Not many years ago, a well-dressed young woman called one evening upon me, and stated that her lady, whose name, she said, would be communicated by herself, had been ill for some days, and wished me to visit her privately. I asked her when she required my attendance; and got for answer, that she, the messenger, would conduct me to the residence of the patient, if it was convenient for me to go at that time. I was disengaged, and agreed to accompany the young woman as soon as I had given directions to my assistant regarding the preparation of some medicines which required the application of chemical rules. To be ingenuous, I was a little curious to know the secret of this private call; for that there was a secret about it was plain, from the words, and especially the manner, of the young woman, who spoke mysteriously, and did not seem to wish any questions put to her on the subject of her mission. The night was dark, but the considerate messenger had provided a lantern; and, to anticipate my scruples, she said that the distance we had to go would not render it necessary for me to take my carriage—a five-minutes’ walk being sufficient to take us to our destination.

Resigning myself to the guidance of my conductress, I requested her to lead the way, and we proceeded along two neighbouring streets of considerable length, and then turned up to —— Square—a place where the rich and fashionable part of the inhabitants of the town have their residences. At the mouth of a coach entry, which ran along the gable of a large house, and apparently led to the back offices connected with the residence, the young woman stopped, and whispered to me to take care of my feet, as she was to use the liberty of leading me along a meuse lane to a back entrance, through which I was to be conducted into the chamber of the sick lady. I obeyed her directions; and, keeping close behind her, was led along the lane, and through several turns and windings which I feared I might not again be able to trace without a guide, until we came to a back door, when the young woman—begging my pardon for her forwardness—took hold of my hand, and led me along a dark passage, then up a stair, then along another passage, which was lighted by some wax tapers placed in recesses in the wall; at the end of which, she softly opened a door, and ushered me into a very large bedroom, the magnificence of which was only partly revealed to me by a small lamp filled with aromatic oil, whose fragrance filled the apartment. The young woman walked quickly forward to a bed, hung with light green silk damask curtains fringed with yellow, and luxuriously ornamented with a superfluity of gilding; and, drawing aside the curtains, she whispered a few words into the ear of some one lying there, apparently in distress; then hurried out of the room, leaving me standing on the floor, without introduction or explanation.

The novelty of my position deprived me for a moment of my self-possession, and I stood stationary in the middle of the room, deliberating upon whether I should call back my conductress, and ask from her some explanation, or proceed forward to the couch, where, no doubt, my services were required; but my hesitation was soon resolved, by the extraordinary appearance of an Indian-coloured female countenance, much emaciated, and lighted up with two bright orbs, occupying the interstice between the curtains, and beckoning on me, apparently with a painful effort, forward. I obeyed, and, throwing open the large folds of damask, had as full a view of my extraordinary patient as the light that emanated from the perfumed lamp, and shone feebly on her dark countenance, would permit. She beckoned to me to take a chair, which stood by the side of the bed; and, having complied with her mute request, I begged to know what was the complaint under which she laboured, that I might endeavour to yield her such relief as was in the power of our professional art. I thus limited my question to the nature of her disease, in the expectation that she herself would clear up the mystery which hung around the manner in which I was called, and introduced to so extraordinary a scene as that which was now before me. Her great weakness seemed to require some composure, and a collecting of her scattered and reduced energies, before she could answer my simple question. I now observed more perfectly than I had yet done the character and style of the room into which I had been introduced—its furniture, ornaments, and luxuries; and, above all, the extraordinary, foreign-looking invalid who seemed to be the mistress of so much grandeur. Though a bedroom, the apartment seemed to have had lavished upon its fitting-up as much money as is often expended on a lord’s drawing-room—the bed itself, the wardrobes, pier-glasses, toilets, and dressing-cases, being of the most elaborate workmanship and costly character—the pictures numerous, and magnificently framed; while on all sides were to be seen foreign ornaments, chiefly Chinese and Indian, of brilliant appearance, and devoted to purposes and uses of refined luxury of which I could form no adequate conception. On a small table, near the bed, there was a multiplicity of boxes, vials, trinkets, and bijouterie of all kinds; and fragrant mixtures, intended to perfume the apartment, were exposed in various quarters, and even scattered exuberantly on spread covers of satin, with a view to their yielding their sweets more freely, and filling all the corners of the room. In full contrast with all this array of grandeur and luxury, lay the strange-looking individual already mentioned, on the gorgeous bed. She was apparently an East Indian; and, though possessed of comely features, she was even darker than the fair Hindoos we often see in this country. The sickness under which she laboured, and which appeared to be very severe, had rendered her thin and cadaverous-looking—making the balls of her brilliant eyes assume the appearance of being protruded, and imparting to all her features a sharp, prominent aspect, the very reverse of the natural Indian type; yet, true to her sex and the manners of her country, she was splendidly decorated, even in this state of dishabille and distress; the coverlet being of rich Indian manufacture, and resplendent with the dyes of the East—her gown and cap decorated with costly needlework—her fingers covered with a profusion of rings, while a cambric handkerchief, richly embroidered, in her right hand, had partly enveloped in its folds a large golden vinegarette, set profusely with glittering gems.

