ARMY MEDICAL LIBRARY WASHINGTON Founded 1836 far-r^' Section Number _./__#_-7._?_j?_ Fohm 113c, W. D., S. G. O. •» 3—10543 (Revised June 13, 1936) fair ¥UtSO EXAMINATION AND CRITICISM 9? OF ALL THB MEDICAL SYSTEMS IN VOGUE; BY ALVA CURTIS, A. M., M. D. Founder of the First Phtsio-Medical College in the World, viz : The Botanico-Medi- oal College of Ohio; for Nineteen Years President of its Board of Directors, and its Professor or the Institutes and Practice of Medicine ; Author of "A Synopsis of Lectures on Medical Science," of " Lectures on Obstetrics," and for Twenty-one Years Editor of the Botanico or Physio-Medical Recorder, and Member of mant Literary and Philosophical Societies. mulae as fantastically conceived as they are tediously arranged."—Biehat's General Anatwny, re'. 1. pape 17 " But Medicine is a demonstrative Science, and all its processes should be proved by established principles, and be based on positive inductions. That th« proceedings of Medicine are not of this character, is to be attributed to the manner of its cultivation, and not to til* nature of the Scienee itself."—Prof. Samuel Jackson, M. D„ of ih* University of Pennsylvania.—Principles of Medicine. .<■■ '■' <2> •f j THIRD EDITION^ °". :..:;. ■ ■■■;\ cr CINCINNATI: PRINTED FOR THE PROPRIETOR. 1866. WB J Oopy Right secured, by E. B. Crans, In the Southern District of Ohio. PEEFACE. The object of a preface is to give some account of, or reasons for, the pro- duction that follows, or the author's motives for its publication. Ever since the true science of medicine was shadowed forth, by Dr. Samuel Thomson and other pioneers of reform, a constant crusade has been kept up against it by interested men, in the hope of rendering its doctrines and practices ridicu- lous and unpopular, and thus preventing that thorough regeneration of this noble science, which would greatly mitigate our sufferings, prolong our lives and multiply our pleasures. I say, by interested men, those who, having studied long and carefully, the various systems of error, and found them honorable and profitable in their practice, have been therefore unwilling to acknowledge their errors and the worthlessness of their labors, to give them up for truth, and to perform more labor for less profit, for the cause of science and humanity. Many friends of reform, and practitioners and teachers of medicine, have done what they could to develop its principles and illustrate its practice; but no one has yet attempted to furnish a full and safe defence of it, against the at- tacks of its enemies—especially has no one ventured to branch out from his own fortress of defence, and attack the enemy on the high seas of his own crazy craft, and to drive him into the whirlpools and the certain destruction into which he would gladly persuade us that we are most rapidly tending. Yet such a work is very much needed, and, though very conscious that his talents, his time and his circumstances all fall short of the magnitude and importance of the undertaking, the author has resolved to do what he can, in this hitherto little cultivated field; in the hope that it will be useful to phi- lanthropists of every character, grade and condition in life, till something better shall come forth to take its place. It is well known that the author has had a very large experience in the work of defending the cause of truth, science and humanity, and develop- ing the true principles of medical science. And he hopes to be better able to fulfill any expectations that may arise in other minds from this knowledge, than to satisfy himself that he has done all that he might have done under more favorable circumstances. One of the most difficult things in the world, as well as the most import- Ant, to the sick man, is to ascertain what practice he should employ for the (iii) "■ IV PKKFACE. relief of his physical sufferings. As it is impossible for uaj person not thor- oughly "bred to physic," to learn, from any sources within his reach, the true character of any system of practice, I have been careful to give the true character of each system, so that, whoever will make himself thoroughly ac- quainted with this little work, will have no one but himself to blame, if he does not choose the best, at the commencement of his disease, and continue it till he recovers or dies. It is well known that some physicians who belong to one class, will often practice on the principles of another; thus the Allopa- thist may give good medicines, the wet sheet, the warm and vapor bath; the Eclectic, who pretends to "dispense with all deleterious agencies" (403), may bleed, cup, blister and give opium and other narcotics, and even calomel; and the pretended Physio-Medical may, to some extent, use like agents. But this work will enable him who is familiar with it, to detect all such hypocrisy, and guard against its ruinous effects. The subjects discussed are the following: 1st. Medicine as it is in the various schools. 2d. Medicine as it should be. 3d. The contrast between them. 4th. The answer to the questions, what is science and what is quackery, and where may each be found. Editors or critics, who may deem this work worthy of their notice, will confer a favor on the author by sending him a copy of their notices; and, if any living authors think that he has done them injustice, they will please show him wherein, and the wrong, if any, shall be corrected in notes to the next edition, which will soon appear, * this is nearly all bespoken. PREFACE TO THE SECOND EDITION. The unique character of the following work, (no one like it having ever before befin published), and the manifest value of it to persons of every class and condition of society, caused the sale of a large edition in a very short time after its publication. Though the circumstances of the past five years have been very unfavorable to the issue of a new edition, the demand for it has been and is still so pressing, that the proprietors have concluded to send it forth. From multitudes who obtained and perused the first impression, we have received the most flattering testimonials to its value, for which we have here no space. Suffice it to say that physicians of every class have commended it for the extent, variety, and judicious selection of its quotations from distinguished authors, and the candor and fairness of its criticisms; ministers of the Gospel have prized it for the aid it has afforded them in advising their sick friends as to the choice of their physicians; lawyers consider It a work of great value to them, in selecting facts relating to, and in framing arguments upon, questions of medical jurisprudence ; heads of families and other individuals perceive that they have in it a sura and safe directory to their choice of a system of practice and a class of practitioners ; students of medi- cine justly regard it as a key to unlock all popular systems, and to enable them intelligently to choose among them the one they should pursue; and last, but not least, the reformer of medicine finds it to be his beat guide and aid in his efforts to disperse the errors of medical theorizers, and to disseminate light on the true science and practice of medicine. Every physio-medical (natural) practitioner will learn, by a short trial, that a dozen copies of this work lent, successively, for a week or two only, to the inquiring inhabitants of the city, town, or country in which he locates, will be the best of all means of breaking down opposition to his practice, of spread- ing abroad the true light, and of securing to him an extensive, a useful, and a lucrative practice. INTRODUCTION. To a powerful and well disciplined mind, thoroughly acquainted with the truths and facts of the case, it is both painful and disheartening, to perceive how extensively a few comparatively obscure men of moderate talent and little information or less discrimination and candor, have succeeded in per- suading a large majority of the talented, intelligent and refined of the community, even of the professions of religion and law; of the statesmen, philosophers, philanthropists and men of every trade or occupation, and even thousands of their own profession, to believe that the Allopathic system of medicine, is based on the solid principles of science, and that its practice is worthy of the dignified title of an art; when, in fact, there can scarcely be found, in the whole ranks of the profession, in ancient or in modern times, a single man distinguished for his talents, his education, his accurate discrim- ination, his candor, honor and humanity, who has sincerely believed its doctrines, or placed any confidence in its practices. On the contrary, the most of them have publicly denounced its leading doctrines, as a system of "absurdity, contradiction and falsehood," and its practices as "horrid, unwarrantable, murderous quackery." Prof. N. Chapman, (142). Did the doctrines of Allopathy work only the profit of the deceivers, we might, to some extent, excuse it; but, when it is demonstrated, that the prac- tice daily and hourly works out the life-long ruin of the poor, frail, mortal bodies of thousands and tens of thousands of our citizens, .causing them to "drag out a few years of miserable existence in extreme debility and emacia- tion, with stiff incurvated limbs, a total loss of teeth and appetite," "a loathing to themselves and a disgusting spectacle to those around them;" while, with its millions of victims of premature destruction, it peoples, yearly, the dark and silent regions of the dead, our sorrow and chagrin at the deception are turned into deep lamentation, disgust and abhorrence; and we are constrained to exclaim—"By what unaccountable perversity of our nature" is it that we can be so wicked as thus to deceive others, or so blind and stupid as to be deceived, in such a manner, to our own or their destruction! Another of the strangest phenomena which the operations of the universe present to the contemplation of admiring man, is the fact that truth and love, (5) 6 INTRODUCTION. or Science and Benevolence, though the brightest Angels that ever left the throne of God, on an errand of mercy to poor, ignorant and selfish man; have ever, as a general rule, met the strongest opposition and the most un- grateful treatment, from the very persons whom they have so generously endeavored to enlighten, to refine and to bless. Such angels are the truths that have heralded true medical reform, and such have been the opposition, slander and abuse they have experienced. Yet I hope that none will be startled at the assertion I now make, that nothing is easier than to prove, by the most abundant and appropriate testimony, by the most indubitable facts, logical deductions and tabular results, that this Allopathic system is the most erroneous, absurd, dangerous and destructive system of quackery, and its practice the most wicked as well as the most specious humbug, that the world has ever known; and that the very attempt to convince us that its principles constitute a solid science, or its practices a noble art, is an impu- dent insult to our understandings, or morals, as it supposes us either igno- ramuses, simpletons or knaves. To demonstrate these propositions, is the object of this work. The subject is systematically and scientifically treated under the following heads: 1. Proof that Allopathy and its kindred systems are not science. 2. Proof that their practice is not art. 3. Proof that their fundamental- doctrines are false. 4. Proof that their particular practices are injurious. 5. The character and tendency of their principles. 6. The character and tendency of their remedies. 7. What is true science? 8. What is quackery? 9. Where may each be found. When quoting authors, the figures in parentheses refer to the pages of their books, or, as at the close of the first paragraph here, (142), to some number of the book where the quotation and reference are found. In my own composition, they refer to the numbers of this work. EXPOSITION, &o. General Denunciations of Medicine as a Science. \. Dr. J. Abercrombie, Fellow of the Royal Society of England, of the Royal College of Physicians in Edinburg, and first Physician to his Majesty in Scotland, says: " There has been much difference of opinion among philosophers, in re- gard to the place which medicine is entitled to hold among the physical sci- ences; for, while one has maintained that it ' rests upon an eternal basis, and has within it the power of rising to perfection,' another has distinctly asserted that 'almost the only resource of medicine is the art of conjecturing.'" Intel. Pow., p. 293. 2. Dr. John Eberle, Professor successively in Philadelphia, New York, Cincinnati, and Lexington, Ky., says of the fashionable theories of medicine: " The judicious and unprejudiced physician will neither condemn nor adopt unreservedly any of the leading doctrines advanced in modern times." Pref. to Prac, p. 1. That is, not a tyro, mark it, but "the judicious and unprejudiced physi- cian," the man who is best instructed in them, and the most capable of dis- tinguishing between truth and falsehood, even such a man is not certain whether, not a few wild notions of some idle theorist, but "the leading doc- trines," the fundamental principles of modern medicine, are right or wrong! Shade of Dr. Eberle! you surely will not haunt me for trying to determine this unsettled question! 3. The "New York Medical Enquirer," commenced in January 1830, the name of which was changed, in July following, to the American Lancet, published in the city of New York, and conducted by an association of Phy- sicians and Surgeons, vol. 1, No. 1, advertisement, says: "If we take a retrospective view of the science of medicine with its alter- ations and improvements the last two centuries, the medical annals of this period will present us with a series of learned dissertations by authors whose names alone are now remembered, while their writings, under the specious term improvement,' have left us only the deplorable consolation of knowing that their works have heaped system upon system, precept upon precept, error upon error, each in turn yielding to its follower. Year after year produces a new advocate for a new theory of disease, each condemning its predecessor, and each alike to be condemned by its successor. "Happy had it been for the world, if the medical systems which have been obtruded upon it, were only chargeable with inutility, absurdity, and falsehood. But alas! they have often misledvthe understanding, perverted (7) 8 EXPOSITION. the judgment, and given rise to the most dangerous and fatal errors in piac- tice. A short view of the history of physic will convince us of this melan- choly truth. "We wish a more rational mode adopted for the promotion of medical knowledge, than hair-brained theories and doubtful facts. Observation, prac- tice, and experience, in the administration of medicine, with its effects on the system, may take the lead of scholastic learning and hard names. We must have facts instead of opinions, reasons instead of theory, knowledge instead of titles and certificates." 4. The following is the declaration of Bichat, one of the greatest of French Pathologists: "Medicine is an incoherent assemblage of incoherent ideas, and is, per- haps, of all the physiological sciences, that which best shows the caprice of the human mind. What did I say? It is not a science for a methodical mind. It is a shapeless assemblage of inaccurate ideas, of observations often puerile, of deceptive remedies, and of formulae as fantastically con- ceived as they are tediously arranged." Bichat's General Anatomy, vol. 1, page 17. 5. Dr. L. M. Whiting, in a Dissertation at an Annual Commencement in Pittsfield, Mass., said: " The very principles upon which most of what are called the theories involving medical questions, have been based, were never established. They are and always were false, and consequently, the superstructures built upon them were as 'the baseless fabric of a vision'—transient in their exist- ence—passing away upon the introduction of new doctrines and hypothe- ses, like the dew before the morning sun." B. M. & S. Journal, vol. 14, page 183. "Speculation has been the garb in which medicine has been arrayed, from that remote period when it was rocked in the cradle of its infancy, by the Egyptian priesthood, down to the present day; its texture varying, to be sure, according to the power and skill of the manufacturer, from the delicate, fine-spun, gossamer-like web of Darwin, to the more gross, uneven, and un- wieldy fabric of Hunter; its hue also changing by being dipped in different dyes as often as it has become soiled by time and exposure. And what has been the consequence? System after system has arisen, flourished, fallen, and been forgotten, in rapid and melancholy succession, until the whole field is strewed with the disjointed materials in perfect chaos—and, amonost the rubbish, the philosophic mind may search for ages, without being able to glean from it hardly one solitary well established fact. "If this is a true statement of the case, (and let him who doubts take up the history of medicine); if that enormous mass of matter which has been, time out of mind accumulating, and which has been christened medical sci- ence, is, in fact, nothing but hypothesis piled on hypothesis; who is there among us that would not exult in seeing it swept away at once by the besom of destruction?" lb. p. 187-8. Professor Jacob Bigelow, of the medical department of Harvard Univer- sity, says: "Medicine in regard to some of its professed and important objects [the cure of disease], is still an ineffectual speculation." Annual Address before the Massachusetts Medical Society, 1835. EXPOSITION 9 6. Dr. Rush, in his lectures in the University of Pennsylvania, says: "I am insensibly led to make an apology for the instability of the theories and practices of physic. Those physicians generally become the most emin- ent, who soonest emancipate themselves from the tyranny of the schools of physic. Our want of success is owing to the following causes: 1st. Our ignorance of the disease. 2d. Our ignorance of a suitable remedy." Page 79. 7. Dr. Chapman, Professor of the Institutes and Practice of Physic in the University of Pennsylvania, says: " Consulting the records of our science, we can not help being disgusted with the multitude of hypotheses obtruded upon us at different times. No where is the imagination displayed to a greater extent; and, perhaps so am- ple an exhibition of human invention might gratify bur vanity, if it were not more than counterbalanced by the humiliating view of so much absurd- ity, contradiction, and falsehood." Therapeutics, vol. 1, p. 47. "To harmonize the contrarieties of medical doctrines, is, indeed a task as impracticable as to arrange the fleeting vapors around us, or to reconcile the fixed and repulsive antipathies of nature." lb. p. 23. 