A babe, not yet a day old, came under my care for treatment. What the symptoms were, except those of nervous irritation, I have now forgotten; but there was ample evidence of much disturbance in the system, and the parents and friends were exceedingly anxious about the results.
Now it was one of those cases in which a large proportion of our medical men are exceedingly ignorant, and only guess out the cause or causes as well as they can. I was thus ignorant, and would not—and as an honest man,couldnot—attempt to divine the cause or give a name to the disease. Yet I must needs, as I verily thought, prescribe something and somehow. So I took a single drop of laudanum, and diluted it well, and made the child swallow it.
He soon became easy, quite too easy, and fell into a profound sleep. So deep and profound, in fact, was its sleep, or rather itsstupor, that I began to be afraid it never would awake. How strange, I thought within myself, that a single drop of this liquid should produce so much effect! Yet it taught me wisdom. It taught me to let medicine alone—strong medicine, at least—in the diseases of very young children. It also taught me not to give too large doses to anybody, especially to those who had never taken any before. The first dose, for unperverted nature, must be very small indeed!
How much my little patient was injured, permanently, by this act of unpardonable carelessness, I never knew. It may have laid the foundation for many ills which he has since experienced, some of which have been severe and trying. Or, if otherwise, it may have aggravated such ills as had their origin in other causes. Or, if nothing more, it may have contributedto a delicacy and sensitiveness and feebleness of structure, which can never, in all probability, be fully overcome, and which have more to do, even with our moral tendencies and character, than most of us are fully aware.
How much would I give to be able to blot from my history such errors and defects of character as this! For, though I confess to nothing worse than haste and carelessness, in the present instance, yet a medical man, like the commander in the battle field or elsewhere, has no right to be careless. My aged, honored father gravely insisted, all his life long, that no accidents, as they are termed, in human life, ever take place, unless there is in the first place, carelessness, somewhere. Much more is it true that many an individual who sickens and loses his life, is the victim of carelessness; or, what is the same thing, want of attention, when great care and attention were necessary, and the issues of life and death were suspended, as it were, on a thread!
Should you ever go to Boston, and pass along a certain street called Court Street, almost to its western extremity, you may probably see at your left hand, in large letters of various fantastical shapes, the words which I have placed at the head of this chapter; viz., "Mrs. Kidder's Cordial." Sometimes, I believe, it is called her cholera cordial; but it is sufficiently well known, as I suppose, by the former name.
But how is it known? Not merely by the sign I have mentioned, fastened up at the door of that aforesaid shop in Court Street, but by a host of advertisements in the public papers; and in other cities as well as Boston. You may find them in almost every public house, post-office, railroad depot, and grocery in New England; or, as I might perhaps say, in the whole Union.
I once had a child severely sick, at a season of the year when not only the Asiatic cholera prevailed, but also the cholera morbus. She was teething at the time, which was doubtless one cause of her illness,—to which however, as I suppose, other causes may have been added. In any event, she was in a very bad condition, and required the wisest and most careful medical attention. There was also a young woman in the house who was ill in the same way, but not so ill as the child.
At that time my residence was very near the metropolis, though, as I have already told you, Mrs. Kidder's cordial could be had almost everywhere. Having occasion to go to town, I fell in with an old friend who kindly inquired after the health of my family. When I had told him, he boldly and with true Yankee impertinence, asked what I had done for my family patients; to which I replied, with a frankness and simplicitywhich was fully equal to his boldness, "Nothing, as yet." "Do you mean to do nothing?" said he, with some surprise. I told him that I did not know what I might do in future, but that I saw no necessity of using any active medication at present. "Are you not aware," I added, "that physicians seldom take their own medicines or give them to their families?"
"I know very well," said he, "that physicians theorize a good deal about these matters; but after all, experience is the best school-master. Should you lose that little girl of yours, simply because you are anxious to carry out a theory, will you not be likely to regret it? As yet you have lost no children, and therefore, though much older than myself, you have not had all the experience which has fallen to my lot; and experience is the best school-master."
"True," I answered, "I am not too old to learn from that experience, which, in a certain sense, is the basis of all just knowledge, especially in medicine. What you call my theory, or at least all the theory I have, is grounded on this same experience; not, indeed, that of one man in one neighborhood, nor, indeed, in one nation. I have looked the world over."
"And you have come to the very wise conclusion, it would seem," said he, "that medicine never does any good, and that you will never give it more, except to those who are determined to have it, or will not fasten their faith on any thing else."
"Not exactly that," I replied. "I can think of a great number of cases in which I would give medicine. For example: suppose one of my children had by the merest accident taken a dose of poison, which, if retained, must inevitably destroy it, I would much sooner give that child an active emetic—which, of course, is medicine—than stand still and see it die."
"Very well," said he, "your child and Miss L., are, in one point of view, poisoned. They will probably die, if you stand still and do nothing; at least I have not a doubt that the little girl will. Now take my advice, and do something before it istoo late. Give up all your theories and fine-spun reasonings, and do as others do, and save your child."
As I had but little time for conversation with him, even on a highly important and deeply interesting subject, above all to point out the difference between the two cases he mentioned. I was now about ready to say "Good-morning," and leave him. "Stop a moment," said he, "and go with me to the second shop beyond that corner, and get a bottle of Mrs. Kidder's cordial for your sick folks."
Here I smiled. "Well," said he, "you may continue to smile; but you will mourn in the end. I have used Mrs. Kidder's cordial in my family a good deal, and I assure you it is no humbug. It is all it promises. Now just go with me, for once, and get a bottle of it. Depend upon it, you will never regret it."
Although my good friend had not succeeded in changing my views by his many affirmations, nor by his strong appeal to his experience of the good effects of the cordial in his own family (for I well knew he had lost almost all his children), I consented to go with him to the shop, partly to get rid of him. When we arrived I bought a bottle of the cordial,—I believe for fifty cents,—put it in my pocket, and carried it home with me.
