Another physician derived all diseases from a redundancy or deficiency
of fire or water. He maintained that where the water predominated the
fluids became viscid, and that hence arose intermittent fevers and
anthritic complaints. His remedies are in strict conformity to his
theory. These diseases are to be cured by volatile salts, which abound
with fiery particles; venesection in any case is highly pernicious;
these fiery medicines are the only efficacious remedies, and are to be
employed even in diseases of the most inflammatory nature. “Life,” says
Dr. Brown, “is a forced state:” it is a flame kept alive by excitement;
every thing stimulates; some substances too violently; others not
sufficiently; there are thus too kinds of debility, indirect and direct,
and to one or other of these causes must be referred the origin of all
diseases. According to this doctrine the mode of cure is simple: we have
nothing to do but to supply, to moderate, or to abstract stimuli. Typhus
fever, in this system, is a disease of extreme debility: we must
therefore give the strongest stimulants. Consumption and apoplexy,
also, are diseases of debility; of course the remedies are active
stimulants. Humanity shudders, and with reason, at the application of
such doctrines to practice. And not less destitute of reason, and not
less dangerous in practice, is the great doctrine of debility
promulgated by Cullen. This celebrated professor taught that the
circumstance which invariably characterized fever, that which
constituted its essence, was debility. The inference was obvious, that,
above all things, the strength must be supported. The consequence was,
that blood-letting was neglected, and that bark and wine were given in
immense quantities, in cases in which intense inflammation existed. The
practice was in the highest degree mortal; the number of persons who
have perished in consequence of this doctrine is incalculable. So far
then is it from being true that medical theories are of no practical
importance, that there is the closest possible connection between the
speculations of the physician in his closet, and the measures which he
adopts at the bed side of his patient. Truth to him is a benignant power
which stops the progress of disease, protracts the duration of life, and
mitigates the suffering it may be unable to remove: error is a fearfully
active and tremendously potent principle. There is not a medical
prejudice which has not slain its thousands, nor a false theory which
has not immolated its tens of thousands. The system of medicine and
surgery which is established in any country, has a greater influence
over the lives of its inhabitants than the epidemic diseases produced by
its climate, or the decisions of its government concerning peace and
war. The devastations of the yellow fever will bear no comparison with
the ravages committed by the Brunonian system; and the slaughter of the
field of Waterloo counts not of victims, a tithe of the number of which
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