REMARKS ON BLOOD-LETTING.

The author has been, for several years, engaged in a warfare against the

use of the lancet in the treatment of the various diseases of animals.

When this warfare was first commenced, the prospect was poor indeed. The

lancet was the great anti-phlogistic of the allopathic school; it had

powerful, talented, and uncompromising advocates, who had been

accustomed to resort to it on all occasions, from the early settlement

of America up to that period. The great mass had followed in the

footsteps of their predecessors, supposing them to be infallible. Men

and animals were bled; rivers of blood have been drawn from their

systems; yet they often got well, and men looked upon the lancet as one

of the blessings of the age, when, in fact, it is the greatest curse

that ever afflicted this country: it has produced greater losses to

owners of domestic animals than did ever pestilence or disease. A few

philanthropic practitioners have, from time to time, in other countries,

as well as in this, labored during their life, and on their death-bed,

to convince the world of the destructive tendency of blood-letting in

human practice; but none that we know of ever had the moral courage to

wage a general warfare against the practice in the veterinary

department, until we commenced it. We have met with great success, and

have given the blood-letting gentry who practise it at the present day

("just to please their employers or to make out a case") a partial

quietus: in a few more years, unless they abandon their false theories,

their occupation, notwithstanding their pretensions to cure _secundum

artem_, will, like Othello's, be "gone." But we are not writing for

doctors. Our business is with the farmers--the lords of creation. The

former are mere lords of pukes and purges; they, like the farmers, have

the materials, however, to mould themselves into men of common sense;

but the fact is, they are hide-bound; they want a national sweat, to rid

their systems, especially their upper works, of the theories of Sydenham

and Paracelsus, which have shipwrecked many thousands of the medical

profession. They shut their eyes to the results of medical reform, and

cling, with all their soul, and with all their might, worthy a better

cause, to a system that "always was false."

Lord Byron, like many other learned men, was well acquainted with the

impotency of the healing art, and held the lancet in utter abhorrence:

when beset, day and night, to be bled, the bard, in an angry tone,

exclaimed, "You are, I see, a d----d set of butchers; take away as much

blood as you like." "We seized the opportunity," says Dr. Milligan, "and

drew twenty ounces; yet the relief did not correspond to the hopes we

had formed." On the 17th, the bleeding was twice repeated, dangerous

symptoms still increasing, and on the 19th he expired, just about bled

to death. Washington, a man whose name is dear to every American, died

from the effects of an evil system of medication. He was attacked with

croup: his physician bled him, and gave him calomel and antimony. The

next day, physicians were called in, (to share the responsibility of the

butchery,) and he was subjected to two more copious bleedings: in all he

lost ninety ounces of blood. Which of our readers, at the present day,

would submit to such unwarrantable barbarity? We just said we were not

writing for doctors; yet we find ourselves off the track in thus

administering a small dose, as a sample of "_good and efficient

treatment_."

In reference to the success attending our labors in veterinary reform,

we do not claim the whole credit: much of it is due to the intelligence

of the American farmers, in appreciating the value and importance of a

safer and a more effectual system of medication; such a system as we

advocate. They have witnessed the results attending the practice of

cattle doctors generally, and they have seen the results of our sanative

system of medication, and a great majority in Massachusetts have decided

in favor of the latter. We have demonstrated to the satisfaction of our

patrons, and we are ready and willing to repeat our experiments on

diseased animals for the satisfaction of others, in showing that we can

restore an animal, when suffering under acute attacks of disease, in a

few hours, when, by the popular method, it takes weeks and months, if

indeed they ever recover from the effects of the destructive agents

used.

We are told that "horses and cattle are bled and get well immediately."

This may apply to some cases; but, in very many instances, the animals

are sent for a few weeks to "Dr. Green,"[1] to put them in the same

condition they were at the time of bleeding. But suppose that some

animals do get well after bleeding; is it thus proved that more would

not get well if no blood were drawn from any? A cow may fall down, and,

in so doing, lacerate her muscles, blood-vessels, &c., and lose a large

quantity of blood. She may get well, in spite of the violence and loss

of blood. So we say of blood-letting, if the abstraction of a certain

number of gallons of blood will kill a strong animal, then the

abstraction of a small quantity must injure it proportionately.

There is in the animal economy a power, called the vital principle,

which always operates in favor of health. If the provocation be gentle,

and does not seriously derange the machinery, then this power may

overcome both it and any disease the animal may at the time labor under.

For example, a horse falls down in the street, perhaps laboring under a

temporary congestion of the brain: now, if he were let alone until

nature has restored an equilibrium of the circulating fluid and nervous

action, he would soon get up and proceed on his way, as many thousands

do when a knife or lancet is not to be had. But, unfortunately, people

are too hasty. The moment a beast has fallen, they are bound to have him

on his perpendiculars in double quick time. The teamster cannot wait for

nature; she is "too slow a coach" for him. He tries what virtue there is

in the whip; this failing, he obtains a knife, if one is to be had, and

"_starts the blood_." By this time, nature, about resuming her empire,

causes the horse to show signs of returning animation, and the credit is

awarded to the blood-starter. Animals are often bled when diseased, and

the prominent symptoms that previously marked the character of the

malady disappear, or give place to symptoms of another order, less

evident, and men have supposed that a cure is effected, when, in fact,

they have just sown the seeds of a future disease. We are not bound to

prove, in every case, how an animal gets well after two or three

repeated bleedings. It is enough for us to prove that this operation

always tends to death, which can easily be produced by opening the

carotid artery of an animal.