When I reached home I put away the bottle, on a shelf in our family closet which was quite unoccupied, and inquired about the patients. The little girl was rather better, it was thought, but Miss L. was still weak and low. I told them about the adventure with the bookseller, but omitted to state that I had purchased the cordial.
In a very few days, by dint of good care and attention, and the blessing of a kind Providence, the sick were both of them much better, and I could leave them for a whole day at a time. My business in town demanded my presence, and I repaired thither again. And who should I meet, on getting out of the omnibus, but my old friend, who had reasoned with me so patiently and perseveringly, in defence of Mrs. Kidder's cordial?
He inquired, almost immediately, about my family; to which I joyfully replied, "Better, all better. They were better in less than two days after I last saw you;—yes, they were a little better that very evening."
"I told you it would be so," said he. "I never knew the cordial to fail when taken in season. I have lost several children, it is true; but they did not take it soon enough. I am profoundly glad you were in season. Does it not operate like a charm?"
"Exactly so," said I, "if it operates at all; exactly like a charm, or like magic. Shall I tell you the whole story?"
"By all means," he replied; "let us have the whole of it; keep nothing back."
"Well, then, I went home, and placed the bottle of cordial on a high and obscure shelf, where nobody would be likely to see it, and proceeded with our sick folks just as before. The bottle of cordial remained unknown, except to myself, and untouched, and is probably untouched to the present hour. So you see—do you not?—how like a charm it operates."
"Justlikeyou, doctor. Well, as long as they recovered I do not care. But I shall always have full faith in the medicine. I know what I know; and if all the world were of your opinion I could not resist a full belief in the efficacy of Mrs. Kidder's Cholera Cordial."
My friend was not offended with me, for he was, in the main, a sensible, rational man. He pitied me; but, I believe from that time forth, gave up all hopes of my conversion. I come to this conclusion because he has never uttered a syllable on the subject, in my hearing, from that day to this hour, though I have met with him probably fifty times.
There can be no doubt that were we to place full faith in the recuperative efforts of nature, three-fourths of our medicine—perhaps I may just as well say nine-tenths—would be quite as useful were it disposed of in the way I disposed of Mrs. Kidder's cordial, as when swallowed. Nay, it is possible it might be much more useful. If a sick person can recover without it just as well aswithit, he certainly will get well more easily,even if it should not be more quickly, than if he had a load of foreign substance at his stomach to be disposed of. In other words, to get well in spite of medicine seems to me much less agreeable, after all that is said in its favor, than to get well in Nature's own way.
So many people regarded it, and therefore I use the phrase as a title for my chapter. I have heard of families of children so large that it was not easy to find names for them all. My chapters of confession are short, but very numerous, and I already begin to find it difficult to procure titles that areapropos.
Mary Benham was the second daughter, in an obscure and indigent family that resided only a little distance from my house, just beyond the limits of what might properly be called the village. I do not know much of her early history, except that she was precocious in mind, and scrofulous and feeble in body.
The first time I ever heard any thing about her, was one night at a prayer-meeting. Mr. Brown, the minister, took occasion to observe, at the close of the meeting, in my hearing, that he must go to Mr. Benham's and see Mary, for she was very ill, and it was thought would not live through the night.
She survived, however, as she had done many times before, and as she did many times afterward, in similar circumstances. More than once Mr. Brown had been sent for—though sometimes other friends were called, as Mr. Brown lived more than a mile distant—to be with her and pray with her, in what were supposed to be her last moments. But there was still a good deal of tenacity of life; and she continued to live, notwithstanding all her expectations and those of her friends.
It appeared, on inquiry, that her nervous system was very much disordered, and also her digestive machinery. She was also taking, from day to day, a large amount of active medicine. Still no one appeared to doubt the propriety of such a courseof treatment, in the case of a person so very sick as she was; for how, it was asked, could she live without it?
In one or two instances I was sent for; not, indeed, as her physician, but as a substitute for the more distant or the absent minister. At these visits I learned something, incidentally, of her true physical condition. I found her case a very bad one, and yet, as I believed, made much worse by an injudicious use of medicine.
Yet what could I do in the premises? I had not been asked to prescribe for her, nor even to give counsel as a supernumerary or consulting physician. Dr. M. paid her his weekly and semi-weekly visits, and doubtless supposed all the wisdom of the world added to his own would hardly improve her condition. I was, of course, by all the rules of medical etiquette, and even by the common law of politeness, obliged to bite my lips in silence. One thing, indeed, I ventured to do, which was to send her a small tract or two, in some of the departments of hygiene or health.
Soon after this her physician died; and died, too, by his own confession, publicly made, of stomach disease,—at least, in part. He was a man of gigantic body and great natural physical force. His digestive apparatus was particularly powerful, and it had been both unwisely cultivated and developed in early life, and unwisely and wickedly managed afterward. For an example of the latter, he would, while abroad among his patients, sometimes go without his dinner, and then, on his return to his family and just as he was going to bed, atone for past neglect by eating enough for a whole day, and of the most solid and perhaps indigestible food. In this and other abusive ways he had been suicidal.
But he was now gone to his final account, and on whose arm could Mary lean for medical advice? Her parents were too poor to pay a physician's bill. What had been paid to her former medical attendant—which, indeed was but a mere pittance—was by authority of the town. Mary felt all the delicacy she should have felt, in her circumstances, and perhapsmore, for she refused for some time to ask for farther aid, preferring to groan her way alone.
One evening, when I was present on a moral errand, she spoke of the great benefit she had derived from the perusal of the little books I had sent her, and modestly observed that, deprived as she was by the wise dispensation of Providence, of her old friend and physician, she had sometimes dared to wish she could occasionally consult me. I told her I hoped she would not hesitate a moment to send for me, whenever she desired, for if in a situation to comply with her requests, I would always do so immediately. She was about to speak of her poverty, when I begged her not to think of that. The only condition I should impose, I told her, was that she should do her very best to follow, implicitly, my directions. With this condition she did not hesitate to promise a full and joyful compliance.
