§ 31–60
Samuel Hahnemann (tr. William Boericke) · Organon of Medicine · 6th (with 5th-ed. variants)
§ 31
The inimical forces, partly psychical, partly physical, to which our terrestrial existence is exposed, which are termed morbific noxious agents, do not possess the power of morbidly deranging the health of man unconditionally[20]; but we are made ill by them only when our organism is sufficiently disposed and susceptible to attack of the morbific cause that may be present, and to be altered in its health, deranged and made to undergo abnormal sensations and functions – hence they do not produce disease in every one nor at all times.
[20] When I call a disease a derangement of man's state of health, I am far from wishing thereby to give a hyper-physical explanation of the internal nature of disease generally, or of any case of disease in particular. It is only intended by this expression to intimate, what it can be proved diseases are not and cannot be, that they are not mechanical or chemical alterations of material substance of the body, and not dependant on a material morbific substance, but that they are merely spirit-like (conceptual) dynamic derangements of the life.
§ 32
But it is quite otherwise with the artificial morbific agents which we term medicines. Every real medicine, namely, acts at all times, under all circumstances, on every living human being, and produces in him its peculiar symptoms (distinctly perceptible, if the dose be large enough), so that evidently every living human organism is liable to be affected, and, as it were, inoculated with the medicinal disease at all times, and absolutely (unconditionally), which, as before said, is by no means the case with the natural diseases.
§ 33
In accordance with this fact, it is undeniably shown by all experience[21] that the living organism is much more disposed and has a greater liability to be acted on, and to have its health deranged by medicinal powers, than by morbific noxious agents and infectious miasms, or, in order words, that the morbific noxious agents possess a power of morbidly deranging man's health that is subordinate and conditional, often very conditional; whilst medicinal agents have an absolute unconditional power, greatly superior to the former.
[21] A striking fact in corroboration of this is, that whilst previously to the year 1801, when the smooth scarlatina of Sydenham still occasionally prevailed epidemically among children, it attacked without exception all children who had escaped it in a former epidemic; in a similar epidemic which I witnessed in Konigslutter, on the contrary, all the children who took in time a very small dose of belladonna remained unaffected by this highly infectious infantile disease. If medicines can protect from a disease that is raging around, they must possess a vastly superior power of affecting our vital force.
§ 34 6th edition
The greater strength of the artificial diseases producible by medicines is, however, not the sole cause of their power to cure natural disease. In order that they may effect a cure, it is before all things requisite that they should be capable of producing in the human body an artificial disease as similar as possible to the disease to be cured, which, with somewhat increased power, transforms to a very similar morbid state the instinctive life principle, which in itself is incapable of any reflection or act of memory. It not only obscures, but extinguishes and thereby annihilates the derangement caused by the natural disease. This is so true, that no previously existing disease can be cured, even by Nature herself, by the accession of a new dissimilar disease, be it ever so strong, and just as little can it be cured by medical treatment with drugs which are incapable of producing a similar morbid condition in the healthy body.
The fifth edition's text (1833)
The greater strength of the artificial diseases producible by medicines is, however, not the sole cause of their power to cure natural disease. In order that they may effect a cure, it is before all things requisite that they should be capable of producing in the human body an artificial disease as similar as possible to the disease to be cured, in order, by means of this similarity, conjoined with its somewhat greater strength, to substitute themselves for the natural morbid affection, and thereby deprive the latter of all influence upon the vital force. This is so true, that no previously existing disease can be cured, even by Nature herself, by the accession of a new dissimilar disease, be it ever so strong, and just as little can it be cured by medical treatment with drugs which are incapable of producing a similar morbid condition in the healthy body.
§ 35
In order to illustrate this, we shall consider in three different cases, as well what happens in nature when two dissimilar natural diseases meet to in one person, as also the result of the ordinary medical treatment of diseases with unsuitable allopathic drugs, which are incapable of producing an artificial morbid condition similar to the disease to be cured, whereby it will appear that even Nature herself is unable to remove a dissimilar disease already present by one that is unhomoeopathic, even though it be stronger, and just as little is the unhomoeopathic employment of even the strongest medicines ever capable of curing any disease whatsoever.
§ 36
I. If the two dissimilar diseases meeting together in the human being be of equal strength, or still more if the older one be the stronger, the new disease will be repelled by the old one from the body and not allowed to affect it. A patient suffering from a severe chronic disease will not be infected by a moderate autumnal dysentery or other epidemic disease. The plague of the Levant, according to Larry,[22] does not break out where scurvy is prevalent, and persons suffering from eczema are not infected by it. Rachitis, Jenner alleges, prevents vaccination from taking effect. Those suffering from pulmonary consumption are not liable to be attacked by epidemic fevers of a not very violent character, according to Von Hildenbrand.
[22] “Memoires et Observations,” in the Description de l'Egypte, tom. i.
§ 37
So, also under ordinary medical treatment, an old chronic disease remains uncured and unaltered if it is treated according to the common allopathic method, that is to say, with medicines that are incapable of producing in healthy individuals a state of health similar to the disease, even though the treatment should last for years and is not of too violent character.[23] This is daily witnessed in practice, it is therefore unnecessary to give any illustrative examples.
[23] 6th Edition footnote: But if treated with violent allopathic remedies, other diseases will be formed in its place which are more difficult and dangerous to life.
§ 38
II. Or the new dissimilar disease is the stronger. In this case the disease under which the patient originally laboured, being the weaker, will be kept back and suspended by the accession of the stronger one, until the latter shall have run its course or been cured, and then the old one reappears uncured.
Two children affected with a kind of epilepsy remained free from epileptic attacks after infection with ringworm (tinea) but as soon as the eruption on the head was gone the epilepsy returned just as before, as Tulpius[24] observed.
