The Epistle to Dr. Arbuthnot is a satire in poetic form written by Alexander Pope and addressed to his friend John Arbuthnot, a physician. It was first published in 1735 and composed in 1734, when Pope learned that Arbuthnot was dying. Pope described it as a memorial of their friendship. It has been called Pope's "most directly autobiographical work", in which he defends his practice in the genre of satire and attacks those who had been his opponents and rivals throughout his career. Both in composition and in publication, the poem had a chequered history. In its canonical form, it is composed of 419 lines of heroic couplets. The Epistle to Dr. Arbuthnot is notable as the source of the phrase "damn with faint praise," used so often it has become a cliché or idiom. Another of its notable lines is "Who breaks a butterfly upon a wheel?" Addressee John Arbuthnot was a physician known as a man of wit. He was a member of the Martinus Scriblerus Club, along with Pope, Jonathan Swift and John Gay. He was formerly the physician of Queen Anne. On 17 July 1734 Arbuthnot wrote to Pope to tell him that he had a terminal illness. In a response dated 2 August, Pope indicates that he planned to write more satire, and on 25 August told Arbuthnot that he was going to address one of his epistles to him, later characterizing it as a memorial to their friendship. Arbuthnot died on 27 February 1735, eight weeks after the poem was published. Composition According to Pope, the Epistle to Dr. Arbuthnot was a satire "written piecemeal many years, and which I have now made haste to put together". The poem was completed by 3 September, when Pope wrote to Arbuthnot describing the poem as "the best Memorial that I can leave, both of my Friendship to you, & of my own Character being such as you need not be ashamd of that Friendship". Publishing history Epistle to Dr. Arbuthnot has a "tangled" publishing history. The poem was first published as a folio of 24 pages on 2 January 1735 under the title An Epistle from Mr. Pope to Dr. Arbuthnot, with a date of 1734. It appeared in Pope's Works the same year in folio, quarto and octavo, with a Dublin edition and an Edinburgh piracy. During Pope's lifetime, it was included among the Moral