is Ms* <5&mr$ ■T ; I'.i.aV.'-'M. > .:-i;"':/141fl)'-'V:'.: ' £w ■;,70iiiiv .;te::;v,:;4f II $8 Kit'- .'-'lA.'.'t .' tf*2 aV^1"'.V.-J::.Y.1- 'V.Vi-M,'.-1'-i.-''.i ■ :-'•! ':<:. ■ NATIONAL LIBRARY OF MEDICINE NLM 0013^72^ fa * cr c c c cr < < • <: < C < c :<£ < 0« c C c 7 ^"~ ■C5< C «:'• CI. « c c c r( c c c Cc< C C ^ _ Hr-^r «r« c c" C!^ cc c«c"?\-. ^^ o c Cc c <* ■?'< ■ «er< < cc cc < c. ; C^ cc or cc C c «C «C_ * ca gram is recommended instead. The object of this dilution Avas to diminish the poAver of the medi- cine; for, he remarks, "We will sometimes meet with children Avho possess naturally such timorous, tranquil dispositions that in them the dose above indicated (j^oVoroo' Sr- to T5Wow>gr>) ^or children of their age Avill not suffice to protect them from scarlet fever. The physician may, therefore, be alloAved to increase it somewhat, etc." In The 2Iedicine of Experiences, Berlin, 1805, he says : "None but the careful observer can have any idea of the height to Avhich the sensitiveness of the body to medicinal irritations is increased in a state of disease. It exceeds all belief when the disease has attained a great intensity. An insensible, prostrated, comatose, typhoid patient, unaroused by any shaking, deaf to all calling, Avill be rapidly restored to consciousness by the smallest dose of Opium, Avere it a million times smaller than any mortal yet pre- scribed. The sensitiveness of the diseased body to medicinal irritations increases to such a degree that, poAvers commence to act on and excite it Avhose very existence has been denied, be- cause they manifest no action on healthy, robust bodies, nor in many diseases for Avhich they are not suited." In the Spirit of the Homceopathic Doctrine of Jlcdicine, 1813, he says: "The human organism.....Avhen it is diseased is, beyond comparison, more affectable by homceopathic medicine than by any other." During this period he held that the processes of attenuation diminished the poAver of the medicine, but that this diminution Avas partly compensated for by the sensitiveness of the diseased organism to the homoeopathic remedy. The ratio of diminution 38 AMERICAN INSTITUTE OF HOMOEOPATHY. of medicinal power he states to be about four for each degree of the centesimal scale; that is, the 2d dilution Avould be one- fourth as strong as the first; the 3d dilution one-fourth as strong as the second, and so on. Following this ratio the 30th dilution would produce one- quintillionth (Toooooo0000600Wsooth)> as much effect as the strong tincture in the same dose. It is true that Hahnemann in this period asserts that, a given quantity of medicinal substance will produce more effect in a diluted than in an undiluted form; but he attributes this in- creased effect to the presentation of a greater number of points of contact Avith living tissue; and he expressly states that one- tenth the quantity will produce a little more than one-half the effect. Organon, all the editions. In the year 1825, the seventy-first of his age, the forty-sixth after his graduation, the twenty-ninth of his homoeopathic prac- tice, the fourth after the injunction forbidding him to dispense his oavii medicines, two years before the formal announcement of his absurd itch, clap, and pox theory of chronic diseases, Hahne- mann propounded the theory of dynamization. The statement of this theory is made in the preface to the fourth volume of the Materia Medica Pura in the folloAving language : " By the processes of succussion and trituration there ensues not only the most intimate mixture, but at the same time such a great and hitherto unknown, undreamed of change, by the de- velopment and liberation of the dynamic powers of the medi- cines as to excite our astonishment. " By means of the processes of shaking and trituration we not only succeed in impregnating gradually and most intimately every particle of unmedicinal substance with the power of the medicine, but also in developing that poAver to an almost bound- less extent. "The fact that the inmost poAver of a medicinal agent can be infinitely developed by trituration and succussion had never been knoAvn heretofore. I have been the first to discover the oreat fact that the power of liquid medicines can be developed by suc- cussion, and that of dry substances by trituration, to such an ex- ATTENUATING MEDICINES. 39 tent that substances which, in their natural crude form, did not seem to have any poAver, acquire an astonishing medicinal power. " After triturating one grain of Gold Avith ninety-nine grains of Sugar of milk, and continuing this trituration up to the twelfth potency, the remedial virtues of Gold become roused to such an extent that a man who Avas impelled by intolerable anguish to take his life needs but to smell for a few moments of such a preparation of Gold in order to recover his cheerfulness and love of life. " It is self-evident that in proportion as the poAver of me- dicinal substances is developed by trituration they ought to be administered in smaller doses." In the preface to the sixth volume of the Materia Medica Pura (1827) he says: " If Ave Avish to attenuate a drop of SundeAv (Drosera rotundi- folia) to the decillionth (30th), but shake each of the bottles with twenty or more succussions from a powerful arm, in the hand of which the bottle is held; in that case this medicine, which I have discovered to be the specific remedy for the frightful epidemic whooping-cough of children, will have become so poAverful in the fifteenth attenuation (spiritualization) that a drop of it given in a teaspoonful of Avater Avould endanger the life of such a child; Avhereas, if each dilution-bottle were shaken but twice (Avith two shakes of the arm) and prepared in this manner up to the decil- lionth attenuation, a sugar globule, of the size of a poppy-seed, moistened Avith the last attenuation, cures this terrible disease with this single dose Avithout endangering the health of the child in the slightest degree." In the preface to Thuja, in the fifth volume of Materia Medica Pura, 1828, he says that the higher dilutions of this medicine, e.g., the 30th, or even the 60th, if each dilution be shaken ten or more times, so far from being inferior in strength to the loAver dilu- tions, they are actually more powerful; consequently he recom- mends that each dilution be prepared with only two succussions. " I dissolved," says he, " a grain of Soda in an ounce of Avater mixed with alcohol in a vial Avhich Avas thereby half full, and shook this solution continuously for half an hour, and this Avas, in dynamization and energy, equal to the 30th development of 40 AMERICAN INSTITUTE OF H0M030PATHY. potency." This shoAvs that succussion and not attenuation Avas the essential feature of dynamization. In the last edition of the Organon (1833), Hahnemann recom- mended that all provings on the healthy should be made with the 30th attenuation, on the ground that the loAver attenuations would not "disclose the same Avealth of symptoms." A remarkable feature of this theory of dynamization is that, by the process of trituration and succussion, the medicinal sub- stance loses its chemical properties. According to the discoverer, a globule of Phosphorus 30th, in a poAvder of milk sugar, Avhich may have been prepared for a year or more, will at the end of that time undergo no alteration from the action of air, but will still act perfectly as Phosphorus and not as Phosphoric acid. "A globule of the 30th potency contained in a vial, prepared tAventy years before, still continues to possess its poAver undiminished, and may be used with perfect confidence for the cure of disease." Noav we knoAv that Phosphorus in the tincture, the 3d, the 4th, or the 5th decimal dilution, Avhen put on pellets and exposed to the action of the air, becomes converted into Phosphoric acid by reason of its strong affinity Avith the oxygen of the atmosphere. These assertions of Hahnemann clearly demonstrate that a dynamized medicine, though deprived of its poAver to act on dead matter, still retains in an exalted degree its po\ver to affect the human organism. This explains Iioav our high-potency friends get the effects of Nitric acid Avhich has been diluted in alcohol and left for years in contact with sugar ! I think I ha\re made it clear that Hahnemann's object in at- tenuating medicines Avas not the same in the early and middle part of his life as it Avas in his declining years. In the latter period he had in vieAv, the transference of the properties of the medicine from the medicinal substance to the alcohol, or the sugar of milk, the separation of the qualities of matter from the sub- stance in Avhich they inhered, or, to use his oavii \vords, " the spiritualization of the dynamic property," the unveiling and vivi- fying of the medicinal spirit, the increase and exaltation of the strength of the medicine, in order that it might cause disease in the healthy and cure the sick, Avhen undynamized medicine would fail for Avant of power. ATTENUATING MEDICINES. 41 As in the promulgation of the psoric, syphilitic and psycosic theories of chronic diseases as the basis of treatment, the illus- trious founder of homoeopathy overthre\v the fundamental prin- ciples of his grand system, so, in the theory of dynamization, he renounced the teaching and experience of the thirty years of his vigorous manhood, for the visionary delusions of decrepit old age. I say "visionary," because he never performed a singleexperiment to demonstrate the truth of his theory, nor offered a single fact in corroboration of his rash, dogmatic assertions; " decrepit," because, in still later years, he renounced his succussion doctrine, and no longer fearing the terrible consequences of too much dy- namization, recklessly AATent to shaking as vigorously as ever, declaring that all the shaking in the Avorld Avould not dynamize an undiluted substance. This is shown by the fact that he re- tained, in the fifth edition of the Organon (1833), the passage in which he gives the arithmetical ratios of diminution of strength by attenuation. The real object in attenuation is, in case of liquids and easily soluble solids, to diminish the force of drug action; in case of solids not readily soluble, to promote absorption and to increase the number of points of contact. II. METHODS. Hahnemann's method of attenuating liquid medicines to the 30th degree was as folioavs : Take thirty neAV, clean vials, holding each about half an ounce; fit them Avith good neAV, clean corks; label them all Avith the name of the medicine to be attenuated; number the vials by marking on the corks and on the labels the numbers from one to thirty, inclusive; put into vial number one as much of the strong tinc- ture as will represent a drop or grain of the original substance; add as many drops of alcohol as with the quantity of medicinal tincture used will make one hundred drops of liquid; cork the bottle and shake it Avith ten jerks of the arm. This constitutes the first dilution or development of poAver. 4 42 AMERICAN INSTITUTE OF HOMOEOPATHY. Put one drop of this first dilution into vial number two, and add ninety-nine drops of alcohol; shake as before. This constitutes the second dilution, or second development of poAver. The succeeding dilutions up to the thirtieth were made in the same manner as the second, each from the next loAver. The alcohol must be of the purest kind. In the attenuation of insoluble substances the first three de- grees Avere made by trituration, as follows: Take a clean porcelain mortar and pestle Avith roughened grinding surface; put into it thirty-three grains of sugar of milk ; add one grain of the medicinal substance; stir for a short time with a clean ivory spatula; triturate strongly for six minutes; scrape off the particles Avhich adhere to the mortar and pestle, and stir for four minutes'; triturate again for six minutes ; scrape and stir for four minutes; add thirty-three grains of sugar of milk and repeat the process of triturating, scraping and stirring for tAventy minutes ; add again thirty-three grains of sugar of milk, and repeat again the process of triturating, scraping and stirring for twenty minutes. This constitutes the 1st trituration or the 100th development of power. Treat one grain of this 1st trituration in the same manner with ninety-nine grains of sugar of milk. This constitutes the 2d trituration, or the 10,000th develop- ment of power. Treat one grain of this 2d trituration with ninety-nine grains of fresh sugar of milk in the same manner. This constitutes the 3d trituration, or the 1,000,000th devel- opment of power. Hahnemann affirmed that any substance brought to this de- gree of attenuation is rendered soluble in alcohol and Avater. The 4th attenuation Avas prepared by adding to one grain of the 3d trituration, in a vial, fifty drops of distilled Avater, aidino- the solution of the sugar of milk by a feAV turns of the bottle on its axis, adding fifty drops of alcohol and shaking Avith ten jerks of the arm. The 5th and succeeding degrees of attenuation to the 30th are ATTENUATING MEDICINES. 43 made by adding to one drop of the next lower attenuation ninety- nine drops of alcohol and shaking Avith ten jerks of the arm. Such is the method of Hahnemann. It is remarkable for its regularity, neatness, and accuracy, as Avell as for the scrupulous care he inculcates to avoid the introduction of foreign substances Avhose presence might modify the action of the extremely minute doses he prescribes. THE DOSE AND DEGREE OF ATTENU- ATION. By C. Wesselhceft, M.D., Boston. Prior to the last edition of the Organon Hahnemann seems to have sought to establish no general limit to attenuations, but in his last edition (1833) he recommended the 30th centesimal as the universal limit, Avhich, for the sake of uniformity, it would be best to adopt. In a footnote to § 287, and in the later edi- tion of the Chronic Diseases, he sanctions the use of much higher attenuations. These "high potencies" Avere upheld in Germany by Gross (H. Z., vol. No. 6), avIio adduced the 1500th atten- uation as proof that the limit had not been reached. Korsakoff, a Russian general and an enthusiastic layman, introduced certain methods of producing higher attenuations. (Archiv, vols, xi and xii.) Hahnemann furnishes an appendix, in Avhich he expressed his mistrust of Korsakoff's method, Avhich consisted chiefly in the preparation of Avhat Avere subsequently called dry contact po- tencies. Hering about that time, in the Archiv (vol. xiii), advocated proving with the 30th potency, and afterwards exerted his influ- ence in favor of high potencies, as prepared by Jenichen, who introduced them about the year 1840. The latter claimed to have reached the 100th, and later the 1600th potency. He Avas ardently defended by Drs. Stapf and Gross. Jenichen died in 1849. In this country the question of high potencies was not much agitated until about the year 1857, Avhen Lehrmann's prepara- tions, carried up to the 200th degree, were introduced chiefly by Dr. Dunham, who derived his inspiration from Bonninghausen, in Miinster. DOSE AND DEGREE OF ATTENUATION. 45 Since that time Dr. B. Fincke,* of Brooklyn, N. Y., proclaimed his high potencies to the Avorld, claiming to have reached the 100,000th attenuation or more, and found no inconsiderable number of adherents. These preparations subsequently proved to have been made by means of an ingenious patent contrivance, by Avhich a medicine can be diluted to an extreme degree in a short time. Others, finding that such preparations promised to enjoy a still greater degree of popularity, invented independent methods of preparing " high potencies." An extremely ingenious little mechanism for such a purpose was constructed by Mr. Boericke, of Philadelphia. This apparatus is so constructed that a large quantity of alcohol is brought in contact with a drop of medi- cine and subjected to a great amount of succussion. Since that time Dr. Samuel Swan, of NeAV York, has also pre- pared high potencies, claiming that he has reached the 1,000,000th centesimal. His apparatus forcibly throws a stream of Avater into the potentizing glass. The first volume of the neAV English periodical called the Organon contains a description of an apparatus called the "Cen- tesimal fluxion potenizer," invented by Dr. Skinner, of Liver- pool. This registers potencies up to the 1,000,000th. Still more recently Dr. Martin Deschere has invented and de- scribed another potentizing apparatus. Such, in brief, are the successive steps by which homceopathists have advanced in the scale of attenuation. It is an interesting phenomenon that the dose formed in Hahnemann's time as Avell as uoav, in the minds of many, is the test of genuine homoeopathic belief and practice. The accurate proving of drugs has received but slight atten- tion in comparison with the zeal displayed in the invention of new methods of attenuation. It seemed as if imperfectly proved medicine, unsubstantiated assertions of the superiority of highly potentized medicines, ancient traditions introduced into symptom lists in place of accurately confirmed observations, Avere all to be counterbalanced or annulled by increasing the attenuation, or * On High Potencies and Homoeopathies. Philadelphia: A. J Tafel. 1865 46 AMERICAN INSTITUTE OF HOMOEOPATHY. " potency," as it is called, and that this high degree of supposed refinement could effect the, as yet unavoidable, inaccuracies of the Materia Medica. This peculiar phenomenon has noAv been developing for many years, Avithout the least attempt on the part either of ardent po- tentizers or of their opponents to inquire into the nature of matter itself. Everything Avas taken for granted, or Hahnemann's vieAvs on the subject fully and literally adopted, and uncondi- tional compliance expected of all Avho call themselves homceopa- thists. Thus it is demanded of us to adopt Avithout other than clinical tests Hahnemann's views, that insolubles become soluble above the 3d centesimal, and that soluble substances are infinitely divisible. Thus far all negative results have been absolutely disregarded and excluded. Even if they should prove to be less frequent than the positive, their \veight as an integral part of statistical evidence Avould necessarily change the aspect and interpretation of our clinical results, furnishing feAver but more reliable data. Whether originating Avith Hahnemann or not, the method of dilution for the purposes of attenuation, has been of such thera- peutical value, and has been the means of working such Avonder- ful changes in the molecular constitution of matter, that he de- serves to be called the founder of molecular pathology, as well as of molecular therapeutics. Much evidence has been lately deduced by Mayrhofer, Atto- myr, J. Edward Smith, and myself, to prove that the Hahne- mannian scale of attenuations has been erroneously applied to many substances, Avhich are not soluble in alcohol and water. We Avill now consider to Avhat extent attenuation may be car- ried by means of dilution of soluble substances, and inquire how far the results obtained by physicists, in the last decade, agrees with the assumption of infinite divisibility by the means applied by Hahnemann and his successors in the method of attenuating medicines. I use the Avord attenuation and dilution as distinct from poten- tization, which is not regarded as synonymous Avith it, as it is well known. DOSE AND DEGREE OF ATTENUATION. 47 THE ULTIMATE PARTICLES OF MATTER. Molecules and atoms have an existence, which is scarcely a matter of doubt to-day. Their dimensions are calculable and may be approximately demonstrated. Matter consisting of molecules has not a homogeneous, but a "grained " structure, as it is called. When matter is subdivided beyond the constitution * of this grained structure, the entity of its molecules is destroyed and they are resolved into atoms of their elements. The limit where such decomposition takes place has been calculated for several substances Avith approximate exactitude by means of physics and mathematics. For the data given below Ave are indebted to the English phy- sicist, Sir William Thompson, and also to Professor J. Clerk MaxAvell, Avho have based their results on the calculations of certain German mathematicians, especially those of Clausius, of Bonn, Lohnschmidt, and others. It is not Avithin my ability to state in detail the methods and means employed, as these experiments and calculations are based upon the higher branches of physical and mathematical science, which a much-occupied physician cannot hope to cultivate. The calculus of probabilities furnishes facts which can be merely stated in a few brief pages. It will be proper, therefore, to let experts speak for themselves. In demonstrating the size of atoms* the folloAving conclusions were arrived at. In order to illustrate the fact that matter is only apparently homogeneous, he cites Cauchy's laAv, Avhich shoAvs that in palpably homogeneous bodies, such as glass or Avater, con- tiguous portions are not similar Avhen their dimensions are mod- erately small fractions of the length of a Avave of light, f In short, the diameter of a molecule, or the distance from its centre to that of a contiguous molecule, in any transparent liquid or solid, exceeds T^^o7tn °f a wave length of light, or a tAvo hun- dred millionth of a centimeter. * Size of Atoms, a lecture by Sir William Thompson, reprinted in Na- ture, March 31st, 1870, p. 557. ■f- See also The New Chemi>try, by Josiah P. Cook, Jr., New York. D. Appleton & Co., 1874, p. 21, et seq. 48 AMERICAN INSTITUTE OF HOMOEOPATHY. These calculations, which permit of such measurement*, are a strong support of the non-homogeneousness of matter. This is compared to brickwork, Avhich at a distance appears to the eye homogeneous, but is in reality capable of being broken up into bricks Avith interspaces of mortar. Viewing a large mass com- posed of large particles at a distance, and another consisting of inconceivably minute particles in close proximity to the eye, has the analogous effect of a homogeneous appearance. Long before this, Cauchy, Newton, and after him, La Place, calculated the velocity of sound very accurately, on the theory that matter (air) consists of molecules. The exactness of these calculations, both as regards the nature of light and the velocity of sound, furnish strong evidence of the molecular nature of air, and admit even of a calculation of the dimensions of its ultimate particles. But Sir William Thompson has added evidence in this direc- tion from three other sources, which, though Avell knoAvn, de- serve brief mention here. In producing contact electricity by approximating zinc and copper plates, it is not the thickness of the plates Avhich augments their force but their number. The amount of force developed, that is work done, by the pile an inch in thickness, will be greater and greater as there are more plates added. Therefore it is only necessary to make the plates thinner and thinner, and more numerous in proportion, to get more work done by the same amount of mass, till at last force enough is obtained in the form of heat to melt the whole pile of zinc and copper. Or, Avhen these shall have reached a thinness of a four-hundred millionth of a centimeter, the work and heat equivalent will be increased 990 times. This is more than is required to melt the whole mass, that is, to form a chemi- cal combination. Hence, plates of zinc and copper of 300,000,000 centimeters in thickness, placed close together, approximate the attenuation required for a chemical combination, that is, to the diameter of a molecule. These figures, at the same time, agree very Avell with Cauchy's calculation of molecular distances and lengths of AAraves of lisrht. In the Proceedings of the Royal Society for April, 1858, is an article by the same eminent author, " On the Thermal Effects of Drawing Out a Film of Liquid." These illustrations throAV much DOSE AND DEGREE OF ATTENUATION. 49 light on the size of ultimate particles of matter, which conclu- sions are reached by the following deduction from given facts: It is proved (from the second laAV of thermo-dynamics) that about half as much more energy in the shape of heat must be given to the film to pre\rent it from sinking in temperature while it is being draAvn out into a soap-bubble. Hence the intrinsic energy of a mass of water in the shape of a film kept at con- stant temperature, increases by tAventv-four milligram-millime- ters for every square millimeter added to the area. For the work done in stretching a water film to any degree of thinness reckoned in millimeter-milligrams is equal to sixteen times the number of square millimeters by which the area is augmented, provided the film is not made so thin that there is any sensible diminution of contractile force. THE CONTRACTILE FORCE RECKONED. Suppose a film to be given with a thickness of a millimeter, and suppose its area to be augmented ten thousand and one fold, the work done per square millimeter of the original film Avould be 240,000 millimeter-milligrams. The heat equivalent of this is more than one-half of a degree Centigrade of elevation of tem- perature of the substance. The thickness to which the film is reduced in this supposition is very approximately a ten thou- sandth of a millimeter, Avhile there is yet no sensible diminution of contractile force. But noAv suppose the film to be stretched to a tAventy millionth of a millimeter, the work done would be more than 2000 times greater than first calculated. The heat equivalent Avould be 130 times the quantity required to raise the temperature of the film one degree Centigrade. A much smaller quantity of work (i. e., heat) Avould convert it into vapor long before it reached this point. The conclusion is unavoidable that a film of Avater falls off greatly in contractile force before it is reduced to a thickness of a twenty millionth of a millimeter. Hence it is scarcely possible, upon any conceivable molecular theory, that there can be any considerable falling off of contractile force, as long as there are 50 AMERICAN INSTITUTE OF HOMOEOPATHY. several molecules in thickness. It is, therefore, nearly evident that there are not several molecules in the thickness of a twenty millionth of a millimeter of Avater. Sir W. Thompson furnishes other valuable evidence with re- gard to the size of molecules and their numbers in given volumes of matter. These calculations Avere partly dependent on the in- vestigations of others, but as Professor J. Clerk Maxwell is men- tioned as the chief authority in regard to deductions from the kinetic energy of gases, I Avill quote his conclusions, so far as they relate to the subject before us. At this period it will be Avell to define, what Avas taken for granted in quotations from the previous calculations, namely, the terms molecule and atom have been used someAvhat indiscrimi- nately, but in modern times they are defined and their definitions are universally accepted. An atom, says Maxwell,* is a body which connot be cut in two. A molecule is the possible portion of a particularsubstance. If any portion of a molecule Avere removed, it would no longer be able, along with an assemblage of other molecules similarly treated, to make up a mass of the original substance. Every substance, simple or compound, has its oavii molecules. If these molecules be divided, their parts are molecules of a dif- ferent substance. They become the substances of Avhich the molecules are constituted. An atom, then, must be a molecule of an elementary substance. Every molecule is not an atom, but every atom is a molecule. A molecule of common salt, for instance, if divided, will yield one atom of chlorine, and one of sodium. It was formerly believed that the molecules of all bodies are in motion, and this is not only held to be the case noAv, but ac- curate data underlying the most exact application of physics and chemistry are derived from the study of such motions. In solids the motion of molecules is imperceptible, Avhile in liquids and gases, they are not confined to definite limits, but work their Avay through the whole mass, as has been proved. * Molecules. Lecture delivered before British Association, at Bradford, by Professor J. Clerk Maxwell. Nature, vol. viii, p. 437 et seq. Septem- ber, 1873. DOSE AND DEGREE OF ATTENUATION. 51 It is noAV Avell understood that the motion of flying molecules is the cause of the pressure of gases. This principle was first stated by Bernoulli, and again by Lasage of Geneva. The latter endeavored to explain Avith this principle the law of gravita- tion, but his theory has not been accepted. Later, Herapath, in his Malheniatical Physics, 1847, and Dr. Joule furnished evi- dence upon the subject. Professor Clausius of Bonn, however, was the first to give precision to the subject of the kinetic laws of molecular motion in gases. It is to him that Ave owe, to a very large extent, Avhat has been accomplished, for he not only found a formula, but also conceived a new dynamic idea, by Avhich we are enabled to establish several important conclusions, Avithout much symbolical calculation.* It Avould exceed the limits of this article to introduce the whole evidence in relation to this vast subject. Those Avho would follow out the mathematical calculations of Professor Clausius, upon which Professor MaxAvell based his, are referred to the article cited. If the velocity of molecules is given, and the number varied, the pressure in a vessel of given size is, therefore, proportional to the number of molecules, that is, to the quantity of gas in it. This explains the factj discovered by Robert Boyle, that the pressure of air is proportional to its density. The same applies to mixed gases, each of Avhose molecules moving about and colliding Avith the others, will have the same energy of motion, as shoAvn by J. Clerk Maxwell,'and further substantiated by Dr. Ludwig Bolzmann. According to these researches, a cubic centimeter of every gas, at standard temperature and pressure, contains the same number of molecules (Gay-Lussac's Law of Equivalent Volume of Gases). The next step Avasthe calculation of the actual A^elocity of a molecule of hydrogen. This was first done by Dr. Joule. This done, the exact distance a molecule travels before striking another could be determined by experiments on the diffusion of the gases; Professor Clausius calls this distance the mean path of a molecule. * On the Dynamical Evidence of the Molecular Constitution of Bodies. Lecture, delivered at the Chemical Society, February, 1875, by Professor J. Clerk Maxwell. Nature, vol. ii, p. 356. 52 AMERICAN INSTITUTE OF HOMOEOPATHY. The rationale of this calculation is best described by Sir W. Thompson in the lecture quoted above. We may regard it as an established truth of science, says this author, that a gas con- sists of moving molecules. The mean length of proximately rec- tilinear portions of path, of each molecule, is many times greater than the average distance from the centre of each molecule to the centre of the molecule nearest it at any time. Clausius proves by simple application of the calculus of probabilities that the average length of the free path of a particle, from collision to collision, bears to the diameter of each globe (molecule) the ratio of the whole space, in Avhich the globes move, to eight times the sum of the volumes of the globes. It follows that the number of the globes, in unit volume, is equal to the square of this ratio divided by the volume of a sphere Avhose radius is equal to that average length of free path. From the calculations of Joule, MaxAvell, and Clausius, the average velocity of the molecules of oxygen, nitrogen, or common air, at ordinary temperature and pressure, is about 50,000 cen- timeters per second; and the average time from collision to col- lision, the five-thousand-millionth of a second. Hence, the aver- age length of path of each molecule, between collisions, is about one-ten-thousandth of a centimeter. Now, according to the the- orem of Clausius, the average length of this path cannot be more than five thousand times the diameter of the gaseous molecule, and the number of molecules in a unit of volume cannot exceed 25.000,000, divided by the volume of a globe, Avhose radius is that average length of path. Taking now the preceding estimate, one-one-hundred-thousandth of acentimeter, for the average length of path, Ave conclude that the diameter of the gaseous molecule cannot be less than one-five-hundred-millionth of a centimeter; nor the number of molecules in a cubic centimeter of the gas (at ordinary density) greater than 6 X 1021, or six thousand million million. These calculations apply to gases ; but from these the molecu- lar constitution of fluids can also be deduced, as the following statements will clearly demonstrate : The densities of knoAvn liquids and solids are from five hun- dred to sixteen thousand times that of atmospheric air, at ordinary DOSE AND DEGREE OF ATTENUATION. 53 pressure and temperature; hence, the number of molecules in a cubic centimeter may be from 3 X 1024 to 10iB (three million, million, million, million, to one hundred million, million, million, million). In a cubic arrangement of molecules the distance from centre to nearest centre in solids and liquids may be estimated at from one-one-hundred-and-forty-millionth to one-four-hundred and-sixty-millionth of a centimeter. These lines of argument establish with a high degree of probability the conclusion that, in any ordinary liquid, transparent, solid, or seemingly opaque solid, the mean distance betAveen centres of contiguous molecules is less than the hundred-millionth, and greater than the tAvo-thou- sand-millionth of a centimeter. Turning once more to Professor Maxwell's statement, Ave find the following additional confirmation of the preceding conclu- sions : The resistance of liquids to compression makes it probable that their molecules must be about the same distance from each other as tAvo molecules are Avhen they encounter each other in a gas. This subject Avas tested by Lorenz Meyer, avIio.compared the densities of different liquids with the calculated relative den- sities of the molecules of their vapors, and found a remarkable correspondence. Lohschmidt deduced from the dynamical theory the following remarkable proportion: As the volume of gas is to the combined volume of mole- cules contained in it, so is the mean path of a molecule to one- eighth of the diameter of a molecule. In this way Lohschmidt, in 1865, first calculated the diame- ter of a molecule. Independently of him and of each other, Mr. Stoney, in 1868, and Sir W. Thompson, in 1870, published simi- lar results, as Ave have seen. According to the table Avhich MaxAvell has calculated from Lohschmidt's data, the size of the molecules of hydrogen is such that about tAvo million of them in a row would occupy a mil- limeter, and a million, million, million, million (10") Avould Aveigh betAveen four and five grams. In a cubic centimeter of any gas, at standard pressure and temperature, there are about nineteen million, million, million 54 AMERICAN INSTITUTE OF HOMCEOPAT.HY. molecules. As Ave have seen, Sir W. Thompson has calculated this number at six thousand million, million, millions, so that Ave have a difference betAveen nineteen and six thousand in the calcu- lation. Although it has no direct bearing on the conclusion Ave may have to draw from these calculations, the reader will desire to know the general conclusion arrived at by physicists. In this connection it is interesting to knoAv that Mr. PI. C. Sorby* has compared the calculations of Messrs. Stoney, Thompson, and MaxAvell. Each of these observers determined the number of ultimate atoms in a given volume of any permanent and perfect gas, and reduced their results to an average of 6,000,000,000,000 molecules in a cubic y-^g of an inch. There is no question that more numerous calculations Avill bring this average much nearer the truth. But, as Mr. Sorby informs us, Professor Clerk Maxwell's calculations are based on more correct data than those of the other observers, Ave will in our future deductions use these as a standard. EFFECTS OF ATTENUATION OR DILUTION. We have noAv arrived at the knoAvledge of certain data with regard to the constitution of matter, which Ave may apply to the hypotheses entertained regarding the result of attenuation, po- tentiation, or dynamization of medicines, for so long a time a sub- ject of contention in the school of Hahnemann; and, although this question has been avowedly secondary and subservient to that of the laAv of similars, it has practically been made the standard by Avhich members of our school measure each other. It also constitutes the most salient point for the aggressions of the old school. The method of attenuation by the progressive dilution or di- vision of a given drop of fluid by one hundred, has been above described. It might also be defined as progressive multiplica- tion of the denominator of the fraction of T^D by the poAver of 100. This process has been repeated in modern methods of po- tentiation, a million times and more. Thus to furnish a feAV arithmetical ocular demonstrations of * H. C. Sorby, F.RS., Anniversary Address as President of the Koyal Microscopical Society, from American Laboratory. DOSE AND DEGREE OF ATTENUATION. 55 Avhat is actually reached by this method of Subdivision, we would have in the 1st centesimal attenuation 1^, in the 5th, 1 T5 0"T>"OOTro?5TO> ln "ie 10th, T"oo'o-J5oo"0"0¥"00'¥0(Joo"(rO'0"0"' e*C* In the 20th Ave would have the ten thousand scxtillionth of the original drop or grain ;* in the 30th, a fraction of the original medicine represented by 1 as the numerator, and 1 with sixtv noughts behind it as the denominator, for which Ave hardly have room on ordinary paper. It is, therefore, con- veniently expressed in modern mathematics by l7j-c-0-. The expo- nent 60 divided by 2 gives the number of the attenuation reached ; divided by 6, the number of millionths. Sir W. Thompson furnishes us Avith the proportions Avhich a molecule according to his figures bears to the diameter of the earth. " To form some idea of the coarse-grainedness indicated bv this conclusion, imagine a rain-drop or globe of glass as large as a pea to be magnified to the size of the earth ; each constitu- ent molecule being magnified in the same proportion, the mag- nified structure Avould be coarser-grained than a heap of small shot, but probably less coarse than a heap of cricket-balls." The difference betAveen small shot and cricket-balls is, prob- ably, the difference betAveen Thompson's and Maxwell's calcu- lation. If, therefore, a molecule, the dimensions of which Thompson states are no less than the 5-0 o no doo5 0I> a centimeter, were as a small shot to the earth,-what Avould a particle of matter con- tained in the 30th centesimal attenuation be? It would be equal to the difference between a five-hundred-millionth of a centimeter and -^5 of a drop—in other words, a septillion times smaller. * I cannot agree with Dr. F. Katsch (Alg. H Z., vol. 98, No. 23), that Hahnemann committed a great error in calculating that the 30th contains the decillionth part of a drop of original medicine. The calculations of Professor Jolly regarding molecular contraction do not seriously invalidate Hahnemann's simple arithmetical problem. Although only 3000 drops of alcohol are used, nevertheless in order to dilute the whole original drop to the 30th, a quantity of alcohol would be required exceeding the volume of the earth 925 octillion times. In this the Academy of France is probably correct. 56 AMERICAN INSTITUTE OF HOMOEOPATHY. In order to ascertain Avhat relation the fractions, expressing the quantity of medicinal substance contained in our attenuations, bear to Thompson's and Maxwell's molecular dimensions and weights, let us first take Maxwell's conclusion "that the volume of a substance, Avhen reduced to the liquid form, is not much greater than the combined volume of the molecules." It folloAVS that if a liquid represents very nearly the combined volume of its molecules, the volume of a drop of liquid Avould represent the volume of its molecules. One drop of Avater is equal to one minim or 1.0533 of a grain, which Ave Avill express by a common fraction of 1 ^g of a grain. Maxwell calculates that a million, million, million, million of molecules Aveigh between four and five grams. Let us say 4§ grams = 69^\ grains, or 66r9235 minims.