The itch, as Schopf[25] saw, disappeared on the occurrence of the scurvy, but after the cure of the latter it again broke out. So, also the pulmonary phthisis remained stationary when the patient was attacked by a violent typhus, but went on again after the latter had run its course.[26]
If mania occur in a consumptive patient, the phthisis with all its symptoms is removed by the former; but if that go off, the phthisis returns immediately and proves fatal.[27]
When measles and smallpox are prevalent at the same time, and both attack the same child, the measles that had already broken out is generally checked by the smallpox that came somewhat later; nor does the measles resume its course until after the cure of the smallpox; but it not infrequently happens that the inoculated smallpox is suspended for four days by the supervention of the measles, as observed by Manget[28], after the desquamation of which the smallpox completes its course. Even when the inoculation of the smallpox had taken effect for six days, and the measles then broke out, the inflammation of the inoculation remained stationary and the smallpox did not ensue until the measles had completed its regular course of seven days.[29] In an epidemic of measles, that disease attacked many individuals on the fourth or fifth day after the inoculation of smallpox and prevented the development of the smallpox until it had completed its own course, whereupon the smallpox appeared and proceeded regularly to its termination.[30]
The true, smooth, erysipelatous-looking scarlatina of Sydenham, with sore throat, was checked on the fourth day by the eruption of cow-pox, which ran its regular course, and not till it was ended did the scarlatina again establish itself; but on another occasion, as both diseases seem to be of equal strength, the cow-pox was suspended on the eighth day by the supervention of the true, smooth scarlatina of Sydenham,[31] and the red areola of the former disappeared until the scarlatina was gone, wherein the cow-pox immediately resumed its course, and went on its regular termination.[32]
The measles suspended the cow-pox; on the eighth day, when the cow-pox had nearly attained its climax, the measles broke out; the cow-pox now remained stationary, and did not resume and complete its course until the desquamation of the measles, had taken place, so that on the sixteenth day it presented the appearance it otherwise would have shown on the tenth day, as Kortum[33] observed. Even after the measles had broken out the cow-pox inoculation took effect, but did not run its course until these measles had disappeared, as Kortum likewise witnessed.[33]
I myself saw the mumps (angina parotidea) immediately disappear when the cow-pox inoculation had taken effect and had nearly attained its height; it was not until the complete termination of the cow-pox and the disappearance of its red areola that this febrile tumefaction of the parotid and submaxillary glands, that is caused by a peculiar miasm, reappeared and ran its regular course of seven days.
And thus it is with all dissimilar disease; the stronger suspends the weaker (when they do not complicate one another, which is seldom the case with acute disease), but they never cure one another.
[24] Obs., lib. I, obs. 8.
[25] In Hufeland's Journal, xv, 2.
[26] Chevalier, in Hufeland's Neuesten Annalen der französichen Heilkunde, ii, p.192
[27] Mania phthisi superveniens eam cum omnibus suis phaenomenis auffert, verum mox redit phthisis et occidit, abeunte mania. Reil Memorab., fasc. iii, v, p.171.
[28] In the Edinb. Med. Comment., pt. 1,1.
[29] John Hunter, On the venereal Disease, p.5.
[30] Rainey, in the Edinb. Med. Comment., iii, p.480.
[31] Very accurately described by Withering and Plenciz, but differing greatly from the purpura (or Roodvonk), which is often erroneously denominated scarlet fever. It is only of late year that the two, which were originally very different diseases, have come to resemble each other in their symptoms.
[32] Jenner, in Medicinische Annalen, August, 1800, p.747.
[33] In Hufeland's Journal der praktischen Arzneikunde, xx, 3, p.50.
§ 39
Now the adherents of the ordinary school of medicine saw all this for so many centuries; they saw that Nature herself cannot cure any disease by the accession of another, be it ever so strong, if the new disease be dissimilar to that already present in the body. What shall we think of them, that they nevertheless went on treating chronic disease with allopathic remedies, namely, with medicines and prescriptions capable of producing God knows what morbid state – almost invariably, however, one dissimilar to the disease to be cured? And even though physicians did not hitherto observe nature attentively, the miserable results of their treatment should have taught them that they were pursuing an inappropriate, a false path. Did they not perceive when they employed, as was their custom, and aggressive allopathic treatment in a chronic disease, that thereby they only created an artificial disease dissimilar to the original one, which, as long as it was kept up, merely held in abeyance, merely suppressed, merely suspended the original disease, which latter, however, always returned, and must return, as soon as the diminished strength of the patient no longer admitted of a continuance of the allopathic attacks on the life? Thus the itch exanthema certainly disappears very soon from the skin under the employment of violent purgatives, frequently repeated; but when the patient can no longer stand the factitious (dissimilar) disease of the bowels, and can take no more purgatives, then either the cutaneous eruption breaks out as before, or the internal psora displays itself in some bad symptom, and the patient, in addition to his undiminished original disease, has to endure the misery of a painful ruined digestion and impaired strength to boot. So, also, when the ordinary physicians keep up artificial ulcerations of the skin and issues on the exterior of the body, with the view of thereby eradicating a chronic disease, they can never attain their object by so doing, they can never cure them by that means, as such artificial cutaneous ulcers are quite alien and allopathic to the internal affection; but inasmuch as the irritation produced by several tissues is at least sometimes a stronger (dissimilar) disease than the indwelling malady, the latter is thereby sometimes silenced and suspended for a week or two. But it is only suspended, and that for a very short time, while the patient's powers are gradually worn out. Epilepsy, suppressed for many years by means of issues, invariably recurred, and in an aggravated form, when they were allowed to heal up, as Pechlin[34] and others testify. But purgatives for itch, and issues for epilepsy, cannot be more heterogeneous, more dissimilar deranging agents – cannot be more allopathic, more exhausting modes of treatment – than are the customary prescriptions, composed of unknown ingredients, used in ordinary practice for the other nameless, innumerable forms of disease. These likewise do nothing but debilitate, and only suppress or suspend the malady for a short time without being able to cure it, and when used for a long time always add a new morbid state to the old disease.
[34] Obs. phys. med., lib. ii, obs, 30.
