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
2. From their following or preceding diseases, which obviously belong
to the whole system. Fevers and dysenteries often terminate critically
in this disease; and the pulmonary consumption and apoplexy have often
been preceded by the suppression of a habitual discharge from a sore
leg. The two latter diseases have been ascribed to the translation of
a morbific matter to the lungs or brain: but it is more rational to
ascribe them to a previous debility in those organs, by which means
their vessels were more easily excited into action and effusion by the
stimulus of the plethora, induced upon the system in consequence of the
confinement of the fluids formerly discharged from the leg in the form
of pus. This plethora can do harm only where there is previous debility;
for I maintain that the system (when the solids are exactly toned)
will always relieve itself of a sudden preternatural accumulation of
fluids by means of some natural emunctory. This has been often observed
in the menorrhagia, which accompanies plentiful living in women, and
in the copious discharges from the bowels and kidneys, which follow a
suppression of the perspiration.
3. I infer it, from their appearing almost universally in one disease,
which is evidently a disease of the whole system, viz. the scurvy.
4. From their becoming in some cases the outlets of menstrual blood,
which is discharged in consequence of a plethora, which affects more or
less every part of the female system.
5. I infer it from the _symptoms_ of sore legs, which are in some
cases febrile, and affect the pulse in every part of the body with
preternatural frequency or force. These symptoms were witnessed, in
an eminent degree, in two of the patients who furnished subjects for
clinical remarks in the Pennsylvania hospital some years ago.
6. I infer that sore legs are a disease of the whole system, from the
manner in which they are sometimes cured by nature and art. They often
prove the outlets of many general diseases, and all the remedies which
cure them, act more or less upon the whole system.
In all cases of sore legs there is a tonic and atonic state of the whole
system. The same state of excessive or weak morbid action takes place in
the parts which are affected by the sores. The remedies to cure them,
therefore, should be _general_ and _local_.
In cases where the arterial system is affected by too much tone, the
general remedies should be,
I. BLOOD-LETTING. Of the efficacy of this remedy in disposing ulcers
suddenly to heal, the two clinical patients before-mentioned exhibited
remarkable proofs, in the presence of all the students of medicine in
the university. The blood drawn was sizy in both cases. I have not the
merit of having introduced this remedy into practice in the cure of
ulcers. I learned it from Sir John Pringle. I have known it to be used
with equal success in a sore breast, attended by pain and inflammation,
after all the usual remedies in that disease had been used to no purpose.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account