Professional Documents
Culture Documents
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2018
© 2018 Elsevier Limited. All rights reserved.
ISBN 978-0-7020-5506-5
e-book 978-07020-7798-2
Notices
Practitioners and researchers must always rely on their own experience and
knowledge in evaluating and using any information, methods, compounds or
experiments described herein. Because of rapid advances in the medical sciences, in
particular, independent verification of diagnoses and drug dosages should be made.
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The Publisher
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policy is to use
paper manufactured
from sustainable forests
Printed in China
CONTENTS
CONTENTS
SECTION 1 Neuromusculoskeletal Anatomy 1
Musculoskeletal anatomy illustrations 2
Nerve pathways 29
Brachial plexus 45
Lumbosacral plexus 46
Peripheral nerve motor innervation 47
Muscle innervation chart 53
Muscles listed by function 59
Alphabetical listing of muscles 62
References and Further Reading 89
CONTENTS
References and Further Reading 263
APPENDIX 1 359
Laboratory values 359
Conversions and units 361
APPENDIX 2 365
Acronyms and Abbreviations 365
Prefixes and suffixes 378
APPENDIX 3 383
National Early Warning Score (NEWS2) for the acutely ill or
deteriorating patient 383
Clinical response to the NEWS2 trigger thresholds 385
APPENDIX 4 387
Adult Basic Life Support Sequence 387
Paediatric Basic Life Support Algorithm 388
Index 389
vii
This page intentionally left blank
Eighteen years ago we were newly qualified physiotherapists
Preface
Preface
working in busy London teaching hospitals when we came up
with an idea that would later become The Physiotherapist’s
Pocketbook. Like hundreds of physiotherapists before us, we
prepared for clinical placements and rotations by compiling
pocket-sized reference notes that we could access quickly and
easily when we needed to check something. As we made our
way through our rotations these “crib sheets” slowly grew into
a compendium of key information covering all the core areas
of physiotherapy, forming the basis of the Pocketbook.
When we first wrote the Pocketbook we never thought we
would be writing the third edition 14 years later. We have been
overwhelmed by the favourable response to the previous two
editions and have endeavoured to ensure this new edition provides
a relevant and up-to-date resource that is as comprehensive and
useful as possible to all clinicians. It is beyond the scope and size
of the book to cover the more specialist areas of physiotherapy,
but we hope that its sections on anatomy, neuromusculoskeletal
examination, neurology, respiratory, pharmacology and pathology
and the supporting appendices are broad enough to fulfil its
main purpose – to provide quick and easy access to essential
clinical information during everyday clinical practice.
A project of this size would not be possible without the support
of our publishing team at Elsevier who have guided us throughout
the writing and production process. In addition, we have been
fortunate to work alongside a large number of colleagues,
students and academics who have provided invaluable encourage-
ment and advice. If we could name them all this would definitely
not be a pocket-sized book, but we would like to say a special
thanks to all our colleagues and friends at East Sussex Healthcare
NHS Trust, Brighton and Sussex Hospital NHS Trust and The
Sussex Musculoskeletal Partnership (Central and East).
ixix
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This book is dedicated to our wonderful children,
DEDICATION
CONTENTS
Jack and Eva, who have had to put up with more
“physio stuff” than any child should ever be
subjected to.
xixi
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Neuromusculoskeletal
anatomy
SECTION
Musculoskeletal anatomy illustrations 2
Nerve pathways 29
Brachial plexus 45
Lumbosacral plexus 46
Peripheral nerve motor innervation 47
Muscle innervation chart 53
1
Muscles listed by function 59
Alphabetical listing of muscles 62
References and Further Reading 89
Musculoskeletal anatomy illustrations
SECTION
Sagittal
1 Cephalic (median) plane
Neuromusculoskeletal anatomy
Coronal
Superior
(frontal) plane
Transverse
(horizontal) plane
Inferior
erior
Late
ral r Post
Anterio
Med
ial
Dorsum of hand
Palmar surface
of hand
Dorsum
of foot Proximal
Caudad
Distal
Plantar surface of foot
Figure 1.1 Anatomical position showing cardinal planes and
directional terminology.
2
SECTION
1
Longus colli, Rectus capitis Longus Rectus
upper oblique anterior capitis capitis
Neuromusculoskeletal anatomy
part lateralis
Splenius capitis
Longus colli
vertical part
Transverse
Longus colli process of atlas
lower oblique
part Levator scapulae
Scalenus Scalenus
posterior posterior
1st rib
Serratus Scalenus
anterior anterior
Figure 1.2 Anterior and lateral muscles of the neck.
3
SECTION
1
Neuromusculoskeletal anatomy
Ligamentum
nuchae
Rectus capitis
Obliquus
posterior
capitis
minor
superior
Rectus capitis
posterior major
Obliquus
Spinous capitis inferior
process Semispinalis
of C2 cervicis
Semispinalis Longissimus
capitis capitis
Splenius
capitis
Figure 1.3 Posterior and lateral muscles of the neck.
4
SECTION
Neuromusculoskeletal anatomy
Levatores
costarum
breves
Spinalis
thoracis
External Iliocostalis
intercostal thoracis
Quadratus Longissimus
lumborum thoracis
5
SECTION
1
Semispinalis capitis Splenis capitis
Neuromusculoskeletal anatomy
Levator scapulae
Sternocleidomastoid Rhomboideus
Trapezius minor
Supraspinatus
Infraspinatus
Deltoid Teres minor
Latissimus Teres major
dorsi
Thoracolumbar Rhomboideus
fascia major
Serratus anterior
Obliquus
internus Serratus
posterior inferior
Obliquus
externus Obliquus internus
Fascia covering
gluteus medius Erector spinae
Fascia covering
gluteus maximus Gluteus maximus
6
SECTION
Neuromusculoskeletal anatomy
Latissimus dorsi Digitations of
serratus anterior
Rectus abdominis
Obliquus internus
Intercostal internus
of 10th intercostal
space
Figure 1.6 Muscles of the right side of the trunk.
