Read Ebook: Forty Years in the Wilderness of Pills and Powders Cogitations and Confessions of an Aged Physician by Alcott William A William Andrus

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It was about this time that I began to reflect on bathing. What gave me the first particular impulses in this direction I do not now recollect, unless it was the perusal of the writings of Dr. Benjamin Rush and Dr. John G. Coffin. My attention had been particularly turned to cold shower bathing. I had become more than half convinced of its happy adaptation to my own constitution and to my diseased tendencies, both hereditary and acquired.

But what could I do? There were in those times no fleeting shower-baths to be had; nor indeed, so far as I knew, any other apparatus for the purpose; and had there been, I was not worth a dollar in the world to buy it with; and I was hardly willing to ask for money, for such purposes of my father.

I will tell you, very briefly, what I did. My father had several clean and at that time unoccupied stables, one of which was as retired as the most fastidious person could have wished. In one of these stables, directly overhead, I contrived to suspend by its two handles a corn basket, in such a way that I could turn it over upon its side and retain it in this position as long as I pleased. Into this basket, when suspended sideways, and slightly fastened, I was accustomed to set a basin or pail of water; and when I was ready for its reception, I had but to pull a string and overturn the basket in order to obtain all the benefits of a cold and plentiful shower.

Here, daily, for almost a whole summer, I used my cold shower-bath, and, as I then thought and still believe, with great advantage. My consumptive tendencies were held at bay during the time very effectually. I was fortunate, indeed, in being able always, with the aid of a coarse towel and a little friction, to secure a pretty full reaction.

I have alluded to experience, or experiment. It is sometimes said that medical men are very much inclined to make experiments on their patients. Now, although I have a few sad confessions of this sort to make hereafter, yet I can truly say, in advance, that while I have made comparatively few experiments on other people, I have probably, during the progress of a long life, made more experiments on myself, both in sickness and in health, than any other existing individual. Whether I have learned as much in this way as I ought, in such favored circumstances, is quite another question.

MY FIRST SICKNESS ABROAD.

When I was about half-way through my nineteenth year, a desire to see the world became so strong that I made up my mind to a little travelling. Accordingly, having provided myself with an employment which would, without a great deal of hindrance, enable me to earn my passing expenses, I set out on my journey.

It was in the month of March, and near its close. The weather was mild, and the snow was fast disappearing--but not as yet the mud. In walking all day, my boots became soaked and my feet wet. The era of India rubbers had not then arrived. In truth, I went with my feet wet in the afternoon two or three days.

On the evening of the third day I came to the house of the friends with whom I was desirous of stopping not only for the Sabbath's sake, which was now at hand, but to rest and recruit. The next morning I was quite sick, and my friends were alarmed. It was proposed to send for a physician; but against this I uttered my protest, and the plan was accordingly abandoned.

The next purpose of my kind friends was to bring on a perspiration. They were accustomed in these cases to aim at sweating. This is indeed a violence to nature; but they knew no better. The mistress of the house was one of those self-assured women who cannot brook any interference or submit willingly to any modification of their favorite plans. Otherwise I should even then have preferred a gentle perspiration, longer continued. Yet on the whole, for the sake of peace, I submitted to my fate, and went through the fiery furnace which was prepared for me. More than even this I might say. I was cooler, much cooler, when I got through the fire than when I was in the midst of it!

In three days I was, in a good measure, restored. I was, it is true, left very weak, but was free from fever. My strength rapidly returned; and on the fifth day I was able to set out for home, where in due time I safely arrived.

During this excursion I learned one good lesson, if no more. This was, the danger of going day after day with wet feet. A vigorous person may go with wet or damp feet a little while, in the early part of the day, when in full strength, with comparative safety; but towards evening, when the vital forces are at ebb tide, or at least are ebbing, it is unsafe. The feeble especially should guard themselves in this direction; nor should those who may perchance at some future time be feeble, despise the suggestion.