From that time forth I saw her frequently, since I well knew that even voluntary visits would be welcome. I found she had become convinced of the necessity of breathing pure air, and of ventilating her room every day. Nor did she neglect, as much as formerly, the great laws of cleanliness. Yet, alas! in this respect, the hard hand of necessity was upon her. She could not do all she wished. However, she could apply water to her person daily, if she could not to her clothing and bedding; so that, on the whole, she did not greatly suffer. Her mother did what she could, but she was old and decrepit.
She had also made another advance. She had contrived to obtain, I hardly know from what source, but probably from the hands of kind friends, a small amount of good fruit to use daily, with one or more of her meals. This excluded a part or portion of that kind of food which was more stimulating and doubtful.
But the greatest difficulty we had to encounter was to shake off the enormous load of narcotic medicine which had been so long prescribed for her that she seemed unable to live without it. Morphine, in particular, she had come to use in quantities which would have destroyed a person who was unaccustomedto its influence, and in frequently repeated doses. I told her she might as well die in one way as another; that the morphine, though it afforded a little temporary relief, was wearing out her vital energies at a most rapid rate, and that the safest, and, in the end, the easiest way for her was, to abandon it entirely. She followed my advice, and made the attempt.
I have forgotten how long a time it required to effect a complete emancipation from her slavery to drugs; but the process was a gradual one, and occupied at least several months. In the end, however, though not without considerable suffering, she was perfectly free, not only from her slavery to morphine, but to all other drugs. All this time, moreover, she was aswell, to say the least, as before; perhaps, on the whole, a little better.
I now set myself, in good earnest, to the work of improving her physical habits. The laws of ventilation and cleanliness, to which her attention, as I have already intimated, had become directed, were still more carefully heeded. She was required to retire early and rise early, and to keep her mind occupied, though never to the point of fatigue, while awake. Her habits with regard to food and drink were changed very materially. The influence of the mind on the condition of the body was also explained to her, and the influence of temperature. In short, she was brought, as fast as possible, to the knowledge of physical law in its application to her circumstances, and encouraged to obey it.
The recuperative powers of nature, even in unfavorable circumstances, were soon apparent. This greatly increased her docility and inspired her with faith and hope. The greatest trouble was in regard to muscular exercise. Much of this was needed; and yet how could it be obtained? She could not walk, and yet, in her indigence, she had no means of conveyance, except at the occasional invitation of some friend.
But this even had its good tendencies. To take her up, as we would have taken a child, set her in a carriage and let her ride half a mile or a mile, was obviously of great service to her. She was far less fatigued by it than was expected; hersubsequent sleep was far better; nor did any remote evil effects follow. This greatly increased her courage, and raised the hopes of her friends.
She was at length able to be placed in the railroad cars, and with the aid of coaches, at embarking and disembarking, to travel about a good deal, to the distance of ten, twelve, or twenty miles; and all this with favorable effects. Her recovery, at no distant day, began to be regarded, by the most sceptical, as quite probable.
My removal, a hundred miles or so from the village, just at this time, was, however, a misfortune to her. In one of her excursions, she received and accepted an invitation to spend a few months with a distant relative, where she came under the influence of one of the phases of modern quackery, by means of which her progress to the promised land of health was very considerably retarded. She even sickened, but afterward recovered.
Sometime after this, as I subsequently learned, she partially regained her good condition of steady progress, and returned to her father's house. Finding herself, at length, able to do something for her support, she entered into the service of a neighboring family, at first with little compensation except her board, but subsequently at half pay or more. Her domestic duties were such as only taxed her system to a degree which she was able to endure without any injury.
It was in this condition, that, after two or three years of absence, I found her and rejoiced with her. For, though she could no more be said to be restored to perfect health, than a vessel could be considered perfectly sound that is full of shot holes, yet her condition was far enough from being desperate, and was even comparatively excellent. I left her once more with the tear of gratitude to God on her cheek, and again, for many long years, neither saw her nor heard from her.
At our next interview she brought with her a gentleman whom she introduced to me as her husband. The meeting was to me wholly unexpected, but most happy. She lived in this relation, but without progeny, a few years more, and thensank in a decline, to rise no more till the sound of the last trumpet.
Of the particulars of her decline and death, I have never heard a word. Her scrofulous temperament and tendencies rendered her liable to numerous diseases of greater or less severity and danger, to some of which she probably fell a victim. It is, however, by no means impossible that her numerous cares and anxieties—for she was naturally very sensitive—may have hastened her exit.
If I have any misgivings in connection with this protracted, but very interesting case, and consequently any confessions to make, it is with reference to the point faintly alluded to in a preceding paragraph. While I honor, as much as any man, the marriage relation,—for it is in accordance with God's own intention, and is the first institution of high Heaven for human benefit and happiness,—I must freely confess that in the present fallen condition of our race, it occasionally happens that an individual is found unfit for the discharge of its various duties, as well as for the endurance of some of its peculiar responsibilities. Such, as I believe, among others, was Mary Benham.
A female, about thirty-five years of age, and naturally of a melancholic temperament, was very frequently at my room for the purpose of conversing with me in regard to her health. Most of her complaints—for they were numerous—were grafted upon a strongly bilious habit, and were such as required in the possessor and sufferer, more than an ordinary measure of attention to the digestive organs and the skin. And yet both these departments, especially the latter, had been in her case, hitherto, utterly neglected. To speak plainly, and with some license as a physiologist,she had no skin. It was little more than a mere wrapper, so far as the great purposes of health were concerned. A dried and even tanned hide, could it have been fitted to her person with sufficient exactness, would have subserved nearly the same purposes.
