Curiosities of Medical Experience Part 31

The next theory attributed the principle of life to a subtle _gas_ or _aura_. This doctrine const.i.tuted one of the principles of the Epicurean philosophy, and was ill.u.s.trated by Lucretius in his poem on the Nature of Things:

Nam penitus prorsum latet haec natura, subestque; Nec magis hac infra quidquam est in corpore nostro; Atque anima est animae proporr totius ipsa.

According to these notions, there existed a volatile principle that bore no specific name, but was diffused through every part of living bodies, more subtile than heat, air, or vapour. In later times this same gaseous agent received various appellations. Van Helmont designated it as the _aura vitalis_, while other philosophers called it the _aura seminalis_ and the _aura sanguinis_. The _archeus faber_ of Van Helmont, the _astrum internum_ of Crollius, the _principium energoumenon_ of Michael Alberti, the _substantia energetica naturae_ of Glisson, may all be referred to this unseen but powerful agency. Hippocrates called it [Greek: physis], or nature, which he elsewhere denominates [Greek: enoronta]. It was also the [Greek: dynamis xotike] of Galen. This soul, or breath, or spirit, directed and preserved the whole economy; and Chrysippus a.s.serts that it acted like salt upon pork.

Modern chemistry has sought this principle in specific agents. Caloric, or the matter of heat; oxygen, or the vital part of atmospheric air, first discovered by Priestley, and explained by Lavoisier; and finally, the fluid collected by the Voltaic trough, were then considered as the principle of life. The experiments of Professor Galvani of Bologna, in which he produced the phenomena of life many hours after death, induced many physiologists to maintain that the ident.i.ty that existed in galvanic electricity and the nervous influence, proved that this _aura_ was the creative agent in our economy.

The late experiments of Mr. Crosse seemed to show that insects were produced in silicate of potash under a long-continued action of voltaic electricity. Now whether this be really the case or not, it is grievous in the present enlightened age, to see these experiments and the a.s.sertions that resulted from them, denominated the work of atheism, and the labour of another Frankenstein!--I do not suppose for one moment that Mr. Crosse pretended to have discovered the power of imparting life, but merely of having developed a vital principle in substances supposed to be inorganic.

Every experimentalist who thus develops the vital principle may be said to bestow life, without being exposed to the absurd charge of impiety.--The man who brings forth chickens from the incubation of eggs, instead of eating them; the physiologist who rots a piece of meat to develop myriads of living beings in the putrid nidus, might just as well be called an atheist.

While naturalists were thus groping in nature's dark labyrinth, endeavouring to account for the wonders of the _natura naturans_, that divinity of the Stoics that Lucan thus describes,

Superos quid quaerimus ultra?

Jupiter est quodc.u.mque vides, Jovis omnia plena,--

other wise men fancied that they had actually discovered the seat of life, which, according to their fanciful speculations, they had lodged in certain organs. The nervous system, the spinal marrow, the brain, the heart, were all and each of them considered in turn as the head-quarters of vitality; while the workshop of alimentation, or much-abused stomach, did not pa.s.s unnoticed and unhonoured. The heart of a turtle, and of some reptiles, has been seen contracting and dilating hours after its extraction from the body; the stomach has been excited into an action bearing some a.n.a.logy to vomiting, when separated from the trunk; but all these curious phenomena, explained and accounted for (in some measure, at least) by physiology, do not tend to prove that any one organ, or any chain of organs, is possessed of separate vitality independent of the general principle of life. The brain, which has been regarded as the chief seat of this principle, is not always essential to life; for although man perishes, or at least his vital functions cease to act, when he is decapitated,[30] yet various birds and reptiles continue to live for hours and days after the head has been severed from the body, while we actually behold a regeneration of the head in the earth-worm. Moreover, we have upon record many cases of _acephalous_ children, or born without any head; and _anencephalous_ children who lived (for a short time, it is true) without any brains. Fontana removed the entire brain of a turtle, yet it lived six months, and walked about as before.