One important resolution was also made. This was never to use violent efforts to induce perspiration. Such a course of treatment I saw clearly, as I thought, must be contrary to the intentions of nature; and time and further observation and experiment have confirmed me in this opinion. There may of course be exceptions to the truth of such a general inference; but I am sure they cannot be very numerous. What though the forcing plan seems to have succeeded quite happily in my own case? So it has in thousands of others. So might a treatment still more irrational. Mankind are tough, and will frequently live on for a considerable time in spite of treatment which is manifestly wrong, and even without any treatment at all.

LESSON FROM AN OLD SURGEON.

Five or six miles from the place of my nativity a family resided whom I shall call by the name of Port. Among the ancestry of this family, time out of mind, there had been more, or fewer of what are usually called natural bone setters. They were known far and near; and no effort short of miraculous would have been sufficient to shake the confidence which ignorance and credulity had reposed in them.

One or two of these natural bone setters were now in the middle stage of life, and in the full zenith of their glory. The name of the most prominent was Joseph. He was a man of some acquired as well as inherited knowledge; but he was indolent, coarse, vulgar, and at times profane. Had it not been for his family rank and his own skill as a surgeon, of which he really had a tolerable share, he would have been no more than at best a common man, and occasionally would have passed for little more than a common blackguard.

I was in a shop one day conversing with Capt. R., when Dr. Port came in. "Capt. R., how are you?" was the first compliment. "Very well," said the captain, "except a lame foot." "I see you have one foot wrapped up," said Dr. Port; "what is the matter with it?"--"I cut it with an axe, the other day," said he, "very badly."--"On the upper part of the foot?" said the doctor. "Yes, directly on the instep," said Capt. R. "Is it doing well?"--"Not very well," he replied; "and I came into town to-day partly to see and converse with you about it."--"Well, then, undo it and let me have a look at it."

Wrapper after wrapper was now taken from the lame foot, till Dr. Port began to scowl. "You keep it too warm," said he. "A wound of this sort should be kept cool, if you don't wish to have it inflame. A slight wrapping is all that is needful." They came at length to the wound. "It does not look very badly," said Dr. Port; "but you must keep it cool. And then," added he with an oath, the very thought of which to this day almost makes me shudder, "You must keep your nasty, abominable ointments away from it. Remember one thing, Capt. R., whenever you have a new flesh wound, all you can possibly do with any hope of advantage is to bring the divided edges of the parts together and keep them there, and nature will take care of the rest."

"Would you, then, do nothing at all but bind it up and keep it still?" said Capt. R. "Nothing at all," said he, "unless it should inflame; and then a little water applied to it is as good as any thing."--"But is there nothing of a healing nature I can use?" said the captain. "I have told you already," said he, with another strange oath, "that you don't want any thing healing on the outside, if you had a cart-load of medicaments. All wounds, when they heal at all, heal from the bottom; and of course all your external applications are useless, except so far as is necessary to protect the parts from fresh injury and keep them from the air."

It was a lesson, moreover, which I have repeated almost a thousand times, in circumstances not dissimilar. Indeed, I believe this very occurrence did much to turn my attention to the medical profession. I saw at once it was a rational thing; a matter of plain common sense; a thing of principle; and not on the one hand a bundle of mysteries, nor on the other a mere humbug.

Although I had not at this time any very serious thoughts of becoming a physician and surgeon, yet I certainly inclined in that direction. My great poverty was the chief difficulty that lay in my way; but this difficulty at that time seemed insurmountable. Besides, I was wedded to my father's farm, and I did not see how the banns could very well be sundered.

LEE'S WINDHAM BILIOUS PILLS.

I was, at length, twenty-two years of age. I had about fifty dollars in my pocket, besides a few books. But what would this do towards giving me a liberal education? And yet, to an education in the schools, of some sort, either as a means to a profession, or as affording facilities for obtaining knowledge or communicating it to others, I certainly did aspire. But I seemed compelled for the present to plod on in the old way.

There had been, but recently, a gold fever--not, it is true, of California, but of Carolina. The young men of the North, shrewd, intelligent, active, and ambitious Yankees, had flocked by hundreds, if not by thousands, from New England to the Southern States, to sell tin ware and clocks, especially the former. The trade at first had been very lucrative. Though many had been made poor by it, yet many more had been made rich. I do not say how honorably the trade had been conducted. To sell tin lanterns, worth fifty cents each, for silver, at fifty dollars, and tin toddy sticks, worth a New York shilling, for twelve dollars, did not in the final result redound much to our New England credit. Though it brought us gold, it did not permanently enrich us.

