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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"


If there is any State or city which might claim to be the American
headquarters of the nature-trusting heresy, provided it be one, that
State is Massachusetts, and that city is its capital. The effect which
these doctrines have upon the confidence reposed in the profession is a
matter of opinion. For myself, I do not believe this confidence can be
impaired by any investigations which tend to limit the application of
troublesome, painful, uncertain, or dangerous remedies. Nay, I will
venture to say this, that if every specific were to fail utterly, if the
cinchona trees all died out, and the arsenic mines were exhausted, and
the sulphur regions were burned up, if every drug from the vegetable,
animal, and mineral kingdom were to disappear from the market, a body of
enlightened men, organized as a distinct profession, would be required
just as much as now, and respected and trusted as now, whose province
should be to guard against the causes of disease, to eliminate them if
possible when still present, to order all the conditions of the patient
so as to favor the efforts of the system to right itself, and to give
those predictions of the course of disease which only experience can
warrant, and which in so many cases relieve the exaggerated fears of
sufferers and their friends, or warn them in season of impending danger.
Great as the loss would be if certain active remedies could no longer be
obtained, it would leave the medical profession the most essential part
of it's duties, and all, and more than all, its present share of honors;
for it would be the death-blow to charlatanism, which depends for its
success almost entirely on drugs, or at least on a nomenclature that
suggests them.


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