Sandiford had divided acephalous animals into three cla.s.ses: the first, in which the head was wanting; the second, where other organs were also missing; and the third, where the foetus presented an unformed ma.s.s. In the acephalous twin described by Beclard, no liver, spleen, stomach, or oesophagus could be discovered, and the intestinal tube commenced at the superior extremity of the body. The infant had ten ribs on each side, and regular nerves arose from the spinal marrow. Although headless animals may not be gifted with intellectual faculties evident to our senses, yet they clearly live and feel. The zoophytes and polypes, without brains or heads, possess irritability and sensibility; they can seek their food, seize it, reject what is not edible, are susceptible of the powers of light and heat, can contract their fibres when touched or injured, and, in short, manifest various innate or instinctive powers. Gall has maintained that the pa.s.sions resided in the brain, and, therefore, that brainless animals did not experience their influence. This is a bold a.s.sertion. Can he prove that worms, insects, zoophytes, that possess only what is called a ganglionic system, are strangers to instinctive fears and partialities? I apprehend that it will be found that pa.s.sions belong to instinct much more than to our volition.

It is nevertheless true that animals may be killed by wounding the spinal marrow, by the process commonly called "_pitting_." This practice may be traced to high antiquity; and Livy informs us that when the Carthaginian troops were routed, Asdrubal ordered their unmanageable elephants to be destroyed by driving the point of a knife between the junction of the head and spine.

From these observations it will appear quite clear that life has no necessary connexion with sensation, although the latter cannot be experienced without the former. Vegetables are endowed with vitality; but we have no reason to suppose that they feel. It is also more than probable that, as the degree of intelligence decreases, the intensity of the corporeal feelings are also diminished. Did not this scale of sensibility exist, insects could not live under the supposed agonies that the entomologist daily inflicts. This supposition does not rest upon indefinite reasoning, for in our own race we observe that those parts which are gifted with a reproductive power are possessed of the smallest degrees of sensation; and the cuticle, the hair, the beard, and the nails will even grow after death. This fact may calm the apprehensions of those very humane persons who look upon experimental physiologists as very monsters of barbarity. Vaillant took out the intestines of a locust, and stuffed it with cotton, then fixed it down in his box with a pin, yet, five months after, the insect moved its feet and antennas. Spallanzani has shown that the snail can renew its head.

All this confusion in theories and wandering of the imagination have arisen from our confounding the vital principle, of which we know nothing, with the phenomena of sensation, for which patient and calm investigation may account. That there does exist a principle of life that animates, vivifies, and preserves all living bodies, until its powers cease, no one can deny; although to find out its nature is a vain pursuit, as idle as our endeavours to penetrate into the _causes of causation_. As Richerand observes, "its _essence_ is not designed to preserve the aggregation of our const.i.tuent molecules, but to collect other molecules, which, by a.s.similating themselves to the organ that it _vivifies_, may replace those which daily losses carry off, and which are employed in repairing and augmenting them; the word _vital principle_ is therefore not designed to express a distinct being, but denotes the _totality of powers alone_ which animate living bodies, and distinguish them from inert matter, the _totality of properties_ and _laws_ which govern the animal economy."

