Medication

“ It would seem more fair to take the stand of Professor Osler when he says that sound hygienic advice for the prevention of diseases must largely take the place of present medication and pretence of cure.
As a member of the American Medical Association recently said, “The placebo will not fool intelligent people always.” And when it is generally known that most of a physician’s medicines are given as placebos, do you wonder that the claims of “drugless healers” receive such serious consideration? ”

“ As another very common example of an undue disposition to refer results in the course of disease to positive medication, I would mention the fact, that those who have the care of the sick, often attribute any change that may occur, whether it be favorable or unfavorable, almost as a matter of course, to the remedy that was administered immediately before the change took place. ”

“ When a physician finds a sick man improving with a certain plan of treatment, and wishes the same medication continued, usually he simply tells the patient to have his bottle refilled at the apothecary’s. ”

“ Facilitating the development of non-opioid and non-addictive pain treatments. (2) Advancing guidance documents for sponsors of non-opioid pain products. (3) Developing evidence to inform the potential for nonprescription overdose therapies. (4) Examining expanded labeling indications for medication-assisted treatment. ”

“ This manner of administering drugs can be taken advantage of by the man who wishes to carry with him upon his outing a supply of remedies for the relief of such ailments as may befall him.
Oliver Wendell Holmes once said in delivering an address to the graduating medical class of Harvard, "Young men, you have been taught here at least twenty remedies for every disease; after you have practiced medicine twenty years you will have one remedy for twenty diseases." ”

“ His difficulties are only increased when diagnosis is complete and he turns to the labors of treatment. For with the advance of modern medical science there are left now but few physicians who believe that disease can often be cured by a drug. It is recognized by the better element of the medical profession all over the world that only in seven or eight out of about one hundred and fifty diseases clearly distinguished in our textbooks of medicine, have we a drug with any genuine pretensions to cure. What is to take the place of drugs in dispensary treatment? ”

“ Pharmacy cures sickness by drugs, surgery heals by the use of knife and cautery, the species concerned with diet prescribes a regimen for the removal of disease, that concerned with diagnosis proceeds by determining the nature of the ailment, that concerned with remedies by prescribing for the immediate removal of the pain. The species of medicine, then, are pharmacy, surgery, diet and regimen, diagnosis, prescription of remedies. ”

“ All drugs are more or less adulterated; and as not more than one physician in a hundred has sufficient knowledge in chemistry to detect impurities, the physician seldom knows just how much of a remedy he is prescribing. ”

“ But the main work of the pill will be done by the man's belief in its efficacy. I'm thinking out a medicine now which I expect will cure almost everything. It will cure, in any case, all the ailments that lead to organic disease. ”

“ It often happens that there is more than one point of view from which the action of a medicine may be regarded. For many medicines are numbered under several distinct heads, being included in different groups on account of the several phases of their operation. There are three stages in the progress of the remedy through the system, at each of which it may exert a special action. ”

“ I had a life- and-death struggle with the malady, and the final victory was with me and my drugs.
Now I can fancy a person who hears all this objecting hastily, 'What a fuss about giving a man a dose of medicine!' But the fact is, there are many preliminaries to be gone through; the ground has to be prepared; the body must first be made susceptible to treatment; the patient's whole condition has to be studied ”

“ The enactment of the 1938 Federal Food, Drug, and Cosmetic Act illustrates the expansion of the definition of drug. One of the changes contemplated in S. 2800, an early version of the Act, [7] defined 'drug' to include
' (1) all substances and preparations recognized in the United States Pharmacopoeia, Homoeopathic Pharmacopoeia of the United States, or National Formulary or supplements thereto; and (2) all substances, preparations, and devices intended for use in the cure, mitigation, treatment, or prevention of disease in man or other animals ”

“ It is a remarkable fact, and one which is attested by every medical man, that the action of a drug may be made effective or ineffective according to the manner in which it is prescribed. There are certain subordinate drugs which prepare the way, as it were, for the action of a principal drug, and the proportion between the ingredients of a prescription is of vital importance in relation to the effect produced. ”

“ In a classification we do not so much consider the peculiarities of single remedies, as the points in which large numbers agree together. These points of resemblance we gene [Pg 20] rally find to be of the most importance. I have to consider three sets of authors in the second chapter. The first set treat of the general or ultimate effect of a medicine on the system; and classify medicines accordingly. A second set of writers have arranged therapeutical agents according to the organ or part of the body to which their action is especially directed. ”

“ On the contrary, in acute diseases, Nature, though violent in all her efforts, generally points out the way, in which she may be assisted: in short, the cautious physician, who has had a moderate share of experience, will here seldom fail to procure the desired relief. If his prescriptions be scrupulously attended to, a few appropriate doses, in a vigorous constitution, will produce all the good effects which may be attained by art.—But, in chronic affections, medicines generally operate slowly, and often in a manner very different from what experience entitles us to expect. ”

“ Know your drug, know your dose, and know its effect, and you can, with the aid of your hypodermic, play with men and women just as you please. The world itself is but a plaything in the hands of the clever practitioner who specializes in toxicology. ”

“ It is true that we have drugs with which we can diminish or increase the number of heart beats per minute, dilate or contract the pupils of the eye, check or stimulate the secretion of mucus, sedate or irritate the nervous system, etc., but all that is accomplished is temporary stimulation or sedation, and such juggling does not cure. The practice of medicine is today what it has been in the past, largely experiment and guess-work. ”