* This represents the number of drops of water in 4J grams, which, as Ave are dealing Avith huge numbers of molecules, Ave will call by an even number, 67. Dividing with this the num- ber of molecules (one million, million, million, million), Ave ob- tain a quotient of a little less than fifteen thousand million, mil- lion, millions, which represents the number of molecules in one drop or minim in weight, a figure of 23 places, beginning with 14925, etc. Noav this is a huge sum of particles occupying a small space. Our method of applying medicines demands that this mass of molecules should be spread over a much larger space in order that each minutest portion may have full opportunity of exerting its special and peculiar influence upon the organism. Xumerous facts sIioav us that it will exert its poAver less potently Avhen ad- ministered in bulk, undiluted or unattenuated. It has been assumed that the divisibility of soluble substances and liquids is infinite, but the researches of modern times almost entirely deny this. If the volume of a drop represents (very nearly) the volume of its molecules, then one molecule would represent the ultimate fractional part of a drop. The foregoing simple sum in division distinctly shows that the * One grain in weight being equal to 1.0533 minims. DOSE AND DEGREE OF ATTENUATION. 57 11th centesimal attenuation would represent the limit to Avhich this process may be carried according to the number of molecules in a drop of liquid of the density of Avater, taking Maxwell's calculation as our standard. But let us suppose that MaxAvell's calculation fell too far below the actual number of ultimate particles, and that Thompson's figures approached much nearer to the actual rate. The data from which Ave started were that, according to MaxAvell, 1024 molecules of hydrogen A\Teigh 4J grams or 67 minims, and that a cubic centimeter of hydrogen contains 19 X 1018 molecules, Avhile according to Thompson a cubic centimeter of hydrogen contains 6 X 1021 molecules. Hence, any given quantity of hy- 6 v 1021 drogen contains, according to Thompson, t-c . 8 times as many molecules as it does according to MaxAvell. The quotient found by dividing the numerator of this fraction by its denominator is 3.158 X 102. Now, by reducing Max- well's proportion to Thompson's, by multiplying the above quo- tient by 15 X 1021, we get 4.737 X 1023, Avhich would represent the number of molecules in a drop of liquid according to Thompson ; that is, between 4 and 5 ; Avhile we Avould have only between 1 and 2, if the 11th attenuation is the limit according to Max- Avell. The 12th or 13th at most Avould be the limit of our method of attenuation, according to Thompson's calculation of the number of molecules in a drop of the density of water. SUFFICIENCY OF ELEVENTH CENTESIMAL ATTENUATION. The 11th centesimal dilution or attenuation potency, if you will, should be a practical limit of our method of attenuating medicines. I have already furnished illustrations of our want of practice in estimating euormous figures representing volumes or distances, and shall illustrate the subject by more examples. The 11th centesimal dilution would somewhat exceed the number of molecules in a drop, Avhich would be represented by a figure with 23 places, beginning with 14925, etc., or fourteen thousand nine hundred and twenty-five mill. mill. mill. To be always on the safe side, Ave have called this in round numbers 5 58 AMERICAN INSTITUTE OF HOMEOPATHY. fifteen thousand mill. mill. mill, molecules in a drop, of Avhich each molecule is a fractional part, expressed by the last figure as a denominator, Avith 1 for a numerator. That is, our 11th attenuation has not yet reached the smallness of a molecule. But let us proceed to the 12th centesimal; multiplying that numerator of our 11th by 100, it would immediately exceed by that proportion the limits of the size of a molecule and numbers of molecules in a drop. Hence this limit should satisfy the mind of even the most refined materialist. We should establish a limit someAvhere for the mind to rest upon. It is a proof of our limited poAvers of conception, for want of training, to think we have not reduced matter far enough when we have reached the degree of smallness of a molecule. A scale of attenuations reaching from 1 to 11 is enough to satisfy even those who boldly reject the agency of material influ- ences, and candidly believe in spiritual agencies. A drop of medicine reduced to the eleventh degree of attenua- tion on the centesimal scale, Avould be the ten-thousand-trillionth part of the original drop. Now, according to Schimko,* the body of the sun is eight hundred times greater than all the planets taken together. Still it is much too small to form a conception of its septillionth part, Avhich would have barely the size of 333,000th part of a poppy- seed. Noav Avhat would be the septillionth part of a drop or grain, if we cannot form a conception of such a fractional part of the sun? Ah, but we are only dealing with the eleventh. Very Avell, that is just about one-half of a septillion ; but is it easier for us to form an adequate conception of one-half of the 333,000th part of a poppy-seed or one-half of one-ten-thousand trillionth part of the sun ? This yet foils our imagination. I have not made all these calculations ; they have, however, never been disputed ; neither have Thompson's nor MaxAvell's calculations of the size of a molecule. * Die homceop. heilmethode in mathematischer und chemisch-geologischer hinsicht betrachted.—Teschen, 1829. 2d Edition. DOSE AND DEGREE OF ATTENUATION. 59 Schimko's figures and those of the Academy of France may differ, by a number or ciphers, from those of other mathema- ticians, but they will not vary more than the figures of the last- named authors do from each other. After much testimony in regard to the limits of subdivision of matter, it Avill be unnecessary io dwel 1 on the attenuation above the eleArenth, to say nothing of the tAvo-hundredth and millionth. It is easy enough to reach them. A few days of labor spent with the ingenious apparatus of a Fincke, Boericke, SAAan, or Skinner, will reach that number. But the centesimal scale takes such enormous strides in figures, Avhile Ave, unconscious of Avhat is progressing, look on and see only a small quantity of water and a few vials. The authorities, quoted above, differ in their calculations by a thousand millions. The assumption of round numbers, though causing slight deviations, increases the inaccuracy on the side of safety, and it will not be difficult to determine the limits Avithin Avhich the inaccuracy exists, and beyond Avhich it can no longer be of importance. But suppose, for the sake of admission, Ave say the twelfth or thirteenth is the limit beyond Avhich no molecules can be carried bv the process of attenuation, any attempt to distribute molecules still farther will be useless. It folloAvs, further, that in several attenuations, before reach- ing this point, say in the eighth or ninth, the molecular particles must have been reduced very greatly in number; or in other words, the substance to be attenuated or potentized must have been reduced by the method of Hahnemann to the limits of highly rarefied gas, which condition it could only maintain so long as the disintegrated particles of matter still may be pre- sumed to exert any influence upon each other by attraction or repulsion, throughout the medium in Avhich they are suspended. What their influences may be, can be deduced from our present knowledge of the diffusion of gases, and also the late remarkable results obtained by MM. Cailletet and Pictet, in regard to solidification of gases. Hence, unless the most careful, conscien- tious, and painstaking researches and calculations are erroneous, 60 AMERICAN INSTITUTE OF HOMEOPATHY. the limit of divisibility of soluble substances does not extend so far as had been hitherto assumed. The 20th attenuation or potency by far exceeds all bounds of molecular distribution by dimensions so enormous that ordinary imagination can hardly realize it. Distances betAveen the molecules of diameters of the earth Avould not express the degree of separa- tion. The above estimates have been made Avith regard to Avater. Now, most of our attenuations are made from alcohol, more or less diluted Avith Avater. But a drop of alcohol is only about one-third of that of water in size; the number of molecules in a drop of alcohol is therefore only about one-third of those of Avater, taking into consideration the lesser density of the former. Hence, any substances dissolved in alcohol will not bear dilution by water quite so far as watery dilutions would. INFLUENCE ON DISTANCES BETWEEN MOLECULES. Aside from, and independently of, the impossible diminution of size of a single molecule, another now Avell-known laAV must be considered in connection with the changes Avrought in the molecular constitution of matter by extended separation of its constituent particles. It is what has been learned since Fara- day's time, concerning the condensation of gases.* Without en- tering into the history of this process, a short statement must suffice. The motion of molecules and their velocities have been deter- mined, at ordinary pressure and temperature, so that according to Clausius, the molecules of common air move at the rate of 485 meters per second, those of hydrogen at the rate of 1844 meters per second. It is noAV knoAvn that differences of temperature cause great differences of attraction and repulsion. Under mere mechanical pressure applied to gases, first there takes place attraction, Avhich * An excellent statement of the subject will be found in the Faraday Lecture, delivered before the fellows of the Chemical Society, November 12th, 1878, by Ad. Wurtz, membre de l'lnstitute, etc. Published in " Na- ture," and reprinted in " Scientific American" Supplement, 156. DOSE AND DEGREE OF ATTENUATION. 61 reaches a maximum; then, as the pressure is increased this at- traction diminishes, and at length becomes repulsion, which is only overcome by diminution of temperature. This takes the place of mechanical pressure, and may condense gases (hitherto called permanent) into solids. On this principle MM. Cailletet and Raoul Pictet have, independently of each other, succeeded in reducing oxygen and hydrogen to liquid form. But our method of dealing Avith matter in order to prepare it as a medicine, is not to condense it, but to expand it, and to in- crease the surface of its particles. Heat does this in the case of gases, and overcomes cohesion. We endeavor to separate mole- cules of matter by solution and diffusion in a liquid. We do this at the ordinary temperature at Avhich soluble substances will be dissolved, and consequently permit themselves to be separated by the interposition of the fluid used, i. e., water or alcohol. Noav, in liquids the influence of cohesion is manifest; and if tAvo liquids combine as Avater does with alcohol, the particles or molecules of each must become separated by overcoming the cohesion. This cohesion would necessarily be very rapidly overcome if, e. g., the alcohol were in small proportion, while that of Avater were constantly increased. Supposing Ave have a vial, holding one cubic centimeter of alcohol, to Avhich Ave add one drop of any other liquid, say a tincture; that drop of tincture will immediately be expanded to the size of one cubic centimeter plus the volume of one drop, and its particles or molecules will be separated in proportion. And, just as gases, if expanded and their molecules set at liberty, will fly into space and cease to exert any attraction or repulsion upon each other, just so the molecules of one drop Avhen separated by enormous spaces, will lose their influence on each other, and the distance separating them will increase in the same ratio as the molecules of a drop are diminished in number in our dilutions. For the sake of argument, let us assume that these distances do not interfere witli the action of molecules upon each other, even if the whole drops of original substance could be expanded 62 AMERICAN INSTITUTE OF HOMEOPATHY. to fill continuous space. Still, as only a fraction of it is thus expanded, the distances do not come into play as do the Avails of vials, which if they contain anything after the 12th or 13th attenuation, do so only by accident. Whoever will take the trouble to form in his mind a concep- tion of what is actually going on, in making dilutions by means of the centesimal scale, Avill perceive that the chances of retain- ing fractional parts (molecules) of original matter, diminish at the rate of one hundred divided by one hundred many times, thus soon lessening the chances by millions. In the 11th dilution, as has been shown, according to the molecular constitution of matter, there can be but few left, and these, if still present, will have been separated by distances, Avhich Avould be proportionate to the whole mass of alcohol or water required to attenuate the entire drop. What these distances Avould be has been calculated many times, and is more tedious than difficult. Dr. Schimko also fur- nishes us with an idea of these distances. He calculates that in order to attenuate a drop to the 30th attenuation, it would re- quire a globe of alcohol or water of thirty-six billions of miles in diameter, or 1,760,000 times the distance of the sun from the earth. Light traA7elling 41,000 miles in a second, and reaching the earth from the sun in seven seconds, Avould require tAventy- eight years in order to traverse the diameter of such a mass of water or alcohol. Hence one drop of this enormous mass Avould contain precisely the quantity of medicinal substance which is contained in one drop of the 30th. It will be easily understood that at the 11th decimal dilution, the limit of conceivable minuteness has been transcended; for to us one-third of the above enormous distance is already incom- prehensible. Von Grauvogl has demonstrated that, according to the inves- tigations of Professor Jolly, in solutions of certain salts, molec- ular contraction takes place to such an extent as to show that molecular attraction is exerted through great distances of space, notwithstanding enormous preponderance of the proportion of the dissolving medium to the substance dissolved. Applying this to the 30th dilution, he claims that Hahnemann's arithmet- DOSE AND DEGREE OF ATTENUATION. 63 ical statement, as to the quantity of original substance, contained in a fractional part (one drop) of the 30th, cannot be correct, and that it must greatly exceed the actual amount. When Ave further consider the enormous distances by which we actually separate molecules, and separate them by Avails of vials, Von Grauvogl's conclusion, though of weight, does not re- fute the simple arithmetical calculation by which Ave are accus- tomed to estimate the quantitative contents of attenuations. LIMITS OF THE DIVISIBILITY OF MATTER. The preceding statement is not repeated here to sIioav the futility of Hahnemann's ingenious method of dilution and po- tentiation ; for it was never necessary to attenuate a Avhole drop to the 30th, and consequently thirty little vials and about three thousand drops of alcohol Avould accomplish it before our eyes. Neither would there be any objection, Avere matter infinitely divisible, as Avas properly assumed at Hahnemann's time. But the course of modern researches, Avith its manifold revelations, points so strongly and unmistakably to the non-homogeneous- ness of matter, and to its molecular constitution, that we should pause. For the present we have no alternative but to accept that position of our state of knowledge. Were matter infinitely divisible, all mathematical calculations as to transcendent minuteness of particles, attained by attenuation, would be deprived of much force, let the particles attained by attenuation be ever so small. The septillionth part of the mass of the sun would be no larger than the three-hundred-and-thirty- three-thousandth part of a millet-seed, and the septillionth part of a grain Avould be outside of all possible conception. If matter is inconceivably and infinitely divisible, such reason- ing AA'ould furnish no potent argument against the process of attenuation. But if matter is limited in divisibility to measur- able molecules and atoms, Ave should say that any further at- tempts at attenuation Avere entirely futile and the effects illusory. While Ave require only a few ounces of alcohol or Avater to reach the 30th attenuation, the calculation of the inconceivable minuteness of a particle of medicinal matter Avhich Avould be con- tained in a drop is nevertheless true, and exceeds the dimensions 64 AMERICAN INSTITUTE OF HOMEOPATHY. of molecules by enormous figures, comparable only to the ex- treme distances and magnitude of heavenly bodies. To reach such almost transcendental distances and dimensions it is not necessary to cite the 30th centesimal attenuation. Take Only the figure known as a quadrillion, or the figure lfol- loAved by 24 ciphers (1024). Hoav great a volume of water is formed by a quadrillion of drops counting four drops to a cubic line? The answer is: 7017 cubic geographical miles, or 35,085 cubic English miles.* The fraction of a drop or grain diluted to the 12th attenua- tion would then be a drop divided by the 35,085 English cubic miles of Avater or alcohol. This is true, and cannot be destroyed by the argument that only a feAV ounces of alcohol and a few vials are needed. The simplicity of this argument, coupled with the vastness of pro- gressive multiplication by the power of one hundred, leads be- yond the conception of the mind, Avhich clings only to the few ounces of visible vehicle contained in tAvo or three dozens of little vials. We have been treating of the molecular constitution of matter as related to the principle of attenuation. But, as the molecular theory involves the idea of the divisibility of molecules, its rela- tion to our method of attenuation deserves notice here. Chem- istry has turned the molecular theory to praetical account, and by its demonstrable divisibility of molecules into atoms has re- modelled chemical definitions throughout. Accordingly mole- cules noAvmean compound substances; and elementary molecules Avhich, when divided into elementary constituents, separate into atoms f The point which we are to consider is that Ave are not aim- ing to split molecules into atoms, because, to the best knoAvn and accepted axioms of chemistry, belongs the fact thai a mole- cule of compound matter broken into atoms is no longer the original substance. A molecule of salt, of one atom of Chlorine and one * Kriess Arithmetic. f See Modern Chemistry, and also Ad. Wurtz's Lectures, quoted above ; these furnish very clear accounts of the present state of chemical science, based on the atomic theory. DOSE AND DEGREE OF ATTENUATION. 65 atom of Sodium, breaks into these constituents, if broken at all; the same applies to all compound bodies. We use in our dilu- tion only soluble bodies; these soluble bodies are compounds. When AAre have attained by attenuation the limit of their molec- ular constitution they cease to be what they were, e.g., salt, Arsenious acid, or Belladonna, etc., in tincture; hence Ave should cease to attempt to subdivide them farther. For only one of tAvo conditions can possibly occur; either they are no longer what the notation in the label Avould imply, or not having been subdivided into atoms, their molecules have become feAver and fewer in number, till at length at or about the 11th centesimal they cease to be present altogether. Chemistry, • hoAvever, teaches that molecules consist of atoms, varying from tAvo to tAvo hundred and ten; the hydrogen molecules being taken as the standard, consist of tAvo atoms (microcriths) of hydrogen.* Noav, even if it Avere admitted that molecules could be sepa- rated into their atoms by trituration, succussion, and dilution, the number of molecules contained in a drop multiplied by tAvo hundred Avould not be equal to two degrees of potentiation by one hundred. Multiplied by a million it Avould only place the limit at the 13th attenuation or potency, instead of the 10th, which Ave have found to be the limit in the light of molecular science. RELATIVE RELIABILITY OF DATA OF MOLECULAR SCIENCE. It becomes, of course, a question hoAV far the present state of knoAvledffe concerning; the molecular constitution of matter is based upon actual facts, or at least upon undisputed theories. Let us hear Avhat the authorities above quoted have to say. Maxwell has clearly defined the degrees of reliability of the various stages to Avhich physical tests and mathematical calcula- tions, as based upon the laws of Avogadro, Boyle, etc., ha\Te led. In the first rank are placed what is knoAvn of the relative masses of molecules, of different gases, and their velocities in meters per second, as obtained from pressure and from the density of gases. In the second rank stand the relative size of molecules of dif- * New Chemistry. 66 AMERICAN INSTITUTE OF HOMEOPATHY. ferent gases, the length of their mean paths, and the number of collisions per second, deduced from experiments on the three kinds of diffusion. Their received values are rough approxi- mations. In the third rank stands the absolute mass of the molecule. Its absolute diameter and the number of molecules in a cubic cen- timeter are not precisely knoAvn nor even approximately conjec- tured. But Ave know the relative masses of different molecules with great accuracy, and Ave knoAV their relative diameter ap- proximately. From these Ave can deduce the relative densities of the molecules themselves. So far we are on firm ground. In the application made of this conclusion to our method of attenuation and potentiation sufficient and ample allowance should be and has been made for approximate calculations, and even conjectures Avith regard to the absolute number of molecules in a given volume. EXTREME ATTENUATION, OR "HIGH POTENCIES," SUPPORTED BY SPIRITISTIC REFLECTIONS. Hahnemann himself, in the last edition of the Organon, and later, in the last edition of Chronic Diseases (vol. v, 1838), in- sisted that there is a distinction to be made betAveen dilutions and potencies, or dynamizations. He places the limit of dilu- tion just Avhere taste and color of any substance cease. Dynamizations are produced not only by progressive dilution, but by increased force and by the number of strokes or concus- sions employed. In this Avay, he says, Ave already obtain in the 50th potency medicines of the most penetrating efficacy. Hahnemann does not distinctly state it as his conviction that matter ceases to be present at the limit of taste and color, but maintains that the latent medicinal virtues of drugs are devel- oped in what he calls dynamization, or potencies. But it is certain that he held the opinion that the latent prop- erties of drugs were developed independently of the diluted ma- terial substance, for he insists that the name of dilution should no longer be applied to potencies where that latent power is made to act in a spiritlike manner upon life; that is, upon the sensi- tive irritable fibre. While Hahnemann's idea of the subject does DOSE AND DEGREE OF ATTENUATION. 67 not absolutely preclude the progressive divisibility of substance, based on the possible infinite divisibility of matter, yet those Avho came after him abandoned this opinion, and unequivocally sub- stituted a spiritual agency in the place of simple material at- tenuation. As far back as vol. x of the Algem. Horn. Zeitung* "dynamopathy " and " Hahnemannism " were proposed as sub- stitutes for the name homoeopathy. The anonymous author Avas probably Dr. Hering, for he sought to substitute a newly aAvakened agent, a neAV fundamental force, which he supposed existed between the original substance and the vehicle. This he called " Hahnemannism," from admiration of Hahnemann, Avho still hesitated to express this opinion unequivocally in print. Hering's idea Avas based on the assumption that atoms of one being could impart their character to those of another; and this poAver Avas supposed to take an intermediate position betAveen galvanism and mesmerism. Glass and cork Avere supposed to isolate it quite as Avell as they do electricity, etc.f Such ideas as these harmonized with the previous inventions of Korsakoff, and Avere founded upon them ; and it Avas from these same inventions that arose the process of contact-potencies. According to this theory a hogshead of water could be made to possess medicinal virtues by contact Avith a pellet of the 30th. Hahnemann, hoAvever, had declared such medication to be im- possible, because such a mass could not be stirred or shaken. My object here is not to give a history of the theory of poten- tiation, but merely to shoAV its origin and import. The basis of material attenuation Avas given up, and the theory of high poten- cies Avas based on the assumption of the spiritual or of some disembodied agency. While in Germany less and less was heard of them after the great revolution of 1848, in this country an enthusiastic party arose in their favor, awakening the controversy aneAv. In order, then, to have a firm basis for potentiation, and par- ticularly for high potencies, the upholders of such a dogma must depend upon a belief in a spiritlike poAver. And to develop * Kleinert, History of Homoeopathy. f Kleinert, History of Homoeopathy, from Archiv, vol. 15, No. 1. 68 > AMERICAN INSTITUTE OF HOMEOPATHY. such a poAver would require at least some machine adapted to the force of potentizing machines, to which it has been subjected lately. Arthur Lutze, in Koethen, claimed a much shorter method than this; he simply imbued his doses with animal magnetism. He acquired an immense practice, accumulated AA^ealth, and edited a neAV edition of the Organon, Avhich he enriched with contri- butions setting forth his discovery. These doctrines are accepted by some of the folloAvers of Hah- nemann, but the majority reject them, except so far as the pres- ence of matter is admitted. No one, except potency-makers, ever attempted to determine Avhere the loAver potencies end and where the higher begin; such a distinction is perfectly arbitrary. Among those Avho incline, by belief or experience, to the so- called^high potencies, there are many Avho never sought to account for their stability. They never knew or cared to know that they were based openly and avowedly on spiritual belief, and upon the open disavowal of material influence; it was Avith many faith in the pretentious name of " high potency." There are many, on the other hand, among those inclined to the so-called low potencies who can state no distinct reason Avhy they prefer them, except by experience and belief. Those who cared to have reasons for their actions surmised, or knew that there was a limit somewhere to the divisibility of matter, and while that limit was uncertain they preferred to remain on the side of reasonable safety, within the domain of the material effects of substances. Such are the well-known differences of opinion—for they were neither more nor less—from Hahnemann's time up to the present. I have sketched them briefly without voluminous quotations to support them. To do so would be like proving by quotations that the sun rises and sets. The differences of opinion exist; upon them are based different parties of our school, and I believe that I have not done them injustice by overstatement. In view of these facts, and in vieAv of the acknowledged aban- donment of the material principle, and the avoAved acceptance of a spiritlike principle capable of being potentized and propagated in the potencies in contradistinction to dilutions, it Avas unneces- DOSE AND DEGREE OF ATTENUATION. 69 sary to adduce, as I have done, the evidence in illustration of the grained and molecular constitution of matter. The spiritual wing of our school will find no hesitation in admitting it, for it neither militates against nor supports their belief. On the other hand, physicians, of whatever religious views, who, in their dealings with the material Avorld, prefer to remain on the side of material influences, and who would not knowingly push their dilutions to that degree where all material influences must cease, should strive to know where that limit is. It was for their sake, and also to contribute something toAvards the knowledge of this limit of divisibility, that I have given a brief sketch of the progress of molecular science. Those able Avorkers in that field labored quite independently of, and without regard to, the bearing Avhich their results might have upon the method of diluting or attenuating medicines. By again referring to their figures it will be readily seen that matter is all but infinitely divisible. A molecule, though trans- cendently small to the perception of our ordinary minds, is nev- ertheless measurable, weighable, and its motions calculable and perceptible to skilled minds. CONCLUSIONS BASED ON THE PRESUMPTIVE CORRECTNESS OF MOLECULAR SCIENCE. The conclusions are feAv and simple. Instead of an infinite scale of attenuations let us have a standard, like weights and measures, which we can teach to learners, that they may not be divided into sects injurious to our cause. Let us declare the 11th centesimal as quite high enough. Let us also abolish the absurd method of endeavoring to dissolve insoluble substances. Still, if any one prefers to continue his triturations and dilutions higher, no one need object. But never let the potency enter into the definition of homceopathist. To those Avhose office it is to teach, certain standards of value and measure are indispensable. If Ave abandon the substratum of matter, we are launched at once into metaphysical speeulations, and plunge into spiritual and spiritistic speculations, from Avhich may our school be saved ! It will thrive just in proportion to its 70 AMERICAN INSTITUTE OF HOMEOPATHY. fealty to the known principles governing matter. It will fail, as a science, Avhen it seeks support in the spirit Avorld. Objections to these propositions are and will be raised by demanding proofs that higher attenuations than the 11th are incapable of curing. In my last report to this bureau I stated the ground upon which alone the proof of a cure can be established, namely, upon a sys- tem of proofs and counter proofs, according to which, in a giAren case of cure, the result can or cannot be attributed to the medicine. I have also freely stated that the same applies to the Ioav at- tenuations and triturations. I can only sketch out my line of argument. 1. Aside from all light Avhich science has of late throAvn upon the constitution of matter," experience " is and always Avas the only guide in the practice of medicine, in all schools and Avith all potencies. 2. No decision will be possible in regard to the merits of vari- ous potencies until "experience" includes numerous and accurate statistics, obtained from hospitals and private practice. Expe- rience must be based on statistics Avhich show the negative as well as the positive results of treatment. Hitherto only favor- able cases have been reported. 3. Until then the assertion of individuals who exclude negative results, and the assertion of superiority of skill and success, is entirely Avithout force. 4. The chances of efficacy of a drug preparation are absolutely on the side of the scale attained before the limit of material pres- ence is reached. 5. Rigid and persevering research and inquiry Avere the founda- tion of the new school, and by them only can it be maintained. These inquiries Avere undertaken from a desire to lay a safer foundation for the estimation of cures upon the homceopathic rule or law, and thereby to do better than we are all, Avithout distinction, able to do now. Bold and over-enthusiastic asser- tions of superiority, based on belief in spiritual influences, carry before them the young men of the profession, but are without weight in the light of calm reason. ilAude sapere" said Hahnemann, not " aude credere." "Dare to know," not "dare to believe." ON THE PROOF OF THE PRESENCE OF MEDICINAL POWER IN ATTENUATIONS ABOVE THE SIXTH DECIMAL, FROM THE STANDPOINT OF THE SCIENTIST. By Lewis Sherman, M.D., Milwaukee. In regard to the question, Avhether solution of the so-called in- soluble substances is really accomplished by the Hahnemannian process of attenuation, opinions are divided. There is abundant reason to believe that no substance is abso- lutely or entirely insoluble in water and alcohol. Water and many other substances in the solid, as Avell as in the liquid state, are known to give off vapors at ordinary tem- peratures. There is a constant tendency of all matter to assume the gaseous state. The higher the temperature the more rapidly does this process go on. The boiling-point of a liquid is by no means the lowest temperature at which it gives off vapor; it is rather that degree of heat (molecular activity) at which the expansive force of the vapor is sufficient to overbalance the pressure at the surface of the liquid. As the pressure diminishes the boiling- point becomes lower. Water will boil at its freezing point if all pressure be removed from its surface. Ice gives off vapor of water with appreciable rapidity when the temperature is many decrees beloAv the freezing-point, Mercury is known to give off copious vapors in the liquid state. Even gold rapidly assumes the gaseous form if the temperature is raised high enough. In the liquid state its vapors are perceptible, and analogy would add to the conclusion that the process is not entirely stopped 72 AMERICAN INSTITUTE OF HOMEOPATHY. when it assumes the solid form. We are by this reasoning led to believe that every substance, solid as well as liquid, is sur- rounded by an atmosphere of its own vapor. Water and alco- hol readily hold vapors in solution. Hence all substances may be regarded as soluble in water and alcohol. The state of subdivision, produced by trituration, promotes rapid solution by virtue of the extent of surface exposed, and also on account of the fact that fine particles are held in suspen- sion in these liquids for a considerable time. I do not affirm that all of the medicinal particles of the so- called insoluble substances in their 3d centesimal trituration are dissolved in the 4th attenuation made by Hahnemann's process. I only assert my belief, with reasons for this belief, that some portion of the medicinal substance is dissolved. In most cases these Avill be coarse particles, which will fall to the bottom of the bottle in the 4th attenuation, and in all cases some particles will remain suspended in the liquid for an indefinite period. Although I believe that the lower Hahnemannian dilutions are solutions of the drugs they purport to contain, I am free to maintain that the process of solution destroys the pathogenetic and therapeutic properties of those drugs. My reasons for holding this last were stated in a paper read before this Society at its last previous meeting. A brief recapitulation may be allowed. The specific poisonous properties of the insoluble substances depend upon their insolubility. The poisonous effects of lead, for instance are produced by the introduction of the carbonate of that metal; they are removed by administering a substance Avhich renders the lead soluble, such as Iodide of potassium. The Iodine forms a soluble salt Avith the lead which is ex- creted by the kidneys. Large quantities of Acetate of lead may be SAvallowed Avithout danger of lead poisoning, because this salt is soluble and removable by the excretory organs. The specific effects of the different insoluble poisons vary with the phvsical properties and conditions of those substances. Metallic mercury in mass has very little effect on the human body. W'hen subdivided into minute globules its great weight and smoothness render it the most active agent in the whole Materia Medica for the removal of passive congestions and plas- MEDICINAL POWER IN ATTENUATION. 73 tic deposits in the tissues. Metallic mercury, metallic gold, and other insoluble substances in the form of solid particles are known to be taken into the circulation, and deposited in the tissues, causing disorganization or foreign groAvths. A globule of Mer- cury may be pictured rolling through an obstructed capillary, like a leaden ball through a long narrow tube, Avhen a ball of some lighter material Avould only increase the obstruction. The effects of the mechanical action of insoluble particles introduced into the circulation may be as various as the physical properties of the particles. But these effects cannot be produced by the in- troduction of solutions of those substances, except in cases Avhere the solutions are so concentrated as t>form precipitates after they enter the body. Does trituration promote the solution of gold f The average diameter of the particles of precipitated gold is about a^iroo HU'h- (The particles of the phosphorus precipitate are someAvhat smaller.) The Aveight of one such particle would be Hence, there would be seventy such particles in one grain of the 9* trituration. A poAverful microscope can only make visible at one view tuwif °f a gra'n or>a trituration. Hence, there would be in the 9X trituration one particle to every 140 fields, provided the particles are not subdivided by the pro- cess of trituration. This agrees Avith the facts of observation. The free surface in a grain of precipitated gold is about 245 square inches. If the process of trituration subdivides the particles so that the free surface of gold in a grain of the 9* trituration is at least as great as that in one grain of the crude, the average diameter of the particles would be soinroiToVoTnrooT) ineh- The Aveight of one of these particles would be 7¥iiT7¥ii¥TTT7iro'FooiroT7TrT¥TO'TO¥7"roo'¥T5'o'"o"o grain. The smallest visible particle with the best microscope and the best illumination is g^oVoir mcn m diameter. A spherical particle of gold of this diameter Aveighs about swoinnnnroo gram. 6 74 AMERICAN INSTITUTE OF HOMEOPATHY. Hence, one of the particles in the 9X trituration should be (if there is no decrease of free surface) ? 