The rapid survey which enabled me to gather this general estimate of what was presented to me, was nearly completed before the invalid had collected strength enough to answer my question; and she was just beginning to speak—having as yet pronounced only a few inarticulate syllables—when she was interrupted by the entrance of the same young woman who had acted as my conductress, and who now exhibited a manner the very opposite of the soft, quiet, slipping nature of her former carriage. The suddenness, and even impetuosity of her entry, was inconsistent with the character of nurse to a lady in so distressed a condition as that of her apparent mistress; but her subsequent conduct was much more incomprehensible and extraordinary; for, without speaking and without stopping, she rushed forward, and, taking me by the arm, hurried me away through the door by which I had entered, along the lighted passage, down the stair, and never stopped until she landed me on the threshold of the back-door by which I entered the house. At this time I heard the bell of, as I thought, the fore or street door of the house ringing violently; and my conductress, without saying a word, ran away as fast as the darkness would permit, leaving me, perplexed and confounded at what I had seen and heard, to find my way home in the best way I could.

In my professional capacity I had not been accustomed to any mysterious or secret practice of our art, which, being exercised ostensibly and in reality for the benefit of mankind, requires no cloak to cover its operations; and, though I was curious to know the secret of such incomprehensible proceedings, I felt no admiration of, or relish for adventures so unsuited to the life and manners of a sober, practical man. One thing, however, was clear, and seemed sufficient to reconcile my practical, every-day notions of life with this mysterious negotiation, and even to solve the doubt I entertained whether I should again trust myself as a party to the devices of secrecy—and that was, that the individual I had been thus called to see professionally was in such a condition of body as required urgently the administrations of a medical practitioner. On the following day, I resolved upon making some inquiries, with a view to ascertain who and what the individual was that occupied the house to which I had been introduced, and which, upon a survey in daylight, I could have no difficulty in tracing; but I happened to be too much occupied to be able to put my purpose into execution; and was thus obliged to remain, during the day, in a state of suspense and ignorance of the secret involved in my previous night’s professional adventure. In the evening, however, and about the same hour at which the messenger called for me on the previous occasion, the same individual waited on me, with an apology for the apparently unceremonious treatment I had received, and which, she said, would be explained to my satisfaction; and a renewed request that I would again accompany her to the same house, and on the same errand. I told the messenger that I bore no great love to these secret adventures, but that I would consent, on this occasion, to make a sacrifice of my principles and feelings to the hope of being able to be of some use, in a professional way, to the distressed lady I had seen on the previous occasion, whose situation, so far as I could judge from appearances, was not far removed from the extremity of danger. I again, accordingly, committed myself to the guidance of the young woman; and, after a repetition of the windings and evolutions of the previous visit, soon found myself again seated in the chair that stood by the gorgeous bed of the strange invalid. Everything seemed to be in the same situation as before: the lamp gave out its weak light, the perfumes exhaled their sweets, and the distressed lady exhibited the same strange contrast between her reduced sickly condition and the superb finery of her dishabille.

I had not been long seated, when she struggled to inform me, in a very weak voice, that she was much beholden to me for my attention, and grieved for the unceremonious treatment I had received on my last visit. I replied, that I laid my account with much greater personal inconvenience, in the pursuit of my profession, than any to which she had subjected or could subject me—all such considerations being, in my apprehension, of small importance in comparison with the good we had often the power of administering to individuals in distress; and begged to know the nature of the complaint under which she too evidently laboured, that I might endeavour to ameliorate her sufferings, and restore her to that health without which the riches she apparently was mistress of, could be of small avail in rendering her happy. She appeared grateful for the sentiments I expressed; and proceeded to tell me, still with the same struggling difficulty of utterance, arising from her extreme weakness, that she was the wife of Colonel P——, the proprietor of the mansion into which I had been thus secretly introduced, for reasons she would explain in the course of her narrative. She had been married to her husband, she proceeded, in the East Indies, of which country she was a native; and, having succeeded to a large fortune on the death of her father, had given it all freely without bond, contract, or settlement, to her husband, whom she loved, honoured, and worshipped, beyond all earthly beings, and with an ardour which had never abated from the first moment she had become his wife. Nor was the affection limited to one side of the house; for she was more than satisfied that her lord and master—grateful, no doubt, for the rank, honour, riches, and independence to which she had raised him—loved her with an affection at least equal to her own. But all these advantages (and she sighed deeply as she proceeded) were of little consequence to the production of happiness, if the greatest of all blessings, health, were denied to the possessor; and that too she had enjoyed, uninterruptedly, until about a month previously, when she was seized with an illness, the nature of which she could not comprehend; and which, notwithstanding all the anxious efforts of her husband, had continued unabated to that hour.