Of all the doctrines upon this abstruse subject (of which I have noticed the princ.i.p.al ones), that of the pre-existence of an organic germ appears the most plausible, or at any rate the easiest to conceive. It was from this conviction that the ancients held as an axiomatic principle _Omnia ex ovo_. It is upon this theory that Buffon rested his organic molecules, and Ray his vital globules. The primitive lineaments of organization may be traced in the egg, even before it is fecundated. The embryo that we find in its involucra is soft, flexible, ready to receive the plastic impression of the vivifying secretion,--the fecundating agency that imparts existence and all its wondrous attributes, to the pre-existing _ova_, the _ova subventanea_. It does not appear that the first organ of the embryo which exhibits the living principle is the heart, hence denominated in the foetus the _punctum saliens_; the principle of life has probably organized every molecule of the animal long before this supposed fountain of vitality had been seen to flow. It is more likely that the nervous system has received the first impressions imparted by the fecundating secretion, which the ancients supposed to have been a direct emanation from the brain, and bearing in its vivifying molecules the life of every part of the being it was about to organize; thus Valescus: "Sperma hominibus descendit ex omni corporis humore, qui fit ex subtiliori natura. Habet autem hoc sperma nervos et venas proprias attrahentes se a toto corpore ad testiculos--a membris disconditur princ.i.p.alibus--a corde, epate, cerebro mittuntur spiritus, ex quibus resultat spiritus informativus, et non aliter nisi c.u.m spermate--ergo ab iis princ.i.p.aliter sperma disconditur."

Such were the doctrines on this curious subject until the days of Fabricius d'Acquapendente and Harvey. Buffon, however, exerted all his eloquence to revive the theory. The following are the notions of this elegant writer, who unfortunately only studied natural history in books and cabinets. He maintains that there exist two sorts of matter,--the one living, the other dead: the first enjoying a permanent vitality; the second universally spread, pa.s.sing from vegetables to animals through the channels of nutrition, and returning from animals to vegetables through the medium of putrefaction,--thus in a constant state of circulation to animate living beings. This vital matter exists in determined quant.i.ties in nature, and is composed of an infinity of organic molecules, primitive, living, active, incorruptible, and in relation, both as regards action and numbers, with the molecules of light, and enjoying an immutable existence, since the usual causes of destruction can only affect their adherence. It is these molecules which, being cast in regular moulds, const.i.tute all the organized bodies that surround us. According to this doctrine, _development_ and _growth_ are only a change of form operated by the addition of organic molecules; _nutrition_, the preservation of this form by the accession of fresh molecules that replace those that are destroyed; _generation_, the combination of these particles; and _death_, their separation from cohesion and a.s.sociation.

This ingenious system is not dissimilar to that of Maupertuis, who thought that the mysteries of generation could be explained by the usual laws of elective attraction. Various were the physical, metaphysical, and moral batteries raised against this visionary fabric. One single fact was sufficient to overthrow it. We constantly see parents deficient in a limb, or misshapen, producing perfect offspring; if each part of the economy was to transmit to its progeniture molecules similar to itself, the child would naturally be visited with the imperfection of the parent.

Notwithstanding these fallacies, we cannot but admit that chemical and molecular attraction const.i.tute the principle that harmonizes all organized bodies. Generation is simply a function of organization and life. Organized bodies alone can generate. The living only can impart life. Animals and plants transmit to their descendants their several properties; and the inheritance of organization departs with the vital spark. Life is the property of no one; it is a transmitted heir-loom that never perishes; it resembles a torch that communicates an eternal flame while consuming itself. Organized beings have justly been considered the fuel of the universal vital fire, and we all are the _daily bread_ of that monstrous animal called _the world_. All are ingulfed in that vortex which Beccher has called the "_circulus aeterni motus_" Metempsychosis was simply an ill.u.s.tration of this fact recognised in all ages in the East, and taught in European schools by Pythagoras. Nothing perishes; and even combustion produces fresh combinations.

Poetical philosophy has considered _Love_ as the source and arbiter of _life_, and the _Venus Generatrix_ the fount of our existence. Lucretius recognises this power in the following lines:

Per te quoniam genus omne animantum Concipitur, visitque exortum lumina solis.

Then again,

Omnibus incutiens blandum per pectora amorem, Efficis ut cupide generatim saecia propagent.

Virey, a delightful French physiologist, seems to partake of this mythological opinion in the following pa.s.sage: "L'amour est l'arbitre du monde organique; c'est lui qui debrouille le chaos de la matiere, et qui l'impregne de vie. Il ouvre et ferme a son gre les portes de l'existence a tous les etres que sa voix appelle du neant, et qu'il y replonge.

