Edward Dewey - The No Breakfast Plan and the Fasting-Cure

This volume is a history, or a story, of an evolution in the professional care of the sick. It begins in inexperience and in a haze of medical superstition, and ends with a faith that Nature is the all in all in the cure of disease. The hygiene unfolded is both original and revolutionary: its practicality is of the largest, and its physiology beyond any possible question. The reader is assured in advance that every line of this volume has been written with conviction at white heat, that enforced food in sickness and the drug that corrodes are professional barbarisms unworthy of the times in which we live.

Meadville, Pa., U. S. A.,

November, 1900 .

A hygiene that claims to be new and of the greatest practicality, and certainly revolutionary in its application, would seem to require something of its origin and development to excite the interest of the intelligent reader. Methods in health culture are about as numerous as the individuals who find some method necessary for the health: taking something, doing something for the health is the burden of lives almost innumerable. Very few people are so well that some improvement is not desirable.

The literature on what to eat and not to eat, what to do and not to do, on medicines that convert human stomachs into drug-stores, is simply boundless. If we believe all we read, we must consider the location we are in before we can safely draw the breath of life; we must not cool our parched throats without the certificate of the microscope. We must not eat without an ultimate analysis of each item of the bill of fare, as we would take an account of stock before ordering fresh goods; and this without ever knowing how much lime we need for the bones, iron for the blood, phosphorus for the brain, or nitrogen for the muscles. In short, there is death in the air we breathe, death in the food we eat, death in the water we drink, until, verily, we seem to walk our ways of life in the very valley and shadow of death, ever subject to the attack of hobgoblins of disease.

How many lives would go down in despair but for the miracles of cure promised in the public prints, even in our best journals and monthlies, we cannot know. It is the hope for better things that sustains our lives; suicide never occurs until all hope has departed. Even our medical journals are heavily padded with pages of new remedies whose use involves the most amazing credulity. Perhaps it is well, in the absence of a sound physiological hygiene, that the people who are sick and afflicted shall be buoyed up by fresh, printed promises. Perhaps it is also well for the physician to be able to go into the rooms of the sick inspired from the advertising pages of his favorite medical journals.

Are they not new stars of hope to both physician and the people? Why should we not hope when new remedies are multiplying in such infinite excess over newly discovered diseases? New diseases? What is there essentially new that can be treated with remedies, in the coated tongues, foul mouths, high temperature and pulse, pain, discomfort, and acute aversion to food, that is to be found in the rooms of the sick? Are there really specifics for these conditions?

The hygiene to be unfolded in these pages is so new, so revolutionary, that its first impress has never failed to excite every form of opposition known to language, and yet its practicality is so great that it is rarely questioned by those who fairly test it. It has not been found wanting in its physiology, nor has it failed to grow wherever it has found lodgement.

The origin and development of this new way in health culture seem to require something of professional autobiography, that it may be seen that it is a matter of evolution and not of chance, not a fad that has only its passing hour.

After receiving my medical degree from the University of Michigan, and serving a term as house physician to the U. S. Marine Hospital at Detroit, Michigan, I entered one of the large army hospitals at Chattanooga, Tenn., at the beginning of the Sherman campaign in Georgia, where I found a ward of eighty sick and wounded soldiers fresh from the battle of Resacea. My professional fitness for duties so grave and so large in extent was of a very questionable order, and I did not in the least overestimate it.

It had not escaped my notice, even before I began the study of medicine, that whether disease were coaxed with doses too small for mathematical estimate, or whether blown out with solid shot or blown up with shells, the percentage of recoveries seemed to be about the same regardless of the form of treatment.

I was reared in a large family in a country home, several miles from a physician, where all but the severest sicknesses were treated with herb-tea dosage, and this was true of all other country homes. With all this in mind I had begun the study of medicine with a good deal less than the average faith in the utility of dosage, and it was not enlarged by my professor of materia medica.

I entered upon my serious duties as did good, rare, old Bunyan into his pulpit, with a feeling fairly oppressive that I was "the least of all the saints." My materia medica was in my vest pocket; my small library in my head, with its contents in a very hazy condition. With a weak memory for details, and marked inability to possess truth except by the slow process of digestion and assimilation, my brain was more a machine-shop than a wareroom; hence capacity of retail dealing was of the smallest. I was not in the least conscious at this time that a large wareroom amply stored by virtue of a retentive memory was not the most needed as an equipment for all the practical affairs of life. I have ever found it necessary to dodge some memories, when there was lack of time to endure a hailstorm of details.

That I did not become a danger to the hapless sick and wounded only less than their diseases and wounds, was wholly due to my small materia medica, to utter lack of pride in knowledge that had not become a power with me, and to that lofty ambition for professional success which moved me to seize aid from no matter where or whom, as the drowning man a straw.

It was my great professional fortune that the medical staff of this hospital of more than a thousand cots was of a very high order of ability and experience, and that I entered at the beginning of a campaign in which for more than three months there was a fitful roar of artillery and rattle of musketry every day; hence a continuous influx to cots vacated by deaths or recoveries.

In all respects it was the best equipped hospital for professional experience of any that I knew anything about. There was one rigid rule that I believe was not carried out in any other hospital: post-mortems in all cases, numbering from one to a dozen daily, and all made with a thoroughness I have never seen in private practice.

The features of my hospital service that impressed me most were the post-mortem revelations and the diverse treatments for the same disease. I soon found that, no matter what the disease, every surgeon was a law to himself as to the quality, quantity, and times of his doses, with the mortality in the wards apparently about the same.