§ 40
III. Or the new disease, after having long acted on the organism, at length joins the old one that is dissimilar to it, and forms with it a complex disease, so that each of them occupies a particular locality in the organism, namely, the organs peculiarly adapted for it, and, as it were, only the place specially belonging to it, while it leaves the rest to the other disease that is dissimilar to it. Thus a syphilitic patient may become psoric, and vice versa. As two disease dissimilar to each other, they cannot remove, cannot cure one another. At first the venereal symptoms are kept in abeyance and suspended when the psoric eruption begins to appear; in course of time, however (as the syphilis is at least as strong as the psora), the two join together[35], that is, each involves those parts of the organism only which are most adapted for it, and the patient is thereby rendered more diseased and more difficult to cure. When two dissimilar acute infectious diseases meet, as, for example, smallpox and measles, the one usually suspends the other, as has been before observed; yet there have also been severe epidemics of this kind, where, in rare cases, two dissimilar acute diseases occurred simultaneously in one and the same body, and for a short time combined, as it were, with each other. During an epidemic, in which smallpox and measles were prevalent at the same time, among three hundred cases (in which these diseases avoided or suspended one another, and measles attacked patients twenty days after the smallpox broke out, the smallpox, however, from seventeen to eighteen days after the appearance of the measles, so that the first disease had previously completed its regular course) there was yet one single case in which P. Russell[36] met with both these dissimilar diseases in one person at the same time. Rainey[37] witnessed the simultaneous occurrence of smallpox and measles in two girls. J. Maurice[38], in his whole practice, only observed two such cases. Similar cases are to be found in Ettmüller's[39] works, and in the writings of a few others. Zencker[40] saw cow-pox run its regular course along with measles and along with purpura. The cow-pox went on its course undisturbed during a mercurial treatment for syphilis, as Jenner saw.
[35] From careful experiments and cures of complex diseases of this kind, I am now firmly convinced that no real amalgamation of the two takes place, but that in such cases the one exists in the organism besides the other only, each in pairs that are adapted for it, and their cure will be completely effected by a judicious alternation of the best mercurial preparation, with the remedies specific for the psora, each given in the most suitable dose and form.
[36] Vide Transactions of a Society for the Improvement of Med. and Chir. Knowledge, ii.
[37] In the Edinb. Med. Comment., iii, p.480.
[38] In Med. and Phys. Journ., 1805.
[39] Opera, ii, p.i, cap. 10.
[40] In Hufeland's Journal, xvii.
§ 41
Much more frequent than the natural diseases associating with and complicating one another in the same body are the morbid complication resulting from the art of the ordinary practitioner, which the inappropriate medical treatment (the allopathic method) is apt to produce by the long-continued employment of unsuitable drugs. To the natural disease, which it is proposed to cure, there are then added, by the constant repetition of the unsuitable medical agent, the new, often very tedious, morbid conditions which might be anticipated from the peculiar powers of the drug; these gradually coalesce with and complicate the chronic malady which is dissimilar to them (which they were unable to cure by similarity of action, that is, homoeopathically), adding to the old disease a new, dissimilar, artificial malady of a chronic nature, and thus give the patient a double in place of a single disease, that is to say, render him much worse and more difficult to cure, often quite incurable. Many of the cases for which advice is asked in medical journals, as also the records of other cases in medical writings, attest the truth of this. Of a similar character are the frequent cases in which the venereal chancrous disease, complicated especially with psora or with the venereal chancrous disease, complicated especially with psora or with dyscrasia of condylomatous gonorrhoea, is not cured by long-continued or frequently repeated treatment with large doses of unsuitable mercurial preparations, but assumes its place in the organism beside the chronic mercurial affection[41] that has been in the meantime gradually developed, and thus along with it often forms a hideous monster of complicated disease (under the general name of masked venereal disease), which then, when not quite incurable, can only be transformed into health with the greatest difficulty.
[41] For mercury, besides the morbid symptoms which by virtue of similarity can cure the venereal disease homoeopathically, has among its effects many others unlike those of syphilis, for instance, swelling and ulceration of bones, which, if it be employed in large doses, causes new maladies and commit great ravages in the body, especially when complicated with psora, as is so frequently the case.
§ 42
Nature herself permits, as has been stated, in some cases, the simultaneous occurrence of two (indeed, of three) natural disease in one and the same body. This complication, however, it must be remarked, happens only in the case of two dissimilar disease, which according to the eternal laws of nature do not remove, do not annihilate and cannot cure one another, but, as it seems, both (or all three) remain, as it were, separate in the organism, and each takes possession of the parts and systems peculiarly appropriate to it, which, on account of the want of resemblance of these maladies to each other, can very well happen without disparagement to the unity of life.
§ 43
Totally different, however, is the result when two similar disease meet together in the organism, that is to say, when to the disease already present a stronger similar one is added. In such cases we see how a cure can be effected by the operations of nature, and we get a lesson as to how man ought to cure.
§ 44 6th edition
Similar diseases can neither (as is asserted of dissimilar disease in I) repel one another, nor (as has been shown of dissimilar disease in II) suspend on another, so that the old one shall return after the new one has run its course; and just as little can two similar disease (as has been demonstrated in III respecting dissimilar affections) exist beside each other in the same organism, or together form a double complex disease.
The fifth edition's text (1833)
Two diseases similar to each other can neither (as is asserted of dissimilar disease in I) repel one another, nor (as has been shown of dissimilar disease in II) suspend on another, so that the old one shall return after the new one has run its course; and just as little can two similar disease (as has been demonstrated in III respecting dissimilar affections) exist beside each other in the same organism, or together form a double complex disease.
§ 45 6th edition
No! Two diseases, differing, it is true, in kind[42] but very similar in their phenomena and effects and in the sufferings and symptoms they severally produce, invariably annihilate one another whenever they meet together in the organism; the stronger disease namely, annihilates the weaker, and that for this simple reason, because the stronger morbific power when it invades the system, by reason of its similarity of action involves precisely the same parts of the organism that were previously affected by the weaker morbid irritation, which, consequently, can no longer act on these parts, but is extinguished[43], or (in other words), the new similar but stronger morbific potency controls the feelings of the patient and hence the life principle on account of its peculiarity, can no longer feel the weaker similar which becomes extinguished – exists no longer – for it was never anything material, but a dynamic – spirit-like – (conceptual) affection. The life principle henceforth is affected only and this but temporarily by the new, similar but stronger morbific potency.
