Chambers's Edinburgh Journal, No. 428: Volume 17, New Series, March 13, 1852Various
General
Chambers's Edinburgh Journal, No. 428: Volume 17, New Series, March 13, 1852
Various
Periodicals
'In all chronic blood-diseases,' says Dr Hall, 'medicines are useful,
but hygienic treatment'--the word is explained by the treatment of the
above case--'must rank the first. In all acute blood-diseases, when mild
and occurring in a previously healthy constitution, as they must run
through a special course, and last for a certain time, cases will
frequently do very well without any medicines. More frequently, a little
medicine occasionally to meet a temporary requirement is serviceable;
but in every case of this kind, however severe, the difficult point of
medical judgment is, rather, when to do nothing, than what to do.
Hygienic treatment is invariably necessary. Acting on the principle of
the accoucheur, that nature is to be carefully watched, but that so long
as she proceeds well, she is to be let alone, we shall meet with few
cases of illness in which we cannot find opportunities to judiciously
dispense with medicines.' Another difficulty in adopting this system
may be found in the doctor's fear, that if he dispenses with medicines,
the patient may dispense with him; but we are of Dr Hall's opinion, that
this is quite illusory. The only difference it will make will be, that
patients will learn to trust more to the judgment of their medical
attendant, and less to the efficacy of his medicines.
Hydropathy proceeds on the hygienic treatment, although doubtless in a
somewhat rough manner. Air, exercise, rubbing, cold water, simple
food--such are its substitutes both for medicines and globules; and we
think the regular doctors might with great advantage take a leaf out of
its book, as well as out of the book of homoeopathy. With this reform,
we would suggest--although with some timidity, for doctors are sensitive
on the point--that a re-examination, on broad scientific principles,
even of common diseases, would do some good. Doctors are too fond of
systems of treatment, which are not made to fit the patient, but which
the patient is expected to fit. Diseases run their course, and so do
remedies; but it might be well to inquire what relation there is between
the course of the one, and that of the other. The unvarying treatment of
a disease looks odd to a thinking bystander. The same medicines are
administered in case after case; the dose follows the symptom with the
certainty of fate. The patient dies--the patient recovers. What then?
The doctor has done his best--everything has been according to rule!
The following are the rules laid down for practitioners on the new
system:--
'1. Never prescribe medicines when hygiene will do as well and can be
enforced.
'2. Never permit the patient, or those around him, to expect more from
medicines than medicines can perform.
'3. Never prescribe medicines, except avowedly as mere palliatives, when
the period is gone by for them to be of ultimate service.
Public-domain text, read in full here on John Shaqi.
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