3. By the direct or indirect concessions of the ablest physiologists.
Our instincts protest against medication. Against ninety-nine of a hundred “remedial drugs” our sense of taste warns us as urgently as against rotten eggs, verdigris, or oil of vitriol. Shall we believe that nature repudiates the means of salvation? Or that our protective instincts forsake us in the hour of our sorest need—in the hour of our struggle with a life-endangering disease? And the same instincts that protest against other poisons warn us against all kinds of alcoholic drugs. Is it an exception to that rule that the depraved taste of a drunkard may relish a glass of medicated wine or a bottle of “Hostetter’s bitters” (rye brandy)? If it is certain beyond all limits of doubt that the health of the stoutest man is no safeguard against the bane of the wretched poison, shall we believe that he can encounter it with impunity when his vital strength is exhausted by disease?
Has the stimulus of alcoholic beverages any remedial or prophylactic effect? How does alcohol counteract the contagion of climatic fevers? In precisely the same way as those fevers arrest, or rather suspend, the progress of other disorders. The vital process can not compromise with two diseases at the same time. A fit of gastric spasms interrupts a toothache. A toothache relieves a sick headache. The severest cold in the head temporarily yields to an attack of small-pox. Temporarily, I say, for the apparent relief is only a postponement of an interrupted process. During the progress of the alcohol fever (the feverish activity of the organism in its effort to rid itself of a life-endangering poison) Nature has to suspend her operations against a less dangerous foe. But each repetition of that factitious fever is followed by a reaction that suspends the prophylactic effect of the stimulus, and sooner or later the total exhaustion of the vital energies not only leaves the system at the mercy of the original foe, but far less able to resist his attacks. “There is but one appalling conclusion to be deduced from hospital records, medical statistics and the vast array of facts which bear upon the subject,” says Professor Youmans, “it is that among no class of society are the ravages of contagious diseases so wide-spread and deadly as among those who are addicted to the use of alcoholic beverages.”
Is alcohol a digestive tonic? Can we cure an indigestion by the most indigestible of all chemical product! If a starving man drops by the roadside we may get him on his legs by drenching him with a pailful of vitriol, but after rushing ahead for a few hundred steps he will drop again, more helpless than before, by just as much as the brutal stimulus has still further exhausted his little remaining strength. Thus alcohol excites, and eventually tenfold exhausts, the vigor of the digestive system. We can not bully Nature. We can not silence her protests by a fresh provocation. Fevers can be cured by refrigeration; indigestions by fasting and exercise, and at any rate the possible danger of a relapse is infinitely preferable to the sure evils of the poison drug. A few repetitions of the stimulant process may initiate the alcohol vice and sow the seeds of a life-long crop of woe and misery. A single dose of alcoholic tonics may revive the fatal passion of half-cured drunkards and forfeit their hard-earned chance of recovery. That chance, and life itself, often depend on the hope of guarding the system against a relapse of the stimulant-fever, and I would as soon snatch a plank from a drowning man as that last hope from a drunkard.
Alcohol lingers in our hospitals as slavery lingers in South America, as torture lingers in the courts of eastern Europe. Quacks prescribe it because it is the cheapest stimulant; routine doctors prescribe it because its stimulating effect is more infallible than that of other poisons; empirists prescribe it at the special request of their patients, or as a temporary prophylactic; others because they find it in the ready-made formulas of their dispensatories. There is another reason which I might forbear mentioning, but I hold that a half truth is a half untruth, and I will name that other reason. Ignorant patients demand an immediate effect. They send for a doctor, and are to pay his bill; they expect to get their money’s worth in the form of a prompt and visible result. Instead of telling the im-patient that he must commit himself into the hands of Nature, that she will cure him in her own good time, by a process of her own, and that all art can do for him is to give that process the best possible chance, and prevent a willful interruption of it—instead of saying anything of the kind, Sangrado concludes to humor the popular prejudice and to produce the desired prompt and visible effect. For that purpose alcohol is, indeed, the most reliable agent. It will spur the jaded system into a desperate effort to expel the intruder, though the strength expended in that effort should be ever so urgently needed for better purposes. The dose is administered; the patient can not doubt that a “change” of some kind or other has been effected; the habitual drunkard perhaps feels it to be a (momentary) change for the better; at all events the doctor has done something and proved that he can “control the disease.” In some exceptional cases of that sort the influence of imagination may help to cure a believing patient, or Nature may be strong enough to overcome the disease and the stimulant at one effort. And if a doctor can reconcile it with his conscience to risk such experiments how shall we prevent it? As a first step in the right direction we can refuse to swallow his prescription. Physicians have no right to experiment on the health of their patients. They have no right to expect that we shall stake our lives on the dogmas of the old stimulant theory till they have answered the objections of the Naturalistic School.
Drastic drugs are not wholly useless. There are two or three forms of disease which have (thus far) not proved amenable to any non-medicinal cure, and can hardly be trusted to the healing power of Nature:—the lues venera, scabies and prurigo, because, as a French physiologist suggests, “the cause and the symptoms are here, for once, identical, the probable proximate cause being the agency of microscopic parasites, which oppose to the action of the vital forces a life-energy of their own.” Antidotes and certain anodynes will perhaps also hold their own till we find a way of producing their effects by mechanical means.
But with these rare exceptions it is by far the safer as well as shorter way to avoid drugs, reform our habits and not interrupt the course of nature, for, properly speaking, “disease itself is a healing process.” “It is not true,” says Dr. Jennings, “that the human system, when disturbed and deranged in its natural operations, becomes suicidal in its action …; such a view presents an anomaly in the universe of God’s physical government. It is not in accordance with the known operations and manifestations of other natural laws” (“Medical Reform,” p. 29). “The idea that the symptoms of disease must be suppressed,” says Wichat, “has led to innumerable fallacies and blunders.”
Dr. Benjamin Rush said in a public lecture: “I am here incessantly led to make an apology for the instability of the theories and practice of physic, and those physicians generally become the most eminent, who have the soonest emancipated themselves from the tyranny of the schools of physic. Dissections daily convince us of our ignorance of disease and cause us to blush at our prescriptions. What mischief have we done under the belief of false facts and false theories! We have assisted in multiplying diseases; we have done more, we have increased their mortality. I will not pause to beg pardon of the faculty, for acknowledging, in this public manner, the weakness of our profession. I am pursuing Truth, and am indifferent whither I am led, if she only is my leader.”
“Our system of therapeutics,” says Jules Virey, “is so shaky (vacillant) that the soundness of the basis itself must be suspected.”