7
SECTION
1
Sternocostal part of pectoralis major
Neuromusculoskeletal anatomy
Deltoid
Serratus anterior
Latissimus dorsi
Coracobrachialis
Biceps
Brachialis
Triceps
Triceps
(long head)
Triceps
(medial head)
Brachioradialis
Figure 1.7 Superficial muscles of the anterior chest and arm. Left
side.
8
SECTION
1
Pectoralis minor
Neuromusculoskeletal anatomy
Subscapularis
Subclavius
Coracobrachialis
Latissimus dorsi
Teres major
Serratus anterior
Biceps
Brachialis
Figure 1.8 Deep muscles of the anterior chest and upper arm. Left
side.
9
SECTION
1
Neuromusculoskeletal anatomy
Greater
tuberosity Spine of scapula
Humerus
Quadrangular
Long head space
of triceps Triangular
space
Lateral head
of triceps Infraspinatus
Teres major
Latissimus dorsi
Olecranon
Figure 1.9 Muscles of the posterior scapula and upper arm. Left side.
10
SECTION
Medial
intermuscular
1
septum of arm Bicipital
Neuromusculoskeletal anatomy
aponeurosis
Flexor carpi
radialis Pronator teres
Palmaris longus
Brachioradialis
Flexor carpi
ulnaris Flexor digitorum
Flexor digitorum superficialis,
superficialis radial head
Flexor pollicis
longus
Tendon to
ring finger Flexor pollicis
brevis
Pisiform
Abductor pollicis
brevis
Flexor retinaculum
Adductor pollicis,
Palmar brevis transverse head
Palmar
aponeurosis
Second lumbrical
11
SECTION
Triceps
1 Fascia from triceps
Brachialis
Brachioradialis
Neuromusculoskeletal anatomy
Olecranon
Extensor carpi
Anconeus radialis brevis
Abductor pollicis
longus
Extensor pollicis
Radius brevis
Extensor retinaculum Extensor pollicis
longus
Extensor carpi ulnaris
Extensor digiti minimi Extensor carpi
Abductor digiti minimi radialis longus
and brevis
First dorsal
interosseus
12
SECTION
Iliacus 1
Tensor
Neuromusculoskeletal anatomy
fasciae latae
Psoas major
Pectineus
Sartorius
Adductor longus
Rectus femoris
Gracilis
Iliotibial tract
Vastus medialis
Ligamentum
patellae Tendon of
sartorius
13
SECTION
1
Gluteus maximus
Piriformis
Neuromusculoskeletal anatomy
Gemellus superior
Gluteus minimus
Obturator
internus tendon
Sacrotuberous
Gluteus medius
ligament
Gemellus inferior
Gluteus maximus
Quadratus femoris
Adductor magnus
Vastus lateralis
Popliteus
Figure 1.13 Muscles of the posterior right thigh.
14
SECTION
1
Patellar ligament
(quadriceps
Neuromusculoskeletal anatomy
tendon)
Insertion of sartorius
Extensor hallucis
longus
Extensor hallucis
Peroneus tertius longus
15
SECTION
1 Gracilis
Semitendinosus
Neuromusculoskeletal anatomy
Sartorius Plantaris
Gastrocnemius
medial head Gastrocnemius
lateral head
Soleus
Peroneus brevis
Flexor digitorum
longus
Peroneus longus
Calcanean tendon
Calcaneus
16
SECTION
1
Semitendinosus
Neuromusculoskeletal anatomy
Biceps tendon
Sartorius Gastrocnemius
lateral head
Gracilis
Plantaris
Semimembranosus
Popliteus
Gastrocnemius Soleus
medial head
Peroneus longus
Tibial posterior
Flexor hallucis
longus
17
SECTION
1
Semimembranosus
Vastus medialis
Neuromusculoskeletal anatomy
Sartorius Semitendinosus
Gracilis
Tibia
Tibialis anterior
Soleus
Calcaneus
18
SECTION
Neuromusculoskeletal anatomy
Superior longitudinal band Ends of membrane
of cruciform ligament tectoria (cut)
Anterior
edge of
foramen
magnum
Transverse
Alar ligament process of atlas
Transverse Capsule of
ligament of atlas atlantoaxial
joint
Inferior longitudinal Posterior
band of cruciform longitudinal
ligament ligament
Figure 1.18 Ligaments of the atlanto-axial and atlanto-occipital joints.
19
Neuromusculoskeletal anatomy
20
1
Coracoclavicular ligament SECTION
1
Annular
Interosseous ligament
Neuromusculoskeletal anatomy
membrane of radius Medial epicondyle
Anterior
band Ulnar
collateral
Posterior ligament
band
Oblique band
Medial view
Tubercle on Olecranon
A coronoid process
Capitulum
Head of radius
Lateral
epicondyle
Trochlear
notch
Lateral view
Radial collateral Annular ligament
B ligament of radius
Figure 1.20 Ligaments of the elbow joint. A Medial. B Lateral.
21
SECTION
1
Ulnar collateral Palmar radio-
ligament carpal ligament
Neuromusculoskeletal anatomy
Radius
Dorsal Ulna
radiocarpal
ligament Ulna collateral
ligament
Deep transverse Pisometacarpal
metacarpal ligament
ligaments
B
Figure 1.21 Ligaments of the wrist and hand joints. A Anterior.
B Posterior.