8. Dr. Gregory, of London, in his Practice, page 31, says: "All the vagaries of medical theory, like the absurdities once advanced to explain the nature of gravitation, from Hippocrates to Brou^-ais, have been believed to be sufficient to explain the phenomena [of disease], yet they have all proved unsatisfactory." "The science of medicine has been cultivated more than two thousand years. The most devoted industry and the greatest talents have been exer- cised upon it; and, though there have been great improvements, and there is much to be remembered, yet upon no subject have the wild spirit and the eccentric dispositions of the imagination been more widely displayed. * * Men of extensive fame, glory in pretending to see deeper into the recesses of nature than nature herself ever intended; they invent hypotheses, they build theories and distort facts to suit their aerial creations. The celebrity of many of the most prominent characters of the last century, will, ere long, be discovered only in the libraries of the curious, and recollected only by the learned." Page 29. I must here add that Dr. Gregory's statements respecting medical theories, are indorsed by his American editors, Professor Potter, of the University of Maryland, and S. Calhoun, M. D., Professor in Jefferson Medical College, Pennsylvania. They are therefore sanctioned by the famous school of Bal- timore, which disputes with the Pennsylvanian, for the honor of being ranked the first in the United States. 9. Professor Jackson, of the University of Pennsylvania, tells us, in the preface to his "Principles of Medicine," p. 1, that, " The discovery of new facts has shed a light which has changed the whole aspect of medical science, and the works which have served as guides, are impaired in importance and value; they lead astray from the direction in which the science progresses, and new ones are demanded, to supply the position in which they become faulty. " The want of a treatise on the Practice of Medicine, in the room of those usually placed in the hands of students and young practitioners, had long 10 EXPOSITION. been felt." * * "At first I contemplated merely a practical book, com- piled in the usual manner, founded on the experience of preceding writers, compared with, and corrected and extended by my own. I had made a considerable progress in this method, when I was arrested by the conviction that it was essentially defective; that it did not meet the spirit of the age; that it did not answer the purposes of a rational instruction; that it did not supply the deficiency I had felt to exist in the commencement of my profession; that it had been followed in a servile spirit, from the remotest eras of the science, and is, most probably, the cause that, after so long a period after its cultivation, its practice still continues of uncertain and doubt- ful application." 10. He therefore strikes out an entirely new path, and writes a large book which is no sooner out of the press than Dr. J. V. C. Smith, of the Boston Medical and Surgical Journal, pounces upon it with a severity almost equal to that of Dr. Pattison upon Broussais. So they go. Menzel, in his specimens of Foreign Literature and Science, says:— "The Science of Medicine enjoys an immeasurable literature, which, unhappily has not yet been able to be collected into a Bible. It numbers creeds and sects enough; and, as Theological parties finally come together in faith, Medical parties unite at the most in unbelief."—Menzel's German Literature, vol. II, page 223. "The history of Medicine, which has been most thoroughly written by Kurt Sprengel, furnishes a melancholy proof how much the human race have been always groping about in error, upon one of the most important subjects to them. We need but compare the systems of the most celebrated and best known physicians, to discover, every where, contradictions of the grossest kind. What one derives from the fluids another explains from the solids; what one wants to cure with heat, another does with cold; where an opposite is recommended by one, a remedy similar to the [cause of the] disease, is recommended by another. If one wants to cure the body by the mind, another wants to cure the mind by the body. "But, if it is asked how all these strangely contradictory systems could have come into being, the answer is almost always to be found in the pre- vailing fashion of the times, which, originally had nothing whatever to do with medicine."—lb. page 226. Thus,—"The age of vapors, of coquettish fainting fits, interesting paleness and the like,"—"was the golden age of the doctors and apothecaries, and mankind were obliged to let blood after Stahl; to vomit after Hoffman, to purge after Kampf; and exhaust deep alembics after prescriptions a yard long, full of every stench of the old world and the new, in order to o-o back again finally to Helmont's theory, that the real seat of disease was the stomach disordered by doctoring."—lb. page 230-231. See the whole article. 11. Medicine is still in its infancy. M. Louis, see Paine's Commentary page 331-2. J' "Men have for ages devoted themselves to therapeutics, and the Science is still in its infancy"—"Physicians scarcely agree except on points which are admitted without any examination, or as established by lono- usage which has nothing to recommend it but time."—"The reader will be astonished, un- doubtedly, that, in the nineteenth century, authority could have been invoked in a Science of observation, without remarking that what we call experience EXPOSITION. 11 even now, is nothing but authority!"—"In fact, to what authorities do those most celebrated for the wisdom of their precepts, refer, unless it be to the practice of their predecessors?"—"If the experience so justly scorned by Quesnay, is an uncertain guide in practice, it is because it possesses nothing of true experience; but the reverse; because it is, in truth, only the common usage, not justified by rigorous observation."—"The pretended experience of authors is worth nothing, and, after all their assertions and denials, we are no further advanced than before; the experience to which he refers, is evi- dently tradition, custom, common belief,—an almost worthless thing,—a compound of vague recollections." C. Hering, in his Introduction to Hahnemann's Organon, says:— "Innumerable opinions of the nature and cure of diseases, have succes- sively been promulgated; each [author] distinguishing his own Theory by the title of System, though directly at variance with every other, and incon- sistent with itself. Each of these refined productions dazzled the reader at first with its unintelligible display of wisdom, and attached to the system builder crowds of adherents, echoing his unnatural sophistry; but, from which none of them could derive any improvement in the art of healing, until a new system, frequently in direct opposition to the former, appeared, supplanting it, and, for a season acquiring celebrity. Yet none were in harmony with nature or experience,—mere theories spread out of a refined imagina- tion, from apparent consequences, which, on account of their subtility and contradictions, were practically inapplicable at the bed side of the patient, and fitted only for idle disputation. "By the side of these theories, but unreconciled with them all, a mode of cure Avas contrived, with medicinal substances of unknown quality com- pounded together, applied to diseases arbitrarily classified, and arranged in reference to their materiality, called Allopathic. The pernicious results of such a practice, at variance with nature and experience, may be easily imagined."—Pape 25, 26. 12. This author is one of the most distinguished disciples of Hahnemann, and advocates of Homeopathy, and yet he says, page 17, "For myself I am generally considered as a disciple and adherent of Hahnemann, and I do indeed declare, that I am one amongst the most enthu- siastic in doing homage to his greatness; but nevertheless I declare also, that, since my first acquaintance with Homeopathy (in 1821), I have never accepted a single theory in the Organon, as it is there promulgated. I feel no aversion to acknowledge this, even to the venerable sage himself." 13. D'Alembert.—"The following apologue," says D'Alembert, "made by a physician, a man of wit and philosophy, represents very well the state of that science." 'Nature is fighting with disease; a blind man armed with a club, that is, a physician, comes to settle the difference. He first tries to make peace. When he can not accomplish this, he lifts his club and strikes at random. If he strikes the disease, he kills the disease; if he strikes nature, he kills nature.'" "An eminent physician," says the same writer, "renouncing a practice which he had exercised for thirty years, said, ' I am weary of guessing,'"—Abercrombie, Intel. Pow., page 293. Dr. Abercrombie adds:— "The uncertainty of medicine, which is thus a theme for the philosopher and the humorist, is deeply felt by the practical physician in the daily exercise of his art." la EXPOSITION. 14. Dr. James Graham, the celebrated Medico-Electrician of London, Bays of Medicine:— "It hath been very rich in theory, but poor, very poor in the practical application of it. Indeed, the tinsel glitter of fine spun theory, of favorite hypothesis, which prevails wherever medicine hath been taught, so dazzles, flatters, and charms human vanity and follv, that, so far from contributing to the certain and speedy cure of diseases, it hath, in every age, proved the bane and disgrace of the healing art."—Graham's Electric remedies, p. 15. 15. The following is the testimony of Dr. Brown, who was educated in Edinburg, Scotland, then called the Medical Athens of the world, a school to which physicians from every country lately went to finish their education: Dr. Brown, who studied under the famous Dr. Wm. Cullen, of Edin- burg, lived in his family and lectured on his system, (a system that has had as many advocates and practitioners as any other of modern times), says, in his preface to his own work, "The author of this work has spent more than twenty years in learning, scrutinizing and teaching every part of medicine. The first five years passed away in hearing others, in studying what I had heard, implicitly believing it, and entering upon the possession as a rich inheritance. The next five, I was employed in explaining and refining the several particulars, and bestowing on them a nicer polish. During the five succeeding years, nothing having prospered according to my satisfaction, I grew indifferent to the subject; and, with many eminent men, and even the very vulgar, began to deplore the healing art, as altogether uncertain and incomprehensible. All this time passed away without the acquisition of any advantage, and without that which, of all things, is the most agreeable to the mind, the light of truth; and so great and precious a portion of the short and perishable life of man, was totally lost! Here I was, at this period, in the situation of a traveler in an unknown country, who, after losing every trace of his way, wanders in the shades of night." I would here remark, once for all, that I do not always agree with the authors in all the sentiments quoted. I receive no man's mere opinions as infallibly true, till I have demonstrated them by evidences that will not admit of a doubt. For example, I can not admit, with Dr. Brown, that he "had spent all that time without the acquisition of any advantage." He had dis- covered many a valuable fact for future use. If he had not learned, directly, what medicine was, he had discovered, indirectly, what it was not; and thus narrowed the limits of his fruitless researches, as well as stored up experience as the foundation of his future medical philosophy. 16. Testimony of Dr. Donaldson, a Scotch Physician of hioh repute: "I was educated in the Gregorian doctrines of the Edinburg school of medi- cine. I was taught the theory of medicine as delivered in his Conspec- tus, and was exercised in the Cullenian discipline, divested of all his hypo- thetical errors of spasm and atony of the extremities of arteries. I learned all the branches of medical science under the distinguished and erudite pro- fessors of the most celebrated university and school of medicine in the world- I always embraced plausible truths, and rejected visible errors, in theory and practice. I admitted doubtful hypotheses to have no place in my mind, to influence my future practice. Even during my discipleship, I thought for myself, and digested their instructions with an unfettered and independent judgment and reasoning, and I had no sooner completed my studies of the EXPOSITION. 13 theoretical and practical science of medicine, and other branches of learning, in the College of Edinburg, than I repaired to the schools of London, so famous for anatomy and physiology. Having finished my intended course in the metropolis of the British empire, I launched into practice, under the auspices of a real imitator of the Edin- burg school, and a follower of Clarke, Lind, Thomas, &c, and soon had ample opportunities of witnessing the great insufficiencies of the medical practice of the present had, several years anterior, been mercurialized. Death, under the most ^ EXPOSITION. 4^i revolting mutilations of the face, took place in three weeks after he took the calomel" (305-6.) In all these cases, the Doctor confesses that the disease produced by mer- cury was far worse than the fever, hydrocephalus, hooping-cough, and even syphilis, (236,) for which it Avas given. 145. Hiram Cox, M. D., a graduate of the Ohio Medical College, and late Professor of Surgery in the E. M. Institute of this city, says: " Thousands yearly fill a premature grave, Avho are literally and legally murdered by the reckless administration of mercury; yet that same routine species of murder is continued and the community sanction it. "I have been called in hundreds of instances to counteract cases of poison produced by men, to many of Avhose names, by some means or other, the ini- tials M. D. were attached," etc. "Thousands have gone to the grave." etc. "I could enumerate at least fifty cases of poison and death by calomel, that occurred in the practice of physicians Avho were practicing in the region of country in which I practiced for seven years, many of whom Avere sent to their grave mutilated, disfigured and partially decomposed, before death released them from their sufferings. Suppose each physician of the thousands Avho are practicing in the United States, after the Old School routine of giving calomel, were to hand in a list of deaths produced b}7 that mineral poison, that occurred within his knowlege and region of labor, what a stupendous account of mortality it would make!" "How revolting to humanity is this picture! and yet how listlessly does this community move on and permit this state of things to exist!"—W. M. Reformer. 146. In the preceding numbers we have confined our quotations to the three great, indispensable remedies of Allopathy—the lancet, opium and mer- cury, at once the indices to the character of its materia medica, and the most efficient agents it embraces. But Ave do not mean to intimate that these are all the remedies of that old, popular practice. There are others used in con- junction Avith these, or as substitutes for them. But "Avhatever difference" they may present in other respects, " they all agree in this—they suddenly and rapidly extinguish a great proportion of the vitality of the system." "Poisons are, in general, the best medicines," saysHooper; and "the greater the poison, the better the medicine," has long been counted an almost self- evident principle. Among the adjuncts to, or substitutes for, the lancet, opium, and mercury, we find a great number and variety of agents, of Arery dissimilar character and tendency, as antimonj', arsenic, lead, zinc, niter, silver, copper, canthar- ides, digitalis, hyosciamus, cicuta, strychnine and the most powerful narcotics, all Avhich are classed among the causes as well as among the curers of disease. For example, of one hundred and thirty-four forms of disease enumerated by Eberle, he says that more than thirty are induced by the agents used to cure disease—as mercury, arsenic, lead, cantharides, stramonium, opium, and other "irritating substances;" also by injuries from malpractice. Prof. Dunglison also gives us, as the causes of more than thirty malignant forms of disease, the same "great remedial agents," with blood-letting, tobacco, spurred rye, opium, alcohol, and other "acrid orcorrosivepoisons." These forms of disease are inflammation, acute and chronic, of all or any of the organs, as the brain, the tongue, the tonsils, the throat, the stomach, and the intestines, the lungs, the heart, the liArer, the kidneys, the pleura, the pericardium, the peritoneum, the joints, tendons and muscles, the degenera- tion and decay of all these, and the very bones themselves. The very worst*' 46 EXPOSITION. forms of disease with Avhich the human body has ever been afflicted, are attrib- uted to "the most effective Aveapons of medical aggression" that have ever been prescribed for them, and to the manipulations of rashness in parturition, Look to an array of these conditions, causes, and cures. First, from Eberle: Disease. Cause. Cure Tonsilitis, Arsenic, Mercury, Bleeding, Calomel, Opium. Enteritis, Drastic purgatives, Do do do Peritonitis, Injuries in parturition, Do do do Hepatitis, Mercury, Do do Cerebritis, Do Do do do Nephritis, Cantharides, Do do do Cystitis Do Do do do Hysteritis, Instrumental labor, Do do Rheumatism, Mercury, Do do do Gout, Do Do do do Ophthalmia, Do Do do do Eczema, Do do do Hematemesis, Cantharides, Do do do Hematuria, Do Do do do Paralysis, Lead, Mercury, Do do Chorea, MercunT, Stramonium, Do do do Dementia. Do Do do do Delirium Tremens. Opium, Do do do Colica Pictonum. Lead, Do do do Jaundice, Mercury, Do do do Diabetes, Do Alcoholic Liquors, Do do do Dysuria, Cantharides, do do Hydrothorax, Mercurv, Do do do Ascites, Do Do do do Anasarca, Do Do do do In Dunglison the contrast is nerely the same as above, Avith the addition of some others. 147. The reader must be forcibly impressed by the number and the invet- erate character of the several forms of disease above indicated, that are often 'produced by mercury. The following note, by Prof. J. B. Flint, of Louis- ville, Kentucky, to his edition of Druitt's Surgery (page 114,) will explain the mystery. 