanding this distinguished elevation, with some grand and distinctive exceptions to the general principles of existence, and those of a strong and decisive character, he seems in many respects to be allied to the inferior order of creation. Like the merely animal orders of nature inferior to himself, he is animated by loves and friendships, hatreds and enmities, and by all the other passions, and propensities incidental to the merely animal creation. In common with the elephant, the lion, the dog, and the fox, his heart seems to be the seat of life and vitality, and his brain the sensorium of intellectual existence! Like them, he is furnished with a stomach to digest his food, and a heart to propel the vital fluid through the arterial, and veinous system. Like the inferior orders of creation, man is susceptible of the influence of heat and cold, and all the variations of temperature incidental to the changes of the seasons ; like them, he can be deluged by rains, frozen by the snows of winter, and melted by the heats of summer. Like them, he is subjected to physical diseases, which can be mitigated or renovated by the same means; and like them, he is animated by strong sentiments of self-preservation, and entertains an instinctive and powerful dread of both pain, and dissolution. But here the parallel between man and the inferior orders of creation terminates ; and he begins to take his departure from their earthborn level, which they can never emulate or even follow. " Man is the only being in creation who can raise his contemplations to the deity, and experience a sublime sentiment of awe and veneration for the unknown author of his existence. The only being in creation capable of experiencing a strong solicitude for a knowledge of his own origin, or who can direct his views, and anticipations of a future existence, beyond the boundaries of time! He is the only being absolutely known to himself, who can form a conception of space, which is an abstract idea of infinity ; of time, which is an abstract conception of eternity; or of plastic and creative power, which leads to an abstract, but infinitely inadequate 273 OR, NEW SYSTEM. conception of the omnipotence of God! Man seems to unite in his moral and intellectual conception, the human extremes of strength, and weakness, wisdom, and folly. In infancy, or when not associated with his fellow beings, he is a naked, defenceless, dependent, and timid animal; exposed to disease of every multiplied character ; to dangers beyond arithmetical calculation ; and to death in all its varied and gigantic forms; yet, with all these incipient weaknesses, and seeming imperfections of his nature, in the plenitude of life, and intellectual when associated with his fellow beings, in social compact he has satisfied his natural wants; rendered himself independent of every thing but his Creator ; driven from his presence, enslaved to his purposes, or destroyed by the machinery, and chemical power of his warlike inventions, all animals hostile to his life, and his preservation ; and compelled the earth, the air, the waters, and the woods, to yield him the sustenance, and even the luxuries of life, and to furnish him with the means of constructing his habitation. He has done more. By referring his knowledge of particular facts, to the discovery of abstract and general principles, he has measurably unfolded the elements of science; by which he measures the earth, and discloses the laws which regulate the solar system, ascertains the distances and relative positions of the heavenly bodies, and determines the location of his own globe amongst them ; discloses the component parts of which the substratum of the earth itself is composed, and by an effort of microscopic vision, and profound sagacity, gives you a satisfactory analysis of a physical atom! Nor is this all; from obscure and imperfect original discoveries in nautical science, he has converted the bark canoes of the wandering savage into vehicles of burden for international commerce, and imposing engines of war; and instead of the petty barks of the ancients, by which they prosecuted an insignificant traffic along the shores and inlets of the Mediterranean, he has constructed ships of bulk and strength sufficient to master the winds of heaven, and waves of the ocean ; to discover and colonize new continents ; and to make his way in security through trackless, unknown, and almost 274 THE MEDICAL PILOT J shoreless oceans, to countries so remote, as not even to be found in delineation on the mariner's chart! Nor do the greatness of his discoveries, nor the sublime elevations of his character terminate here. The progressive improvements of man in Literature, from hieroglyphics, which are the signs of things, to the use of letters, which are the signs or symbols of sounds, afford new and astonishing demonstrations of his powers. We have proofs before us, if we will advert for a moment to the present state of mankind, of all the progressive stages of improvement, through which he has passed, in arriving at his present state of moral and intellectual civilization, and scientific and literary refinements; nor need we recur to the empire of fable, nor the fictions of his early history, to arrive at the truth. A collective view of the inhabitants of the globe, will furnish ample demonstrations of the following facts : " In a state of savage and illiterate nature, tradition, as among the Indians of our own forests, afforded the only means of communication between the present and former races of mankind. But, in proportion as man began to progress in discoveries relating to the arts and sciences, he became disgusted and dissatisfied with the errors and misrepresentations of oral tradition, and sought various