A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present Time — John Shaqi
A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present TimeCreighton, Charles
History
A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present Time
Creighton, Charles
Epidemics -- Great Britain -- History
Later writers, for example those who described the great epidemic fever of
1741, have identified the fever of 1685-86 with the contagious malignant
fever afterwards called typhus, and Murchison, in his brief retrospect of
typhus in Britain, has included it under that name. Sydenham mentions
petechiae and livid blotches in some cases, and the Bills give a good many
of the deaths in the worst weeks of the epidemic under the head of
“spotted fever.” It is not at first easy to understand why Sydenham should
have written an essay specially upon it, in September, 1686, to claim it
as a new fever[38] and not rather as the old pestilential
fever--“populares meos admonens de subingressu novae cujusdam
Constitutionis, a qua pendet Febris nova species, a nuper grassantibus
multum abludens.” It should be kept in mind that his motive was correct
treatment, and that the fashionable treatment of the day by Peruvian bark
was, in his judgment, unsuited to this fever, however much it may have
suited the epidemical intermittents of 1678-79 and the “depuratory” dregs
of them for several years after. Physicians, he says, had learned to drive
off by bark the fevers of the former constitution, from 1677 to the
beginning of 1685, even when the fever intermitted little and sometimes
when it intermitted not at all; and they saw an indication for bark in the
nocturnal exacerbations of the new fever. Sydenham found that even large
doses of bark did not free the patient from fever, and that restoration to
health under treatment with the bark was due “magis fortunato alicui morbi
eventu quam corticis viribus.” He seeks to establish the indications for
another treatment by setting forth the symptoms minutely; and as the
question of bark in fevers was the great medical question of the time,
this may well have been Sydenham’s motive for discovering in the epidemic
of 1685-6 a “new fever” although he does not say so in as many words. We
have a good instance of how the bark-craze was at this time influencing
the very highest circles of practice in the case of Lord Keeper Guildford,
in July, 1685, as related in another chapter.
It will be seen from the table of weekly deaths that the second of the two
hard winters was over before the fever began to attract notice. Sydenham
compares its beginning after the thaw in February, 1685, to the beginning
of the plague when the frost broke in March, 1665.
Public-domain text, read in full here on John Shaqi.
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