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Samuel Hahnemann was the third child [of five] and
eldest son of a pottery painter in the porcelain town of Meissen in Saxony. As a
child, he showed a remarkable aptitude for study, excelling both in languages
and in science; he was fluent in English, French, Greek and Latin. Even "at the
early age of 12 he helped his master to teach Greek," to other students.
Hahnemann was "a pupil of exceptional ability," with "an exceptional talent for
languages;" he "was drawn irresistibly towards science and research."
Significant dates in his life
1755 10 April - birth
1775 to Leipzig University
1777 Spring - to Vienna
1777 October - to Hermannstadt
1779 Spring - leaves Hermanstadt for Erlangen University
1779 August - MD Erlangen
1782 Dec - marries Johanna Kuchler
1783 Henrietta born
1786 Frederick born
1788 Wilhelmina born
1789-1804 unhappy wandering in Saxony
1790 his mother dies; first proving with Cinchona
1791 Caroline born
1795 Frederika born
1798 Ernst born
1803 Eleonore born
1804 settles in Torgau for 7 years
1805 Charlotte born
1806 Louisa born
1811 Spring - moves to Leipzig
1820 loses legal battle in Leipzig to dispense his own drugs
1821 June - moves to Coethen
1830 30th March - Johanna dies in Coethen
1834 8th October - Melanie arrives in Coethn
1835 18th January - 2nd marriage
1835 7th June - leaves Coethen for Paris
1835 21st June - arrives in Paris
1842 Feb - composes the final 6th Organon
1843 2nd July - death
Student Years
At Easter 1775, he enrolled at the University of
Leipzig to study medicine, but he soon became disappointed with its poor
facilities, as medical students at Leipzig had "neither clinic nor hospital at
their disposal? While there, and to enhance his meager income, he undertook
translation work for a fee, such as translating four books from the English
[Cook, 33], and teaching French to a wealthy Greek man "in order to help him
earn his living." He declined to engage in the social life with other students
Early in 1777, he transferred as a medical student
to Vienna, to gain greater clinical experience, though this proved very costly
on his paltry allowance. After only nine months [October 1777], and after being
robbed, financial hardship forced him to abandon his studentship. However, he
had so deeply impressed the physician to the royal court, Professor von Quarin
[1733-1814], that he secured for him a secondment to practise medicine for a
rich patron in Transylvania, the Governor of Hermannstadt [now Sibiu, Romania],
Samuel von Brukenthal [1721-1803].
As family physician and curator of the museum and
capacious library, Hahnemann stayed there for 18 months cataloguing the
Governor's coin collection ancient books and manuscripts, one of the finest
collections in Europe of texts on alchemy and magic. While there, he had "the
opportunity of learning several other necessary languages and of acquiring
knowledge of some collateral sciences." Upon leaving Hermannstadt in the Spring
of 1779, he "was proficient in Greek, Latin, English and Spanish."
Hahnemann submitted a thesis on Cramps [Conspectus
adfectuum spasmodicorum; Cook, 36] and registered for the degree of MD at
Erlangen in August 1779 after only one term's further study. He chose Erlangen
"only because he had learned that the fees there would be less." What he did or
where he lived during 1779-80 is unknown but in 1781, he took a village doctor's
position in the copper-mining area of Mansfeld, Saxony He obtained various
medical positions during 1780-83, but soon after his marriage [1782] he became
increasingly disenchanted with the imperfections of medical practice, and turned
once again to translation work to enhance his modest income and to feed his
growing family.
Dresden
On moving to Dresden in 1784, and by this time
hugely dissatisfied with the harmfulness and inefficacy of medicine, he gave up
medical practice entirely to devote himself to translation work on a full-time
basis. In Dresden, "Hahnemann...practised his profession only to obtain definite
proofs against it? In 1784 "...he translated Demarchy's "The Art of
Manufacturing Chemical Products" from the French. It was an elaborate work in
two volumes, to which he made numerous additions of his own." As a result, he
willingly endured great poverty: "Hahnemann at this time, 1790, was poor,? His
"struggle with poverty,? reduced him to the merely passive role of a scholar of
the medical past and a translator of medical texts; "his translation work gave
him meager support...in the year 1791, poverty compelled him to move from
Leipzig to Stotteritz," He reduced himself and his family to want for conscience
sake.
