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
II. GENTLE PURGES.
III. NITRE. From fifteen to twenty grains of this medicine should be
given three times a-day.
IV. A TEMPERATE DIET, and a total abstinence from fermented and
distilled liquors.
V. COOL and PURE AIR.
VI. Rest in a recumbent posture of the body.
The _local_ remedies in this state of the system should be,
I. Cold water. Dr. Rigby has written largely in favour of this remedy
when applied to local inflammations. From its good effects in allaying
the inflammation which sometimes follows the puncture which is made in
the arm in communicating the small-pox, and from the sudden relief it
affords in the inflammatory state of the ophthalmia and in the piles, no
one can doubt of its efficacy in sore legs, accompanied by inflammation
in those vessels, which are the immediate seat of the disease.
II. Soft poultices of bread and milk, or of bread moistened with lead
water. Dr. Underwood's method of making a poultice of bread and milk
should be preferred in this case. He directs us first to boil the milk,
then to powder the bread, and throw it into the milk, and after they
have been intimately mixed, by being well stirred and boiled together,
they should be poured out and spread upon a rag, and a knife dipped in
sweet oil or lard, should be run over them. The solidity and consistence
of the poultice is hereby better preserved, than when the oil or lard is
mixed with the bread and milk over the fire.
III. When the inflammation subsides, adhesive plasters so applied as to
draw the sound edges of the sores together. This remedy has been used
with great success by Dr. Physick, in the Pennsylvania hospital, and in
his private practice.
IV. Above all, rest, and a horizontal posture of the leg. Too much
cannot be said in favour of this remedy in this species of sore legs.
Nannoni, the famous Italian surgeon, sums up the cure of sore legs in
three words, viz. "Tempo, riposo, e pazienza;" that is, in time, rest,
and patience. A friend of mine, who was cured by this surgeon of a sore
leg, many years ago, informed me, that he confined him to his bed during
the greatest part of the time that he was under his care.
In sore legs, attended by too little general and local action, the
following remedies are proper.
I. BARK. It should be used plentifully, but with a constant reference
to the state of the system; for the changes in the weather, and other
accidental circumstances, often produce such changes in the system, as
to render its disuse for a short time frequently necessary.
II. MERCURY. This remedy has been supposed to act by altering the
fluids, or by discharging a morbid matter from them, in curing sore
legs. But this is by no means the case. It appears to act as a
universal stimulant; and if it prove most useful when it excites a
salivation, it is only because in this way it excites the most general
action in the system.
III. MINERAL TONICS, such as the different preparations of iron, copper,
and zinc.
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