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And this brings us to second question, upon
the solution of which depends the maintenance of any position. A
function is, literally, an act, a performance, and applied to physiology,
is the action of an organ or set of organs (Dunglison). If
I take a drug and symptoms result, are not these the expression
of altered functions---altered in degree or quality? If, for instance,
Lachesis causes hemorrhages with a settling like charred straw (Guernsey),
or if it causes profuse bleeding, the blood will not coagulate (Lippe):
is this not a nutritive change? And will this altered blood perform
its normal functions? Let the answer be found in the gangrene, the
erysipelas, or the impending typhoid state.
Were Dr. Lippe to ask how are the changes
made I would be compelled to answer, I know not. The secret working
vital force under infinite surveillance. Just how it works, mortal
man may never know. We live in a world of effects, and it is only
of these we can become cognizant.
The blood propelled by the heart, sweeps
over the aortic arch and down the aorta, never dispensing its gifts
until it reaches its ultimata in the capillaries. Nerves run to
and from centers, giving no impressions until their termini are
reached. The ulna, irritated at the elbow, tingles at its termination
in little and outer side of ring fingers. So with every vital effort,
it is in its fullness only when terminated in its appointed organ
or organs.
Organs are made of tissues, tissues of molecules,
and herein are consummated the complex vital phenomena which make
up the life. As Hahnemann says, the internal changes we can not
determine. But their effects,which appear normally in conscious
sensation and motion, and abnormally in symptoms, are determinable.
Whether these symptoms are subjective or objective, they express
a change in function or nutrition, and bespeak the tissue or tissues
involved.
If a function is truly defined above, will
not the symptoms show a changed action of an organ or set
of organs?
If I take a remedy, say Rhus,and it produces
a vesicular eruption, will it be denied that a change in nutrition
has taken place? And can not we perceive what change has taken place?.
Or, still more to the point, if for a non-uniting fracture we prescribe
Calcarea Phos, and the callus quickly forms--- a callus containing
a hundred-fold more time then we give--- can we deny a tissue and
a nutritive action?
We know that tearing, boring pains indicate
an affection of bones or periosteum; that sharp, shooting pains
indicate an affection of serous membranes. We know that Aconite
acts on serous sacs, increasing their suction; while Sepia, Iodine,
etc, relax serous and synovial sacs.
Equally sure are we that Hypericum acts on
nerve tissue, Arnica on the capillaries, Mercury in the production
and Silicia in the prevention of pus formation, Conium on adenoid
tissue, Graphites in the dissolution of cicatricial tissue, Creosote
on the mucous lining of the stomach,Silicia, Chamomilla, Bryonia,
on connective tissue, Ferrum on the haematin, Phosphorus on the
blood cells, and so on through the Materia Medica.
But thirdly, are such facts of use in the
application of Materia Medica? True, a physician may cure the Lachesis
haemorrhage without any other information then the mere words of
the symptoms. But so long as man finds delight in the exercise of
his God-given reason, he will demand the why ---the why which anticipates
every truth--- the why which led to Hahnemanns quinine experiments,
and to every succeeding step in his discovery of Homoeopathy.
No physician can intelligently apply medicines
with simply a memorized materia medica. He is then like the industrious
student who, in his attempt to learn French, memorized the dictionary
but learned nothing of grammatical construction. Neither can the
physician always succeed in obtaning the necessary totality of symptoms
without an intimate knowledge of functional perversions. He must
know from physiology what are the normal relations of organ with
organ; from pathology what changes diseases cause; from the history
of diseases what are their probable course, duration and result
For example, delirium, photo-mania, singing, praying, making verses,
will yield to Stramonium; but the same symptoms with retained placenta,
demand Scale. Neuralgia in and over the left eye may yield to Spigelia,
but if a titled uterus exist, even though there are no subjective
pelvic symptoms, the remedy will be Actaea Rac.
Gross in his Comparative Materia Medica"
gives as a symptom of Apis, suppuratins do not occure.
Why? Virchow tells us that the production of pus demands an inflammation
of the parenchyma. Apis only attacks surfaces, hence it seldom forms
pus. The utility of this Characteristic is evident in contrasting
the remedy with Belladona, tonsils bright red, swollen threatening
suppurtion.
If a patient passes urine deposting reddish
sand, are we damaging Homoeopathy if we search for the cause of
this defective oxygenation of nitrogenous matter? On the contrary,
will not the revealed symptoms help to complete the totality, and
so help us to diagnose between Lycopod; Natrum Mur; Ant. Crud, etc,
all of which have such a urinary deposit?
If a newly proved drug causes white, flocculent
urine, are we violating the precepts of the Master if we analyze
this excretion and, finding phosphates in excess trace thence the
relation of other symptoms produced? Let it be remembered, however,
that symptoms have a relative value; and although we may make use
of every known means in analyzing a case and collecting the totality
of its symptoms, we must arrange our picture according to the well
tried rules of Organon.
The true physician, while he holds fast to
the precepts of Hahnemann, neglects no fact, which a progressive
science might utilize, no discovery, which bears the stamp of truth.
If the new discovery contradicts his well-confirmed laws---his creed
it may be called---it must be false, for truth can not invalidate
truth.
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