Permit us, dear reader, at this stage of our article, to observe, that

"confession is good for the soul." We mean to put it in practice. So

here goes. We plead guilty to bleeding, blistering, calomelizing,

narcotizing, antimonializing, a great number of patients of the human

kind. We did it in our verdant days, because it was so scientific and

popular, and because we had been taught to reverence the stereotyped

practice of the allopathists. We have, however, done penance, and sought

forgiveness; and through the aid of a few men, devoted to medical

reform, we have been washed in the regenerating waters flowing through

the vineyard of reason and experience, and now advocate and observe the

self-regulating powers of the laws of life. On the other hand, we are

free from the charge of bleeding or poisoning domestic animals, and can

say, with a clear conscience, that we have never drawn a drop of blood

from a four-footed creature, (except in surgical operations, when it

could not be avoided;) neither will we, under any circumstances, resort

to the lancet; for we are convinced that blood-letting is a powerful

depressor of the vital powers.

Blood is the fuel that keeps the lamp of life burning; if the fuel be

withdrawn, the light is extinguished.

Professor Lobstein says, "So far from blood-letting being beneficial, it

is productive of the most serious consequences--a cruel practice, and a

scourge to humanity. How many thousands are sent by it to an untimely

grave! Without blood there is no heat, no motion in the body."

Dr. Reid says, "If the employment of the lancet was abolished

altogether, it would perhaps save annually a greater number of lives

than pestilence ever destroyed."

The fact of blood-letting having been practised by horse and cattle

doctors from time immemorial is certainly not a clear proof of its

utility, nor is it a sufficient recommendation that it may be practised

with safety. During my professional career, the preconceived theories

have commanded a due share of consideration; and, when weighed in the

scale of uninfluenced experience, they never failed of falling short. If

we grant that any deviation from the healthy state denotes debility of

one or more functions, then whatever has a tendency to debilitate

further cannot restore the animal to health. The following case will

serve to illustrate our position: "A horse was brought to be bled,

merely because he had been accustomed to it at that season of the year.

I did not examine him minutely; but as the groom stated there was

nothing amiss with him, I directed a moderate quantity of blood to be

drawn. About five pints were taken off; and while the operator was

pinning up the wound, the horse fell. He appeared to suffer much pain,

and had considerable difficulty of breathing. In this state he remained

twelve hours, and then died. Judging from the appearances at the post

mortem examination, it is probable that a loss of a moderate quantity of

blood caused a fatal interruption of the functions of the heart."

It is strange that such cases as these do not open men's eyes, and

compel them to acknowledge that there is something wrong in the medical

world. Such cases as these furnish us with unanswerable arguments

against blood-letting; for as the blood, which is the natural stimulus

of, and gives strength to, the organs, is withdrawn, its abstraction

leaves all those organs less capable of self-defence.

Horse and cattle doctors have recommended bleeding when animals have

been fed too liberally, or if their systems abound in morbific matter.

Now, the most sensible course would be, provided the animal had been

overfed, to reduce the quantity of food, or, in other words, remove the

cause. If the secretions are vitiated, or in a morbid state, then

regulate them by the means laid down in this work. For we cannot purify

a well of water by abstracting a few buckets; neither can we purify the

whole mass of blood by taking away a few quarts; for that which is left

will still be impure. If the different parts had between them partitions

impervious to fluids, then there would be some sense in drawing out of

the vessels over-filled; but unfortunately, if you draw from one, you

draw from all the rest.

In every disease wherein bleeding has been used, complete recovery has

been protracted, and the animal manifests the debility by swelled legs

and other unmistakable evidences. In some cases, however, the ill

effects of the loss of blood, unless excessive, are not always

immediately perceived; yet such animals, in after years, are subject to

staggers, and diseases of the lungs, pleura, and peritoneum.

Dr. Beach says, "The blood is properly called the _vital fluid_, and the

life of a person is said to be in the blood.[2] We know that just in

proportion to the loss of this substance are our vigor and strength

taken from us. When taken from the system by accident or the lancet, it

is succeeded by great prostration of strength, and a derangement of all

the functions of the body. These effects are invariably, in a greater

or less degree, consequent on bleeding. Is it not, then, reasonable to

suppose, that what will debilitate the strongest constitution in a state

of health, will be attended with most serious evils when applied to a

person laboring under any malady? Is it not like throwing spirits on a

fire to extinguish it?