L'attraction dans les matieres brutes est une sorte d'amour ou d'amitie a.n.a.logue a celle qui reproduit des etres organises. Ainsi la faculte generative est un phenomene general dans l'univers; elle est representee par les attractions planetaires et chimiques dans les substances brutes, et par l'amour ou la vie dans les corps organises."

According to our amatory neighbours, the word _ame_, or soul, comes from _amor_ and _amare_, and _amare_ is derived from _animare_; hence _animation_ and _animal_ may be syllogistically referred to love.

I know not how far this etymological disquisition may ill.u.s.trate the history of their _enfans trouves_, or our foundling hospitals, the inmates of which are generally uncommonly ill favoured by beauty. The offspring of the aforesaid Venus Generatrix must have been especially ungrateful; and if it be true that Julius Caesar was her son, he certainly exerted his best endeavours to depopulate his mother's territories.

OF THE h.o.m.oEOPATHIC DOCTRINES.

It is a matter worthy of remark, that, while the doctrines of h.o.m.oeopathy have fixed the attention and become the study of many learned and experienced medical men in various parts of Europe, England is the only country where it has only been noticed to draw forth the most opprobrious invectives. It is certainly true that no one but an ardent proselyte of the visionary Hahnemann could for one moment become the advocate of all his absurd ideas; yet, while we reject his errors, great and important truths beam from the chaotic clouds that shroud his wanderings; and, however wild his theories may be, incontrovertible facts have been elicited from his apparently inefficacious practice.

Before I enter into an examination of the practical views of the h.o.m.oeopathists, I shall give a brief sketch of their doctrines and of their founder.

Samuel Hahnemann was born in Messen in Saxony, on the 10th of April, 1755. His father was an humble porcelain manufacturer. The first rudiments of education that young Hahnemann received were gratuitous; and his master, pleased with the progress of his ambitious but needy scholar, strongly urged him to repair to Leipzig, where, at the age of twenty, he arrived, with exactly the same number of crowns in his pocket as he numbered years. At this university he zealously pursued his favourite studies of the natural sciences, supporting himself by translating French works, and giving lessons; and finally he graduated in the university of Eslan--in 1779.

It was during his arduous studies that Hahnemann was struck with the conflicting systems and the deplorable controversies which for centuries divided in turn the medical schools of Europe, and were triumphant or overthrown by scholastic revolutions; each doctrine being doomed to obscurity and oblivion in the ratio of its ephemeral splendour. The result of his reflections and experiments was the system of h.o.m.oeopathy.

Its novelty, its apparent absurdity, soon exposed him not only to opposition, but to violent persecution. As is usual in all cases of oppression, whether justly or unjustly resorted to, proselytes as furious and as fanatical as his persecutors joined their chief. Despite the sanatary regulations of Saxony, which prohibited physicians from dispensing their medicines, Hahnemann prepared and supplied his h.o.m.oeopathic remedies; and, being expelled from Leipzig, sought a refuge at Koethen, where, exasperated by the harsh treatment he had experienced, he fulminated his anathema on all past and present systems of medicine with no small degree of furious resentment, p.r.o.nouncing his doctrine to be stamped with the seal of infallibility, and denouncing all others as the aberrations of ignorance and error, or the speculations of imposture and fraud.

As might have been expected, few of his opponents thought it worth their while to study his system calmly and dispa.s.sionately; nor, indeed, was such an application necessary, for his doctrines needed no deep investigation on the part of his foes, so fraught were they with apparent errors and false deductions, not only from his own pretended experience, but the experience of ages. Finding that he could not enjoy a despotic sway over the schools, he was resolved at any rate to seek the palm of martyrdom, and had recourse to such violence in words and actions, that many of his enemies maintained he was a more fitting subject for a lunatic asylum than the _soi-disant_ founder of a rational doctrine; for he and his fanatical disciples set all ratiocination at nought, considering his _dixit_ as a fiat of condemnation pa.s.sed on all who dared to doubt his infallibility, although at different periods their oracle was obliged to retract many erroneous a.s.sertions and contradict fallacious statements.