22
SECTION
Short posterior
1
sacroiliac ligament
Neuromusculoskeletal anatomy
Long posterior
sacroiliac ligament
Greater sciatic
foramen
Sacrotuberous
ligament
A Obturator foramen
Iliolumbar ligaments
Anterior sacroiliac
ligament
Sacrotuberous
ligament
Sacrospinous
ligament
B
Figure 1.22 Ligaments of the sacroiliac joint. A Posterior. B Anterior.
23
SECTION
1 Anterior inferior
iliac spine
Iliopubic
Neuromusculoskeletal anatomy
eminence
Iliofemoral
ligament
Pubofemoral
ligament
Ischiofemoral
ligament
Figure 1.23 Ligaments of the hip joint. A Anterior. B Posterior.
24
SECTION
Anterior cruciate Posterior cruciate
ligament ligament 1
Deep medial
Popliteus tendon collateral ligament
Neuromusculoskeletal anatomy
Lateral collateral Semimembranosus
ligament
Superficial medial
Biceps femoris
collateral ligament
tendon
Transverse
Iliotibial tract ligament
Patellar ligament Gracilis
Interosseous Semitendinosus
membrane
A Sartorius
Superficial
medial collateral
ligament Anterior cruciate
ligament
Ligament of
Wrisberg Lateral collateral
ligament
Medial meniscus Popliteus tendon
B
Figure 1.24 Ligaments of the knee joint. A Anterior. B Posterior.
25
SECTION
Posterior tibiotalar
1 ligament
Tibiocalcaneal
Tibionavicular
ligament
Neuromusculoskeletal anatomy
ligament
Posterior
talocalcanean
ligament
Plantar
calcaneonavicular
A (spring) ligament
Lateral
B talocalcanean ligament
Figure 1.25 Ligaments of the ankle joint. A Medial. B Lateral.
26
SECTION
1
Distal
Neuromusculoskeletal anatomy
phalanx
Middle
phalanx
Proximal
phalanx
Head of
metacarpal
Base of
metacarpal
Body of
metacarpal
Capitate
Hamate
Pisiform First
metacarpal
Triquetral
Lunate Trapezoid
Ulna Trapezium
Radius Scaphoid
Figure 1.26 Bones of the right hand.
27
SECTION
1
Neuromusculoskeletal anatomy
Calcaneus
Talus
Navicular
Medial
Cuboid
Intermediate Cuneiform
V Lateral
IV
Proximal phalanx III Base of metatarsal
II
I Shaft of metatarsal
Middle phalanx
Metatarsal bones (I–V)
Sesamoid bone
Distal phalanx Head of metatarsal
Base of proximal
phalanx
Proximal phalanx
Distal phalanx
Figure 1.27 Bones of the right foot.
28
Nerve pathways
Brachial plexus SECTION
1
Brachial plexus
Neuromusculoskeletal anatomy
Lateral cord
Medial cord
Tendon of pectoralis minor
Axillary artery
Musculocutaneous nerve
Coracobrachialis
Median nerve
Pectoralis minor
Brachial artery
Biceps
Lateral
cutaneous Ulnar
nerve of arm nerve
Figure 1.28 Brachial plexus.
29
Neuromusculoskeletal anatomy
30
1
Suprascapular nerve SECTION
Supraspinatus
Upper limb
Teres minor
Infraspinatus Deltoid
Quadrangular space Axillary nerve
Lower triangular space
Radial nerve
Teres major
Long head
Triceps brachii Lateral head
Lateral intermuscular septum
Medial head
Brachialis (lateral part)
1
Lateral cord Medial cord
Neuromusculoskeletal anatomy
Musculocutaneous
nerve Median nerve
Brachial artery
Ulnar nerve
Medial intermuscular septum
Radial nerve
Medial epicondyle
31
SECTION
1 Biceps
Brachialis
Neuromusculoskeletal anatomy
Ulnar nerve
Median nerve
Brachioradialis
Supinator
Superficial
radial nerve
Flexor digitorum
profundus
Radial artery
Flexor pollicis
longus
32
Another random document with
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gentlemen outside the House. All revolutions he thought the work of fools
and knaves, philosophers, Jacobins, and sans-culottes. The Jeffersonians
were conspiring to prostrate popular liberty and establish tyranny by
curtailing the power of the Executive and increasing the power of the House.
It was all very simple. The President crushed, the Senate next destroyed,
three or four audacious demagogues would dominate the House until the
strongest cut the throats of the others and seized the scepter. The Federalists
were delighted—what a wonderful man was Harper![1404] Day by day the
violence increased. Harper snapped at Giles, who snapped back, and when
Otis made a nasty attack on the Virginian and the latter dared him to repeat it
‘out of doors,’ there were loud cries of ‘order.’ Only Gallatin remained cool,
in possession of his senses. He contented himself with the assertion that only
on information that had not been given could war measures be excused.[1405]
The superheat of the House cooled the passions of the people and
remonstrances against the arming of merchant ships poured in. Even from
New England they came, maddening to Cabot and Ames, reassuring to
Jefferson, who made the most of them in his correspondence.[1406] When the
town meeting at Cambridge joined the remonstrators, the Boston ‘Centinel’
fumed over ‘the indecent abuse of the merchants,’ and the ‘forestalling
knavery’ of the town.[1407] Then, to revive the failing spirits of the war
party, Adams came to the rescue with a Message announcing the failure of
the envoys and recommending warlike measures. How the little patriot
would have winced had he known that in adopting the recommendations of
McHenry he was accepting the dictations of Alexander Hamilton! Jefferson
wrote Madison that it was ‘an insane message,’ and the Jeffersonians, no
longer doubting that war was the purpose, arranged to force a show-down.