He soon came to be highly regarded as a translator
of scientific and medical texts from French and English for the Dresden
Economical Society. At this stage, his future as a respected translator for the
scientific community, was assured: "the more definitely Hahnemann passed into
oblivion as a doctor, the greater grew his reputation as a writer on medical
subjects. Orders for translations poured in on him from Leipzig." In spite of
honours heaped upon him by some learned societies, could such a fate have even
remotely satisfied the ambitions and talents of this man?
When Hahnemann says, "in Dresden, I played no
prominent part," he means no prominent part in medicine, because he was chiefly
a passive translator and scholar and engaged in the raising of his growing
family.
Wandering Years
Curiously for one so qualified, throughout the
next twenty years or so, a strange wanderlust drove him to drag his growing
family, from town to town, never staying in one place for more than a few months
or a year. For example, in 12 years from 1792-1804, he lived in fourteen
different towns. During this important phase of "his restless wandering life,"
he was a lonely figure, thoroughly disgusted with medicine and completing many
translations for his sole income. Between 1777 and 1806 he translated 24 large
textbooks and numerous articles into German, usually accompanied with extensive
footnotes and detailed corrections of his own. Hahnemann "sat at his desk
writing until his fingers were sore. There was no more talk of medical practice.
The doctor was a fanatic devotee of the quill pen, who now drowned his sorrows
over his lost medical career in a sea of ink."
During these "restless years of wandering,"
Hahnemann was the while developing his ideas and publishing essays based upon
his studies. In what was undoubtedly a crucial period of his life, and not
apparent to the outer observer, his medical views were undergoing a revolution
as he slowly accumulated evidence for radically new medical concepts and
methods, which would, in due course, significantly change his future course in
life. His "whole intellect was in a state of ferment...and complete internal
revolution." Haehl gives a very sound analysis of the problem. Hahnemann was
"distracted by mental labours, which drove him restlessly from town to town."
Once he had finished "wrestling with his thoughts," and "the work of the mind
accomplished," then his "peace and tranquillity returned of their own accord."
His particular 'mental labours' undoubtedly concerned his abandonment of
medicine and his search for safer and more efficacious medical concepts and
methods.
However, what was crucial about his wandering
years, for his future work, was that through translation work, he could begin to
scrutinise every idea and method in medicine ever advanced, and evaluate its
usefulness and efficacy. Translation work opened up for him new medical worlds,
which he could inspect and contemplate as evidence in his own search for medical
enlightenment.
It was in 1790, while translating William Cullen's
Materia Medica that the first evidence emerged for the great things still to
come. Unconvinced by Cullen's theory that Cinchona was a specific for Malaria
because of its tonic action on the stomach, Hahnemann decided to take a small
dose of Cinchona over several days to observe its effects. In this first proving
experiment, Hahnemann observed symptoms broadly similar to those of malaria,
including spasms and fever. With Cinchona, he had "produced in himself the
symptoms of intermittent fever," which suggested to him a medical principle. He
thus established anew the validity of an old therapeutic maxim: 'like cures
like' or similia similibus curentur.