148. "Genuine tuberculous scrofula is less common in the valley of the Mississippi than on the eastern coast of the Union. But a very large portion of what is regarded and treated as scrofulous disease, in this part of the coun- try, appears to me to be merely the result of indiscreet mercurialization. Under the prevalent idea that biliary derangements either constitute or co- exist Avith every departure from health, some form of mercury is administered in almost every prescription, and the whole capillary system of persons who happen to be occasionally unwell, soon becomes impregnated and poisoned by this subtile mineral. 149. "So, too, if an alterative impression is desired under any morbid condition whatever, instead of employing regimen, diet, and more harmless medicaments, it is common to resort indiscriminately to mercurial agents. The consequences of such reckless mediation I more properly wholesale EXPOSITION. 47 poisoning!] present themselves to the physician in dyspeptic affections, chronic headaches, pains in the limbs, called rheumatism', etc., and to the surgeon in the more striking forms of alveolar absorption and adhesions, inveterate ulcerations of the fauces and nostrils, Avhere no specific taint has been sus- pected, and in various degenerations, malignant or semi-malignant, of gland- ular organs. 150. "Moreover, the evil does not stop with the individual; for, where important elementary tissues are so deteriorated in the parents, a constitu- tional infirmity will be impressed upon the offspring, Avhich, if it may not be called scrofulous from birth, is the most favorable condition possible for the development of the phenomena of that diathesis, whenever co-operative influ- ences shall assail the unfortunate subject." Graham says: " There is a circumstance, in the operation of mercury, which ought to engage the serious and attentive consideration of the profession, as well as all who are in the habit of taking it themselves, or of giving it to their children—I mean the permanency of its deleterious effects. An improper or excessive use of the generality of medicines, is recovered from without [com- paratiA-e] difficulty; but it is not so Avhen the same error is committed with the mercurial oxides. They affect the human constitution in a peculiar man- ner, taking, so to speak, an iron grasp of all its systems, penetrating even to the bones, by which they not only change the healthy action of its vessels and general structure, but greatly impair and destroy its energies. I have seen persons to whom it has been largely given for the removal of different complaints, Avho, before they took it, knew Avhat indigestion and nervous de- pression meant, only by the descriptions of others; but they have since become experimentally acquainted Avith both; for they noAv constantly complain of Aveakness and irritability of the digestive organs, of frequent loAvness of spirits and impaired strength, of all Avhich, it appears to me, they "will ever be sen- sible. Instances of this description abound. Many of the victims of the practice are aware of this origin of their permanent indisposition, and many more who are at present unconscious of it, might here find upon investigation, a sufficient cause for their sleepless nights and miserable days."—Indig. 151. " The interests of humanity, no less than the honor of medicine, de- mand that those who observe and understand these things should utter, on all proper occasions, the most unqualified protestations against such abuses of a medical agent, whose timely and judicious use is so important to the healing art, and thus prevent it from becoming so detestable that its employ- ment will not be tolerated at all."—Ib. Some of my readers haAre already asked Avhy I have quoted so extensively from allopathic authors. I answer, I have done it for several reasons: 1. To disabuse the public of their arrogant and impudent claims to all the medical science in the Avorld, and to the right of the obsequious submission of all patients to their dicta in practice. 2. To furnish those who dare dispute their pretended Avisdom and their arrogant authority, with ample and effective weapons for defense, and abun- dant reasons for adopting an independent course. 3. I have done it to give ample proof to physicians, as well as their pat- rons, that there is neither science nor consistency in their principles, nor sense nor humanity in their practice. These extracts, from the most eminent of their professors and authors, demonstrate as clearly as human testimony and example can do it, that they 48 EXPOSITION. have no faith in the doctrines they teach, either general or particular; and that, so far from having a practice on which they can confidently rely foi safety and efficacy, they consider their best remedies "the most potent en- gines of mischief"—" two-edged swords," that have slain seven-fold more by their abuse than they have cured by their judicious use, on the great scale of their most scientific practice. They pronounce "the lancet the indispensable sheet-anchor of their prac- tice in inflammation;" "mercury the great anti-inflammatory, anti-febrile alterant of their materia medica;" and opium the "magnum Dei donum (the great gift of God) for the relief of a great proportion of the maladies of man:" and yet they ascribe to each and every one of these the destruction of more lives than can be attributed to the other three great curses of humanity—the sword, pestilence, and famine! Will not the reader turn in disgust from such a mortifying spectacle? Will not the advocate of Allopathy himself here discover the folly and iniquity of longer binding his living spirit to such a rotten carcass, and give me his attention, while I unfold the cause of all the errors in theory and mischiefs in practice, of Avhich the countless hosts of eminent and benevolent men, some of whose statements I have quoted here, complain? Can the most strenuous advocate of Allopathy longer doubt that there is, at the very root of the system, some fatal canker-worm that stints the growth and mars the beauty of its trunk, branches, leaves, and flowers, and blasts its long and earnestly antici- pated fruits? Must it not seem to every one, passing strange, that medicine should "still be in Its infancy," if it ever possessed, within its lifeless shell, the elements of manhood? If it ever had a scientific basis, should Ave expect to see such men as Lieutaud, Broussais, Louis, Hahnemann, Brown, Donald- son, Henderson, Forbes, Waterhouse, Jackson, etc., surrendering that basis as worse than worthless—as chaining down the mind to an erroneous, destructive creed—and setting themselves diligently to work to " make neAv observations, out of which to form a sounder theory?" Should Ave expect to see "American and other medical savans" assembling from year to year, and makino- it tha burden of their business to strive to ascertain the reason why their once popu- lar and venerated system is losing its authority, and falling into silence and neglect, if not contempt and ridicule; while multitudes of other systems! with the title of reform, are rising up to crowd it out of fashion and to take its place, if theirs, as they have made some thoughtless men believe, were "built on the solid foundation of everlasting truth, and had within it the power of rising to perfection?" No, indeed! Truth is mighty and will prevail wher- ever promulgated and applied. That their system does not answer the end of its adoption (5, 6, 16,) is proof irrefragable that its fundamental doctrines are not true. But all the authors I have quoted admit this charge, and the burden of their efforts has been to ascertain and rectify the error'(9, 19.) But, as yet, they have failed even in this. Allopathy is no further advanced in its fundamental character than it was three hundred years ao-o; and never will be further than it is noAv, until its present base is revolutionized. This glorious work for scientific medicine, this desideratum in its universal history, I shall clearly and thoroughly perform in the sequel of this work. As references mar the"beauty of the page and interrupt the sense of the text, I shall make but a few as I pass; assuring here the reader, that I shall say nothing that I can not amply prove, and that I will make in the index copious references to all parts of the work, where they will be found by far the most useful. 3 CRITICISED AND CORRECTED. 49 152. Views of Fever and Inflammation obscure and contradictory. Who- ever has carefully perused the preceding pages, must have been forcibly struck with the confusion of ideas, and contradiction of opinions, that pre- vail among the most distinguished medical men, in relation to the nature and tendency of fever and inflammation. While they all declare that no other subject has so much engaged the attention of medical philosophers, teachers and practitioners, they also agree that " no subject in the whole circle of medical science, still involves so many disputed points" (34 to 38). They are " so obscure as to afford but little help in determining the plan of treatment" (35, ^[ 3d). At one stage, they regard inflammation as the operation that does all the work of healing (42 to 45) ; at another they pronounce it and fever the fruitful mothers of all mischief—" the two orders of disease that make up the great amount of human maladies, and form the grand outlets of life " (41, 40). 153. The Bases of Pathology and Practice. And yet these "obscure pathologies," these "disputed points," these "problematical" conclusions respecting feA'er, inflammation, and irritation, "constitute, with great pro- priety, the foundations of all pathological reasoning " (28, 29, 35, 36, 41), and are made the bases of all Allopathic works on the theory and practice of medicine and surgery; and these works alone embody Avhat is called " scientific and legitimate medicine." 154. Denounce and persecute all who disbelieve and reject them. Any man who presumes to dispute their doctrines, or to practice in opp>osition to the prescriptions based upon them, is denounced as a quack and a murderer, and A-isited with a malicious persecution, that " stops at nothiug short of his destruction, root and branch."—Harvey. 155. Fundamental Doctrines false, and the practice mischievous. Hence, it is strictly true, that " the very foundations on which their systems of dis- ease are built, are and ahvays were false, and baseless as the fabric of a vision, (5) ; and their practice has really been, what its advocates themselves describe it (5, 6, 13, 21, 26, 27), a striking at a melee of friends and enemies in (lie dark, a shooting at random, at a bird whose song they think they hear among the branches (27); a multiplication of diseases, and an increasing of their mortality (26); a practice of "bleeding people to death" to prevent them from living till natural death should remove them, or the causes of disease should destroy them (56, 57, 70, 79); a perpetration of more destruction of human life than is effected by the sword of the warrior (58); a production of seven times as much mischief as good on the great scale of humanity (76); a whole- sale destruction of constitution and life, by one of the remedies the most con- fidently relied upon for the saving of life (90 to 151). In short, a system of " horrid, unwarrantable, murderous quackery" (142, and 105 to 141)! 156. The "error of errors" of Allopathy. The considering and treating of irritation, fever and inflammation as disease, has been the grand mother error of Allopatliists, ever since they adopted it:—the source of all their other errors in theory, and mischiefs in practice. It is the retention of the same error by many well meaning Reformers, that has prevented them from advancing but a few blind steps out of the old dark labyrinth of Allopathy, to be plunged directly back again whenever the slightest obstacles oppose their progress. * 157. I shall present irritation, fever and inflammation many times, in varied forms of speech, and under various circumstances, so that one well 4 50 ALLOPATHY EXPOSED, acquainted with the subject, or even "apt to learn," may think I repeat the same ideas and principles, and exhibit the same facts and conditions, with unnecessary frequency. But, as the subject is of vital importance, and no Allopathic writer, to my knowledge, has yet been able to explain it clearly to others, or to understand it himself (Bartlett on Fever, p. 159, and Rec, vol. 18, pp. 113, 129, 161, and vol. 19, pp. 1, 2), I must be excused for giving line upon line, precept upon precept, and illustration upon illustration, till it will not only be understood, but so plainly presented, and in so many dif- ferent views of it, that it can not be misunderstood. Some may think it unnecessary to draw inferences from every fact or case. But let them remem- ber that Allopathy has long had the facts before her. Why did she not draw the inferences without any aid from Reformers? To all objectors to my " repetitions," I would say, I do not ask them to study these any longer than till they are thoroughly acquainted with the character and tendency of the principles they involve; while I assure them that, when they are complete masters of these principles, they will be able to correct all the errors of infant Allopathy, and raise it to the dignity of a full grown science. 158. I will therefore now give the true character, nature and tendency of irritation, fever and inflammation, in language, and by illustrations, so sim- ple that the common reader can not fail to understand them, avoiding as much as convenient technical or learned words and phrases, for the very reason that those Avho have used them the most, have, by this very means, " darkened speech with words without knowledge." 159. Anatomy and Physiology. The human frame is an organization con- structed by the action of a specific motive power, called the vital force, through the media of nerves and blood vessels, and with materials suited to the wants of that force (Lectures on Medical Science). This body commences in miniature, and is developed and enlarged by the circulation of the materials to all parts of it, through the media of a series of vessels called a heart aud arteries, and their dependents, called lacteals, lymphatics, glands, and secer- nents; and diminished and purified by the remo\Tal of the effete, worn out, or morbific matter, through another series of dependent vessels, called veins, excernents, ducts, emunctories, (capillaries of the surface,) follicles, &c. For a complete description of the whole, see works on anatomy. 160. That this motive power, called the vital force, is peculiar, specific, the generative cause of the organism, is presumptively proved by the fact that no other powers without it, are known to have e\Ter produced an organization from inorganic matter, or from even a seed from Avhich this power has been expelled by heating or freezing. It is demonstrated by the fact that, in constructing and maintaining the organization, it overcomes and controls all the inorganic forces, producing di- gestion, vitalization and organization, when they, uncontroled, would produce fermentation, putrefaction and decomposition, as is the case with vegetable and animal food. 161. The heart is a great double forcing pump, constituting the centre of this grand system of vessels of nutrition and depletion. Its form is that of an inverted cone, suspended by its base from the walls of a cavity called the pericardium, between the two great lobes of the lungs. It consists of strong, muscular walls, lining four large cavities, two auricles, and two ventricles; the former a sort of porticos or ante-rooms to the latter, and separated from them by valves, which permit the blood to flow through CRITICISED AND CORRECTED. 51 theminto the heart, but so close against the sides of the ventricles as to pre- vent it from flowing back again in the same direction. To understand this well, go to the butcher and get the heart, lungs and trachea, and a portion of the aorta, of a sheep, hog, or small calf, and examine well the internal structure of the blood vessels and cavities, and read the description of them from books on anatomy. Its use is to start the blood to every part of the body. 162. The grand trunk artery of the human body, called the aorta, com- mences at the fundus or upper portion of the left cavity of the heart. In struc- ture it resembles the bark of a tree, from Avhich we will suppose the wood to haATe been withdrawn Avithout splitting or injuring either the trunk-bark, or any of its branches. Or we may suppose the wood to haAre been dissolved by some chemical agent, and removed without affecting the bark. From the base of this trunk onward to its extremities, branches are divided and subdivided, and extended to eATery part of the body, generally receivino- the name of the region or of the organs to which they are directed, or on which they are distributed; as, the cardiac (heart); cervical (neck); the brachial (arm); the costal (ribs); the mammary (breast); the celiac (abdominal); the gastric (stomach); the hepatic (liver); the renal (kidney); the phrenic, (diaphragmatic) ; the splenic, the mesenteric, the hypogastric (under the stomach); the iliac, (pelvic); the crural (leg), &c, &c, through the whole system. The use of these arteries is to conduct the blood to every part of the body. 163. The pulmonary artery. Like this aortal system in structure and arrangement, there is another tree of vessels, having its base at the right cavity or ventricle of the heart, and its twigs in the lungs, and is thence called the pulmonary artery. Its use is to carry the elements of nutrition in the venous blood to the lungs, for the last process of vitalization preparatory to its distribution to eA'ery part of the body. The roots of tlwse vascular arterial structures, prior to their connexion with the heart, may be said to consist of two venxe cava;, whose use is to carry the venous blood into the right auricle of the heart, and two pulmonary veins, which carry the arterial blood from the lungs to the left auricle of the heart. 164. Internal and external, upper and lower distributions. Some of the arteries are distributed to internal organs, as the heart, the brain, the lungs, the liver, the spleen, the kidneys, the pleura, the pericardium, the peritoneum, the diaphragm, the stomach, the whole alvine canal, &c. And thus others ai'e extended to the external surface, and the subjacent tissue. So also, some vessels are distributed to the head and arms; others, their opposites or antago- nists, to the feet and legs. Nor must it ever be forgotten that the heart throws all the blood into the great aorta at the same time, for distribution to the inner and the outer, and the upper and the lower organs; and that there are no valves between this great \Tessel and the utmost extremities of its ramifications or branches; consequently, the blood of each pulsation will be divided between the internal and the external vessels, and the upper and the lower, in exact proportion to the resistance which it meets from the different degrees of contractility of the walls of these \-essels, in different loca-tions. 