A much better trade had now, in 1820, sprung up with the South. The North--the great nursery of America--had still a surplus of young men who wanted to go somewhere. A part of them found their way to Carolina and Georgia, and engaged during the winter, and occasionally through the year, in teaching; while another part labored on their canals and railroads and in their shops. This was to furnish the South with a commodity of real value, for which we received in return a fair compensation. Besides, it had a better effect than clock and tin peddling, both on the seller and buyer.

To improve my pecuniary condition, and to acquaint myself with the world, I prepared to embark for the South. My purpose was to teach. It was the beginning of October, and yellow fever was said to be raging in Charleston, where I purposed to disembark. Was it, then, safe for me to go? Should the prospect of doing good, improving my mind, and bettering my condition in many other respects, weigh against the danger of disease; or was it preferable that I should wait?

One kind friend--kind, I mean, in general intention--who had been many years at the South, amid the ravages of the gold fever, as well as other fevers more or less yellow, whispered me just at this critical moment, "Take with you a box of Lee's Windham Bilious Pills; and as soon as you arrive at Charleston, make it your rule to swallow, every other day, one of these pills. That will prevent your getting the fever. I have often tried it, and always with success."

My friend's words gave me more courage than his pills. I saw that he had been in the midst of sickness and had lived through it. Why might not I? My mind was soon made up to proceed on the journey.

There was sickness in the country, however, if not in the city; and I was much and often exposed to it. But what then? How would one of Lee's pills defend me from it, even for two days? I preferred to eat and drink and sleep correctly, and then trust to my good fortune and to Him who controlled it, rather than to nauseous and poisonous medicine. And I had my choice, and with it a blessed reward. I was in the low country of North and South Carolina and Virginia six months or more, and often and again much exposed to disease, and yet I never had a sick day while I remained there. And yet, as I have before intimated, I never took a particle of medicine during the whole time.

Once, indeed, I was beguiled into the foolish habit of using French brandy with my dinner, under the idea that it would promote digestion. But I did not continue it long; and I verily believe that it did me more harm than good while I used it; for I have at no other period of my life suffered so much from dyspeptic tendencies as during the summer which followed this temporary indulgence of brandy with my dinner.

During my wanderings in the South, I had, much of the time, a fellow traveller, who, though he took no medicine, was less cautious than myself, and less fortunate. Perhaps his very recklessness served as a warning to me. In truth, without being much of a theologian, I have sometimes thought that the errors of mankind were intended in the divine plan--at least in part--for this very end. Happy, then, if this is so, are they who make a wise use of them!

DR. SOLOMON AND HIS PATIENT.

I have said that my fellow traveller was less cautious than myself, and have intimated much more. He was in some respects cautious, and yet in others absolutely reckless. When hot and thirsty, for example, instead of just rinsing out his mouth and swallowing a very little water, he would half-fill his stomach with some of that semi-putrid stuff, ycleped water, which you often find in Virginia and the Carolinas; and when hungry, he would eat almost any thing he could lay hold of, and in almost any quantity, as well as at almost any hours, whether seasonable or unseasonable.

This course of conduct seemed to answer very well for a few months; but a day of retribution at last came. He was then in Norfolk, in Virginia. I had been absent from the place a few weeks, and on my return found him sick with a fever, and without such assistance as was absolutely and indispensably necessary. There were Yankees in the place in great numbers, and some of them were his personal acquaintances and friends; but they had hitherto refused to come near him, lest they should take the fever.

I proceeded to take care of him by night and by day. At the suggestion of an old citizen, in whom I placed great confidence, Dr. Solomon was called in as his physician. There was some bleeding and drugging, and a pretty constant attendance for many weeks; but the young man finally recovered.

Thus, suppose the disease was typhus fever; in that case he seemed to give just about so many pills and powders every day, without much regard to the circumstances; believing that somehow or other, and at some time or other, good would come out of it. If his patient had sufficient force of constitution to enable him to withstand both the disease and the medicine, and ultimately to recover, Dr. S. had the credit of a cure; not, perhaps that he claimed it,--his friends awarded the honor. If the patient died, it was on account of the severity of the disease. Neither the doctor nor his medicine was supposed to be at fault. Some, indeed, regarded it as the mysterious work of Divine Providence.

