An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
The thorax may become accidentally malformed from any violence done to
it, particularly during infancy. A frequent source of it is the mode of
fashionable dress adopted by females. The corset, to which I allude,
when worn only with moderate firmness, and by those not otherwise
predisposed to Phthisis, serves but to add elegance and beauty to the
female figure; but when applied with the object of converting into a
delicate and slender waist, one naturally otherwise, it cannot but do
injury. By immoderate pressure, it converts a well formed chest into
the deformed and narrow one, or at least an approximation to it, which
has just been described. In our own city and time, too many fatal
examples of the deleterious effects of this fashion have occurred, to
permit us to retain any doubts on the subject.
The internal constitution of the body predisposing to Phthisis,
independent of external form, has been generally attributed to
scrophula. English authors are particularly fond of making Consumption
another form of that Protæan disease. We are much disinclined to concur
in this opinion from the fact, that the mass of those who labour under
the disease in question, and cases too, which, after death show that
tuberculated state of the lungs, generally ascribed to scrophula,
evince no other of the numerous symptoms of that disorder. The
supposition that tubercles were scrophulous, probably originated from
the opinion that they are diseased glands; an idea now sufficiently
exploded. This hereditary predisposition we know to exist, but of its
mode of action we are totally ignorant. In this city there are many
melancholy examples of whole families successively falling victims to
Consumption, and sufficiently proving its hereditary nature. But an
hereditary predisposition does not necessarily produce Consumption. It
is not uncommon for parents who inherit this taint, to remain free from
disease of the lungs, by the pursuit of laborious occupations. Nor is
it more uncommon that the children of these very parents, whose active
industry had preserved their lives, and amassed them wealth, should
by being enabled to indulge in ease and luxury, fall victims to an
inherited Consumption.
So the females of a family are sometimes all consumptive, while the
males are free from pulmonary disease, in consequence of the more
sedentary mode of life of the former.
Although no period of life, from infancy to old age, is exempt from
Consumption, but all are liable to its attack, yet at a particular age,
it is observed to appear more frequently than at any other. This period
commences about, or soon after the age of puberty, and terminates at
thirty-six; the period at which inflammatory diseases most generally
occur.
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