With his family and friends, he then undertook
further drug provings. "Day after day, he tested medicines on himself and
others. He collected histories of cases of poisoning. His purpose was to
establish a physiological doctrine of medical remedies, free from all
suppositions, and based solely on experiments." In his search for new remedies
to prove, "Hahnemann sent his children into the fields to collect henbane,
sumach, and deadly nightshade. They grew up like young priests of the
Asclepieion of Cos...they felt the leaves, blossoms and tubers with small but
expert hands...everyone was obliged to join in the work...for there was no other
way to succeed in his titanic plan of rescuing the wealth of natural remedies
from the quagmire of textbooks, and displaying it in the bright light of
experience.? His family and friends became central to his task: "the family
huddled together; and every free moment of every one of them, from the oldest to
the youngest, was made use of for the testing of medicines and the gathering of
the most precise information on their observed effects." The results of his
investigations were meticulously catalogued: "Hahnemann neatly and
conscientiously assembled and numbered his observations of the symptoms excited
in himself and his children by the most varied of medicines."
However, another fifteen years elapsed before his
thinking, study and experiments finally bore rich fruit. In 1796, his Essay on a
New Principle consolidated the work with Cinchona, extending it into a general
principle applicable for all drugs, and this laid the foundation for a complete
system of medicine based on similia. By 1796 he was also practising medicine
again, but "he did not charge for the medicines which he produced himself." In
summary, we can see that the essence he had distilled from his wandering was:
single drugs in moderate doses, employed for conditions seen when they are
proved on healthy volunteers. From this alone, he was inspired to commence a lot
of writing of his own.
Torgau
In 1804, with "this restless inclination for
travelling," finally expended, he settled in Torgau, "for seven whole years," -
1804-1811 - and began to write a series of important essays: all "his chief
works were produced in the Torgau period," within which every detail of his new
system was taking shape. Into these essays were instilled everything he had
discovered in his restless wandering, deriving from his provings, his thinking
and his studies. His Fragmenta de viribus [1805] presented the first published
details of 27 provings, including Pulsatilla, Ignatia, Aconite, Drosera and
Belladonna. ?Hahnemann's "Fragmenta de viribus medicamentorum positivis." was
published in Latin. This two-volume work gives us, for the first time, an
insight into the remarkable, and so far unknown, methods of investigation, which
he employed. It supplies reports on the tests of twenty seven medicines the
results of years of experiment on himself and his family."
From the considerations he had arrived at in his
wandering years, Hahnemann had sought to develop a medical system that relied
solely on single drugs in harmless doses and based upon pure observation,
empiricism and experiment. He sought to "do away with the blind chimney
sweeper's methods of dulling symptoms," then so much in vogue. He fought "with
redoubled energy for the purity of medicine. He struck deadly blows at three
points: first, he believed that the doctor should prepare his own medicines;
second, he advocated ever more definitely the administration of small doses;
and, third, he was a most passionate opponent of mixed doses that contained a
large number of ingredients."
Then came The Medicine of Experience in 1805,
which was in every respect a forerunner of his Organon. His other essays of
1805, 1808 and 1809, amount to magnificent critiques of every mode of medical
treatment and discussions of why similia and single drugs are superior, and
always have been. These were soon followed up with his Materia Medica Pura
[1811] and Organon [1810], which proved to be great landmarks in the
establishment of homeopathy: "...the "Organon of the Art of Healing" is
presented in sections after the manner of a legal code. [Its]...sections
manifest the notable and intimidating terseness of legal paragraphs, which,
despite their unequivocal and final character, can scarcely be understood
without prolific commentaries." Likewise, his radical experiments with dose
reduction commenced in 1798 and endlessly revised throughout his long life. The
first decade of the nineteenth century saw an unprecedented outpouring of
original texts, as soon as his wandering had ceased.
This veritable dam-burst of literary activity was
obviously preceded by two decades of study, experimentation and hard thinking.
In 1806, his last translation, from the Latin, of Albrecht von Haller's Materia
Medica, signalled the end of the first phase of his life: the study of the views
of others, and the beginning of a new phase: of being his own man, and of
formulating and defending his own views. Homeopathy, therefore, had a somewhat
protracted 'birth,' emerging in pieces: between "1790 and 1805...homeopathy was
slowly coming to birth."