[1408] Thus appeared the Sprigg Resolutions providing for purely defensive
measures for the coast and the interior, and declaring that ‘under existing
conditions it is not expedient for the United States to resort to war against
the French Republic.’[1409]
Momentarily taken unaware, the Federalists were stunned. Harper
blundered into the admission that he could see no objections, but Otis, with
keener insight, proposed to substitute the word ‘declare’ for ‘resort to’ war—
and the cat was out of the bag. The Jeffersonians feared, not so much a
declaration of war as warlike measures that would force a state of war, and
to forestall that was the purpose of the Resolutions. Thus the debate
proceeded, more bitter and personal, with Giles and Harper resembling the
wenches of the fishmarket without their skirts.
Meanwhile, the Federalist leaders were familiar with the X Y Z papers of
which the Democrats were kept in ignorance. Hamilton, private citizen of
New York, knew their contents; Jefferson, Vice-President of the United
States, did not. This was the trump card of the war party, and no one saw it
so quickly as Hamilton, who immediately began to work secretly, through
his agents in the Cabinet, for their publication. ‘Nothing certainly can be
more proper,’ he wrote Pickering. ‘Confidence will otherwise be
wanting.’[1410] In utter ignorance of their contents, the Jeffersonians began
to demand their production. Only a few days before, the Jeffersonian organ
in Boston was charging that Adams withheld the papers because they
‘contain an account of some resentful expressions of the French respecting
our Cabinet, and Mr. Adams does not expect any credit by publishing
them.’[1411] Thus, when the motion was made that the papers be produced,
Gallatin, Giles, Livingston, and Nicholas supported it, and the next day they
were sent with the request that they be considered in confidence until the
effect of their publication could be discussed.
The galleries were cleared—the doors locked and guarded—and for three
days and into the fourth the secret discussion continued. Then the doors were
opened and the crowd in the galleries heard a brief discussion of the number
of copies to be printed for circulation. ‘One thousand, two hundred,’ said
Bayard of Delaware. ‘Three thousand,’ urged Harper. ‘Seven thousand,’
sneered the hot-headed Matthew Lyon, ‘for the papers are so trifling and
unimportant that no printer would risk the printing of them in a pamphlet.’
Otis incredulously inquired if he had rightly understood the Vermont fire-
eater. Lyon unblushingly repeated his strange assertion. The suggestion of
Bayard was adopted, and, when the members filed out of the little room in
which they deliberated that day, Harper and the war hawks could already
hear the thunder of the guns.
II
Thus did the shadows close in on the Jeffersonians. The blow was
staggering. On the appearance of the damaging documents, most of the
Democratic papers were silent, while printing them in full. One made a
brave show of satisfaction by criticizing Adams for withholding them so
long, and suggesting that perhaps ‘the most important papers’ had been
withheld.[1412] Even the buoyancy of Jefferson suffered a momentary
collapse. Writing Madison the day the papers were read, he did not have the
heart to indicate the nature of their contents.[1413] The next day he had
recovered sufficiently to write that his first impressions were ‘very
disagreeable and confused,’ and that this would be the first impression of the
public. A more mature consideration, he thought, would disclose no new
ground for war, but war psychology and fear of false imputations might
drive the people to the war hawks.[1414] Madison, equally astonished,
thought Talleyrand’s conduct ‘incredible,’ not because of its ‘depravity,
which, however heinous, is not without example,’ but because of its
‘unparalleled stupidity.’[1415] Monroe, who had spent the night with
Madison in Virginia, thought the incident ‘evidently a swindling
experiment,’ which was clear enough on its face.[1416] The public, in the
meantime, was reading one of the most grotesque stories of political infamy
and personal cupidity on record. The envoys had been treated with contempt,
refused an audience, insulted by unofficial blackmailers sent by the
unscrupulous Talleyrand to demand a loan for France and, more particularly,
a bribe for himself. The envoys had conducted themselves with becoming
dignity and spirit. ‘Millions for defense, but not one cent for tribute,’ was a
clarion call to battle. The pride of the people was touched, and overnight the
political complexion of the country had been changed. A wave of hysterical
patriotism swept over the Nation, and the war hawks set to work to turn it
into frenzy. It was now or never.
III
For once John Adams was on top of the world. He who had so longed for
popularity had found it. Everywhere, in cities, on Southern plantations,
under the primeval forests of the frontiers, men were wildly waving flags
and saluting the President. Addresses pledging life and fortune poured in to
be prominently printed in the papers, and nowhere more than in the
Jeffersonian States.[1417] Most were the spontaneous expressions of an
excited people, some were unquestionably engineered by the politicians.
[1418] But on the surface the country was aflame. Down the Philadelphia
streets one day swung twelve hundred young men, keeping step to martial
music, the streets lined with the cheering populace, and, as ‘Porcupine’
observed, with ‘every female in the city whose face is worth looking at’
gladdening ‘the way with her smiles.’[1419] At Adams’s house the little man,
who had always wanted to be a warrior, appeared on the steps to greet them,
wearing a cockade, in full military regalia, his sword dangling at his side.
Intoxicated by the adulation, he plunged impetuously into a denunciation of
France and its Revolution.[1420] Madison thought his language ‘the most
abominable and degrading that could fall from the lips of a first magistrate
of an independent people, and particularly from a Revolutionary
patriot.’[1421] Aroused by the philippic of the President, the young men
spent the day marching the streets, and in the evening wined and dined until
ten o’clock, when they sallied forth to exercise their patriotism in deeds of
violence. The Terror had begun. Reeling and shouting, they bore down upon
the home of Bache. With only women and children in the house, they fell in
right gallant fashion on the doors and windows and were making headway
when the neighbors interfered and sent the drunken youngsters upon their
way.[1422] But with the war hawks, the attack on the home of Bache was not
least among the virtues of the mob, and the Federalist press was unstinted in
its praise.