165. Warmth and moisture. We all well know that the warmth and moist- ure within the body keep the arteries and their capillaries of the internal ar- rangement soft and relaxed, so that they will generally admit about the same 52 ALLOPATHY EXPOSED, quantity of blood while the pressure on them is the same. But with the external vessels it is far different. They are subject to the action of very different degrees of heat and moisture, and, of course, are sometimes so warm, moist and expanded, (as in a hot atmosphere, or when exercising rapidly in hot Aveather), that they will admit and even invite from the aorta a much larger quantity of blood than usual. 166. Cold and dryness. But the surface may be so cold, dry and con- tracted, that it will not admit the quantity absolutely necessary to keep it warm. It is evident that, in this case, the blood will flow to excess inwardly, where it meets less resistance, Avhile, iu the former case, it will be invited from the internal organs so as to leave them more free than usual from pressure. 167. Equilibrium of pressure, atmospheric changes. When the surf ace is only properly tcarm and active, the external vessels are properly distended, and there is no undue pressure any where, the circulation is equalized. If this equilibrium is perfect, throughout all the tissues, there may be high excitement, (fever, inflammation,) but there can be no injury or disease any where, for, as I have just now shown, unless the arterial circulation in a region is proportionately far too great, the absorbents are always able to take it up and remove it as fast as it comes. There may be full and rapid circula- tion, but there can be no obstruction, and of course no disease. But, since the contractile pressure of'the vessels of the external surface varies with the atmosphere, being sometimes beloAV and at others above the healthy standard, it is evident that vicissitudes of atrn.ospheric temperature must be fruitful sources of derangement of the circulation, and, of course, disease. 168. The heart—valves, arteries, capillaries. The heart is constructed of elastic, muscular fibres, arranged in such a manner that the contraction of one series of them diminishes the cavity, and forces the blood out ; and that of the other series enlarges the cavity, and invites it in. Like the gates of a canal, the valves at the venous connexion open inward, and those at the arterial con- nexion open outward, so that the blood flows into it from ATeins, and out of it through arteries. But, unlike the locks of a canal, instead of the blood forcing the valves open to make its way through a cavity of constantly the same di- mensions, the cavity itself is alternately diminished and enlarged, for the pur- pose of moving the fluid onward. In the canal, the moving power (gravita- tion) is in the fluid that passes; in the heart, the moving power (the vital force, 160), resides and acts in its walls. The arteries, through their Avhole extent, are constructed with a coat of elastic fibres, circularly arranged outside of their inner, mucous coat, so as, by their successive contractions, like those of the throat in swallowing, to con- tinue forcing the blood thrown into them by each contraction of the heart, along in its course, to and through their minutely ramified extremities and pores, called capillaries. They have each (the aorta and the pulmonary) a tri-semi-lunar valve at their base (see anatomy), to prevent the return of blood into the heart, when it expands. They have no more valves through- out the entire system. 169. Absorbents—veins, lymphatics, ducts, lacteah. Similar in structure to the arteries, are other series of vessels called absorbents. They consist of the minute radicles of veins, lymphatics, ducts, and lacteals; but their mode of action is directly the reverse of that of the arteries. Instead of conducting fluids from their bases to their tips, they absorb them, as springs do water* into their minute twigs called radicles or capillaries, (which commence CRITICISED AND CORRECTED. 53 wherever arteries end), and carry them, as springs do water, into larger and larger vessels, till the veins reach the heart or the liver; and the ducts the several places of their destination. Because all these take up their fluids by capillary attraction, they are called absorbents. But the different systems are for different purposes. The veins are to take up the dark and impaired, and the lymphatics the light and still good portions of the blood that have not been used in the arterial distributions, and to carry them back to the heart, to be sent to the lungs, revived, and circulated again, " that nothing be lost," Some of the veins, as I haA-e said, are continuous from the arteries, others open from the parenchymatous substance, and the surfaces, external and internal, of the body. The veins enter by the venae cavae, into the right auricle of the heart, and the lymphatics enter into the subclavian veins (see anatomy). The lacteals commence in the mucous membrane of the intestines, pass be- tween the mesenteric fold of the peritoneum, and cast their contents, with the lymph from the lower body, into the receptaculum chyli, the large cavity of the thoracic duct, a vessel which commences in the abdomen, passes through the chest and enters the left subclavian vein near its junction with the jugular. The ducts commence in glands, and carry their peculiar fluids to their places of use (as the hepatic, the pancreatic); or of elimination (as the nasal, the renal), or of both, as the lacrymal. Their coatis are constructed like those of the arteries, and they act in the same manner, but in the reverse direction, that is, from twig to trunk. The veins, like the arteries (162), are antagonistic in their distribution and action. 170. Balance of sccrenents and absorbents. From the above description of the structure of the absorbents, it is seen that they take in their fluids chiefly by the simple power of capillary attraction, only a portion of the arteries being continuous into the veins, and none into any of the other ab- sorbents. It follows, of course, that the egress of the blood, out of the arteries, which is aided by the strong muscular power of the heart, will be more easily effected than the absortion of fluids into the veins, &c , which have not the advantage of any heart power to aid them, and that some means should be devised to keep up a balance between secernents and- absorbents. Since fluids can pass into a part more easily than they can pass out of it; and since, under every extra excitement, more blood is sent for a time to that part, it follows that the radicles of the absorbents should be much more nu- merous than the capillaries of the arteries and secernents, in order to insure, at all times, a free circulation of the fluids, and a proper depuration of the system. This we find to be the case. 171. Excess of absorbents over secernents. Tlie absorbents are so much larger and more numerous than the arterial capillaries, that no sudden and not loug-continued inflammatory distension, can prevent the absorbents from removing the excessively accumulated fluid soon after the exciting causes cease to act. Hence, though all extraordinary excitements accumulate, for a time, an excess of blood in the capillaries, it is soon dissipated by the superior capability of absorption over arterial determination and secretion. 172. Destruction of this equilibrium. It is the destruction of this general equilibrium of the internal and external, upper and lower circulations, secretions and excretions, that causes all the disease connected with, or 54 ALLOPATHY EXPOSED, exciting irritations, fevers, inflammations, pains, headaches, coughs, sneezings, vomitings, purgings, &c, &c, and all the derangements of secretions, that poor human "flesh is heir to." 173. Antagonisms of Veins. As with the arteries (164), so with the veins, there is an inner and outer and an upper and lower antagonism in their arrangement, of which the derangements also are antagonistic, and liable to produce all the various forms of irritation, feA'er and inflammation as sug- gested in 172. 174. Balance of Circulation, health. When the body is under ordinary excitement, and all the blood that is thrown by the arteries into the system, except what is used for nutrition or elimination from surfaces, secreted or excreted from glands, &c, together with the effete or worn out material of parts, is readily taken up by the absorbents, and moved away,—this is the equilibrium of the circulation, and the condition of the organs which is necessary to maintain all these operations steadily, and in a proper manner,is health. Under immoderate excitement the blood flows more freely to and through every part that is free from obstruction or compression; the heart expands boldly and quickly; the pulse becomes full, soft and gracefully Aoav- ing; the whole tissue swells with the accumulated fluid, and all the power of all the absorbents is brought into action. If the current from the heart and arteries be not so full nor so long continued, as to expand the capillaries to such a degree that they will compress the mouths of the absorbents so much that they can not take up the superabundant fluids presented, all is still well, and that state of the system is still called health; but often uhigh health," or that degree of it at which we are said to be in danger of disease. 175. Obstructions to Absorption—consequences. But, when the pressure is continued and increased till the absorbents become too much collapsed to take up and remove the fluids supplied, there is an obstruction to the circulation, the power of secretion is greater than that of absorption; and, if this condi- tion continues long, the capillaries of the arteries are fatigued and prostrated, and deprived of their ability to recover their natural and healthy dimensions and actions; the blood being the natural stimulus of the arterial capillaries, Avill excite still further their efforts to act, and this excitement will generate more heat. This heat will still further excite the nerves and give pain, and by combining with the blood will sometimes expand and redden the part, producing the four circumstances, heat, redness, pain and swelling, some of Avhich attend many of, but not all the cases of what are called inflammation. This inability of the arterial capillaries to contract and of the absorbents to expand, is called disease; though both may be capable of recovering their healthy state, as soon as the surface is warmed, relaxed and expanded, so as to recover its proper share of blood, and relieve pressure to the distended capillaries. 176. All irritations, fevers and inflammations, in whatever parts of the body,, or by whatever means excited, consist essentially in vital manifestations, excited by excesses of nervous action, or derangements of the equilibrium of the circulation. Irritation is excess or derangement of the nervous actions • for the nerves too have their corresponding internal and external, upper and lower distributions and antagonisms, and the same equilibrium of vital action when unobstructed: and all their "irritations" and "pains," "deliriums" and insanities, consist in the vital results of simple derangements of the equilibrium of their action. CRITICISED AND CORRECTED. 55 177. Causes of Disease.-—Disease itself. Whatever can check the free flow of blood through an artery or its capillaries, or into the mouths of the ab- sorbents; as mechanical pressure, sitting or lying long in one position, keeping the limbs bent, or wearing tight clothing; or whatever can, from within, either block up the capillaries, as morbid secretions, or cause them to contract, as do astringent and gaseous poisons, may obstruct the circulation or nervous action, and cause disease, the form of which will depend not on the vital force, but the character of the obstructing cause. The inability of the tissues to recover their normal condition and action, is the sum and essence of disease, no matter in what organ or in what condition of it, that inability consists, whether in contraction or relaxation, obstruction, paralysis or lesion. 178. The Nervous System. In the human body, we discover also several organic arrangements styled collectively the nervous system. They consist of masses of albuminous and fibrous substances, of different sizes, appearances and textures; located, some within the skull, others Avithin the spinal column, others outside of the spine and between it and the pleura or the peritoneum' others on the arteries, &c, taking their names much as do the arteries, and connecting with each other by cords of the same material, of different sizes; and with other cords ramified into all parts of the body. They are divided by their properties or offices, into five classes—the sensitive, the motive, the respiratory, the splanchnic and the intellectual and affective. 179. The Sensitive Nerves. The sensitive nerves have for their origin, five localities or places from Avhich they seem to commence the performance of their functions; viz. the nose, the eyes, the mouth, the ears and the general dermoid (outer) surface. From these localities are extended solid cords of mucous oralbuminous matter, into the cavity of the skull, to the head of the medulla oblongata, called the centre of perception. Their action gi\Tes us acquaintance with external objects. 180. The Motive (motor) Nerves. From the last locality are returned again other cords of like appearance, and to some extent enclosed in the same membranes (neurilemma), to all parts of the muscular structures that perform what are called Aroluntary motions. These constitute the two anterior, and the sensitive the two posterior, pillars of the spinal cord, and both together are called the nerves of external relation, because they make us acquainted with external things, and enable us to move about among them, and to act in rela- tion to them. 181. The Respiratory Nerves. Another series of nerves is found, consti- tuting primarily the middle and lateral pillars of the spinal column, included within the neck and chest (cervix and thorax), and extended to all those muscles whose action directly produces the expansion and contraction of the chest, and these are called respiratory nerves. 182. The Sympathetic Nerves. Again, there are visible in the great cavities of the body—the chest and the abdomen—outside of the pleura and the peritoneum, and more immediately connected with the circulating appa- ratuses, knots, plexuses, or ganglions of mucous matter, from Avhich nervous cords are extended (at least in their influence) to the heart, arteries, glands, veins, ducts, and surfaces, wherever the circulation of fluids of any kind is conducted. This system of nerves is called the vegetative and the nutritive, because it presides over the growth and nutrition of the body; the sp>lanch- nic, because it is found prominent among the splanchnica or viscera of the body, and the sympathetic, because it is designed to carry impressions from 56 ALLOPATHY EXPOSED, one series of organs to another; and the fact that it does carry impressions both from distant organs to the mind, and from the mind to distant organs; from the dermoid (skin) surface to the mucous, and from the mucous (inner) to the dermoid or outer, as manifested in the mental operations of love, and of hatred or disgust, in the relation of chills and fever, of perspiration and diarrhoea, is proof that this system, like that of external relation, is double, or active and reactive. 183. The Intellectual Nerves. Lastly, there are large portions of nervous matter above, before, behind, beside, and below the top of the spinal cord called the medulla oblongata, all lying in convolutions within the compass of the skull. These I call intellectual nerves. Their use is to perform the operations of perception, reflection and judgment; also of affection and all the animal emotions. For particular descriptions of all the systems of nervous arrangements, see works on anatomy, physiology and phrenology; also my Lectures on Medical Scienee. 184. Sympathetic Antagonisms. From this view of the nervous system, we see that it has an external distribution which is affected by external causes; and an internal, influenced by internal causes, including the vital force. We also perceive that its superior and inferior distributions are opposed to each other and, through the sympathetic, sympathize with each other. These are its antagonisms. 185. Healthy State of Nerves. When all these systems are in perfect order, and their action is unobstructed, they are said to be healthy or in health. In this case, there is, or may be, a perfect equilibrium of action, and therefore can be no such thing as nervous disease. But, 186. The derangements of their ability to respond with equal facility to the action of the vital force, are the essence of all forms of " nervous dis- ease," and the exciting causes of those derangements and the states thus pro- duced, are what the physiologist should ever carefully avoid, and the physician as carefully remoATe. But men who count irritation, fever and inflammation disease, can never enter even the portico of the beautiful temple of Hygeia and of scientific and successful medication. 187. The object of these nervous centres or systems, is to constitute the primary seats of the vital force; and that of their connexions and ramifica- tions is to serve as conductors of that force to every part of the body, and as instruments through which it moves every part to normal or healthy action. 188. The vital force may be said to be fixed in every tissue, to an extent and degree sufficient, under ordinary circumstances, to preserve that tissue from decomposition, and to enable it to perform the functions necessary to the supply of its own Avants. It manifests itself in the healthy condition of all the tissues, in the ordinary circulation of the blood, in the life sustaining secretions throughout the system, and the respiration \vhile asleep. 189. Vital force, cumulative by stimuli, and available. This force is capable of being accumulated by its own action, and made available by the will, as in thought, speaking, running, the exercise of love or hatred;—or by external excitants, as electricity, caloric; or by the application of material substances—all which are called stimuli. Thus, if bruised mustard seed or a nettle, or a solution of pepper, or any acrid drug be applied to a portion' of the external surface, or taken internally, the sensitive nerves are aroused to a higher action than before, causing pain which manifests an increase of the CRITICISED AND CORRECTED. 