PROPOSALS FOR THE PRESERVATION OF ACCIDENTAL OBSERVATIONS IN MEDICINE.

In times beyond the reach of history, the medicinal application of

substances could have arisen from no other source than accident. Among

articles of the materia medica of known origin, we are indebted to

accident for some of the most precious.

Accident is every day presenting to different individuals the spectacle

of phænomena, arising from uncommon quantities of drugs on the one

hand, and on the other, from uncommon conditions of the system, where

ordinary powers only have been knowingly or recently applied. What is

said of drugs may be extended to natural agents and mental affections.

From conversation with a variety both of medical practitioners and

unprofessional observers, the author of this proposal is persuaded

that such authentic occurrences only, as have presented themselves to

persons now living would, if they could be brought together, compose

a body of fact, so instructive to the philosopher, and useful to the

physician, that he despairs of finding a term worthy to characterize

it.

In some cases, the influence of unsuspected powers would be detected.

In others, resources available to the purpose of restoring health in

desperate situations would be directly presented, or could be detected

by a short and easy process of reasoning. Some anomalous observations,

by shewing the absence or agency of contested causes, would perform

the office of _experimenta crucis_—Unusual affections occur of which

an exact account would be among the means of removing from physic its

opprobrious uncertainty: for this uncertainty frequently depends upon

our inability to distinguish the subtler differences in cases which

resemble each other in their grosser features.

No striking fact can be accurately stated, in conjunction with its

antecedent and concomitant circumstances, without improving our

acquaintance with human nature. Our acquisitions in this most important

branch of knowledge, may be compared to a number of broken series, of

which we have not always more than one or two members. But every new

accession bids fair to fill up some deficiency; and a large supply

would contribute towards connecting series apparently independent, and

working up the whole into one grand all-comprehending chain.

There are complaints, and those by far too frequent, where no known

process has a claim to the title of _remedial_. Here the whole chance

of preservation depends on the physician’s capacity for bringing

together facts that have heretofore stood remote. But no power of

combination can avail where there are no ideas to combine.

Every new observation therefore, may be considered as a standard trunk,

sending forth analogies as so many branches crowned with blossoms, some

of which cannot fail to be succeeded by salutary fruits. And were it

not absurd to extend the illustration of so plain a point, it might

be added, that when by the continual interposition of new trunks,

the branches are brought near together, the produce of each will be

ennobled by the action of their respective principles of fecundation.

Whenever the author has been able to obtain certain information

concerning any unusual appearance in animal nature, it has been his

custom to preserve it; and among his papers he has memorandums which

prove that to our present circumscribed ideas concerning the dose of

medicines may be sometimes imputed failures in practice; that certain

signs are not to be taken in the received signification; and that many

measures are adopted or omitted to the detriment of invalids, because

it is assumed that circumstances are necessarily connected which may

exist separately, or that one given natural operation is inconsistent

with another, to which it may really be synchronous or next in order.

Assiduous observation of the daily states of the human microcosm will

be the unfailing consequence of attention to its striking phænomena.

Such is the progress of curiosity. Such the origin of all the sciences.

The more uniformly clear the sky under which they tended their flocks,

the less likely were the shepherds of Chaldæa, to found the science of

the stars. And however the disposition to study astronomy might have

been strengthened by the coincidence between the heliacal rising of

Sirius and the overflowing of the Nile, it must, I conceive, have been

awakened by the aspect of meteors and eclipses.

Whatever minute and authentic information this imperfect statement

may produce, as soon as it shall amount to a certain mass, the author

will present it to the public arranged. He flatters himself that no

correspondent will eke out by supposition the defect of genuine

observation, without clearly distinguishing the one from the other.

He still more confidently hopes that none will be instigated by this

advertisement to exercise his invention in the manner of Psalmanasar

and Chatterton. Whether any literary forgery can be innocent is

questioned—but a forged medical report is a drawn dagger which the

arm of a credulous physician may any day plunge into the heart of his

defenceless patient. The author has heard some inconsiderate wits avow,

that they have transmitted to the venders of quack medicines imaginary

cures, attested by fictitious signatures; and it is not without

apprehension from the propensity of men to display ingenuity and to

relate wonders that he announces the present design. But he shall be on

his guard, and hopes to baffle attempts at imposition.

THOMAS BEDDOES.

RODNEY-PLACE, Clifton, June 1800.

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