Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
The jaw-fall in new-born infants is, I believe, always fatal. Purging
off the meconium from the bowels immediately after birth has often
prevented it from one of its causes; and applying a rag wetted with
spirit of turpentine to the navel-string, immediately after it is cut,
Dr. Chisholm says, prevents it from another of its causes which has been
mentioned.
This disease, I have said, sometimes affects horses. I have twice seen
it cured by applying a potential caustic to the neck under the mane,
by large doses of the oil of amber, and by plunging one of them into a
river, and throwing buckets of cold water upon the other.
I shall conclude my observations upon the tetanus with the following
queries:
1. What would be the effects of _copious_ blood-letting in this disease?
There is a case upon record of its efficacy, in the Medical Journal
of Paris, and I have now in my possession a letter from the late Dr.
Hopkins of Connecticut, containing the history of a cure performed by
it. Where tetanus is the effect of primary gout, hysteria, or fever,
attended with highly inflammatory symptoms, bleeding is certainly
indicated, but, in general, the disease is so completely insulated in
the muscles, and the arteries are so far below their par of excitement
in frequency and force, that little benefit can be expected from that
remedy. The disease, in these cases, seems to call for an elevation,
instead of a diminution, of the excitement of the blood-vessels.
2. What would be the effect of _extreme_ cold in this disease? Mr. John
Hunter used to say, in his lectures, "Were he to be attacked by it,
he would, if possible, fly to Nova-Zembla, or throw himself into an
ice-house." I have no doubt of the efficacy of intense cold, in subduing
the inordinate morbid actions which occur in the muscular system; but
it offers so much violence to the fears and prejudices of sick people,
or their friends, that it can seldom be applied in such a manner as to
derive much benefit from it. Perhaps the sedative effects of cold might
be obtained with less difficulty, by wrapping the body in sheets, and
wetting them occasionally for an hour or two with cold water.
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