77 tttttttttttVttt?? im 7" ttt> the size of the smallest particle visible under the microscope. If the particles are so subdivided, they should cease to be vis- ible between the first and the second decimal triturations. But particles of gold have been seen in the second, third, fourth, fifth, sixth, and even the ninth and eleventh decimal triturations ; hence, the conclusion is irresistible that gold is not subdivided by tritu- ration. ON THE PROOFS OF THE PRESENCE OF MEDICINAL POWER IN ATTENUATIONS ABOVE THE SIXTH DECIMAL, FROM THE STANDPOINT OF THE THERAPEUTIST. . By Lewis Sherman, M.D., Milwaukee. Under this head I desire to say a few words in favor of the test proposed by the Milwaukee Academy of Medicine. The proposition is briefly stated thus: A vial of pure sugar pellets, moistened with the 30th Hahnemannian dilu- tion of Aconite, and nine similar vials, moistened with pure alcohol, so as to make them resemble the test pellets, shall be given to the prover. The vials are to be numbered 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10 The number given to the Aconite vial shall be unknown to the prover, and it shall be his task to determine which of the ten vials contains Aconite. These preparations are to be put up with the greatest care, in the presence of the members of the Milwaukee Academy of Medicine, and then placed in the hands of an unprejudiced layman of unimpeachable honor, who shall number and dispense the vials as they are called for by the provers. The provers must be physicians of acknowledged ability, who possess a good knowledge of the recorded symptomatology of Aconite, and who have faith in the efficacy of the 30th dilution. If a hundred physicians engage in making the test and all, or nearly all, single out the Aconite pellets, the inference will be that the 30th dilution represents the medicinal properties of Aconite. If only about ten out of the hundred succeed in the trial, the inference will be that the 30th dilution of Aconite possesses no medicinal properties, for, ac- cording to the laAvs of probabilities, about one in ten would guess right without making any trial. Preparations of Arsenicum album, Aurum metallicum, Carbo vegetabilis, Natrum muriaticum and Sulphur in the 30th Hahnemannian dilution, made with the same precautions and care as this of Aconitum, shall be used as a 76 AMERICAN INSTITUTE OF HOMEOPATHY. test of the therapeutic powers of the 30th dilutions. In consideration of the inconvenience of experimenting on the sick, arising from popular prejudices, the number of vials of " unmedicated " pellets may be limited to one for each remedy, and the experiments tried mostly in chronic diseases. The real gain to the healing art, which will be accomplished by the establishment of the truth or falsity of the theory of " potentization," will amply compen- sate for the risk of delaying a few cures. The experimenters must be physicians of acknowledged ability, who possess a good knowledge of the therapeutic indications of the remedies tried, and who profess faith in the efficacy of the 30th dilution. If in this trial there be about one hundred per cent, of successes, the inference will be that the 30th dilutions have curative powers. If there be only about fifty per cent. of successes, the inference will be that the 30th dilutions have no curative powers. If those who advocate the use of these preparations refuse to participate in the experiment, the profession will have reason to suspect that they are insincere. If the result of the test should be to prove that the 30th dilution of a drug can make the sick well or the well sick, then it must be acknowledged that in this a great discovery has been made in physics as well as in medicine, and the science and ingenuity of the civilized world will be set at work to find out the useful applications of the discovery. If the result should be to prove that the 30th dilution has no such powers as it is claimed to have, then the medical profession has a right to demand that the symptoms supposed to have been produced by the 30th and higher dilutions be expunged from our Materia Medica, and that advocates of the potentization theory shall henceforth cease to prate their " cures " in med- ical journals and before medical societies which are avowedly devoted to the interests of science. Report of a Committee appointed by the Milwaukee Academy of Medicine, for the Purpose of making Arrangements to Prepare a Scientific Test of the Effi- cacy of the 30th Hahnemannian Dilutions. Mr. President: Your committee have carefully considered the plan proposed in Dr. Lewis Sherman's paper for testing the efficacy of the 30th Hahnemannian dilution, and we are unanimously of the opinion that the test proposed in that paper is fair and honorable, and that the interests of science demand that it should be made. We recommend, That our society undertake to carry out the provisions of this test, and that to this end the essential features and the practical details of the test be given for publication as soon as practicable to every regular homoeopathic period- ical printed in the English language; and that translations of the same be sent to every known regular homceopathic periodical printed in foreign lan- guages; and that all other appropriate and accessible means be employed to give the test publicity. That the directions given by Hahnemann for the preparation of the 30th MEDICINAL POWER IN ATTENUATIONS. 77 dilution be followed with the most scrupulous exactness ; that the alcohol used be of the purest quality obtainable, and that to this end a quantity of the best so-called " homceopathic alcohol " be redistilled in glass for the pur- poses of this test. That the Rev. George T. Ladd, of Milwaukee, be selected to number and dispense the vials of test-pellets as they are called for by the provers and experimenters; and that he give a solemn pledge that he will not, in any manner, reveal to any person which of the preparations coming from his hands have been medicated with the 30th dilution, until he shall have been called upon to do so by this society, and that he will use every means in his power to preserve the purity of the materials intrusted to his care, and to make the test fair and honorable. That all provers and experimenters be required to send their reports to the secretary, Dr. Albert Schloemilch, before the first day of December, 1879 ; and that the result be published in full about the first of January, 1880. And finally, that this society appropriate a sufficient sum of money to defray the expenses of furnishing and delivering the test-pellets of Aconite to one hundred provers—these being selected from the first who apply—and that the other provers and experimenters be required to pay in advance to the secretary of the society the sum of thirty cents for each set of test-pellets sent them. Eugene F. Storke, M.D., Robert Martin, M.D , E. M. Rosenkrans, M.D., Julia Ford, M.D., Albert Schlcemilch, M.D., G. C. McDermott, M.D., 0. W. Carlson, M.D. Milwaukee, December 3d, 1878. At a regular meeting of the Mihvaukee Academy of Medicine, held April 1st, 1879, the folloAving resolution Avas unanimously adopted: Upon application by any professor in a medical college, or any other public advocate of the high potencies, the Academy will prepare and furnish the 30th Hahnemannian dilution of any remedy in common use, for the pur- pose, and in accordance with the terms heretofore published in the pamphlet, entitled A Test of the Thirtieth Dilution. A. Schlcemilch, M.D., Secretary. April 21st, 1879. The most important feature of this test is the removal of all bias from the minds of the experimenters. Whatever prepon- derance there may be in the selection of medicated pellets, it can- 78 AMERICAN INSTITUTE OP HOMEOPATHY. not be ascribed to the vanity, pride, prejudice, superstition, or love of gain, or any other selfish motive acting on the physicians Avho undertake the experiment. Hence, if the results should be favorable to the efficacy of the high dilutions, the evidence is in- comparably superior to that obtained from men Avho are of ne- cessity subjected to outside influence. Men who desire to learn the truth in regard to the question of attenuation and potency will be ready to undertake this test; but men Avho have selfish motives for making it appear that the truth is on one side or the other of this question, Avill neither under- take the experiment nor be willing that others should do so. Another noticeable feature of the test is that the medicinal preparations are made especially for the purpose of the test by a body of men representing both sides of the question, and then immediately put into the hands of a disinterested party. There is, therefore, no chance for collusion or for insinuations of trickery. The method of preparation is that followed by Hahnemann, and by the most careful pharmaceutists of the present day. Thirty vials are used in the preparation of each remedy, and ten shakes are given to each' vial. None of the shoddy methods of adventurous heretics are countenanced. The preparations are made Avith strictness as to method, and great care in regard to purity. Another important feature is that the experiment is performed by believers in the potencies, Avho are, of course, most interested in the success of the demonstration. In making up the results none but men of acknowledged skill and ability will be counted. Ample time is given for every believer in the potencies to secure the aid of every sensitive subject of his acquaintance. No fail- ures then can be ascribed to lack of skill or opportunity. Each experimenter, moreover, is allowed to choose the particular remedies with Avhich he is best acquainted, and from Avhich he has seen the most marked results in the 30th dilution. The remedies preferred by the Academy are Aconitum, Arseni- cum, Aurum, Carbo vegetabilis, Natrum muriaticum, Sulphur. We think that this list includes the best knoAvn and the most active remedies in the Materia Medica, and gives an assortment of those best adapted to both acute and chronic cases, of those Avhich MEDICINAL POWER IN ATTENUATIONS. 79 are poisonous, and those which are non-poisonous in the crude state and loAver attenuations, and of those which are soluble and those Avhich are insoluble. If any believer of acknoAvledged skill and ability thinks he can do better with some other medi- cine, the Academy are ready to furnish that medicine. In the trials on the sick there is one vial of medicine and one of blank pills, and the experiments are recommended to be tried mostly in chronic cases. On the ground of morality Ave believe this experiment is not only entirely justifiable, but actually demanded. If there is truth in the doctrine of potencies it is important that the medical profession and the Avorld at large should know it, for many valu- able lives are lost by the unnecessary use of large doses of medi- cine. If there is no truth in the doctrine it is important that the medical profession and the world at large should knoAV it, for many valuable lives are lost by the neglect of this great dis- covery. APPENDLX. DISCUSSION. THIRD DAY—MORNING SESSION. Answers to the Questions on " Drug Attenuation in Homceopathic Therapeutics," by Ad. Lippe, 31. D., Philadelphia. Question 1. History of Drug Attenuation in Homceopathic Practice, up to the Death of Hahnemann; Avith a Statement of its Objects and Methods. Answer. A true and fully reliable history can only be made up from facts which cannot possibly be contradicted, and such facts can only be established through documentary evidence. Hearsay testimony is no evidence; documentary evidence cannot be contradicted. We find Hahnemann an advocate of the 30th potency in all his Avritings. The first remedy, by him, published in his Materia Medica Pura, third edition, 1830, Avas Belladonna; he distinctly recommends, as a suitable and sufficient dose to cure, the spiallest part of a drop of the 30th potency. Hahnemann says, on page 12 (Preface to Belladonna): " Taught by hundreds of experiments on the sick, I found myself compelled, during the last eight or ten years, to come doAvn to the decillionth (30) potency, and I find the smallest part of a drop (the one thou- sandth part of a drop) just sufficient to accomplish the healing object." Hahnemann's objects and methods were, first to so di- minish the quantity and attenuate the drug till the curative ob- ject Avas obtained Avithout the painful and even injurious effects of large doses of the drug, homceopathically indicated, Avhen ad- ministered in such doses as will frequently cause much unneces- sary sufferings, and even cause injuries, because given in too large a dose. His method he has frequently described, and did so again in his preface to Belladonna. He there repeats what he had described before as his mode of attenuating crude drugs for better clinical uses. He says, there, that he " takes as a unit APPENDIX—DISCUSSION. 81 the juice of the plant mixed in equal parts with tAvo drops of al- cohol, and drops this into a vial filled with 99 drops of alcohol, shakes this vial doAvmvards twice, Avhich constitutes the hundredth part of a dilution ; of it another drop is mixed with 99 drops of alcohol in a clean neAv vial, and is shaken in like manner, which constitutes the 10,000th dilution, and another drop of it is again shaken with 99 drops of alcohol, which constitutes the 1,000,000th dilution. The potentization is so continued through 30 vials, and thereby we obtain the decillionth potency ; Avith this preparation the homoeopathist cures all such cases as are curable Avith Bella- donna. He further says, that this small dose is all-sufficient in the most acute diseases, and Avhen given in a chronic disease this very small dose will act for three Aveeks and longer. Question 2. History of Drug Attenuation in Homoeopathic Practice, since the time of Hahnemann ; Avith a Statement of its Objects and Methods, with Especial Reference to Arariations from those Approved by Hahnemann. Ansicer. The first knoAvn drug attenuations differing from Hahnemann's method Avere made by Korsakoff during Hahne- mann's lifetime, Avithout his objections to this new method, Avhich consisted principally in making "contact potencies;" that is, after reaching, say the 30th potency of Hahnemann's, he mixed a large number of unmedicated pellets with a few medicated dry pellets, shook them very thoroughly, and in this manner he continued to make his (contact) higher potencies. Next came Jehnichen, Avho produced the 200th and higher potencies ; he even produced the 40,000th of Arsenicum. All we know positively of his modus operandi is, that he used much larger potency vials, a larger fluid vehicle, and a larger force by his powerful arm than Hahnemann did. In 1807 the American Institute of Homoeopathy, finding that the preparation of drug attenuation Avas carried on to a much higher degree than had been done by Hahnemann, instituted some inquiries, and addressed itself to Dr. B. Fincke, who evaded a positive answer. This statement of facts Avas published and the question Avas agitated in the third volume of the Hahneman- nian Monthly, page 214. This brought a reply from an eminent lawyer in Brooklyn, and in the same volume of the Hahneman- nian Monthly, page 385, 1 was requested to shed some light on the mooted question ; this was done in various papers, to be found in the same volumes of that journal, pages 385, 419, 497. The student of the history of drug attenuation will there find " doc- umentary evidence " to show Avho Avas, and still is, the custodian of the statements made to him by Jehnichen respecting the prepa- rations of his high potencies; it will also be seen that said cus- 82 AMERICAN INSTITUTE OF HOMEOPATHY. todian of the secret Avas authorized by Jehnichen to divulge and promulgate it "when the right time earned Like Jehnichen, Dr. B. Fincke, too, Avho produced Auction-potencies and much higher drug attenuations than any one before, kept his secret. In 1859 the late Dr. von Beenninghausen caused Lehrmann, Avho Avas a trusted pharmaceutist, to prepare the 200th potency of 200 medi- cines after Hahnemann's method. These various preparations were Avell tested by experts and their testimony laid before the profession. The fundamental law of demand and supply became evidently the cause of a multiplying preparation of high potencies. There was such a demand for them that Ave find the late Dr. Carroll Dunham, by the aid of Dr. H. M. Smith, in New York, prepared another set of the 200th potency, much more shaken than Avere those of Lehrmann, Avho gave each vial only two doAvn- Avard shakes, but used for each potency a neAV vial and alcohol for a vehicle. Then came the preparations of Boericke & Tafel, of Dr. Samuel SAvan, ahd^of Dr. Thomas Skinner. There Avas no secrecy about these latter preparations; the methods used Avere published in our journals. The object the various drug attenuators had in vie\v Avas undoubtedly a desire to find a potency Avhich Avould no longer show the presence of medicinal virtue, Avould be administered to the sick without causing any curative or other effect. The ex- periments made Avith Jehnichen's high potencies shoAved that the higher potencies possessed proportionately greater curative poAvers than the loAver potencies, and Avhen drug attenuation Avas carried still farther, it Avas only to prove the correctness of the former observations. Question 3. The Means Employed in Drug Attenuation ; what they Should Be, and the Danger of Impurity. Answer. The question has really been ansAvered before. What they should be? Why, they should be so prepared as to produce the most efficacious medicines, Avhich they cannot do if impurities are alloAA'ed to become part of the preparation. Nothing but the experiment can decide Avhether an attenuated drug is pure and the attenuation useful in curing such cases of sickness as fully correspond with its sphere of action. Question 4. The Limits of Drug Attenuation, or Proof of Drug Presence in Attenuations above the Third Decimal; from the Standpoint of the Scientist. Answer. No doubt the question truly means, from the stand- point of the materialist. The scientist stands for "materialistic investigator." Whether any particles of a drug can be detected in a preparation above the 3d decimal is by no means settling the grave question as to the development of the curative powers APPENDIX—DISCUSSION. 83 of drugs by potentization. The microscope has detected parti- cles of triturated metals far above the 3d decimal, and there are iioav iiwestigations in progress showing that by the solar spec- troscope much higher triturations shoAV discernible color lines. Such questions (as No. 4) have been asked by the opponents to homoeopathy time and again, and Ave hope that some of our sci- entists Avill make it a point to show how far these investigations have gone; and Iioav far they show the presence of drug particles in drug attenuations Avill sIioav hoAV far materialism finds itself eliminated by the spectral analysis. And Ave may just here be permitted to call attention to a very becoming ansAver to this question, Avhich Ave find in the Hahnemannian Monthly, page 198, by S. A. Jones, M.D. It reads thus: " Noav Avhy may not a homceopathic therapeutist, as Avell as an old-school physiologist, apply the physiological test to determine the presence of a poison in quantity too minute for chemical test? And why oblige the homoeopathic therapeutist, when he has successfully applied the physiological test, to demonstrate the condition of the ' original substance'in the thing tested; Avhy insist that he must show whether the 'original substance' be in minute subdivision or in solution ? Why deny the existence of some of the ' original sub- stance' Avhen, though the microscopic test and the spectroscopic test fail, the physiological test gives affirmative evidence? Is the marvellous human body clumsier than the microscope, less sensitive than the spectroscope?" Professor S. A. Jones, in his laudable efforts to enlighten Professor Conrad Wesselhoeft, Avho had unfortunately fallen into a Carbo veg. demonstration, might as Avell have told him that the provings of Carbo veg. Avere made with the 3d and higher triturations, the crude substance and the first tAvo triturations having produced no effect on the provers. Question 5. The Limits of Drug Attenuation, or Proofs of the Presence of Medicinal PoAver in Attenuations above the 6th Deci- mal, from the Standpoint of the Therapeutist. Answer. The limits of drug attenuation are unknown! There has not yet been produced a single drug attenuation Avhich, sub- jected to the test of the therapeutist, has not sIioavu strong, nay, so far, steadily increasing medicinal and curative poAvers. Proofs of the presence of medicinal power in attenuations above the 6th decimal are in the possession of the medical profession by the thousands; they are on record in Hahnemann's Materia Medica Pura, in the medical journals published in the last fifty years. It is, therefore, a settled question, settled forever, and the very admission of the presence of medicinal poAver in the 6th decimal attenuation is implicitly an acknoAvledgment of the cor- 84 AMERICAN INSTITUTE OF HOMEOPATHY. rectness and admissibility of the theory of potentization ; or does there exist anywhere a " nothing ?" "Can any substance come to nothing in any Avay ; or, by division, be divided and finally come to be nothing? The idea of nothing is absolutely the negation of all ideas; so is the negation of the existence of the substance, in an ever-so- much divided substance, a negation of the existence of the sub- stance itself before its division. The presence of medicinal poAver of any undivided or crude substance can only be ascertained by the clinical experiment; in like manner can the presence of medicinal power in any attenu- ation only be ascertained by the clinical experiment. The testimony, so abundantly offered, positively affirming the curative power of highly attenuated medicines, can never be set aside save by a more abundant testimony showing exactly the contrary. But, the admissibility of such testimony would very much depend on the qualifications of the Avitnesses. If a Avitness testifies that in his hands potencies above the 6th decimal have not shoAvn any medicinal (curative) powers, he will have to sIioav that he carefully selected his remedy and that he skilfully ap- plied it. Till that is done fairly and honestly, the testimony as Ave find it recorded for more than fifty years Avill stand unshaken, and be final. MEANS E3IPL0YED LN DRUG ATTENUA- TION. By M. J. Rhees, M.D., Wheeling, W. Va. Some facts in regard to drug attenuation, and especially to that important part which is accomplished by trituration, have forced themselves so strongly on my attention that I desire to lay them before you. Accompanying this paper you will find a package of poAvders, each bearing a number, for my OAvn convenience of reference, and each, except the last tAvo (Nos. 7 and 8), claiming to be the 2d decimal trituration of Kali bichromicum. Nearly four years ago, having a case of malignant diphtheria under treatment, I sent for one of the most eminent homoeopathic physicians of Boston, a professor in the Medical Department of Boston University, to meet me in consultation. (I was then living near Boston.) He advised Kali bich. 2X, and Hepar s. c. 2X, to be given alternately. As I had very seldom had occasion to use those preparations, I had none on hand, and the doctor promised to send me some as soon as he returned to Boston. He did so, and powder No. 1 is a specimen of the Kali bich. re- ceived from him, poured out of the very vial in Avhich it came to me. When I looked at it, I Avas astonished that any physician could be willing to accept it or use it as a trituration of any de- gree ; but thinking it might have been prepared and sent by one of the doctor's students Avithout his supervision, I gave very little more thought to it. Last December I removed to this city, and have since come into possession of a tAVO-ounce vial of stuff marked Kali bich. 21, 86 AMERICAN INSTITUTE OF HOMEOPATHY. which I know had been extensively used by a physician of some note in the West, who was formerly a professor in a Western homoeopathic college. Powder No. 2 is a specimen of this prepa- ration. In the course of a professional life of a third of a century, I had made too many triturations, myself, not to be able to see at a glance that these Avere in no sense triturations. I therefore de- termined to find out if possible, whether any reputable homoeo- pathic pharmacy sent out such mixtures as triturations, and kno\Ar- ing Avith Avhich of the pharmacies the last-mentioned physician usually dealt, I Avrote tothatone (aprominent Western pharmacy), and also to the most prominent pharmacies in the Eastern and Middle States, ordering from each, one drachm of the 2d decimal trituration of Kali bich. Powders 3, 4, and 5 are specimens of what I received from each. Nos. 6, 7, and 8 are triturations made by myself. It Avill be perceived that even in No. 5, Avhich is the best ob- tained from any of the pharmacies, great " chunks " (to use the expression of one of our eminent microscopists) of the crude drug are clearly visible to the unaided eye. Larger and more numer- ous "chunks " are seen in each of the others. It is not possible that any of these preparations were made ac- cording to Hahnemann's rules, or with any desire to accomplish the true purpose of trituration. There are two objects to be at- tained in the trituration of homoeopathic medicines. The first is, complete subdivision of the drug or crude substance and its inti- mate mechanical admixture \vith the vehicle; the second is, dy- namization. The second and most important object cannot be attained unless the first is accomplished. But Avhat constitutes complete subdivision of the drug? Can the subdivision reached in five of these specimens be called complete or even approxi- mately so? I think not. They each, from the crudest mixture to the best machine-made trituration, contain masses of particles large enough to be seen Avithout a magnifying glass. Perhaps we cannot reach absolutely complete subdivision down to the ultimate molecules; but Ave can certainly come nearer than have these pharmacists. I think there ought to be no particle of the crude substance large enough to be seen by the microscope in the MEANS EMPLOYED IN DRUG ATTENUATION. 87 2d decimal or 1st centesimal triturations, if it has been prop- erly comminuted. If the 1st trituration has been properly per- formed and sufficiently prolonged, the molecules of the drug ought to be separated and equally distributed among the mole- cules of sugar of milk, and even if the ultimate molecules cannot be entirely separated, the mass can be, and ought to be, propor- tionately and equally divided. I think there may be in each of these specimens of triturations I send you, some separate mole- cules of Kali bich.; but there are also, in at least five of them, masses containing millions and billions of molecules in their crys- tallized agglomeration intact. Having escaped subdivision in the 1st decimal trituration, these masses have also passed through the 2X. If any mass of molecules passes the 1st trituration, whether that be a decimal or centesimal trituration, Avithout sub- division, its chances for escaping in the second and all subsequent triturations are multiplied. For this reason I am not surprised that Professor S. A. Jones found gold visible under the microscope in the 91. He found a particle or particles, or more properly, masses of molecules Avhich had accidentally escaped comminution in all previous triturations, through imperfection in the manipu- lation, and he may happen to find them in the 30* from the same cause. But if the 1st and 2d triturations had been properly made, he could not have found visible particles in the 9X, if even in the 3X or 4. If in the case of any drug, the 1st trituration is not carefully and properly made, and the exact proportion of molecules pre- served throughout every part of the trituration, it is self-evident that no subsequent trituration or attenuation can be correct; therefore, it is of the utmost importance that the 1st trituration of everv drug be made with the most perfect exactitude. The pharmacists may say, and truly, that in the large quantities in Avhich they prepare these triturations, it is impossible to make so complete a comminution and perfect mechanical admixture, as when they are made in smaller quantities. But if they cannot be made properly in large quantities, and by machines, they ought to be made in small quantities, and by hand. This is work that requires brains. Let us by all means have true and scientifically correct preparation of our medicines, whatever it 88 AMERICAN INSTITUTE OF HOMEOPATHY. costs. Whether the molecular theory is true, or matter is infi- nitely divisible; Avhether our medicines are dynamized, and their medicinal power is communicated to the vehicle, or not; whether we give the Ioav triturations, or the 30th centesimal,or the 200th centesimal, let us have our 1st trituration and 1st dilution made as if upon them human life and all its interests depended. Four facts in regard to trituration have been considered in the preceding pages. The first is : That some physicians, claim- ing to be homceopathists, and holding positions of honor and re- sponsibility in the profession, even in classical Boston, with her supercilious assumption of scientific supremacy, as Avell as in the somewhat less pretentious West, are content to use preparations in the treatment of disease, Avhich are in no sense homoeopathic triturations, but are absurdly crude mixtures. The second is that our oldest and most reliable pharmacies dispense prepara- tions under the name of triturations, which, though better than the crude mixtures considered above, are very far from being per- fect, even in the case of Kali bichr., Avhich is much more easily manipulated than many others. The third fact, as shown by the samples I send you, is that, triturations dispensed by the different pharmacies, but bearing the same name and number, do not agree in color; thereby shoAving a difference in proportion of crude drug to sugar of milk. The fourth fact, as proved to you by my OAvn preparations, is that far better triturations can be made Avithout difficulty by means of a common mortar and pestle, than are made by the machines of the pharmacies. Whether the machines, Avhen under the control of conscience and brains can make thorough triturations, or not, I do not know ; but I do knoAV that we have the proof before us that they do not make them in all cases. To preserve the purity and identity of our remedies a separate mortar, pestle, and spatula should be used for each drug. In some cases the horn or ivory spatula Avill be indispensable; but it is a question worth considering whether, in most instances, an extremely hard and sharp steel spatula Avould not be better. It would be least likely to lose any portion of its substance in scrap- ing the smooth surface of mortar or pestle, and is, in my opinion, the best instrument for the purpose, except Avhen a chemical sub- MEANS EMPLOYED IN DRUG ATTENUATION. 89 stance which could attack and combine with the steel, is being triturated. The mortars and pestles should be thoroughly washed and scoured Avith Bristol brick or Avhite sand, and washed again in hot Avater and dried by heat after every trituration. As, often, the atmosphere surrounding the operator becomes charged Avith impalpable and invisible particles of the medicine, every drug ought to be triturated in a small room devoted to this pur- pose. The room should have a hard floor and no carpets or hangings of any kind about it. It should be heated by steam, have its OAvn water supply, and be kept scrupulously clean. One of the greatest difficulties in making triturations is the great lia- bility of dust and impurities floating in the air, to get into the mortar and become mixed with the trituration. To guard against this the room should be small and otherAvise as above described, and the house should be in the country surrounded by meadoAA'S or lawns, where a pure atmosphere is possible. The impossibil- ity of making a pure trituration in such a city as this or Pitts- burg is very evident to any one who has ever tried it; it is bound to be contaminated Avith carbon in the shape of lampblack. But any city should be avoided. The proprietor of such an estab- lishment should be a well-bred and experienced physician, of mechanical tastes, and he ought to make every 1st trituration with his own hands. He ought also to have the whole establish- ment under his OAvn direct supervision. With such a factory of triturations in competent hands Ave might hope for exactness and purity in the whole scale of our remedies. AHoav me to call attention to the strange indifference of some of our most eminent men to the mode of preparation of the remedies they use. On one occasion, Avhen discussing the high potencies with one of the most distinguished homoeopathic phy- sicians in the United States, and trying to show him the ridicu- lous absurdity of their mode of preparation (that is of Swan's thousandth and millionth potencies), he said to me, "My dear sir, I don't care Avhat they are, or how they are made, so long as they do what I want them to. I cure my patients with them, and that is enough for me." But ought this to be enough for a scientific man ? Is it not incumbent upon us all to knoAV with what we are risking the lives of our patients ? If we believe that 7 90 AMERICAN INSTITUTE OF HOMEOPATHY. the 40,000th of Lycopodium will cure a certain case of diphthe- ria, and that nothing but the 40,000th will do it, as some of these gentlemen do, are Ave, under any circumstances, excusable in giving a preparation, which (as I have conclusively shoAvn elseAvhere) may be the 10th, or may be the 3d centesimal, and may be nothing but Avater, but can by no possibility be Avhat it claims to be? How can these men quiet their consciences in such indifference? and how can Ave hope ever to have conscien- tious and exact pharmacists Avhile the profession is itself apa- thetic and unconcerned as to the quality of the means made use of for the cure of suffering humanity? Dr. T. F. Allen : I believe that I am not a fanatic on high potencies, as I have long been knoAvn as a Ioav potency man. I really Avas never above the 200th, though I have occasionally given the 1000th. As a scientific investigator, Avhich I try to be, I Avould like to see settled the question regarding the efficacy of the 30th potency. I have settled it in my mind long ago, and Avould like to see it settled by this body ; the only way is, not to Avrite a long article in a great many Avords, but to set to Avork and make ex- periments, and see if we cannot get at the truth of the matter in some Avay. We may read papers for a Aveek and not be any nearer the truth than Ave were before. I think the propositions of Dr. Potter and Dr. Sherman are right to the point. They propose to make a test of this matter. I do not consider that their proposition was put exactly in the proper way, but it is a step in the right direction, and I believe that is the only line on which this can be settled properly. Noav, those gentlemen Avho Avish to give us some help can do so by giving us some vials, and letting us fill each of them with the 30th dilution, each of which dilution shall receive the 200th succussion. These half dozen remedies shall be put in the hands of some unbiassed member of this Institute, an honorable, upright man, and a vial of this shall be given to some person Avho is willing to undertake this trial; and I will say, gentlemen, that I would be perfectly willing to do it. You might give me one bottle of the 30th dilution of any of the six remedies, and I Avould pick out the right one. I would like to have the reme- dies run close together in their pathogeneses. Noav you will have converted me if I cannot tell the name of the remedy, but if I tell you the name of the remedy, then you must, Messrs. Sher- man and Potter, acknowledge the efficacy of the 30th dilution. APPENDIX—DISCUSSION. 91 Noav that is fair. Well, having acknoAvledged that, next year, gentlemen, I will take you one step further, and compel you to acknoAvledge the superiority of the 30th dilution over the tincture of the 1st. (Great applause, and cries of Hear ! Hear ! Hear!) Dr. Morse : I desire to ask one question of our Presi- dent in regard to his paper. He has given us the ultimate divisibility of matter into molecules and atoms. I wish to ask, if he has got one atom of that matter, and if he puts that into water, whether it will not impregnate that water indefinitely? I want to know if we have any means of showing that it will not? Dr. Clark, of New Bedford : I Avas very much pleased to hear Dr. Allen's statement. It is a very manly statement from his standpoint it strikes me. I am very glad the issue is taken in this Avay. I think it is high time, for the credit of ourselves as a scientific body, that Ave cease from speculations in regard to these matters and wordy talk, and commence upon some posi- tive action by Avhich Ave can govern ourseh^es, and decide these difficult questions. One thing more I would like to hear from Dr. Allen, and that is, Avhat he got up for? He asks that when this report has been received, if he should determine the medi- cine Avhich he is trying, that Ave shall acknowledge that the 30th is efficacious; and furthermore, he proposes another thing Avhich I hope he may live to accomplish. Now I want to hear Avhether Dr. Allen, a year hence, proposes to acknowledge, in case he does not tell the remedy, that the 30th is not efficacious? (Ap- plause.) Dr. Lilienthal, NeAV York : There is said to be a little old book, which I suppose some of you have heard of; it is called the New Testament; it is not so neAV after all. It is an old book, but in that old book there is a chapter and a verse Avhere it says there is a corporal body and a spiritual body, but it says a body in both ; and thus I think our medicines are of that kind of spiritual body, and I am not ashamed to oavu it. I am not afraid to state that the microscope may not find the medicinal gold particle; still, in that Avater there is the gold. A\re have accounts that the old Indian physicians were far ahead of us in the knoAvl- edge of the use of remedies. They called them spirits, and they gave them the right name Avithout knowing why. Noav, I like these tests proposed by Dr. Potter, and I Avould like to see a test applied. But these tests don't amount to very much to me, and the reason of it is that when men like the late Dr. William E. Payne, of Bath, Maine, or like Dr. Carroll Dun- ham, made an assertion, men Avho never left anything undone in their lives, I believed it. Dr. Dunham kneAv his pathology as 92 AMERICAN INSTITUTE OF HOMEOPATHY. well as any one. When he said it Avas pneumonia, \twas pneumonia and not moonshine ; and when he says he stopped a disease, that has its usual course of from eleven to thirteen days, with Phos- phorus 200th, and the disease passed off, and the patient got en- tirely Avell in tAvo or three days, I think it Avas pneumonia and that Phosphorus cured it. Now, Dr. Potter and the other gen- tlemen from Milwaukee will find nothing in it; but if a thousand persons should come and say that there was nothing in it I would not believe them. Their assertion would prove nothing to me as to the action of medicine in disease. We have the tes- timony of trustworthy men Avho have seen the benefit of it, and I do not Avant to have better testimony. I do not speak for my- self; I ask physicians of high standing Avho think everything of pathology. If such men say Ave have done Avell, I don't see why we should give it up because a scientific body happens to decide against us. There may be a great deal of nonsense as well as a great deal of sense, but it does not answer the question, and it will never answer it. Dr. Pearson, of Washington : I had resolved to take no part in this discussion; but it occurs to me as I sit here just iioav that there is a hereafter,—that these papers would appear some time in the far future, perhaps in the Proceedings, and I Avant to say something in opposition to some of the sentiments con- tained in them. I believe that it is the experience to comfort a man Avho has fallen from grace. Noav, I take it that Dr. Dake and Dr. Breyfogle are back- sliders, and the only Avay I can see to benefit these men is to en- tirely change them. There is some more hopes of Dr. Sherman, for so far as I know he has never been converted. He and Dr. Breyfogle gave us some good homoeopathy yesterday, but un- fortunately for them it Avas all copied from Hahnemann's Or- ganon ! There was one remark of Dr. Dake's to which I wish to refer briefly. If I understood him correctly, and I think I did, I heard the same objection made tAventy-five years ago by an allo- pathic physician Avith whom I had a discussion. It is simply this, a point urged by these men very generally : the fact that patients recover after the administration of a high potency is given as an evidence of recovery as though it was OAving to the high potency. Now I think I can make it plain to every mem- ber of the Institute that it was put in this way : that if Dr. McManus gives a few doses of the 30th potency to a patient, and that patient recovers, there is no evidence that the recovery Avas owing to the remedy ; but if Dr. Dake gives a feAv doses of the 1st or the 3d, and if his patient recovers, it is conclusive evi- APPENDIX—DISCUSSION. 