Perhaps you will excuse the tendency in the description of this case, to exaggeration, when you are informed that the treatment of themselves, in the particular here alluded to, by females especially, is one which habitually fills one with disgust, and sometimes with indignation. Persons of good sense, of both sexes, who from month to month, perhaps from year to year, never wash their skins, nor use much muscular exercise, ought to know that they must, sooner or later, experience the dreadful penalty attached to violated physical law, and from which there is, neither on earth nor in heaven, any possible escape. Can any one suppose, for a moment, that so curious and complicated an organ as the skin, and one of such considerable extent, has nothing to do?
Nearly every living person has some idea, of greater or less intensity, of pores in the skin; at least, they use languagewhich implies such an idea. They talk, often, of the necessity of keeping these pores open. But how is it to be done? Not certainly while they use little or no muscular exercise, by washing, once a day, their hands and faces merely, or, as some say, their fingers, their noses, and the tips of their chins. They may talk, on occasions, very boldly and flippantly, aboutsweatingaway a cold, as they term it; but do they vainly suppose that the sweat vessels or sweating machinery has nothing to do, from day to day, which might prevent the necessity of resorting to these sweating processes?
Miss L. appeared to be in utter ignorance of any laws of the skin, or of the digestive or muscular systems. And yet her thoughts had been turned, often and frequently, to her own feelings and sensations. She would talk, almost incessantly, if anybody would hear her, about her aches and pains, and could describe her whole train of feelings, from morning to evening, with a faithfulness and patience and minuteness that would have furnished a genius less than Defoe with material sufficient for quite a huge volume.
Now I could have visited and counselled Miss L., at least once a week, with great profit to herself, had she been as intelligent, in general, as she was familiar with her own sensations. As things were, her confidence was rather more troublesome than agreeable; but she was, practically, a standing patient; and physicians, as you know, cannot choose. They must be, among mankind, like the Great Physician, as they who "serve;" not as those who areto be served, or accommodated. And they must serve those who come to them.
Miss L. was evidently somewhat disappointed, when she found I was not disposed to give her any medicine. A little, she thought, might sometimes be useful; a great deal she did not believe in, of course. Experience had forced upon her some of the lessons of wisdom. However, she contrived to fasten a good deal of faith on the laws of health, which I continually held forth to her. In particular, I urged on her the necessity of endeavoring to keep up what I was wont to call a centrifugal tendency in her system. A good plump, healthful,ever active, and ever vigorous skin was, as I told her, our only hope in her case. As a means to this end, and also as a means of withdrawing her attention from the slavery of a constant attendance on her own sensations, I urged her to mingle with society much more, and go about doing good to others, on the great principle, "It is more blessed to give than to receive." I warned her, however, against the danger of falling into the habit of giving an account of herself—her woes and sorrows—to every one she might meet with, who should kindly inquire about her condition, since it would greatly retard her improvement, even if it did not keep up or renew her disease.
Among other things, I ventured to suggest to her the importance of having something to do—something of a permanent nature. "We hear," I said, "of gentlemen at large, and you seem to be a lady at large. You have, in the usual acceptation of the phrase, nothing to do. Would it not be well for you to take charge of something or of somebody? You might, perhaps, assume the office of teacher, and take the charge of a few pupils; or even adopt a child or two as your own, where you might receive compensation. Or," as I finally added,—for I perceived she shrunk from all responsibilities of this kind,—"you might, perhaps, become the mistress of a family."
On the last mentioned topic, I was also obliged, for obvious reasons, to speak with considerable caution. She was unsocial, timid, fearful of being burdened with cares—the very stuff, though she knew it not, that human life is made of, ay, and human happiness too. But I could not hesitate to make the trial. My suggestions, however, were of little avail. She went on for some time, in the old way, and made very little progress.
I lost sight of her about this time, and never met her more. The sequel of her history I only know from report. It is painful in the extreme. It is, however, the history, in all its essential features, of thousands of selfish people, who, after all, by dint of numbers, force, and influence, contrive to rule the world.
Being fully determined to have no cares or responsibilities connected with children or household, she not only refused to hearken to my advice, but also to one or more truly kind and promising offers of marriage. She pursued her selfish course undisturbed, unless by occasional misgivings, till her brain and nervous system suffered so severely that she began to approach the confines of insanity.
It was, however, a considerable time before the silver cord was loosed, the golden bowl broken, and the wheel broken at the cistern. But the terrible result at length came. The demands of violated physical law are inexorable. She was conveyed, as a last resort, in the hope of cure, to an insane hospital. Here, after many and patient attempts to restore the crippled and broken down machinery to healthful motion, she ended her days.
My female patients were not all equally unfortunate. One I had, whose case, if minutely described, would present an array of facts painful in the extreme. She, too, approached the dark regions of insanity; but she did not enter. She still lives, and is at once a useful and happy woman, and an excellent wife and housekeeper. As a means to her recovery, however, she pursued a course diametrically opposite to that pursued by Miss L. She did not shrink from care and responsibility; on the contrary, she submitted to both. First, she sought increased activity and usefulness in her father's family; and, secondly, in a family of her own.
Concerning the last mentioned case, I have few misgivings, and equally few confessions to make. I call it a remarkable case; but it must not be revealed in its details, for other reasons besides its tediousness. In the case of Miss L., however, I have one deep and lasting regret.
In the early part of my acquaintance with her, as a medical man, she probably had more confidence in my integrity and skill than in those of any other living individual. She had been early left an orphan; and I was among the first—perhaps the very first—to take the attitude towards her of a truefather. Such kindness, and especially such paternal care, never fail to make their impression.
"Love, and love only, is the loan for love."
"Love, and love only, is the loan for love."
At this early sympathizing period, had I been more faithful, I might, perhaps, have saved her. But I was remiss—disposed to delay. I waited, a thousand times, for a better opportunity. I waited till the favorable moment—ay, theonlymoment—had passed by.
