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that they were sufficiently serious to excite the anxiety and apprehension of those who were the subjects of them. These observations, thus promiscuously taken, concur uniformly in corroborating the conclusions drawn from the diseases, avowedly incurable by medicine. They are, therefore, the more valuable, as tending to fix the practice, which has been found the most beneficial in these last.
If in these the most sanguine hopes, that might have been formed of the effects of the practice proposed, have not been fully realized ; if perfect cures have not been effected, nor the body restored to a complete state of health and integrity, it will be allowed, it is hoped, that what has been effected is neither trifling nor despicable. In cancerous diseases, in particular, to have relieved the horrible and excruciating torments of the disease; to have prevented ulceration, with its attendant miseries of loathsome, foetid, and excoriating discharges; to have preserved life, and that in such a degree of comfort as to enable the patient to enjoy society, and be equal to the common duties and occupations of the world; to have effected so much in cases where neither age, nor a completely broken constitution, present invincible obstacles to all amendment, is surely to have achieved much for suffering humanity; and amply compensates the proposer of this regimen for the anxiety and labor in which he has been involved, in consequence, for more than ten years; the obloquy of the ignorant and the misrepresentations of the malevolent; and, he must add, the heavy pecuniary loss which he has been obliged to sustain in collecting the evidence which he has been at length enabled to lay before the public.
Such, then, are the benefits which have been really gained ; and the evident inferences from these facts will remain unshaken whatever may be the future progress or final issue of the cases which have been treated.
It is neither pretended, nor expected, that a morbid body can, by any art, be kept free from the attacks of disease. There seems to be in the body, as in vegetation, the seeds of future diseases, which continue latent and inactive for a length of time; they then germinate, increase, pass through their regular stages, and come to a termination. What is the secret condition of the frame, which gives occasion to these phenomena, we are entirely ignorant. It is placed wholly beyond the reach of the senses; and appears to be without the sphere of physical and experimental inquiry.
It is, however, beyond a doubt, that between that state of the body, in which there is merely a diseased disposition, and that consequent state, in which disease becomes active, there is a very long, though not a strictly definable interval. Thus the breath may begin to fail for three or four years before a person falls into a consumption. A change, therefore, takes place, certainly in the functions, and probably in the structure of the organs of respiration, long before the accession of confirmed cough and hectic fever. We see it more evidently in the cancer, in which there is pain, perhaps, for a series of years, before there is any thickening of the parts, as happened in the first of the cases of cancer, which I have related in this work.
Now, the very state of health which person's have, upon the whole, enjoyed under the regimen which I have described, shows that much of diseased action can, by its use, be superseded. But it has equally appeared that this has only happened imperfectly. Not only have the attacks of habitual diseases been continued or renewed, but some examples even of new diseases have taken place, of which there had been no indication in the former part of life. They have not been numerous, but it would be inconsistent with my duty, as a faithful relator of facts, to pass them over in silence. I have thought .it proper, therefore, in this place, to set down such of these occurrences as I have thought most worthy of notice.
CASE I.-I shall first mention a local disease of the cheek, which occurred to the subject of the first of the foregoing cases. He had been subject to common pimples from the age of eighteen; but these, under the regimen, had been almost entirely subdued. But in the year 1809, about the beginning of the fourth year, some small tumors appeared on the face. They have occupied principally the left cheek, and continued for several months, red and sore, but without any discharge. They gradually rose higher upon the skin, then became dry, and peeled off in the form of a scab, leaving the parts beneath clear and sound.
When some of these tumors had gone through their course, others appeared, and had the same progress; and as they have continued. fixing on different spots, even till this present time (February, 1815), it is probable that almost every portion of the lower part of the cheek has been successively the seat of this affection. But when the scab has fallen oft, the skin underneath has been left sound, without pitting, or other deformity. · I believe that the essence of this disease has consisted in a
circumstance, to which I have alluded more than once in the course of this work, as often occurring in the human body, namely, that the skin of this cheek was unsound; that portions have perished, been thrown off by the action of the vessels, and have been regenerated. Latterly, though the disease has not absolutely ceased, it has very nearly so; it is at present so trifling as hardly to deserve notice, and the parts are more sound and healthy both in feeling and appearance than when it first broke out.
Case II.-In another of the persons who had used this regimen more than two years, there took place a discharge from the urethra, very copious, like a gonorrhea. There was often united with it a considerable irritability of tho bladder ; but, otherwise, it was not accompanied with pain or inflammation. This discharge continued for about three years, and then ceased.
CASE III.--I have said many years ago that one of the members of my own family, then a boy about eight years of age, was of a deeply scrofulous habit (See my Inquiry into the Origin, etc., of Constitutional Diseases, p. 61). In the course of this investigation I have received a strong proof of the correctness of this observation, and of the difficulty of completely eradicating such a disposition.