93 dence that the recovery was OAving to the administration of the medicines. (Applause.) That is the proposition simplified. Dr. McManus, Baltimore : After the able remarks you have heard Avhile sitting here, I think it is almost a work of supereroga- tion that I should speak at all; I believe it my duty, hoAvever, to say to this Institute, to the cause of homoeopathy, and to the honor of Dr. Hahnemann something in reply to my practice in ref- erence to the use of potencies. Forty-two years ago next November there did not live on the face of the world a greater skeptic than I was, for I Avas what I have often heard called a regular " Avagon- horse " practitioner. I had promised to investigate homoeopathy ; I bought some books and commenced the investigation of the 30th attenuation to see whether there Avas medicine in it or moonshine. I did not knoAv which, because I did not believe ; I commenced by using the 30th attenuation of medicine. Of course I had no experience, but I had been investigating. They all talk about scientific investigation here, and I have been investigating myself, because I do not Avish to be a humbug, and I never Avish to humbug my patients. I have been investigating this thing for a good Avhile, and I am going to investigate it as long as the Good Master Avill allow me to live. I need not tell you all that I should be a fool in my OAvn behalf if I did not cure Avith it. A member of the Institute told me something in regard to myself I never kneAv before, and in one respect I consider it a compliment. He said : " I do not believe that in the whole forty-two years of your practice you ever cured a case of any kind of sickness with the 30th attenuation of medicine. I will not say that all your cases died, be- cause you have the reputation of being a successful practitioner!" I asked him : " Well, how do you account for their recovery?" He replied : " Oh ! there are a great many patients of physi- cians Avho get Avell Avithout any medicine,—some from the tact of the doctor, and some from their confidence in the doctor, and all that kind of thing." Now a man Avho begins Avith any attenuation, no matter Avhat, must surely cure his patients or they will die; and they do die thousands of times for want of professional knowledge. It is a kind of impertinent absurdity on the part of any one to stand and tell a man Avho has been practicing for forty-two years and prescribing for, on an average, from ten to thirty patients a day, to tell him his medicine never did any good. Would you not suppose I ought to turn around and ask this man, " Do you sup- pose all these thousands, yea, tens of thousands of cases who have put themselves under my care, required nothing but sugar to get Avell on ?" Is there any person who would make such a 94 AMERICAN INSTITUTE OF HOMEOPATHY. preposterous assertion ? No ! If any of these gentlemen Avho are skeptical will come to me and say, "Dr. McManus, do you pretend to cure a fever?" I will reply, " Yes, sir." "Can you cure bilious fever?" I will say, "Give me a case of Avhat you call bilious fever ; let me have entire charge of the case; I Avill not tell you Avhat medicine I am giving, if any at all. But I Avill take upon myself the total responsibility of the case and the result, Then, if I cure that case, Avhich you have pronounced bilious fever, if I cure it, and you see it, Avill you believe me ?" " No, I Avon't," he replies. (Laughter.) Then I will say to him : " If you cannot belieA^e the testimony of your oavu eves and senses, Avho can convince you?" Now this Institute is going to be disgraced by these conflict- ing theories. Some men declare that nothing above the 6th at- tenuation Avill cure disease. Why do they say so? Because thev never use anything higher. So-and-so told me he never cured a case with the 30th attenuation in his life. I asked if he had ever giA^en it. He replied he had not, but understood that others had. I said I had given it Avith success for the last forty-two years. But Avho is to be convinced? These discus- sions as to the efficacy of the high and Ioav potencies are going to ruin the Institute. It is going to harm homoeopathy more than all the allopathic books ever did. (Applause.) I had the pleasure of traA7elling with a man I never met be- fore ; he lives in Brooklyn, and Ave began talking on this sub- ject. He talked like a sensible man. He told me that he had been practicing medicine twenty-five years, and had neA^er given anything higher than the 200th; he had more success with that than anything else. I have no objection to any one using what he pleases so he does not call me a fool because I do not get up to the 2000th, nor Air. A. a fool because he don't come doAvn to the 30th. Whose business is it? And since the practice of every man must correspond with his success, his success Avill soon demonstrate Avhat he practices. His success must be estab- lished by his cures; and if he cures, it is no matter Avith Avhat potency he does it. I regret in my declining time to see in the distance anything arise that is going to be the death of the career of this Institute. Coming men are bound to differ on this sub- ject, Let them go into a room, shut the doors and windows, put out every one, and then compare notes with each other, and not give Avay to this spirit of villifying a distinguished man and call- ing him a blackguard, and all that sort of thing. Where will the thing permanently stop ? You must stop it, or othenvise you will have to stop your science. (Applause.) Just as certain as there is a God in heaven, I say it reverently, APPENDIX—DISCUSSION. 95 if this thing that is going on now continues, you must abandon your Institute of Homoeopathy. (Great applause.) No, let us be like a band of brothers; if Ave differ in any essential, it is a fact that Ave differ from necessity. It is for A. to do it, and for B. to do it, Noav in the name of Dr. Hahnemann let us be in earnest in this matter. In the name of the Institute, in the name of God, be at peace Avith each other ; and if one considers the other Avrong, and if he considers himself to be aggrieA^ed, avIiv, let him in the name of* charity do to others as he Avould have others do to him. Dr. Cooke, Chicago: It strikes me, Mr. President, and it struck me yesterday, that the platform of the American Institute of Homoeopathy is not precisely the arena in Avhich to ridicule homoeopathy. I would not, however, state this in the first place but for the remarks of my venerable friend McManus. I have only to tell a story not very long. I think that my attention was called to the possibility of the 30th doing something by an act of Dr.' McManus, and since that I have gone up the scale; and the older I groAV, the scalier I get. My little baby Avas brought into the room at my house, at the last occasion of the meeting of this Institute in Chicago, Avith a ringworm three days in progress over the left eye. We Avere at the table, and the children Avere bidding us good-night. Dr. McManus Avould not kiss the baby, because it had a ringAvorm. He said : " But I will kiss it to-morrow night, when the ring- Avorm shall be cured ;" and, after dinner, he asked me for my Materia Medica, for the /Sympfomen Codex. I said I had a very excellent copy at my office. " But," he said, " you cannot stay through the night in your house Avithout the Symjrfomcn Codex?" Says I: " I cannot, but I do. I will never do it again." He was not satisfied until he came to my office the next day, and studied my Symptomen Codex, and I recollect very Avell I Avanted to be in the Institute Avhile I had to get the tools for Dr. McManus to Avork with. He seemed to be terribly puzzled and vexed because of the time allotted to him; he could not find the remedy that had a particular symptom over the left eye ; he could only find it over the right eye, Avhich I thought Avas all sublime nonsense,— with all due respect. He, hoAvever, gave the medicine as a der- nier ressort; it was Capsicum which had the ringAvorm over the right eye, and he gave it to my Avife, as he Avould not trust me Avith it. One little poAvder of the 30th of Capsicum to give the baby at night; another to be given in the morning if the ring- Avorm had not disappeared. Noav I am not sure, but I think my Avife shook me in the middle of the night, and said : "Frank, it looks to me as though that ringAvorm was fading out; I don't 96 AMERICAN INSTITUTE OF HOMEOPATHY. know whether to give that other dose or not." "Let us wait till morning," said I. " No," said she, " I Avant to folloAV instruc- tions." I arose and turned up the light. I said : " I guess I do not see Avell enough." When the baby Avas brought to the breakfast-table the next morning the ringworm was almost gone. The remedy was never repeated, and the ringworm Avas out of the Avay in twenty-four hours. Dr. J. Edavards Smith, of Cleveland, Ohio : Ladies and Gentlemen : I have a few Avords to say. If I take a keg of gun- powder and put a red-hot iron into it, there will be an explo- sion, and it will hit back ; so, if [ strike a keg of nitroglycerin, there will be an explosion; so with relation to the discussion of matters that are legitimately brought before us. We can do it in such a manner as will go out and appeal to sensible people all over the Avorld ; if Ave cannot do that, let us dry up and go home. Now, my friend Dr. McManus thinks it desirable for me to follow him, and, gentlemen, I am so much his junior and of less experience, and it is a very ungrateful thing ; but as a scientist there are some things that I am bound to preach on when I get the chance. First, let us notice some of the arguments he has given us, and see how far they will agree. It has been my vocation for several years to lecture to students in a medical college, and I have invariably found the first year student, on his first lecture, kneAv more about the efficacy of highly potentized medicine and high potencies than any other man. He can discount Dr. Mc- Manus, discount his practice. Now, as Dr. McManus tells us and as we all know, he has had an honorable and lengthy prac- tice, has been successful, and has been revered by his felloAV-men. We all revere him, and hold him in veneration, but you have got to look straight at the facts. Now, I propose a plan here for the success of which I propose to answer with my life ; if it fails you may take my head for a football, and my body for the dis- secting-table. I refer you now to Dr. R. V. Pierce, of Buffalo, Avith this broad square statement, that he has cured ten men to Dr. McManus's one; and he has got the Avritten evidence of it, and the very best class of evidence, senators, lawyers, ministers, gover- nors; men Avhose statements are bound to be received and admit- ted ; Dr. Pierce has cured ten men to Dr. McManus's one, and, therefore, ergo, sugar is the same thing. Dr. Pearson: He copied the names from the tombstones. Dr. Smith : I think he will beat you fairly on that, sir. (Laughter and applause.) Let us stop once more for a moment, and then go on. APPENDIX—DISCUSSION. 97 First. The gentleman (Dr. Allen) when he got up, Avas willing to try the Milwaukee test. He was willing to try the Mil- Avaukee test, and he said : " If I succeed, and if I at first point out the remedy, then you have got to admit the efficacy of the 30th dilution." There was a good deal of blaze about my friend out there ; he got hold of a chair, and began to pound it. He hen said more than that: "If I do succeed you have not only got to OAvn the efficacy of the 30th dilution, you have got to do more, you have got to OAvn that they are more efficacious, etc." Dr. Morse: I would like to ask you a question. Will the test be a perfect one? Dr. Smith: Now there is only this to say; it will be if he does it; if he does it, then there is time; if he does not, then it is not his place to ctoav. Make him go to war and fight the battle, then come back and do it over. Dr. De Gersdorff, of Boston : I am Avhat is called a low dilutionist, but I am a homoeopathist, and I revere the name of the great founder of homoeopathy as much as any of you can. I am also happy to say that I belong to those who Avould not Avish to have his memory burdened with all the extravagancies of his late followers. He was a reformer ; he had to give strict rules, and had to insist upon obedience and close folloAving ; and from that proceeded, in the course of time, a certain peculiarity of the whole sect of medicine to Avhich he belonged. Hahnemann, as has been often said, Avould not have been opposed, to-day, if he was promulgating his theory as he Avas then, by the old school, because he was then ahead of his time and the science of his age. He was even ahead of his OAvn knoAvledge of physiology and pathology. His grasping genius caught at this method, Avhich he hardly could explain—the mysteries of him- self. At his time, and shortly before, the great leading men had a peculiar faith in the certain inherent poAver of medicine. They sought an arcanum Avithout having found one. Hahne- mann found an arcanum. He found the secret, not of one remedy, but of all the remedies, by a certain method, namely, by homoeopathy. Certain errors adhered to him in later life; he began to see more importance in the dose than before, he thought more of the remedy than of the other side, than of the recovery of the case. He put, in other words, the dynamization in the remedy, while it ought to be put in the recovered vitality of the body. I have, in my obscure and simple way of practicing homoeopathy, never got any further than this way, that Avhen we use it according to these symptoms, from a distinct laAv, we come to reduce the dose, and Ave can make a very little medicine do. Owing to what? Not owing to the inherent division of 98 AMERICAN INSTITUTE OF HOMEOPATHY. medicine; that is a physical and chemical body, not a physio- logical body; a physiologicil body Avhich is able to have a vital reaction is the sick man ; if the homoeopathicity exists betAveen the two, then only Ave get a cure. Therefore I have remained satisfied with my cure in the loAver dilutions for almost forty years, and here and there have tried a higher, but I don't find it very necessary. I desire, hoAvever, to say to you, I would never wish to quarrel with anybody Avho can cure Avith the higher; they can do as they please about that, but I stick to homoeopathy and the selection of remedies. The Chair: The time for the special business has arrived, namely, the special order for 11 o'clock. We will noAV listen to Dr. Alfred C. Pope, of London. Dr. Dake will close this bu- reau Avith a feAv remarks. Dr. Dake: Mr. President, it is not my purpose to take up much time. In the first place, it Avill be clearly understood that the course this bureau has taken is Avith a view to discuss this subject plainly and squarely. There is no sort of quarrel about it. Noav it is the very height of absurdity, it is entirely untrue, that this bureau, in any of its papers, has come in here to occasion a quarrel and to break up this Institute, though my Avorthy senior friend here seems to fear it. That is all nonsense. We are men, and we claim to be men of science. We claim facts as the basis of our belief; facts pertaining to this body—the human body, the material body and material things acting upon this body—Ave have not yet gone into the spiritual sphere. I wish to state some very plain propositions and to invite particular atten- tion to them. I do so in answer to claims set up here in favor of the exclusive use of the high attenuations or potencies, and not because the clinical proofs of drug presence and power are especially called for by the subject brought before the Institute by our bureau to-day. From remarks made here a person, un- acquainted with the history of homoeopathy, might be led to sup- pose that everything had depended, from the beginning, upon this "spiritualizing" process in the preparation of medicines. My first proposition is this : That homoeopathy was established successfully and firmly in the world by the use of low cdtenuations. Hahnemann, for the first twenty-five years of his practice, used nothing Avhich the gentlemen on the other side Avould call high potencies. Beginning with the crude preparations of the shops, he gradually came up the scale of attenuations as far as the 30th. He considered the 30th as high; but others have gone beyond him and, to-day, talk as though his mantle could by no possibility cover anybody not given to the advocacy and use of " potencies " never dreamed of by the master. Men who sue- APPENDIX—DISCUSSION. 99 cessfully treat more patients in a day than some of these accusing high attenuationists do in a week or a month, are called " back- sliders." They are lectured, here, for the very kind of practice that gave solid footing to homoeopathy. How utterly absurd ! My second proposition is : That the loiv attenuations, having been sufficient for the demonstration and establishment of homoe- opathy, there is no need of leaving such unquestionable means for those which are mysteinous and uncertain. Why leave solid ground and go up into the clouds ? Was Hahnemann's experience for tAventy-five years a failure? Look around, over America, and over England, and over the continent of Europe, and see who have been curing the sick Avith homoeo- pathic remedies, Avho have been fighting the battles and Avinning strongholds for the new school. With here and there an excep- tion they have been such men as are here called "backsliders" by one of the speakers; they have used loio attenuations. (Great applause.) I deny the claim implied, in the face of facts and history, that these high attenuationists have done all the curing. A Member : Nobody has claimed it. Dr. Dake : I may mention tAvo Avell-marked and alarming i diseases, in the battle Avith which our system has won its greatest victories and made its grandest marches, and against Avhich the low attenuations have been almost invariably employed, namely, Asiatic cholera and yelloAv fever. (Great applause.) But I cannot enlarge. For myself I will say that I began practice Avith an outfit of the 30th, thinking to begin where Hahnemann left off; but I Avas not long in finding it necessary to go down the scale. I have used Avhat is called the 200th and 4000th. I have had experience, up in the clouds, as well as some others from whom Ave have heard to-day. The experience is not all on one side. But I Avill close Avith the remark that the papers of our bureau have been carefully prepared, that they are candid and respect- ful, and that not a single statement, either of history or fact, has been contradicted upon this floor. The aim of the bureau has been tobringout the truth and nothing but the truth for the benefit of the Institute and of the entire pro- fession. We will have the truth and the heavens will not fall. REPORT BUREAU OF MATERIA MEDICA, PHARMACY, AND PROVINGS. J. P. DAKE, M.D., Chairman, c. wesselhozft, m.d., W. L. BREYFOGLE, M.D., T. F. ALLEN, M.D., . J. F. COOPER, M.D., . LEAVIS SHERMAN, M.D., C H. LAAVTON, M.D., . H. M. PAYNE, M.D., . J. EDWARDS SMITH, M.D A. C COAVPERTHWAITE, M.D., Nashville, Term. Boston, Mass. Louisville, Ky. New York, N. Y. Allegheny, Pa. Milwaukee, AVis. AVilmington, Del. Albany, N. Y. Cleveland, Ohio. Iowa City, la. THIRTY-THIRD SESSION American Enstttute of i^omcopatiji). MlLAVAUKEE, JUNE l6TH, l88o. CONTENTS. Introductory Reports, by the Chairman^.....J. P. Dake, M.D. The Proof of Drug Presence and Power in Attenuations above the Sixth Decimal: As Furnished by the Tests of Chemistry, . . . W. L. Breyfogle, M.D. As Furnished by the Microscope......J. Edwards Smith, M.D. As Furnished by the Spectroscope,.....C Wesselhceft, M.D. As Furnished by the Tests of Physiology, . . . Lewis Sherman, M.D. As Furnished by the Analogy from the Field of Impal- pable Morbific Agencies........J. P. Dake, M.D. Proofs of Medicinal Power in Attenuations above the Sixth Decimal,.........C H. Lawton, M.D. The Proofs of Medicinal Presence and Efficacy in Attenua- tions above the Sixth Decimal: As Furnished by Clinical Experience, in the Use of At- tenuations, Ranging from the Fifteenth to the Thir- tieth Decimal,.........A. C. Cowperthwaite, M.D. As Furnished by Clinical Experience, in the Fse of At- tenuations, above the Thirtieth Decimal; with Clini- cal Cases,..........C. H. Lawton, M.D. INTRODUCTORY REPORTS. By J. P. Dake, M.D., Chairman, Nashville, Tenn. GENERAL INTRODUCTORY. It is one of the duties of a chairman to present a resume of the discoveries and improvements in the department of medicine committed to his bureau. My excuse for the omission of such service, on this occasion, is that, so little time is given for the presentation and discussion of the special subject selected, Ave cannot afford to introduce other topics, however interesting. I must remark, hoAvever, in this connection, and for the bene- fit of my successors, that authors of books and pamphlets, relat- ing to the interests committed to this bureau, and introducers of neAV articles of materia medica, or improved appliances in pharm- acy, should send copies and specimens to the chairman, for his examination and notice. In no other Avay can he be expected to make mention of them properly in his annual report. Only tAvo books on materia medica, out of several, published during the last two years have been thus sent to me, namely, that of Dr. H. C. Jessen, on Therapeutic Materia Medica, and that of Dr. Carl Heinigke, translated into English by Dr. Tietze, on Pathogenetic Outlines of Materia Medica. These are im- portant works, valuable alike to the student and the busy prac- titioner. Before proceeding to the introduction of our special subject I must notice briefly a very important communication, addressed to this bureau by the American Ophthalmological and Otological Society, reading as folloAvs : 104 AMERICAN INSTITUTE OF H0M030PATHY. Buffalo, N. Y., July, 1879. To the Chairman of the Bureau of Materia Medica, Pharmacy, and Provings, in the American Institute of Homm>pat]iy, Jabez P. Dake, M.D , Nash- ville, Term. At the third annual session of the American Ophthalmological and Oto- logical Society, held at Fort William Henry Hotel, Lake George, June 24th and 25th, 1879, the following motion prevailed : That a committee of three be appointed by the President for the purpose of conferring with the chairman of the Bureau of Materia Medica, Pharm- acy, and Provings, in the American Institute of Homoeopathy, with the view of perfecting the ophthalmic and aural examinations, during the prov- ing of remedies. In fulfilling the spirit of this motion, the committee would suggest to the bureau the advisability, should it meet your approval, of having careful ex- aminations of the eye and ear made by specialists, before, during, and after the action of the drug ; the former, to determine the condition of the visual function of the fundus, of the accommodation, of the refraction, and of the extrinsic muscles; and the latter, to show the state of the external auditory canal and membrana tympani, with a careful record of the hearing power. All of which is most respectfully submitted. F. Park Lewis, M.D., Buffalo, H. C. Houghton, M.D., New York, W. H. Woodyatt, M.D., Chicago. This communication, coming into my hands after the adjourn- ment of the Institute at Lake George, too late for submission to the bureau, I had it published in some of our journals, Avith com- ments, in order the sooner to draAvthe attention of the profession to its important hints. The high standing of the society sending us this appeal, as well as the great importance of the object aimed at, calls for more than a passing notice. If practitioners, dealing Avith affections of the eye and ear, believe in the homoeopathic principle, it is but right and necessary that they should seek to knoAv exactly Iioav the various articles of materia medica influence the conditions and functions of the human eye and ear. If they have found im- proved means of diagnosis in the study of diseases of those or- gans, it is but right and necessary that they should have such means applied in the diagnosis of corresponding drug affections. If they require a similimum it is of prime importance that the similimum should be of the highest order, a Avell-aseertained fact and not a creation of fancy. INTRODUCTORY REPORTS. 105 What they ask for, and what is needed by every practitioner under the homcepathic law. is the removal of the Avork of drug proving from the field of the busy practitioner, from the hands of the untaught student and the enthusiastic layman, to the physiological laboratory, where trained provers, male and fe- male, under the guidance and scrutiny of expert observers, may furnish a faithful reflection of drug influence in the human or- ganism. Hahnemann did Avhat he could, with the means at his command, toAvards building up a genuine and sufficient drug pathogenesy; and Ave are happy, in this large assemblage of his disciples and in these triumphal days of homoeopathy, to bear Avitness that, with all its imperfections, the Materia Medica of the master and of his followers is far ahead of anything bearing the name Materia Medica that the Avorld has ever seen. So valuable has it been considered by those Avho write textbooks for the old school of medicine, it has been freely draAvn upon by them ; but, much to the shame of the borroAvers, Avithout acknoAvledging, in preface or by footnote, the source of the wealth obtained. So increased has become the appetite of our traditional adver- saries for pathogenetic knoAvledge, it becomes us to look well to our laurels, lest by the adoption of the more exact methods of the day, they may cause the glory of the healthy vital test to de- part from us and to adorn the experimental laboratories of their seats of medical learning. Let us heed the call of our brethren of the Ophthalmological and Otological Society, and inaugurate more thorough methods of drug experimentation. SPECIAL INTRODUCTORY. In the meeting of the Institute at Lake George, last year, owing to the great number of papers in the several bureaus seeking to be heard, it Avas not possible for this burean to submit its full report. Under the circumstances it Avas thought best to reserve the 106 AMERICAN INSTITUTE OF HOMOEOPATHY. last tAvo divisions of our subject for consideration during the year and presentation at this meeting. The divisions so deferred embraced the proofs of drug presence and efficacy in attenuations above the 6th decimal. For convenience and the more efficient handling of our subject we made sections and assignments of our work as follows: I. The Proofs of Drug Presence and Power in Attenuations above the Sixth Decimal: 1. As Furnished by the Tests of Chemistry : W. L. Breyfogle, M.D. 2. As Furnished by the Spectroscope and Microscope: C. Wesselhceft, M.D., J. EdAvards Smith, M.D. 3. As Furnished by the Tests of Physiology: T. F. Allen, M.D., Lewis Sherman, M.D. 4. As Furnished by Analogy from the Field of Impalpable Morbific Agencies : J. P. Dake, M.D. , II. The Proofs of Medicinal Presence and Efficacy in Attenua- tions above the Sixth Decimal: 1. As Furnished by the Tests of Clinical Experience in the Use of Attenuations, Ranging from the Sixth to the Fifteenth Decimal: J. F. Cooper, M.D. 2. As Furnished by Clinical Experience in the Use of Attenua- tions, Ranging from the Fifteenth to the Thirtieth Decimal: A. C. CowperthAvaite, M.D. 3. As Furnished by Clinical Experience in the Use of Attenua- tions above the Thirtieth Decimal: C. H. LaAvton, M.D., H. M. Paine, M.D. This schema of our work we had printed months ago in cir- cular form and sent to all of our journals, most of which gave it an insertion and favorable notice. In order to gather from the observations and experiences of the profession at large, and of the scientific world outside, such facts as might aid our inquiries, we had the following appeal added to our schema and sent out in all directions: " The bureau will be pleased to receive items of information and experi- mental aid from members of the profession, and also from scientific persons outside who may be interested in any division of our subject." INTRODUCTORY REPORTS. 107 In regard to the constitution of the bureau itself and the sub- ject selected for consideration I should say that, in but one in- stance, have Ave been called in question. Our motiA^es have been someAvhat impugned and our fairness questioned, with some detri- ment I fear to our endeavors to gather for this occasion all pos- sible proofs of the poAver and efficacy of our drug attenuations. In regard to the third section of our second division, embracing " Proofs Furnished by the Tests of Physiology," I should men- tion that Ave shall not be able to present all that Ave had hoped at the beginning of the year. It Avill be remembered that, at Lake George, Dr. T. F. Allen declared before the Institute, that if six bottles of liquid, to all appearance exactly alike, one only being medico ted, and that with the thirtieth centesimal dilution, were submitted to him, he would pick out the medicated bottle by the effects of its contents upon the human organism; and, further, that he believed he could thus pick out the thirtieth as often as the advocates of the low attenuations could the sixth under like circumstances. Taking the doctor as in earnest I placed him upon the bureau, in order to have him apply the test proposed, in the development of proofs for this occasion, proofs so well guarded as to be above question. I asked Dr. Allen and Dr. Sherman to take charge of all physiological experiments,—the former, of those pertaining to the 60th, and the latter, of those pertaining to the 6th decimal. I requested Dr. Sherman to submit such safeguards for the preparation, marking, and care of the bottles to be furnished to Dr. Allen as would preclude all doubts as to the entire fairness of his test, and at the same time I requested Dr. Allen to do a similar Avork for the security of the experiments to be conducted by Dr. Sherman. But, in place of going on with the work as laid out, Dr. Allen resorted to the President-elect of the Institute for a special com- mission to take charge of the preparations for his test, as though this bureau were incompetent or umvilling to deal officially and fairly Avith his undertaking. Afterward, when brought to see his mistake, he declined the experiments entirely for the year, upon the ground of impaired health. 108 AMERICAN INSTITUTE OF HOMCEOPATHY. I mention these facts simply to account for the absence of results earnestly looked for by the profession, in view of Dr. Allen's proposal at Lake George, and the subsequent announce- ments made by this bureau. Dr. Sherman, under rigid safeguards, Avent fonvard with the 6th decimal, developing proofs Avhich, I am sure, will be grati- fying to all who have believed that there is medicinal power in attenuated drugs. In advance of the papers iioav to be read I must beg the earnest attention of all present to each fact and argument submit- ted, so that no misapprehension may occur as to the purposes and spirit of this bureau relating to the questions before us. Some of the discussions which folloAved the reading of the papers of this bureau, last year, exhibited a Avonderful misappre- hension as to the subjects brought fonvard and positions assumed in them. In place of shoAving any errors of statement, or weak- ness of logic on the part of the authors of the papers presented, and, so far from shedding any additional light upon the matters under consideration, an attempt Avas made to lecture members of the bureau upon their supposed heterodoxy and their recreancy to the teachings of Hahnemann. On this occasion I beg those who discuss our papers to keep in mind the real questions presented, and not to run off wildly, under a sense of horror or fear, lest the great temple of homoeop- athy be overturned. In matters of science there should be a calm listening and looking to statements made, with a freedom from prejudice and a disposition to accept the truth, however much it may contra- dict Avhat Ave have previously cherished as true. All appeals to passion or prejudice, all closing of doors to full and free investigation, and all shrinking and hiding from the light, are unbecoming the members of this learned body, the cause Ave Avould further, and the age in which we live. Not a member of this bureau has desired to suppress facts or discolor the truth, hoAvever earnest in the advocacy of cherished views. Not one has had a wish to weaken the foundation or mar the superstructure of homoeopathy while combating the views of others. INTRODUCTORY REPORTS. 109 We do not all agree—upon some points we differ Avidely—but I am persuaded we differ honestly, and Avith sentiments of per- sonal respect for each other. In closing my introductory to the reports now to be submitted, I beg leave to say that, as the senior member of this bureau, having served upon it almost constantly for a quarter of a cen- tury, and during these tAvo years as its chairman, I must be alloAved to retire from all official work in connection with it. The duties of these two years have been performed by me with the determination of retirement and a purpose to have my last work well done. THE PROOFS OF DRUG PRESENCE AND PO WER IN A TTENUA TIONS AB 0 VE THE SIXTH DECIMAL, AS FURNLSHED B Y THE TESTS OF CHEMISTR Y. By William L. Breyfogle, M.D., Louisville, Ky. As you are all aware, gentlemen, the science of chemistry, as applied to homoeopathic dilutions, cannot be proof conclusive of the existence of medicinal power, but as it is to become an im- portant part of the proceedings of this bureau, I have endeavored to give the subject a thorough test. For this purpose I obtained on the 29th day of last August, from a reliable homoeopathic pharmacy, two ounces each of Arsenicum 3d, 6th, 12th, and 30th decimal dilutions; of Nux vomica 3d, 6th, 12th, and 30th, and of Sulphur 3d, 6th, 12th, and 30th. The seals were left untouched, but the labels were removed, and in their stead numbers were placed on each vial and a corresponding entry made in a private book. The vials were then turned over to J. P. Barnum, M.D., analyt- ical chemist, Avith the understanding that each should be separately examined, using new apparatus for each test, and under the direct supervision of Professor C. Leo Mees and myself. No mention was made of the contents, excepting that Nos. 5, 6, 7 and 8 contained vegetable, and the rest mineral substance. Test No. 1. No. 1 (representing Ars. 3X dil.) Avas then acidulated and treated, according to the usual method for determining unknoAvn mineral substances, with no result until saturated Avifh sulphur- etted hydrogen, when a yellow precipitate was thrown doAvn. Redissolving and applying Reinsch's tests, the copper was coated DRUG PRESENCE AND POWER IN ATTENUATIONS. Ill with a metallic film, Avhich on being sublimated, deposited on the glass tube distinct octohedral crystals of Arsenious acid, with crystals of Sulphur and some resinous matter, the latter from the alcohol, and the Sulphur arising from the decomposition of the Sulphuret of arsenic. On further examination the liquid Avas found to contain no other metallic substance. Test No. 2. No. 2 (representing the 6th dil. of Ars.) was then similarly treated. The metallic copper Avas slightly stained, and on being sublimated, Sulphur, resinous matter, and a few indistinct octohe- dral crystals Avere shoAvn, not sufficient in number or distinct enough in form to determine their nature. Suspecting that they did not arise from the substance under examination, perfectly pure distilled water was similarly treated, and similar deposits of Sulphur and crystals occurred, shoAving that there had been a slight trace of Arsenic in the Muriatic acid used. A solution containing 5^Vo~oth of a grain of Arsenic was then similarly treated, and the copper Avas covered Avith a distinct steel-colored tarnish, which, on sublimation, yielded distinct crystals. A solution containing TUoWoth of a grain of Arsenic was next treated. The copper was slightly tarnished and yielded minute but distinct octohedral crystals of Arsenious acid. It was then concluded that No. 2 contained only alcohol and water. Tests Nos. 3 and 4. Nos. 3 and 4 (representing the 12th and 30th dil. of Ars.) were then each separately examined (using a fresh supply of acid, Avhich shoAved absolutely no arsenical reaction) and no traces of anything but alcohol and Avater discovered. The limit to Avhich a chemist is willing to certify, as to the presence or absence of Arsenic, is from nrixo-otn to Towoirth part of a grain, yet a crystal measuring Towo-th of an inch, and weighing less than T0oooVmnrotn 0I> a grain, may be distinctly recognized. No such crystals were found in the 6th, 12th, or 30th dilu- tions, the 3d dilution alone shoAving traces of Arsenic. 112 AMERICAN INSTITUTE OF H0M030PATHY. As the substances contained in the series 5, 6, 7, and 8 Avere understood to be vegetable matter, they were carefully examined for the alkaloids. Test No. 5. No. 5 (representing Nux vom., 3d dil.) was evaporated sloAvly to dryness, dissolved in a small quantity of Avater, acidulated with acetic acid, and subjected to the color-test, and the absence of any knoAvn alkaloid determined. The reaction of more than fifty of these substances are knoAvn, and solutions containing -joiroth of a gram 0I> Strychnine gives perfectly distinct reaction, Avhile the ToTTOTnrtn Part or> a gram yields a fine display of colors. Test No. 6. No. 6 (representing the 6th dil.) was sloAvly evaporated to dry- ness, redissolved in a small quantity of slightly acidulated water, and injected into the circulation of a small frog, which was not in the least affected by it, Avhile on the injection of the i-owo*-'1 of a grain of Strychnine the animal was thrown into convulsions Avithin six minutes, and died immediately afterward. Considering the relative Aveight of the frog and the human subject, the administration of Tmroo^h 01>a grain of Strychnine to a frog would be about equal to the administration of four grains to a human subject Aveighing one hundred and forty pounds; and the injection of the activre principle in the contents of vial No. 6 equals the injection into the human system of the active prin- ciple contained in 43f | gallons of water. Tests Nos. 7 and 8. Nos. 7 and 8 (representing Nux vom., the 12th and 30th dil.) were together concentrated by sIoav evaporation, slightly acidu- lated, and injected into the body of a frog weighing twenty-five grains, Avho was to all appearances not affected by it. On the second day a solution containing u^xroth of a grain of Strychnine was injected into the same animal, which shoAved symp- toms of poison in a feAV minutes, and on agitation Avas thrown into a violent spasm and died soon afterwards. From the same data, as given in test No. 6, this would have DRUG PRESENCE AND POWER IN ATTENUATIONS. 113 been equal to the injection into the human subject of the active principle contained in 91T'6 gallons of the solution contained in vials marked 7 and 8. Or if taken into the stomach, alloAving the usually accepted ratio of 3 to 1, equal to 273 gallons and 24 ounces. From the above experiments I am satisfied that the series con- tained no knoAvn principles of vegetable origin except alcohol. Test No. 9. No. 9 (representing Sulphur, 3d dil.) Avas tested according to the several methods for discovering unknown substances in solu- tion, and slight traces of Sulphur Avere found. The contents of the whole bottle Avas then evaporated to dryness, treated with boiling Nitric acid, slightly diluted with Avater, and a solution of Chlorate of barium added, a faint Avhite precipitate of Sulphate of barium was throAvn down, barely discernible to the naked eye, but showing conclusively that Sulphur was the substance in solution. Tests Nos. 10, 11, and 12. Nos. 10, 11, and 12 (representing the 6th, 12th, and 30th dil.) Avere then similarly treated and gave no traces of Sulphur, con- taining only alcohol and Avater. By the above method the presence of 4lT^ Q-^-th part of a grain of Sulphur can be readily detected, and acid containing 2 owo o^h part of a grain of Sulphur will cloud the solution and show a distinct precipitate. As before remarked, in each of the above experiments, Avhich extended over a period of three months, neAV apparatus Avas used, and every possible precaution taken to prevent the introduction of foreign matter, and to secure accurate results. Although the tests, as applied above, failed to discover any vegetable substances in the third dilutions, and no traces of min- erals above the 3X, I determined to push these experiments still further, and, if possible, not only to demonstrate their curative power, but to discover Iioav much of a given substance Avould produce an aggravation of the symptoms. My first case Avas one of continued " morning sickness ;" the patient being unable to take even Avater Avithout vomiting. Had 114 AMERICAN INSTITUTE OF H0M030PATHY. been under allopathic treatment for six weeks, and abortion was recommended. I tried internally, Lactic acid, Ipecac, Sepia, and Nux moschata Avithout perceptible change. Remembering that in test Nos. 6 and 7 the injection of the active principle of 2 ounces of Nux vom. 6X dil. into a small frog produced no effect, and that this equalled the effect of 273 gallons and 24 ounces taken into the human stomach, I felt justified in adopting anew method. Procuring a neAV hypodermic syringe I carefully in- jected under the skin of the forearm ten drops of Ipecac, the 6X dil. The effect was magical. In a few hours my patient Avas enabled to take food, and speedily recovered Avithout even a rep- etition of the dose, or the slightest aggravation of the symptoms. Tavo eminently respectable homoeopathic physicians of Louis- ville can substantiate the above statement. Emboldened by the successful results in the above case I next injected ten drops of the 6X dil. of Tartar emetic, in the case of a policeman suffering from a violent attack of asthma. The par- oxysm Avas relieved in tAventy minutes, and the patient enabled to lie doAvn and sleep for the first time in three days. This was repeated four times, at long intervals, and the patient speedily recovered. At no one time did we discover the slightest aggra- vation of the symptoms folloAving its use. The next case Avas one of dysmenorrhcea, and the violent colic yielded in less than ten minutes to the hypodermic injection of ten drops of Pulsatilla 6* dil. over the region of the uterus. In more than fifty cases, where this plan of administering med- icines was used, in not one single instance was there the slight- est apparent medicinal aggravation, and although the dilutions were all used crude (that is, undiluted Avith Avater), in no case did the alcohol produce a sore, unless used in fleshy parts, and then in but very few cases. The conclusions drawn from the above experiments have con- vinced me (had such been necessary) of the efficacy of dilutions above the 6th decimal, and that, although beyond the reach of the tests of chemistry, they still contain medicine enough to cure disease. It has also convinced me that homoeopathic medicines, hypo- dermically administered, are often of great value. DRUG PRESENCE AND POWER IN ATTENUATIONS. 