The fifth edition's text (1833)
No! Two diseases, differing, it is true, in kind[42] but very similar in their phenomena and effects and in the sufferings and symptoms they severally produce, invariably annihilate one another whenever they meet together in the organism; the stronger disease namely, annihilates the weaker, and that for this simple reason, because the stronger morbific power when it invades the system, by reason of its similarity of action involves precisely the same parts of the organism that were previously affected by the weaker morbid irritation, which, consequently, can no longer act on these parts, but is extinguished[43], or (in other words) because, whenever the vital force, deranged by the primary disease, is more strongly attacked by the new, very similar, but stronger dynamic morbific power, it therefore now remains affected by the latter alone, whereby the original, similar but weaker disease must, as a mere dynamic power without material substratum, cease to exercise any further morbid influence on the vital force, consequently it must cease to exist.
[42] Vide, supra, § 26, note.
[43] Just as the image of a lamp's flame is rapidly overpowered and effaced from our retina by the stronger sunbeam impinging on the eye.
§ 46
Many examples might be adduced of disease which, in the course of nature, have been homoeopathically cured by other diseases presenting similar symptoms, were it not necessary, as our object is to speak about something determinate and indubitable, to confine our attention solely to those (few) disease which are invariably the same, arise from a fixed miasm, and hence merit a distinct name.
Among these the smallpox, so dreaded on account of the great number of its serious symptoms, occupies a prominent position, and it has removed and cured a number of maladies with similar symptoms.
How frequently does smallpox produce violent ophthalmia, sometimes even causing blindness! And see! By its inoculation Dezoteux[44] cured a chronic ophthalmia permanently, and Leroy[45] another.
An amaurosis of two years' duration, consequent on suppressed scald head, was perfectly cured by it, according to Klein.[46]
How often does smallpox cause deafness and dyspnoea! And both these chronic diseases it removed on reaching its acme, as J. Fr. Closs[47] observed.
Swelling of the testicle, even of a very severe character, is a frequent symptom of smallpox, and on this account it was enabled, as Klein[46] observed, to cure, by virtue of similarity, a large hard swelling of the left testicle, consequently on a bruise. And another observer[48] saw a similar swelling of the testicle cured by it.
Among the troublesome symptoms of smallpox is a dysenteric state of the bowels; and it subdued, as Fr. Wendt[49] observed, a case of dysentery, as a similar morbific agent.
Smallpox coming on after vaccination, as well on account of its greater strength as its great similarity, at once removes entirely the cow-pox homoeopathically, and does not permit it to come to maturity; but, on the other hand, the cow-pox when near maturity does, on account of its great similarity, homoeopathically diminish very much the supervening smallpox and make it much milder[50], as Muhry[51] and many others testify.
The inoculated cow-pox, whose lymph, besides the protective matter, contains the contagion of a general cutaneous eruption of another nature, consisting of usually small, dry (rarely large, pustular) pimples, resting on a small red areola, frequently conjoined with round red cutaneous spots and often accompanied by the most violent itching, which rash appears in not a few children several days before, more frequently, however, after the red areola of the cow-pock, and goes off in a few days, leaving behind small, red, hard spots on the skin; – the inoculated cow-pox, I say, after it has taken, cures perfectly and permanently, in a homoeopathic manner, by the similarity of this accessory miasm, analogous cutaneous eruptions of children, often of very long standing and of a very troublesome character, as a number of observers assert [52]
The cow-pox, a peculiar symptom of which is to cause tumefaction of the arm[53], cured, after it broke out, a swollen half-paralysed arm. [54]
The fever accompanying cow-pox, which occurs at the time of the production of the red areola, cured homoeopathically intermittent fever in two individuals, as the younger Hardege[55] reports, confirming what J. Hunter[56] had already observed, that two fevers (similar diseases) cannot co-exist in the same body.
The measles bear a strong resemblance in the character of its fever and cough to the whooping-cough, and hence it was that Bosquillon[57] noticed, in an epidemic where both these affections prevailed, that many children who then took measles remained free from whooping-cough during that epidemic. They would all have been protected from, and rendered incapable of being infected by, the whooping-cough in that and all subsequent epidemics, by the measles, if the whooping-cough were not a disease that has only a partial similarity to the measles, that is to say, if it had also a cutaneous eruption similar to what the latter possesses. As it is, however, the measles can but preserve a large number from whooping-cough homoeopathically, and that only in the epidemic prevailing at the time.
If, however, the measles come in contact with a disease resembling it in its chief symptom, the eruption, it can indisputably remove, and effect a homoeopathic cure of the latter. Thus a chronic herpetic eruption was entirely and permanently (homoeopathically) cured[58] by the breaking out of the measles, as Kortum[59] observed. An excessively burning miliary rash on the face, neck, and arms, that had lasted six years, and was aggravated by every change of weather, on the invasion of measles assumed the form of a swelling of the surface of the skin; after the measles had run its course the exanthema was cured, and returned no more.[60]
[44] Traité de l ’inoculation, p. 189.
[45] Heilkunde für Mütter, p. 384.
[46] Interpres clinicus, p. 293.
[47] Neue Heilart der Kinderpocken, Ulm, 1769, p.68; and Specim., obs. No. 18. Op. cit.
[48] Nov. Act. Nat. cur., vol, I, obs. 22.
[49] Nachricht Von dem Krankeninstitut zu Erlangen, 1783.
[50] 6th Edition footnote: This seems to be the reason for this beneficial remarkable fact namely that since the general distribution of Jenner's cow-pox vaccination, human small-pox never again appeared as epidemically or virulently as 40-45 years before when one city visited lost at least one-half and often three-quarters of its children by death of this miserable pestilence.
[51] By Robert Willan, über die Kuhpockenimpfung, from English translation, with additions by G.P. Muhry, Göttingen, 1808.
[52] Especially Clavier, Hurel and Desmormeaux, in the Bulletin des sciences medicales, publie par les membres de l' Eure, 1808, also in the Journal de medicine continue, vol. xv, p.206.
