Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
First, there is the natural incapacity for sound observation, which is
like a faulty ear in music. We see this in many persons who know a good
deal about books, but who are not sharp-sighted enough to buy a horse or
deal with human diseases.
Secondly, there is in some persons a singular inability to weigh the
value of testimony; of which, I think, from a pretty careful examination
of his books, Hahnemann affords the best specimen outside the walls of
Bedlam.
The inveterate logical errors to which physicians have always been
subject are chiefly these:
The mode of inference per enumerationem simplicem, in scholastic phrase;
that is, counting only their favorable cases. This is the old trick
illustrated in Lord Bacon's story of the gifts of the shipwrecked
people, hung up in the temple.--Behold! they vowed these gifts to the
altar, and the gods saved them. Ay, said a doubting bystander, but
how many made vows of gifts and were shipwrecked notwithstanding? The
numerical system is the best corrective of this and similar errors. The
arguments commonly brought against its application to all matters of
medical observation, treatment included, seem to apply rather to the
tabulation of facts ill observed, or improperly classified, than to the
method itself.
The post hoc ergo propter hoc error: he got well after taking my
medicine; therefore in consequence of taking it.
The false induction from genuine facts of observation, leading to the
construction of theories which are then deductively applied in the
face of the results of direct observation. The school of Broussais has
furnished us with a good example of this error.
And lastly, the error which Sir Thomas Browne calls giving “a reason of
the golden tooth;” that is, assuming a falsehood as a fact, and giving
reasons for it, commonly fanciful ones, as is constantly done by that
class of incompetent observers who find their “golden tooth” in the
fabulous effects of the homoeopathie materia medica,--which consists of
sugar of milk and a nomenclature.
Another portion of the blame rests with the public itself, which insists
on being poisoned. Somebody buys all the quack medicines that build
palaces for the mushroom, say rather, the toadstool millionaires. Who is
it? These people have a constituency of millions. The popular belief is
all but universal that sick persons should feed on noxious substances.
One of our members was called not long since to a man with a terribly
sore mouth. On inquiry he found that the man had picked up a box of
unknown pills, in Howard Street, and had proceeded to take them, on
general principles, pills being good for people. They happened to
contain mercury, and hence the trouble for which he consulted our
associate.
Public-domain text, read in full here on John Shaqi.
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