expedients to perpetuate to his posterity, authentic testimonials of his sagacity, and durable monuments of his intellectual powers. Hieroglyphics, arid pyramids were resorted to in some countries, and pillars, and public edifices iu others ; but knowing all these to'be liable to decay, and that their true meaning might be easily misunderstood or forgotten, he was not satisfied with a medium of intelligence which would revive, and perpetuate his knowledge, and record in unfading characters the intelligence, the improvements in science, and the fate of past generations. The discovery of, and the progressive improvement in letters, have enabled man to trace his species through all anterior ages since the creation; nor would he now, were it not for literature, and the discovery of the art of printing, be enabled to profit at this advanced period of the world, by the records of history, and the divine inspirations of religion, virtue, and pure morality which are 275 OR, NEW SYSTEM. breathed forth in love and mercy to fallen man, by Holy Writ. It is from this divine and inspired work, that he derives a knowledge of all the attributes of the Creator ; of the immortality of his own soul; and of all the duties he owes to God, his fellow creatures, and himself." CHAPTER XLIII. A Chapter for the Ladies. It has been said that " Beauty unadorned is adorned the most." In this I most respectfully beg leave to decline giving my assent to. I am very well aware that a sacred historian considers the improvement of the mental faculties, preferable to the braiding of hair ; still I think a happy medium can in this case be looked to with as much propriety, as in any other. How anxious stoics, cynics, and critics are, to fasten the world, (by some abstract reasoning,) to an extreme. Who that has ever viewed the cartoons of Raphael but will see the sneer of discontent, the anxiety and wish that the great apostle should fail in his discourse from the Areopagus to assimilate the doctrines of salvation, to a fallen race, and thus upset their crude notions of an unknown God, which he found on their highways as he entered Athens. Just so has prudery in the present day attempted to point the finger of scorn at all those who endeavor to make their persons more elegant by a little harmless adornment, done in accordance with good taste ; but the wise care not, they know that such neatness, such taste, and such becoming elegance, cannot, need not, does not, at all interfere with woman, as a woman, as a house-keeper, as an accomplished wife or friend, or as a social and literary companion; on the contrary, when such a taste is in accordance with the last named 276 THE MEBTCAL PILOT ; virtues, woman, dear woman, is the better for being tastily dressed, and attractively attired, than were she to appear in inelegant costume. Nay more; if the beauty of the human countenance is threatened with distortion, through accidents of climate or constitution, surely no one of any sense would deprecate women so circumstanced, using such means as would restore her to elegance and beauty. . " To spend all a persons time in ornamenting the person is one extreme, and a negligence in person the other, all I contend for is the medium, and where moderate embellishments are conducted with good taste, we must always admire a lady who has the genius to make herself lovely in the eyes of the other sex. I am very well satisfied that a great number of women ruin their complexions by using, in the shape of powders, and pastes, certain poisonous ingredients, that, although the evil effects are not momentarily witnessed, never fail to ruin the skin, and finally give it the appearance of age and decay. To such I have a word of advice, be cautious how you deal thus with your charms ; give up the use of these compounds, unless you are satisfied they are harmless, but the general run of such nostrums as we find daily advertised, away with them at once, be assured before long your skin will shrivel up, and a dun color will be given to it, that will make you rue the day you had any thing to do with quack medicines. Feeling deeply interested at all times in the welfare of the better portion of mankind, I turned my attention some years since to the compounding of some very useful articles, perfectly pure, perfectly free from any deleterious articles, and yet capable of imparting a delicacy and softness to the complexion, and indeed to the skin generally. I flatter myself I have succeeded, and I have made the same up carefully, and elegantly, together with the best tooth renovator, and other things that, no ladies toilet can be complete without. I have made these all myself, going through every process with my own hands, to secure the articles from the chance of deterioration if passed through an assistant. I can therefore offer 277 OR, NEW SYSTEM. this excellent toilet arrangement to the whole sex as an important item in their daily embellishments ; and at a most moderate price, which will be seen on reference to another page. Questions for Invalids. It being impossible for any one physician to attend all people, my medicines are put up in courses for each disease, according to the laws of my New System. It is therefore quite sufficient for patients to correspond with me; in doing so, however, the greatest necessity exists, that a correct detail of the complaint be written out. In order to facilitate this I have thought well to classify in a catalogue a series of questions which, if attended to, will assist a patient in describing his complaint. It is not to be supposed that every instruction can be set down here, but merely so much as will assist every person in the description of the disease, he or she may labor under. Indeed there cannot be too minute a