Physicians often err here. God gives to many individuals the most unbounded confidence in medical men; and this remarkable provision of his has a deep meaning. It is not, however, to the intent that they should abuse the influence thus secured to them, by filling their patients' stomachs with pills and powders; but for such purposes, rather, as have been indicated by the general tenor of the foregoing remarks. It is that they may give them wise paternal counsel and sound physiological and pathological instruction.
Such counsel and such instruction were indeed given to Miss L., but not to that extent which the nature of the case required, and which a little more moral courage and Christian plainness would have secured. She was worth saving, and I might, perchance, have been the honored instrument of saving her, and of thus rendering to society a most valuable service. That vital energy of hers which was expended in watching over her own internal feelings, might have been rendered a much more profitable investment.
But the account is closed and sealed, to be agitated or questioned no more till the inquisitions of the last day. Let such considerations and reflections as this remark suggests to the human mind have their intended effect. Let us ever increase our zeal and watchfulness, that we may avoid such a course of conduct as makes confessions meet, or needful, or even salutary.
There have been giants in the earth, in nearly every age, if not in every clime—giants mentally, and giants physically. Of course they may have been rare exhibitions, and may thus have elicited much attention; and some of them have attained to quite a memorable place in history.
There have been and still are, on the earth, giants of other descriptions. We sometimes even meet with giant dyspeptics. Dyspepsia, at best, is formidable, many-headed, but not always gigantic. If gigantic size, in this case, were the general rule, what we now call giants would, of course, cease to be regarded as such.
It may be thought that what I shall here call dyspeptic giants, or giant dyspeptics, were better designated as monsters, than giants. Be it so, for we will not quarrel about names; though a difficulty might be found in making the required distinction between giants and monsters; for is not every giant a monster?
Not far from the year 1830, perhaps a little earlier, you might have seen, in connection with a certain private seminary of education, in New England, one of these giant dyspeptics. I do not mean, of course, that he had already attained to giant size, but only that what proved in the result to be gigantic was already a giant in miniature, and was rapidly advancing to one of magnitude.
He had early been a cabin boy; and like many other cabin boys, had been gluttonous, and in some respects intemperate. Not by any means, that he had ever been guilty of downright intoxication; for of this I have no certain knowledge. My belief is, however, that he had gone very far in this direction,though he might not have—probablyhadnot—been justly chargeable with going quite to the last extremity.
But why should such a young man be found at a seminary of learning? Was he with "birds of a feather?" Do not these attract each other?
Mr. Gray, for that is the name I shall give to our young dyspeptic, had been recently subjected to the influences of one of those seasons of excitement well known in the religious world by the name ofrevivals; and what is not at all uncommon with the rude and uncultivated minds of even more hardened sailors than he, a great change had come over him. In short, he had the appearance, in every respect, of being a truly converted young man.
Why this change of character had led him to this school-house, may not at first appear. Yet such a result is by no means unusual. This waking up the mind, by awakening the soul, and causing it to hunger and thirst after knowledge, has been observed long since, by those who have had their eyes open to what was going on around them.
Young Gray was penniless, and his parents not only poor, but overburdened with the cares of a large family, so that they could give him no aid but by their prayers. He was not, however, to be discouraged by poverty. He agreed to ring the bell, sweep the hall, build fires, etc., for his board and tuition. As for clothing, he had none, or almost none. Charity, cold as her hand oftentimes is, supplied him with something. Dyspepsia had not, as yet, marred his visage or weakened his energies.
In his connection with this seminary and others of kindred character, such as he could attend and yet pay his expenses by his labor, he became, ere long, able to teach others. Here was a new means of support, of which he eagerly availed himself. In whatever he undertook, moreover, he was singularly successful. He was in earnest. An earnest mind, in connection with an indomitable will—what may it not accomplish? It is every thing but omnipotent.
"Heaven but persuades, almighty man decrees," as I have before said, assuming our old English poets as standard authority;but this saying has more in it than mere poetry. Or, if Heaven more than persuades—somewhat more—does not man still decree? But I am inclined, I see, to press this thought, perhaps in undue proportion to its magnitude. Whether or not it abates one half the guilt, I make the confession.
For several years Gray pushed his devious course, through "thick and thin," sustaining himself chiefly by his teaching. In 1835, he was the private instructor of a wealthy family in Rhode Island; but so puzzling, not to say erratic, were some of his movements, that he was not very popular. Subsequently to this, he was found in another part of New England, editing a paper, and teaching at the same time a small number of pupils.
All this while he paid great attention to physical education; but being either a charity scholar, or obliged to pay his way by his own exertions, he had not at command the needful time to render him thorough in any thing, even in his obedience, as he called it, to Nature's laws. Nearly all his studies were pursued by snatches, or, at least, with more or less irregularity.
In nothing, however, was he more irregular than in his diet. This, to a person already inclined, as he certainly was, to dyspepsia, was very unfortunate. Perhaps, as generally happens in such cases, there wasaction and reaction. Perhaps, I mean, his dyspeptic tendencies led to more or less of dietetic irregularity; while the latter, whenever yielded to, had a tendency, in its turn, to increase his load of dyspepsia.
There was, indeed, one apology to be found for his irregularity with regard to diet, in his extreme poverty. There were times when he was actually compelled to subsist on the most scanty fare; while his principles, too, restricted him to very great plainness. In one instance, for example, after he had finished his preparatory, course of study and entered college, he subsisted wholly on a certain quantity of bread daily; and as if not quite satisfied with even this restriction, while he needed his money so much more for clothing and books, he purchased stale bread—sometimes that which was imperfect—at a cheaper rate. Now a diet, exclusively of fine flour bread, andwithal more or less sour or mouldy, is not very suitable for a dyspeptic, nor yet, indeed, for anybody whatever. However, he learned, at length, to improve a little upon this, by purchasing coarse, or Graham bread.
