An Inquiry into the Causes and Effects of the Variolae Vaccinae: A Disease Discovered in Some of the Western Counties of England, Particularly Gloucestershire, and Known by the Name of the Cow Pox — John Shaqi
An Inquiry into the Causes and Effects of the Variolae Vaccinae: A Disease Discovered in Some of the Western Counties of England, Particularly Gloucestershire, and Known by the Name of the Cow PoxJenner, Edward
Science
An Inquiry into the Causes and Effects of the Variolae Vaccinae: A Disease Discovered in Some of the Western Counties of England, Particularly Gloucestershire, and Known by the Name of the Cow Pox
Jenner, Edward
Smallpox -- Vaccination -- Early works to 1800; Vaccination -- Early works to 1800; Vaccinia -- Early works to 1800
It was the practice of another, whom I well remember, to pinch up a
small portion of the skin on the arms of his patients and to pass
through it a needle, with a thread attached to it previously dipped
in variolous matter. The thread was lodged in the perforated part,
and consequently left in contact with the cellular membrane. This
practice was attended with the same ill success as the former.
Although it is very improbable that any one would now inoculate in
this rude way by design, yet these observations may tend to place a
double guard over the lancet, when infants, whose skins are
comparatively so very thin, fall under the care of the inoculator.
A very respectable friend of mine, Dr. Hardwicke, of Sodbury in this
county, inoculated great numbers of patients previous to the
introduction of the more modern method by Sutton, and with such
success, that a fatal instance occurred as rarely as since that
method has been adopted. It was the doctor's practice to make as
slight an incision as possible _upon_ the skin, and there to lodge a
thread saturated with the variolous matter. When his patients became
indisposed, agreeably to the custom then prevailing, they were
directed to go to bed and were kept moderately warm. Is it not
probable then, that the success of the modern practice may depend
more upon the method of invariably depositing the virus in or upon
the skin, than on the subsequent treatment of the disease?
I do not mean to insinuate that exposure to cool air, and suffering
the patient to drink cold water when hot and thirsty, may not
moderate the eruptive symptoms and lessen the number of pustules;
yet, to repeat my former observation, I cannot account for the
uninterrupted success, or nearly so, of one practitioner, and the
wretched state of the patients under the care of another, where, in
both instances, the general treatment did not differ essentially,
without conceiving it to arise from the different modes of inserting
the matter for the purpose of producing the disease. As it is not the
identical matter inserted which is absorbed into the constitution,
but that which is, by some peculiar process in the animal economy,
generated by it, is it not probable that different parts of the human
body may prepare or modify the virus differently? Although the skin,
for example, adipose membrane, or mucous membranes are all capable of
producing the variolous virus by the stimulus given by the particles
originally deposited upon them, yet I am induced to conceive that
each of these parts is capable of producing some variation in the
qualities of the matter previous to its affecting the constitution.
What else can constitute the difference between the Small-pox when
communicated casually or in what has been termed the natural way, or
when brought on artificially through the medium of the skin? After
all, are the variolous particles, possessing their true specific and
contagious principles, ever taken up and conveyed by the lymphatics
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