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coveries of the "dual action" or of a "primary and a secondary" action. Of this or that drug, which might as well have been copied intact from Dunham or Hering.

All along the line these appropriations are constantly made, but no proper acknowledgment allowed of their primary source. Many cases could be cited from my own reading, but time will not permit.

Another error, which is very common among even professional critics, is to date everything pertaining to homoeopathy to Hahne

mann.

We should know and insist that homeopathy is as old as the truth itself, and that even Hippocrates twenty-five hundred years ago, came very near to it in his teachings.

He taught that diseases were not entities, to be removed from the body in mass, by bleeding and the purge. They were altered or perverted functions, or changes in structure of the tissues or fluids of the body. His practice was benign and aimed to assist nature.

Paracelsus, Stahl, Haller and many others insisted upon the truth of the law of "Similia."

But to Hahnemann remained the credit, by indefatigable study of past medical records, and persistent and patient provings of the actions of well-known drugs upon the healthy being, of putting into practical shape the scattered grains of truth which so many had previously observed, but none had gathered.

The truths which he enunciated, belong not to us, but to the whole realm of medicine. Our duty is to see that they be given proper credit along side of other scientific discoveries.

Professor Jorg, a strong antagonist of homeopathy, says "Medicines operate most powerfully on the sick, when their symptoms correspond to the disease.

When there is inflammation of the intestines, a very minute dose of mercury will produce pain and other symptoms. It is in the very nature of things that a medicine must have a much greater effect when administered to a person already suffering under an affection similar to that which the medicine is capable of producing." This one quotation is made, to refer to our reasons for the small dose

And then comes Professor Crookes, in his experiments with the molecules, and demonstrates that energy is set free by their subdivision. Here is our trituration theory again. Then take Ehrlich's theories regarding cellular development of antitoxins, which also come very close to our way of reasoning. And so we might go on, substantiating every claim put forth by our school regarding the principles of our practice, not from our own authorities alone, but from the works and writings of the greatest physicians and scientists of the present age, in all schools of thought.

It is for us to use this material and by careful comparisons, strengthen our position.

Why should we allow the teachings of Hahnemann to be judged by twentieth century ideals? Consider the wonderful insight which he had into the workings of the human vital force, as compared with the crude notions of the rank and file in his day! Then think what would have been his usefulness, could he have had the working tools

of his present day traducers. In this way only can the wonderful prescience of the man be conceived.

Another urgent duty of the hour, is to put our Materia Medica in to such condition that it will bear the closest scrutiny according to scientific methods of examination. Then and not until then, can we take it into the great medical fold, as our permanent contribution to science. Work of this kind is already under way. More is needed. And in this line we must be very careful that we do not accept or adopt, as a school, much that is introduced by individuals, claiming membership therein. We suffer much idle and unjust criticism for ideas and theories which most of us would be quick to repudiate.

We should each and all of us have a voice in our associations and institutions. Our best men and best thinkers should be pushed to the front in them and then let them speak for us.

Public opinion, in this country at least, in the end, decides all questions. It is our own fault if our claims are not properly laid before that public.

We have absolutely nothing to fear, as a school, from without. Our trouble will be an inward disease. With that we must soon grapple, and that energetically, if we are to obtain our just merits.

We have too many men of little faith, and too many who have little knowledge of homœopathy in our ranks.

We need no "foreign missions." Our first work lies at home. Let us drop dissensions among ourselves on the questions of potency and the like, and devote our energies towards increasing the number of our physicians who know how to select the proper remedy in any potency.

Let us talk homeopathy up, and renew our own faith. Men are respected by their fellows for honest differences of opinion to-day.

Let me diverge one moment to make a suggestion which I trust will be taken into serious consideration, by the teachers who are in the audience.

It is in regard to the teaching of our Materia Medica in the schools. Fifty years ago, our practitioners were obliged to become Materia Medica specialists, from force of circumstances.

The natural corollary, was a neglect to put enough time upon the collateral branches. From this we suffered.

Then Helmuth, and Thomas and Talbot and hosts of others began the work of convincing the world that good homoeopaths could also be good surgeons. All the other specialists have followed one by one, until to-day, we have a corps of specialists in all lines, equal to the best. But I frankly believe it is from these very men that we are in the greatest danger to-day, and it is to them also that we can look for the greatest help.

My point is this! The specialists have developed their work to so fine a point that their methods of examination, of tests and counter tests, and of treatment, are clever and interesting in the extreme. These, and the various adjuvant treatments, are taught to our students in an able and complete manner. But when it comes to the application of the homoeopathically indicated remedy, little or nothing is said, or at best, a list of drugs by name, suitable for study

is given. The rest is left for the chair of Materia Medica. The favorite expression, "of course the indicated remedy should be given," has become so common in our discussions and our papers, that when we hear it now, we look in one another's faces and laugh.

Now, I maintain that it an utter impossibility for any materia medica teacher to adequately cover the ground. At the best he can do little more than cover the polychrests and group the better known of the remaining remedies, in the time allowed to him. Furthermore, he is not the one to properly do this.

I think that the occupant of every special chair should, in connection with his other teachings, constitute himself a specialist upon the symptomatology applicable to the various conditions about which he lectures, and should endeavor to instill into his pupils, a confidence in their value. They will then go forth equipped to make good use of the tools which you have placed in their hands, which to-day are strange to them.

I well remember the lectures of the late Dr. Martin Deschere, and how carefully he went over the symptoms which called for the use of this or that drug in the different diseases. This part of every lecture is as good to-day as when we heard it given.

In this same line, I wish to bear testimony to the aid which I have frequently received from one of the members of this society, a specialist in this city. When I have sent patients to him for treatment or examination, there have come back from him, over and over again, without any solicitation on my part, valuable hints upon remedies which would be found of use in such a case. Not only have these suggestions proved valuable, but their adoption and verification have served to increase my own confidence in the power of our remedies. I commend the practice to others.