57 vital force. This increase may be propagated or extended to other tissues— hence I call it available, or capable of beiug used for other purposes than the mere sustenance of the tissue. 190. How manifested—effects—disease. This degree of vital force is mani- fested in the exercise of all the senses, in every locomotion, in thinking, speaking, &c, for all which purposes it can be accumulated at will, and trans- ferred from one point to another; as from limb to limb in walking; hand to hand in gesticulation; from perception to reason and reason to emotion in argument: but, while it may be regulated at will, there is no objection to its use. It may also be accumulated against the will, as in a burn, or a blister, but by whatever means excited, it can not long be continued in some parts without weakening in others, the power to preserve an equilibrium of action in all. Thus, a severe and long continued concentration of the vital force on the brain, so drains the power from the muscular structures, that the limbs are unable to perform their proper offices, while it also over-works and pros- trates the brain itself, and this inability of both parts of the system to perform their proper functions, is disease. 191. The over excited action of the organs of perception and intellect, by whatever means aroused, is at first called nervous or brain fever; if long continued and intense, it is called inflammation of the brain or phrenitis. It is still, however, the same action, and from the same cause (the vital force) as Avhen induced by study; and is no more disease in one case than in another. 192. The first great error of medical men consists in their considering this nenTous and arterial excitement disease, and in making war against it. 193. The second great error consists in supposing that the different mani- festations of this vital derangement, are caused by differences in its nature, instead of mere differences in the circumstances under which it is excited. Thus they call grief, anger, love-sickness &c, different diseases. 194. A third error consists in supposing that the organic locality of the affection makes a difference in its essential nature: thus they have different kinds of insanity; instead of including all cases of it in the general category of derangement of the equilibrium of nervous action. 195. A fourth error consists in their considering the derangement different because it is found on tissues of different nervous endowment; thus, they count phrenitis and sciatica and tetanus, very different diseases, though they are all simple derangements of nervous capability of action; and are cured by equal- izing their physiological capabilities. 196. A fifth error consists in their considering and treating derangements of the circulation as something different from those of the nervous action; when, in fact, they are the same thing, essentially, viz. derangement of the equilibrium of the vital force, no matter on Avhat organ or tissue (194, 195) it is observed. 197. A sixth great error consists in their considering fever and inflamma- tion different and distinct diseases; when in fact they are different only in stage and extent, and no disease at all. 198. A seventh error, is, like the one of the nerves, the counting and treat- ing of inflammation of the different organs or tissues as distinct diseases, instead of the same. Thus, inflammation of the ear, and gout, are by them 58 ALLOPATHY EXPOSED, called different diseases, and treated differently, whereas they are the same, and removed by equalizing the circulation. 199. An eighth error, grows necessarily out of the first, viz. That all these vital manifestations being disease, must be treated with lancets and poisons, and other means and processes that ruin the constitution. This 'is the great error of errors of Allopathic Therapeutics. 200. Health—disease. Thus it is perceived that the nonces possess a property, quality or capability, or disposition to act more promptly and vio- lently than usual, on the application of their proper stimuli. To preserve this capacity for equilibrium, is to preserve health—to destroy it is to produce disease. 201. Each of the nervous arrangements is excited to action by its appro- priate character of stimuli. Thus, the general sense and the taste, by gross matter in massive form of irritating and sapid substances, or by materio-motive powers, as caloric and electricity; the smelling by matter in its extremely minute, elementary or proximate forms; the hearing by waves of the atmos- phere; the seeing by light, and the intellectual, the motor, the respiratory and the splanchnic, by the vital force alone (the latter through the medium of the blood.) 202. All the nervous manifestations of vital action, save the respiratory and the nutritive, may be quiescent for considerable intervals of time, without any injury to the organs. So may some of the functions of the splanchnic, as generation, gestation and lactation, in which the available vital power only is manifested. 203. Irritability and excitability are terms used to represent the ability, disposition or property of a tissue to respond to the influence of its appropriate stimulus. It is most commonly applied to nerves, muscles and blood-vessels, though properly speaking it belongs to every tissue save the mere earthy matter of bone, and the nails and hair. Irritation, excitation and excitement, are used to signify both the applica- tion of a stimulus to a tissue, and the action of that tissue when so irritated. 204. The means of irritation &c, may be any thing and eArerythin<* that can either invite action, as good food or medicines, a good motive, a good feeling; or may provoke it, as poisonous articles, ill treatment &c, but by whatever means aroused, whether the action be high or low, regular or irregu- lar, equally or unequally diffused over or through the body, it is always pro- duced by the same one cause, the vital farce; and is, therefore always sus- taining, conservative and curative—never tending, except by abuse to the destruction of the body or any part of it. 205. Healthy State. Though any nervous or other tissue may be excited for a short time, to a very high degree of action, as the brain in thinking and speaking, the arms in climbing, or the feet in walking, yet, if this action ia not continued till the tissue becomes prostrated by it, or till other tissues lose their power to receive and dispose of the excess thus raised, the equilibrium will soon be restored, on removal of the cause of the local excitement that invited or provoked the derangement; yet, if every part of this nervous Cor other) structure is free to act to its full measure, there is no permanently excessive action of any part of it, and, of course all is considered healthy action. And this capable condition is the healthy state. CRITICISED AND CORRECTED. 59 206. Diseased State. But, let some part of it be excited too severely and too long, and not only a derangement of the general action, but a loss of power to act takes place. For example: If we pursue our studies so long and so intensely that, when we cease, the cerebral excitement, pain in the head and cold feet and surface continue; the nerves of the brain have lost their ability to shake off the excitement, and those of the extremities and the sur- face have lost theirs to call it off. The equilibrium of ability is destroyed, and the inability to restore it is disease. 207. The disease is not often found altogether in the locality of the excite- ment. In irritation of the brain, for example, there is a diminution of the excitability of the nerves of the surface and lower extremities, because of the withdrawal of the nervous force from them to the brain. Hence the pressure of the blood from them, increases the inability of the organs of the brain to rid themselves of its mechanical influence, and its stimulating effects, gene- rating heat and still exciting them to more fruitless effort. The disease then, is both in the brain and on the surface; and both need the aid of art for their relief, because both have lost their balance, the one by excessive action, the other by diminution of the ordinary quantity. 208. Counter-Irritation. As the vital force stimulating the brain, sets and keeps it in motion, so the same force can be sent, by ceasing to study and taking exercise, to the surface, muscles, viscera and lower extremities, leaving the brain comparatively at rest. The equilibrium being restored in both localities, health is preserved and established. The same thing can be done by the vapor bath, friction with stimulants, and taking diffusives internally, Avhich last much aid exercise. This is called counter-irritation. It is an established law of the animal economy, that, when any part of it is over-excited, by whatever means, the action from other parts accumulates at the point of excitement, to defend it against injury, as a poison, or to aid it in doing good, as in digesting food; and that, if the exciting cause (even the good food), be not soon removed, this accumulated action over-works and debilitates the part on which it is concentrated. It can be properly removed only by removing the excitant and inviting the action to other tissues. This restores to each equilibrium of action, which is healthy. The ancients, ob- serving the uniformity of the first condition, laid it down as a maxim, "Ubi irritatlo ibi affluzus." Wherever there is irritation there is a vital and fluid accumulation; and they might have added, " when this afflux becomes troublesome, it can be called away by irritating a counter part: and thus, disease produced by local irrita- tion, may be cured by counter-irritation. 209. Irritation in itself Physiological. From what has been said and proved on this subject, it is very evident that irritation is not disease, but purely physiological action, aroused and concentrated for the purpose of per- forming some extra duty; as intense thinking, feeling or speaking: or pro- tecting the system from injury; as in the closing of the eye in a mid-day sun to enable it to bar the light, the shaking of the skin of a horse to keep off flies.__or for removing a cause of disease, an offending agent, as in the excite- ment of the stomach or bowels to get rid of poisonous drugs. 210. How treat Irritation. Of course the object of the practitioner should be to let it alone where both the excitant and the object are good, to equalize 60 ALLOPATHY EXPOSED, if Avhen it is excessive or wrongly directed, and to remove the excitant if bad But in no case to paralyze or destroy the power of the nervous system to produce this deranged and accumulated excitement. 211. The false impressions of medical men, that this deranged and over- excited nervous action is disease, or as with many, that the organs or tissues that produce it are diseased, and therefore should be deprived of their power to produce it, has led to the use in medication of a class of most destructive agents called narcotics, which they confess have done a vast amount of injury in the civilized world (71 to 79). As these narcotics are known to be such only by their power to depress nervous excitement; and, as nervous excitement is called by Allopatliists disease, they must, of course, be counted good medicines. But, since, in actual experience they often kill, it is found neces- sary to limit their supposed good, but really unchangeably mischievous quali- ties, to those cases in which the vital force resists their action, and expels them from its domains; when their character becomes conditional, that of "good medicines in skillful hands," or when it cannot expel them they are "treacherous palliates," "irretrievably" ruinous, " destructiA'e narcotics," "dangerous sedatives," "deceptive as the serpent of Eden and equally fatal" (76). 212. True Anodgnes and Nervines. Since irritation is purely physiological (178), the only rational relief for the condition of the tissues manifested by a permanently deranged nervous excitement (181), consists in restoring equili- brium to the nervous action ; ceasing to excite the tissue Avhere it is too active, and rousing it where it is deficient. And this can be properly done only by agents whose innate qualities supply the current demands of the vital force. Thus if a part be irritated, it requires a relaxing and soothing agent; as water and relaxing aromatics. Warm spear mint tea relaxes the tissues and relieves tension and irritation, the nervous effort to remove Avhich is called pain. Lobelia is powerful to relax and of course one of the best anodynes, Avhile it never narcotizes. So the vapor bath removes obstructions and hence irritation and pain. 213. In common headache from too much study, the vital force excites the nervous structure to exalted action, which all agree is as healthy to the brain as walking is to the limbs. But, if it is continued too long and too severely, it overworks the brain which then complains by aching, as the feet do from too fast and too long continued walking. Is this irritation disease ? and must Ave give narcotics to deprive the nerves of the power to tell us of it, by aching ? or shall we call off the motive power from the brain, by exciting other parts of the nervous system to action, so as to let the brain rest awhile'( If the latter, can deadly narcotics that stop all nervous action do it? or shall Ave use physiological relaxants, as rest, and nervines to the aching brain, and stimulate the muscular system to call off the vital force from the efforts of the brain in study ? 214. The true test of remedies is their constant tendency in action to restore directly the healthy state. Of course, not those that depress nervous activity, but those that restore equilibrium to it, are the true anodynes. Thus we see the truth of our doctrine (211), that it is their erroneous opinion in relation to the nature and tendency of irritation, &c, that has both dictated the use of poisonous agents, and deprived medical men of the power to determine with any degree of nearness to a certainty, what is and what is not narcotic or poisonous; and even induced them to pronounce the best articles of food CRITICISED AND CORRECTED. 61 poisonous when they excite the organs to a full performance of their physio- logical functions, as the nerves to irritation, and the mucous membrane to vomiting and purging, or, in aromatic form, to coughing and sneezing. 215. The oppositions to nervous action are the destruction of the tissue by chemical or mechanical means, the former corroding or narcotizing, the latter simply compressing; as when a cord is tied tightly around a nerve, or when any part of the system is bent for some time much out of its natural shape; as when the arms or legs have been long draAvn up to acute angles, or where vessels are clogged by morbific matter. It is also sensibly exhibited in the shape of corns on the feet, in which cases, the flesh over the joint or projecting part of a bone has been compressed so long that the fluids have been exuded, the solids have become dry and hard, and have adhered together. Cellular tissues, muscles, blood-vessels, lymphatics, nerves and skin, are all united in one mass, and this ultimately in some cases to the bone. The circulation and nervous action through it are impeded, the blood accumulates before it, and stimulates the nerves to an extra effort to remove the obstacles and set the tissues free. This effort being fruitless, the action returns upon the brain and produces a sense of uneasiness, which, if slight, we call irritation; but if severe, we call it pain, dull, heavy, acute, mild, severe, lacerating, darting, stellate, &c, according to its degree, or mode of manifestation. In a boil or an ulcer, the impediment is the pressure of the accumulated blood. 216. Pain, then, in all cases, is simply the notice or impression which the nervous tissue conveys to the brain that some part of its structure or arrange- ments is enthralled and other parts are over-excited. Of course, if it is not itself disease, nor are the nerves that manifest it, performing any other than their physiological office of carrying impressions to the brain, it follows that 217. To cure pain, no agent or practice should be used that has a tendency to deprive the nerves of the power to produce it; but that we should remove the cause of oppression and irritation from the part that is enthralled. It is just as philosophical to give opium to stop the pain of a corn, and leave the hard, tight shoe still obstructing vital action; as it is to give it to relieve pain in the head, the heart or the bowels, without removing the exciting cause, and cleansing the system of obstructions. 218. Having established in their minds the erroneous notion that pain is disease, or at least that the extraordinary physiological action that produces it is " morbid," Allopathists have set themselves to devising and discovering ways and means to depress and destroy that action. 219. Action of Narcotics. Experience and observation have taught them that the whole tribe of agents they haA-e called narcotics, of which opium is the prince, will, if they give enough, infallibly do this work, and hence, notwithstanding that same experience has fully proved to them that these narcotics, though given with all their precaution and skill, and only to the extent of producing the desired effect, are often " treacherous palliatives," and "dangerous sedatives," "deceptive" and "destructive as the serpent of Eden," they still pronounce them "good medicines in skillful hands"—the magnum dei d.onum,—u the great gift of God, for the relief of suffering humanity."—Harrison. And persist in giving them to "produce pleasant sensations," " allay irritation," " procure refreshing sleep," which they do by "deadening sensibility," "paralyzing nervous energy," &c, &c. (71 to 77). 220. Practice, Allopathic and Physio-Medical, compared. In the dark- ness of such fundamental errors as this, that irritation is disease, how are the 62 ALLOPATHY EXPOSED, wisest men ever to learn any thing of the true character of remedies as either good or bad? Under the influence of ttHCommou sense, the monitor which gives notice of the thraldom of an organ, must be deprived, by deadly agents, of the poAver to give that notice; but, under the guidance of our common sense, the obstruction to the free action of the nerve should be removed, when the pain would cease of itself, because there Avould no longer be any occasion or exciting cause for it, Take off the hard or tight shoe, soak the foot awhile in hot water, pare off the dead part of the corn, and wear a buckskin moccasin for a month. The waste will be built up, the circulation and nervous action will be free, and there will be no occasion for the use of narcotics to " lull" 01 " deaden the pain." 221. Irritation and Pain are Blessings. This physiological impression called irritation and pain, is the true "magnum Dei donum," the great gift of God to man, to warn the violators of physiological laws, of the mischief they are doing, even in the slightest degree. Let any one take any bodily position in which the nervous action is in the least obstructed or impeded, and he Avill soon feel " irritated" or uncomfortable, and inclined to change that position. If he continues the violation much longer, the irritation amounts to pain. If he obeys this warning, changes his position, he is soon relieved. 