he thus assumes, he forms his table of nosology, arrays his diseases
into families, and extends his curative treatment, by analogy, to all
the cases he has thus arbitrarily marshaled together. I have lived
myself to see the disciples of Hoffman, Boerhaave, Stahl, Cullen, Brown,
succeed one another like the shifting figures of a magic-lanthern, and
their fancies like the dresses of the annual doll-babies from Paris,
becoming, from their novelty, the vogue of the day, and yielding to
the next novelty their ephemeral favor. The patient, treated on the
fashionable theory, sometimes gets well in spite of the medicine. The
medicine therefore restored him, and the young doctor receives new
courage to proceed in his bold experiments on the lives of his fellow
creatures. I believe we may safely affirm, that the inexperienced and
presumptuous band of medical tyros let loose upon the world, destroys
more of human life in one year, than all the Robin-hoods, Cartouches,
and Macheaths do in a century. It is in this part of medicine that I
wish to see a reform, an abandonment of hypothesis for sober facts, the
first degree of value set on clinical observation, and the lowest on
visionary theories. I would wish the young practitioner, especially, to
have deeply impressed on his mind the real limits of his art, and that
when the state of his patient gets beyond these, his office is to be a
watchful, but quiet spectator of the operations of nature, giving them
fair play by a well regulated regimen, and by all the aid they can
derive from the excitement of good spirits and hope in the patient.
I have no doubt, that some diseases not yet understood may in time be
transferred to the table of those known. But, were I a physician, I
would rather leave the transfer to the slow hand of accident, than
hasten it by guilty experiments on those who put their lives into my
hands. The only sure foundations of medicine are, an intimate knowledge
of the human body, and observation on the effects of medicinal
substances on that. The anatomical and clinical schools, therefore, are