Then, on May 9th, came the day of fasting and prayer, set by Adams in
happy ignorance that when he yielded to the importunities of Pickering for a
proclamation, he was again acting under the direction of the hated Hamilton.
[1423] The President had worked himself into a morbid state of mind. Some
mysterious wag had sent him a warning that the city would be burned that
night. The Jeffersonians smiled and shrugged their shoulders, and one editor
suggested that, since the conflagration was promised for the fast day, ‘the
incendiaries meant political or ecclesiastical fire.’[1424] But Adams, taking it
seriously, saw conspirators all about, incendiaries, assassins. Determined to
die resisting at his post, he had his servants carry arms and ammunition into
the house by the back way to withstand a siege.
The day was quiet enough, with business suspended and the churches
filled. Preachers pounced upon the Democrats and infidels with demoniac
fury. But in the evening the Terror came—and even as an old man Adams
could recall it only with a shudder. The Administration papers of the time,
eager to paint the picture black, could find nothing serious to report,
however. A few butcher boys, none the wiser for drink, exercised their lungs
in the State House yard until the soldiers swept down upon them, arresting a
few who were dismissed on the morrow, and frightening the others home.
[1425] But that was not the only mob that roved the streets that night. The
patriots had their inning, too, smashing the windows of Bache’s house and
smearing the statue of that filthy Democrat, Benjamin Franklin, with mud
from the gutters. The war propagandists fairly fluttered with activity.
Hopkinson’s new song, ‘Hail Columbia,’ was wildly cheered at the theaters,
much to the disgust of the Democrats, who resented the complimentary
reference to Adams,[1426] and, when the author was soon given a
Government position, it was suggested that Hopkinson had certainly ‘written
his song to the right tune.’[1427] When Fox the actor sang the song at the
theater in Baltimore, it was observed that ‘some Jacobins left the
room.’[1428] Even this hysteria did not satisfy the war hawks who stood in
the wings beating tom-toms and crying, ‘War! War! War!’ Hamilton was
urging Washington ‘under some pretext of health’ to tour Virginia and North
Carolina to give occasion for dinners and warlike addresses. From his retreat
at Dedham, Fisher Ames was writing nervously to Pickering that ‘we must
make haste to wage war or we shall be lost.’[1429] Hopkinson, the song-
writer, observing the serenity of New York, was wishing that he were a
despot that he might ‘order the whole city to undergo the Turkish ceremony
of the bastinado’ and ‘rouse the lazy drones with a whip.’[1430] In far-off
Lisbon, William Smith was nauseated with ‘the old womanish whining about
our reluctance to war.’[1431]
Then John Marshall returned and the tired voices of the shouters found a
tonic. Out to Kensington they went to meet him, sour-visaged Pickering in a
carriage looking stern and warlike despite his spectacles, three companies of
cavalry on prancing steeds, citizens and Congressmen in conveyances or on
horseback. Long before the town was reached, ‘the streets and windows,
even the housetops in many instances, were crowded with people.’[1432] The
bells in the steeple of Christ Church began to peal, and peal they did far into
the night. The reverberations of cannon mingled with the huzzas of the
populace as the procession moved slowly on through as many streets as
possible to the City Tavern. ‘All this was to secure him to their views that he
might say nothing that would oppose the game they were playing,’ Jefferson
wrote Madison.[1433] The next morning the war party thronged the tavern, a
dinner was given, and there was much satisfaction when Jefferson, who had
called, was unable to see the hero.[1434] Livingston, who had accompanied
Marshall from New York, had been assured that France had no thought of
war, but soon stories were afloat through the city, as emanating from the
envoy, of a contradictory nature.[1435]
Again the prancing of cavalry in the streets when Marshall departed for
Virginia—a series of ovations all the way.[1436] Then Pinckney returned—
and more pageants. Soldiers and citizens vied at Princeton and Trenton, and
a dinner was given and the French damned.[1437] All the time the country
was being overwhelmed with propaganda such as it had never known before.
Hamilton was writing his bitter invectives against the French,[1438] in which
France was ‘a den of pillage and slaughter’ and Frenchmen ‘foul birds of
prey.’ These letters, running in Fenno’s paper, alarmed Jefferson, who wrote
to prod Madison from the lethargy of retirement. ‘Sir, take up your pen
against this champion. You know the ingenuity of his talents, and there is not
a person but yourself who can foil him. For heaven’s sake, then, take up your
pen and do not desert the public cause entirely.’[1439] But even more
damaging than the pen of Hamilton was that of William Cobbett, ‘Peter
Porcupine.’ As a manufacturer of horrors he makes the wildest
propagandists of the World War pale like a candle held against the sun.
Childishly happy was the ‘Porcupine’ of those days when he could fight, on
American soil, ‘for his country’ and his King. Thus ‘the sans-culottes’ had
‘taken vessels off the bar at Charleston’ and the French had landed and were
plundering farmhouses.[1440] Thus a French invasion plot was discovered.
‘Porcupine’ had the particulars. The negro slaves were to be armed and used
as allies against the whites. ‘What a pretty figure Nicholas and Giles will
cut,’ wrote the jubilant Peter, ‘when Citizen Pompey and Citizen Cæsar shall
have tied their hands behind them.... Could its miseries be confined to these,
I would say, God hasten it.’[1441] ‘Gaunt Gallatin’ working hard all night?
Useless, useless—‘war, frightful war there will be in spite of all his teeth and
his nails too.’[1442] And then again, the invasion. Rumor had it that the
French were buying three thousand stand of arms for the West Indies. ‘That
these arms were bought for Virginia and Georgia is much more likely,’
commented ‘Porcupine.’ ‘Take care, take care, you sleepy southern fools.
