Читать книгу Vegetable Diet: As Sanctioned by Medical Men, and by Experience in All Ages - William A. Alcott - Страница 56
REMARKS ON THE FOREGOING LETTERS.
ОглавлениеCorrespondence.—The "prescribed course of Regimen."—How many victims to it?—Not one.—Case of Dr. Harden considered.—Case of Dr. Preston.—Views of Drs. Clark, Cheyne, and Lambe, on the treatment of Scrofula.—No reports of Injury from the prescribed System.—Case of Dr. Bannister.—Singular testimony of Dr. Wright.—Vegetable food for Laborers.—Testimony, on the whole, much more favorable to the Vegetable System than could reasonably have been expected, in the circumstances.
"Reports not unfrequently reach us," says Dr. North, "of certain individuals who have fallen victims to a prescribed course of regimen. These persons are said, by gentlemen who are entitled to the fullest confidence, to have pertinaciously followed the course, till they reached a point of reduction from which there was no recovery." "If these are facts," he adds, "they ought to be known and published."
It was in this view, that Dr. North, himself a medical practitioner of high respectability, sent forth to every corner of the land, through standard and orthodox medical journals, to regular and experienced physicians—his "medical brethren"—his list of inquiries. These inquiries, designed to elicit truth, were couched in just such language as was calculated to give free scope and an acceptable channel for the communication of every fact which seemed to be opposed to the vegetable system; for this, we believe, was distinctly understood, by every medical man, to be the "prescribed course of regimen" alluded to.
The results of Dr. North's inquiries, and of an opportunity so favorable for "putting down," by the exhibition of sober facts, the vegetable system, are fully presented in the foregoing chapter. Let it not be said by any, that the attempt was a partial or unfair one. Let it be remembered that every effort was made to obtain truth in facts, without partiality, favor, or affection. Let it be remembered, too, that nearly two years elapsed before Dr. North gave up his papers to the author; during which time, and indeed up to the present hour—a period, in the whole, of more than fourteen years—a door has been opened to every individual who had any thing to say, bearing upon the subject.
Let us now review the contents of the foregoing chapter. Let us see, in the first place, what number of persons have here been reported, by medical men, as having fallen victims to the said "prescribed course of regimen."
The matter is soon disposed of. Not a case of the description is found in the whole catalogue of returns to Dr. N. This is a triumph which the friends of the vegetable system did not expect. From the medical profession of this country, hostile as many of them are known to be to the "prescribed course of regimen," they must naturally have expected to hear of at least a few persons who were supposed to have fallen victims to it. But, I say again, not one appears.
It is true that Dr. Preston, of Plymouth, Mass., thinks he should have fallen a victim to his abstinence from flesh meat, had he not altered his course; and Dr. Harden, of Georgia, relates a case of sudden loss of strength, and great debility, which he thought, at the time, might "possibly" be ascribed to the want of animal food: though the individual himself attributed it to quite another cause. These are the only two, of a list of thirty or forty, which were detailed, that bear the slightest resemblance to those which report had brought to the ear of Dr. N., and about which he so anxiously and earnestly solicited inquiry of his medical brethren.
As to the case mentioned by Dr. Harden, no one who examined it with care, will believe for a moment, that it affords the slightest evidence against a diet exclusively vegetable. The gentleman who made the experiment had pursued it faithfully three years, without the slightest loss of strength, but with many advantages, when, of a sudden, extreme debility came on. Is it likely that a diet on which he had so long been doing well, should produce such a sudden falling off? The gentleman himself appears not to have had the slightest suspicion that the debility had any connection with the diet. He attributes its commencement, if not its continuance, to the inhalation of poisonous gases, to which he was subjected in the process of some chemical experiments.
But why, then, it may be asked, did he return to a mixed diet, if he had imbibed no doubts in regard to a diet exclusively vegetable; and, above all, how happened he to recover on it? To this it may be replied, that there is every reason to believe, from the tenor of the letter, that he acted against his own inclination, and contrary to his own views, at the request of his friends, and of Dr. Harden, his physician; though Dr. Harden does not expressly say so. Besides, it does not appear that under his mixed diet there was any favorable change, till something like six months had elapsed. This was a period, in all probability, just sufficient to allow the poison of the gases to disappear; after which he might have been expected to recover on any diet not positively bad. If this is not a true solution of the case, how happens it that there was no disease of any organ or function, except the nervous function? There is every reason for believing that Dr. Harden, at the date of his letter, had undergone a change of opinion, and was himself beginning to doubt whether the regimen had any agency in producing the debility.[3]
The case of Dr. Preston is somewhat more difficult. At first view, it seems to sustain the old notion of medical men, that, with a scrofulous habit, a diet exclusively vegetable cannot be made to agree. This, I say, seems to be a natural conclusion, at first view. But, on looking a little farther, we may find some facts that justify a different opinion.
