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Electively I decide for the Hahnemannian,
and designate the round upon which he stands as that which gives
the broadest and loftiest view of medicine ever yet obtained by
mortal discoverer. His position is the only logical one, for he
holds in his mental grasp all that is below him, and, moreover,
knows just how to value every step below him and so to determine
their relation with the higher and the highest. He heralds with
delight the discovery that Arsenic can cause endocarditis, Bryonia,
pleurisy, Mercurius Corrosivus, Brights disease, and Kalmia,
almbuminuria. If he can not possibly do any better, he is at liberty
to descend from his height and employ one or the other of these
drugs accordingly. But usually his command of other and more interior
effects of drugs leads him to proceed more intelligently and to
act more comprehensively. I see, he says, certain
subjective and less ultimate objective symptoms that call more emphatically
for another drug--- for Pulsatilla. But, comes
up the objection from the round below, Pulsatilla has not
the pathological symptoms. True, but it has the important
symptoms, of the case, which I recognize as not mere reflex effects
of the localized disease, but which rather bear a causative relation;
and, besides, they are manifest in planes of molecular action, which
necessarily hold to the coarser parts the relation of cause to effect,
and any drug applied to the local symptoms only will have but a
partial and palliative effect.
Continuing the conversational style I have
almost unconsciously drifted into let me presume the pathologist
ask: How can your method ever result in a tangible, fixed
therapeutics? Are you not doomed always to remain in the speculative?
No, the Hahnemannian answers, we rest on terra
firma as well as you, even if we are not so anxious to measure out
precisely where shall be our footing. Our method develops an objective
therapeutics. How? To illustrate, the
world-renowned Aconite owes its febrile usefulness to the method
of Hahnemann. When Hahnemann first prescribed it, he knew little
or nothing of its power to cause and cure synochal fever. He selected
it from concomitant symptoms, guided by the rule of characteristics,
and lo, soon it becomes an invincible fever-remedy. It does not
clearly appear from the provings of Hepar that the drug can hasten
the formation of pus; boils were developed, unhealthy sores suppurated,
but the power of the drug over pus was deduced from such symptoms
as intolerance of pain, parts feel sore as a boil etc. But
it is rejoined, now that these objective and pathological
facts are determined, are they not of paramount importance, and
it is not Homeopathy to use them? It certainly is Homeopathy,
but whether or not it is always pure Homeopathy is another question.
The same process of deduction that gave these facts existence still
rules. Aconite is doubtless similar to synochal fever; indeed, experiments
since Hahnemanns time have proved that it can cause chill,
fever and sweat; but to be the similimum in a given case Aconite
requires also the peculiar mental anguish and restlessness so distinctive
of it, and not the quiet and torpor of some other inflammatory drugs.
Are not such subjective symptoms as you refer to incomplete,
and when fully developed into their pathological ultimate do not
the latter become all sufficient as indications?. They
certainly are incomplete in the sense that they are not ultimated;
but since they originate the ultimate they do not cease their activity
when the latter appear; they still hold the superior position of
cause to effects; and, besides, they represent disease changes of
a more interior character than do their ultimate---disease changes
which, be it ever remembered, may ultimate in more than one way;
hence they are of a more universal value.
In this connection I can not do better than
quote the words of an allopath, Dr Andrew Clark, who, while learning
a wholesome lesson for himself is un-wittingly re-teaching many
a delinquent homoeopathist what has long since been practically
forgotton. I quote from the Hahnemmanian Monthly of October 1884:
We are so much concerned with anatomical
changes; we have given so much time to their evolutions, differentiations,
and relations; we are so much dominated by the idea that, in dealing
with them, we dealing with disease itself, that we have overlooked
the fundamental truth that these anatomical changes are but secondary,
and sometimes the least important, expressions or manifestations
of states which underlie them. It is to these dynamic states that
our thoughts and enquiries should be turned: they precede, underlie,
and originate structural changes; they determine their character,
course, and issues; in them is the secret of disease; and, if our
control of it is ever to become greater and better, it is upon them
that our experiment must be made.
While, then, I admit that the law of Homeopathy
is elastic enough to give me quite a range of treatment, it is clear
to me that my duty demands my earnest endeavor to employ, whenever
I can, the purest and highest method of applying that great boon
to humanity--the law of similars.
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