Your negroes will probably be your masters this day twelve month.’[1443]
‘Extra!’ ‘Extra!’ ‘Startling News from Virginia’—‘these villians have
actually begun to tamper with our negroes.’ An ‘ill-looking fellow on
horseback’ had been seen talking with some slaves. It was understood he had
come from Philadelphia, and the ruffian was a refugee from English justice
in Ireland.[1444] And then, another lurid article on ‘Horrors of a French
Invasion,’ with bloodcurdling pictures of the outraging of American wives
and daughters.[1445]
The French invasion at hand—slaves armed—masters murdered in their
beds—churches burned—women outraged—girls kidnaped—horrors piled
on horrors, and all because of democracy. Little wonder that the
apprehensive Adams, who temperamentally sniffed treachery in every
breeze, all but trembled as he turned the pages of his ‘Porcupine’ that year.
In Boston the presses were kept busy turning out Harper’s war speech,[1446]
and Cabot was spurring Harper on to greater efforts. There, too, the rabid
war speech of a Harvard professor made on Fast Day in Brattle Street was
being published as a pamphlet,[1447] and the clergy were urging the hate of
French democracy as a Christian duty, and converting their pulpits into
pedestals of Mars. Dr. Tappan of Boston was making political harangues that
Federalist politicians were praising,[1448] and Father Thayer was clamoring
for slaughter in pious accents.[1449] Sometimes Democratic members of
congregations who sought Christ instead of Cæsar in the temples indignantly
left, and on one occasion an audacious and irreverent Jeffersonian paused on
his way out to exclaim in Latin, ‘Why so much anger in the heart of a
divine?’[1450] Nor were some of the war propagandists on the Bench to be
outdone by those in the pulpit. Judge Rush was thundering vituperative
phrases at the French in a charge to a jury.[1451] Chief Justice Dana of
Massachusetts phrased one of his charges like a participant in a
congressional party scrimmage.[1452] Much earlier, Chief Justice Ellsworth
of the United States Supreme Court made a grand jury charge the occasion
for an amazing attack on the Jeffersonian Party.[1453] As early as May,
Jefferson was utterly disheartened by the ‘war spirit worked up in the
town.’[1454] By June he was writing Kosciusko that he thought war ‘almost
inevitable.’[1455] In August he felt that ‘there is no event however atrocious
which may not be expected,’ and was promising to meet the Maratists ‘in
such a way as shall not be derogatory either to the public liberty or my own
personal honor.’[1456]
The country was rushing toward the Terror, with the war party rattling
sabers and threatening their opponents with violence. ‘Porcupine’ was
predicting gleefully that ‘when the occasion requires, the Yankees will show
themselves as ready at stringing up insurgents as in stringing onions.’[1457] It
was an open season for physical assaults on Jeffersonian editors and Bache
was being attacked in his office,[1458] and another assailant who had sought
to murder him found his fifty-dollar fine paid by the politicians when he
proffered the money, and Adams sent him on a mission to Europe.[1459] The
Federalists, for the moment, were cocks of the walk, and even Hamilton was
rushing into print with a letter that would have endeared him to the Three
Musketeers. A nondescript had referred in the press to his ambition and his
affair with Mrs. Reynolds. Ludicrously interpreting it as a threat of
assassination because of a reference to Cæsar, Hamilton lost his head and
published a signed statement promising that the ‘assassin’ would ‘not find
me unprepared to repel attack.’[1460] This childish boast played into the
hands of the obscure assailant, who replied: ‘Armed with a cane (whether
with a sword therein I cannot say) you walk about, prepared, you say, to defy
attack. By this you fall beneath resentment and excite my pity.’[1461] A few
days later he was writing of ‘the declaration made in company’ by ‘a Mr.
Patterson, a clerk to Alexander Hamilton,’ that the writer would be
murdered, and offering five hundred dollars reward for the apprehension of
the prospective assassin.[1462] Wild days, wild days!
This was the temper in which Congress resumed its deliberations after the
publication of the X Y Z papers. Jefferson advised his followers to seek an
adjournment to permit the members to consult the people, and had this
procedure been adopted the Federalists might have escaped the pitfalls to
which they were reeling.[1463] The Democrats in the streets were cowed and
only the most audacious met threats with bravado or courage. The braves of
Tammany at a public dinner drank to the toast: ‘May the old Tories and all
who wish to engage the United States in a war with any nation, realize the
felicity they anticipate by being placed in the front of the first battle.’[1464]
The Boston ‘Chronicle’ was publishing letters from ‘Benedict Arnold’
offering his services in the war for England, and rejoicing ‘to hear that so
many of my countrymen have shaken off their delusion, as I predicted they
would only eighteen years ago.’[1465] Day after day it published Josiah
Quincy’s speech, made in 1774, against standing armies. Soon it was calling
attention to profiteering of war patriots in Boston who had a monopoly on
Raven’s Duck which would be wanted for tents.[1466]
III
But the Democratic leaders required all their courage to stand up before
the fusillade—Jefferson most of all. With the Philadelphia streets filled with
swaggering young men in uniforms, many nights he heard ‘The Rogue’s
March’ played beneath his windows. Bitter, threatening letters burdened his
mail. Spies crept to his dinner table to pick up the stray threads of casual
conversation that could be given a sinister twist, and he was forced to deny
himself to all but his most intimate friends.[1467] When forced to appear in
company, he simulated an abstracted silence, ignored personal affronts, and
talked calmly when at all. ‘All the passions are boiling over,’ he wrote in
May, ‘and he who would keep himself cool and clear of the contagion is so
far below the point of ordinary conversation that he finds himself isolated in
every society.’[1468] Convinced that even his correspondence was tampered
with, he no longer dared write freely in letters entrusted to the mails.[1469]
Spies dogged his footsteps and kept guard at his door.[1470] When on a visit
to Virginia he accepted an entertainment on Sunday, the floodgates were