Of his stay in Torgau, it can be said that
Hahnemann had, through his detailed and exhaustive studies, at last laid out a
systematic and point-by-point demolition of every element in ancient and
medieval medicine, leaving single drugs and similars as the only useful
remnants. From these simple crumbs, combined with his experiments, he was able
to build brilliant essays leading directly to the Organon, which is his detailed
exposition of the whole conceptual and practical realm of homeopathy.
Leipzig
In 1812, Hahnemann moved back to Leipzig, "the
Saxon Athens," with a new confidence and the chief intention of taking on the
allopathic establishment. He was returning, "pre-eminently as a teacher...to
declare publicly...what he had discovered." He obtained a teaching post on the
faculty of the university medical school after defending a thesis on Hellebore,
which quoted scores of ancient works in most European languages such was the
vast extent of Hahnemann's knowledge of the medical past and of languages.
Quoting from "more than fifty...doctors, philosophers and naturalists," he was
able "to show his extraordinary knowledge of languages...[and] to quote verbatim
from manifold German, French, English, Italian, Latin, Greek, Hebrew and Arabic
medical writers." Such a performance was hugely impressive to the academics
present.
Yet, his lectures to students, though starting out
well, soon degenerated into a predictably caricatured performance with
long-winded and bitter assaults upon the medical mainstream, which had Hahnemann
ranting and raving like "a raging hurricane against the old methods," and which
saw his students dwindle to single figures. By unleashing such "uncontrolled and
abusive attacks on contemporary medicine...he became incoherent and lost the
sympathy of his audience." Consequently, "his audience lessened every hour and
finally consisted of only a few." For example, the winter semester 1820-21 "had
been attended by only seven students." This situation inevitably weakened his
position in the university. Imagine if, by contrast, his course of instruction
had been very popular, with swarms of students, then it would have been very
difficult for the professors to attack him. That was sadly not to be.
Orthodox attacks upon him and upon homeopathy
became increasingly coordinated, amounting to a "vicious campaign of
persecution," which soon reached such a pitch as to make his life in Leipzig
almost intolerable. He was "neglected and avoided by the students," and was
"obliged to leave Leipzig," because of "this continuous antagonism of the
medical profession and the governmental decree about self-dispensing," of drugs,
which very effectively barred him from further legal medical practice. Though he
had achieved a lot, of leaving Leipzig some might say "Hahnemann felt himself to
be almost excluded...[and] once more resolved upon migration," as the most
dignified solution.
Coethen
By the end of 1820, he had therefore resolved to
leave Leipzig. This was eventually achieved through protracted negotiations with
the kindly Duke Ferdinand of Altona-Coethen. Hahnemann finally obtained in April
approval from the Duke for a position in Coethen, and moved there in June 1821.
This edict also allowed Hahnemann to do precisely what he had been denied in
Leipzig: "to prepare his own medicines." The comfort that must have brought
would have seemed like a blessing from Heaven. He remained in Coethen with his
wife and daughters, Charlotte and Louisa, in 'splendid isolation' for fourteen
years [1821-1835]. Meanwhile, he continued to publish essays and books, updating
his Organon, and Materia Medica Pura.
His publication in 1828 of The Chronic Diseases,
opened up an entirely new chapter by exploring the underlying causes of disease
as rooted solely in three ancient dyscrasias: skin diseases [Psora], gonorrhoea
[Sycosis] and Syphilis. From "frequent observations, Hahnemann had discovered
that chronic maladies...had some connection with a previous outbreak of Psora."
This 'miasm theory' stirred up great controversy among his followers, and seems
to have instinctively elicited much more ridicule than it did praise. To
Hahnemann, Psora was "a disease or disposition to disease, hereditary from
generation to generation for thousands of years, and...the fostering soil for
every possible diseased condition."The theory "did not receive unanimous support
from his followers, even after Hahnemann's death." At the same time, he sought
to have 30c potency established throughout homeopathy as the standard. In this
endeavour, he failed dismally, because the majority of his contemporaries
preferred tinctures and 3x, while others, like Jenichen [1787-1849], Korsakoff
[1788-1853] and Schreter [1803-1864], were busy raising potency to heights way
beyond his wildest dreams.