She paused, and seemed much exhausted by the struggle she made to let me thus far into her history. The concluding part of her statement, combined with the still unexplained secrecy of my call, surprised me, and defied my powers of penetration. This lady had been dangerously ill for a month, during all which time no medical man had been called to her aid; and even now, when her body was attenuated, and her strength exhausted to the uttermost, professional assistance had been introduced into the house by stealth, as if it were against the laws to ameliorate human sufferings by curing diseases. This apparent anomaly in human conduct struck me so forcibly that I could not refrain from asking the patient, even before she recovered strength enough to answer me, what was her or her husband’s reason for not calling assistance; and why that assistance was at last requested under the cloud of secrecy and apprehension.

“That I intended to explain to you,” she said, after a pause. “When I felt myself ill (and my complaint commenced by excruciating pains in my stomach, accompanied with vomiting), I told my husband that I feared it would be necessary to call a doctor; but, ah, sir! the very thought of the necessity of medical aid to the object of so much love and tenderness, put him almost frantic. He confessed that it was a weakness; but declared his inability to conquer it. Yet, alas! his unremitting kindness has not diminished my disease. Though I have taken everything his solicitude has suggested and offered to me, my pains still continue, my appetite is entirely gone, and the weakness of my body has approached that of the helpless infant. Three days ago I thought I would have breathed my last; and parting thoughts of my native country, and the dear friends I left there to follow the fortunes of a dearer stranger, passed through my mind with the feeling of a long and everlasting farewell. My husband wept over me, and prayed for my recovery; but he could not think me so ill as to make the call of the doctor imperative; and I did not press a subject which I saw was painful to him. No, sir, I would rather have died than have produced in him the slightest uneasiness; and my object in calling you in the secret manner you have witnessed, was simply to avoid causing to him the pain of thinking that my illness was so great as to render your services absolutely necessary.”

The communication I now heard, which was spoken in broken sentences and after considerable pauses, in place of clearing up my difficulty, increased it, and added to my surprise. Some light was, no doubt, thrown on the cause which produced the secret manner of my visitation; but every other circumstance attending the unfortunate lady’s case was merged in deeper gloom and mystery. The circumstance of a husband who loved his wife refusing to call professional assistance, appeared to be not less extraordinary than the reason assigned for it—even with all the allowances, justified by a very prevailing prejudice, in some weak minds, against the extremity of calling a doctor. I had heard something of Colonel P——; that he was considered to be immensely rich, and known to be a deep gambler, but I never understood that he was a victim of weak or imaginary fears, and I was therefore inclined to doubt the truth of the reason assigned by the unsuspecting invalid, for the scrupulous delicacy of her husband’s affection and solicitude. I pondered for a moment, and soon perceived that the nature of her complaint, and the kind of restoratives or medicines she might have been receiving, would, in all likelihood, yield me more information on the subject of my difficulty than I could procure from her broken sentences, which, at the best, only expressed the sentiments of a mind clouded with the prejudice of a devoted love and unbounded credulity. I proceeded, therefore, to ascertain the nature of her complaint; and soon discovered that the seat of it was, as she had said, in the region of the stomach, which not only produced to her great pain internally, but felt sore on the application of external pressure on the præcordia. Other symptoms of a disease in this principal organ were present: such as fits of painful vomiting after attempting to eat, her great emaciation, anxiety of countenance, thirst, restlessness, and debility; and, in ordinary circumstances, I would have been inclined to conclude that she laboured under some species of what we denominate gastritis, or inflammation of the stomach, though I could not account for such a disease not having been resolved and ended in much shorter time than the period which embraced her sufferings.

I next proceeded to ascertain what she had been taking in the form of medicaments; and discovered that her husband, proceeding on the idea that her stomach laboured under weakness and required some tonic medicine, had administered to her, on several occasions, what we term limatura ferri (iron filings)—a remedy for cases of dyspepsia and bad stomachs, but not suited to the inflammatory disorders of the kind under which she was suffering. I asked her if she had any of the medicine lying by her, and she replied, with simplicity, that her husband generally took charge of it himself; but that he had that evening laid a small paper, containing a portion of it, on the top of a side-table, until he administered to her the dose she was in the habit of receiving, and had gone away without laying it past, according to his custom. I took up the paper, examined it, and found, according to the rapid investigation I bestowed on it, without the aid of any tests, that it possessed all the appearances of the genuine medicine. I, however, took the precaution of emptying a small portion of it into another paper, and slipping it into my pocket unobserved by the patient. I then told her that I thought she should discontinue the use of the powder, which was entirely unsuited to her ailment.