222. Destruction of Nerves. If he change not his position, the obstructions continue till vitality is lost, and chemical lesion takes place, as in the forma- tion of an ulcer. Here the destruction of a part of the nen'es, and the thral- dom of the rest in the pressure of the swelling arteries, and the irritation of the accumulated blood, all combine to keep up the irritation, soreness, or pain, till the lesion is healed and the circulation becomes free and the nerves are released again. 223. Effects of Narcotism. Here too it is evident that the use of a nar- cotic to deaden the pain, that is, to deprive the nerve of the power to produce it, must, in the same degree deaden the power of the nutritive tissues (external capillaries) to heal the wound; and who can tell how many "old sores," " fever sores," "felons," " calomel sores," " mercurial ulcers," &c, "refuse to heal," spread Avider and descend deeper, to the destruction of the bones and the loss of the limbs, and even to the death of the whole man, because of the destructive action of the opium or other narcotics which were given in 6mall doses " merely to relieve pain and gain time" ? It is true that no scru- tinizing eye can ever see, or calculation estimate, the full amount of this mis- chief; but all intelligent and honest medical men agree that it has been immense, ever since the first use of narcotics for the relief of pain (see Nos 71 to 79). v 224. Narcotizing Reformers. Yet, notwithstanding all this evidence against them, both from testimony and from personal observation, even many physi- cians who profess to be Reformers—to use only a sanative medication__are continually administering narcotics to " relieATe pain," while the other tissues equally relieved by the same remedy (?) of their power to perform their respective offices, are expected to be very busy in curing the disease ! or at least much refreshed and prepared for this service! Dr. J. R. Buchanan once said that all true Reformers would finally unite on the total rejection of all articles of this kind (406); but, because we rejected them from the first and he "progressed backward, instead of forward (408) he since said that we were as huukerish as the old school." CRITICIjED AND CORRECTED. 63 225. It is not known whether the vital force is circulated through the nerves, as electricity is through metalic wires, or simply excited in localities, by the elastic action of the centers of nervous globules. I was of the latter opinion; but, finding, in fact, some strong objections Avhich the former opinion re- moves, I am now inclined to think that the available vital force, circulates through the nerves as electricity does through the Avires of the telegraph. On the elastic supposition I could account for the excitement to action, in- stantaneously, of all the poAver of a single part; but I could not explain how that part, as a hand or a foot, should be thus enabled to exercise, for a moment, almost the Avhole strength of the body; or hoAv inflammation of the brain should deprive the Avhole body of its usual muscular power. On the supposition of the circulation of the nervous fluid from part to part, these facts, as Avell as all others connected with the subject, are easily explained. The locomotion of the vital force through the nerves is there- fore most probably the true one. It is fortunate, however, that the settle- ment of this question is not indispensable to a full understanding of the effects of irritation or of determination; nor to a successful treatment of these derangements, any more than it is that we should know just hoAv the corn grows to enable us to recognize that it does grow; or to plant, cultivate and harvest it. 226. In No. 161 to 176 I spoke of the ramifications throughout the body of a series of vessels, tubes, &c, denominated the circulating system, to the action of wdiich and its results I now devote more particular attention. Since, by the circulation, the animal frame is formed from the embryo; puri- fied and supported in health, and restored from the conditions of disease, it follows that a thorough knowledge of its actions and tendencies is indispen- sable to a scientific and successful sustenance of life and health, and a safe and speedy restoration from disease. There is no subject to Avhich the attention of any person in the world can be directed, that can at all compare writh this in the value of the benefits Avhich it is able to confer. Of Avhat use to any one are all the other blessings of this earth, Avhen the body is racked Avith pain or the reason dethroned? " Very well," says one, " but is it possible for anyr person to learn hoAv to prevent these? " 227. As easily learn it, I answer, as to learn how to prevent hunger, thirst, cold, and poverty—aye, much easier than the latter, unless this knowledge should be first obtained, for sickness is a very frequent cause of poverty. 228. Let then, him who would obtain the priceless boon, study well what I have already written, and still more thoroughly Avhat I am about to Avrite on the subject of the circulation; and, when he understands it, let him practice it at once, and through all his future life. Thus, unless his system has been already ruined by disease or by mal-practice to cure it, or accident should cut him off, health and long life shall be his happy portion, and sorrow and sighing shall constitute no portion of his heritage. 229. Fever, Inflammation, Congestion. From the description I have given of the structure, arrangement ?.nd functions of the nerves and the blood- vessels, it is evident that the vital force and the blood may be instantane- ously accumulated in any tissue, in a quantity much greater than is needed for the performance of the ordinary functions of that tissue. Since the blood is not, on the whole, very rapidly increased nor diminished, and it is quite 64 ALLOPATHY EXPOSED, questionable Avhether the vital force is ever increased or diminished, it follows of course, that, if they concentrate themselves temporarily in one locality, they must be just to that degree absent from some other locality, and hence the constant alternate destruction and restoration of the equilibrium of blood, and action in the tissues. We are aware that this accumulation and extra action can be commenced in many parts of the body, as the brain, the tongue, the limbs, &c, by an effort of the "will. This I call a direct action. Or it may be commenced by forcing the blood from other parts to a tissue, as the accumulation of blood and action in the pleura, the peritoneum, the bronchi, in the alvine canal, &c, is often produced by the pressure of them from the surface, caused by cold. This I call indirect or passive accumula- tion, congestion, &c. This accumulation and action may be invited to a part by the direct application of other stimuli than the will or vital power; but, by whatever means accumulated, as in pleurisy, from cold, or whether the blood, or the vital force, as in study, act first, both being the natural stimulants of the body, the result is soon the accumulation of heat, and a burning sensation. Hence the word/ever, from ferveo, to heat, all the cases of Avhich may be said to consist in an accumulation of blood in an extensive portion of the body, with an excited state of the arterial capillary tissues that contain that blood. It may or may not be preceded, attended or succeeded by a degree of heat, redness, pain or swelling, manifest to the senses, though heat is generally and the others are less frequently manifested. If this accu- mulation and action are confined to a small locality, it is called inflammation. 230. This excitement is always a vital action, the same in character as thatAvhich circulates the blood freely, and performs every other physiological act in a state of health. All the differences visible in connection wich it, arise from the different structures and conditions of structure in which the action is observed. Loose, spongy organs, as glands, mucous membranes, muscles, receive much blood and become red and sAvollen, but not often very painful, not being much enthralled. The serous membranes, the tendinous tissues, and the external surface, are more dense; and receive less blood, but compress the nerves more, and are, of course, less red and swollen, but more painful. 231. Any excitement above the ordinary degree, from whatever cause, as a blush, Avill produce an accumulation of blood in a part beyond its immediate wants. Anger will produce redness of the whole face and neck; and severe exercise or a vapor bath, and. generally a cold shoAver bath, or effete matter in the capillaries, will excite a general accumulation of blood on the surface, with swelling of the tissue. But, if the cause be not long active, the superior capacity of the absorbents, in number and caliber, over the secernents, will soon remove the surplus, and all "will be right again. It is only when the secernents have lost, by long distension, their recuperative or contractile power, to recover when the pressure is removed; and the absorbents their expansive force, or capacity for absorption; or when some obstruction exists in the vessels, as retained effete matter, or when a strong pressure is directed from a closed surface, as in colds, &c, that the accumulation of blood and action becomes permanent, and is called fever, (or inflammation, according to the extent of its locality or the stage of its progress.) 232. How subsides. When the excitement, or the mechanical obstacles which occasioned the blood to accumulate in apart, is removed, the absorbents CRITICISED AND CORRECTED. 65 soon recover their advantage over the secernents; the excess of blood or other fluids is removed, and the fever or inflammation subsides for want of an error or an injury to be corrected by it. All that is necessary to accom- plish this, is to relax the whole system, invite the circulation freely to the sur- face, cleanse the stomach and bowels by an emetic, and an enema, if necessary, and promote perspiration by a free use of aromatic fluids. This invariably so far relieves the congested vessels, that absorption or resolution soon re- lieves them Avholly, and this depuration is the last process of Avhat is properly termed fever, by those who suppose fever and inflammation to be distinct affections; or the first mode of relief by us who consider them only different stages of the same process. It is called a crisis, as the patient is immediately relieved of the irritation, congestion and offending matter, and the circulation moves on again as before. 233. Condition of the tissues. In the early stage of fever there is an increased action of the capillaries and flow of blood both to and through the part in a given time ; and a fuller, stronger and quicker pulse. In external fever, the distension of the capillaries admits a predominance of arterial blood in the surface, a fullness and smoothness of the skin, and an increase of heat, which conditions exist in all cases, and are more or less manifest where the obstructions are not so great as much to depress the vital opera- tions. In the second stage, that is, where the absorbents become so closed by the pressure of the arterial circulation, or by mechanical obstructions., that they cannot remove the fluids as fast as they accumulate, the circulation is impeded and after much fruitless effort the pulse often becomes smaller and weaker, and even softer, though sometimes more Aviry and corded, than natural, all depending upon the different conditions of the tissues and their ability to respond to the action of the vital force. 234. Names of fever. If the concentration is confined to a small organ and the excitement is severe, it is called inflammatory fever. Thus a local fever and a general inflammation, are the same; no one having marked the boundaries to which either state shall extend, or given signs by which the one can be certainly distinguished from the other. Brain fever and inflam- mation of the brain; lung fever, and pneumonia; puerperal fever and puerperal peritonitis, are respectively synonymous, or different names for the same affections. If the feArer or inflammation come on suddenly7 and violently, it is called acute, if gradually and imperceptibly, chronic. If invited by irritation of the part, it is called active ; if forced by sending the blood from some other quarter, it is called passive. The obstructed states of the system also give it names, as synochoid, typhoid; so the effects, as eruptive, putrid, &c 235. The cause of fever and inflammation, like that of irritation, mental and muscular motion, and every other physiological act of the system is always one and the same, the vital force (171, 180), Avhich produces all other actions in the system that are not chemical, in other Avords that may not be produced in it after death, by instituting the same chemical relations. 236. Example—The eye. In health, the sclerotic or outer white coat of most persons' eyes is of a bluish cast in consequence of the predominance of venous blood in it. Put into the eye a little weak infusion of cayenne and you stimulate the nerves, and these the blood vessels to action. This action 66 ALLOPATHY EXIOSED, generates heat; this heat uniting with the moisture of the blood, expands the arterial capillaries which thus press more than usually upon the venous absorbents. The result is, the venous blood already in the absorbents, is forced away ; the arterial is accumulated till it predominates, when the eyes are red, "bloodshot," and they smart with the pain excited by the irritation, first of the cayenne, secondly of the heat, and thirdly of the arterial blood. This is inflammation. As the irritation subsides, the excited action subsides, the contractility of the arterial capillaries recover their tonic or natural and usual dimensions, the absorbents, relieved of the pressure, expand, take up the excess of blood and remove it, and the coat of the eye becomes white again. This is called resolution. Any other irritant than cayenne in the eye excites the same inflammatory action, but not every other excitant allows it so readily to subside and without injury, but rather with the benefit of purifying the tissue of morbific materials, and restoring its healthy action. If lobelia be added to the cayenne or used Avithout it, the vessels are expanded as well as stimulated, and hence their purification by the more easy removal of morbific matter, is more complete. If we wish to check this inflammatory action, we can apply to the eye moisture in the form of AArater or thin poultices, and it will aid in the process of relaxation ; and, by absorbing the heat, will check the irritation. If cold, the Avater absorbs the heat more rapidly, and, by thus preventing the irrita- tion which its excess produces, it aids the contractility of the capillaries in recovering their smaller dimensions, and thus gives space for the absorbents which are laboring to expand, to recover their larger size, and to remove the accumulated fluid. If the water is cold Avhen applied, it soon be'eomes Avaim and loses its power to absorb the heat. It then becomes relaxing instead of tonic, till it is changed for cold. But, if the cold water contain a solution of some powerful astringent, this latter aids in producing contractility and retains its influence after it becomes Avarm, so as to prevent the accumulation of blood and the generation of more heat. Every pure astringent is able to aid distended arterial capillaries in recovering their proper dimensions, Avhile no one can so far contract the absorbents (against nature) as to prevent them from taking up all the fluids which the arterial capillaries in health can supply them. Therefore no pure vegetable astringent is poison—but all are good in their place, or Avhen tissues require their aid. The superficial observer and careless thinker may object that the cold water or the astringent Avill contract the absorbents as well as the secernants, and thus preserve the derangement. That Avould be true if nature were doing nothing in the case. But the vital force is striving to contract the arterial capillaries and to expand the absorbents. The cold water and astringents acting in direct harmony with the vital force in the arterial capillaries, is kindly received and alloAved to exert its full force__the two united accomplish the object, and this is Avhat is meant by medicines actinw in harmony with that force. The cold and astringents assay to contract the absorbents also; but here they are resisted by the vital force. If the water is so cold or the astringents are so strong as to completely or nearlv over- come that expansive force, they Avould stop absorption and prove mischievous, thus very cold Avater sometimes removes the skin. But water of such a low temperature, or astringents of so great poAver should neArer be applied. The absorbents are so numerous and large that an astringent force amply capa- ble of aiding the vital force in reducing the contracting arterial capillaries CRITICISED AND CORRECTED. 67 to their proper dimensions, may not be able to contract the more numerous larger and expanding absorbents (as the arterial pressure is taken from them), and prevent them from removing the accumulated blood, and restoring equili- brium of the circulation ; and, of course a healthy condition to the tissue. Any article in its nature tending to destroy the elastic force of the tissue, is poison and should be ahvays discarded. One that may overcome it only by the degree of its poAver, is good and should not be abused; that is, used to excess, or Avhen it is not AAranted. It is thus by observing the tendency of substances to aid or oppose vital action, that Ave determine the character of external agents as medicines or poisons. a. Inflammation. This term has been giA'en, time immemorial, to certain actions and conditions of the animal tissues, which no observing person can fail to discoA-er; but which many of the most distinguished medical men, in all ages and countries, have attempted in vain to describe. They confess that, notwithstanding their careful and extended observation (28 to 48), their diligent search, their establishment of fever hospitals (34), and other praiseworthy efforts to "more certainly ascertain its true nature," they have accomplished nothing of their grand object; their conclusions are "very unsatisfactory" (35), "altogether problematical" (36); and "afford little help in determining the plan of treatment" (35). 