opened upon him, and his enemies boasted that ‘this fact has been trumpeted
from one end of the country to the other as irrefutable proof of his contempt
for the Christian religion, and his devotion to the new religion of
France.’[1471] Sad that Rufus King and Christopher Gore had continued their
English tour on Sunday, and too bad that the Federalists persisted in holding
their political caucuses in Boston on Sunday evenings, retorted the
‘Independent Chronicle.’[1472]
No dinner of the war party was complete without an insulting toast on
Jefferson. ‘Jefferson—May he deserve better of his country than he has
hitherto done.’[1473] ‘The Vice-President—May his heart be purged of
Gallicism in the pure fire of Federalism or be lost in the furnace’—with
groans.[1474] ‘John Adams—May he like Samson slay thousands of
Frenchmen with the jaw bone of Jefferson.’[1475] And in the midst of the
mobbing, the self-contained philosopher kept his mouth shut and his feet
upon the ground. With ‘The Rogue’s March’ ringing in his ears he was able
to write a long letter on the value of crop rotation;[1476] another on a plough
he had invented;[1477] and in the midst of the Sedition Bill debate, learning
that an acquaintance was going west of the Mississippi where wild horses
roved the plains, he sent the suggestion that this was ‘the last opportunity to
study them in a state of nature,’ and requesting him to prepare a report for
the Philosophical Society.[1478] Many days found him alone in the library of
this Society, and once, during that hectic summer, he stole away from the
turmoil and hate to the beautiful country home of the Logans where he could
forget the bitterness of the battle browsing in its great library or lounging
beneath its majestic trees.[1479]
Everywhere the Democrats were fair game for persecution. Matthew
Lyon found a band playing ‘The Rogue’s March’ in front of his tavern at
Trenton and New Brunswick where crowds shouted imprecations.[1480] In
New York, only the appearance of fighting Irish friends prevented the war
hawks from serenading Edward Livingston’s home with the offensive
March.[1481] In Boston the ‘patriots’ expelled Thomas Adams, editor of the
‘Chronicle,’ from the Fire Society of which he had been a faithful member
for fourteen years.
IV
Bad as was the Alien Law, it did not approach the viciousness of the
Sedition Act; and the Sedition Bill as passed was mild compared with the
one the Federalist leaders in the Senate originally framed. Albeit America
and France were not at war, the bill declared the French people enemies of
the American people, and that any one giving the former aid and comfort
should be punishable with death. A strict enforcement of such an act would
have sent Jefferson to the gallows. Under the Fourth Article any one
questioning the constitutionality or justice of an Administration measure
could be sent to herd with felons. It would have sealed the lips of members
of Congress.
When this monstrous measure reached Hamilton, he was dumbfounded at
the temerity and brutality of his followers. Grasping his pen, he hurriedly
sent a note of warning to Wolcott. There were provisions that were ‘highly
exceptionable’ that would ‘endanger civil war.’ He hoped that ‘the thing will
not be hurried through.’ Why ‘establish a tyranny?’ Was not ‘energy a very
different thing from violence?’[1496] Reeling drunk with intolerance, even
Hamilton’s warning only coaxed a slight concession to liberty, and it was a
thoroughly vicious and tyrannical measure that was debated in the House.
These debates were conducted under conditions of disorder that would have
disgraced a discussion of brigands wrangling over a division of spoils in a
wayside cave. Gallatin, Livingston, and Nicholas were forced to talk against
coughs, laughter, conversation, and the scraping of the feet of the apostles of
‘law and order.’ No personal insult too foul, no nincompoop too insignificant
to sneer in the face of Gallatin. Despite these terrorizing tactics, the
Jeffersonians stood firm and made their record. Even the customary courtesy
of Gallatin deserted him, however, and when the sneering Harper darkly
hinted at traitors in the House, he retorted sharply that he knew ‘nothing in
the character of [Harper], either public or private, to entitle him to the
ground he so boldly assumes.’
On the last day of the debate on the Alien Bill, Edward Livingston closed
for the opposition; and in discussing the constitutional phase, he anticipated
the doctrine of the Kentucky and Virginia Resolutions, indicating probable
conferences with the tall, silent man who was presiding over the Senate. ‘If
we are ready to violate the Constitution,’ he said, ‘will the people submit to
our unauthorized acts? Sir, they ought not to submit; they would deserve the
chains that these measures are forging for them.’ The effect of such a
measure? ‘The country will swarm with informers, spies, delators, and all
the odious reptile tribe that breed in the sunshine of despotic power.... The
hours of the most unsuspected confidence, the intimacies of friendship, or
the recesses of domestic retirement, afford no security. The companion
whom you must trust, the friend in whom you must confide, the domestic
who waits in your chamber, are all tempted to betray your imprudent or
unguarded follies; to misrepresent your words; to convey them, distorted by
calumny, to the secret tribunal where jealousy presides—where fear
officiates as accuser, and suspicion is the only evidence that is heard.... Do
not let us be told that we are to excite a fervor against a foreign aggression to
establish a tyranny at home; that like the arch traitor we cry “Hail
Columbia”[1497] at the moment we are betraying her to destruction; that we
sing, “Happy Land,” when we are plunging it in ruin and disgrace; and that
we are absurd enough to call ourselves free and enlightened while we
advocate principles that would have disgraced the age of Gothic
barbarity.’[1498]
The vote was taken and the Alien Bill passed, 46 to 40.
Livingston was to hear a few days later when the debate on the Sedition
Bill was reached that he had been guilty of sedition in his speech on the
Alien Bill. Not least among the grotesque features of the crazy times was the
prominence, amounting to leadership, attained by John Allen of Connecticut
—a tall, hectic, sour-visaged fanatic. It was reserved for him to indict the
Jeffersonians generally for sedition. Had not Livingston been guilty of
sedition when he proposed that Gerry be authorized to renew negotiations?
