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§ 111
The agreement
of my observations on the pure effects of medicines with these older
ones - although they were recorded without reference to any therapeutic
object, - and the very concordance of these accounts with others
of the same kind by different authors must easily convince us that
medicinal substances act in the morbid changes they produce in the
healthy human body according to fixed, eternal laws of nature, and
by virtue of these are enabled to produce certain, reliable disease
symptoms each according to its own peculiar character.
§ 112
In those
older prescriptions of the often dangerous effects of medicines
ingested in excessively large doses we notice certain states that
were produced, not at the commencement, but towards the termination
of these sad events, and which were of an exactly opposite nature
to those that first appeared. These symptoms, the very reverse of
the primary action (§ 63) or proper action of the medicines on the
vital force are the reaction of the vital force of the organism,
its secondary action (§§ 62-67), of which, however, there is seldom
or hardly ever the least trace from experiments with moderate doses
on healthy bodies, and from small doses none whatever. In the homoeopathic
curative operation the living organism reacts from these only so
much as is requisite to raise the health again to the normal healthy
state (§ 67).
§ 113
The only
exceptions to this are the narcotic medicines. As they, in their
primary action, take away sometimes the sensibility and sensation,
sometimes the irritability, it frequently happens that in their
secondary action , even from moderate experimental doses on healthy
bodies, an increased sensibility (and a greater irritability) is
observable.
§ 114
With
the exception of these narcotic substances, in experiments with
moderate doses of medicine on healthy bodies, we observe only their
primary action, i.e., those symptoms wherewith the medicine deranges
the health of the human being and develops in him a morbid state
of longer or shorter duration.
§ 115
Among
these symptoms, there occur in the case of some medicines not a
few which are partially, or under certain conditions, directly opposite
to other symptoms that have previously or subsequently appeared,
but which are not therefore to be regarded as actual secondary action
or the mere reaction of the vital force, but which only represent
the alternating state of the various paroxysms of the primary action;
they are termed alternating actions.
§ 116
Some
symptoms are produced by the medicines more frequently - that is
to say, in many individuals, others more rarely or in few persons,
some only in very few healthy bodies.
§ 117
To the
latter category belong the so-called idiosyncrasies, by which are
meant peculiar corporeal constitutions which, although otherwise
healthy, possess a disposition to be brought into a more or less
morbid state by certain things which seem to produce no impression
and no change in many other individuals.1
But this inability to make an impression on every one is only apparent.
For as two things are required for the production of these as well
as all other morbid alterations in the health of man - to wit.,
the inherent power of the influencing substance, and the capability
of the vital force that animates the organism to be influenced by
it - the obvious derangements of health in the so-called idiosyncrasies
cannot be laid to the account of these peculiar constitutions alone,
but they must also be ascribed to these things that produce them,
in which must lie the power of making the same impressions on all
human bodies, yet in such a manner that but a small number of healthy
constitutions have a tendency to allow themselves to be brought
into such an obvious morbid condition by them. That these agents
do actually make this impression on every healthy body is shown
by this, that when employed as remedies they render effectual homoeopathic
service2 to all sick persons
for morbid symptoms similar to those they seem to be only capable
of producing in so-called idiosyncratic individuals.
1 Some few persons
are apt to faint from the smell of roses and to fall into many other
morbid, and sometimes dangerous states from partaking of mussels,
crabs or the roe of the barbel, from touching the leaves of some
kinds of sumach, etc.
2 Thus the Princess
Maria Porphyroghnita restored her brother, the Emperor Alexius,
who suffered from faintings, by sprinkling him with rose water in
the presence of his aunt Eudoxia (Hist. byz. Alexias, lib. xv, p.
503, ed. Posser); and Horstius (Oper., iii, p.59) saw great benefit
from rose vinegar in cases of syncope.
§ 118
Every
medicine exhibits peculiar actions on the human frame, which are
not produced in exactly the same manner by any other medicinal substance
of a different kind.1
1 This fact was
also perceived by the estimable A. v. Haller, who says (Preface
to his Hist. stirp. helv.): “Latet immensa virium diversitas in
iis ipsis plantis, quarum facies externas dudum novimus, animas
quasi et quodcunque caelestius habent, nondum perspeximus.”
§ 119
As certainly
as every species of plant differs in its external form, mode of
life and growth, in its taste and smell from every other species
and genus of plant, as certainly as every mineral and salt differs
from all others, in its external as well as its internal physical
and chemical properties (which alone should have sufficed to prevent
any confounding of one with another), so certainly do they all differ
and diverge among themselves in their pathogenetic - consequently
also in their therapeutic - effects.1 Each of these
substances produces alterations in the health of human beings in
a peculiar, different, yet determinate manner, so as to preclude
the possibility of confounding one with another.2
1 Anyone who has
a thorough knowledge of, and can appreciate the remarkable difference
of, effects on the health of man of every single substance from
those of every other, will readily perceive that among them there
can be, in a medical point of view, no equivalent remedies whatever,
no surrogates. Only those who do not know the pure, positive effects
of the different medicines can be so foolish as to try to persuade
us that one can serve in the stead of the other, and can in the
same disease prove just as serviceable as the other. Thus do ignorant
children confound the most essential different things, because they
scarcely know their external appearances, far less their real value,
their true importance and their very dissimilar inherent properties.
2 If this be pure
truth, as it undoubtedly is, then no physician who would not be
regarded as devoid of reason, and who would not act contrary to
the dictates of his conscience, the sole arbiter of real worth,
can employ in the treatment of diseases any medicinal substance
but one with whose real significance he is thoroughly and perfectly
conversant, i.e., whose positive action on the health of healthy
individuals he has so accurately tested that he knows for certain
that it is capable of producing a very similar morbid state, more
similar than any other medicine with which he is perfectly acquainted,
to that presented by the case of disease he intends to cure by means
of it; for, as has been shown above, neither man, nor mighty Nature
herself, can effect a perfect, rapid and permanent cure otherwise
than with a homoeopathic remedy. Henceforth no true physician can
abstain from making such experiment, in order to obtain this most
necessary and only knowledge of the medicines that are essential
to cure, this knowledge which has hitherto been neglected by the
physicians in all ages. In all former ages - posterity will scarcely
believe it - physicians have hitherto contented themselves with
blindly prescribing for diseases medicines whose value was unknown,
and which had never been tested relative to their highly important,
very various, pure dynamic action on the health of man; and, moreover,
they mingled several of these unknown medicines that differed so
vastly among each other in one formula, and left it to chance to
determine what effects should thereby be produced on the patient.
This is just as if a madman should force his way into the workshop
of an artisan, seize upon handfuls of very different tools, with
the uses of all of which he is quite unacquainted, in order, as
he imagines, to work at the objects of art he sees around him. I
need hardly remark that these would be destroyed, I may say utterly
ruined, by his senseless operations.
§ 120
Therefore
medicines, on which depend man’s life and death, disease and health,
must be thoroughly and most carefully distinguished from one another,
and for this purpose tested by careful, pure experiments on the
healthy body for the purpose of ascertaining their powers and real
effects, in order to obtain an accurate knowledge of them, and to
enable us to avoid any mistake in their employment in diseases,
for it is only by correct selection of them that the greatest of
all earthly blessings, the health of the body and of the mind, can
be rapidly and permanently restored.
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