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
VII. Do not condemn, or oppose, unnecessarily, the simple prescriptions
of your patients. Yield to them in matters of little consequence, but
maintain an inflexible authority over them in matters that are essential
to life.
VIII. Preserve, upon all occasions, a composed or cheerful countenance
in the room of your patients, and inspire as much hope of a recovery
as you can, consistent with truth, especially in acute diseases. The
extent of the influence of the will over the human body, has not yet
been fully ascertained. I reject the futile pretensions of Mr. Mesmer to
the cure of diseases, by what he has absurdly called animal magnetism.
But I am willing to derive the same advantages from his deceptions,
which the chemists have derived from the delusions of the alchemists.
The facts which he has established, clearly prove the influence of
the imagination, and will, upon diseases. Let us avail ourselves of
the handle which those faculties of the mind present to us, in the
strife between life and death. I have frequently prescribed remedies of
doubtful efficacy in the critical stage of acute diseases, but never
till I had worked up my patients into a confidence, bordering upon
certainty, of their probable good effects. The success of this measure
has much oftener answered, than disappointed my expectations; and while
my patients have commended the vomit, the purge, or the blister which
was prescribed, I have been disposed to attribute their recovery to the
vigorous concurrence of the _will_ in the action of the medicine. Does
the will beget insensibility to cold, heat, hunger, and danger? Does
it suspend pain, and raise the body above feeling the pangs of Indian
tortures? Let us not then be surprised that it should enable the system
to resolve a spasm, to open an obstruction, or to discharge an offending
humour. I have only time to hint at this subject. Perhaps it would lead
us, if we could trace it fully, to some very important discoveries in
the cure of diseases.
IX. Permit me to advise you in your intercourse with your patients,
to attend to that principle in the human mind, which constitutes the
association of ideas. A chamber, a chair, a curtain, or even a cup, all
belong to the means of life or death, accordingly as they are associated
with cheerful or distressing ideas, in the mind of a patient. But this
principle is of more immediate application in those chronic diseases
which affect the mind. Nothing can be accomplished here, till we produce
a new association of ideas. For this purpose a change of place and
company are absolutely necessary. But we must sometimes proceed much
further. I have heard of a gentleman in South-Carolina who cured his
fits of low spirits by changing his clothes. The remedy was a rational
one. It produced at once a new train of ideas, and thus removed the
paroxysm of his disease.
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