Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
History
Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
1. The use of caustics in cancers and foul ulcers is very ancient, and
universal. But I believe _arsenic_ to be the most efficacious of any
that has ever been used. It is the basis of Plunket's and probably
of Guy's well-known cancer powders. The great art of applying it
successfully, is to dilute and mix it in such a manner as to mitigate
the violence of its action. Doctor Martin's composition was happily
calculated for this purpose. It gave less pain than the common or
lunar caustic. It excited a moderate inflammation, which separated
the morbid from the sound parts, and promoted a plentiful afflux of
humours to the sore during its application. It seldom produced an escar;
hence it insinuated itself into the deepest recesses of the cancers,
and frequently separated those fibres in an unbroken state, which are
generally called the roots of the cancer. Upon this account, I think,
in some ulcerated cancers it is to be preferred to the knife. It has
no action upon the sound skin. This Doctor Hall proved, by confining a
small quantity of it upon his arm for many hours. In those cases where
Doctor Martin used it to extract cancerous or schirrous tumours that
were not ulcerated, I have reason to believe that he always broke the
skin with Spanish flies.
2. The arsenic used by the doctor was the pure white arsenic. I should
suppose from the examination I made of the powder with the eye, that the
proportion of arsenic to the vegetable powder, could not be more than
one-fortieth part of the whole compound. I have reason to think that the
doctor employed different vegetable substances at different times. The
vegetable matter with which the arsenic was combined in the powder which
I used in my experiments, was probably nothing more than the powder of
the root and berries of the solanum lethale, or deadly nightshade. As
the principal, and perhaps the only design of the vegetable addition
was to blunt the activity of the arsenic, I should suppose that the
same proportion of common wheat flour as the doctor used of his caustic
vegetables, would answer nearly the same purpose. In those cases where
the doctor applied a feather dipped in a liquid to the sore of his
patient, I have no doubt but his phial contained nothing but a weak
solution of arsenic in water. This is no new method of applying arsenic
to foul ulcers. Doctor Way of Wilmington has spoken in the highest terms
to me of a wash for foulnesses on the skin, as well as old ulcers,
prepared by boiling an ounce of white arsenic in two quarts of water to
three pints, and applying it once or twice a day.
Public-domain text, read in full here on John Shaqi.
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