At the end of December, 1811, when he had used this regimen between five and six years, after having been skating during the day, the hand were observed to be stiff and a little swelled. On the day following, the face on the right side swelled, and the tumefaction increased, extending from the eye to the clavicle. The seat of the disease appeared to be about the middle of the lower maxillary bone. The bone itself became thickened at this part, and roughened upon its surface. Matter came from the part, both internally into the mouth, and externally through the cheek. This happened repeatedly, for two months, when the ulcerations finally closed, and the parts. became well. But for a couple of years the bone continued thickened, and the skin adherent to the parts underneath, After that, the adhesion of the skin was gradually loosened, and the parts were restored to their natural structure. But the bone continues thickened for near an inch through its whole body.
This was, in fact, a very trifling disease. But it appears to have been the germ of one which is the most serious and distressing of any which affects the human body—a fixed and radical disease of the substance of the bone.
CASE IV.-A boy of about ten years of age had lived on this regimen about three years. He had enjoyed good health, was very stout, but was not without occasional slight indispositions, enough to make him lie down for a day or two, but hardly to be regularly confined. About the beginning of the year 1811, he had the angina parotidæa, or mumps, attended with some fever of a low or typhus kind, and this hung upon him at least a fortnight. It left behind it a tumor, on the right side of the neck, which remained for four or five months. It was attended with some shooting pain, by no means severe; but was perfectly hard and incompressible, as large almost as an egg, and gradually rose much above the surface. Toward the beginning of summer, the apex of the tumor softened, and it ulcerated. A good deal of purulent matter came out, the skin gradually retracted, and a hard and conical tumor remained projecting beyond the skin. From this there was, of course, a continued flow of matter; but besides this, there was a quantity of a gritty substance separated, which had been imbedded in the body of the tumor. This separation took place repeatedly, but at separate intervals, and in consequence the substance of the tumor gradually wasted, and was finally reduced to the level of the skin. Then the ulcer dried up and cicatrized. This whole process took up about a twelvemonth.
But though the ulcer cicatrized, some thickening remained. In the course of the summer of 1813, a fresh ulceration took place, and a small quantity more of the same matter came out. The ulcer this year continued open a month.
It showed some disposition to break out again the following year, 1814. There was, however, no breach of substance, but for a single day. Since that he has remained quite well.
This boy showed strongly in his countenance the ameliorating effects of a vegetable regimen. He had before he adopted it great fullness about the head, and a sternness, not to say a ferocity, of the countenance. After a certain time, the features relaxed, and he gained much more the aspect of good humor and benevolence. It cannot be doubted that these changes of countenance were the index of corresponding changes of the moral disposition. The regimen, however, had been persevered in three years before they took place decidedly.
Another example has occurred of a pretty severe affection of the chest, in a lady who had used the regimen more than four years. And I should think it proper to notice it more particularly, except that it cannot be said at this present time (March, 1815) to have completely subsided I shall sy ool, therefore, that it was a peripneumony, designated by its mon symptoms of pain in the chest, cough, and expectorations.
Such are some of the principal examples of disease woda this regimen which have occurred to myself, in addition to those I have noticed in the general course of my narration Others of smaller consequence, as slight cough, colds, pains of the izoa or limbs which have been observed, I omit as not deserving of a distinct relation.
It is very obvious to the most superficial consideration that these occurrences have not been the consequences of the regimen, and therefore can form no solid objection against it. They have in truth been, not in consequence, but in spite of it. Some of them were clearly natural processes. Thus the glanduJar tumor, which has been last described, was a process for bringing the concreted matter, which was finally evacuated, to the surface of the body. It may then be suspected that the other examples were natural processes likewise, though the fact is not so obvious. At all events they were not diseases of debility, which is apprehended from vegetable regimen, but were inflammatory diseases, such as would be judged to require depletion rather than stimulation. They form then, I repeat, no objection to the regimen.
It will follow, evidently, from the whole course of my narration, that for the most part the use of this regimen affords no hope nor prospect of great relief from deep constitutional disease in a very short time. To jump from a state of disease to a state of health is contrary to the laws of nature. Those who hold out prospects of this kind can have no other object than to impose upon the credulity of mankind.
Those who think fit to undertake it should be well aware of its aim and intent. This is not so much to obtain perfect and uninterrupted health (objects, perhaps, hardly consistent with our present condition), as an alleviation of suffering, and to pass through the years that are allotted to us with the least possible evil. These are objects which every reasonable person will acknowledge to be the most important of all temporary and sublunary concerns.
The observation of a regular system of dieting, such as I have described, fulfills this object by radically strengthening the pow. ers of life. It has no control, or at least a very imperfect one, over the immediate symptoms of disease. The general habits of the system therefore remain in a great degree unaltered. But slowly and gradually the constitution becomes changed, at