“ There are four great groups of medicines, the action of each of which is well marked and distinct. The first class acts in the blood; and as a large number of diseases depends on a fault in that fluid, we may by their means be enabled to remedy that fault. They are the most important of all medicines. They are called Hæmatics, or blood-medicines. They are used chiefly in chronic and constitutional disorders. But a second class of remedies are temporary in their action. They influence the nervous system, exciting it, depressing it, or otherwise altering its tone. ”

“ And our plan of treatment will become rational, when on the one hand, from an accurate knowledge of the symptoms of diseases, we are better enabled to meet each by its appropriate remedy, and on the other hand, from some acquaintance with the general action of a medicine, we are fitted to wield it with more skill and effect, and to apply it even in cases where it has not yet been proved beneficial. ”

“ Hence it is that we claim it to be impossible for any one to put up any set prescription, or proprietary medicine, that will meet the wants of a large percentage of this class of cases. The only rational course to be pursued is to examine carefully each case as it is presented; find out the exact condition and stage of the disease with which the patient is afflicted, and then prescribe for it such special medicines as are nicely and exactly adapted to the patient's condition. ”

“ As a complete encyclopaedia of mortem therapeutics in condensed form, arranged alpha- betically for convenience of reference for either physician, dentist, or pharmacist, when immediate information is wanted concerning the action, composition, dose, or antidotes for any officinal preparation or new remedy. (6) In giving the physical characters and chemical formulae of the new remedies, especially the recently-introduced antipyretics and analgesics. ”

“ Medicinal Treatment.—The average stockman or veterinarian is more familiar with the treatment of disease with drugs than he is with the preventive measures just described. This statement does not imply that a knowledge of medicinal therapeutics is not of the greatest importance in the treatment of disease. The ultimate object of all drugs is both to prevent and cure disease, but the injudicious use of a drug does neither. ”

“ Many headache remedies, for example, [203] affect the heart; a dose that is harmless for a normal person may be strong enough to injure seriously a person with a weak heart. A doctor, and a doctor only, is competent to decide when and in what quantity medicines will be beneficial, because he alone understands both the condition of the patient and all the possible effects of the drug.
In no circumstances should medicine prescribed for one person be taken by another. ”

“ The choice of the aperient, or the dose, or the exact condition of the health of the infant, or whether it is an aperient at all that is required, are points entirely overlooked: a little medicine is thought necessary, because the child appears unwell, and a purgative, or a little white powder, is forthwith given. The great art of medicine is the proper application of the proper medicine, in the proper dose, at the proper time ”

“ They all believe in the principle of "curing one disease by producing another." In other words, their practice is, to induce a drug disease to cure a primary one, for this is exactly what is done when drugs are administered, in pathological conditions as we shall prove later on by testimony from authorities on medical practice. ”

“ From this failure we may infer that the idea that medicines differ prominently in causing or diminishing vital activity, upon which idea this and many other arrangements are founded, is in fact an erroneous one. There is no such universal distinction. A medicine which at one time raises or excites the vital forces, may at another time depress them; it may do one thing with a sick man, the other thing with a healthy man; it may have the one effect when taken for a short time in moderation, the other effect when taken for a long time or in excess. ”

“ Drugs which Stimulate Desire.—There are certain medicines which act locally on the membranes and organs of the male, and the papers are full of advertisements of "Lost Manhood Restored", etc., but in every case they are worthless or dangerous drugs and certain to lead to some painful malady or death. All these patent medicines should be carefully avoided. People who are troubled with any of these ailments should not attempt to doctor themselves by taking drugs, but a competent physician should be consulted. Eating rye, corn, or graham bread, oatmeal, cracked wheat, plenty of fruit, etc. ”

“ For a time that attempt may prove successful, but the patient becomes a slave to his drug, and, till frost sets in, one of the most nauseous of all medicines has to be applied from week to week, and generally in increasing doses. ”

“ Perhaps there is nothing more characteristic of the march of intellect of the present day, or more indicative of a healthy tone of mind, than the suspicion with which the public in general, and many physicians in particular, are beginning to regard the use of drugs as curative agents—that chiefest engine of the allopathic physician for the relief of suffering humanity. ”

“ After you have taken nature's wise advice, and obeyed her orders, and put yourself at rest, then there are a number of mild sedatives, with which every physician is familiar, one of which, according to the special circumstances of your case, it may be perfectly legitimate to take in moderate doses, with the approval of a physician, as a means of relieving the pain and helping to get that sleep which will complete the cure. ”

“ The medicines to remedy this perverted condition of the blood and fluids must be alteratives which will act upon the digestive organs and tone the nutritive functions, thus enriching and purifying the blood. As this affection is frequently a complication in chronic diseases, it is eminently proper for us to refer to a few considerations involved in its general treatment.
An alterative medicine belongs to a class which is considered capable of producing a salutary change in a disease without exciting any sensible evacuation. ”

“ The language of those who advocate the administration of internal remedies, is to give so much of a mixture or so many pills, and if they produce vomiting, repeat the dose; but if a cure is to be effected by relieving the symptoms, why give those medicines which excite or aggravate them? ”

“ Since I last wrote you, I have had frequent testimonials from various persons, old and young, of their beneficial effects—several of whom have stated that they consider the Herbal Pills not only an excellent medicine for correcting vicious humours in the system, but also efficacious in purifying the blood, relieving the liver, cleansing the intestines, and producing vigorous reaction in the whole arterial system. ”