In the short view of his doctrines which I am about to give, these fallacies will become evident.

Hahnemann had observed in his studies and hospital practice that the prevalent systems of medicine were founded on the rational principle of combating effects by striking at morbid causes. Physicians sometimes endeavoured to attain this desirable end by producing in the system an artificial action differing from the nature of the malady, and founded their practice on the scholastic axiom of _contraria contrariis curantur_; at other times they raised or depressed the vital energies according to the prevalence of excitement or debility, or modified the character of the disease by revulsion and derivation, a practice which received the name of antagonistic, or _allopathic_,--a term used by Hahnemann in contradistinction to h.o.m.oeopathy, and derived from [Greek: allos], _different_, and [Greek: pathos], _affection_.

In his therapeutic pursuits Hahnemann had been forcibly struck with the long-acknowledged fact that medicinal substances supposed to possess a certain specific property in the treatment of diseases, were known in the healthy subject to produce phenomena bearing a close a.n.a.logy to the symptoms of those identical diseases. Thus, mercurial preparations occasioned symptoms of syphilis, sulphur produced cutaneous irritation, and, in some instances, the exhibition of cinchona had been known to bring on febrile intermissions. In various works he found these observations established. For instance, amongst many others, he found in the publications of Beddoes, Scott, Blair, and various writers, that nitric acid, which was known to produce ptyalism, relieved salivation and ulceration in the mouth. a.r.s.enic, which, according to Henreich, Knape, and Heinze, occasioned cancerous anomalies in healthy subjects, was stated by Fallopius, Bernharde, Roennow, and many other surgeons, to be efficacious in relieving, if not curing, similar disorders; preparations of copper were a.s.serted by Tondi, Ramsay, Lazermi, and numerous pract.i.tioners, to have produced epileptic attacks; and Batty, Baumes, Cullen, Duncan, and several experienced medical pract.i.tioners, recommended similar remedies in epilepsy. In short, the ill.u.s.trations of the power inherent in certain substances to produce accidents a.n.a.logous to the symptoms of the various diseases in the treatment of which they had proved efficacious, induced Hahnemann to consider whether a treatment founded on _similia similibus curantur_ might not be found more effectual than the former practice based upon the _contraria contrariis_. He was of opinion that no medicine was possessed of any _curative property_, but solely acted by its _morbific power_ of producing a disordered condition in the system; and on this and other principles, which we shall shortly notice, he a.s.serts that nature does not possess any curative power, totally denying the _vis medicatrix_ of the schools. He further maintained, that there does not exist any specific malady; but that which we consider to be a disease is nothing but a complexity of symptoms, and that a cure can only be effected when these complex symptoms are made to disappear.

Impressed with these ideas, he and his disciples proceeded to try various medicinal substances upon themselves and others when in health, and, carefully recording the symptoms which these medicines produced, they drew up a statement of their various powers, that they might be afterwards resorted to, to relieve the same symptoms in a morbid state. Grounding this practice on the principle (in many instances correct) that two similar diseases cannot coexist, they conceived that if, to counteract a natural malady, one can produce by any medication an artificial derangement of the same nature, the artificial disorder will overcome the natural disease, and a radical cure be obtained. To explain more distinctly this idea, I shall quote the author's words.