[53] Balhorn, in Hufeland's Journal, 10, ii.
[54] Stevenson, in Duncan's Annals of Medicine, lustr. 2, vol. I, pt. 2, No. 9.
[55] In Hufeland's Journal, xxiii.
[56] On the Venereal Disease, p.4.
[57] Cullen's Elements of Practical Medicine, pt. 2, I, 3, ch. vii.
[58] Or at least that symptom was removed.
[59] In Hufeland's Journal, xx, 3, p.50.
[60] Rau, über d. Werth des homöop. Heilverfahrens, Heidelb. 1824. p. 85.
§ 47
Nothing could teach the physician in a plainer and more convincing manner than the above what kind of artificial morbific agent (medicine) he ought to choose in order to cure in a sure, rapid and permanent manner, conformably with the process that takes place in nature.
§ 48
Neither in the course of nature, as we see from all the above examples, nor by the physician's art, can an existing affection or malady in any one instance be removed by a dissimilar morbific agent, be it ever so strong, but solely by one that is similar in symptoms and is somewhat stronger, according to eternal, irrevocable laws of nature, which have not hitherto been recognized.
§ 49
We should have been able to meet with many more real, natural homoeopathic cures of this kind if, on the one hand, the attention of observers had been more directed to them, and, on the other hand, if nature had not been so deficient in helpful homoeopathic diseases.
§ 50
Mighty Nature herself has, as we see, at her command, as instruments for effecting homoeopathic cures, little besides the miasmatic diseases of constant character, (the itch) measles and smallpox[61], morbific agents which[62], as remedies, are either more dangerous to life and more to be dreaded than the disease they are to cure, they themselves require curing, in order to be eradicated in their turn – both circumstances that make their employment, as homoeopathic remedies, difficult, uncertain and dangerous. And how few diseases are there to which man is subject that find their similar remedy in smallpox, measles or itch! Hence, in the course of nature, very few maladies can be cured by these uncertain and hazardous homoeopathic remedies, and the cure by their instrumentality is also attended with danger and much difficulty, for this reason that the doses of these morbific powers cannot be diminished according to circumstances, as doses of medicine can; but the patient afflicted with an analogous malady of long standing must be subjected to the entire dangerous and tedious disease, to the entire disease of smallpox, measles (or itch), which in its turn has to be cured. And yet, as is seen, we can point to some striking homoeopathic cures effected by this lucky concurrence, all so many incontrovertible proofs of the great, the sole therapeutic law of nature that obtains in them: Cure by symptoms similarity!
[61] And the exanthematous contagious principle present in the cow-pox lymph.
[62] Namely, small-pox and measles.
§ 51
This therapeutic law is rendered obvious to all intelligent minds by these instances, and they are amply sufficient for this end. But, on the other hand, see what advantages man has over crude Nature in her happy-go-lucky operations. How many thousands more of homoeopathic morbific agents has not man at his disposal for the relief of his suffering fellow-creatures in the medicinal substances universally distributed throughout creation! In them he has producers of disease of all possible varieties of action, for all the innumerable, for all conceivable and inconceivable natural diseases, to which they can render homoeopathic aid – morbific agents (medicinal substances), whose power, when their remedial employment is completed, being overcome by the vital force, disappears spontaneously without requiring a second course of treatment for its extirpation, like the itch – artificial morbific agents, which the physician can attenuate, subdivide and potentise almost to an infinite extent, and the dose of which he can diminish to such a degree that they shall remain only slightly stronger than the similar natural disease they are employed to cure; so that in this incomparable method of cure, there is no necessity for any violent attack upon the organism for the eradication of even an inveterate disease of old standing; the cure by this method takes place by only a gentle, imperceptible and yet often rapid transition from the tormenting natural disease to the desired state of permanent health.
§ 52 6th edition
There are but two principle methods of cure: the one based only on accurate observation of nature, on careful experimentation and pure experience, the homoeopathic (before me never designedly used) and a second which does not do this, the heteropathic or allopathic. Each opposes the other, and only he who does not know either can hold the delusion that they can ever approach each other or even become united, or to make himself so ridiculous as to practice at one time homoeopathically at another allopathically, according to the pleasure of the patient; a practice which may be called criminal treason against divine homoeopathy.
The fifth edition's text (1833)
Surely no intelligent physician, after these examples as clear as daylight, can still go on in the old ordinary system of medicine, attacking the body, as has hitherto been done, in its least diseased parts with (allopathic) medicines that have no direct pathological (homoeopathic) relation to the disease to be cured, with purgatives, counter-irritants, derivatives, etc.[63]], and thus at a sacrifice of the patient's strength, inducing a morbid state quite heterogeneous and dissimilar to the original one, to the ruin of his constitution, by large doses of mixtures of medicines generally of unknown qualities, the employment of which can have no other result, as is demonstrated by the eternal laws of nature in the above and all other cases in the world in which a dissimilar disease is added to the other in the human organism, for a cure is never thereby effected in disease, but an aggravation is the invariable consequence, – therefore it can have no other result than that either (because, according to the process of nature described in I, the older disease in the body repels the dissimilar one wherewith the patient is assailed) the natural disease remains as it was, under mild allopathic treatment, be it ever so long continued, the patient being thereby weakened; or (because, according to the process of nature described in II, the new and stronger disease merely obscures and suspends for a short time the original weaker dissimilar one), by the violent attack on the body with strong allopathic drugs, the original disease seems to yield for a time, to return in at least all its former strength; or (because, according to the process of nature described in III, two dissimilar diseases, when both are of a chronic character and of equal strength, take up a position when beside one another in the organism and complicate each other) in those cases in which the physician employs for a long time morbific agents opposite and dissimilar to the natural chronic disease and allopathic medicines in large doses, such allopathic treatment, without ever being able to remove and to cure the original (dissimilar) chronic disease, only develops new artificial diseases beside it; and, as daily experience shows, only renders the patient much worse and more incurable than before.
[63] Vide supra in the Introduction: A review of the Therapeutics, etc., and my book, Die Alloopathie, ein Wort der Warnung fur Kranke jeder Art, Leipzic, bei Baumgärtner (translated in Hahnemann's Lesser Writings.