237. / consider it only a circumscribed fever, in its concentrated forms and later stages—simply accumulation of blood and excitement in the arterial capillaries of a tissue. 238. Discussion of it, resolution. It is not generally customary, among Allopatliists, to pronounce accumulated action inflammation, till the circu- lation has become so completely arrested as "to change someAvhat the character of the blood and of the secretions."—(Erichsen's Surgery, p. 36 to 44). But this can scarcely be said of a blush Avhich Hunter calls "the simplest form of inflammation,"—"a simple act of the constitution,"—in Avhich the sudden and powerful action of the heart and arteries, distends and fills the capillaries of the latter, so completely as to compress, for a moment, the mouths of the absorbents to such a degree as to prevent them from taking up the blood as fast as it accumulates; the result (in the face) is, redness, fullness and slight heat. But, the cause soon ceasing to act, the arteries also act less powerfully and press less upon the absorbents which now expand more freely, drink in and remove the obstructions, and restore the equilibrium. This is called resolution or the first termination of inflam- mation, and nature herself effects it, when let alone generally; Avhen properly assisted almost always. 239. Active exercise produces for a time the same condition of the general surface that we see on the cheek in a blush; and rest from that exercise gives relief from arterial, diffusive pressure; when the capillaries contract, the absorbents expand, and the equilibrium of circulation is restored. So far, medical men are not disposed to regard this accumulation of excitement, and of blood and heat in a part, as anything unnatural or improper. 240. But, if this excess or accumulation of blood is confined to a small region of the body, and the stasis is nearly complete and more permanent, it is called inflammation, though in truth that Avhich is properly termed inflam- mation (the action), is almost subdued. 68 ALLOPATHY EXPOSED, If it extends over a large region, and the arterial derangements are slight, the case is called fever. Hence it is evident that there is no natural dividing line between fever and inflammation. In their character they are the same. 241. Erichsen, the distinguished Surgeon of the London University Col- lege and Hospital, says :— "It is difficult to say, except by the persistence and intensity of the symp- toms, that the physiological state has ended and the pathological one has com- menced." Pray what degree of "persistence and intensity of the symp- toms," shall constitute the dividing line between that increase simply in poAver and permanence and not in character ? As signs of inflammation, he gives, " Alteration in color, in size, in sen- sation, in temperature and function, of the part affected." And adds (page 40th), "Each of these conditions may separately occur, or two or more be associated together without the existence of inflammation. It is the peculiai grouping together of them all, that characterizes the presence of this patho- logical condition." 242. Comments. No signs to distinguish fever from inflammation, oi irritation. Where, for example, is the change of color in phlegmasia dolena and synovitis? of color or size in neuralgia, (inflammation of the nerves,) of sensation or temperature (tangible) in carditis, splenitis and hepatitis; and what of function in the blush ? Any that can be so appreciated as to "afford any help in determining the plan of treatment?" (35), or tell us "how it will terminate?" (119). Is there any distinction in nature between fever and inflammation as vital acts, other than Avhat is made by the progress of one act from circumference to center and of the other from center to circumference ? And Avhat changes the conditions of their approach to each other but the different states of the systems in Avhich they are manifested ? And, if so, why attempt to make two things out of the one simple act ? Why attempt to divide even these two things which are but one, into a legion more ? If different constitutions or states of the same, make differences, why not note these and philosophise and act according to their indications ? How long "will it be before medical men will find out Avhat disease is (6), so long as they consider the physiological acts, irritation, fever and inflammation the very sum and essence of disease, and "the founda- tion of all their pathological reasoning?" (35.) 243. The Definition that covers every case of inflammation is, accumula- tion of blood and excitement in the arterial capillaries of a tissue, as irritation is accumulation of vital force and excitement in the nerves of a tissue. They may or may not manifest an appreciable degree of heat, redness, pain or swelling. There may or may not be changes in the constitution of the blood, suppuration, granulation, or gangrene, connected with inflammation. 244. But if there are, the obstruction and the swelling are mere mechani- cal conditions; the suppuration is chemical so far as lesion is concerned, and vital so far as casting off pus, and granulation are concerned. Granulation is the vital healing process, and the ultimate termination of inflammation. Gangrene is chemical—death ! 245. The confounding of all these vital, mechanical and chemical effects, under one name, and treating them all as vital, sanative, "till the physio- logical state ends;" and, as destructive after it is merely "guessed" that CRITICISED AND CORRECTED. 69 "the pathological state begins," are the sources of all the errors of Allopathy, and all "its kindred systems and branches." 246. Dr. H. Bachus, of Alabama, in a pamphlet on fever and inflam- mation, says:— " If we take from fever and inflammation the condition which they have in common,—increased action—nothing will remain to Avhich these terms are applicable." p. 23. Williams, in his Surgery, says: "Excess of blood in a part with motion increased, is fever. Excess of blood in a part Avith motion partly increased and partly diminished, is inflammation." That is, Avhile the blood flows on freely, it is called fever; Avhen obstruction prevents the flow, it is inflam- mation. But av° find these conditions reversed in many cases of what are called fever and inflammation. Dr. Clymer says: "Drs. Cullen and Brown affirmed that the distinctions which physicians have made about the differences of fever, are Avithout foundation—that they differ only in degree. Dr. Rush called all diseases a unit, reduced all fevers to one, differing only in degree. Maintaining that every f<~rm and variety of disease consists of irregular action [irritation fever and inflammation], that this action is a proximate cause of eA'ery form and modification of disease, and the varieties owing to the differences in the state or predisposition to disease and in the force of the exciting or acting causes."—Abridged from Clymer, p. 48. Remark. What a pity that these men had not gone one step further in the discovery, and seen that all these fevers or excitements are not disease at all, but simple manifestations of the efforts of the system to remove the causes of disease/ Then would they have revolutionized the whole practice to a purely sanative medication. They could then very easily haAre learned both "what is disease and Avhat is a suitable remedy." (6.) 247. Inflammation Sanative. In Erichsen's Surgery, page 33, we are told that, " Increased vascular action lies at the bottom of all surgical [healing] processes ; no important surgical action taking place without it. No process by which the separation of dead parts is effected, or by Avhich the repair of Avounds or ulcers is carried out, can occur without an increased activity of the vessels concerned. Every tissue is susceptible of it, and the surgeon often excites it intentionally as one of the most efficient of his thera- peutic means." Hunter, John Thomson, Watson (44), and others, say the same thing. So far as authority is worth anything, avc have, from the most eminent surgeons of the University College and Hospital in London, and others elsewhere, a full confirmation of the doctrine of the sanative tendency of inflammation, and of its absolute necessity to the healing process. This physiological act may be Avrongly directed, or it may be entirely obstructed, and thus rendered powerless for good, or even injurious to the tissue on which it is fruitlessly spent; but no wrong direction or condition can change its character from physiological to pathological; or justify any other treat- ment of it than the removal from it of obstacles to its free and universal action. This gives us a clue to the true plan of practice, the nature of the remedies required, and the effects of the remedies on these conditions; and the vital indications of them, are the only criteria by which the characters of these agents, as good or bad, can be determined. Hence the truth of our doctrine 70 ALLOPATHY EXPOSED, that the errors respecting inflammation, &c., are the sources of all the errors and mischiefs of allopathic therapeutics. 248. Modes of Access. There are two ways of exciting or developing irri- tation or inflammation. 1st, Attraction, by the application to the organ to be inflamed, of some irritating substance; as when pepper is thrown into the eyes or rubbed on the tender surfaces of the body; or caloric in too great quantity attacks the external surface. In all these cases, the foreign body invites or provokes excitement; this excitement develops heat; this heat unites with the blood to expand the vessels containing it; this expansion gives room for more blood, which excites the vessels still more, and deA'elops more heat, which, with the blood, produces more expansion and develops yet more heat, till the vessels are distended to their utmost degree of extensi- bility, and the blood and caloric become so abundant that no more can be pressed into or confined in the part. The absorbents are now compressed to such a degree that they cannot carry off the accumulated blood, unless the excitement in the locality, or the pressure toAvard it, or both, be partially removed. The proper method of doing this is to absorb away the caloric by Avater from the locality, and attract the blood to other parts, particularly the Avhole surface, by counter irritation, as the vapor bath, and friction by- stimulants. 249. Determination. The second method of inducing inflammation consists in forcing the blood to central organs by means of the contraction of the surface, as often caused by the evaporation too suddenly of its natural heat and moisture (a process called taking cold.) The superficial vessels being unable to receive their due quantity of blood, an excess is thrown upon the internal organs (162), as the brain, the lungs, the glands, the mucous and the serous membranes, which are warm, relaxed and expanded, because not exposed to the action of the cold, drying and contracting action of the atmos- phere, and therefore offer less resistance to it than the external cold, con- tracted vessels do. There is not room in the superficial vessels for the quantity of blood necessary to maintain the proper distension and excitement, the surface contracts, diminishes the capacity of the external vessels, and compels the heart and arteries to send the portion of blood which they will not admit, to the internal, warmed, relaxed, and expanded vessels, which will therefore receive it. This forcing of the blood from one organ to another, as well as the inviting of it, is called deranging the equilibrium of the circulation, and the consequences are, irritation, fever, inflammation, and congestion, which are always produced in one or the other of these two ways. If only the nervous system is much disturbed, as in study, it is called irritation. If the general circulation is disturbed, it is called fever. If the disturbance is local, it is called inflammation. If the accumulation of blood is attended with excitement of the capillaries, it is called inflammation. If Avith little or no perceptible excitement, congestion. (See 164.) Now it is evident, from what has been shown, that the organs within, Avhich are the most irritable, will receive the strongest impressions from the influx of blood—will promptly respond to those impressions, and be, conse- quently, soon inflamed, while those that are the least impressible will least readily respond to that impression, and be speedily overwhelmed with blood, and deprived of the freedom necessary to action, before their excitability is much aroused. The former of these states, as just remarked, is accumulation CRITICISED AND CORRECTED. 71 of blood, with excitement, in the capillaries, and called inflammation ; the latter is accumulation of blood, Avithout excitement, in the capillaries, and is called congestion. When there is some excitement as Avell as accu- mulation, it is called inflammatory congestion, congestive inflammation, &c. Thus it seems that, in all cases of inflammation there is some congestion, and it is also clearly evident that, in all cases of congestion, there is, at first, some inflammation. From the above it is evident that any cause which can excite a part to high action, can invite or provoke inflammation. So any cause which can prevent the blood from flowing freely to any considerable region of the body, can force it to other parts, where it will produce either inflammation or con gestion ; and that these again may be relieved by exciting other less active parts, and inviting the blood away to them. The last process is called counter-irritation. 250. The conditions and actions of the tissues in all cases characterized by inflammation, are very Avell described by Fletcher, as copied by Dud- geon (Lectures, page 35.) The words in brackets are mine. Fletcher sayrs : " The first effect of a direct stimulant, such as heat, upon the capillaries, causes them to contract. This contraction represents increased action in the capillaries themselves. The application of a red-hot iron to the skin, is observed to be followed at first by a deathly paleness of the part, and the alteration in the calibre of the capillaries has been observed, miscroscop- ically, in the foot web of the frog and the transparent omentum of other animals, by Spallanzi, Thomson, Phillips, Hastings, Burdach, Wedemeyer, Koch, and many others. During this contraction, the motion of the fluid in the capillaries is quickened, as noticed by the increased rapidity of the passage of the globules [and as may be felt by the pulsations of the arteries]. After a time [when the tissues become over-Avrought, fatigued, exhausted], the capillaries [yielding to the pressure] become dilated sometimes to double their normal state [thus pressing upon and closing the mouths of the absorb- ents, and preventing them from taking up and removing the accumulated blood and secretions]. This dilatation indicates diminished action in the capillaries, and is accompanied by accumulation, tardy circulation, and even [finally] stagnation of the circulation of the fluids contained in the capillaries. This constitutes inflammation." [Rather this last is the cessation of inflam- mation.] "We may suppose that the contraction and dilatation of the capillaries may occur within certain limits [so far as they can without compressing the absorbents to such a degree that they cannot take up the fluids as fast as they are presented] without compromising health. The primary paleness, fol- lowed by the blush that attends certain emotions [or appears more distinctly in fainting from fright], is a familiar instance of this." " But, if a stimulus of too great poAver be applied, it will contract, first, inordinately, and again expand to such a degree that it will be incapable of recovering its natural calibre immediately, or perhaps at all, without the application of a fresh stimulus." 251. The relief of all these conditions of tissue, which, when unable to correct themselves, constitute the essence of the disease, is easily effected by simply equalizing the circulation, which is called resolution. 252. It is called "simple inflammation," but it is all the inflammation that can exist. " Inflammation is a simple act of the constitution," a "salutary 72 ALLOPATHY EXPOSED, operation." It "consists of only one kind, not being divisible"—"restora- tive"— " produced for the restoration of the most simple injury, (fee. (42,44,45.) 253. All that is connected with it, as the destruction of tissue in suppuration and gangrene, must be attributed to chemical affinity. The formation ol morbid parts, as tumors, cancers, wens, polypuses, &c, must be ascribed to mechanical obstructions to healthy circulation and depuration 254. And hence the true practice, in all cases, consists in keeping nature's outlets open and the circulation equalized, for health ; and in removing the obstructions and in stimulating the tissues to a healthy action for the removal of disease in all its forms. There is no demand, in any case, for depletion and poisoning. 255. Active Inflammation. In all cases in Avhich the inflammatory action is induced by the application of the exciting cause to the point of its locality, as the application of a caustic, a blister, or vaccination to the surface; or of irritating substances to the stomach, bowels, lungs,_ eyes, nose, or other mucous membranes ; or the severe application of the vital force to the brain, as in study ; the accumulation of blood, Avith excitement, that follows such applications is called active inflammation, though it is often less energetic than the same operation when the blood is determined to these organs by the heart and arteries, in consequence of its exclusion from other antagonistic organs. Thus the inflammation in pleurisy, enteritis, phrenitis, &c., is as severe when excited by blood repelled from the surface by cold, as in cases in which the irritation is first applied to the points of its final locality. 