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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"


There is no offence, then, or danger in expressing the opinion, that,
after all which has been said, the community is still overdosed: The best
proof of it is, that "no families take so little medicine as those of
doctors, except those of apothecaries, and that old practitioners are
more sparing of active medicines than younger ones." [Dr. James Jackson
has kindly permitted me to make the following extract from a letter just
received by him from Sir James Clark, and dated May 26, 1860: "As a
physician advances in age, he generally, I think, places less confidence
in the ordinary medical treatment than he did, not only during his early,
but even his middle period of life."] The conclusion from these facts is
one which the least promising of Dr. Howe's pupils in the mental
department could hardly help drawing.
Part of the blame of over-medication must, I fear, rest with the
profession, for yielding to the tendency to self-delusion, which seems
inseparable from the practice of the art of healing. I need only touch
on the common modes of misunderstanding or misapplying the evidence of
nature.
First, there is the natural incapacity for sound observation, which is
like a faulty ear in music. We see this in many persons who know a good
deal about books, but who are not sharp-sighted enough to buy a horse or
deal with human diseases.
Secondly, there is in some persons a singular inability to weigh the
value of testimony; of which, I think, from a pretty careful examination
of his books, Hahnemann affords the best specimen outside the walls of
Bedlam.


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