§ 53 6th edition
The true mild cures take place only according to the homoeopathic method, which, as we have found (§ 7-25) by experience and deduction, is unquestionably the proper one by which through art the quickest, most certain and most permanent cures are obtained since this healing art rests upon an eternal infallible law of nature. The pure homoeopathic healing art is the only correct method, the one possible to human art, the straightest way to cure, as certain as that there is but one straight line between two given points.
The fifth edition's text (1833)
True, mild cures take place, as we see, only in a homoeopathic way – a way which, as we have also shown above (§ 7-25) in a different manner, by experience and deductions, is also the true and only one whereby diseases may be most surely, rapidly and permanently extinguished by art; for this mode of cure is founded on an eternal, infallible law of nature.
§ 54 6th edition
The allopathic method of treatment utilized many things against disease, but usually only improper ones (alloea) and ruled for ages in different forms called systems. Every one of these, following each other from time to time and differing greatly each from the other, honoured itself with the name of Rational Medicine[64]. Every builder of such a system cherished the haughty estimation of himself that he was able to penetrate into the inner nature of life of the healthy as well as of the sick and clearly to recognize it and accordingly gave the prescription which noxious matter[65] should be banished from the sick man, and how to banish it in order to restore him to health, all this according to empty assumptions and arbitrary suppositions without honestly questioning nature and listening without prejudice to the voice of experience.
Diseases were held to be conditions that reappeared pretty much in the same manner. Most systems gave, therefore, names to their imagined disease pictures and classified them, every system differently. To medicines were ascribed actions which were supposed to cure these abnormal conditions. (Hence the numerous text books on Materia Medica.[66])
[64] As if the establishment of a science, based only on observation of nature and pure experiment and experience idle speculation and scholastic vaporings could have a place.
[65] Up to the most recent times what is curable in sickness was supposed to be material that had to be removed since no one could conceive of a dynamic effect ( § 11 note) of morbific agencies, such as medicines exercise upon the life of the animal organism.
[66] To fill the measure of self infatuation to overflowing here were mixed (very learnedly) constantly more, indeed, many different medicines in so-called prescriptions to be administered in frequent and large doses and thereby the precious, easily-destroyed human life was endangered in the hands of these perverted ones. Especially so with seton, venesection, emetics, purgatives, plasters, fontanelles and cauterization.
The fifth edition's text (1833)
This, the homoeopathic way, must, moreover, as observed above (§ 43-49) be the only proper one, because, of the three possible modes of employing medicines in diseases, it is the only direct way to a mild, sure, permanent cure without doing injury in another direction, and without weakening the patient. The pure homoeopathic mode of cure is the only proper way, the only direct way, the only way possible to human skill, as certainly as only one straight line can be drawn betwixt two given points.
§ 55 6th edition
Soon, however, the public became convinced that the sufferings of the sick increased and heightened with the introduction of every one of these systems and methods of cure if followed exactly. Long ago these allopathic physicians would have been left had it not been for the palliative relief obtained at times from empirically discovered remedies whose almost instantaneous flattering action is apparent to the patient and this to some extent served to keep up their credit.
The fifth edition's text (1833)
The second mode of employing medicines in diseases, the allopathic or heteropathic, which, without any pathological relation to what is actually diseased in the body, attacks the parts most exempt from the disease, in order to draw away the disease through them and thus to expel it, as is imagined, has hitherto been the most general method. I have treated of it above in the Introduction[67], and shall not dwell longer on it.
[67] Review of the Therapeutics, etc.
§ 56 6th edition
By means of this palliative (antipathic, enantiopathic) method, introduced according to Galen's teaching “Contraria contrariis” for seventeen centuries, the physicians hitherto could hope to win confidence while they deluded with almost instantaneous amelioration. But how fundamentally unhelpful and hurtful this method of treatment is (in diseases not running a rapid course) we shall see in what follows. It is certainly the only one of the modes of treatment adopted by the allopaths that had any manifest relation to a portion of the sufferings caused by the natural disease; but what kind of relation? Of a truth the very one (the exact contrary of the right one) that ought carefully to be avoided if we would not delude and make a mockery of the patient affected with a chronic disease.[69]
[69] A third mode of employing medicines in diseases has been attempted to be created by means of Isopathy, as it is called – that is to say, a method of curing a given disease by the same contagious principle that produces it. But even granting this could be done, yet, after all, seeing that the virus is given to the patient highly potentised, and consequently, in an altered condition, the cure is effected only by opposing a simillimum to a simillimum. To attempt to cure by means of the very same morbific potency (per Idem) contradicts all normal human understanding and hence all experience. Those who first brought Isopathy to notice, probably thought of the benefit which mankind received from cowpox vaccination by which the vaccinated individual is protected against future cowpox infection and as it were cured in advance. But both, cowpox and smallpox are only similar, in no way the same disease. In many respects they differ, namely in the more rapid course and mildness of cowpox and especially in this, that is never contagious to man by more nearness. Universal vaccination put an end to all epidemics of that deadly fearful smallpox to such an extent that the present generation does no longer possess a clear conception of the former frightful smallpox plague. Moreover, in this way, undoubtedly, certain diseases peculiar to animals may give us remedies and thus happily enlarge our stock of homoeopathic remedies. But to use a human morbific matter (a Psorin taken from the itch in man) as a remedy for the same itch or for evils arisen therefrom is - ? Nothing can result from this but trouble and aggravation of the disease.
The fifth edition's text (1833)
The third and only remaining method[68] of employing medicines in diseases, which, besides the other two just alluded to, is the only other possible one, is the antipathic (enantiopathic) or palliative method, wherewith the physician could hitherto appear to be most useful, and hoped most certainly to gain his patient's confidence by deluding him with momentary amelioration. But I shall now proceed to show how inefficacious and how injurious this third and sole remaining way was, in diseases of a not very rapid course. It is certainly the only one of the modes of treatment adopted by the allopaths that had any manifest relation to a portion of the sufferings caused by the natural disease; but what kind of relation? Of a truth the very one (the exact contrary of the right one) that ought most to be avoided if we would not delude and make a mockery of the patient affected with a chronic disease.