Second Marriage
On 8th October 1834, four and a half years after
the death of his first wife, Johanna, a new lady entered his life: Melanie
D'Hervilly Gohier [1800-1878], a young, attractive and well-connected French
artist, who paid him a surprise visit in Coethen. Over forty years younger than
him, she became first his patient, then his homeopathy student and then his
lover. They were married on 18th January 1835 in Coethen and moved to Paris on
7th June. And the old man from another land came to know this wonderful city of
Paris as a vision from the Arabian Nights. He came to know its mysterious magic
formula, which combines the maximum of freedom with the strictest observance of
tradition." Their love affair and marriage caused a sensation among his German
colleagues and neighbors, and scurrilous local "newspaper reports attempted to
ridicule the marriage.? When this strange marriage had taken place, and had been
sufficiently discussed a storm of slander and vilification broke like a
cloudburst." On Hahnemann's departure for Paris, "his daughters moved back into
their father's house, where they lived until their death." They were not very
fond of Melanie.
Whatever we might make of her behaviour or
motives, he repeatedly stated in letters how happy he was with Melanie in Paris:
"better and happier than I have been for years." It is also certain that in
those final, blissfully happy, eight years of his life, he established a
thriving medical practice in Paris with his young wife, becoming a celebrity and
the preferred physician of the rich and famous, as well as giving free treatment
to the poor. He and Melanie made a fortune together, allegedly four million
francs in eight years. She will ever remain an enigma. Melanie was, for her
enemies, "an ambitious and self seeking intellectual... [but] for the man who
loved her, a gentle, wide eyed, enchanted creature." She "never left his side.
She mastered his casebooks, all the symptoms and most obscure notes of the
Materia Medica Pura, as none of his pupils had ever done. She became a living
compendium of homeopathy."
Although Hahnemann had introduced the smelling of
remedies, or Olfaction, in 1832, but it was during this last phase of his long
life that he established Olfaction and the LM potencies as central pillars of
his Paris practice. They are mentioned in detail in his final Sixth Organon
[1842], which, however, did not see the light of day until 1922 In old age,
Hahnemann "grew thinner and more dwarflike. His knees bent in slightly; his
torso was thrust forward, both when he walked and when he stood still...but the
head, which ever more and more dominated the body, remained erect and
sovereign." It was also in Paris where he made the last revisions of the Fifth
Organon in February 1842, though it was never sent to a publisher It is also
clear that his Paris years were filled with continuous experimentation,
especially regarding dosage, potency and mode of administering remedies. It was
at this time that he devised the liquid doses and LM potency scale
Death
Hahnemann died in Paris of bronchitis, 2 July 1843
and was buried first in Montmartre, but later reinterred in a more grandiose
tomb, paid for by American subscription, in the more prestigious Cimitiêre Pere
Lachaise, where many famous people are buried [e.g. Edith Piaf and Chopin].
Partly through attracting great controversy, and partly through impressive
clinical results, homeopathy spread rapidly in Europe, Russia, India and the
Americas, where it always found the sympathy of the rich and titled, as a safe
alternative to bleeding and purging.
Most important works
Essay on a New Principle [1796]
Are the Obstacles to Medical Practice Insurmountable? [1797]
Cure & Prevention of Scarlet Fever [1801]
On the Power of Small Doses [1801]
Aesculapius in the Balance [1805]
Fragmenta de viribus medicamentorum positivis [1805]
The Medicine of Experience [1805]
On the Value of the Speculative Systems of Medicine [1808]
Observations on the Three Modes of Medical Practice [1809]
Hellebore thesis [1812]
Sources of the Materia Medica [1817]
Contrast of Old and New Medical Systems [1825]
Four essays on Cholera [1831] |
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