Subsequently to this period, not being able, either alone or with the aid of friends, most of whom were poor, to pursue a regular academic course of instruction, he accepted the proposition that he should become an assistant teacher in the English department of a school in Europe. This, he feared, might postpone the completion of his studies, but would enable him, as he believed, to improve his mind, establish his health, and add greatly to his experience and to his knowledge of the world. It would also perfect him in teaching, so far at least as the mere inculcation of English grammar was concerned.
His health was by no means improved by a residence of three or four years in Europe, but rather impaired. He returned to America, in the autumn of 1839, and as soon as he had partially recovered from the effects of a tedious and dangerous voyage, went to reside in the family of a near relative who was a farmer, with a view to learn, for the first time, what the labors of the farm would do for him.
Here he often resorted to the same rigid economy which he had before practised, both at academy and college, and in Europe. The very best living he would allow himself was a diet exclusively of small potatoes—those, I mean, from which the larger ones had been separated for the use of others.
This, his dyspeptic stomach would not long endure. His digestive and nervous systems both became considerably deranged; and even his skin, sympathizing with the diseased lining membrane of his stomach and intestines, became the seat of very painful boils and troublesome sores. These, while they indicated still deeper if not more troublesome disease, gave one encouraging indication—that the recuperative powers of the system were not as yet irrecoverably prostrated.
He now came to me and begged to become my patient, and to reside permanently under my roof, so that he might not only receive such daily attention and counsel as the circumstancesrequired, but also such food, air, exercise, and ablutions as were needful. He was accordingly admitted to the rights, privileges, and self-denials of the family.
Here he spent a considerable time. While under my care, I made every reasonable exertion for his recovery which I would have made for a favorite child. Indeed, few children were ever more obedient or docile. He would sometimes say to me: "Doctor, I have no more power over myself than a child, and you must treat meas you woulda child." Nor was he satisfied till I restricted his every step, both with regard to the quantity and quality of his food, and the hours and seasons of bathing, exercise, reading, etc. It was to me a painful task, and I sometimes shrunk from it, for the moment. There was, however, no escape. I had embarked in the enterprise, and must take the consequences.
At first, his improvement was scarcely perceptible, and I was almost discouraged. But at length, after much patience and perseverance, the suffering digestive organs began, in some measure, to resume their healthful condition, and the whole face of things to wear a different aspect. He left us to take charge of a public school.
For some time after the opening of this school, his health seemed to be steadily improving, and the world around him began to have its charms again. He was in his own chosen, and, I might say, native element, which was to him a far more healthful stimulus than any other which could have been devised, whether by the physician or the physiologist.
Nothing in this world is so well calculated to preserve and promote human health, as full and constant employment, of a kind which is perfectly congenial and healthful, and which we are fully assured is useful. In other words, the first great law of health is benevolence. It keeps up in the system that centrifugal tendency of the circulation of which I have already spoken, and which is so favorable for the rejection of all effete and irritating matters. It would have been next to impossible for our Saviour, with head, heart, and hands engaged as his were, to have sickened; nor was it till the most flagrant physiologicaltransgressions had been long repeated, that even Howard the philanthropist sickened and died. Not the whole combined force of malaria and contagion could overcome him, till continual over-fatigue, persistent cold, and strong tea,—an almost matchless trio,—lent their aid to give the finishing stroke.
Mr. Gray was a boarder with a gentleman who kept a grocery store, and who was glad to employ him on certain days and hours of vacation or recess, in taking care of the shop and waiting on his customers. Here the tempter again assailed him, in the form of foreign fruits, raisins, figs, prunes, oranges, dried fish, cordials, candy, etc. For some time past he had been wholly unaccustomed to these things; they had even been forbidden him, especially between his meals. As a consequence of his indulgences, and his neglect of exercise, his health again declined, and he came a second time under my care.
He was partially restored the second time, but not entirely. His labors, which were teaching still, became more exhausting than formerly. Cheerfulness, hope, sympathy, conscious usefulness, and the force of many good habits, sustained him for a time, but not always. His great labors of body and mind, with a deep sense of responsibility, and the indulgences to which I have alluded, preyed upon him, and dyspepsia began once more her reign of tyranny.
Doubtless he attempted too much here, for he was an enthusiast on the subject of common schools and common school instruction. And yet, under almost any circumstances of school-keeping, dyspepsia, nurtured as it was by every physical habit, would most certainly have assailed him. With regard to his food and drink he was very unwise. It contributed largely to an extreme of irritability, which was unfavorable, and which at the end of a single term compelled him to resign his place and seek some other employment.
This was a grievous disappointment to Mr. Gray, and, as some of his friends believe, was the mountain weight that crushed him. The horrors of the abyss into which he believed he had plunged himself, were the more intolerable from thefact that he now, for the first time, began to despair of being able to consummate a plan by means of which both his sorrows and joys, especially the latter, would have been shared by another.
Yet, even here, he did not absolutely despair. Hope revived when he found himself, a third time, my patient. I did all in my power to encourage him till I had at length, to my own surprise as well as his, the unspeakable pleasure of finding him again returning to the path of health and happiness. It is indeed true, that a capricious appetite still retained its sway, in greater or less degree, and whenever he was not awed by my presence, he would indulge himself in the use of things which he knew were injurious to him, as well as in the excessive, not to say gluttonous, use of such good things as were tolerated. He occasionally confessed his impotence, and begged us to keep every thing out of his way, even those remnants which were designed for the domestic animals!
And yet, after all, strange to say, he absented himself very frequently, as if to seek places of retirement, where he could indulge his tyrannical appetite. I saw most clearly his danger, and spoke to him concerning it. I appealed to his fears, to his hopes, to his conscience. I reminded him of the love he bore to humanity, and the regard he had for Divinity.
