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§ 1
The physician’s
high and only mission is to restore the sick to health, to cure,
as it is termed.1
1 His mission is
not, however, to construct so-called systems, by interweaving empty
speculations and hypotheses concerning the internal essential nature
of the vital processes and the mode in which diseases originate
in the interior of the organism, (whereon so many physicians have
hitherto ambitiously wasted their talents and their time); nor is
it to attempt to give countless explanations regarding the phenomena
in diseases and their proximate cause (which must ever remain concealed),
wrapped in unintelligible words and an inflated abstract mode of
expression, which should sound very learned in order to astonish
the ignorant - whilst sick humanity sighs in vain for aid. Of such
learned reveries (to which the name of theoretic medicine is given,
and for which special professorships are instituted) we have had
quite enough, and it is now high time that all who call themselves
physicians should at length cease to deceive suffering mankind with
mere talk, and begin now, instead, for once to act, that is, really
to help and to cure.
§ 2
The highest
ideal of cure is rapid, gentle and permanent restoration of the
health, or removal and annihilation of the disease in its whole
extent, in the shortest, most reliable, and most harmless way, on
easily comprehensible principles.
§ 3
If the
physician clearly perceives what is to be cured in diseases, that
is to say, in every individual case of disease (knowledge of disease,
indication), if he clearly perceives what is curative in medicines,
that is to say, in each individual medicine (knowledge of medical
powers), and if he knows how to adapt, according to clearly defined
principles, what is curative in medicines to what he has discovered
to be undoubtedly morbid in the patient, so that the recovery must
ensue - to adapt it, as well in respect to the suitability of the
medicine most appropriate according to its mode of action to the
case before him (choice of the remedy, the medicine indicated),
as also in respect to the exact mode of preparation and quantity
of it required (proper dose), and the proper period for repeating
the dose; - if, finally, he knows the obstacles to recovery in each
case and is aware how to remove them, so that the restoration may
be permanent, then he understands how to treat judiciously and rationally,
and he is a true practitioner of the healing art .
§ 4
He is
likewise a preserver of health if he knows the things that derange
health and cause disease, and how to remove them from persons in
health.
§ 5
Useful
to the physician in assisting him to cure are the particulars of
the most probable exciting cause of the acute disease, as also the
most significant points in the whole history of the chronic disease,
to enable him to discover its fundamental cause, which is generally
due to a chronic miasm. In these investigations, the ascertainable
physical constitution of the patient (especially when the disease
is chronic), his moral and intellectual character, his occupation,
mode of living and habits, his social and domestic relations, his
age, sexual function, etc., are to be taken into consideration.
§ 6 Fifth Edition
The unprejudiced
observer - well aware of the futility of transcendental speculations
which can receive no confirmation from experience - be his powers
of penetration ever so great, takes note of nothing in every individual
disease, except the changes in the health of the body and of the
mind (morbid phenomena, accidents, symptoms) which can be perceived
externally by means of the senses; that is to say, he notices only
the deviations from the former healthy state of the now diseased
individual, which are felt by the patient himself, remarked by those
around him and observed by the physician. All these perceptible
signs represent the disease in its whole extent, that is, together
they form the true and only conceivable portrait of the disease.1
1 I know not, therefore,
how it was possible for physicians at the sick-bed to allow themselves
to suppose that, without most carefully attending to the symptoms
and being guided by them in the treatment, they ought to seek and
could discover, only in the hidden and unknown interior, what there
was to be cured in the disease, arrogantly and ludicrously pretending
that they could, without paying much attention to the symptoms,
discover the alteration that had occurred in the invisible interior,
and set it to rights with (unknown!) medicines, and that such a
procedure as this could alone be called radical and rational treatment.
Is not,
then, that which is cognizable by the senses in diseases through
the phenomena it displays, the disease itself in the eyes of the
physician, since he never can see the spiritual being that produces
the disease, the vital force? nor is it necessary that he should
see it, but only that he should ascertain its morbid actions, in
order that he may thereby be enabled to cure the disease. What else
will the old school search for in the hidden interior of the organism,
as a prima causa morbi, whilst they reject as an object of cure
and contemptuously despise the sensible and manifest representation
of the disease, the symptoms, that so plainly address themselves
to us? What else do they wish to cure in disease but these?*
* The
physician whose researches are directed towards the hidden relations
in the interior of the organism, may daily err; but the homoeopathist
who grasps with requisite carefulness the whole group of symptoms,
possesses a sure guide; and if he succeed in removing the whole
group of symptoms he has likewise most assuredly destroyed the internal,
hidden cause of the disease.
§ 6 Sixth Edition
The unprejudiced
observer - well aware of the futility of transcendental speculations
which can receive no confirmation from experience - be his powers
of penetration ever so great, takes note of nothing in every individual
disease, except the changes in the health of the body and of the
mind (morbid phenomena, accidents, symptoms) which can be perceived
externally by means of the senses; that is to say, he notices only
the deviations from the former healthy state of the now diseased
individual, which are felt by the patient himself, remarked by those
around him and observed by the physician. All these perceptible
signs represent the disease in its whole extent, that is, together
they form the true and only conceivable portrait of the disease.1
1 I know not, therefore,
how it was possible for physicians at the sick-bed to allow themselves
to suppose that, without most carefully attending to the symptoms
and being guided by them in the treatment, they ought to seek and
could discover, only in the hidden and unknown interior, what there
was to be cured in the disease, arrogantly and ludicrously pretending
that they could, without paying much attention to the symptoms,
discover the alteration that had occurred in the invisible interior,
and set it to rights with (unknown!) medicines, and that such a
procedure as this could alone be called radical and rational treatment.