115 It has strengthened my confidence in the administration of the single dose, provided that the dose be sufficient to at once control the conditions. It has shaken my faith in so-called aggravations from homoeo- pathic dilutions, above the 6th dil., and I am led to believe that this is a question but imperfectly understood ; that the pro- fession rely too much upon prejudices unsustained by facts. It is my opinion that this fanatical search after new attenua- tions, implies a Avant of confidence in the material of the present. To say that the 30th dil. will cure Avhere the 6th dil. will not, is to deny the truths discovered by Hahnemann. To say that it makes a better cure still implies a doubt. To say that it is be- cause of medicinal aggravations, is to state what is not capable of verification. Experiments with the different attenuations are legitimate; but as they in no Avise affect the principles of homoeopathy, we should, as far as possible, confine their scope within the boundary of well-established scientific methods. In our great work of re- forming medicine Ave ought not to envelop the plain, simple, all-convincing truths—our powerful weapons—in a mystic, psy- chological halo, which is, to say the least of it, not properly un- derstood by our OAvn profession. It retards our own progress and causes the scientific investi- gator to hesitate. REMARKS AND SUGGESTIONS CONCERNING CERTAIN HOMCEOPATHIC TRITURATIONS. By J. Edwards Smith, M.D., Cleveland, Ohio. It will be remembered that, at the last session of this Institute, held at Lake George, I had the honor of presenting a paper dis- cussing:, to some extent, the behavior of Aurum under the pestle, as developed by the process of trituration. This paper, as presented, was simply a narration of a series of microscopic observations on various triturations of Aurum. It Avas accompanied by a series of explanatory drawings, made di- rectly from the microscope, and by the aid of the camera-lucida. Before leaving the Lake I had formed the determination to still further pursue these investigations, with the hope of elimi- nating any error existing in my past Avork, or perchance of arriving at neAV facts of interest to the profession. During the vacation the study of the triturations has received all the attention that circumstances Avould permit; one draAvback alone will here be mentioned, viz., my eyes Avill no longer bear the severe strain consequent on the protracted sitting to Avhich they have so long been accustomed. Thus it has often occurred that my daily use of the microscope professionally Avas all, nay, even more than the state of my eyes would alloAV. Nevertheless, these microscopic, as well as other, observations, have, hoAvever, been made in the interim, some of Avhich, at the date of this writing, are still occupying my attention, the results of which will be presented at a future session. In laying out my Avork of the past season I determined to review carefully the ground covered by my original contribution to the Institute, desiring thereby either to confirm my past ob- CERTAIN HOMCEOPATHIC TRITURATIONS. 117 servations, or, on the contrary, as I have already intimated, to expose any latent errors perchance therein contained. It is always more pleasant to discover one's OAvn blunders than to accept the tender mercies of the critic KnoAving full Avell the paramount importance of the proper illumination of an object under the microscope, especially when triturations of Aurum are examined, I have expended consider- able time and study in this direction. I iioav have to report that the method of using the solar beam in connection with the use of the high-apertured objectives, suitably diaphragmed, as de- scribed by me at Lake George, I still find to give me results decidedly superior to all others I have tried, especially as to the recognition of gold. This matter of the recognition of gold, during examinations of its triturations, is of the utmost and vital importance. It will be remembered that at the last session I pointed out the fatal errors likely to occur from the use of reflected light; neverthe- less, it is to be noticed that, during the past year, one observer at least, engaged in the study of gold triturations, used this same reflected light constantly, to the almost exclusion of all other methods of illumination. ' I have also revieAved that portion of my past work which Avas accompanied by the series of drawings executed by aid of the camera-lucida and microscope under amplifications of 1500 diam- eters ; my object being, first, to ascertain Avhether certain infini- tesimally small particles, Avhich, under amplifications of 1500 diameters, Avere too dimly seen to be recognized as gold, or to be accurately measured, might not be, under higher poAvers; in which case to also measure the same as accurately as possible. In this Avork the chief instrumentation consisted of: 1st. A superb duplex immersion, one-tenth, by Tolles, balsam aperture of 100 degrees. This objectiA'e displays all the known tests, including the Fassolt 120,000th band of lines. 2d. A special micrometer stage-plate, ruled especially for me by Professor William A. Rogers, of Cambridge, Mass. This plate contains the standard American inch, and also the French cen- timeter. A horizontal line traverses this plate from right to left. Above this the standard inch lines are ruled, Avhile beloAv are 9 118 AMERICAN INSTITUTE OF HOMOEOPATHY. the lines of the centimeter; both sets of lines contact the hori- zontal one, hence it occurs that the tAvo sets of lines at the point of contact with the horizontal are seldom coincident, the one series forming " laps" with the other. Now by measuring these "laps" under the objective, and comparing the said measure- ments with their tabular vTalues, we have the means of cross- questioning the accuracy of the rulings in the severest manner possible. The plate in question, under this close scrutiny, will always give me values true to three places, and often four places, of decimals. This plate is a marvel of mechanical skill. 3d. A Donald cobweb micrometer, fitted Avith one-fourth inch ocular, the value of the Avheel divisions being determined by aid of the Rogers's stage-plate above mentioned. 4th. Tolles's achromatic amplifier. This instrument doubles the poAver of the objective and eye-piece, Avithout disturbing the corrections of the objective. 5th. Tolles's patent one-half and one-fourth solid oculars. 6th. The new " Acme" stand, the joint production of Mr. John Sidle and myself. This stand combines all the latest im- provements. For the close work contemplated the camera-lucida is not adapted, and was not used. It Avill be remembered that my paper read at Lake George contained an account of Mr. Witte's new triturations of Aurum from the precipitate by phosphorus in ether. These, being so far superior to all others I have met with in point of fineness of the gold particles therein contained, Avere selected for the work in hand. Of these the 2d, 3d, and 6th decimal received my special attention. Further along I shall have occasion to again refer to these superior triturations. The method of mounting the triturations Avas the same as that described last year, and the superiority of the method further demonstrated, as it seems to me, beyond a reasonable doubt. I now proceed to give briefly the results of my observations over the new triturations of Mr. Witte, above mentioned. These I have examined time after time, using the transmitted solar beam in conjunction with the diaphragmed objective, the greater portion of my time and attention being devoted to the 3d and 6th decimal triturations. CERTAIN HOMCEOPATHIC TRITURATIONS. 119 With the objective in perfect adjustment, and by the most delicate manipulations of the illumination, I have discovered, under amplifications of 2000 diameters and upwards, certain ex- ceedingly small particles which exhibit the characteristic behavior of gold. These minute particles, after increasing the amplifica- tions to 4000 diameters and upAvards, Avere carefully measured with the cobweb micrometer, and found to vary betAveen g^oo" to ttsVoo of an inch. The most diligent search, coupled Avith the most delicate manipulations, failed to display any smaller parti- cles than the above named, having the slightest appearance of metallic gold. I desire to call your attention to a fact, to Avhich many of those before me can attest, viz.: At the last session of this Insti- tute, at Lake George, the Avriter placed on record his utter dis- belief as to the capacity of the microscope to determine the ulti- mate divisibility of matter. The question with the author from the outset has been, Iioav far—to what extent—is the microscope of service in enabling us to study the behavior of drugs under the pestle during the processes of triturations. Leaving then the item of ultimate divisibility out of considera- tion, the question arises, Avhat has the microscope taught concern- ing our triturations; or, referring to my OAvn investigations, what has the author learned from the microscope concerning triturations of Aurum, during the past tAvo years, Avhich were not previously knoAvn and accepted. To this interrogatory I responded as follows : First. A certain so-called trituration, labelled and sold for Aurum 3x, contained no gold at all. Second. Mr. Witte's trituration of Aurum foliatum has been demonstrated to be almost equal in fineness of particles to the average triturations from the precipitate. Third. Four-hour decimal triturations are not very far supe- rior to two-hour triturations. Fourth. Triturations of Aurum met., up to the 6*, from vari- ous makers, vary considerably; no tAvo being identical in fine- ness of the contained particles. Fifth. The popular idea that particles of gold are ten times smaller in the 2d decimal trituration, than in the 1st decimal, is 120 AMERICAN INSTITUTE OF HOMCEOPATHY. very far from being correct. Nor are particles of gold in the 3* ten times smaller than in the 2d decimal trituration. These are plain facts and are easy of demonstration. SLrth. In all the triturations of gold, from the 1st to the 6th decimal, examined by me, fully 33 per cent, of the metal escapes subdivision under the pestle, i. e., does not become subdivided to anything like the extent formerly accepted. Seventh. It is quite possible Avith careful manipulations to dis- play particles of metallic gold under the microscope which, in point of minuteness, challenge our most difficult test-objects. Among the most difficult test-objects known in modern mi- croscopy may be quoted the finest bands, ruled by Professor Rodgers, of Cambridge, Mass., and Mr. Charles Fassolt, of Al- bany, N. Y. Either of these equal 120,000 lines to the inch. To display these delicate rulings the utmost delicacy of manipu- lation, coupled with the employment of modern objectives pos- sessing exquisite definition, is imperatively demanded ; further- more, it may be asserted that few, even of the modern opticians, furnish object-glasses equal to the task. The finest object-glasses capable of resolving the delicate tests above named are, and for the past eight years have been, made in the United States. The Avork of the \Teteran, Mr. Charles A. Spencer, of Geneva, N. Y., and that of Mr. R. B. Tolles, oi Boston, Mass., is Avell knoAvn and appreciated, both at home and abroad. The late glasses of Zeiss, of Ger Denmark, are quite equal, in point of definition, to those of Spencer or of Tolles. Exceedingly fine object-glasses have lately been produced by the Messrs. Bausch & Lomb, of Rochester, N. Y., and also by Mes«rs. Powell & Lealand, of London, England. In giving, as above, the names of the several opticians Avhose objectives alone exhibit that exquisite definition rendering them successful to attack the most difficult problems, in the line of test-objects, known in microscopy, i. e., the resolution of the Rodgers and the Fassolt 120,000th bands, the seeming digres- sion may be pardonable, Avhen it is taken into consideration that observers using object-glasses, knoAvn to be of inferior quality, sometimes claim results which would at sight be rejected by mi- croscopic experts. One author, during the past year, claims to CERTAIN HOMCEOPATHIC TRITURATIONS. 121 have seen particles of gold measuring but j^th of the m.m., r^'do^h of tne English inch, and this, too, Avith reflected sunlight. Comment is here unnecessary. Returning to the enumeration of the results possibly accom- plished by my OAvn observations, I have now to call your atten- tion to a most interesting and, it seems to me, important matter, which has been brought to light, and to a certain extent devel- oped during my studies of the gold triturations. Referring back again to my original paper, read at Lake George, many of those present will recollect that I exhibited a specimen of a new trituration of Aurum metallicum, prepared by Mr. L. H. Witte, pharmacist, of this city, to whom I am under great obligations for his valuable assistance from the commence- ment of my observations to the present date. At our last session I Avas content with simply inviting your attention to the neAV preparations. You Avere sIioavii that the 1st decimal trituration Avas very much darker, even approximating to the color of slate, as also that the 3d decimal trituration Avas even darker in color than the usual 1st trituration. Accom- panying the statement that these new triturations of Mr. Witte's Avere prepared from gold throAvn out of solution of the chloride by the addition of ether and phosphorus, I also asserted that the particles of gold thus thrown out of solution average smaller than those found in the usual 1st, 2d, and 3d decimal tritura- tions. On my return home, Mr. Witte, at my request, carried his neAV triturations up to the 14th decimal. While engaged in the study of these last triturations, I had occasion to dissolve a small quantity in a little distilled Avater, and Avas astonished to find that the liquid instantly assumed a clear and almost transparent purple color; adding a little alcohol by Avay of preservative the purple fluid remained constant and unchanged for Aveeks and even months. Noav, if to a solution of the chloride of gold Ave add, as did Mr. Witte, a solution of ether in phosphorus, Ave shall obtain this same purple solution, Avhich, Avhen examined under the mi- croscope, Avill be found to consist principally of metallic gold, and in a state of very fine subdivision. 122 AMERICAN INSTITUTE OF HOMOEOPATHY. Having determined this fact it became desirable to recover this gold intact, and by some method render the process practi- cable to the homceopathic pharmacist. To secure this desideratum Mr. Witte and myself devoted much time and attention, and to Mr. Witte belongs the honor of having discovered a process at once practicable as well as simple, and meeting the requirements of the pharmacist. This formula will be given in detail before concluding this paper. If, after recovery, the gold be submitted to the process of tritu- ration, and subsequently dissolved in water Ave have, as I have before stated, the original purple liquid again, that resulting from the trituration being obviously purer than that occurring from the addition of ether in phosphorus to the solution of the chloride. If, after having dissolved a little of the trituration in Avater, adding alcohol, as before stated, and allowing the purple fluid to remain quiet, say for ten days, a light sediment will be noticed at the bottom of the vessel. By decanting now the supernatant purple liquid into a clean bottle no further sediment seems to form at least for Aveeks ; here we have the purple liquid in its purest form. As to the nature of the sediment referred to, I opine that it consists principally of the impurities contained in the sugar of milk, and perhaps of a small proportion of the larger particles of metallic gold. In this direction there is still room for further study. If we attempt to dissolve too much of the trituration we may obviously expect a sediment. The clear purple fluid, after a greater or lesser period, say from two to four months' time, will finally settle to the bottom, leav- ing the liquid above as clear as water. If, however, we shake the bottle slightly this precipitate disappears, and the purple fluid again makes its appearance. Any attempt to examine the gold contained in the purple fluid in the Avet state will fail. This is true of the usual test-objects used by adA'anced microscopists. By evaporating, hoAvever, a feAV drops on a glass slide the slide becomes gilded, having the appearance of watered silk described in my former paper. CERTAIN HOMCEOPATHIC TRITURATIONS. 123 These neAV triturations present peculiar claims for your con- sideration. 1st. Their very much darker color. This to the professional pharmacist will be a matter of interest and likely to excite his attention, knowing full Avell that the finer the comminution of particles the darker will be the resulting color of the trituration. 2d. No previous trituration of gold will give the purple fluid when dissolved in water. 3d. The lower triturations, say the 1st and 2d, are easily demonstrated by the microscope to be far superior to previous triturations, and, be it knoAvn, that on the integrity of the Ioav triturations rest that of all the higher ones. I now proceed to dissolve samples of these neAV triturations in water, and will pass them around for your personal inspection (specimens prepared and passed to members). With these you Avill also receiAre a small sample of the 1st decimal trituration, dry, for your further examination at your leisure (samples of the trituration here given to members present). The 5th decimal trituration dissolved in water will commu- nicate to the latter a perceptible purple tinge. Experienced eyes, accustomed to judge of colors, might detect the color in the higher triturations. The question noAv naturally arises, does this purple fluid con- tain gold in suspension or gold in true solution? As proof that this gold is truly in a state of suspension the following experiment may be cited : Resin dissoh'ed in pure alcohol gives a perfectly clear and transparent liquid, which cannot be distinguished by the eye from alcohol Avithout the resin. To this solution add Avater very carefully until the resin shall be very slightly thrown out of so- lution. If the experiment be conducted properly the resinous particles, in a finely divided state, will remain suspended in the liquid permanently, while the latter will exhibit a trace of color. We knoAv now from obvious reasons that the resin is not in a state of solution. Again, it is a well-known fact that certain solutions of silver are liable to turn red OAving to the reduction of the metal in a finely comminuted state; the reduced silver being held in suspen- 124 AMERICAN INSTITUTE OF HOMOEOPATHY. sion cannot be removed by filtering. If, hoAvever, to the liquid be added a suitable quantity of Kaolin, and the Avhole Avell shaken and immediately filtered, the reduced silver will be separated, the silver remaining on the filter, and in this manner it may be recovered. Noav, as may be hereafter seen, this shaking Avith Kaolin and subsequently filtering is a process practically identical with that adopted by Mr. Witte for the recovery of his gold. I may here remark, en passant, that the superiority of gold, in point of fineness, precipitated from solutions of the chloride by phosphorus and ether, Avas clearly demonstrated by micro- scopic examinations, and hence the importance of recovering this gold for the purpose of subsequent triturations. Furthermore, from the minute particles thus throAvn out of solution by the action of ether and phosphorus, together Avith the presence of the purple color, may it not be urged that the metal is simply held in the vehicle in a state of true suspension ? In support of this position many natural phenomena may be cited, e. g., the prevailing blue of the heavens, the green of the ocean Avave, both owe their color to myriads of infinitesimal par- ticles held in true suspension. The gorgeous tints seen on the feathers of the peacock depend on the close striation of particles. This latter fact is easy of demonstration under the microscope by separating the particles under a low poAver, whereupon the beautiful colors vanish, being replaced by a dingy broAvn. Again, the fine bands of the microscopist's test-plates all shoAV a characteristic color when examined by reflected light. Nor are the results of my microscopic examinations of these new triturations such as would strengthen the hypothesis of the gold being in a state of true solution, for, in every instance, the mass of gold seen Avas not in particles smaller than 6oT)ooth of an inch. The very finest particles alone Avere those measuring from ^gth'to TT5Vo"utn 0I> the inch. Finally, as I have already stated, if Ave allow the purple fluid sufficient time the gold will eventually settle to the bottom of the vessel, leaving the supernatant liquid entirely devoid of color. During the past few months samples of the new triturations CERTAIN HOMCEOPATHIC TRITURATIONS. 125 have been sent to friends prominent in our profession for exami- nation and study. The formula for their preparation has, hoAV- ever, been Avithheld for the purpose of presenting it to the In- stitute during its present session. Nearly all of those to whom the triturations have been fonvarded seem to regard the gold as in a state of solution. A letter received by me, bearing date of June 2d, from a gentleman favorably known to all before me, contains the folloAving paragraph : " One thing, hoAvever, strikes me about this preparation, and that is, that it can hardly be said to be in suspension, but that it is truly in solution. According to chemical authority, Silliman, solution is the result of a feeble affinity, but one in Avhich the properties of the dissolved body are unaltered;' and according to Henry, ' solution is a state of diffusion of the particles of a solid throughout a liquid, Avithout destroying its transparency.' As your neAV preparation of gold comes fully under the condi- tions just quoted it will be considered as soluble, and not merely suspended. That, of course, Avill not affect the value of the dis- covery." Other letters received during the past three months from in- telligent and valued correspondents are similar in tenor to that just quoted. Be the facts what they may, there will be plenty of time in the future to arrive at a verdict, and, after further deliberation and study. For the present I am content thus to leave the ques- tion open. Of the superiority of these beautiful triturations there can be no manner of doubt. Furthermore, this marked improvement appeals with force to those using high as Avell as Ioav potencies. Is it probable that all the remaining triturations have reached the acme of perfection, and may there not be room for their further study and improvement ? In conclusion I desire to place on record my obligations to Mr. Witte for the valuable assistance he has rendered me during the entire progress of my investigations, and I feel assured that when his neAV triturations shall become better known that the profession will not be backAvard in their appreciation of his valuable discovery, which he gladly presents through this In- 126 AMERICAN INSTITUTE OF HOMCEOPATHY. stitute to the profession at large. His formula is as folloAvs, which I giAre in nearly his OAvn words: Sixteen grains of gold Avere dissolved in nitro-muriatic acid ; to this solution sixteen pints of distilled Avater Avere added. Six grains of phosphorus Avere dissolved in twelve fluid ounces of ether. The two solutions Avere mixed together. The action of the phosphorus upon the chloride caused its re- duction, there resulting phosphorus compounds and metallic gold, the gold in particles so fine as to remain in suspension and to pass through the filter-paper Avith facility. To separate the gold a solution of albuminum chloride was first added, then aqua ammonia in excess. The action of the ammonia caused the formation of albuminum hydrate, Avhich, when filtered out, retained the particles of gold. The bulk of the albuminum hydrate upon the filter was about one cubic inch. The albuminum hydrate Avas noAV dissolved out with muriatic acid, the solution passing through the filter and leaving the gold, which was then thoroughly washed with alcohol to dissolve out any phosphorus, and then with distilled water until nothing but the pure gold in fine particles Avas left upon the filter. The gold thus remaining was subsequently submitted to the usual process of trituration. PROOFS OF DRUG PRESENCE AND POWER IN ATTENUATIONS ABOVE THE SIXTH DECIMAL, AS FUKNISBED BY THE SPECTKOSCOPE. By C. Wesselhceft, M.D., Boston, Mass. This is the Avork allotted to me for the Bureau of Materia Medica, Pharmacy, and Provings. The problem appears large, and its solution seems to promise more than Ave shall actually be able to realize. The spectroscope is, in the minds of many, a somewhat mar- vellous instrument, Avhich is thought to reveal to us, not only hidden secrets, but also to afford direct proof of the infinite di- visibility of matter. Revelations to unaided senses, of extremely minute portions of matter, such as the odor of fragrant floAATers perceived at a great distance, or the perception by the senses of infinitely minute quantities of metals, seems less marvellous than Avhen revealed to us through the medium of some instrument, such as the spec- troscope, or the transmission of Avords to a great distance by the telephone. In order to arrive at a clearer understanding of what Ave may actually expect from the spectroscope, a brief sketch of its in- ception and progress is in place, and for this there is no better authority than Mr. Henry E. Roscoe's Lectures on Spectrum Analysis. The first principle to be understood in this connection is that Avhen light is allowed to fall through a prism against a screen, it will be perceived to have been separated into its component parts, and Avill appear split up into a band exhibiting the colors of the 128 AMERICAN INSTITUTE OF HOMCEOPATHY. rainbow. This is the solar spectrum. None of the different colors allow of further splitting up into other colors, and each differs from the other in Avave-length, and intensity of vibration. Besides the visible rays of light, there are invisible rays, play- ing a most important part in the nature of solar light. The red rays produce the most heat; the yelloAv rays are the most lumi- nous to the eye; while the blue and violet possess the greatest chemical action. {Photography.) The dark heating rays are in- visible, but demonstrable by Tyndall's experiment with the ray- filter, a solution of Iodine in disulphide of Carbon, by Avhich all the Luminous rays can be filtered out, and only the invisible heat- ing rays are transmitted, which is proved by the ignition of paper, heating of platinum, etc. The solar spectrum is not a gradual transition of one kind of light into another, but interspersed betAveen the shades and in them are certain dark lines, to be regarded as shadoAvs, or spaces Avhere certain luminous rays are absent (L. C. Wollaston, Philosophical Transactions, 1802, p. 328). They are only obtainable by alloAving the light to pass through a narroAV slit. They are ahvays the same in any kind of sunlight, direct or indirect, and their invariable position is known and carefully mapped out; because by knoAving exactly the position of these dark lines in the solar spectrum, Ave can ascertain that iron, sodium, and other Avell-known substances exist in the solar atmosphere. This Avas discovered by Wollaston; they were first mapped out by Fraunhofer to the number of 576, in the year 1814, and are called after him. Every chemical element, in a state of gas, Avhen heated, gives off a peculiar light, so that the spectrum of every element in a state of glowing gas, is totally different from that of any solid body, inasmuch as, instead of a continuous spectrum, it presents a discontinuous one containing light bands or lines, indicative of the presence of the particular elementary gas in question. Various bodies burned in a flame, e. g., Lithium, Soda, or Potash, color the flame yelloAv and violet; Salts of strontium color the flame crimson; Barium green, etc., and each chemical sub- stance can be detected by its peculiar light, Avhen burned in any luminous flame like that of Bunsen's burner. DRUG PRESENCE AND POWER IN ATTENUATIONS. 129 Every chemical element has the property of emitting its pecu- liar light, if its vapor can be heated so as to become luminous. Most of the alkaline earths can readily be detected by merely burning them in a sufficiently hot flame; but the spectroscope is the instrument by Avhich very minute quantities of each substance can be detected. This instrument consists of a prism placed on a disk or platform ; a telescope is fixed on one side of the disk, and is directed toAvards a surface of the prism. On the oppo- site side of the disk is placed a tube having a lens in the end di- rected toAvard the prism, and a narroAv vertical slit in the other end directed toAvards the flame. This form of spectroscope with a simple lens will answer the purpose of detecting the minutest particle of most substances. More complicated instruments, shoAving two spectra from tAvo flames, are in use; also spectro- scopes with many prisms, Avhich have the effect of not only show- ing colored bands in the spectra of various substances, but which by repeated refraction, split the simple colored bands into masses of bright lines, each one as fine as the most gauzy spider's Aveb. As each metal, salt, etc., produces bands of peculiar color, al- Avays occupying the same place in the spectrum, maps have been prepared of the spectra of various substances, shoA\Ting the exact position, breadth, and intensity of the bright lines, enabling ob- servers to identify the presence of knoAvn metals, and to recognize the presence of unknoAvn elements. The advantage of this method of analysis consists in its delicacy, Avhich greatly exceeds the most delicate tests of chemistry. The manner of using the in- strument, is to place a drop of a solution to be tested upon a small loop of platinum Avire, and to burn it in a Bunsen burner in front of the slit of the tube, while the observer looks through the telescope at the prism, in a dark chamber. If metals are to be observed which are not volatilized in an ordinary flame, they are made incandescent by means'of the electric spark, a method more difficult of application than the former, both on account of the additional apparatus, as well as OAving to the rapid action of the spark. Instances of the Delicacy of Spectrum Analyses.—The most sen- sitive reaction is that for Sodium, the minutest particles of Avhich, unless previously guarded against, disturb all other tests. So- 130 AMERICAN INSTITUTE OF HOMOEOPATHY. dium is not only everyAvhere present, but soon returns if re- moved by heat, so that a thin platinum wire, if not used for a feAv minutes, will at once show the yelloAv sodium lines again,. which must be removed when trying another substance on the same wire. Wgggth part of a milligram, or ts o-sWgth part of a grain can be easily detected. It is always present in the air, and all bodies exposed to the air show, when heated, the yelloAv soda line. Lithium, TogWth part of a milligram, or so airs girth part of a grain can be easily detected by its red lines. It was formerly knoAvn to exist in only four minerals. It is now found by spec- trum analysis to be one of the most widely distributed elements. It exists in all rocks, in the ashes of most plants, in milk, human blood, and muscular tissue. Strontium is easily detected by red and blue bands, when only Tosgggth of a milligram, or xggirogoth of a grain is present. Calcium, TogWgth of a milli- gram, or iggooffuth of a grain of lime can be easily detected. Caesium and Rubidium were detected in the proportion of tAvo hundred grains in forty tons of mineral Avater. Thallium and Indium were discovered in a similar Avay. To illustrate the delicacy of the spectrum reaction, I transcribe the folloAving : " The folloAving experiment shoAvs that the chemist possesses no reaction which in the slightest degree will bear com- parison as regards delicacy Avith spectrum-analytical determina- tion of Sodium. In a far corner of our experiment-room, the capacity of which was about sixty cubic centimeters, Ave burnt a mixture of three milligrams of Chloride of sodium Avith Milk- sugar, Avhile the non-luminous, colorless flame of the lamp Avas ob- served through the slit of the telescope. Within a feAV minutes the flame, Avhich gradually became pale yelloAv, gave a distinct Sodium line, which, after lasting ten minutes, gradually disap- peared. " From the weight of Sodium burned, and the capacity of the room, it is easy to calculate that in one part by weight of air there is suspended less than zgggWggth part of soda smoke, as the reaction can be observed Avith all possible comfort in one second, and as in this time the quautity of air, which is heated to igni- tion by the flame, is found, from the rate of issue, and from the DRUG PRESENCE AND POWER IN ATTENUATIONS. 131 composition of the gases of the flame, to be only about 50 cubic centimeters, or 0.0647 gram of air, containing less than FggoWggth of Sodium salts ; it folloAvs that the eye is able to detect with the greatest ease quantities of Sodium salt less than ?a«ggggth of a milligram in Aveight."* The application to homoeopathic pharmacy of the above ob- servations is a very easy matter, and it appears at a glance that the quantities of matter observable by spectrum analysis, permit- ting the ocular perception of ejgoaggth part of a grain of Lithium, or rsgoWggth part of a grain of Sodium, does not exceed the 4th centesimal or 7th decimal dilution. But it must not be sup- posed that because we fail, by the spectroscope, to see the pres- ence of matter any further, that it is not present in many sub- sequent dilutions, nor that modern science does not alloAv us to calculate the limit to which soluble matter may be carried by progressive dilution. As I have shoAvn in my last report to the Institute (Transactions, 1879), modern molecular science demon- strates that, in accordance with the average size of molecules, their number is calculable in a given quantity of Avater, or some other fluid, and such calculation is derived from the fact that a volume of substance, Avhen reduced to a liquid form, is not much greater than the combined volume of its molecules. According to this calculation the 11th centesimal, or 22d decimal dilution, Avould be the limit to Avhich matter can possibly be carried, which is fully corroborated by Mr. Crooke's experi- ments on radiant matter. Hence, spectrum analysis is inade- quate to demonstrate the extent of molecular divisibility to the senses. In order to test the matter personally, I undertook the spec- troscopic analysis of several substances (wherein I Avas assisted by Mr. Fletcher, Lecturer on Chemistry at the Boston Univer- sity School of Medicine), at the Institute of Technology, Avhere the use of instruments was most kindly placed at our disposal. I prepared decimal dilutions of Chloride of sodium and Sulphate of lithium as the tAvo most available substances for analysis. * L. C, from Kirchhoff and Bunsen's first Memoir on Ana^-sis by Spec^ trum Observ — Phil. Mag., vol. xx, 1860. 132 AMERICAN INSTITUTE OF HOMCEOPATHY. Each of these substances was diluted in distilled Avater in pro- portion of ten grains to one hundred drops of water, and carried up on this scale to the 8th decimal. The spectroscope Avas placed in a dark room; before its slit there was a Bunsen's burner, reinforced by atmospheric pressure to give a very intense flame. Very thin platinum Avires, melted into glass handles at one end, Avere bent into a little loop at the other end, just large enough to hold the fraction of a drop of the solution. Having burned off all the Sodium deposited by the atmosphere on the Avire, it Avas then dipped into the 8th decimal dilution of salt, and held in the flame. This gave no spectrum Avith the char- acteristic yelloAv lines of sodium. These lines Avere faintly ob- served in a fraction of a drop of the 7th decimal, and very dis- tinctly in dilutions below the 7th decimal. Lithium sulphate was subjected to the same process, but shoAA'ed no characteristic red lines above the 3d at these experi- ments; although a repetition, Avhich I had no time to make, Avould undoubtedly have shown the presence of Lithium further, and I do not regard the last test as very conclusive. But taking into consideration the more successful Sodium test, we find that the 7th decimal dilution contains the Tggoggsth part of a grain. Each drop of the 7th decimal Avould contain Tijgg'ffoooth of a grain, and when Ave consider that a minute frac- tion of a drop, perhaps only the tenth part, was burned in the flame, we must conclude that the test is one exceeding in fineness the one recorded by Bunsen and Kirchhoff, Avho say that TsggVgggth is easily detected, w7hile our fraction of about a hun- dred-millionth in the 7th decimal Avas only less easily seen, allowing a brief flash of yelloAv bands to become visible more nearly Avithin the limits of the statement of those observers. PROOFS OF MEDICINAL PRESENCE AND PO WER IN A TTENUA TIONS AB 0 VE THE SIXTH DECIMAL, FROM THE STANDPOINT OF THE PHYSIOLOGIST. By Lewis Sherman, M.D., Milwaukee, Wis. The determination of the limits of medicinal poAver in atten- uations must-be made by experiment. Observation and analogy connot give positive and unequivocal proof. They can, at best, give such indications as will point out the experiments which are necessary to this end. In observation the conditions are sup- plied by the natural course of events, and they have no designed reference to the question to be settled. In a perfect experiment, the conditions are designedly arranged so that only the force in question can determine the result. In searching for the limit of drug poAver in attenuation, three methods of experimentation have been pursued. 1. Experiments in Avhich the pnwerstook the medicinal prep- arations to be tested, and recorded all the sensations observed for several days or months aftenvards. 2. Experiments in which the provers took Sugar of milk, and recorded all the sensations observed for several days or months aftenvards. 