In the same line of development, I find that the visiting staff of our hospitals sadly neglect their opportunities to aid the young men and women who serve them as internes. You, perhaps, do not realize how closely they watch your practice when they are fresh from the schools, and how many times your failure to live up to your teachings serves to dishearten and mislead them.

A confession made to me recently, by a young man who has but just completed a term as house doctor in one of our homoeopathic hospitals, leads me to refer to this subject here.

At our Materia Medica meeting last night, the attendance was good, and the papers exceptionally helpful and optimistic. At the recent meeting of the International Congress at Atlantic City, the air was full of the same spirit.

Let's wake up here in Massachusetts! We have nothing to be ashamed of in the principles we advocate! We shall have no occasion to be ashamed of our results if we practice what we preach. Let us encourage capable young men and women to enter our colleges and then let us encourage and help them to become established "as homeopaths," after they graduate.

Our institutions and our communities are full of splendid openings for the right kind of homoeopaths. Then let us know each other better, by closer attention to our meetings together. And when our

patients move from town to town, let us not allow them to drift, but give them reasons why the best homoeopathic physician in their new home, is the one for them to call. The idea is becoming too common, among the laity that there is no difference in the practice of the two schools.

A number of years ago, in the state of New York, a bitter fight was waged before the legislature at Albany, having for its object the taking away of certain rights then held by the homoeopathic school. The charge was sectarianism!

The late Dean of the New York College was there and opposed the change. I remember the thrill with which I read the words of his reply. This section I distinctly recall: "I am charged with being a sectarian. The charge is true! In religion, I am sectarian; I am an Episcopalian. But am I any the less a Christian? In politics, I am a Republician, but, thank God, I am an American citizen! In medicine I am a Homœopath ! But am I any the less a physician."

Fellow workers, that kind of sectarianism is broad enough for me, and it is broad enough for all of us.

Let us nail our flag to that mast and keep it flying bravely, until we can take it down ourselves, not to surrender it, but to weave it proudly into the common fabric and make therein, the brightest stars on its face.

IMPRESSIONS OF MEDICINE IN THE LONDON HOSPITALS.

BY J. HERBERT MOORE, M.D. BROOKLINE, MASS.

Editor Gazette : In the few and scattered moments afforded by taking up the work after nearly four months' absence, I will try to comply with your request that I should give the readers of the GAZETTE a few impressions of medicine as it exists and is taught in the hospitals of London.

In the first place I found in these institutions no new remedies recommended for mal de mer, but did come across one in the nautical world; and that is, if any one desires to be as free from this troublesome "endemic" affection as is possible after faithfully taking cocculus or petroleum, let him take the "Saxonia" of the Cunard Line in the crossing itself, inasmuch as she is the steadiest TransAtlantic steamship afloat.

As my object in devoting the summer to special medical study was to perfect myself in the diagnosis of diseases of adult, as well as of child, life, my time was about equally divided between the North London or University College Hospital, the Brompton Hospital for Consumption and Diseases of the Chest, and the Hospital for Sick Children on Great Ormond Street, the last institution fronting on the same street and adjacent to our London Homoeopathic Hospital. Consequently, it is of these hospitals and their work that I shall more particularly write.

The Hospital for Sick Children, or, as it is more familiarly called, the Great Ormond Street Hospital, is unique in being not only the largest children's hospital in the world, with its 222 beds in which 2,873 children were treated during the past year, and its out-patient attendance of over 109,000 during 1905, but was the first hospital in the United Kingdom to be specially devoted to sick children, having been opened as far back as 1852 with 20 beds. It is the outpatient department of this hospital which presents as animated an appearance on a forenoon as any other institution in London on account of the multitude and variety of its children, very few of whom the writer can testify were afflicted with the malady called dumbness, as evidenced by the strength and caliber of their vocal organs. However, as the crying need of the day is clinical instruction, these little patients are forgiven their noise and din for the abundant and diverse clinical material which they afford by their presence.

Two medical and two surgical clinics, as well as those of the special departments, are carried on every forenoon, and it is no uncommon thing on a busy morning for from 100 to 150 sick children to pass through one of the medical clinics, with from two to four physicians at work at one table. While we do not find under these circumstances an exemplification of the homœopathic tenet of individualizing each case for treatment, yet it is noticeable with what dexterity and skill the salient points are gathered from these little patients and their ignorant attendants which go to make up the diagnosis of the case; the examining physician at the same time finding opportunity to clearly elucidate these points to the attending physicians and students. In the medical clinics one is impressed with the large percentage of chronic cases having their origin in rheumatism, especially the heart and chorea cases, for rheumatism seems to be a very prevalent disease among the child as well as adult population of England, while malaria and its sequellæ are comparatively unknown. Tuberculosis is a frequent visitor and shows a marked preference for the joints and glands of the children. The pitiable manifestations of specific disease, most of them congenital, are, like the poor, always present. The most conspicuous features of the orthopaedic cases are the good results obtained in the various forms of talipes by massage, which the mother is instructed and commanded to carry out at home; their light and well-fitting splints; and an avoidance of tenotomy except where absolutely necessary. We pass over infant feeding with the word that in England it is almost an unknown art, as it is exemplified by the mere dilution of milk with plain or cereal water, of which condensed milk is the favorite product employed in the prescriptions of the out-patient department. Milk modified in accordance with the percentage method is comparatively unused. Surely for scientific infant feeding, thanks to Professor Rotch, one does not have to go far-a-field from Boston.

On the surgical side by far the most conspicuous element of this out-patient department of Great Ormond Street Hospital is the removal of tonsils and adenoids without anesthesia. This method

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