Is not,
then, that which is cognizable by the senses in diseases through
the phenomena it displays, the disease itself in the eyes of the
physician, since he never can see the spiritual being that produces
the disease, the vital force? nor is it necessary that he should
see it, but only that he should ascertain its morbid actions, in
order that he may thereby be enabled to cure the disease. What else
will the old school search for in the hidden interior of the organism,
as a prima causa morbi, whilst they reject as an object of cure
and contemptuously despise the sensible and manifest representation
of the disease, the symptoms, that so plainly address themselves
to us? What else do they wish to cure in disease but these?
§ 7
Now,
as in a disease, from which no manifest exciting or maintaining
cause (causa occasionalis) has to be removed1, we can perceive
nothing but the morbid symptoms, it must (regard being had to the
possibility of a miasm, and attention paid to the accessory circumstances,
§ 5) be the symptoms alone by which the disease demands and points
to the remedy suited to relieve it - and, moreover, the totality
of these its symptoms, of this outwardly reflected picture of the
internal essence of the disease, that is, of the affection of the
vital force, must be the principal, or the sole means, whereby the
disease can make known what remedy it requires - the only thing
that can determine the choice of the most appropriate remedy - and
thus, in a word, the totality2 of the symptoms must be the principal, indeed the only
thing the physician has to take note of in every case of disease
and to remove by means of his art, in order that it shall be cured
and transformed into health.
1 It is not necessary
to say that every intelligent physician would first remove this
where it exists; the indisposition thereupon generally ceases spontaneously.
He will remove from the room strong-smelling flowers, which have
a tendency to cause syncope and hysterical sufferings; extract from
the cornea the foreign body that excites inflammation of the eye;
loosen the over-tight bandage on a wounded limb that threatens to
cause mortification, and apply a more suitable one; lay bare and
put ligature on the wounded artery that produces fainting; endeavour
to promote the expulsion by vomiting of belladonna berries etc.,
that may have been swallowed; extract foreign substances that may
have got into the orifices of the body (the nose, gullet, ears,
urethra, rectum, vagina); crush the vesical calculus; open the imperforate
anus of the newborn infant, etc.
2 In all times,
the old school physicians, not knowing how else to give relief,
have sought to combat and if possible to suppress by medicines,
here and there, a single symptom from among a number in diseases
- a one-sided procedure, which, under the name of symptomatic treatment,
has justly excited universal contempt, because by it, not only was
nothing gained, but much harm was inflicted. A single one of the
symptoms present is no more the disease itself than a foot is the
man himself. This procedure was so much the more reprehensible,
that such a single symptom was only treated by an antagonistic remedy
(therefore only in an enantiopathic and palliative manner), whereby,
after a slight alleviation, it was subsequently only rendered all
the worse.
§ 8
It is
not conceivable, not can it be proved by any experience in the world,
that, after removal of all the symptoms of the disease and of the
entire collection of the perceptible phenomena, there should or
could remain anything else besides health, or that the morbid alteration
in the interior could remain uneradicated.1
1 When a patient
has been cured of his disease by a true physician, in such a manner
that no trace of the disease, no morbid symptom, remains, and all
the signs of health have permanently returned, how can anyone, without
offering an insult to common sense, affirm in such an individual
the whole bodily disease still remains interior? And yet the chief
of the old school, Hufeland, asserts this in the following words:
“Homoeopathy can remove symptoms, but the disease remains.” (Vide
Homoopathie, p.27, 1, 19.) This he maintains partly from mortification
at the progress made by homoeopathy to the benefits of mankind,
partly because he still holds thoroughly material notions respecting
disease, which he is still unable to regard as a state of being
of the organism wherein it is dynamically altered by the morbidly
deranged vital force, as an altered state of health, but he views
the disease as a something material, which after the cure is completed,
may still remain lurking in some corner in the interior of the body,
in order, some day during the most vigorous health, to burst forth
at its pleasure with its material presence! So dreadful is still
the blindness of the old pathology! No wonder that it could only
produce a system of therapeutics which is solely occupied with scouring
out the poor patient.
§ 9
In the
healthy condition of man, the spiritual vital force (autocracy),
the dynamis that animates the material body (organism), rules with
unbounded sway, and retains all the parts of the organism in admirable,
harmonious, vital operation, as regards both sensations and functions,
so that our indwelling, reason-gifted mind can freely employ this
living, healthy instrument for the higher purpose of our existence.
§ 10 Fifth Edition
The material
organism, without the vital force, is capable of no sensation, no
function, no self-preservation1, it derives all
sensation and performs all the functions of life solely by means
of the immaterial being (the vital force) which animates the material
organism in health and in disease.
1 It is dead, and
only subject to the power of the external physical world; it decays,
and is again resolved into its chemical constituents.
§ 10 Sixth Edition
The material
organism, without the vital force, is capable of no sensation, no
function, no self-preservation1, it derives all
sensation and performs all the functions of life solely by means
of the immaterial being (the vital principle) which animates the
material organism in health and in disease.
1 It is dead, and
only subject to the power of the external physical world; it decays,
and is again resolved into its chemical constituents.
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