3. Experiments in which the provers took the medicinal prep- arations at one time and the menstruum at another, Avithout knoAving, in any instance, Avhich was the one and Avhich was the other; and by close observation of their sensations tried to dis- cover which was the medicinal preparation. A typical example of the first of these three methods of ex- perimentation is the " Reproving of Sepia," made under the 10 134 AMERICAN INSTITUTE OF HOMCEOPATHY. direction of this bureau, published in the Transactions of the Institute for the year 1875. The chairman of the bureau, the late lamented Carroll Dunham, selected the subject and requested the professors of Materia Medica in the homoeopathic medical col- leges to organize classes of provers among the students. Thirty provers Avere secured, and thirty-five provings Avere made. Ten provings Avere made with the 3d centesimal trituration, seventeen provings with the 30th centesimal trituration, and eight provings Avith the 200th centesimal dilution. The ten provers of the 3d trituration recorded one hundred and ten symptoms, the seventeen provers of the 30th trituration tAvo hundred and tAventy-tAVO symptoms, and the eight provers of the 200th dilu- tion three hundred and four symptoms. The first prover, an unmarried lady medical student, took five poAA'ders of Sepia 200th, and experienced during the folloAving winter seven quarto pages of symptoms. The most prominent among these Avere tenderness of the mammas, distress in the pel- vis, great vascular excitement, a sensation as if the vulva were enlarged, frequent micturition. There were numerous and va- rious pains, dull, dragging, pressing, throbbing, lancinating, shooting, darting, gnawing, and bearing down. Once during the proving the menses came eight days ahead of time. This happened sixty-one days after the taking of the last dose of Sepia 200th, and only six days after taking a dose of Nux vomica, Ioav. Yet the symptom forms a part of the patho- genesis of Sepia. The most remarkable symptom of all, perhaps a " keynote," was a mental one, " I recall known facts by asso- ciation." This also occurred long after the taking of the last dose of Sepia 200th, and soon after the taking of a dose of Nux vomica, low. Nevertheless it is incorporated in Dr. Dunham's Hahnemannian arrangement of the symptoms, and forms a part of the recorded pathogenesis of Sepia. The second prover, also a lady medical student, took tAvo pow- ders of Sepia 200th. She suffered great mental depression, and urinated quite freely, passing a very large quantity. She had very severe pelvic pains, and her mammae Avere very sore. Like PRESENCE AND POWER IN ATTENUATIONS. 135 the first prover she felt very stupid during the Avhole lecture course, and had great difficulty in ansAvering questions. The symptoms lasted exactly one hundred and eleven days, and covered seven quarto pages of the Transactions. Their se- verity may be inferred from the fact that the word very occurs in the record more than seventy times. Another prover, under the personal supervision of Dr. Wil- liam OAvens, of Cincinnati, Ohio, took a dose of Sepia 30° at nine o'clock in the evening. At four o'clock the next morning she became alarmed at her condition and took a dose of Aconi- tum, 3d. Before night her feet gave forth a most offensive odor. This symptom is incorporated by Dr. Dunham in the arranged pathogenesis of Sepia. After nine days the prover took another dose of Sepia 30°, folloAved in a feAV hours by a dose of Aconitum 3d. Nine days later she observed a fine rash over the body, particu- larly about the bends of the elboAvs and knees, brought out by heat and caused to disappear by cold. This symptom is incor- porated in the pathogenesis of Sepia. Hungry symptomatologists assume that such provings as these represent the disease-producing powers of drugs. Careful students of drug-action believe that most, if not all, of the symptoms added to our Materia Medica from such sources are Avorthless, because they are not the effects of the drugs to Avhich they are ascribed. They think that the Sepia had no influence in modify- ing the symptoms, Avhich Avould have occurred if the provers had taken only Milk sugar or Alcohol under the supposition that it was a medicinal agent. This difference of opinion suggested more complete experi- ments. In 1877, two years later, Dr. Conrad Wesselhoeft, chairman of this bureau, presented provings of Milk sugar. These, also, Avere made by medical students, and Avere, in every important respect, analogous to the Sepia provings referred to. The provers Avere sixteen in number, eleven male and five female. They received from Dr. Wesselhoeft packages of Sugar of milk, and took it, probably under the impression that it Avas a medicinal agent. At the end of six Aveeks, they brought forth an array of seven hundred and sixty-five symptoms, equal in se- 136 AMERICAN INSTITUTE OF HOMOEOPATHY. verity to those Avhich had been ascribed to the attenuations of Sepia. The record of the symptoms is published in the Trans- actions, occupying thirty-one pages of that volume. Summa- rizing the above, it appears that: Sepia 3°, Milk sugar, and fear produce, on an average, eleven symptoms to the prover. Sepia 30c, Milk sugar, and fear produce, on an average, thir- teen symptoms to the prover. Sepia 200c, Alcohol, and fear produce, on an average, thirty- eight symptoms to the prover. Milk sugar and fear alone produce, on an average, forty-eight symptoms to the prover. For the sake of brevity, the term "fear" is here made to in- clude the state of mental solicitude Avhich so increases the sensi- bility of the prover as to cause him to observe conditions and sensations Avhich ordinarily Avould receive no more than a pass- ing notice. This fear is a potent factor in the production of symptoms in all provings like those I have mentioned. Its poAver varies in different individuals, and in the same individual at different times. The influence of this factor must be elimi- nated from the provings in order to ascertain the effects produced by the drug itself. To eliminate, Ave must either remove or neu- tralize. Since Ave cannot remove Ave must neutralize. In the third, or test method of experimentation, this end is accomplished. The prover is deprived of all bias or prejudice, in his experi- ments, by being kept in ignorance as to whether, in any particu- lar instance, he is taking a medicinal preparation or a blank containing the menstruum alone. Since he is just as likely to as- cribe irrelevant sensations to the blank as to the medicine, these sensations cannot influence the result. He is thus delivered from the besetting snares Avhich impede all experimenters upon atten- uated medicines, who folloAV the ordinary methods. A typical example of the test.method is seen in a series of experiments per- formed in the year 1879 for the Milwaukee Academy of Medicine, by the believers in the medicinal power of the 30th dilutions. The experiments Avere designed as a crucial test of the efficacy or inertness of the 30th dilutions. The plan Avas proposed in a paper which I read before that PRESENCE AND POAVER IN ATTENUATIONS. 137 society in 1878. It was briefly as follows : Several vials, simi- lar in appearance, Avere given to the prover. One of the vials contained the 30th centesimal attenuation of a remedy selected by the prover, Avhile the remainder of the vials contained only a quantity of the menstruum in which the drug Avas prepared, namely, alcohol and cane-sugar. The prover undertook to select the medicine from among the blanks, by means of its effects upon the human organism. The attenuations Avere made by the Milwaukee Academy of Medicine especially for the purposes of this test. The tinctures of plants and the 6th decimal attenuations of drugs, were ob- tained from Avell-knoAvn and reputable homoeopathic pharmacists, and, in all cases in which the nature of the substances admitted, these original preparations Avere tested by members of the society to make sure of their genuineness. All of the attenuations Avere made at the meetings of the society, both believers and un- believers in the 30th potency being present and Avitnessing the process. The vials Avere scrupulously clean and the Alcohol and sugar globules the purest obtainable. The attenuations were made by dilution and succussion, according to Hahnemann's directions, in the proportion of one to ninety-nine, and ten vigor- ous shakes Avere given at each dilution. The attenuations thus prepared, together Avith the remainder of the Alcohol used in making them, and a sufficient quantity of labelled vials, sugar globules, and mailing boxes, Avere given to an unprejudiced layman of unimpeachable honor, who promised to guard them and dispense them as they Avere called for through the secretary of the society. The chosen depositary was Rev. George T. Ladd, late pastor of the Spring Street Congregational Church in Milwaukee, now Professor of Mental Philosophy at Bowdoin College, Maine, and lecturer at Andover Theological Seminary, He is a man well knoAvn among the scholars in the church to which he belongs, and one Avho has borne an unblemished reputation in the com- munities Avhere he has resided, and more important than all, a man Avho had no interests to serve in the matter except those of truth and honor. Rev. George T. Ladd took the preparations and utensils directly from the hands of the society and, himself, 138 AMERICAN INSTITUTE OF HOMOEOPATHY. medicated the pellets and dispensed to the prover the test pack- ages. The vials Avere all numbered and a record Avas kept of their contents. The test packages were given out at various times, as they were called for, from January 13th to July 28th, 1879. Notice was given, at the beginning, of the time alloAved for the experi- ment, and all the provers Avere notified a second time Avhen the reports were due. January 26th, 1880, Professor Ladd mailed his report to the society. As soon as practicable thereafter the society met, broke the seals and compared the report of the de- positary with the reports of the experimenters. The result is indicated in tabular form thus: W. II. Blakely, Bowling Green, Ky., . G. R. Mitchell, Richland Centre, AVis., C R. Muzzy, AVatertown, Wis., . A. W. AVoodward, Chicago, 111., . N. A. Pennoyer, Kenosha, Wis., . M. A. Ries, Milwaukee, AVis., A. Uhleineyer, St. Louis, Mo., J. H. Thompson, New York,. W. F. Morgan, Leavenworth, Kan., J. W. Thompson, Greenfield, Mass., H. I,. AValdo, AVest Troy, N. Y., . E. Lippincott, Bowling Green, Ky., W. B. Trites, Manayunk, Pa., C. H. Hall, Madison, AVis., . O. AV. Smith, Union Springs, N. Y., W.Collesou, St. Lonis, Mo., . W. Eggert, Indianapolis, Ind., H. A. Foster, Buffalo, N. Y.,. T. L. Brown, Binghamton, N. Y., H. A. Foster, Buffalo, N. Y., . C AV. Mohr, Philadelphia, Pa., . J. A. Pearsall, Saratoga, N. Y., E. C Morrill, Norwalk, 0., . T. M. Martin, Delavan, Wis., N. A. Pennoyer, Kenosha, Wis., . W- M. Butler, Middletown, N. Y., C. B. Gatchell, Ann Arbor, Mich., C B. Gatchell, Ann Arbor, Mich., C B. Gatchell, Ann Arbor, Mich., C B. Gatchell, Ann Arbor, Mich., C. B. Gatchell, Ann Arbor, Mich., W. S. Gillett, Fox Lake, Wis., ^ CENTESIMAL DILUTION. Aconitum, . 9* . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . Incorrect selection Aconitum, . 9 . No selection. Aconitum, . 9 . No selection. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 • No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Aconitum, . 9 . No report. Arsenicum, . 9 . No report. Belladonna, . 9 . No report. Belladonna, . 9 . No report. Nux vomica, . 9 . No report. Nux vomica, . 9 . No report. Arsenicum, . 4 . No report. Digitalis, . No report. Aurum, . . No report. Arsenicum, i 1 . No report, Calcarea carl )., . 1 . No report. Carbo veg., . No report. Sulphur, . No report.- Arsenicum, . No report. * This column gives the number of " blanks " in each case. PRESENCE AND POWER IN ATTENUATIONS. 139 AV. S. Gillett, Fox Lake, Wis., W. S. Gillett, Fox Lake, Wis., W. S. Gillett, Fox Lake, Wis., W. S. Gillett, Fox Lake, AVis., 0. AV. Smith, Union Springs, N. Y., 0. AV. Smith, Union Springs, N. Y., 0. W. Smith, Union Springs, N. Y., 0. W. Smith, Union Springs, N. Y., 0. W. Smith, Union Springs, N. Y., A. Uhlemeyer, St. Louis, Mo., A. Uhlemeyer, St. Louis, Mo., A. Uhlemeyer, St. Louis, Mo., A. Uhlemeyer, St. Louis, Mo., A. Uhlemeyer, St. Louis, Mo., W. F. Morgan, Leavenworth, Kan., W. F. Morgan, Leavenworth, Kan., A\r. F. Morgan, Leavenworth, Kan., A\r. F. Morgan, Leavenworth, Kan., AV. F. Morgan, Leavenworth, Kan., 0. S. Childs, Beaver Dam, AVis., . 0. S. Childs, Beaver Dam, Wis., . 0. S. Childs, Beaver Dam, Wis., . 0. S. Childs, Beaver Dam, AVis., . O. S. Childs, Beaver Dam, AVis., . W. Colleson, St. Louis, Mo., . AV. Colleson, St. Louis, Mo., . W. Colleson, St. Louis, Mo., . W. Colleson, St. Louis, Mo., . W. Colleson, St. Louis, .Mo., . Petrus Nelson, Minneapolis, Minn., Petrus Nelson, Minneapolis, Minn., Petrus Nelson, Minneapolis, Minn., Petrus Nelson, Minneapolis, Minn., Petrus Nelson, Minneapolis, Minn., L. A. Campbell, Attleboro, Mass.,. L. A. Campbell, Attleboro, Mass.,. L. A. Campbell, Attleboro, Mass.,. L. A. Campbell, Attleboro, Mass.,. L. A. Campbell, Attleboro, Mass.,. Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum, Aurum, Calcarea carb Carbo veg., Sulphur, Arsenicum, Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum, Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum, Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum Aurum, . Calcarea carb Carbo veg., Sulphur, Arsenicum, Aurum, . Calcarea carb Carbo veg Sulphur, No report. No report. No report. No report. No report. No report. No report. No report. No report. Correct selection. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. No report. SUMMARY. Ten-vial Test. Number making reports, . Number making correct selection, Number making no selection, Number making incorrect selection, . Number making no report, Total, 9 0 2 7 16 25 Five-vial Test. Number making report, Number making no report, Total, * This column gives the number of " blanks " in each case. 140 AMERICAN INSTITUTE OP HOiWCEOPATHY. Two-vial Test. Number making report, ........ 1 Number making correct selection, ...... 1 Number making no report, ....... 4G Total,............48 Total number of tests, ........ 73 Total number of correct selections, ..... 1 The most remarkable feature of the result, aside from the total failure in all of the ten-vial tests which were performed, is the fact that the majority of the experimenters did not venture upon a selection. This, with the fact that comparatively few of the advocates of potentization Avere willing to undertake the experi- ment, shoAA'S a lack of confidence in potentized drugs, which Avas not anticipated by the proposer of the test. If the entire body of provers of, and healers Avith, dynamized medicines, cannot, in the course of tAvelve months, distinguish one of their remedies from its inert menstruum, under condi- tions Avhich preclude the aid of collusion, fraud, or chance, it may be reasonably inferred that the so-called dynamized drugs are not to be relied on as medicinal agents. There is no evidence, in the results of this test that, the 30th dilution of any medicine contains any power or property which is not also contained in the menstruum in Avhich the medicine is prepared. The nature and conditions of the experiments were such, that if there be in these dilutions any medicinal power, which can be recognized or handled, this poAver Avould have shoAvn its existence by its effects. It must be borne in mind, (1.) That the genuiueness of the preparations is vouched for by competent physicians who were believers in the poAvers of the 30th dilutions. (2.) That the custody and distribution of the preparations was put directly into the hands of a man of known integrity, Avho had no interest in the success or failure of the doctrine of dynamiza- tion. (3.) That the experimenters Avere believers in the efficacy of preparations they tested. (4.) That the experimenters chose the remedies Avith which they experimented and voluntarily undertook the task of selec- tion. PRESENCE AND POWER IN ATTENUATIONS. 141 (5.) That the experimenters Avere not limited to any special method of investigation, but were alloAved full liberty to apply chemical, electrical, physiological, therapeutic, or any other tests by which they might detect a difference betAveen the medicated and the unmedicated pills. In view of these considerations the failures to report are significant. The advocates of dynamization have plead that the test Avas too hard, avowing their belief that it is impossible also to select under similar conditions the 3d, 4th, 5th, and 6th decimal atten- uations. Partly to prove the Aveakness of this plea, but more especially to furnish data for determining the limit of drug poAver in atten- uation, a series of experiments on the loAArer attenuations has been performed during the past year under the auspices of this bu- reau. It Avas arranged that Dr. T. F. Allen, my confrere in this sec- tion of the bureau, should undertake a test of the 30th dilutions, similar to that of the Mihvaukee Academy, while I undertook tests of the loAver attenuations on the same conditions. A com- mittee of three Avere to be appointed to oversee and place safe- guardsaround each subseries of experiments. On each committee there was to be a representative of the American Institute of Homoeopathy, appointed by Dr. Dake, the chairman of the bureau; a representative of the believers in dynamization, appointed by Dr. Allen; and a representative of unbelievers in dynamization, appointed by me. The committee to oversee Dr. Allen's tests was chosen as folloAvs : Egbert Guernsey, M.D., of New York, by Dr. Dake; J. T. O'Conner, M.D., of New York, by Dr. Allen; C. F. Chandler, M.D., of New York, by Dr. Sherman. AAvaiting the appointment of a similar committee to oversee my tests in Milwaukee, I learned that Dr. Allen had declined to go on with his experiments, and that he Avould not appoint a representative in the Milwaukee committee. KnoAving well the fertility of any tests of this sort Avhich Avere not satisfactory to skeptics, I had insisted upon both Dr. Allen's tests and mine being surrounded by safeguards imposed by a committee representing believers and unbelievers. The absurdity 142 AMERICAN INSTITUTE OF H0M030PATHY. of attempting to convince skeptics Avithout giving them a repre- sentation in the safeguards is apparent to the wayfaring man. After Dr. Allen's failure, I called upon the three medical so- cieties of Milwaukee to appoint each its representative, of various opinions on the dose question, to scrutinize and place safeguards around the proposed tests. Dr. AV. J. Ha wkes, of Chicago, avIio had publicly challenged a comparative test of the 3d and 30th dilutions, was also requested to appoint a representative. After considerable delay, occasioned mainly by the apparent uiiAvilliugness of the dynamizationists to aid in any tests, the ar- rangement of safeguards Avas completed and the experiments Avere begun. The folloAving record of the tests Avas made by the committee in an official manner. RECORD OF A TEST OF THE LOAV DILUTIONS. Milwaukee, Wis., January 14th, 1880.—At 8 p.m. the folloAA'- ing named gentlemen met in the office of Dr. Sherman on AVis- consin Street, namely : Dr. Lewis Sherman, member of the Bureau of Materia Medica, Pharmacy, and Provings, American Institute of Homoeopathy. Dr. C. C. Olmsted, appointed by the Chairman of the Bureau of Materia Medica, Pharmacy, and Provings, American Institute of Homoeopathy, to represent the believers in high potencies in placing safeguards around the test. Dr. G. C. McDermott, Dr. Samuel Potter, representing the Milwaukee Academy of Medicine, by special appointment. Dr. E. F. Storke, Secretary, Wisconsin State Homoeopathic Medical Society. Professor George AV. Peckham, teacher of biology, Milwaukee High School. Absent, Dr. E. M. Rosenkrans, of the committee, appointed by the Milwaukee Academy of Medicine. The committee Avas called to order by Dr. Sherman, Professor George AAr. Peckham Avas chosen chairman, and Dr. Samuel Potter, secretary. Dr. Storke presented a sealed package with the following Avriting upon it: PRESENCE AND POWER IN ATTENUATIONS. 143 " I hereby certify that the contents of this box, consisting of a piece of Phosphorus, one seed of Nux vomica, one small bottle Avith Mercury, and one with Arsenious acid, have been examined by me, and I found them pure and as represented; and further, that I have placed them in this box, and have wrapped them up and sealed. " Gustavus Bode, "Milwaukee, January 13th, 1880." Analytical Chemist. The package Avas opened by Dr. C. C. Olmsted in the presence of the committee, and the substances enumerated above were found therein, each in a separate package. They were then placed upon a small table surrounded by the committee. On motion, it was agreed that each member record his opinion regarding the medicinal efficacy of attenuated drugs, for the purpose of shoAving that all sides of the question are represented on this committee. The chairman, Professor Peckham, stated that he had no opin- ion to express on the matter, not having had sufficient evidence before him to determine the question. Dr. C. C. Olmsted stated that he believed in the medicinal efficacy of the drugs enumerated as high as the 200th decimal attenuation. Dr. G. C. McDermott stated that he had the fullest confidence in the medicinal virtue of all drugs in the highest attenuations when attenuated by the Hahnemannian process. Dr. LeAvis Sherman stated that he had confidence in the medi- cinal efficacy of the drugs enumerated as high as the 6th decimal attenuation. Drs. E. F. Storke and Samuel Potter stated that they had little or no confidence in the medicinal efficacy of the attenuation above the 6th decimal of the drugs enumerated. Professor Peckham dissolved tAvo grains of Arsenious acid with 200 minims of distilled Avater in a neAV clean test-tube. At 9.15 p.m. Dr. Storke took his departure. This solution of Arsenicum Avas then attenuated according to the Hahnemannian process to the 7th decimal by Drs. Olmsted 144 AMERICAN INSTITUTE OF HOMCEOPATHT. and Potter. The preparations Avere dispensed for proving in the folloAving manner: Ten tAvo-drachm vials Avere labelled " Arsenicum 6X," and on each label Avas Avritten a different number; the numbers running from one to ten, inclusive. Ten slips of paper Avere likeAvise numbered from one to ten. Each of the slips Avas carefully folded to conceal its number, and was placed alongside the cork in the correspondingly num- bered vial. Each of the vials Avas then Avrapped in a square piece of Avhite paper (the pieces of the same size and quality), so as to leave only the cork, one end of the slip, and the rim of the vial visible. The ten vials Avere then placed in a hat and shaken. Dr. Olmsted then took one vial from the hat, took out the cork and the slip, filled the vial Avith the Arsenicum 6X, replaced the cork, deposited the filled vial in another hat, marked the slip which he took out "Arsenicum 6X," and deposited it unopened in a paper slide-box. The other nine vials Avere then filled Avith distilled water by members of the committee; each slip being handed Avithout being unfolded, or the Avrapper being removed from the vial, to Dr. Olmsted, Avho deposited it in the box Avith the marked slip, and sealed the box ; all the members of the com- mittee writing their names across the seals. The ten vials thus deposited in the hat Avere again mixed up by shaking and taken from the hat. The set of Arsenicum 6X was then, in accordance Avith his re- quest, handed to Dr. G. C. McDermott for experimentation, and the Avhole lot of material (drugs, Avater, alcohol, slide-box, etc.) was placed in a desk, the same being locked and sealed, the seals being signed by Dr. Olmsted and Professor Peckham; Avhereupon the committee adjourned to meet at the call of Dr. Lewis Sher- man. January 22d, 1880, 8.30 p.m. The committee met at Dr. Sherman's office. Present: Professor George AV. Peckham, Chair- man, Dr. Samuel Potter, Secretary, Drs. E. M. Rosenkrans (of the committee of the Milwaukee Academy of Medicine), C. C. Olmsted, and Lewis Sherman. Dr. G. C. McDermott, having been called to the chair of Oph- PRESENCE AND POWER IN ATTENUATIONS. 145 thalmology and Otology at Pulte Medical College, had left the city. Dr. Sherman dissolved four (4) grains of Phosphorus in a boiling flask in 2800 minims of Alcohol, in the vieAv of the com- mittee. A package of Belladonna tincture, bearing the original seal of a Avell-known European pharmacist, Avas opened by the com- mittee, and a portion thereof Avas attenuated to the 7th decimal dilution by Drs. Olmsted and Rosenkrans. A set each of Bel- ladonna 3X and 7X Avere then dispensed by Drs. Olmsted and Potter in the manner heretofore described, the boxes of slips sealed, and the packages handed to Dr. LeAvis Sherman for ex- perimentation. The material Avas then placed in the sealed desk, as heretofore described, and the committee adjourned. February 26th, 1880, 8.30 p.m. The committee met. Present: Drs. Rosenkrans, Olmsted, Sherman, and Potter. Professor George AV. Peckham having promised to be present, but failed. The desk-seals Avere examined. One Avas found intact, the others having burst in drying. Arsenicum 5X, 6X, and 7X Avere then dispensed by the committee in the manner heretofore described, Dr. Olmsted doing the medicating, marking, filling, and sealing of the boxes containing the slips. They Avere then handed for experimentation as follo\Ars : Ars. 5X and 6X to Dr. LeAvis Sherman. Ars. 7X to Dr. Samuel Potter. After placing the material under seal in the desk, the com- mittee adjourned. March 16th, 1880, 8.50 p.m. The committee met, Present: Drs. Sherman, Olmsted, Rosenkrans, and Potter. Aconitum 3x and 6X Avere prepared from the tincture found in stock in Dr. Sherman's pharmacy. Phosphorus 5X and 6X Avere made from the solution prepared by the committee and kept under seal. They Avere then dispensed as folloAvs, in the manner heretofore described : the filling, marking, and sealing being done by Dr. C. C. Olmsted in person, or under his immediate direction, by different members of the committee. To Dr. Potter were handed 146 AMERICAN INSTITUTE OF HOMOEOPATHY. sets of Aconitum 3X and 6X, Phosphorus 5X and 6X. To Dr. Sher- man sets of Aconitum 3X and 6X, Phosphorus 5X and 6X. The material being placed under seal as before, the committee adjourned. March 25th, 1880, at 8.30 p.m. The committee met, There Avere present Drs. Olmsted, Rosenkrans, Sherman, and Potter. Dr. Olmsted received the reports of Drs. Sherman and Potter. The boxes containing the marked slips Avere then examined by the committee, and with their seals were found intact. They were then opened by Dr. Olmsted, and the marked slips found to agree Avith the reports as folloAvs : Preparation tested. NUMBER OF THE MEDICATED VIAL. Dr. Potter's report. Dr. Sherman's report. Record in sealed box. 1 1 6 1 7 1 1 6 9 1 2 i 7 1 1 6 9 6 8 9 1 7 Belladonna, 3* (1)........ Belladonna, 7* (1)........ Phosphorus, 6*............ The committee then adjourned. March 30th, 1880. The committee met at Dr. Sherman's office. There were present Dr. LeAvis Sherman, Dr. C. C. Olm- sted, Dr. E. M. Rosenkrans, and Dr. Samuel Potter. The minutes of the previous meetings Avere read and approved. Belladonna 3* and 6*, Phosphorus Sx, 9X, and 10x were then prepared as before, from the tinctures—the Belladonna from a neAV tincture—and Avere dispensed by Dr. C. C. Olmsted in ten- vial sets, as heretofore described. They Avere handed out as folloAvs: To Dr. Potter, Belladonna 6X, Phosphorus 9X, and to Dr. Sherman, Belladonna 3X, and Phosphorus 8* and 10T. After sealing the sealed boxes in the desk draAver heretofore used, the committee adjourned. April 25th, 1880. The committee met. There were present Drs. Olmsted, Rosenkrans, Sherman, and Potter. PRESENCE AND POWER IN ATTENUATIONS. 147 Dr. Olmsted received the reports of Drs. Sherman and Potter, who also stated that they had each, before experimentation, divided with each other the medicines given to them by the com- mittee. The boxes containing the marked slips were then exam- ined by the committee, and Avith their seals Avere found intact. They were then opened by Dr. Olmsted, and the marked slips found to agree Avith the reports received, as follows: Preparation. NUMBER OP THE MEDICATED VIAL. Dr. Potter's report. Dr. Sherman's report. Record in sealed box. Belladonna, 3* (2) Belladonna, 6* (2)..... Phosphorus, 8*............ 2 9 5 5 4 2 1 7 2 10 2 9 7 5 1 SUMMARY. Both experimenters Avere successful Avith Aeon. 3X, Aeon. 6X, Arsen. 5X, Arsen. 6X, Arsen. 7X, Bell. 3*, No. 2, Phos. 5X and Phos. 61. Both experimenters failed Avith Phos. 10*. One experimenter succeeded and one failed Avith Bell. 6X, No. 2, Phos. 8X, and Phos. 9\ One experimenter failed Avith Bell. 3X, No. 1, and Bell. 7X, No. 1. The committee then adjourned. George AV. Peckham, Chairman. C. C. Olmsted, M.D., Eugene F. Stork, M.D., Lewis Sherman, A.M., M.D., E. M. Rosenkrans, M.D., Samuel Potter, M.D., Secretary. For convenient reference I have arranged the preceding reports so as to make them correspond Avith that on the 30th dilution, by the Milwaukee Academy of Medicine. 148 AMERICAN INSTITUTE OF HOMCEOPATHY. TESTS OF THIRD DECIMAL DILUTION, Samuel Potter,. Lewis Sherman, Lewis Sherman, Samuel Potter,. Lewis Sherman, Aconitum, . Aconitum, . Belladonna No. 1, Belladonna No. 2, Belladonna No. 2, Correct selection. Correct selection. Incorrect selection. Correct selection. Correct selection. TESTS OF THE FIFTH DECIMAL DILUTION. .9 . . Correct selection. .9 . • Correct selection. . 9 . . . Correct selection. Lewis Sherman, .... Arsenicum, Samuel Potter......Phosphorus, Lewis Sherman.....Phosphorus, TESTS OF THE SIXTH DECIMAL DILUTION. Samuel Potter,. Lewis Sherman, Lewis Sherman, Samuel Potter,. Lewis Sherman, Samuel Potter,. Lewis Sherman, G. C. McDermott, Aconitum, . Aconitum, . Arsenicum, . Phosphorus, Phosphorus, Belladonna No. 2, Belladonna No. 2, Arsenicum, . Correct selection. Correct selection. Correct selection. Correct selection. Correct selection. Correct selection. Incorrect selection. Lost the package. TESTS OF THE SEVENTH DECIMAL DILUTION. Samuel Potter,. Lewis Sherman, Arsenicum, . Belladonna No. 1, Correct selection. Incorrect selection. TESTS OF THE EIGHTH DECIMAL DILUTION. Samuel Potter,.....Phosphorus, Lewis Sherman, .... Phosphorus, Incorrect selection. Correct selection. TESTS OF THE NINTH DECIMAL DILUTION. Samuel Potter,.....Phosphorus, Lewis Sherman, .... Phosphorus, Correct selection. Incorrect selection. TESTS OF THE TENTH DECIMAL DILUTION. Samuel Potter,. Lewis Sherman, Phosphorus, Phosphorus, Incorrect selection. Incorrect selection. With a single exception there were no failures to report in the Ioav dilution tests. The following note from Dr. McDermott to the Secretary of the Committee explains the absence of his name in the table: Cincinnati, Ohio, April 30th, 1880. Dear Doctor Potter : In reply to yours of inquiry regarding the test, I am sorry not to be able to report even trying to find the medicated prepa- ration. If you remember, it was just two days before I took my departure, and the medicines were mislaid, as I was not there during the moving. I regret sincerely the accident. Ever yours, G. C. McDermott. * This column gives the number of " blanks " in each case. PRESENCE AND POWER IN ATTENUATIONS. 149 Reports of cures have been presented in evidence of the pres- ence and poAver of drugs, in attenuations beyond the accepted limits of the divisibility of matter. This supposed evidence does not come in the form of statistics, comparing the effects of these attenuations Avith the effects of pure sugar, used in the same manner, and under the same conditions, as the supposed reme- dial agents. For this reason, these observations must go for nought. It has been shown by experiment that symptoms, similar to those obtained in the provings of the "dynamized" drugs, folloAV the administration of milk-sugar, and it may be shoAvn by experiment that as remarkable recoveries from sickness Avill follow the use of sugar, as can be obtained from " dynamized" drugs. The results obtained in the tests of the Milwaukee Academy, by the believers in dynamization, point unmistakably to such a demonstration. The evidence is not all in, until the sugar has had a fair trial. This much can be affirmed, that, in the competitive trials Avhich have been made Avith dynamized drugs and pure sugar, no dif- ference could be detected. In conclusion, I submit an estimate of the probability of the existence of medicinal poAver in the attenuations tested, based upon the results of the experiments which have been made and presented : 2222 in favor to 1 against ' 1 " ' 1 " ' 1 " 1 " ' 1 " 4i " ' 7,036,875,000,000,000,000,000,000,000,- 000,000,000,000, against, or leaving out of the calculation the experimenters Avho did not report 1 in favor to 1,999,999,999 against. 3* dilution, 2222 i 5* " 999 6X " 158,730 yx i< H 8x « 4.! 9* " 4 10* " i 30* " i 11 THE PROOFS OF DRUG PRESENCE AND PO WER IN A TTENUA TIONS AB 0 VE THE SIXTH DECIMAL, AS FURNISHED BY ANALOGY FROM THE FIELD OF IMPAL- PABLE MORBIFIC AGENCIES. By J. P. Dake, M.D., Nashvillk. If a drop of blood, or a particle of pus, or a breath of air, in Avhich chemical tests and the spectroscope and the microscope can detect no impurity, is found, by human experience, to hold the seeds of disease, analogy warrants the conclusion that, in drug attenuations Avhere such tests and appliances fail to discover a drug atom, there yet may be medicinal presence and poAver. The field of morbific agencies is very broad, and, for the most part, covered with thick darkness. Human vision has discerned much in it by occasional gleams of light in efforts to learn the origin and to trace the history of various diseases. Inheritance.—In the ovum and the seminal fluid are borne, from parent to offspring, those material yet impalpable seeds Avhich, germinating in after years, give rise to tuberculosis, carci- nosis, the hydra-headed syphilis, and other affections Avhich are regarded as hereditary. No species of test, no means of diag- nosis have yet been able to detect those seeds in advance of their germination and fruitage; and yet, where is the pathologist Avho ventures to deny their existence ? Parasites.—In articles of food and drink, in clothing, in beds, and in contact with persons diseased, various germs are received, which increase or develop into parasites—epizoa, enlozoa—to prey upon and even destroy the human body. Some of these germs have been clearly seen and studied by direct observation, DRUG PRESENCE AND POWER IN ATTENUATIONS. 151 while others have eluded the keenest search with means the most perfect and powerful. Judging the unseen by that which is seen aetiology has come to acknoAvledge the presence and sick-making poAver of living germs which no microscope has discerned. Vegetable Emanations.—There are trees and plants the ema- nations from Avhich occasion sickness and even death. There are persons Avho cannot ride along a road, beside Avhich groAvs the Rhus toxicodendron, Avithout having vesicular erysipelas, espe- cially if the Avind chance to bloAv from the direction of that shrub. The senses all fail to detect the poison thus borne upon the air. It is impalpable, yet Avho denies its potency? Miasmata.—There are localities Avhere one night's sojourn, where one hour's travel, may occasion intermittent fever, mala- rial fever, and other affections Avhich Ave denominate miasmatic. AA^hatever may be our views of the pathology of such affec- tions—Avhatever organ or tissue Ave may regard as the one pri- marily or chiefly affected—Ave cannot escape the conclusion that in such localities there is a material not elsewhere found, a mor- bific something as real as that from the poison oak, the leprous hand, the trichinous pork, or the syphilitic parent. Efforts ha\'e been made to discover the form and other physical characteristics of miasmatic poison by the aid of the microscope and chemical reagents. Some investigators claim the ability to detect and define them in the atmosphere of various localities. Contagion.—A healthy child entering a house where one is sick with scarlet fever, encountering nothing in the least offen- sive to the senses, in a feAv days has scarlatina. Another, looking through a picture-book lately handled by a child recovering from measles, in due time presents a case of measles. And another, riding for half an hour in a raihvay coach with a child that has mumps or whooping-cough, noticing nothing dis- agreeable, in a feAV days, perhaps a thousand miles aAvay, is found to have mumps or Avhooping-cough. A person never vaccinated nor inoculated Avith variolous mat- ter, riding along a country road, on a frosty morning, a mile to the AvindAvard of a house in Avhich is a case of small-pox, in two 152 AMERICAN INSTITUTE OF HOMEOPATHY. weeks thereafter, Avithout further exposure, may have that dreaded disease. In all these cases there is a contagium, a graft-germ, a material, passing from person to person, Avhich no microscope has been able to define and no chemical tests to distinguish. Each seed has its oavu form and character, always reproducing its kind, Avithout material variation. Hybridization may give rise to neAV species, and so extend the number of impalpable morbific or- ganic agencies. Gases.—Beside the transmissible seeds of disease, coming by inheritance, the invisible graft-germs and parasites, and the yet more impalpable miasms and contagions from various sources, there are gases in peculiar states and proportions, inorganic ele- ments, immediately recognizable by no means or methods at our command, Avhich operate as effective causes of disease. Electricity.—And beyond these is the subtile agent known as electricity, appreciable only under peculiar circumstances, yet brought under human control and measurement. In dealing with it we are compelled to consider its quantum as Avell as quo modo. AVith all its tenuity its sick-making power is not ques- tioned. But we need look no farther in the field of impalpable mor- bific agencies. Turning now to the data furnished by chemical tests and by spectroscopic and microscopic examinations of attenuated drugs, we find medicinal matter traced beyond the 6th decimal to the 8th, 9th, and some claim to the 12th. One mathematician, upon the accepted theory of molecular magnitudes, tells us that one grain of the 11th centesimal attenuation may contain one atom of the drug-matter and not more; while another says the 15th centesimal dilution has one atom to each drop, and the 16th but one atom to every one hundred drops. Taking the decimal scale the calculations of the former Avould warrant us in the conclusion that no medicinal matter exists in the 25th attenuation, or at least but one atom in every mil- lion of drops, while the calculations of the latter, considering the ultimate atom, or indivisible particle to be reached in the DRUG PRESENCE AND POWER IN ATTENUATIONS. 153 15th centesimal, Avould lead us to expect one atom of drug in each drop of the 30th decimal. Beyond the 30th, so far as I am informed, no one claims either the practical or the theoretical presence of drug material. As for drug-poAver existing beyond drug-presence I fail to find any proofs of such a condition in the field of morbific agen- cies. If the physiologist finds undoubted drug-effects from atten- uations in which neither direct observation nor analogy, can consent to there being drug-presence, Ave are only forced to the conclusion that the material drug may exist beyond the limits set by direct obsen^ation and analogy. HoAA-ever Ave may theorize and philosophize about the persist- ence of force and its correlation, Ave cannot predicate potential drug-force Avhere there is not some drug-matter. The force of a drug, its spirit, if you please, is no more recognizable and useful out of its oavii body than is the spirit of a man out of its body among men. If it Avere possible for it to be transferred by tritu- ration or succussion to sugar of milk or alcohol, what Avould be the gain? AVrhy labor so long to free the medicinal spirit from one body to have it " clothed upon" by another body ? To those Avho recognize a dynamic medicinal spirit in the most inert substances, including sugar of milk, the question is pertinent: AVhen the drug-spirit has taken possession of the sugar of milk, where is the dAvelling-place of the disembodied spirit of the sugar of milk? Let us consider these and other troublesome questions before we declare our unqualified adherence to the doctrine of medical spiritism. In avoiding the grossness of the old school let us not rush into the absurd transcendentalism of a small section of the neAV. Tracing medicinal matter by one means and another, step by step, from the crude up to the finest, let us endeavor to so treat and so employ it as to escape the evil and obtain the good in the restoration of human health. PROOFS OF MEDICINAL POWER IN ATTEN- UATIONS ABOVE THE SIXTH DECIMAL. By C. H. Lawton, M.D., Wilmington, Del. I have the honor to present for your consideration a few thoughts Avith reference to the limits of drug attenuation, or proofs of medicinal poAver in attenuations above the 6th decimal. In doing so I shall not follow the beaten track, but shall call your attention to laws and principles that control all material substances, and shall endeavor to trace some analogy between them and the action of our homoeopathic remedies. Viewing the subject from this standpoint, I am aware, I go on dangerous ground; for this question has been the cause of more dissensions in our school, and has provoked more vio- lent opposition, than all other questions combined. Standing, as I do, in the presence of men Avho are veterans in the homoeopathic ranks, men of culture and ability, and at whose feet I love to sit, it is natural I should feel some embarrassment in presenting a subject of such vital importance. With no wish to provoke a spirit of controversy, but with an earnest, honest desire, to search after the truth, I ask that you join me for a few moments in the investigation of this subject, the truth of Avhich can only be approximated by the closest observation, and oft- repeated experiment. I say approximated, for we cannot un- derstand it by experiment; it is still shrouded in mystery. Gentlemen come here, year after year, and relate their ex- perience, piling fact upon fact, showing the Avonderful results achieved by the most minute doses; and year after year, others PROOFS OF MEDICINAL POWER IN ATTENUATIONS. 