Dr. Preston was evidently timid and fearful—foreboding ill—during the whole progress of his experiment. We think his story fully justifies this conclusion. In such circumstances, what could have been expected? There is no course of regimen in the world which will succeed happily in a state of mind like this.
It should be carefully observed by the reader, that Dr. Preston speaks of entering upon a "severe course of diet;" and also, that, in attempting to give an opinion as to the best kind of vegetable food, he speaks of potatoes, prepared in a certain specified manner, as being preferable to any other. Now, I think it obvious, that Dr. Preston's "severe course" partook largely of crude vegetables, instead of the richer and better farinaceous articles—as the various sorts of bread, rice, pulse, etc.—and, if so, it is not to be wondered at that it was so unsuccessful. In short, I do not think he made any thing like a fair experiment in vegetable diet. His testimony, therefore, though interesting, seems to be entitled to very little weight.
This conclusion is stated with the more confidence, from the fact that some of the best medical writers, not only of ancient times, but of the present day, appear to entertain serious doubts in regard to the soundness of the popular opinion in favor of the "beef-steak-and-porter" system of curing scrofulous patients. Dr. Clark, in the progress of his "Treatise on Consumption," almost expresses a belief that a judicious vegetable diet is preferable even for the scrofulous. He would not, of course, recommend a diet of crude vegetables, but one, rather, which would partake largely of farinaceous grains and fruits. Nor do I suppose he would, in every case, entirely exclude milk.
Dr. Cheyne, in his writings, not only gives it as his opinion that a milk diet, long continued, or a milk and vegetable diet and mild mercurials, are the best means of curing scrofula; but he also says, expressly, that "in all countries where animal food and strong fermented liquors are too freely used, there is scarcely an individual that hath not scrofulous glands." A sad story to relate, or to read! But, Dr. Lambe, of London, and other British physicians, entertain similar sentiments; and Dr. Lambe practices medicine largely, while entertaining these sentiments. I could mention more than one distinguished physician, in Boston and elsewhere, who prescribes a vegetable and milk diet in scrofula.
But, granting even the most that the friends of animal food can claim, what would the case of Dr. Preston prove? That the healthy are ever injured by the vegetable system? By no means. That the sickly would generally be? Certainly not. Dr. Preston himself even specifies one disease, in which he thinks a vegetable diet would be useful. What, then, is the bearing of this single and singular case? Why, at the most, it only shows that there are some forms of dyspepsia which require animal food. Dr. Preston does not produce a single fact unfavorable to a diet exclusively vegetable for the healthy.[4]
It is also worthy of particular notice, that not a fact is brought, or an experiment related, in a list of from thirty to forty cases, reported too by medical men, which goes to prove that any injury has arisen to the healthy, from laying aside the use of animal food. This kind of information, though not the principal thing, was at least a secondary object with Dr. North; as we see by his questions, which were intended to be put to those who had excluded animal food from their diet for a year or more.
But, let us take a general view of the replies to the inquiries of Dr. North. The sum of his first three questions, was,—What were the effects of excluding animal food from your diet on your bodily strength, your mental faculties, and your appetite and animal spirits?
The answers to the three questions, of which this is the same, are, as will be seen, remarkable. In almost every instance the reply indicates that bodily and mental labor was endured with less fatigue than before, and that an increased activity of mind and body was accompanied with increased cheerfulness and animal enjoyment. In nearly every instance, strength of body was actually increased; especially after the first month. A result so uniformly in favor of the vegetable system is certainly more than could have been expected.
One physician who made the experiment, indeed, says, that though his mind was clearer than before, he could not endure, so long, a laborious investigation. Another individual says, he perceived no difference in this respect. A third says, she found her bodily strength and powers of investigation somewhat diminished, though her disease was removed. With these exceptions, the testimony on this point is, as I have already said, most decidedly—I might say most overwhelmingly—in favor of the disuse of animal food.