detail of every feeling, or pain, or sensation, and this will enable people, no matter at what distance, to have the proper and prompt remedies dispatched by mail or express. TO THE LADIES. In the first place be sure to write your name, occupation, age, and residence in a very plain hand, so that there may be no mistake in the medicines reaching you ; next where the place of your birth, whether of a good, sound, or delicate constitution, are you slender or fat, straight figured, or stooping, of what color is your hair, also that of your eyes, broad chested or narrow ? Do you know of any hereditary or family diseases ? Had any of them consumption, scrofula, disease of the heart, cancer, dropsy, or 278 THE MEDICAL PILOT J rheumatism ? Are you subject to any eruptive diseai , short breathing, or salt rheum, any pain in the chest, along the pine, in the shoulders, or under the shoulder blade, in the stomach, bowels, or the limbs, any loss of voice, sore throat, pain in the head, hoarseness, dull pain across the eyebrows ? Do you cough, if so, much or little, night or morning? Do you raise any thing, much or little, will the expectoration sink or swim in water ? Do you spit blood, if so be sure whether it comes from the teeth, or from the throat ? When you sleep do ypu find one side easier to repose on, than the other ? Is your breathing good, or short and troublesome ? Have you chills, or fever, or palpitation of the heart ? Are the bowels easily kept in order ? Are you nervous, or bilious ? Do you take much or little exercise ? Any sinking of the stomach ? Have you ever been ruptured, or do you think you have worms ? Have you a craving appetite ? Are your feet generally warm or cold ? Have you been subject to rheumatism,'or tic doloreux? Have you ever had fevers, if so, how often, and of what kind ? Are you a married woman or single, if married have you ever had a miscarriage ? Are you subject to headaches ? Have you bad or decayed teeth, or a bad breath ? Are you generally healthy, or the reverse ? TO THE GENTLEMEN. Please state your name, business, and address so that no mistake may arise in the transmission of medicines by post, or express. What is your age ? Are you generally healthy or otherwise ? Are your family or your relatives subject to any hereditary complaints, if so, what sort ? Are you tall or short, round-shouldered or square ? What is the color of your eyes, and hair ? Have you worked much, and at what emplojmient ? Are you short breathed ? Have you any affection of the lungs, any cough, do you expectorate, what kind of phlegm do you throw up ? Have you any scrofulous appearance, or disease of the skin, generally any pain in the chest, back, spine, sides, particularly the right side, any palpitation of the heart ? Have you ever chills, or fever ? Have you OR, NEW SYSTEM. 279 teen subject to fits ? Are your bowels regular, or irregular ? Is your appetite good ? Do you suspect having worms ? Have you piles, internally or externally ? Any complaint of the kidneys, any immoderate flow of urine, or is it suppressed ? Have you been subject to rheumatism, or to fevers ? Are you married or single ? Have you any appearance of dropsy ? Do you find pressure in the region of the stomach, particularly after eating ? Are you subject to dyspepsia, or neuralgia, or paralysis, sore throat, or glandular affections ? Do your feet keep warm generally, or are they inclined to be cold. Have you ever had much sickness ? Are your teeth decayed ? TESTIMONIALS OF DR. T. G. HUTCIIINGS' SUCCESSFUL PRACTICE. As it would be wholly impossible to give anything like the favorable correspondence, which for years has poured in upon me from all parts of the Union, from persons who, under Providence, I have treated on the principles of my New System, I can only offer a few, taken at random from my large files ; but they will be sufficient to prove the benefit patients have derived, as well as the fact, that having my courses of medicines in their possession, they were enabled, by previously writing out their cases according to instructions, to do as much for themselves as if I was present with them, because, on the receipt of their written account of the complaint, I had nothing to do but to forward them instructions, and the medicines by mail or express. 280 THE MEDICAL PILOT J SCROFULA. Albany, N. Y., July 6, 1852. Dr. T. Gr. Hutciiings :—I am sincerely thankful for your advice, and the accompanying medicines according to your new system. The medicines were given as directed to the boy, and after the second course, we found a great improvement in the sores; they were quite of a different color, and began gradually to heal; this did not satisfy me at first, because I had seen them partially heal before, and break out again, within less than a fortnight ; it is now a month since they healed, and I notice that every day the marks grow less, and two months have passed away since he got entirely well; indeed I never knew him to be in better health ; he can help me well in the business. I shall never forget you, dear sir; it was by chance I saw your advertisement, and I will be candid with you. I treated the thing at first as one of the nostrums of the day ; but so bad did the poor boy get, and finding no relief to be had from any source, I made up my mind to give your medicines a trial. They have done what none others could accomplish. Yours faithfully, Andrew Mott. consumption. New Brighton, July 6, 1853. Dr. Thomas Gr. Hutchings:— Respected Sir, —I cannot deny myself the gratification of acknowledging the obligations I am under to you, for your instrumentality in saving me from death. No one ever was so near the grave as I have been, until restored to health by your medicines. I tried every kind of medicine an