155 listen incredulous, and some are almost ready to give the lie, to what they cannot understand. Why is this ? One great cause, it seems to me, lies in the fact, that wTe are too much in the habit of using the terms high attenuations, high dilutions, and high potencies, indiscriminately. If, in making a statement, I use the terms arbitrarily, and not in harmony Avith the facts I Avish to communicate, no logical mind can ac- cept it. If I speak of increased medicinal power in connection Avith high attenuations and high dilutions, there is an incom- patibility, a Avant of harmony in these terms, and its acceptance by others must depend upon its statement in terms that are in harmony with knoAvn laws—all truths must harmonize ! Where . then is the truth ? Again, gentlemen cannot accept facts based solely on experi- ment; they must either make the experiment themselves, or Ave must appeal to their judgment and reason ; they must not only have facts, but these facts must harmonize Avith known laws. If in experimenting Ave develop facts only, our sphere of usefulness is limited ; but if in developing facts, Ave unfold the underlying principles, while acting consistently with those principles, Ave can neA^er make a mistake. It is a fact that the high potencies do act, although we cannot all accept it. Some of us know this by experience; others know it from the testimony of men stand- ing in the foremost ranks of homoeopathy, men of profound re- search and rare mental attainments, members of our OAvn Amer- ican Institute, and the peers of any who have lived since the days of Hahnemann. AVe have the facts, either by experience, or from testimony ; but science does not consist in an accumulation of facts merely, there must be a knowledge of principles Avhereby we may trace the unknown, from known phenomena, and may arrive at definite conclusions. Noav, if Ave find that these facts harmonize with knoAvn laws, Ave have demonstrated a principle, and may dra\v con- clusions Avhich any logical mind can accept. In the further devel- opment of this subject I wish to submit the following propositions : 1st. The practical limit of drug attenuation is determined by the amount of resistance (inherent in the drug) opposed to the disorganizing or decomposing agent Avith which it is triturated; 156 AMERICAN INSTITUTE OF HOMEOPATHY. and this resistance depends on density and hardness. It is, there- fore, impossible to establish any arbitrary rules for defining it. 2d. That beyond the limit of drug attenuation there is medic- inal poAver. Some minds are so organized that they can only accept as evidence that Avhich is appreciable to the senses ; if a thing looks strong, and smells strong, and tastes strong; if they can handle it, and it feels strong, they conclude that it is strong. AVe know, hoAvever, that the most poAverful agents of Avhich Ave have any knoAvledge, are those Avhich we cannot see, nor smell, nor taste, nor handle. Electricity and magnetism are such. There is in every material substance (therefore in every drug substance) a force, Avhich is the life of that substance, the organ- izing and controlling poAver, the active principle. AVhen any substance, solid or fluid, is decomposed, this latent force is set free, and becomes active or dynamic. This principle may be evolved either chemically or by friction, heat or mag- netism. All substances continue in a state of rest unless acted upon by some external force. These are fundamental principles in science and philosophy, that no argument of mine can strengthen, and no amount of opposition can disprove. I Avill give a few illustrations. Take any tAvo substances, one of Avhich is more easily oxi- dized than the other, bring them in contact with a third sub- stance, Avhich will act upon them chemically, and as the sub- stance most easily acted upon is decomposed, there is a principle evolved which we can neither see, nor smell, nor taste, nor handle, but Avhich, nevertheless, is the life principle, and Avas the organizing and controlling power of the substance acted upon. This is beautifully illustrated by the galvanic battery, the life principle evolved by which is called chemical or galvanic elec- tricity. This principle may also be developed by friction ; the experiments with the glass rod, and with sealing Avax, are so familiar, that it will be hardly necessary to do more than allude to them. In this case the principle developed is called frictional electricity. Heat will also develop this principle ; take tAvo bars of different kinds of metal, bring the ends into close contact, and heat them at their junction, and a like phenomenon will occur. PROOFS OF MEDICINAL POWER IN ATTENUATIONS. 157 Noav, gentlemen, my thought is, that just as electricity dAvells in all substances, and is made sensible only by friction, or de- composition, so in our potentized remedies the medicinal power is developed by friction or trituration. AVe knoAv by experience that there is poAver developed by trituration. Is not this sug- gestion then, of likeness to electricity or magnetism, a suggestion in the right direction? This has been called life, Avithout sense. I believe it is the life principle, and in the hands of Deity, the creative and creating power of the universe. Again, matter can neither give itself motion nor deprive itself of it. My hands have no power in themselves to move ; my blood has no poAver in itself to circulate, my heart to throb, or my lungs to perform the function of respiration. They must be acted upon by some force external to themselves in order to perform the various kinds of motion to Avhich they are adapted. One more thought and I will close. It has been stated, and experience proves its truth, that, in the majority of cases, both acute and chronic, our potentized medicines act more promptly than the tinctures or low attenuations ; I will go further, and think I may be justified in saying, that Avithout potentization there is, and can be, no medicinal poAver. As material substances haA-e no power in themselves to act, and as there can be no force with- out decomposition; I submit, that, if Ave give our medicines in the crude state, or in the Ioav attenuations, this process of decom- position must be performed in the stomach before the medicinal poAver can be developed. Hence the retarded action of Ioav at- tenuations. In conclusion, I submit the following: 1st. That attenuation is simply the commingling, or the unit- ing in one mass, of a medicinal Avith a non-medicinal substance. 2d. To potentize, or in other words, to develop medicinal powers there must be decomposition. 3d. The amount of medicinal poAver is in proportion to the complete or partial decomposition of the drug acted upon. 4th. A point, Avhen decomposition is complete and the me- dicinal power fully developed, marks the limit of drug attenua- tion. THE PROOFS OF MEDICINAL PRESENCE AND EFFICACY IN ATTENUATIONS ABOVE THE SIXTH DECIMAL, AS FURNISHED BY CLINICAL EXPERIENCE IN THE USE OF ATTENUATIONS RANGING FROM THE FIF- TEENTH TO THE THIRTIETH DECIMAL. By A. C. Cowperthwaite, M.D., Iowa City, Iowa. Many centuries ago it Avas decreed that man should not live by bread alone, or, in other words, that life Avas not altogether made up of those things Avhich constitute the material, but that it must draAv much of its pabulum from the fountains of the unknown. So, in all the elements which go to make up life? from its humblest to its most exalted manifestations, from the child in the cradle to the gray-haired scientist, do we find all the relations of life involving both the known and the unknown quantities. Were it not so, advancement, both moral and intel- lectual, Avould cease, for Avithout the incentive of the unknown continually before us, the desire to unravel its mysteries Avould not exist, inductive reasoning Avould become unnecessary, and man, contented with himself and his surroundings, would cease to be the active, inspiring element of progress Avhich he now is, and would become a mere listless automaton, performing mechani- cally the necessary duties of life. Such, comparatively, is the man of the present day who at- tempts to deal only with known quantities, who believes only that Avhich the sense of touch or sight may reveal to him. That physician Avhorefus.es to traverse that borderland in which dwells the unknowable of the scientist is in serious danger of shipAvreck PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 159 on the shoals of inactivity. For that Avhich is unknowable to- day may not be unknowable to-morroAV, and the drug potency yielding no medicinal molecules to-day may, in the hands of the future scientist, become rich in the finely divided elements of the original substance. Hahnemann (Avhen he discovered that under the guidance of the laAV of cure the sensitive human organism Avould not tolerate as large doses as he had previously employed) sought to establish some plan by Avhich the size of the dose might be systematically reduced. Of the success of his efforts we are Avell a\vare. AVhen the aggravation of symptoms still attended the administration of the lower preparations, and he felt the necessity of still further reducing the size of the dose, Hahnemann, although appreciat- ing his far departure from the original substance, did not point the microscope to each successive potency in order to assure him- self of actual drug presence. This he considered an unnecessary test, for equally conclusive to him Avas the action of the medicine upon the diseased organism. AVhen, as he ascended the scale of potencies, he saAv precisely the same effects attending the admin- istration of his remedy, save the absence of the medicinal aggra- vation, he Avisely concluded that such action could only result from the drug administered, else Avhy could these results be fore- told Avith such precision ? The patient tossing about Avith a burn- ing fever on receiving Aeon.30 would break out in a profuse per- spiration and the fever would abate. And this, occurring time and time again, was conclusive evidence to Hahnemann that Aconite did it. Should it not be conclusive evidence to others as Avell? And Avhen Hahnemann's experience has been repeated many thousand times by his followers, .pot only with Aconite as mentioned, but also with many other remedies, should not the medicinal efficacy existing in the 30th potencies be clearly ac- knoAvledged, and the subject no longer remain an open question ? It is a fact acknoAvledged by all homoeopathists that the cura- tive action of a drug, when properly selected, is not in direct ratio with the quantity of the drug employed. This principle Avas set forth Avhen Hahnemann passed from crude materials, by the scruple and drachm, to drops and grains of tinctures and triturations, just as much as Avhen urged by additional experi- 160 AMERICAN INSTITUTE OF HOMOEOPATHY. ence he passed from the latter to pellets of the 30th potency. The physician who prescribes only Ioav potencies admits the truth of this statement equally with him who relies upon the higher potencies. So, Ave may safely assume it to be an accepted doctrine of the homoeopathic school that, " the curative poAver of drugs is not in the proportion of their material quantity." This fact once acknoAvledged, Avhere shall the line be drawn, and Avho shall say at Avhat point in drug potentizations medicinal efficacy is lost? Again, it is a conceded point that trituration and dilution develop curative poAver in substances which in their crude state are inert, viz., silica, salt, tin, gold, etc. If this be the case, and it most certainly is, Avho is to say what point marks the limit of this development? Experience alone can establish these points, and it has already demonstrated beyond cavil that, to say the least, development of curative poAver does not cease below the 30th potency. I say experience has demonstrated this fact. If not, then experience is of no value, and the accumulated Avis- dom of Hahnemann, of Bonninghausen, of Dunham, and others only fills a blank page in our literature. Statistics go far toAvard proving the medicinal efficacy of the 30th potencies, but I will detain you only by referring to the well-known experiments of Drs. AVurmb and Kasper, in the Leopoldstadt Hospital at Vienna. These gentlemen had no confidence Avhatever in high potencies, but determined to estab- lish a series of experiments in order to arrive at a solution of the question of dose. So during the ten years from 1850 to 1859, inclusive, all cases in this hospital AATere treated for the first three years Avith the 30th decimal dilution, for the second three years Avith the 6th, and for the remaining four years with the 15th. At the end of the ten years Dr. Eidherr undertook the task of collating the material thus obtained, and con- fined his investigations to a single disease, pneumonia, for the reason that the diagnosis of this disease is easy, and that, by means of the physical signs, its course, progress, and decline could be more accurately followed and observed than is the case Avith many other acute diseases. His investigations were con- ducted with the greatest care, and all outside influences taken into consideration, even to the different atmospheric conditions PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 161 of each period. As regards the latter, it Avas determined that " during the first epoch the atmospheric conditions were most favorable to the prevalence and severity of pneumonia, and there- fore the least favorable for the treatment; during the second epoch least favorable to the spread and severity of pneumonia, and therefore the most favorable for the treatment." The cases occurring during the first period were designated by Dr. Eidherr as Group 1, those during the second period as Group 2, and those of the third period as Group 3. The physical signs of each stage of the disease Avere very care- fully noted, and the comparison betAveen the groups made with reference to all these points. The following is the result: The average duration of the infiltration was: For Group 1,...... 3.0 davs. " 2....... 4.1 « " 3,...... 3.0 " Resolution began: For Group 1,.....on the 3d day. " "2,..... " 3 5 " " " 3,..... « 3.2 " Resolution Avas complete: For Group 1,.....on the 4.9 day. " " 2,..... " 6.9 " " " 3,....." 6.3 " The physical signs of the infiltration vanished : For Group 1,.....on the 7 1 day. " " 2,..... " 9.3 " " "3,..... « 10 3 " The physical signs of the exudation vanished: For Group 1,.....on the 12.3 day. " " 2, . ' . . . « 20 5 " " " 3,..... " 18.1 " The average duration of each case from its reception to its dismissal: 162 AMERICAN INSTITUTE OF H0M030PATHY. 11.3 days. 19.5 " 14.6 " From these valuable figures Ave not only learn positively that there is medicinal power in the 30th potency, but we may safely conclude, in fact must conclude, that 30th potencies, at least in pneumonia, are to be preferred to the loAver potencies. In addition to these statistics Ave should not fail to take ac- count of the success of those individual practitioners Avho have relied mostly upon the 30th, or still higher potencies—Hahne- mann, Bonninghausen, and others, in both Europe and America. These gentlemen have Avon Avorld-Avide reputations as successful practitioners, and, to say the least, their successes in practice will very favorably compare Avith those of our friends who rely ex- clusively upon the Ioav preparations. Nor should we forget a fact in the history of homoeopathy, recently brought to notice by Dr. Lippe, Avho Avrites as folloAvs: " Homoeopathy was intro- duced into the United States about fifty years ago. The early pioneers, as we well remember, had only the 30th potency at their command. The only shop in the United States where homoeopathic medicines Avere for sale Avas in Broad street, Phila- delphia, kept by J. G. AVesselhoeft, and this bookseller imported them from Europe. AVith these 30th potencies as their only outfit in the Avay of medicine, but Avith a full knowledge of Hah- nemann's teachings, and strictly following the rules laid doAvn in the Organon in the application of the principles governing the homoeopathic healing art, did these early pioneers enter upon their mission ' to cure the sick.' Our skeptics of the present day, then, should remember that the foundation upon Avhich homoeopathy has been so rapidly and so successfully builded in America, Avas laid by the successful use of the 30th potencies. Had the experiment, though such it Avas not considered, failed at that time, had it been proven that the 30th potencies contained no curative poAver, homoeopathy would to-day have been a thing of the past. Had it not been for the triumphant successes which attended the use of these potencies in the hands of those pioneers, the young members of our profession to-day, instead of attempt- ing to unsettle facts most thoroughly established fifty years ago, For Group 1, " " 2, " " 3, PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 163 would have been entirely ignorant, save from history, that such a school of medicine ever existed. How ungrateful, then, and foolish, to assail their OAvn birthright, and to attempt to tear down the foundation upon Avhich they themselves are builded, and to Avhich they OAve their professional existence." But the materialists of the present day Avould have us under- stand that clinical proofs are of no validity, and very Avisely turn to the patent medicine almanac as proof of their position. To admit such a comparison should hardly be alloAved. The ho- moeopathic remedy prescribed upon a scientific basis is expected, according to the laAV of similars, to effect certain definite results, which may be presaged Avith remarkable certainty. On the other hand, the so-called clinical proofs of the patent medicine action are only the indefinite and unwarrantable conclusions of unprofessional minds, enlarged and embellished by the proprie- tor of the nostrum for pecuniary benefit. There is no similarity whatever betAveen the two. That clinical proofs, Avhen not surrounded by proper restric- tions, and Avhen not conducted by observers of integrity and scientific capacity, may become Avorthless Ave admit, but it is not of such that Ave Avould speak, nor is it necessary to take such into account Avhen Ave have before us the authentic and reliable case-books of Hahnemann, Bonninghausen, Dunham, and many others. So Avhen Ave have clinical proofs Avhich are the result of the single homoeopathic remedy prescribed in precise accordance Avith the homoeopathic laAV of cure, and untrammelled by any deleterious or antidotal influences, and in cases Avhere the diag- nosis is established beyond question!, may Ave safely say that such proofs are of equal importance and rank with those proofs Avhich, to the chemist, decides the proportions of a compound, or, to the physiologist, establishes the relations of the life processes, or which tells the astronomer in advance the movement of the heavenly bodies. Each is the definite result of an applied natu- ral laAV and in this sense each is of equal importance to the other. Not only is there therapeutic power in the 30th potency, but pathogenetic power as well. Hundreds of authentic provings with the 30th potencies are recorded, in Avhich the positive and 161 AMERICAN INSTITUTE OF HOMOEOPATHY. distinct pathogenesis of the drug, as afforded by poisonings and by provings with the crude material, are verified. If then the 30th potencies have been proved to possess pathogenetic poAver, their therapeutic virtues must be acknowledged. Nor can Ave overcome the facts of these authentic provings by sneering at motives, or by calling into question the veracity or reliability of the prover. Take, if you please, the provings of Rhus rad.30 made by Dr. Joslin. Note the rheumatic character of the pains produced, even to the retaining of the Rhus peculiarity, worse when first beginning to move. Also observe the skin symptoms giving the peculiar eruption Avith much burning and smarting, so that Dr. Joslin himself remarks that, "the effects apparently produced by the 30th, agreed in character and location very closely Avith those caused in many by the contact of the legs and feet Avith the leaves of the living vine." Can it be said that such symptoms were the result of imagination ? Not at all. This, 'tis true, only argues as to the pathogenetic poAver, but we need not go far to establish the curative. My OAvn experience, aside from that of scores of others present, guarantees the fact that this class of symptoms have very many times been removed by Rhus30, nor is it necessary to prove a fact so positively well knoAvn. Yet in this connection pardon a single case : Dr. Hup- field reports the case of a colored Avoman aged 33, Avho had had rheumatism for five years, suffering every day, and at times very severe attacks. The chief characteristic being " excessive pain and stiffness of the limbs," the latter especially on rising after be- ing seated. Four doses of Rhus tox.30 produced a radical cure. A few special cases, and I will close : Dr. Fanning reports the following : A Avoman, aged 28, after an attack of typhoid fever under old-school treatment, had a chronic diarrhoea alternating Avith constipation lasting over a year; the chief peculiarity of the diarrhoeic attacks was a sensation of something pulling at the umbilicus, with actual retraction at the navel. A feAV doses of Plumb, met.30 gave an immediate cure. Dr. BroAvn, of Binghamton, reports the case of a lady hav- ing paroxysms of excruciating pain at the stomach, as if " stick- ing the parts with a knife," which had lasted under allopathic PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 165 and homoeopathic treatment over a year. One dose of Phos.30 cured immediately. Dr. Betts reports a case of constipation, Avith no desire for stool or ability to pass stool, cured Avith one dose of Alumina30. Dr. Boparius reports a case of flatulence of several years' standing cured Avith Phos.30 My colleague on this bureau, Dr. LaAvton, of AYilmington, Del., furnishes the folloAving remarkable case: A lady, subject to periodical attacks of renal colic, Avhich had aUvays yielded promptly to Lye30 (Tafel), sent for medicine saying, " You know just Avhat I AA'ant, doctor; it is one of my old attacks." I sent her one powder of Lye.30 to be dissolved and taken in Avater, a teaspoonful every half hour until relieved. I also sent a second poAvder (Sac. lac.) to be dissolved and taken after the first had been discontinued. In about three hours I Avas sent for to come immediately, the patient being a great deal Avorse. Found her symptoms all aggravated, Avhile she Avas tossing from one side of the bed to the other in great agony. I asked if she had been better at any time since taking the medicine, and Avas told that after taking two doses she Avas re- lieved and thought she could sleep. In the meantime her medi- cine became again due, and she took another dose. From that time she became uneasy, and continued to grow worse every time the medicine Avas repeated. I decided that she Avas getting ag- gravations from Lye, and stepping to the bed gave a feAv pellets of Camph.30 dry on the tongue. In less than a minute she Avas relieved and had no return of the pain. From my OAvn case-book a few cases : Three cases of facial paralysis,—two of long standing, and one recent,—each cured within ten days, the recent case in three days, Avith Caust.30 In a Ioav case of typhoid fever, fifteenth day. Patient uncon- scious trembling of loAA'er lip, constant for five days. One dose Arnica30; in half an hour the trembling ceased and did not re- turn and on further use of the same remedy consciousness soon returned and the patient made a rapid recovery. I had always been afraid to rely upon the higher potencies in the treatment of croup, until upon one occasion I found my- 12 166 AMERICAN INSTITUTE OF HOMOEOPATHY. self several miles in the country with my Aconite vial empty. The 30th was all I had, so I prescribed it, and instead of wait- ing half an hour or longer, as I had previously done, for the much-desired perspiration and accompanying relief, I only had to wait five minutes, and I saAV the most rapid and beautiful re- sults I had ever Avitnessed. To this day Aeon.30 in such cases has never failed me. In my college clinic, a case of constipation in a scrofulous young man of 22, a cripple from Avhite swelling, avIio had not had a natural evacuation since five years of age, either using in- jections or cathartics, Avas cured in three months Avith Bry.30 on the indication, " stool hard and dry, as if burnt." . Also a case of intermittent of six months' duration under old- school treatment. Shaking every day or every second day, at irregular intervals; chills and heat mixed ; pale, yelloAv, cachec- tic look. Prescribed Ars.30. Not another chill occurred, and the patient recovered at once. But these are only a feAV cases out of thousands that might be offered in connection Avith other arguments we have adduced to show the " medicinal presence and efficacy in the 30th potency as furnished by clinical experience." AVhy need we go farther? These are incontrovertible facts, and, surely, if they do not con- vince, you " Avould not be persuaded though one rose from the dead," PROOFS OF MEDICINAL PRESENCE AND EFFLCACY IN ATTENUATIONS ABOVE THE THIRTIETH DECIMAL, AS FUENISBED BY THE TESTS OF CLINICAL EXPERIENCE. By C. H. Lawton, M.D., Wilmington, Del. The strongest evidence and the most convincing proof of me- dicinal presence and curative poAver in our high potencies is that they cure. Having been assigned by our chairman the work of collecting proofs from clinical experience of medicinal poAver in the use of attenuations above the 30th decimal, and believing that the testimony of a number of physicians from different parts of the country would be more convincing and conclusive than the limited experience of any one man, I have solicited and ob- tained the folloAving reports from gentlemen avIio are Avell known to the most of you as close observers, successful practitioners, able exponents of the homoeopathic laAA*, and worthy the confidence and support of every member of this Institute. These reports, so far as time will permit, I noAV have the honor to read. Mr. S. K., age 44, married, by occupation a merchant. Active habits; bathes tAvice a week; five feet ten inches in height; gain- ing in flesh ; complexion salloAV. Has been ill a year and a half. Father Avas subject to rheumatism of legs, rhus-type. Former treatment allopathic. Has considered himself incurable, and has had no treatment for several months. His temperament is nervo- bilious-sanguine, is very nervous and irritable; pulse very Aveak, and 66 to the minute. If startled or frightened has palpitation 168 AMERICAN INSTITUTE OF HOMOEOPATHY. of the heart; sounds of the heart normal. Circulation in hands and feet good, except in the winter. Tongue slightly coated; teeth sound ; appetite good ; sometimes whilst eating, nausea, and sometimes vomits ingesta. Stools undigested; bowels consti- pated. Rheumatic pains in right shoulder, caused by draft of air, followed by an attack one year ago. Has stiffness of thighs Avithout pain, better from constant motion. Feels Aveak, and is unable to bear fatigue. Intense itching of the skin, Avith formi- cation all over the body, Avithout any eruption ; has no period- icity, except it is worse ivhile undressing. On this date, October 31st, 1874, I gave him one dose on the tongue of Oleander'200, and followed Avith a dose, every three hours, of the same. November 4th, 1874. Pulse 76. Tongue not changed in appearance. Undigested stools, perhaps a little better. Other symptoms no change. Continued same treatment. After this prescription, he rapidly improved, and took no more medicine. I frequently meet him on the street, and he has remained Avell up to this date, March 1st, 1880. The symptoms which I deemed characteristic of Oleander were the intense itching, worse while undressing, Avhich I have frequently corroborated, and the undigested stools. P. S.—I ought to say that the potency was the 200th centesi- mal, made by Tafel, and by hand. H. Noah Martin, M.D., Philadelphia, Pa. Mr. Geo. A. M., aged about 30 years, wholesale grocer, active habits ; lost his mother a year ago, and an infant child six months ago; exerted himself much in nursing. Complains of shortness of breath, bruised soreness, and stitching pains in region of left ventricle of the heart. Percussion, sIioavs cardiac dulness, extended to the left nipple- line and someAvhat beyond. Palpation : excessive action of heart; impulse of apex, very strong to nipple-line, and upAvard to abo\7e nipple. Auscultation, inconstant bloAving sounds at apex, and from aortic orifice to great vessels, momentary in duration; no continuous valvular murmurs. Face pale and anxious; eyes appear someAvhat fixed. PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 169 March 26th, 1880. I prescribed Arnica200, night and morning (No. 40 pellets, three at a dose). March 30th. Feels much better in every Avay. The heart is more quiet and less sore. B/. Sac. lac. April 5th. Still better; cardiac dulness less extensive; impulse less extended upward, and to left. Tj;. Sac. lac. April 11th. Better. R/. Sac. lac. April 22d. Better as to heart, but has been moving; exerted himself going up and down stairs, and was exposed to cold. Noav has pleuritic stitches in the right side of chest, Avorse by inspira- tion and motion. Py. Bryonia200, three times a day, three davs, follov\'ed by Sac. lac. May 1st. Complains of nothing; feels quite well. Physical examination shoAvs the cardiac dulness and apex impulse nor- mal ; sounds normal. Discharged. J. C. Morgan, M.D., Philadelphia, Pa. No. 1. A boy, aged 7 years. Convulsions; starts from sleep, Avith red face, frightened looks, staring eyes, and convulsive jerkings of the body. Bellad. 6m (made by hand on the Hahne- mannian plan), relieved. A relapse the next day yielded to a dose of similarly prepared 10m. Had had convulsions before, but has had none since (one year). No. 2. Miss ----, under treatment for ten months. Some symptoms yielded, but the following resisted the usual remedies. Ineffectual urging to urinate; Avhen it does pass it comes in drops with much straining and intense pain; Avorse before menses. Headache the third day of the menses, the flow suddenly stops, then the headache ensues. Dim vision; Avorse Avhen stomach is out of order. Lith. carb. 10m Fincke relieved promptly. E. A. Farrington, M.D., Philadelphia, Pa. June, 1879. Etta S., aged 14 months, bright, healthy appear- ance. Chill in the morning, tAvo hours earlier every other day. Awakens bright, becomes thirsty, after a little time falls asleep, has a marked chill, blue nails, fingers and tips, folloAved by high 170 AMERICAN INSTITUTE OF HOMOEOPATHY. fever, flushed face, someAvhat restless, then profuse and general sweat, after which she awakens in good spirits. Opium'200, Nux vom.1000, Bry.200, etc., failed. Nux mos.200, a poAvder every six hours. No more chills to date. While sleepiness is a charac- teristic of Nux mos. I find no mention of the profound sleep during all the stages of an intermittent fever, Avhich was the characteristic symptom of this case. I cured a case of three years' standing in the same family Avith Cimex'200. Characteristic symptoms, draAving under the knees, and sensation, during the chill, "as if the body Avere contracted." J. B. Gregg Custis, M.D., Washington, D. C. A gentleman, aged 35, called on me to prescribe for a facial neuralgia. The indications being for Arsenic, I prescribed one dose Arsenic 200 Fincke. He clapped his hands to his head in intense agony, and cried : " Doctor, Avhy did you give me Ar- senic ? I ought to have told yon that I never can take Arsenic." He remained in intense agony for about five minutes, when the pain disappeared, and his neuralgia never recurred. He had no means Avhatever of knoAving Avhat medicine it was that I had prescribed. A. C. COWPERTHWAITE, M.D., Ph.D., Iowa City, Iowa. An old man, seventy-five years old, but otherwise hale and hearty, a good eater, complained for about one month of dizziness, Avith tendency to fall on left side; he fell once or tAvice Avhen Avalking in the street, but never lost consciousness or, if so, only for a second or two. All secretions and excretions normal; radial pulse, 60, hard and tense, perhaps from atheromatous condition of arteries. Vertigo with inclination to fall to left side is found in Aur., Cil., Dros., Euphorb., Lach., Mercur., Mez., Sulph. zinc. Remedies for aged people, Ambra, Baryta, Con., Opii, Sec. The indications for Aurum met. were clear, and in the 200th potency, a dose morning and e\Tening, for a feAV days, relieved PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 171 the vertigo entirely; the removal of the atheromatous condition Avas out of the question. Samuel Lilienthal, M.D., New York, N. Y. AGGRAVATION FROM RUTA GRAVEOLENS 200th. On February 2d, 1872, I Avas consulted by Mr. B----, about fifty-five years old. He has for years been subject to pro- lapsus of the rectum. During stool, and even Avhen lifting hnrd, the boAvels would protrude to the extent of an inch or more. He Avas in the habit of evacuating the boAvels soon before retiring, as it Avas difficult to retain the boAvel for some hours after stool, unless he kept in a recumbent position. After a careful compari- son of all his symptoms Avith those of Ruta graveolens, I gave that medicine in the folloAving manner: Twelve poAvders of Sac. lactis, numbered. In Nos. 1, 4, 8, and 12 were a feAV pellets of Ruta 200th, the others were blank, but also contained blank pel- lets, that they might all appear alike. (This is my usual custom when giving blanks and medicated poAvders.) A poAvder to be taken at 10 a.m. every day. After the poAvders Avere all taken, he reported that on the days he had taken Nos. 1, 4, 8, and 12, he had several diarrhoeic stools, folloAved by such general pros- tration and Aveakness of the boAvel (as he expressed it), that he Avas obliged to keep in the house, and very quiet for twenty-four hours, as even slight exertion would cause a descent of the bowel. Left him Avithout medicine for a feAV days, and wrote to Dr. AVilliam Eggert, for advice, and requested him to send me Ruta very high. Dr. Eggert advised me to AATait on the action of the 200th, as an aggravation was generally a pretty oertain indica- tion that the correct remedy had been given. He had no higher potency of Ruta to send me. On the 24th of same month, tAvelve days after the last dose of Ruta, no improvement having taken place and not being fully satisfied that the medicine had caused the aggravation, I gave him a similar package of powders, only numbering the medicated ones 3 and 9. Again he reports that Nos. 3 and 9 Avere the same remedy that I gave him before in Nos. 1,4, 8, and 12, causing exactly the same train of symp- 172 AMERICAN INSTITUTE OF HOMOEOPATHY. toms, and begging me to give him no more of that kind, as it made him sick. From this time on to April 5th folloAving, I kept him on blanks, numbered as before, but no improvement folloAving, I gave him another dose of Ruta 200th, with precisely the same result, and he discontinued treatment. In this case there Avas no possible chance for the patient to as- certain beforehand any difference between the powders, as all ap- peared and tasted alike, and he did not see them put up. The Ruta Avas Tafel's 200th, the only preparation of the remedy I then possessed. A. L. Fisher, M.D., Elkhart, Ind. TYPHLITIS. Patient, stout healthy boy, aged twelve years, dark hair and eyes; on November 1st, 1879, SAvalloAved a leaden bullet, larger than a No. 80 globule, and Aveighing 75 grains, or nearly 4 scruples. For a Aveek afterwards suffered no inconvenience except con- stipation ; bowels moving but once during that time. Was called to treat him November 8th for pain and tenderness in the bowels, worse in right iliac region, loss of appetite, white furred tongue, slight nausea, feverishness, pulse 90, temperature 100, thirst, but not for large quantities of Avater. The pain Avas not spasmodic like colic, but a constant sore pain, aggravated by motion. Patient could not tell if the bullet had passed. BoAvels had moved but once since it had been SAvallowed, and not at all for three days. AVas this a case of lead poisoning? or had the foreign sub- stance anything to do Avith Avhat appeared to be enteritis? Nothing else could be assigned as a cause; no cold, or impru- dence in eating or drinking. Gave Plumb, met. 50m, in Avater, a dessertspoonful every two hours, till three were taken, then if better to be discontinued. * Next day patient easier; medicine had been given irregularly during the night, as the sleep Avas dis- turbed. Pulse still 90, temperature much the same. Medicine continued, three poAvders, three hours apart. In tAventy-four PROOFS OF MEDICINAL PRESENCE AND EFFICACY. 