An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
Sex also gives a predisposition to Consumption. Females are more
frequently affected by it than males. This may be attributed to
their greater delicacy of constitution, and nervous temperament.
Their comparatively sedentary habits of life add to this peculiar
constitution. But improper compliance with the requisitions of fashion
and taste constitutes not a small part of the greater susceptibility
of females to Phthisis. Independent of the use of corsets, the small
quantity of clothing frequently worn by them, under circumstances when
it is most necessary, is a fruitful source of mischief to their health.
In the coldest of our winter nights, will these fair devotees of
fashion issue from rooms, heated to a degree never experienced in our
hottest weather, into the chilling air of midnight, with less clothing
than they use at noon, when the sun exerts his greatest power. The next
day brings with it “a violent cold,” and this cold is too frequently
the foundation of the Consumption which destroys them.
Occupation in life is another source of the ravages of this disease.
Particular occupations subject those engaged in them to the respiration
of air impregnated with foreign materials, irritating the lungs, either
by their chemical or mechanical action. Substances acting mechanically
upon the lungs, are inhaled by stone-cutters, millers, hair-dressers,
bolters, coal-heavers, scythe-grinders, persons engaged in pointing
needles, chimney-sweepers, dressers of flax and feathers, spinners
in wool, and others employed in similar occupations. Chemical agents
are taken into the lungs by manufacturers of acids, and all other
volatile corroding substances. These materials constantly acting upon
the lungs, produce irritation and slight inflammation, terminating
in Phthisis. The operation of any of these causes is favoured when
the occupation requires a stooping or other awkward posture of the
body to be maintained. This cause may act independently of the former
also, and hence, students, and clerks writing at their desks, taylors,
shoemakers, &c. are liable to this disease. To the same causes are
frequently added, a sedentary life, and confinement in hot rooms;
hence “a surgeon of London whose opportunities of observation are very
extensive, relates of the gilders of that city, who work in heated
rooms, that six out of seven are said to die consumptive in their
apprenticeship.” Sedentary habits of life, accompanied with hard
study, and too intense application of mind, predispose literary men to
Consumption. Loud public speaking, blowing on wind instruments, glass
blowing and other circumstances requiring a laborious and continued
action of the lungs, produce the same effect. Any one of these causes
may frequently exist without injury, but their combined action seldom
fails to produce pulmonary disease.
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