Was not the ‘Aurora’s’ explanation of the effect of the Alien Law upon the
Irish treason? Were not members of Congress who dared write their views to
their constituents traitors? From a want-wit like this fanatic such views were
more ludicrous than depressing, but Harper rose to give his full assent to the
buffoonery of Allen. ‘What!’ exclaimed Nicholas, ‘is it proposed to prevent
members from speaking what they please or prohibit them from reaching the
people with their views?’ And Harper, disclaiming any desire to curtail the
freedom of speech upon the floor, bravely admitted a desire to prevent the
speeches from reaching the people ‘out of doors.’ This astounding doctrine
brought Gallatin to his feet with a scornful denunciation of Allen’s criticism
of Cabell’s letter. It ‘contained more information and more sense than the
gentleman from Connecticut has displayed or can display.’ Taking up every
assertion in Cabell’s letter and making it his own, he challenged a denial of
its truth. Then, referring to the attack on Livingston’s speech, Gallatin gave
his full sanction to the New York statesman’s doctrine of resistance to
unconstitutional measures. ‘I believe that doctrine is absolutely correct and
neither seditious nor treasonable.’
On the last day Livingston spoke with his usual spirit and eloquence, and
Harper closed for the bill with an anti-climactic charge, apropos of nothing,
that the Jeffersonian plan of government was in the interest of ‘men of
immoderate ambition, great family connections, hereditary wealth, and
extensive influence’ like Livingston. ‘Great patrician families’ would walk
over the heads ‘of we plebeian people.’ This touching appeal for the
plebeians could hardly have been meant for Philadelphia where at that time
‘the great patricians’ were lavishly wining and dining the Harpers, and
rigidly excluding the Livingstons and Gallatins from their tables. Thus the
Federalists closed their case and the bill passed, 44 to 41.[1499]
The press was peculiarly silent through the debates. Russell in the Boston
‘Centinel’ observed that ‘Benedict Arnold complained bitterly of the treason
bill,’[1500] and his rival, Thomas Adams of the ‘Chronicle,’ announced the
passage with the comment that ‘we are now abridged the freedom of the
press.’[1501] Soon the ‘Commercial Advertiser’ of New York would be
dubbing all men traitors who criticized the Sedition Law, and Jefferson
would be inviting Hamilton Rowan to the sanctuary of Monticello with the
assurance that the Habeas Corpus Act was still operative in Virginia.[1502]
Almost immediately the Reign of Terror broke upon the land.
VI
In the midst of political terrors the yellow fever stalked again into the
haunts of men, striking in New York, in Boston, with special virulence in
Philadelphia. By the first of October, fourteen hundred had died in New
York City. Hamilton remained in town until persuaded by his family to go to
the country, but he continued to visit the city daily to confer with his
political friends.[1503] In Philadelphia those who could afford it took to
flight. Soon thousands were encamped in tents on the common on the
outskirts and by October not more than seven thousand people remained in
the stricken city. An English traveler, entering in September, found the
theaters, taverns, drinking-houses, gambling-dens, and dance-halls closed,
hospital carts moving slowly through abandoned streets, the casket-makers
alone busy. Sitting one night on the steps of a house in Arch Street, where
most houses were deserted, he could hear nothing but the groans of the
dying, the lamentations of the living, the hammers of the coffin-makers, the
dismal howling of deserted dogs.[1504] Even the physicians took to their
heels, but Dr. Rush, the head of his profession, remained to battle with the
disease.[1505] The health office was kept open day and night.[1506]
But even in the midst of death the politicians fought with scarcely
diminished ferocity. ‘Porcupine’ and Fenno were stooping to the ghastly
business of maligning the methods of Dr. Rush in treating the disease.
Standing heroically to his duty where others had fled, he was forced, day by
day, to read the most scurrilous attacks upon him. The animus was due to the
fact that Rush was a Jeffersonian; and even from Lisbon, William Smith
contributed his slur in a letter to Wolcott manifesting sympathy with the
attacks because he had ‘always considered the Doctor a wrong-headed
politician.’[1507] Bache and Fenno clawed on, amidst the dying and the dead,
until one September day the fever entered the Fenno house and struck down
both the editor and his wife. When she died, the ‘Gazette’ was suspended,
and the next day John Fenno ceased his attacks on Dr. Rush, for Death had
intervened.[1508] ‘Alas poor John Fenno,’ wrote Ames, ‘a worthy man, a true
Federalist, always firm in his principles, mild in maintaining them, and bitter
against foes. No printer was ever so correct in his politics.’[1509] A few days
later, Benjamin Franklin Bache of the ‘Aurora’ fought no more. The Boston
‘Chronicle’ announced his death in a black-bordered editorial lamenting ‘the
loss of a man of inflexible virtue, unappalled by power or persecution, and
who, in dying, knew no anxieties but what was excited by his apprehensions
for his country and for his young family.’[1510] The Jeffersonian press
published long articles and poems of tribute. In New York the Democrats
lost the services of Greenleaf of the ‘Argus,’ another victim of the plague.
John Ward Fenno took up the work of his father, and the widows of
Bache and Greenleaf sought to continue the ‘Aurora’ and the ‘Argus,’ the
former calling to her assistance one of the ablest controversial journalists of
his time, William Duane. No Jeffersonian papers made an unfeeling
reference to the death of Fenno; the passing of Bache was gloated over in
ghoulish fashion by the Federalist press, and soon ‘Porcupine’ and young
Fenno were making merry over ‘the widows Bache and Greenleaf.’ It was
part of the Reign of Terror—and the fight went on.
VII
VIII