173 hours the case Avas still further improved ; pulse and tempera- ture lower ; soreness not so great, and more circumscribed. Three more poAArders of Plumb. Avere given, three hours between. Did not hear from patient again for iavo days, Avhen a message came that he Avas much worse. Found him lying on right side, with right limb drawn up ; could not be moved without great pain. Complained of a hard, sore lump, the size of a man's fist, in the right iliac fossa. Pulse 100; temperature 100; disgust for food ; tongue Avhite; nausea; urine very slight, and dark broAAm; con- stipation, no action of boAvels for seven days. Gave Lyc.cm in solution, dessertspoonful every two hours, unless better. Next day, much Avorse; had had a bad night, no sleep, pulse 110, temperature 101; constant moaning and screaming with pain in the lump, Avhich Avas noAV as large as a man's tAvo fists, hard and very tender, Avith slight discoloration of the surface. Everything taken into the stomach Avas noAV rejected ; vomiting had continued for twenty hours. Besides the slight nourishment taken there Avas a green ropy fluid throAvn up. Still no action of the boAvels. Tepid Avater inject men ts had been given, but passed off Avithout effect. No urine passed for tAAenty-four hours. Friends Avere anxious. Allopathic physicians, Avho heard of the case, pre- dicted death certain, and not far distant. An abscess evidently seemed about to form in the region of the obstruction ; and Iioav was this to be averted ? The boAvels must move, or the patient will die, say the allopaths, and the allopathically inclined; but Iioav is this to be brought about ? By the hazardous operation of a cathartic? a failure of Avhich to effect this end would only add to the pressure and inflammation, and thereby insure certain death. Is this a case Avhere the law of the similars is suspended or in- applicable, and the physician justified in resorting to anything knoAvn to the medical world to save the life of the patient, an only child, and criminally culpable if he did not? Can Ave conceive of a more complicated or dangerous condition, or one that it Avould seem Avas more beyond the sphere of medication ? But even in this dreadful state of affairs, homoeopathy, pure, rigid, and unadulterated, is the only auxiliary required. Hepar sulph., 1000th (Tafel), in solution, Avas given, a dessertspoon- 174 AMERICAN INSTITUTE OF H0M030PATHY. ful every tAvo hours for twenty hours, without intermission, by which time the vomiting had ceased, the pulse fallen to 105, temperature 100, urine passed freely, pain and expression better, lump softer and not so tender, medicine continued at longer intervals. Next day, the ninth of the treatment, very much improved ; pulse 100, temperature 100, had slept three hours during the night, taken and retained nourishment; medicine continued every four hours. In twenty-four more pulse 95, tem- perature normal, pain and soreness greatly relieved, bowels had moved freely, filling a gallon chamber one-third full, in Avhich there Avere eight or ten hard dark balls over an inch in diam- eter, and covered Avith slime; the balance varied in color and consistency, a part being brown and thin, and all very offensive. Unfortunately this stool Avas destroyed Avithout being carefully examined for the bullet, Avhich very probably had also passed off. This Avas the tenth day of the treatment, and the thirteenth day from the time the bowels had last moved. The tumefac- tion and soreness iioav gradually subsided, and a permanent recovery followed. The only reason for giving the medicine in the 1000th potency Avas that I did not have it any higher. C. Pearson, M.D., Washington, D. C. APPENDIX. DISCUSSION. S. Lilienthal, M.D., NeAV York : To set the ball in motion, as it seems to be at a standstill, and nobody Avants to get up, I Avill say a feAV Avords. The first thing I Avant to say is that since Professor T. F. Allen, after sending in his report, wanted to make his own provings, he wanted to select his oavii medicine. It Avas understood that Dr. Sherman Avas to make them. After he ay as informed of this he AvithdreAV. I must say that I have felt perfectly happy the Avhole day at the report which was made by the Bureau of Materia Medica. AVe have found out that chemistry fails entirely in proving the value of high dilutions. It was acknoAvledged that the spectroscope fails. AVe have found out also that the microscope fails to answer the question as to high potency. I thank my friend Dr. Sherman for his labor. I can only see from his report that there is a difference betAveen the well body and the sick body, and that we often find a reagent in sickness to Avhich our high dilutions areespecially attractive. For instance, you might have a proving on the healthy body and find that they are acting perfectly well. On a sick person it would be different. I believe this is the fact Avithout doubt. Professor Dake, in his first part, acknowledged that neither chemistry, nor the microscope, nor the spectroscope has ever found a difference in the blood, whether it be a miasm or any- thin^ else. There is then a higher poAver or force, an elevating force behind those germs, or a life force, if you please. Nobody has ever seen it. We know it only by its effects on the body. AVe cannot hold it, we cannot take it in our hand. That Avas acknoAvledged by Professor Dake. He acknoAvledged that the spirit is not recognizable. The papers of Professor CoAvper- tliAvaite and of Dr. LaAvton, Avere most satisfactory. One of the most beautiful expressions which I heard Avas given by Dr. LaAvton. He said : " There is the soul of the drug acting, Ave are all a\vare, in the living person." Noav nobody knoAVS where 176 AMERICAN INSTITUTE OF HOMOEOPATHY. that soul is, yet they know it is in us. It works in us. It is constantly at work. Just such a soul, if I may use the expres- sion, is in the drug. It Avorks; but you have to liberate it, and by being liberated it Avorks quickly, immediately, and we see the benefit of it. Noav comes the question, why do not others see it? Macht's nach, macht aber genau nach. Try it, but do not say it don't Avork. You may say you do not understand it, that will be a free confession. You may say you do not knoAv hoAV it Avorks, that may be the truth. You may say I do not understand a great deal of physiology, I only knoAv the effects. Just so you see the results. I only beg of you, those avIio ha\re a prejudice against high dilutions, to be sure you are right. That is, be sure you are right in the selection of a remedy. Be sure you are right in your diagnosis of the disease, and that is the totality of the symp- toms, and nothing else. All the pathology, live pathology, I do not mean pathological anatomy, but living pathology, is nothing less than Avhat Hahnemann so beautifully called it, the totality of the symptoms. You get the totality of the symptoms and you cover them carefully, you cover them with the right remedy and you will always cure your case. If your case is not cured, you may be sure that you are at fault. The trouble is not in the dilution but in your judgment. Dr. Adolph Lippe, Philadelphia, Pa.: Mr. President, per- mit me to make a feAV remarks on the paper read by Dr. Sher- man. He seems to be in error when he reflects upon people Avhom he calls believers in high potencies, avIio have not taken any part in these proposed provings, because, impliedly, he meant to say that they Avere afraid that their belief Avould come to grief. Those that have used medicines according to the rules laid down by Samuel Hahnemann, are not believers. They are convinced of the effect of the smallest dose. It is not a belief, it is a con- viction—conviction obtained by experiment. It is for that rea- son, and that is one of the reasons, why they have taken no notice Avhatsoever of that proposed reproving of the 30th potency. But if Dr. Sherman had been good enough to read his homoeopathic literature, he would have found that that experi- ment had been made in Vienna thirty odd years ago by Dr. AVatcher, on Natrum muriaticum. He found that Natrum muriaticum cured the disease in the high potencies. What Avas the result of all that proving? Dr. Watcher Avas anxious to prove the 30th potency. He did not believe in it. The experi- ment Avas made, first on the healthy and then on the sick. He Avas honest enough to say, that he was grieved to be compelled APPENDIX—DISCUSSION. 177 to acknoAvledge that the 30th potency Avas of great efficacy in pro- ducing conditions on the healthy organism, and in curing sick people in a very short time. More so than the lower potency. AVe can say that at that time it Avas settled. Noav here Ave are, thirty years later, called upon to prove that over again. Noav, if Dr. Sherman Avas very anxious to do so, he might have followed the plan of Dr. AVatcher—made his first provings of the potency upon the healthy, obtained all the symp- toms thereby, and obtained a cure. But Dr. Watcher not only produced with the 30th potency many symptoms, but forty times more symptoms than he had produced with the loAver potency. He corroborated Hahnemann's Natrum muriaticum symptoms, and added materially to the knowledge of the inert drug sub- stance. That is the way to make provings. It is the plan pro- posed, but it has not been responded to, for the very reasons that I have now stated ; not because there Avas any particular objec- tion to it, except the objection that it Avas useless, and our time can be better employed by developing homoeopathy than by proving and reproving again that which was known thirty years ago to be true. Alvin E. Small, M.D., Chicago, 111.: I was not present, unfortunately, Avhen the reports were read on Materia Medica, but it struck me as being rather queer, when I read the title of the papers given here, as furnishing, for instance, a test for chemistry. Noav, if Ave Avant a physiological proving, what has chemistry to do Avith it? AVe do not Avant to prove our reme- dies by chemistry, Ave Avant to prove our remedies on the living subject. AVe trace thein to vital conditions, and be sure Ave re- gard the laAV. AVe want to be sure 1ioav far the system is im- pressible to the action of remedies. AVe cannot test or measure a remedy -by chemistry, neither can Ave by the microscope or the spectroscope; Ave cannot prove them by these instruments. It is only on the living subject that Ave can prove them. We knoAv that these living subjects are susceptible to a variety of changes which exist in -nature, Avhich chemistry can never touch, and of Avhich no measurement by any instrument Avhich you can invent can be made. I Avill ask you Avhat makes the oak groAv? You can plant an acorn in sand or shot and Avater it with rain-water, and it Avill extract nutriment from the rain-Avater. The nutriment is as in- finitesimal as the highest potency you can name. The tree will be elaborated, and when sufficient rain-water has been furnished this acorn will germinate, it will groA\', and produce a tree, and it Avill spread its branches, and if you will take the pains to an- alyze that tree you Avill find many chemical elements in the tree 178 AMERICAN INSTITUTE OF HOMOEOPATHY. which you cannot find in the rain-Avater. There is a smgular metamorphosis-which takes place in living beings. Now we have read of the lichen which feeds on the atmosphere, and yet it sends out roots, and will elaborate itself and become a vege- table and a plant that can be seen by the naked eye. Noav where did it come from? where does this impress come from that is made upon the living tissues? When the plant has developed itself it yields, on analysis, the same chemical elements that you will find in other bodies of nature. Nature is full of these forces, and a remedy addressed to the vital forces will produce a modi- fication of the system, so that no estimate can be obtained by measurement. AVe have seen this. I would like to relate a fact which I saAV myself, in Philadelphia. I Avas called to see a lady there, Avho said to me: " Doctor, don't you dare to give me* any Pulsatilla; it ahvays distresses me so that I do not wish you to give it to me." Some time after this I was in attendance upon her, in a fit of sickness. Her symptoms seemed to justify the prescription of Pulsatilla. I recollected what she had said, and I selected a very high potency —Jenichen's potency—such as I thought she never Avould detect, even if I administered it to her. I gave it to her and said nothing, and I mentioned it to no person whatever. The next time she saAV me she said: " I told you never to give me any Pulsatilla; I never have the feelings that I experience except Avhen I take Pulsatilla." Now that Avas the 800th potency. I have seen other cases Avhere the impressibility of the system was so great that the most infinitesimal dose can produce an effect upon the vital forces. I once was attending a patient who was singularly affected by the odor of musk ; she could never endure the odor of musk Avithout its superinducing a fit of syncope. Noav all philosophers agree that odors are small particles escaping from odoriferous bodies. You may think it strange that the odor of musk would produce this syncope upon a patient, but it is a fact. You may call it idiosyncrasy, or call it an impressible condition of the system, but it is a fact nevertheless. The patient becomes af- fected Avith the musk, and experiences a fit of sickness. Hoav many patients have Ave seen affected by the odor of a rose or some other floAver? AVe knoAv that this odor produces an action upon the living economy, and there is no kind of measurement that can be inflicted upon the dose that has been administered. F. R. McManus, M.D., Baltimore, Md.: My friend, Dr. Small, has been speaking about the impressibility of the human system. I knew a lady Avho lived in Baltimore, 35 years of age, and there was nothing that seemed to disturb her equanimity. APPENDIX—DISCUSSION. 179 She Avas in ordinary health, but the odor of a shrub affected her seriously. Experiments Avere tried by her astute allopathic phy- sician, to ascertain if he could not bring a shrub into the room Avithout being detected by her, but it ahvays produced syncope; she could not pretend to handle it at all, or to smell it. For fear he would be mistaken about it, Dr. John Taylor, avIio Avas the physician of Baltimore in the olden times, spoke to me of the case; he Avas her physician. He took a shrub and an ordi- nary-sized pocket handkerchief, and he put it in one corner and folded it, and Avrapped it, and wrapped it, and Avrapped it, and folded it together, and then he wrapped around it a silk pocket handkerchief, and he put it in his pocket. He Avas attending her professionally ; he visited her. She said to him : " Doctor, I feel very weak." " Well," says he, " Avhat is the matter; are you in pain?" " No, I have no pain, but I feel Aveak; I feel a weakness coming OA^er me." " What kind of a weakness; what do you suppose produces it? I am only feeling your pulse." " AVell," she says, " I have a feeling such as I ahvays have from the odor of shrub." Noav that is the history of one case that I heard of in my life, but it is a fact. It only proves the impressibility of the system. The President : Several gentlemen wish to knoAv the name of the plant, What Avas the name of the plant? F. R. McManus, M.D., Baltimore, Md.: The common gar- den shrub, calycanthus. That was an extraordinary case; I mentioned it as corroborating what Dr. Small says. William Owens, M.D., Cincinnati, O.: In regard to the report which has been presented by the Bureau of Materia Medica, I must say for myself that I have been actually disappointed. I had expected to hear a reference to some drugs in the report, and their application on the human organization, as Ave under- stand it, in their relations to homoeopathy. I expected to hear a report upon drugs, and their relation to the human organiza- tion, which is the proper function of the Bureau of Materia Medica, Pharmacy and Provings; but instead of that, sir, I hear a report here on physical science—physical science, and not Ma- teria Medica. The first part of the report appertains entirely to physical science and the presence of medicinal substance in cer- tain attenuations. It gives no relation of those substances to any morbid condition of the organism whatever. And so, therefore, I am somewhat disappointed in the report, although, from the caption of the several papers, I should not have been. Ao-ain sir I find in the other department a report of a series 180 AMERICAN INSTITUTE OF HOMOEOPATHY. of clinical cases properly belonging, I presume, if the chairman will alloAv me to make'the statement, properly belonging to the Bureau of Clinical Medicine. According to this, therefore, Ave have no Bureau of Materia Medica, Pharmacy and Provings be- fore us for discussion. This is pharmacy without a pretension to pharmacy. If this is pharmacy, then Ave have no comments perhaps to make. But this is simply a report upon physical science; the report relates simply to physical science and nothing else. I had expected, Mr. President, from the character of the gentlemen engaged in making this report, that Ave Avould have had something else, or something said in relation to drug action, and to the action of drugs on the organism, Avhat tissues are affected by drugs, how they are affected by drugs, Avhat are the results of these effects, and from that, an inference as to the poAver of drugs in disturbing the functions of the organism. But not one word has been said upon that subject. If I understand the papers correctly, I be- lieve not one Avord has been said upon that subject. The chairman of that bureau did, in a paper Avhich he read, refer to this matter, but they did not appertain to the papers proper of the bureau. With all credit to him, he has relieved the bureau from an onus Avhich I think could properly attach to it under the circumstances, that is, of not making a proper report of Materia Medica. First, Ave should know Avhere the drug im- pinges, what tissues are disturbed, Avhether the irritation occurs Avithin the blood, Avhether it occurs Avithin the nervous system, and if in the nervous system, Avhich class of nerves it disturbs. Is it the cerebro-spinal, or the sympathetic, or the organic, or the vegetath^e? These are the points really Avhich this Bureau of Materia Medica ought to make. AVhen Ave can establish a basis for their action, and a uniform prescription, a uniform dose may be more nearly approximated. But until Ave can lay the foundation for uniform drug action by attaching that action to certain tissues of the body, Ave utterly fail to perform the duties which Ave owe to the homoeopathic medical profession. Until, I say, AAre can accomplish this, Ave utterly fail in the duty we OAve, as teachers and students of Materia Medica, to the homoeopathic profession. I believe, sir, that Ave will have to go back and re- study many of our physiological problems, and some of our histo- logical problems, and Avhen this is done Ave shall be able to draAv conclusions from the facts there stated quite diverse from those offered by our old-school physiologists and pathologists; draAv conclusions which will lead us in quite an opposite direction, and afford a beacon-light Avhich Avill lead us omvard to the study of true homoeopathic Materia Medica. I am sorry that I cannot say that this bureau has furnished us a stepping-stone to this APPENDIX—DISCUSSION. 181 field, or taken the first step in that direction. It has only proved that certain medicinal substances are inert when given in the 1,000,000th potency, Avhich Avas knoAvn thirty years ago. J. H. McClelland, M.D., Pittsburgh, Pa.: I cannot say that I am discontented with the report of this bureau. In the first place, I read on the circular, that it Avas to be a report of the Bureau of Materia Medica, Pharmacy, and Provipgs. In the second place, I read that the bureau, as Avas their right, se- lected a certain subject, and that subject related to the proof of drug presence and poAver in attenuations above the 6th decimal: first, as furnished by the tests of chemistry; second, as furnished by the spectroscope and microscope; third, as furnished by the tests of physiology ; fourth, as furnished by analogy from the field of impalpable morbific agencies. Secondly, the proofs of medicinal presence and efficacy in at- tenuations aboA^e the 6th decimal: first, as furnished by the tests of clinical experience, in the use of attenuations, ranging from the 6th to the 15th decimal; second, as furnished by clinical ex- perience, in the use of attenuations, ranging from the 15th to the 30th decimal; third, as furnished by clinical experience, in the use of attenuations, above the 30th decimal. Noav, you might asAvell expect the Bureau of Surgery, after it had selected the subject of tumors, to bring in a report on frac- tures, just as well. I think no one Avill doubt that this bureau has adhered strictly and logically to the subjects selected by the bureau, and Avhich it had a perfect right to select. Next year they may take up another phase of Materia Medica. This year the subject Avas certainly very ably handled,and in reference to that re- port I Avould like to say one Avord. AVe have a good deal of testi- mony, as I remarked yesterday, in regard to another paper, of a negative character. We have testimony here that finds no drug in a certain potency, but that is evidently negative testimony. It proves that no drug Avas observed in that potency, perhaps, with the means at hand very ably handled. It does not prove that these potencies are Avithout power, as one of the papers would lead us to believe. The positive testimony, Avhich each and every one has had, that the potencies above a certain grade, the 30th or higher, have produced effects positively, is Avorth all of the negative testimony that could be adduced. But I can very readily see myself Avhy it is that the testimony that has been offered in regard to the AA'onderful efficacy of the higher po- tencies, is received with doubt. It is because, in many instances, the enthusiasm of the reporter has carried him away really, or at any rate, has blurred his judgment. AVe have testimony that is absolutely defective, we have testimony as to the cure of pa- 13 182 AMERICAN INSTITUTE OF HOMOEOPATHY. thological conditions, that any one knows must be absolutely without foundation—Avithout truth. When I find, for instance, a case of typhoid fever reported, and a most frightful state of things existing, the patient just at the last gasp—a case of genuine typhoid fever—just as you all know, Avith certain pathological conditions produced— and a certain potency is given, and very often a very high po- tency, and lo! behold! the next time he is visited, in twenty- four hours, the patient is Avell. Now Ave all know, every one knoAvs, that that cannot be. ' It cannot be. You appeal to people that ought to be reasoning people to believe things that cannot be. So Ave find tumors described, malignant tumors, and a high potency is given, or a low potency, as the case may be, but I really think the high potency is oftener mentioned—a high potency Avas given, and under the influence of the drug ad- ministered, a cure is reported. We knoAv that a morbific growth is a thing of sIoav growth. It is something Avhich is developed after months, and months, and years. AVhen Ave hear the reports, wTe find that one dose is given, and lo ! the next day the tumor is gone ! Now, that, I say, shocks the faith of the people in the testi- mony that is brought to bear as to the efficacy of high potencies. On the other hand we all know that Ave have given the 30th po- tency and the 200th potency and higher potencies, for conditions of disease which we cannot solve, Ave cannot limit; the condi- tions Avere progressing under their action, in a reasonable time have ceased, and the case has recovered, evidently as an effect of the medicine. Noav I say, there is nothing in that testimony to convince us that there is potency and power in these 30th potencies, and higher potencies, to do such things. Dr. P. P. AVells,, Brooklyn, N. Y.: Ladies and gentlemen, I have but one Avord to say in reply to the statement Avhich has just been made by my friend, Dr. McClelland. I am about to state Avhat happened under my OAvn eyes, and I knoAv it is not what another has told me. It is not Avhat another has done. I will give you the facts, and you can make up your judgment as to them. The patient Avas a little girl, nine years old. She was in a state of constant delirium, Avith intense headache. If she was asked a question she would ansAver it immediately, and then fall off into delirium. AVhen questioned she declared that the pain in her head was intense. She had a seATere cough Avith an excruciating pain through the Avhole chest. She had tympanites and tenderness over the Avhole abdomen, Avith diarrhoea of a brown Avatery substance, Avhich Avas running her into the grave. Now you may call it typhoid fever or whatever you like. But APPENDIX—DISCUSSION. 183 that little girl got a half dozen pellets dissolved in a teacupful of Avater. I observed that myself, and I know. This dose Avas given at 4 o'clock in the afternoon, and at 9 o'clock the next day she Avas sitting on the sofa dressed. Several Members: AVhat remedy Avas given ? P. P. AVells, M.D.: I will tell you if you want to knoAv. But that was a perfect picture of typhoid fever. That was it. The patient recovered. She Avas up and dressed, and sitting on the sofa. The dose Avas administered betAveen 3 and 4 o'clock in the afternoon, and at 9 o'clock the next morning she was up and dressed. Dr. McClelland is mistaken as to its being pos- sible or impossible. That which has been is certainly possible. 1 think Ave must stick by that. Now as to the susceptibility which is sometimes met Avith to medicinal action, a great many of us have got a great deal to learn. You have been told about the effect of a shrub. There are other medicines and vegetables Avhich produce the same effect. If a vial of a certain medicine Avere uncorked and held to the noses of certain parties they would be thrown into convulsions in a minute. I have heard of an experiment that was made upon a young man Avhich showed his extreme sensibility to drug action. Upon inhaling the medicinal substance he was thrown into convulsions. This only shows the extreme sensibility of this young man. This is found to be the case Avith certain persons. They are extremely sensitive. But iioav I Avill go back to what I know myself A patient was sent to me from a physician in New York, with a statement that she was extremely sensitive to medicinal action. The ac- tion was something singular in her case. I put a vial under her nose with pellets in it, and she Avent into convulsions in a moment. Now I am perfectly competent as a Avitness to this fact: first, that it Avas a vial; second, that it had pellets in it; and third, that she Avent into convulsions; fourth, I know that the cork was in the vial; fifth, I know that it was put under her nose ; and sixth, I know that she went into convulsions just as quick as the vial came under her nose. I will speak of another thing in this patient. I would only say that things have happened to some persons that have not happened with other persons in this world, but that does not prove that it did not happen. Her suscepti- bility Avas so great, she would take a pellet in that way and be affected. She would say, " Now, doctor, I feel it going up my left arm." I sjave her the medicine, and I know what it was. AVhen it was administered, she Avould say, "Now, doctor, I feel it "-oing up my arm," and she Avould put up both arms over the phrenological organ of hope, and say, " I feel as though all my 184 AMERICAN INSTITUTE OF HOMOEOPATHY. hope was gone out of me." I gave Pulsatilla, and her symptoms are almost a literal translation of Pulsatilla as they stand in the Materia Medica. Henry E. Spalding, M.D., Hingham, Mass.: I would like to ask the duration of the sickness before the single dose Avas given—I refer to the case of typhoid fever—and Avhat remedies had been given before that, in the treatment of the case. The President: The time of Dr. Wells has been exhausted. Dr. Brown, of Binghamton, has the floor. Titus L. Brown, M.D., Binghamton, N. Y.: Mr. President, I have listened to the papers this evening, of this bureau, Avith a great deal of pleasure, and I am satisfied, as far as I am con- cerned as a member of the Institute, that they were well-pre- sented, well-written, and well-delivered papers in fact, and a credit to the Bureau of Materia Medica, and the cause of homoe- opathy. They simply gave individual opinions according to their observations. Be they correct or not they gave them as eorrectly as they could. Low or high, their opinion was given to us as Avell as any one could give it. I think they are entitled to great credit for presenting their views fairly to us. I do not make any criticism upon the bureau or upon the papers. I rise simply to throw in a thought in reference to the action of reme- dies upon human bodies. You will all acknoAvledge that they produce poisonous effects, and produce subjective or objective symptoms, and then they produce changes of the tissues of the body. You Avill find afterwards just exactly how they do this. This must be ascertained, of course, by discovery. I cannot see any difference betAveen their physical and dy- namical action. They are forms of matter, we are forms of matter, and if we take into consideration their condition and the results that they give, we can tell uniformly what the result will be. I have never found that I could substitute one remedy for another. I have found that I could cure the patient of a certain condition after having obtained the exact remedy. When I had a sufficient number of cases I had something to found the remedy on. In the same case you can repeat the same remedy. AVe can repeat the form, not ahvays absolutely. You will only get a similar form—similar motion. This can be done by the action of remedies. I never produce the same effect, only a similar effect. Noav what is this dynamic action? Is it not physical action but beyond our conscious- ness, Avhether it be a subjective symptom or objective symptom? We report results Avith our symptoms on one side or the other, which are often very hard to make out, because we do not under- stand them, and then we fall back and give credit to all degrees APPENDIX—DISCUSSION. 185 whether of low or high dilution. The effect of the dilution is simply the action of remedies. You may give them any name you please. It is matter in contact Avith matter. By no possi- bility can you destroy any portion of the remedy. Noav, for in- stance, I hold here in my hand a tumbler of Avater, pure Avater; from above comes a stream of pure water running into it, or you may suppose it is running into as large a vessel as you please. I put medicine in that Avater. Hoav long has that water got to flow until the medicine is exhausted; until it has reached a point Avhen it will give no dynamical action? So Avith the ac- tion of remedies; we may criticise, but our object is to learn. That is the object I had in coming here. O. P. Baer, M.D., Richmond, Ind.: Mr. President and gen- tlemen, I am very glad to say that I recognize the fact that there are four kingdoms in the physical universe, an elementary, a mineral, a vegetable, and an animal. Most scientists claim but three, but our elementary is as large a kingdom as the rest. Ho- moeopathy claims a portion of all these kingdoms, hence it is a physical science. Of all physical sciences it will in time be the most exact. Now to prove some of its peculiarities. Do you not all recog- nize that everything in the physical universe has a form peculiar to itself, or it has some peculiar characteristics peculiar to itself? But has not everything an identity? Most assuredly everything has an identity. How do you know one from another except by its peculiarity, by its identity, by the laAV of comparison, by its peculiarities. It being the case that there is that identity, is it not ahvays manifest by simple presence, or an external physical presence, a proximate presence? Sometimes this presence, Avhat- ever it is, does not come to your vieAv; it is neither tangible nor observable. Everything has a sphere of action. Do not min- erals have a sphere passing off from themselves? Do not the elements have a sphere ? Do not the A7egetables, and does not the animal kingdom? Everything, if you please, has something peculiar to itself, floAving out from itself; everything is influenced by that floAving out, everything surrounding it. It is its oavu self. It is like a grain of musk sending out its effluvia in every possible direction. So it is Avith every element of the vegetable, mineral and animal kingdom; they all have their characteristics. These characteristics are emanations of its life. Now this iden- tity, I hold, you cannot destroy with all the preparations possible. There is an inherent principle within the form of the thing, seen or not; it is itself, its life. That gives it form. Life is force. Force pushes as life pushes forward and gives form to matter. The life Avithin it is the poAver that that life contains. This in- 186 AMERICAN INSTITUTE OF HOMOEOPATHY. trinsic \ralue belongs to it; it is that power Avhich no dynamiza- tion can destroy. It is there; it is an inherent principle, inhe- rent Avith the body itself that gives it identity, having, like it, a poAver. It may be like the musk in the tOAver of Pisa, that has existed for eighteen hundred years; there it is. Its presence can be perceived ; it is not destroyed. Its atoms may be sepa- rated, but they are never entirely destroyed. AVhat are the ' atoms? They are the most obtrusive and the most intrusive materials in the physical universe. Each atom seeks its affiliate, it seeks union. Very often Ave have a great combination of them, forming a molecule. This molecule is formed into masses; then they become inert; it is a finite, Avhich is so active ,- it is a finite, which is so obtrusive, and as you reach the finite you reach power. It is that poAver Avhich gives homceopathic medicines their virtue. Noav I don't care hoAV much you talk about Ioav or high dilu- tion, the thing Ave Avant is the picture; the thing Ave Avant is that which directly corresponds to the picture presented by your patient. You have a certain class of symptoms, and you search your Materia Medica for a remedy that corresponds precisely, or, in other Avords, is a prototype Avhich the symptoms present. There you have a fac simile, one Avith the other; one is the pro- totype, and the other is the type,—one is the picture, and the other is the image of that picture. Make your prescription and you succeed. There are a few other things that I wish to speak about. One is an interesting case that I had. I Avas called to see an exceed- ingly singular case; it Avas a banker's Avife. I Avas called betAveen tAvo and three o'clock in the morning. AVhen I Avent in I found her in a perfect state of frenzy and excitement. I said to her: " What symptom is the most prominent, cau you tell me, can you pick it out?" She told me; "Oh, I have such a very sore pain in my uri- nary organs; I Avant to urinate every minute, and I can't." I at once took out my case of 200ths and gave her five or six pellets of the 200th of Jenichen's dilution of Cantharis. I gave her this to take; she took one teaspoonful. She said : " It will not do me any good." In less than five minutes she fell asleep. She slept for fifteen minutes, when she raised up, and I gave her a similar dose again. She told me she had no more pain. I visited her the next morn- ing at ten o'clock, and she Avas about her usual work. Dr. Pearson, Washington, D. C.: Mr. President, ladies, and gentlemen, I will not detain the Institute five minutes. I do not intend to enter into the discussion of these papers at all, but APPENDIX—DISCUSSION* 187 I am thankful for small favors. I really feel like congratulating the Avorthy chairman of the bureau, and the members of the bureau generally, Avith what I regard as being very important, if not the most important papers ever offered to the Institute. Last year the papers offered on that occasion Avere good. The papers did remind me a little of the story told by Mr. Lincoln. On one occasion he Avas obliged to listen to a long essay on some moral subject Avith which the writer and reader were very famil- iar ; and Avhen he got through, and asked Lincoln's opinion of it, Mr. Lincoln said he thought that anybody that liked that kind of tiling Avould be apt to like that kind of thing, and he would like that paper. Mr. President, I could not help thinking of that anecdote, and I compared the members of this bureau to the unruly church member, Avho Avas eternally backsliding and as often being brought into the church and baptized over again, until a sailor suggested that the only Avay Avas to put him in and keep him in over night. You Avill remember, Mr. President and gentlemen, that on that occasion I predicted that there Avas to be a reformation of this kind. I must confess I was sold on that occasion, but I felt just as good as a Methodist preacher in camp-meeting. . T. C. Duncan, M.D., of Chicago: I move that this bureau be closed. The President : AVe will hear from Dr. Dake first, as he is the chairman of the bureau. Dr. J. P. Dake, Nashville, Tenn.: Mr. President and gen- tlemen, 1 Avill endeavor to close it up very rapidly. In the first place I wish to correct my friend Dr. Lilienthal with regard to Dr. Allen's experiments. The bureau never represented to Dr. Allen that Dr. Sherman should make the attenuations for his test; they never proposed that to him at all. The propo- sition Avas that these preparations should be made in New York city by a committee, as 1 stated in my introductory. "My friend Dr. Small was not present Avhen our papers were read ; if he had been he would not have made the speech which he made here a feAV moments ago. He says he don't want chem- ical provings. Noav those gentlemen Avho heard our papers knoAv very Avell that we did not insist upon or limit the proving of medicines to chemical tests, by any manner of means. Indeed, we went far beyond that, even into physiology, and even into the sick-room. Noav I am perfectly satisfied with what this bureau has been trying to do, and I will briefly recapitulate its work. This bureau presented, last year, first a history of Hahne- 188 AMERICAN INSTITUTE OF HOMOEOPATHY. mann's object and methods in drug attenuation. I challenge any gentleman to successfully contradict the statements made in the first paper giving this history. It Avas correct. In the second paper Ave gave the history of drug attenuation as practiced by the followers of Hahnemann since his time, Avith a special reference to deviations from his method. I say that the statements made in that second paper are correct, and when they are objected to I will be obliged to any gentleman if he will point out to the author of that paper the misstatements of history. The third paper presented was upon the means and methods of drug attenuation Avith reference to impurities and errors; and this paper Avas very carefully prepared, stating the means used and the methods pursued, with the dangers of impurity and inexacti- tude and evil in our pharmacy. It Avas a valuable paper, as you Avill believe Avhen you read it; Avhen you see it in print you will appreciate it. That Avas as far as Ave were able to go last year on account of the Avaut of time. AVe then deferred, as I mentioned in my introductory, the remaining sections of our subject to this year. AVe have presented papers on them to- day. AVe have adhered to our subject, Ave have stuck to our text, and I believe you will agree with me that Ave have not wandered aAvay. AVe have to-day presented the evidence of the presence of drug matter and drug poAver in homoeopathic attenuations. Have Ave endeavored to destroy or to teardoAvn ? Not at all. We have endeavored from all quarters to gather, by all tests, proofs of drug presence and drug poAver in drug attenuations, not only in the 1st, 2d, 3d, and 6th, but also in the 12th, 30th and 200th, and as much further as any test can possibly go, be it in the physiological laboratory, or be it in the sick-room. Noav Ave have endeavored most faithfully to adhere to our plan ; Ave have done it Avith the best of feeling in the Avorld, wishing to upset no man's faith. AVe have not worked for the profession alone; we have Avorked for homoeopathy and for the medical Avorld and the Avorld outside. If Ave Avish to knoAv any- thing in regard to drug attenuation Ave have to study and ex- periment to find it out. That is Avhat Ave have been endeavoring to do, gentlemen, and Ave haA'e done it, as I have said, with the best of feeling. It has been our aim to develop the truth, faith- fully and fully, not to the injury of one party, nor for the benefit of another. In the bureau Ave have not all been of the same mind on the question of drug attenuation; but Ave have all en- deavored to be honest and fair. I will not repeat. (Tremendous applause.) APPENDIX—DISCUSSION. 189 T. C. Duncan, M.D., of Chicago: I renew my motion to close the bureau. Dr. Hawkes, of Chicago: I rise to a question of privilege. My name AAas mentioned in one of the papers, and it has left a misapprehension on the minds of my friends in the Institute. This would be the case if that matter was not cleared up. The intimation Avas made, or impression given, to some of my friends that I had been afraid to make a test. My reasons were these, and I think they are good ones : that in a matter of such national, such world-wide importance as the settling of a question of po- tency, that it was too great to be placed in the hands of less than representative men. In proof of the correctness of my assertion, the very first report of the Milwaukee test committee contained tAvo gross errors in connection Avith my name. One Avas a pos- itive misstatement, and the other was an implied misstatement. These facts I pointed out in a subsequent statement. I think that this also will give the reason why Professor Allen dropped the matter Avhere he did. My friend, Professor Allen, I think will give the same reason. o ' - < £ c c c c c c c C" << < C <$ . c c_ • ■ c < • < v «■ c c c; c «C. c < <;.,. v ' * c .