[68] A fourth mode of employing medicines in diseases has been attempted to be created by means of Isopathy, as it is called – that is to say, a method of curing a given disease by the same contagious particle that produces it. But even granting this could be done, which would certainly be a valuable discovery, yet, after all, seeing that the virus is given to the patient highly potentised, and thereby, consequently, to a certain degree in an altered condition, the cure is effected only by opposing a simillimum to a simillimum.
§ 57
In order to carry into practice this antipathic method, the ordinary physician gives, for a single troublesome symptom from among the many other symptoms of the disease which he passes by unheeded, a medicine concerning which it is known that it produces the exact opposite of the morbid symptom sought to be subdued, from which, agreeably to the fifteen-centuries-old traditional rule of the antiquated medical school (contraria contrariis) he can expect the speediest (palliative) relief. He gives large doses of opium for pains of all sorts, because this drug soon benumbs the sensibility, and administers the same remedy for diarrhoeas, because it speedily puts a stop to the peristaltic motion of the intestinal canal and makes it insensible; and also for sleeplessness, because opium rapidly produces a stupefied, comatose sleep; he gives purgatives when the patient has suffered long from constipation and costiveness; he causes the burnt hand to be plunged into cold water, which, from its low degree of temperature, seems instantaneously to remove the burning pain, as if by magic; he puts the patient who complains of chilliness and deficiency of vital heat into warm baths, which warm him immediately; he makes him who is suffering from prolonged debility drink wine, whereby he is instantly enlivened and refreshed; and in like manner he employs other opposite (antipathic) remedial means, but he has very few besides those just mentioned, as it is only of very few substances that some peculiar (primary) action is known to the ordinary medical school.
§ 58
If, in estimating the value of this mode of employing medicines, we should even pass over the circumstance that it is an extremely faulty symptomatic treatment (v. note to § 7), wherein the practitioner devotes his attention in a merely one-sided manner to a single symptom, consequently to only a small part of the whole, whereby relief for the totality of the disease, which is what the patient desires, cannot evidently be expected, – we must, on the other hand, demand of experience if, in one single case where such antipathic employment of medicine was made use of in a chronic or persisting affection, after the transient amelioration there did not ensue an increased aggravation of the symptom which was subdued at first in a palliative manner, an aggravation, indeed, of the whole disease? And every attentive observer will agree that, after such short antipathic amelioration, aggravation follows in every case without exception, although the ordinary physician is in the habit of giving his patient another explanation of this subsequent aggravation, and ascribes it to malignancy of the original disease, now for the first time showing itself, or to the occurrence of quite a new disease[70].
[70] Little as physicians have hitherto been in the habit of observing accurately, the aggravation that so certainly follows such palliative treatment could not altogether escape their notice. A striking example of this is to be found in J. H. Schulze's Diss. qua corporis humani momentanearum alterationum specimina quoedam expenduntur, Hale, 1741, § 28. Willis bears testimony to something similar (Pharm. rat., § 7, cap. I, p.298): “Opiata dolores atroscissimos plerumque sedant atque indolentiam – procurant, camque – aliquamdiu et pro stato quodam tempore continuant, quo spatio elapso dolores mox recrusescunt et brevi ad sol itam ferociam augentur.” And also at page 295: “Exactis opii viribus illico redeunt tormina, nec atrocitatem suam remittunt, nisi dum ab eodem pharmaco rursus incantuntur.” In like manner J. Hunter (On the Venereal Disease, p.13) says that wine and cordials given to the weak increase the action without giving real strength, and the powers of the body are afterwards sunk proportionally as they have been raised, by which nothing can be gained, but a great deal may be lost.
§ 59
Important symptoms of persistent diseases have never yet been treated with such palliative, antagonistic remedies, without the opposite state, a relapse – indeed, a palpable aggravation of the malady – occurring a few hours afterwards. For a persistent tendency to sleepiness during the day the physician prescribed coffee, whose primary action is to enliven; and when it had exhausted its action the day – somnolence increased; – for frequent waking at night he gave in the evening, without heeding the other symptoms of the disease, opium, which by virtue of its primary action produced the same night (stupefied, dull) sleep, but the subsequent nights were still more sleepless than before; – to chronic diarrhoeas he opposed, without regarding the other morbid signs, the same opium, whose primary action is to constipate the bowels, and after a transient stoppage of the diarrhoea it subsequently became all the worse; – violent and frequently recurring pains of all kinds he could suppress with opium for but a short time; they then always returned in greater, often intolerable severity, or some much worse affection came in their stead. For nocturnal cough of long standing the ordinary physician knew no better than to administer opium, whose primary action is to suppress every irritation; the cough would then perhaps cease the first night, but during the subsequent nights it would be still more severe, and if it were again and again suppressed by this palliative in increased doses, fever and nocturnal perspiration were added to the disease; – weakness of the bladder, with consequent retention of urine, was sought to be conquered by the antipathic work of cantharides to stimulate the urinary passages whereby evacuation of the urine was certainly at first effected but thereafter the bladder becomes less capable of stimulation and less able to contract, and paralysis of the bladder is imminent; – with large doses of purgative drugs and laxative salts, which excite the bowels to frequent evacuation, it was sought to remove a chronic tendency to constipation, but in the secondary action the bowels became still more confined; – the ordinary physician seeks to remove chronic debility by the administration of wine, which, however, stimulates only in its primary action, and hence the forces sink all the lower in the secondary its primary action, and hence the forces sink all the lower in the secondary action; – by bitter substances and heating condiments he tries to strengthen and warm the chronically weak and cold stomach, but in the secondary action of these palliatives, which are stimulating in their primary action only, the stomach becomes yet more inactive; – long standing deficiency of vital heat and chilly disposition ought surely to yield to prescriptions of warm baths, but still more weak, cold, and chilly do the patients subsequently become; – severely burnt parts feel instantaneous alleviation from the application of cold water, but the burning pain afterwards increases to an incredible degree, and the inflammation spreads and rises to a still greater height[71]; – by means of the sternutatory remedies that provoke a secretion of mucus, coryza with stoppage of the nose of long standing is sought to be removed, but it escapes observation that the disease is aggravated all the more by these