"The curative power of medicines is thus founded on the property they possess to give rise to symptoms similar to those of the disease, but of a more intense power. Hence no disease can be overcome or cured in a certain, radical, rapid, and lasting manner, but through the means of a medicine capable of provoking a group of symptoms similar to those of the disease, and at the same time possessed of a superior energetic power."[31] And further,

"If two dissimilar maladies happen to be coexisting, possessed of an unequal force, or if the oldest disease is more energetic than the recent one, the latter will be expelled by the former. Thus, an individual labouring under a severe chronic disease will not be subject to the invasion of an autumnal dysentery, or any other slight epidemic. Larrey affirms that the districts of Egypt in which scurvy was prevalent were exempt from the plague. Jenner a.s.serts that rachitis prevents the effect of vaccination; and Hildebrand a.s.sures us that phthysical patients never experience epidemic fevers unless of the most severe character."[32]

"If a recent affection, dissimilar to a more ancient one be more powerful than the latter, then will the progress of the latter be suspended until the malady is either cured or has been expended in its career, and then the old one will reappear."[33]

"But the result is totally different when two similar diseases meet in the organism; that is to say, when a pre-existing affection is complicated with one of the same nature, but possessed of more energy."[34]

"Two maladies resembling each other in their manifestation and their effects, that is to say, in the symptoms which they determine, mutually destroy each other, the strongest conquering the weakest."[35]

He further contends that the essential nature of every disease is unknown; that their existence is revealed by alterations and changes in the system perceptible to our senses, and const.i.tuting what are called _symptoms_, and it is the series of these symptoms which characterize the disease in its course and its development. According to his notions, the physician has only to follow and study the succession and the grouping of these symptoms; in short, the phases and the phenomena of diseases. Attack and destroy these symptoms, and you will have destroyed the malady.

All cla.s.sification of diseases, and their various denominations, he therefore deemed absurd, as, according to his doctrines, no one disease resembles another; so various were their modifications, that, with few exceptions, it was idle to give them a particular name, since disease was simply a derangement in our organization manifested by peculiar symptoms.

We are also, according to Hahnemann, ignorant of the essential properties of medicines, and can only observe and record their effects by experimental observation. Like diseases, they also produce a derangement in our organism, manifested by peculiar symptoms, their sole action consisting in developing specific diseases.

In conformity with these notions, to cure disease we have only to produce a similar affection; the primitive one would then give way to the secondary affection artificially produced, and in time the artificial one would cease to exist when the means that produced it were no longer brought into action.

h.o.m.oeopathic medicines, he maintained, have the property of acting in a direct manner upon the affected part of the system; and this is proved when the disease, and the medicine given to relieve it, produce similar morbid manifestations: and he further contended that our vital organism was less susceptible of the action of natural affections than of those which are artificially produced.

On this basis did the h.o.m.oeopathic doctrinarians ground their practice; but a still more singular theory was broached by their leader; he maintained that medicinal substances, to prove efficacious, should be administered in an attenuated and diluted state, carried to such an extent as to become infinite in their division; he further a.s.serts that this infinite division, far from diminis.h.i.+ng their medicinal power and properties, imparts greater energy and certainty of action when these particles encounter in our organization an affinity of disposition, or a h.o.m.ogeny in action; that is to say, that these atomic attenuations act with greater power in those affections which manifest symptoms similar to those which these very medicines are known to produce when experimentally tried upon a healthy subject.

Upon this principle the h.o.m.oeopathist condemns all combinations of medicines as likely to neutralize each other's properties by their various affinities; therefore generally speaking, no fresh medicine should be given until the effects of the former have subsided; and to guide this practice, while they endeavoured to ascertain the symptoms produced by medicines, they also sought to ascribe certain limits to the duration of their action: thus, the influence of aconite lasts forty-eight hours, and that of crude antimony fifteen days.

Dreading all substances that could tend to weaken or neutralize the effect of medicine, the h.o.m.oeopathists made it their particular study to discover the peculiar action of all alimentary substances on the organism, and characterized as antidotes all such articles of food as they considered opposed to this supposed action: thus, wine and vegetable acids were deemed antidotes to aconite; coffee, to Angustura bark; vinegar, to asarum, &c.