256. Passive Inflammation. If the external surface of the body be ex- posed to a cold damp atmosphere, it becomes, soon or late, so deprived of its proper degree of heat and expansion, that the capillaries contract so much as to prevent the floAving into them of the blood necessary to keep them warm and expanded, that is, to preserve an equilibrium of the circulation and nervous action within and without, between the internal and the external circulations. Hence that balance of blood Avhich the outer capillaries refuse to admit, must be determined or forced to those of the internal organs or tissues, giving to them, if uncommonly excitable, an excessive action (called acute inflammation), or if not so excitable as usual, overcoming their feeble action by pressure ; producing in both cases congestion—in the first inflam- matory, called passive inflammation, to distinguish it from inflammation invited by the application of the exciting cause to the point of its locality, which is called active inflammation. Both forms of inflammation are of necessity more or less congestive, for theyr consist essentially in the accumu- lation of blood with more or less excitement. , It is evident also that, unless the obstacles be removed and the circulation be relieved, the most active inflammation Avill soon yield to simple congestion, and this to suppuration or gangrene. 257. The Blood. This fluid, as Ave find it in the arteries, consists of tAvo parts, red globules and white. When drawn and suffered to stand a short time, the former are condensed into a jelly like mass called crassamentum. The latter remain fluid and are called serum. Press and wash the crassa- mentum, and there remains a stringy substance called fibrin. Besides these, there is constantly flowing, 1st. in the veins, toward the heart, and through it to the lungs, nutritive material, from the lacteals and CRiriCISED AND CORRECTED. 73 lymphatics; and venous blood from all parts of the system ; and from the abdominal viscera, through the portal vein to the liver, and thence to the heart, lungs, &c. 2d. From the arteries to the kidneys, and the skin and mucous membranes, are sent the effete matter of the system and many extraneous substances, taken as food, drink or medicine ; as salt, alcohol, turpentine, garlic, &c, as incapable of profitable use. 3d. To facilitate the movement through the Aressels, of these substances, useful or pernicious, abundance of water is required. 258. Water in the blood. If, with a needle, we draw a little blood from the finger when the subject is heakhy and the surface is moist, and put it on glass and into a solar microscope, we shall see that there is much more water than blood, as the former will occupy a much wider space in the field than both parts of the latter, which can be distinguished by their greater opacity. 259. The object of this water in the blood, seems to be to prevent the con traction of the vessels and consequent friction of the blood globules and foreign substances against them; and to act as a medium to float along the contents of the vessels, whether blood or other matter. 260. Deficiency of water, results. When, from excessive and too long continued exercise, or from irritation in the vessels by means of offending matter, as alcohol or spirits of turpentine, or by long abstinence from drinks, the proportion of water becomes greatly diminished by eAraporation, the globules of the blood and the morbific irritants come into closer contact with the walls of the arteries and their capillaries, and excite them to a more rapid action. This may be seen by confining the web of a young frog's foot in a solar microscope, and irritating it with a solution of any acrid substance. This produces, as before described, that phenomenon of the circulation denominated fever. If the water be still further exhausted, the globules of blood and other materials begin to adhere to the sides of the capillary vessels, and thus to interrupt and finally to obstruct altogether, the circulation through them. 261. Hence we see the importance of keeping the system well supplied with water, internally and externally, to prevent and relieve those conditions of the tissues, which are indicated by the physiological acts, termed irritation, fever and inflammation—hoAv it is that water is said to cure these "affec- tions," and why it is that water alone is often more effectual than the best medi- cines could be without it. "Fever powders" may excite or quell a fever, according as they are stimulating or sedative; but, without water, the best of them cannot cure the disease which "renders the fever necessary," that is, supply the wants of the system and remove the irritation which excites the fever. 262. Thirst. The first indication of the want of water is called thirst, then follows an irritated and burning sensation in the alvine canal, and through the whole body, and a dryness of the lungs and surface, all which is only an increase and diffusion of thirst. These should and may, if attended to in season, be prevented or relieved by abundance of Avater, internally and externally applied. But if much morbific matter has accumulated within, medicine will greatly aid the water. 74 ALLOPATHY EXPOSED, 263. If this water is not supplied Avhen wanted, the blood becomes more dense, the globules adhere to the walls of the capillaries and soon arrest the circulation altogether.—Erichsen, pp. 36 to 39. If the obstructions become general over the limb, there will soon be less blood in it, the limb will wither away, lose its flexibility, its mobility, and frequently its sensibility, and become quite useless, as is seen in cases cured of Avhite SAvelling, or after a dislocation of a limb from its superior cavity, or in cases of paralysis from any cause. 264. Delirium and Insanity. Whatever deranges the equilibrium of nervous and arterial action, may produce delirium or insanity. Thus, if a person Avhose mind is highly excitable, takes a severe cold, the circulation is driven inAvard, (as in all cases of cold,) but the brain being very susceptible, and some portions of it more so than others, the action will be the severest on the latter, and others will be comparatively quiescent. This irregularity of action constitutes delirium, which when firmly fixed and long continued, is called insanity. The permanent restoration of equilibrium is the cure of every case, and the only cure of any one. The difficulty of effecting it, con- sists in the degree of tenacity of action on some organs and the non-impressi- bility of others; and the unAvillingness or the inability, of the patient to aid in the operation, or his ignorance, or that of the practitioner of what is needed in the case, or in combinations of all these elements. Delirium is as harmless and as easily cured, as almost any form of disease, if both the patient and practitioner understand its nature and indications. But how can blood-letting and poisoning contribute to a cure which requires equilibrium, fulness and freedom of the circulation? 265. Causes are said to be of two kinds, procuring and exciting, or gen- erating and eliciting. The first directly produces an effect; the second excites the first to action. For example, A provokes B, with saucy words; for which B strikes A with a Avhip. The power of B's arm is the procuring cause of the blow, and the saucy Avords of A are the exciting cause. Flood- wood fills up the watercourse and the water flows over the meadows. The floodwood is the exciting cause and the gravitating course of the water is the procuring cause of the inundation. 266. Cause of fever and of disease. So, obstructions to the free action of the nerves and blood vessels, are the exciting causes of those derangements of vital action called irritation, fever and inflammation; but the procuring and only true cause of them, is the vital force. It is evident that the exciting causes, or, as I would say, the occasions of these derangements, are as numerous as the ways and means of preventing a free and full action of that force, in any or every organ and tissue of the body. Hence, we perceive that the causes of disease are innumerable, and many of them, as in scarlet fever, measles, small pox, plague and cholera, entirely beyond our present knowledge. Each of many causes, as above, may give rise to many different manifestations of the vital actions, appearances and conditions of the tissues. The results of the action of causes are called effects. 267. But they all produce one and the same effect on the tissue, that is, an inability to perform fully its natural functions, Avhich and which alone! whether it consists in fixed relaxation, contraction, or paralysis, constitutes the sum and essence of disease. Lesion is death, not disease. But the presence and activity of the vital force is necessary to distribute the CRITICISED AND CORRECTED. 75 morbific agents about, and enable them to develop their peculiar characters. Without this, vaccination would never produce a pustule, nor would mercury produce salivation, nor strychnine a spasm, nor opium nor brandy delirium tremens. 268. One plan of cure. Hence, as there is but one disease, there can be but one scientific or natural plan of cure, viz., remove obstructions to the equilibrium of vital action, and stimulate, if necessary, the tissues to the performance of their healthy, specific functions. 269. The excitants of increased vital action, in health or disease, may be as numerous and various as the wants, wishes or motions of man, and the external agents that affect him for good or for evil. They are any thing and everything that can derange the equilibrium of vital action. 270. Good agents may be abused, that is, misapplied. Almost any, per- haps every excitant may do this permanently by long and unremitting appli- cation. Thus, the vital force itself may excite the organs to severe exercise, as running, jumping, &c, and may finally Aveary and prostrate them till they are no longer able to do their duty. Thus also electricity, caloric, cayenne pepper, ginger, &c, all innocent in kind, may, by excess of quantity and constancy of application, do injury to the organs. 271. Poisons. But there are other excitants which, in any quantity and however seldom applied, have a direct tendency to deprive the organs of the power to perform their healthy functions; as corrosive sublimate, arsenious acid, opium, prussic acid, &c. These are properly termed poisons. 272. The procuring cause of Animation. Whatever may excite or arouse it, we must never forget that the sole producing cause of all living action, that of nerves or blood-vessels, or their dependents, is the vital force. 273. Man cannot make a vital product. All external things and agents or motive powers, are the mere excitants of that force to action. No other power on earth is able to produce its action. No poAver but the vital can form a globule of blood, manufacture a secretion from it, or construct an organ out of it, or produce inflammation, fever, or the slightest irritation. All human ingenuity in its untiring efforts to this end, has failed either to manufacture or to discover the manufacture elsewhere than under the do- minion of the vital force, of a single tissue, or the performance of any other vital function. 274. Heat. All motion of material bodies produces a disturbance of the equilibrium of caloric, making it more or less manifest. Thus the striking of steel against flint, or a horse-shoe against the pavement, or a match against a rough surface, manifests caloric ; while the melting of snow or ice absorbs it and diminishes its manifestation. So a stimulating medicine, as cayenne ; or poAver, as electricity, applied to the human flesh ; or the friction of flesh against flesh, as the hand to the body, manifests heat in that body. 275. Effects on the System. Whenever excitants are applied to a part, they set its nerves and blood-vessels in motion, and this motion develops heat, which, combined Avith the moisture of^ the blood (Lects. M. S.), warms, relaxes, and expands the vessels containing blood, and consequently, by providing more room for it, invites the heart and arteries to send a larger quantity to the special locality of the irritation. The consequence, if the part be very largely supplied with vessels, is swelling, irritation, and more heat. 76 ALLOPATHY EXPOSED, If these A-essels are for red blood in large proportion (as in the muscles) — redness. If the part is abundantly supplied with sensitive nerves—pain. All these are illustrated in a sore from a splinter run into the end of the finger, or in a common felon, or boil. 276. Different tissues. If the part to which the blood is invited, and in Avhich it is accumulated or congested, is composed chiefly or wholly of serous tissue, as the cartilages, the ligaments, the tendons, the serous mem- branes and muscular fascia, there Avill be heat and pain, but little or no red- ness nor swelling. Such cases are called pleuritis, peritonitis, synovitis, fasciitis, phrenitis, &c, the termination "ids" being made to the end of the name of an organ to signify inflammation of that organ. 277. Few permanent signs. If the organ is not supplied, or but partially, Avith sensitive nerves, as the heart, the liver, the spleen, the kidneys, the lungs, the stomach, &c, there may be swelling, redness and heat, with little or no pain; so that these signs or symptoms, heat, redness, swelling and pain, may or may not, one, some, or all of them be present in inflammation. But they cannot be relied upon as always indicating it. The only true and constant indication is the fixed derangement of the equilibrium of the circula- tion or the nervous action, one of which is ahvays present at first, and very soon both appear, in every case of fever and inflammation, no matter where located, nor by what cause excited. 278. The action excited may be of a high or a low grade, or may occur in, and be modified by, constitutions affected by various morbific causes, as the scrofulous, the tuberculous, the erysipelatous, the bilious, the mercurial, &c, &c. ("the unhealthy," 42), but its essential nature is always the same, viz., accumulation of blood in a part, with excitement, of the arterial capillaries containing it, and collapse or compression of the absorbents, either occasioned by or finally producing obstructions to absorption by the venous and other radicles Avhose natural office is to remove it. And the procuring cause of all this action is one, the vital force. 279. Different diseases. How absurd, then, to divide this deranged action into parts, corresponding with the appearance of the exciting cause, as scarlet, yellow, spotted fever; with the season, as fall and Avinter fever; the country, as tropical and northern, eastern, western and southern ; or the locality of the body, as brain and gastric fever, &c, &c; to call them so many different diseases (or disease at all), and prescribe for the dif- ferent cases different principles and means of treatment. No wonder that they who have considered fever and inflammation legion in number and chameleon in character, should never have learned anything certain respecting its nature, or agreed upon any judicious and efficient plan for its treatment! (34, 35, 36.) 280. Suppuration. In the cases in Avhich resolution can not be effected, the stasis of blood becomes nearly or quite complete, and then the tissues, unsupported by circulation, become a prey to the chemical affinities among them, are reduced to a thick, yelloAvish Avhite fluid called pus, with which coagulable lymph, secreted from the still vital parts, is commino-led and accumulated, constituting the various kinds of ulcers, boils, &c. The casting off of ths compound fluid, this mixture of the debris of the tissues and the healthy secretion, is called suppuration. CRITICISED AND CORRECTED. 77 281. Granulation. When the injury is thus cleansed, or nearly so, the capillaries and coats of the arteries furnish from the blood proximate princi- ples of material called granules, with which, by uniting them to the broken tissue, it builds up the wastes, and this process is called granulation or healing. 282. Ulcers, Tumors, &c. If the local circulation be only partially im- peded, and the material deposited by it be not escharotic, but only mechan- ically obstructive, its accumulations form tumors, hard cancers, ew York, and progressed through Drs. T. V. Morrow, I. G. Jones, A. H. Bal- dridge, L. E. Jones, J. H. Oliver, H. Cox, B. L. Hill, H. P. Gatchell, John King, G. W. Bickley, R. S. Newton and other minor lights, for the last eight years under the special tutelage of the superior "literacy," " science" and " respectability," of J. R. Buchanan, Professor of the Institutes of Medicine in the E. M. Institute of Cincinnati—the "leading school" of that practice, and he the leading writer for that school! (397). 332 a. Having selected, from various practices, the remedies which his observation and experience had induced him to believe were the most effi- cient, and the least objectionable in the treatment of disease, Dr. Beach commenced in the city of New York about the year 1829, (W. M. Ref., vol. 1 p. 5), the instruction of yToung men in the curative art, according to his practice, as exhibited in his office and infirmary, and generally in that city. In the course of time, the doctor gathered materials from his own expe- rience and that of others, in quantity sufficient to make a book, which first appeared in 1831, entitled "Beach's American Practice," in 3 vol. 8vo— W. M. Ref., vol. 1, p. 42, and vol 5, p. 119. This work, making great pretensions to scientific and practical reform, in the latter particular not without some good degree of merit, was pretty exten- sively distributed among reformers of every class, and among many of the old school Avho, sick of the arrogance, quackery and mischiefs of Allopathy, were disposed to look into any thing that promised better for the profession. The work Avas afterwards abridged and published with the title of " Beach's Family Physician." From this work we gather the following, as the principles that constituted his system of reform, and governed his practice in it. 333. In his seventh edition (Intro, p. xi), Dr. Beach says : " The Re- formed or American Practice, combines every thing useful of every other system, and maintains that the physician is to act as the servant of nature." I like much this declaration; but, on reviewing his practice, I find that he rejects the best portions of some practices, and selects some of the worst (100) CRTriCTSED AND CORRECTED. 101 of others. For example, he rejects the transcendently "useful" course of medicine which constitutes the greatest excellence of the Thomsonian Prac- tice, and selects the most deadly narcotic poisons of Allopathy. I like the principle of " aiding nature," but am sorry to see that it is often to be main- tained by blistering and poisoning, as I proceed to show. 334. On page 201, he says, "The wide, the radical, the irreconcilable difference," between his system and Allopathy, " consists in the various means made use of to fulfill the indications of cure," which Ave find to be "cupping," "leeching," "blistering,"