Medical Essays

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第11章

Medical Essays 佚名

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Medical Essays
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  ItisevidentlyimpossiblethatIshouldattempt,withinthecompassofasinglelecture,anydetailedexaminationoftheverynumerouscasesreportedintheHomoeopathicTreatisesandJournals。HavingbeeninthehabitofreceivingtheFrench“ArchivesofHomoeopathicMedicine“untiltheprematuredeceaseofthatJournal,Ihavehadtheopportunityofbecomingacquaintedsomewhatwiththestyleofthesedocuments,andexperiencingwhateverdegreeofconvictiontheywerecalculatedtoproduce。AlthoughofcourseIdonotwishanyvaluetobeassumedformyopinion,suchasitis,Iconsiderthatyouareentitledtohearit。Sofar,then,asIamacquaintedwiththegeneralcharacterofthecasesreportedbytheHomoeopathicphysicians,theywouldforthemostpartbeconsideredaswhollyundeservingaplaceinanyEnglish,French,orAmericanperiodicalofhighstanding,if,insteadoffavoringthedoctrinetheywereintendedtosupport,theywerebroughtforwardtoprovetheefficacyofanycommonremedyadministeredbyanycommonpractitioner。Thereareoccasionalexceptionstothisremark;butthegeneraltruthofitisrenderedprobablebythefactthatthesecasesarealways,oralmostalways,writtenwiththesingleobjectofshowingtheefficacyofthemedicineused,ortheskillofthepractitioner,anditisrecognizedasageneralrulethatsuchcasesdeserveverylittleconfidence。Yettheymaysoundwellenough,oneatatime,tothosewhoarenotfullyawareofthefallaciesofmedicalevidence。Letmestateacaseinillustration。Nobodydoubtsthatsomepatientsrecoverundereveryformofpractice。Probablyallarewillingtoallowthatalargemajority,forinstance,ninetyinahundred,ofsuchcasesasaphysicianiscalledtoindailypractice,wouldrecover,soonerorlater,withmoreorlessdifficulty,providednothingweredonetointerfereseriouslywiththeeffortsofnature。

  Suppose,then,aphysicianwhohasahundredpatientsprescribestoeachofthempillsmadeofsomeentirelyinertsubstance,asstarch,forinstance。Ninetyofthemgetwell,orifhechoosestousesuchlanguage,hecuresninetyofthem。Itisevident,accordingtothedoctrineofchances,thattheremustbeaconsiderablenumberofcoincidencesbetweenthereliefofthepatientandtheadministrationoftheremedy。Itisaltogetherprobablethattherewillhappentwoorthreeverystrikingcoincidencesoutofthewholeninetycases,inwhichitwouldseemevidentthatthemedicineproducedtherelief,thoughithad,asweassumed,nothingtodowithit。Nowsupposethatthephysicianpublishesthesecases,willtheynothaveaplausibleappearanceofprovingthatwhich,aswegrantedattheoutset,wasentirelyfalse?Supposethatinsteadofpillsofstarchheemploysmicroscopicsugarplums,withthefive’millionbilliontrillionthpartofasuspicionofaconiteorpulsatilla,andthenpublisheshissuccessfulcases,throughtheleadenlipsofthepress,orthelivingonesofhisfemaleacquaintances,——doesthatmaketheimpressionalesserroneousone?ButsoitisthatinHomoeopathicworksandjournalsandgossiponecannever,ornexttonever,findanythingbutsuccessfulcases,whichmightdoverywellasaproofofsuperiorskill,diditnotproveasmuchfortheswindlingadvertiserswhosecertificatesdisgracesomanyofournewspapers。

  Howlongwillittakemankindtolearnthatwhiletheylistento“thespeakinghundredsandunits,whomaketheworldring“withthepretendedtriumphstheyhavewitnessed,the“dumbmillions“ofdeludedandinjuredvictimsarepayingthedailyforfeitoftheirmisplacedconfidence!

  Iamsorrytosee,also,thatadegreeofignoranceastothenaturalcourseofdiseasesisoftenshowninthesepublishedcases,which,althoughitmaynotbedetectedbytheunprofessionalreader,conveysanunpleasantimpressiontothosewhoareacquaintedwiththesubject。ThusayoungwomanaffectedwithjaundiceismentionedintheGerman“AnnalsofClinicalHomoeopathy“ashavingbeencuredintwenty-ninedaysbypulsatillaandnuxvomica。Rummel,awell-knownwriterofthesameschool,speaksofcuringacaseofjaundiceinthirty-fourdaysbyHomoeopathicdosesofpulsatilla,aconite,andcinchona。Ihappenedtohaveacaseinmyownhousehold,afewweekssince,whichlastedabouttendays,andthiswaslongerthanIhaverepeatedlyseenitinhospitalpractice,sothatitwasnothingtoboastof。

  Dr。MunnecheofLichtenburginSaxonyiscalledtoapatientwithsprainedanklewhohadbeenafortnightunderthecommontreatment。

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