"Bleeding is resorted to in all inflammatory complaints; but did

practitioners know the nature and design of inflammation, their

treatment would be different. In fever it is produced by an increased

action of the heart and arteries, to expel acrid and noxious humors, and

should be promoted until the irritating matter is dislodged from the

system. This should be effected, in general, by opening the outlets of

the body, inducing perspiration; to produce which a preternatural degree

of heat or inflammation must be excited by internal remedies. Fever is

nothing more or less than a wholesome and salutary effort of nature to

throw off some morbific matter; and, therefore, every means to lessen

this indication proves injurious. Bleeding, in consequence of the

debility it produces, prevents such indication from being fulfilled."

The inveterate phlebotomizers recommend and practise bleeding when "_the

animal has too much blood_." There may be at times too much blood, and

at others too little; but suppose there is--has any body found out any

better method of reducing what they please to term an excess, than that

of regular exercise in the open air, combined with a less quantity of

fodder than usual? Or has any body found out any method of making good

healthy blood, other than the slow process of nature, as exhibited in

the results of digestion, secretion, circulation, and nutrition? Have

they discovered any artificial means of restoring the blood to its

healthful quantity when it is deficient? Have they found any means of

purifying the blood, save the healthful operations of nature's secreting

and excreting laboratory? Finally, have they found any safety-valve or

outlet for the reduction of this excess other than the excrementitious

vessels? And if they have, are they better able to adjust the pressure

on that valve than He who made the whole machinery, and knows the

relative strength of all its parts? In an article on blood-letting,

found in the Farmer's Cyclopaedia, the author says, "In summer, bleeding

is often necessary to prevent fevers." Now, it is evident that nature's

preventives are air, exercise, food, water, and sleep. Attention to the

rules laid down in this work, under the heads of _Watering_, _Feeding_,

&c., will be more satisfactory and less dangerous than that recommended

by the Cyclopaedia. If the directions given in the latter were fully

carried out, the stock of our farms would be swept away as by the blast

of a tornado. Such a barbarous system would entail universal misery and

degeneracy on all classes of live stock; and we might then exclaim,

"They are living, yet half dead--victims to an inconsistent system of

medication!" But thanks to a discerning public, they just begin to see

the absurdity and wickedness of draining the system of the living

principles. Veterinary reform has germinated in the New England States,

and, in spite of all opposition, has struck its roots deep into the

minds of a class of men who have the means and power to send forth its

healing branches, and apply them to their own interest and the welfare

of their stock.

The same author continues: "Some farmers bleed horses three or four

times a year." We hope the farmers have too much good sense to follow

the wicked example of the former. Frequent bleeding is an indirect mode

of butchery--killing by inches; for it gives to the blood-vessels the

power to contract and adapt themselves to the measure of blood that

remains. It impoverishes the blood, and leads to hydrothorax,

(accumulation of water in the chest,) and materially shortens life.

Mackintosh says, "Some are bled who cannot bear it, and others who do

not require it; and the result is death." The conservative power of life

always operates in favor of health, and resists the encroachments upon

her province with all her might, and often recovers the dominion; but by

frequent bleedings, she is exhausted, and, on taking a little more blood

than usual, the animal drops down and dies; and the owner attributes to

disease what, in fact, is the result of bad treatment.

"Patients who recover after general and copious bleedings have been

employed, may attribute their recovery to the strength of their

constitution.

"If you should ask a modern _Sangrado_ what was most necessary in the

treatment of disease, doubtless he would reply, 'Bleeding.'

"Our modern pathologists, surgeons and others, think bleeding the

_factotum_ in all maladies; it is the _ne plus ultra_, when drawn in

large quantities. Blood-letting, say these authors, is not only the most

powerful and important, but the most generally used, of all our

remedies. Scarcely a case of acute, or, indeed, of chronic, disease

occurs in which it does not become necessary to consider the propriety

of having recourse to the lancet." (??) To what extent blood-letting is

carried, in our modern age, may be learned by reading Youatt and others,

who recommend it "when animals rub themselves, and the hair falls off;

when the eyes appear dull and languid, red or inflamed; in all

inflammatory complaints, as of the brain, lungs, kidneys, bowels, womb,

bladder, and joints; in all bruises, hurts, wounds, and all other

accidents; in cold, catarrh, paralysis, and locked-jaw." Yet, strange to

say, one of these authors qualifies his recommendations as follows: "No

man, however wise, can tell exactly how much blood ought to be taken in

a given case." Now, it is well known that the draining of blood from a

vein, though it diminishes the vital resistance, and lessens the volume

of fluids, does not mend the matter; for it thus gives to cold and

atmospheric agents the ascendant influence. A collapse takes place, the

secretions become impaired, the animal refuses its food, "looks

dumpish," &c.

We might continue this article to an indefinite length; but as we shall,

in the following pages, have occasion to refer to the use of the lancet

as a destructive agent, we conclude it with the following remarks of an

English physician: "Our most valuable remedies against inflammation are

but ill adapted for curing that state of disease. They do not act

directly on the diseased part; the action is only indirect; therefore it

is imperfect. Bleeding, the best of any of these remedies, is in this

predicament."

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