Once more, being partly recruited, he resumed his labors as a teacher. This was doubtless a wrong measure, and yet I was not aware of the error at the time, or I should not have encouraged the movement, or assisted him as I did in procuring a situation. But I then thought he had been punished so effectually for his transgressions, that he would at length be wise. Besides he was exceedingly anxious to be at work, and to avoid dependence, a desire in which his friends participated, and in regard to which they were so unwise as to express their over anxiety in his hearing.
Three months in the school-house found him worse than ever before. He had attempted to board himself, to subsist on a very few ounces of "Graham wafers" at each meal, and to be an hour in masticating it. As an occasional compensation for this, however, a sort oftreating resolution, he allowed himselfto pick up the crusts and other fragments left about the school-house by his pupils, and when he had collected quite a pile of these, to indulge his appetite with them,ad libitum. Nor was this all. He erred in other particulars, perhaps in many.
He came to my house a fourth time, but my situation was such that I could not well receive him. He staid only a day or two, but his residence with us was long enough to enable me to mark the progress of his case, and to deplore what I feared must be the final issue. From me he went to a friend in an adjoining State; not, however, till he had alluded to certain errors of his recent life that he had not yet devulged, even to his best friend. "Doctor," said he, "there are some things that I have not yet told you about."
To me, also, it belongs, at this point of Gray's lamentable history, to make confession of great and glaring error. To have received the young man to my house, and to have devoted myself to the work of endeavoring again to raise him, would, most undoubtedly, have been a sacrifice to which few people in my circumstances would have thought themselves called. Yet, difficult as it was, the sacrifice might have been made. Had he been my only brother, I should, doubtless, have received him. The Saviour of mankind, in my circumstances, would probably have taken him in. Was I not his follower? And was I not bound to do what I believed he would do, in similar circumstances?
His more distant friend, but more consistent Christian brother, opened wide his doors for his reception, and did the best he could for him. It was his intention, at first, to employ him, as I now think he ought to have been employed long before; viz., on a small farm. In this point of view this friend's house was particularly favorable. Yet there were offsets to this advantage. One thing in particular, cast a shade upon our efforts in his behalf. It was about April 1st, and the house and farm had an eastern aspect, and the easterly winds, which at that season so much prevailed, were very strong and surcharged with vapor at a low temperature. For a few days after his arrival he was worse than ever.
This was discouragement heaped upon discouragement, and he began soon to sink under it. For a short time he was the subject of medical treatment. What was the character of the medicine he took, I never knew. At length there were signs of convalescence; but no sooner did his bodily health and strength begin to improve, than his mental troubles began to press upon him, till he was driven to the very borders of insanity. Indeed, so strong was the tendency to mental derangement that his relatives actually carried him,per force, to an insane hospital.
But his residence at the hospital was very short. Provision having in the mean time been made for his reception in a private family, among his acquaintance, and the superintendent of the hospital having advised to such a course, he was remanded to the country, to familiar faces, and to a farm.
On reaching the place assigned him, he became extremely ill,—worse, by far, than ever before,—so that, for several weeks, his life was despaired of. But by means of careful medical treatment, and a judicious and very simple diet, which at the hospital had been exchanged for a stimulating one, nature once more rallied, and in three or four weeks he appeared to be in a fair way for recovery. His strength increased, his mind became clear; his digestive function, though still erratic, appeared about to resume its natural condition, and to perform once more its wonted office; and the other troublesome symptoms were all gradually disappearing, except one;—he had still a very frequent pulse.
But even this rapid arterial action was at length abating. From a frequency of the pulse equal to 100, 110, and sometimes 120 in a minute, it fell in two weeks to from 70 to 75; and this, too, under the influence of very mild and gentle treatment. There was no reduction of activity or power, by bleeding, or by blistering, or in any other way; on the contrary, as I have intimated, there was a general increase of strength and vigor, both of body, and mind. He did not even take digitalis or morphine. The prospect, therefore, was, on the whole, truly encouraging.
And yet he had a set of friends—relatives, I should say, rather—who were not satisfied. It was strongly written on their minds that he was about to die; and they sternly insisted on removing him to his native home, that if he should die, he might die in the bosom of his own kindred. I was consulted; but I entered my most solemn protest against the measure, as both uncalled for and hazardous. It was to no purpose, however. In their over-kindness they determined to remove him; and the removal was effected. I ought also to say that though Mr. Gray highly appreciated their kindness, he was himself opposed to the measure, as one attended with much hazard.
On the road to his paternal home, influenced in no small degree by mental excitement, his delirium returned, and with an intensity that never afterwards abated. He was, for about three weeks, a most inveterate and raving maniac, when, worn out prematurely with disease, he sunk to rise no more till the general resurrection.
There was no post-mortem examination of this young man, though there should have been. Not that there was any lurking suspicion of peculiarity of disease, but because such examinations may always be made serviceable to the cause of medical science, while they cannot possibly injure either the dead or the living.
I have been the more minute in my account of this man, because the case is an instructive one, both to the professional and non-professional reader, and also because it places medicine and physicians in the true light, and holds forth to the world the wonderfully recuperative power of nature, and the vast importance of giving heed to the laws of health and to the voice of physiology.
The oddity of some of my captions may seem to require an apology; but I beg the doubtful reader to suspend any unfavorable decisions, till he has read the chapter which follows. He will not, either in the present instance or in any other, be introduced to a magic ring, or to the mysteries of modern "spiritualism." The circle into which my patient fell, was of a different description.
A young mother from the west, about the year 1840, came to consult me with regard to her health. Not being able to receive her into my own family, I made arrangements for her reception in the immediate neighborhood, where she remained for a long time. She was a dyspeptic—if not of giant magnitude, but little short of it.