To the question, whether any constitutional infirmities were aggravated or removed by the new course of regimen, the replies are almost equally favorable to the vegetable system. It is true that one of the physicians, Dr. Parmly, thinks the beneficial effects which appeared in the circle of his observation were the results of a simultaneous discontinuance of fermented drinks, tea and coffee, and condiments. But I believe every one who reads his letter will be surprised at his conclusions. No matter, however; we have his facts, and we are quite willing they should be carefully considered. The singular case of Dr. Preston, I now leave wholly out of the account. It was, as I have since learned, the story of a very singular man.
Among the diseases and difficulties which were removed, or supposed to be removed, by the new diet, were dyspepsia, with the constipation which usually attends it, general lassitude, rheumatism, periodical headache, palpitations, irritation of the first passages, eruptive diseases of the skin, scurvy, and consumption.
The case of Dr. Bannister, who was, in early life, decidedly consumptive, is one of the most remarkable on record. Though evidently consumptive, and near the borders of the grave, between the ages of twenty and twenty-nine, he so far recovered as to be, at the age of fifty-three, entirely free from every symptom of phthisis for twenty-four years; during which whole period, he was sufficiently vigorous to follow the laborious business of a country physician.
The confidence of Dr. Wright in the prophylactic powers of a diet exclusively vegetable, so far as the mere opinion of one medical man is to be received as testimony in the case, is also remarkable. He not only regards the vegetable system as a defence against the diseases of miasmatic regions, but also against the varioloid disease. On the latter point, he goes, it seems, almost as far as Mr. Graham, who appears to regard it not only as, in some measure, a preventive of epidemic diseases generally, in which he is most undoubtedly correct, but also of the small-pox.
The testimony on another point which is presented in the replies to Dr. North's questions, is almost equally uniform. In nearly every instance, the individuals who have abandoned animal food have found themselves less subject to colds than before; and some appear to have fallen into the habit of escaping them altogether. When it is considered how serious are the consequences of taking cold—when it is remembered that something like one half of the diseases of our climate have their origin in this source—it is certainly no trifling evidence in favor of a course of regimen, that, besides being highly favorable in every other respect, it should prove the means of freeing mankind from exposure to a malady at once troublesome in itself and disastrous in its consequences.
In reply to the question,—Is a vegetable diet more or less aperient than a mixed one,—the answers have been the same, in nearly every instance, that it is more so.
The answers to the question whether it was believed the health of either laborers or students would be promoted by the exclusion of animal food from their diet, are rather various. It will be observed, however, that many of the replies, in this case, are medical opinions, and come from men who, though they felt themselves bound to state facts, were doubtless, with very few exceptions, prejudiced against an exclusively vegetable regimen for the healthy. It is, therefore, to me, a matter of surprise, to find some of them in favor of the said prescribed course of regimen, both for students and laborers, and many of them in favor of the discontinuance of animal food by students. Those who have themselves made the experiment, with hardly an exception, are decidedly in favor of a vegetable regimen for all classes of mankind, particularly the sedentary. And in regard to the necessity of diminishing the proportion of animal food consumed by all classes, there seems to be but one voice.
On one more important point there is a very general concurrence of opinion. I allude to the choice of articles from the vegetable kingdom. The farinacea are considered as the best; especially wheat, ground without bolting. The preference of Dr. Preston is an exception; and there are one or two others.
On the whole—I repeat it—the testimony is far more favorable to the "prescribed course of regimen," both for the healthy and diseased than under the circumstances connected with the inquiry the most thorough-going vegetable eater could possibly have anticipated. If this is a fair specimen—and I know no reason why it may not be regarded as such—of the results of similar experiments and similar observations among medical men throughout our country, could their observations and experiments be collected, it certainly confirms the views which some among us have long entertained on this subject, and which will be still more strongly confirmed by evidence which will be produced in the following chapters. Had similar efforts been made forty or fifty years ago, to ascertain the views of physicians and others respecting the benefits or safety of excluding wine and other fermented drinks in the treatment of several diseases, in which not one in ten of our modern practitioners would now venture to use them, as well as among the healthy, I believe the results would have been of a very different character. The opinions, at least, of the physicians themselves, would most certainly have been, nearly without a dissenting voice, that the entire rejection of wine and fermented liquors was dangerous to the sick, and unsafe to many of the healthy, especially the hard laborer. And there is quite as much reason to believe that animal food will be discarded from our tables in the progress of a century to come, as there was, in 1800, for believing that all drinks but water would be laid aside in the progress of the century which is now passing.