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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

The union of several
remedies in a single prescription destroys its utility, and, according to
the "Organon," frequently adds a new disease.
3. A large number of substances commonly thought to be inert develop
great medicinal powers when prepared in the manner already described; and
a great proportion of them are ascertained to have specific antidotes in
case their excessive effects require to be neutralized.
4. Diseases should be recognized, as far as possible, not by any of the
common names imposed upon them, as fever or epilepsy, but as individual
collections of symptoms, each of which differs from every other
collection.
5. The symptoms of any complaint must be described with the most minute
exactness, and so far as possible in the patient's own words. To
illustrate the kind of circumstances the patient is expected to record, I
will mention one or two from the 313th page of the "Treatise on Chronic
Diseases,"--being the first one at which I opened accidentally.
"After dinner, disposition to sleep; the patient winks."
"After dinner, prostration and feeling of weakness (nine days after
taking the remedy)."
This remedy was that same oyster-shell which is to be prescribed
"fractions of the sextillionth or decillionth degree." According to
Hahnemann, the action of a single dose of the size mentioned does not
fully display itself in some cases until twenty-four or even thirty days
after it is taken, and in such instances has not exhausted its good
effects until towards the fortieth or fiftieth day,--before which time it
would be absurd and injurious to administer a new remedy.


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