The Writings of Thomas Jefferson, Vol. 5 (of 9): Being His Autobiography, Correspondence, Reports, Messages, Addresses, and Other Writings, Official and PrivateJefferson, Thomas
History
The Writings of Thomas Jefferson, Vol. 5 (of 9): Being His Autobiography, Correspondence, Reports, Messages, Addresses, and Other Writings, Official and Private
Jefferson, Thomas
United States -- Politics and government -- 1775-1783; United States -- Politics and government -- 1783-1865
We know, from what we see and feel, that the animal body is in its organs
and functions subject to derangement, inducing pain, and tending to its
destruction. In this disordered state, we observe nature providing for the
re-establishment of order, by exciting some salutary evacuation of the
morbific matter, or by some other operation which escapes our imperfect
senses and researches. She brings on a crisis, by stools, vomiting, sweat,
urine, expectoration, bleeding, &c., which, for the most part, ends in
the restoration of healthy action. Experience has taught us, also, that
there are certain substances, by which, applied to the living body,
internally or externally, we can at will produce these same evacuations,
and thus do, in a short time, what nature would do but slowly, and do
effectually, what perhaps she would not have strength to accomplish.
Where, then, we have seen a disease, characterized by specific signs
or phenomena, and relieved by a certain natural evacuation or process,
whenever that disease recurs under the same appearances, we may reasonably
count on producing a solution of it, by the use of such substances as we
have found produce the same evacuation or movement. Thus, fulness of the
stomach we can relieve by emetics; diseases of the bowels, by purgatives;
inflammatory cases, by bleeding; intermittents, by the Peruvian bark;
syphilis, by mercury; watchfulness, by opium; &c. So far, I bow to the
utility of medicine. It goes to the well-defined forms of disease, and
happily, to those the most frequent. But the disorders of the animal
body, and the symptoms indicating them, are as various as the elements
of which the body is composed. The combinations, too, of these symptoms
are so infinitely diversified, that many associations of them appear too
rarely to establish a definite disease; and to an unknown disease, there
cannot be a known remedy. Here then, the judicious, the moral, the humane
physician should stop. Having been so often a witness to the salutary
efforts which nature makes to re-establish the disordered functions, he
should rather trust to their action, than hazard the interruption of that,
and a greater derangement of the system, by conjectural experiments on a
machine so complicated and so unknown as the human body, and a subject
so sacred as human life. Or, if the appearance of doing something be
necessary to keep alive the hope and spirits of the patient, it should be
of the most innocent character. One of the most successful physicians I
have ever known, has assured me, that he used more bread pills, drops of
colored water, and powders of hickory ashes, than of all other medicines
put together. It was certainly a pious fraud. But the adventurous
physician goes on, and substitutes presumption for knowledge. From the
scanty field of what is known, he launches into the boundless region
of what is unknown. He establishes for his guide some fanciful theory
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