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
I shall only add, under this head, that the poor of every description
should be the objects of your peculiar care. Dr. Boerhaave used to say,
"they were his best patients, because God was their paymaster." The
first physicians that I have known, have found the poor the steps by
which they have ascended to business and reputation. Diseases among the
lower class of people are generally simple, and exhibit to a physician
the best cases of all epidemics, which cannot fail of adding to his
ability of curing the complicated diseases of the rich and intemperate.
There is an inseparable connection between a man's duty and his
interest. Whenever you are called, therefore, to visit a poor patient,
imagine you hear the voice of the good Samaritan sounding in your ears,
"Take care of him, and I will repay thee."
I come now to the second part of this address, which was to point out
the best mode to be pursued, in the further prosecution of your studies,
and the improvement of medicine.
I. Give me leave to recommend to you, to open all the dead bodies you
can, without doing violence to the feelings of your patients, or the
prejudices of the common people. Preserve a register of the weather,
and of its influence upon the vegetable productions of the year. Above
all, record the epidemics of every season; their times of appearing and
disappearing, and the connection of the weather with each of them. Such
records, if published, will be useful to foreigners, and a treasure
to posterity. Preserve, likewise, an account of chronic cases. Record
the name, age, and occupation of your patient; describe his disease
accurately, and the changes produced in it by your remedies; mention
the doses of every medicine you administer to him. It is impossible to
tell how much improvement and facility in practice you will find from
following these directions. It has been remarked, that physicians seldom
remember more than the two or three last years of their practice.
The records which have been mentioned, will supply this deficiency of
memory, especially in that advanced stage of life when the advice of
physicians is supposed to be most valuable.
II. Permit me to recommend to you further, the study of the anatomy (if
I may be allowed the expression) of the human mind, commonly called
metaphysics. The reciprocal influence of the body and mind upon each
other, can only be ascertained by an accurate knowledge of the faculties
of the mind, and of their various modes of combination and action. It is
the duty of physicians to assert their prerogative, and to rescue the
mental science from the usurpations of schoolmen and divines. It can
only be perfected by the aid and discoveries of medicine. The authors I
would recommend to you upon metaphysics, are, Butler, Locke, Hartley,
Reid, and Beattie. These ingenious writers have cleared this sublime
science of its technical rubbish, and rendered it both intelligible and
useful.
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