| 1. A Defense Of The Method We Have Proposed
The assertion that one remedy must first be perfectly known, and
that then the rest will be acquired with less difficulty, and still
more easily the farther we advance, is founded on the principles
and practice of mnemonics.
This diagnostic method, indeed, appears to me to be the only practical
plan of studying the materia medica, or at any rate, the shortest
and most direct way of attaining the end proposed.
There are certainly two other possible methods. One is to learn
what are called the principal symptoms of each medicine. The other
is to study each substance by itself, and thus, all of them unconnectedly.
A fourth and last method would be, not to study the materia medica
at all. (Exempla sunt odiosa!)
To learn the so-called principal symptoms – e.g., to extract
from an epitome like Jahr's Manual, the most prominently marked
sentences, and to get these off by heart – is the shortest
way to practice. But, at the same time, it is the surest way to
permanent mediocrity. Let him who is forced to make a trade of his
profession, adopt this method. It will bring him soonest into the
center of the woods.
But let him not forget to secure at the same time a permanent possession.
If not, he will resemble the squatters in the far west, who establish
themselves without troubling their heads about their right to the
soil. And when the buyer of the land chases them off, they remove
to a distance, out of one wretched wooden hut into another.
They barely support their existence by the scanty profits arising
from ill cultivated ground, and the uncertainties of the chase.
This superficial, unmeaning sort of life has charms for them. And
their labors, together with those of the destructive wood louse,
lighten the task of the settler.
Those qualities that we at present term the principal symptoms
of the medicines are, for the most part, unsatisfactory —
nay, they prove an obstacle in the way of accurate individualization,
and lead to carelessness.
It is much more convenient to administer to patients a dozen homeopathic
remedies according to this principle, than any plan of the old school.
And one may, by such practice, be pretty sure, that by the end of
the year a number of patients will have recovered.
These principal symptoms are, moreover, in many instances incomplete,
and in many others perfectly false. They can only be known with
certainty, and have their due value assigned them, by a careful
study of the various medicines, having especial regard to their
relations one with another.
A mere acquaintance with these principal symptoms cannot be called
studying the remedies. If we were in possession of a scientific
arrangement of the materia medica, we might make it the basis of
our study of the medicines. But at present, we cannot expect to
construct anything satisfactory on such an uncertain and incomplete
basis.
He who seeks to study the medicines according to their symptoms,
but each medicine separately and without instituting a comparison
between them, will, with the very best memory, not advance far before
forgetting what he had previously learned. The memory is incapable
of retaining any thing but what is presented to it in connection
with something else. An idea is easily brought to the recollection
only when in connection with others.
We would remind him who has had no experience of the comparative
method, either on himself or others, that acquiring a knowledge
of the symptoms of medicines, is exactly similar to the mode in
which the chemist, the mineralogist, the botanist, and the zoologist
acquire a knowledge of the objects connected with their respective
sciences. We should, therefore, set about it in a similar manner.
Let it be considered what a multitude of signs are so perfectly
at the command of the zoologist, that he can easily recall them
to his recollection. Although no one is capable of giving a complete
description of all animals, a repetition of all their characteristics
"off the book," as the saying is.
Yet the zoologist can at once tell a new animal when he sees it.
He can instantly determine to what class it belongs, and point out
its particular characteristics. By merely looking at each animal,
he already knows its characteristic peculiarities, or at least has
no difficulty in discovering them.
The homeopathic physician must do just the same with his medicines.
Let it not be alleged that zoology and the other branches of natural
science are things quite different from our science. It must be
regarded and dealt with in exactly the same manner as the natural
sciences.
Let it not be said that those sciences are so far advanced, and
the system so perfect, that every thing connected with them is much
easier. Suppose that our materia medica were at present as little
advanced as a natural science - as zoology in the time of Aristotle.
This should not deter us from regarding it as such, working it
out as such, and studying it as such. By this means we should make
as much progress in it as was then made in zoology – and that
is a good deal in comparison to knowing nothing at all, or to wandering
in benighted ignorance amidst a profusion of everything.
I refer to those who possess a real knowledge of our materia medica,
if that has not been obtained in the way I have just pointed out
– and I doubt not that some now see that they have unconsciously
obtained their knowledge in the same manner. There can only be one
right way. But this may have been pursued without the individual
being exactly aware of it himself, as has happened to those proficient
in many of the arts.
When one remedy has been accurately studied, and the art has been
acquired of classing others along with it according to their resemblance
and of distinguishing the differences between them, then each subsequent
group that is studied in a similar manner costs far less trouble.
The result will be that he who has thus made himself master of a
hundred medicines will require for the second hundred scarcely so
much time and labor as he expended on the first ten.
An increase of the medicines, therefore, ad infinitum, will never
prove too much for human capabilities. Entomologists can easily
acquire knowledge of a number of new insects. It requires little
trouble on the part of the botanist to learn an endless succession
of new plants. This they do by a speedy conception of the resemblances
and differences among them – and the more practice they have,
the easier it is.
It may be urged that no such laborious mode need be adopted to
acquire of one of the natural sciences, but that the general characteristics
of the various classes are soon learned. In the present state of
the natural sciences, all the relationships existing among the various
classes and orders may be seen at a glance, and the study of them
thereby greatly simplified.
But, as we have not brought our materia medica to such a pitch
of perfection – and from the short time of its existence,
it has been impossible to advance it farther than it is at present
– we must dispense with this simplifying glance.
We must, however, on this account, follow the only path that leads
to this end – laborious though it be at present. As the progress
of inventions facilitates commerce and travel more and more, so
the progress of science always lightens the task of learning what
has been discovered. The same will be the case as regards the materia
medica.
Until that time comes, we must study the remedies as we find them.
The time is, we hope, not far distant, when we shall be able to
talk about the objects of our science in the same manner as natural
historians do of theirs – when, like them, we may be able
to give complete descriptions of these objects without touching
upon unimportant information.
The time, we hope, is at hand when we shall know what is and what
is not important in our materia medica. |