and do effectually, what perhaps she would not have
strength to accomplish. Where, then, we have
seen a disease, characterized by specific signs or
phenomena, and relieved by a certain natural evacuation
or process, whenever that disease recurs under the
same appearances, we may reasonably count on producing
a solution of it, by the use of such substances as
we have found produce the same evacuation or movement.
Thus, fulness of the stomach we can relieve by emetics;
diseases of the bowels, by purgatives; inflammatory
cases, by bleeding; intermittents, by the Peruvian
bark; syphilis, by mercury; watchfulness, by opium;
&c. So far, I bow to the utility of medicine.
It goes to the well defined forms of disease, and
happily, to those the most frequent. But the
disorders of the animal body, and the symptoms indicating
them, are as various as the elements of which the body
is composed. The combinations, too, of these
symptoms are so infinitely diversified, that many
associations of them appear too rarely to establish
a definite disease: and to an unknown disease,
there cannot be a known remedy. Here, then, the
judicious, the moral, the humane physician should stop.
Having been so often a witness to the salutary efforts
which nature makes to re-establish the disordered
functions, he should rather trust to their action,
than hazard the interruption of that, and a greater
derangement of the system, by conjectural experiments
on a machine so complicated and so unknown as the
human body, and a subject so sacred as human life.
Or, if the appearance of doing something be necessary
to keep alive the hope and spirits of the patient,
it should be of the most innocent character.
One of the most successful physicians I have ever
known, has assured me, that he used more bread pills,
drops of colored water, and powders of hickory ashes,
than of all other medicines put together. It
was certainly a pious fraud. But the adventurous
physician goes on, and substitutes presumption for
knowledge. From the scanty field of what is known,
he launches into the boundless region of what is unknown.
He establishes for his guide some fanciful theory of
corpuscular attraction, of chemical agency, of mechanical
powers, of stimuli, of irritability accumulated or
exhausted, of depletion by the lancet, and repletion
by mercury, or some other ingenious dream, which lets
him into all nature’s secrets at short hand.
On the principle which he thus assumes, he forms his
table of nosology, arrays his diseases into families,
and extends his curative treatment, by analogy, to
all the cases he has thus arbitrarily marshaled together.
I have lived myself to see the disciples of Hoffman,
Boerhaave, Stahl, Cullen, Brown, succeed one another
like the shifting figures of a magic-lanthern, and
their fancies like the dresses of the annual doll-babies
from Paris, becoming, from their novelty, the vogue
of the day, and yielding to the next novelty their
ephemeral favor. The patient, treated on the