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
IV. GENTLE EXERCISE. Rest, and a recumbent posture of the body, so
proper in the tonic, are both hurtful in this species of sore legs. The
efficacy of exercise, even of the active kind, in the cure of sore legs,
accompanied by deficient action in the vessels, may easily be conceived
from its good effects after gun-shot wounds which are mentioned by Dr.
Jackson[65]. He tells us, that those British soldiers who had been
wounded at the battle of Guilford, in North-Carolina, who were turned
out of the military hospitals and followed the army, soonest recovered
of their wounds. It was remarkable, that if they delayed only a few days
on the road, their wounds grew worse, or ceased to heal.
[65] Medical Journal, 1790.
In the use of the different species of exercise, the same regard should
be had to the state of the system, which has been recommended in other
diseases.
V. A nutritious and moderately stimulating diet, consisting of milk,
saccharine vegetables, animal food, malt liquors, and wine.
Wort has done great service in sore legs. The manner in which I have
directed it to be prepared and taken is as follows: To three or four
heaped table-spoonsful of the malt, finely powdered and sifted, add two
table-spoonsful of brown sugar, and three or four of Madeira, sherry,
or Lisbon wine, and a quart of boiling water. After they have stood a
few hours, it may be drunken liberally by the patient, stirring it each
time before he takes it, so that the whole substance of the malt may
be conveyed into the stomach. A little lime-juice may be added, if the
patient requires it, to make it more pleasant. The above quantity may be
taken once, twice, or three times a-day at the pleasure of the patient,
or according to the indication of his disease.
VI. OPIUM. This remedy is not only useful in easing the pain of a sore
leg, but co-operates with other cordial medicines in invigorating the
whole system.
The _local_ applications should consist of such substances as are
gently escarotic, and which excite an action in the torpid vessels of
the affected part. Arsenic, precipitate, and blue vitriol, have all
been employed with success for this purpose. Dr. Griffitts informed me,
that he has frequently accomplished the same thing in the Dispensary by
applications of tartar emetic. They should all be used, if necessary, in
succession to each other; for there is often the same idiosyncrasy in a
sore leg to certain topical applications, that there is in the stomach
to certain aliments. After the use of these remedies, astringents and
tonics should be applied, such as an infusion of Peruvian, or white-oak
bark; the water in which the smiths extinguish their irons, lime-water,
bread dipped in a weak solution of green vitriol (so much commended by
Dr. Underwood), compresses wetted with brandy, or ardent spirits of any
kind, and, above all, the adhesive plasters formerly mentioned.
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