Dr. S. attended my young companion in pedestrianism a long time, and sometimes brought a student into the bargain. He probably kept his patient insane with his medicine about half the time, and greatly prolonged his disease and his sufferings. But he knew no better way. He was trained to all this. The idea that half a dozen careful visits, instead of fifty formal ones, and a few shillings' worth of medicine instead of some twenty or thirty dollars' worth, would give the young man a better prospect of recovery than his own routine of fashionable book-dosing and drugging, never for once, I dare say, entered his head. And yet his head was large enough to hold such a simple idea, had it been put there very early; and the deposit would have done much to make him--what physicians will one day become--a rich blessing to the world.

Reader, are here no confessions of medical importance? If not, bear with me awhile, and you will probably find them. We have yet a long road to travel, and there are many confessions to be made in which I have a personal concern and responsibility, and, as you may perhaps conclude, no small share of downright culpability.

PHYSICKING OFF FEVER.

On the morning of March 12, 1821, during the very period when I was watching over my sick friend, as mentioned in the preceding chapter, I took from the post-office a letter with a black seal. It contained the distressing intelligence of the death of a much-valued sister and her husband, both of whom, but a few months before, I had left in apparently perfect health.

On a careful inquiry into the particulars, both by letter and, after my return, in other ways, I learned that the Connecticut River fever, as it was then and there called, having carried off several persons who were residing in the same house with my brother, the survivors were advised to do something to prevent the germination and development of such seeds of the disease as were supposed to be in their bodies and ready to burst forth into action. I do not know that any medical man encouraged this notion, the offspring of ignorance and superstition; but my brother and his wife had somehow or other imbibed it, and they governed themselves accordingly.

Both of them took medicine--moderate cathartics--till they thought they had physicked off the disease; and all seemed, for a time, to be well, except that they complained still of great weakness and debility. It was not long, however, before they were both taken with the disease and perished; my brother in a very short time, and my sister more slowly.

My sister, on being taken ill, had been removed to the house of her mother, in the hope that a change of air might do something for her; but all in vain. My mother and a few other friends who were with them as assistants sickened, but they all ultimately recovered. They, however, took no medicine by way of prevention.

Now I do not presume to say, that my young friends were destroyed solely by medicine, for the assertion would be unwarranted. I only state the facts, and tell you what my convictions then were, and what they are still. My belief is, that though they might have sickened had they taken no medicine or preventive, yet their chance of recovery after they sickened was very much diminished by the unnecessary and uncalled-for dosing and drugging.

The notion that we can physick off the seeds of disease, or by our dosing prevent their germination, is as erroneous as can possibly be, and is a prolific source of much suffering and frequent death. The best preventive of disease is good health. Now, physicking off generally weakens us, instead of giving strength. It takes away from our good health instead of adding to or increasing it. As a general rule, to which there are very few exceptions, all medicine, when disease is unusually common or fatal, is hazardous without sound medical advice, and not generally safe even then. It is fit only for extreme cases.

MANUFACTURING CHILBLAINS.

At the period of my life to which we have at length arrived, I was for four or five months of every year a school teacher. This was, in no trifling degree, an educational process; for is it not well known that,

"Teaching we learn, and giving we retain?"

It was at least an education in the great school of human nature.

Every morning of one of these winter sessions of school keeping, Lydia Maynard, eight years of age, after walking about a mile, frequently in deep snow, and combating the cold northwest winds of one of the southern Green Mountain ranges, would come into the schoolroom with her feet almost frozen, and take her seat close to the stove, so as to warm them and be ready for school as quickly as possible. Here she would sit, if permitted to do so, till the bell rang for school.

It was not long before I learned that she was a great sufferer from chilblains. Whether she inherited a tendency to this troublesome and painful disease, which was awakened and aggravated by sudden changes of temperature, or whether the latter were the original cause of the disease, I never knew with certainty. But I was struck with the fact that sudden warming was followed by such lasting and terrible consequences.

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