I spent many an hour in endeavoring to set all right, both in mind and body. It was, however, much easier to set her head right, than her hands, feet, and stomach. She had been under the care of almost all sorts of medical men—hydropathic, homoeopathic, and allopathic. Some of them, from all these schools, had been men of good sense, while a much larger proportion of them had turned out to be fools, and had done her more harm than good. In short, like the woman in the New Testament, she had spent much on many physicians, and was nothing bettered by it, but rather made worse.
Under such circumstances what ground was there for hope? What she most needed, it was easy to see, was a little more of resolution to carry out and complete what she believed to be her duty. I told her so. I told her how many times I had repeated to her the same directions; while she, after the lapse of a very few days,—sometimes only a day or two,—hadcome round again, in her remarks and inquiries, to the very point whence she had first started. I told her how easy a thing this getting into a circle was, and how difficult it was to escape from it.
Although she perfectly understood her condition, there was still a strange and almost unaccountable reaching forth for something beyond the plain path of nature, which I had faithfully and repeatedly pointed out to her. She wished for some shorter road, something mysterious or magical. She was, in short, a capital subject for humbuggery, had she not tried it already to her heart's content.
Occasionally, I must confess, I felt somewhat disposed to put her on the "starvation plan," as Dr. Johnson calls it,—on a diet of two pints only of plain gruel (thin hasty pudding, rather) a day,—for she would have borne it much better than did Mr. Gray, of the preceding chapter. I am sorry I did not. However, I prescribed for her, in general, very well; and, except in the last-mentioned particular, have no reason for regret nor any call for confessions.
She remained under my care several weeks—all the while in a mill-horse track or circle, beginning at the same point and coming round to the same result or issue, when I frankly told her, one day, that it was a great waste, both of time and money, for her to remain longer. I saw, more and more clearly, that all her thoughts were concentrated on her own dear self.Hertroubles,herhealth,herconcerns,herprospects in life and death, were, to her, of more importance than all the world besides. No woman, as good as she was,—for she was, professedly, a disciple of him who said to his followers, "Feed my lambs,"—whom I have ever seen, was so completely wrapped up in self, and so completely beyond the pale of the world of benevolence.
My final advice to her, in addition to that general change of personal habits which, from the first, I had strongly recommended to her, was to return to her native city, and, after making her resolution and laying her plan, give herself no rest, permanently, till by personal appeal or otherwise she had brought allthe females within her reach into maternal associations, moral reform societies, and the like.
On her return to her husband and children, she made an attempt to carry out the spirit of my prescription, and not without a good degree of success. But the great benefit which resulted from it—that, indeed, which it was my ultimate object to secure—was that it diverted her thoughts from their inward, selfish tendency, and placed her on better ground as to health than she had occupied for some time before.
I saw her no more for ten or twelve years. Occasionally, it is true, I heard from her, that she was better. Yet she was never entirely well. She was never entirely beyond the circle in which she had so long moved. She returned, at times, to medical advice and medicine; but, so far as I could learn, with little permanent good effect. She died about twelve years after she left my "guardianship," an extreme sufferer, as she had lived; and a sufferer from causes that a correct education and just views of social life, and of health and disease, would, for the most part, have prevented.
A particular friend of mine purchased one day, at a stand in the city, two small cakes of maple sugar. It was early in the spring, and very little of the article had as yet been manufactured. My friend, in his eagerness, devoured them immediately. He observed, before eating them, that they had a very dark appearance; but the taste was correct, as far as he could judge, and he did not hesitate. He was one of those individuals, moreover, who are not greatly given to self-denial in the matter of appetite.
The next day he had as sore a mouth as I ever saw. The inflammation extended not only to the back part of the mouth, but into the throat, and probably quite into the stomach, and was attended with a most distressing thirst, with loss of appetite, and occasional nausea. In short, it unfitted him for business the whole day; indeed it was many days before he recovered entirely.
My own conclusion, after a careful investigation of the facts, was, that the sugar was cooled down in vessels of iron, which were, in some way, more or less oxydated or rusted, and that a small quantity of free acid having been, by some means unknown, developed in the sugar, it entered into a chemical combination with the metallic oxyde, to form a species of copperas—perhaps the genuine sulphate of iron itself.
No medicine was given, nor was any needed. It was sufficient to let the system rest, till Nature, with the assistance of small quantities of water,—such as she was constantly demanding,—could eject the intruding foe. It required only a little patient waiting.
There is scarcely a doubt that the sufferer learned, from hisexperiment, one important lesson; viz., to let alone every thing which, by cooking, has been changed to a dark color. Beets are sometimes blackened by cooking in iron vessels, as well as sugar; and so are apples and apple-sauce, and sundry other fruits and vegetables.
The word apple-sauce reminds me of an incident that recently occurred in my own family. A kind neighbor having sent us some apple-sauce, such of the family as partook of it freely, suffered, soon afterward, in a way that led to the suspicion of poison. This apple-sauce was quite dark-colored, but tasted well enough.
We have seen, in Chapter XXVIII., that in the use of apple-sauce, or apple butter, or, indeed, any thing containing an acid, which has been in contact with the inner surface of red earthen ware, glazed with the oxyde of lead, people are sometimes poisoned; but for common, plain, apple-sauce, recently cooked, to be poisonous, is rather unusual. However, we can hardly be too careful in these matters. Serious evils have sometimes arisen from various kinds of complicated cookery, even when the healthiness of the vessels used was quite above suspi. A powerful argument this in favor of simplicity.
It should also be remembered, with regard to sugar, that this is a substance whose use, even when known to be perfectly innoxious, is, at best, of doubtful tendency, beyond the measure which the Divine Hand has incorporated into the various substances which are prepared for our use. That sugar, in considerable quantities, leads to fulness, if not to fatness, is no proof of its healthfulness; since fatness itself is a sign of disease in man and all other animals, as has, of late, been frequently and fully demonstrated.