antagonistic remedies (in their secondary action), and the nose becomes still more stopped; – by electricity and galvanism, with in their primary action greatly stimulate muscular action, chronically weak and almost paralytic limbs were soon excited to more active movements, but the consequence (the secondary action) was complete deadening of all muscular irritability and complete paralysis; – by venesections it was attempted to remove chronic determination of blood to the head, but they were always followed by greater congestion; – ordinary medical practitioners know nothing better with which to treat the paralytic torpor of the corporeal and mental organs, conjoined with unconsciousness, which prevails in many kinds of typhus, than with large doses of valerian, because this is one of the most powerful medicinal agents for causing animation and increasing the motor faculty; in their ignorance, however, they knew not that this action is only a primary action, and that the organism, after that is passed, most certainly falls back, in the secondary (antagonistic) action, into still greater stupor and immobility, that is to say, into paralysis of the mental and corporeal organs (and death); they did not see, that the very diseases they supplied most plentifully with valerian, which is in such cases an oppositely acting, antipathic remedy, most infallibly terminated fatally. The old school physician rejoices[72] that he is able to reduce for several hours the velocity of the small rapid pulse in cachectic patients with the very first dose of uncombined purple foxglove (which in its primary action makes the pulse slower); its rapidity, however, soon returns; repeated, and now increased doses effect an ever smaller diminution of its rapidity, and at length none at all – indeed – in the secondary action the pulse becomes uncountable; sleep, appetite and strength depart, and a speedy death is invariably the result, or else insanity ensues. How often, in one word, the disease is aggravated, or something even worse is effected by the secondary action of such antagonistic (antipathic) remedies, the old school with its false theories does not perceive, but experience teaches it in a terrible manner.
[71] Vide Introduction.
[72] Vide Hufeland, in his pamphlet, Die Homoopathie, p.20.
§ 60
If these ill-effects are produced, as may very naturally be expected from the antipathic employment of medicines, the ordinary physician imagines he can get over the difficulty by giving, at each renewed aggravation, a stronger dose of the remedy, whereby an equally transient suppression[73] is effected; and as there then is a still greater necessity for giving ever-increasing quantities of the palliative there ensues either another more serious disease or frequently even danger to life and death itself, but never a cure of a disease of considerable or of long standing.
[73] 6th Edition footnote: All usual palliatives given for the suffering of the sick have (as is seen here) as after-effects an increase of the same suffering and the older physicians had to repeat them in ever stronger doses in order to achieve a similar modification, which however, was never permanent and never sufficient to prevent an increased recurrence of the ailment. But Brousseau, who twenty-five years before contended against the senseless mixing of different drugs in prescription and thereby ending its reign in France, (for which mankind is grateful to him) introduced his so-called physiological system (without taking note of the homoeopathic method then already established), a method of treatment, while effectively lessening and permanently preventing the return of all the sufferings, was applicable to all diseases of mankind; a thing that the palliatives then in use were not capable of affecting. Being able to heal disease with mild innocent remedies and thus establish health, Brousseau found the easier way to quiet the sufferings of patients more and more at the cost of their life and at last to extinguish life wholly – a method of treatment that, alas, seemed sufficient to his contemporaries. In the degree that the patient retains his strength will his ailments be apparent and the more intensely will he feel his pains. He moans and groans and cries out and calls for help more and more vociferously so that the physician cannot come any too soon to give relief. Brousseau needed only to depress the vital force, to lessen it more and more and behold, the more frequently the patient was bled, the more leeches and cupping glasses sucked out the vital fluid (for the innocent irreplaceable blood was according to him responsible for almost all ailments). In the same proportion the patient lost strength to feel pain or to express his aggravated condition by violent complaint and gestures. The patient appears more quiet in proportion as he grows weaker, the bystanders rejoice in his apparent improvement, ready to return to the same measures on the renewal of his sufferings – be they spasms, suffocation, fears or pain, for they had so beautifully quieted him before and gave promise of further ease. In disease of long duration and when the patient retained some strength, he was deprived of food, put on a “hunger diet,” in order to depress life so much more successfully and inhibit the restless states. The debilitated patient feels unable to protest against further similar measures of blood-letting leeches, vesication, warm baths and so forth to refuse their employment. That death must follow such frequently repeated reduction and exhaustion of the vital energy is not noticed by the patient, already robbed of all consciousness, and the relatives, blinded by the improvements even of the last sufferings of the patient by means of blood letting and warm baths, cannot understand and are surprised when the patient quietly slips away. “But God knows the patient on his bed of sickness was not treated with violence, for the prick of a small lancet is not really painful and the gum Arabic solution (Eau de Gourme, almost the only medicine that Brousseau used) was mild in taste and without apparent action – the bite of the leeches insignificant and the blood letting by the physician done quietly while the lukewarm baths could only soothe, hence the disease from the very start must have been fatal, so that the patient, notwithstanding all efforts of the physician, had to leave the earth.” In this way the relatives, and especially the heirs of the dear departed, consoled themselves. The physicians in Europe and elsewhere accepted this convenient treatment of all disease according to a single rule, since it saved them from all further thinking (the most laborious of all work under the sun). They only had to take care “to assuage the pangs of conscience and console themselves that they were not the originators of this system and this method of treatment, that all the other thousands of Brousseauists did the same and that possibly everything would cease with death anyway as was taught by their master.” In this way many thousand physicians were miserably misled to shed (with cold heart) the warm blood of their patients that were capable of cure and thereby rob millions of men gradually of their life, according to Brousseau's method, more than fell on Napoleon's battlefields. Was it perhaps necessary by the disposition of God for that system of Brousseau which destroyed medically the life of curable patients to precede homoeopathy in order to open the eyes of the world to the only true science and art of medicine, homoeopathy, in which curable patients find health and new life when this most difficult of all arts is practised by an indefatigable discriminating physician in a pure and conscientious manner?