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
4. The _pulse_ is generally full, and frequently affected by pauses in
its pulsations when felt in the wrists of old people. A regular pulse in
such persons indicates a disease, as it shows the system to be under the
impression of a preternatural stimulus of some kind. This observation
was suggested to me above thirty years ago by Morgagni, and I have often
profited by it in attending old people. The pulse in such patients is an
uncertain mark of the nature, or degree of an acute disease. It seldom
partakes of the quickness or convulsive action of the arterial system,
which attends fever in young or middle-aged people. I once attended a
man of 77 in a fever of the bilious kind, which confined him for eight
days to his bed, in whom I could not perceive the least quickness or
morbid action in his pulse until four and twenty hours before he died.
5. The marks of old age appear earlier, and are more numerous in persons
who have combined with hard labour, a vegetable or scanty diet, than
in persons who have lived under opposite circumstances. I think I have
observed these marks of old age to occur sooner, and to be more numerous
in the German, than in the English or Irish citizens of Pennsylvania.
They are likewise more common among the inhabitants of country places,
than of cities, and still more so among the Indians of North-America,
than among the inhabitants of civilized countries.
6. Old men tread upon the _whole base_ of their feet at once in
_walking_. This is perhaps one reason why they wear out fewer shoes,
under the same circumstances of constant use, than young people, who,
by treading on the posterior, and rising on the anterior part of
their feet, expose their shoes to more unequal pressure and friction.
The advantage derived to old people from this mode of walking is
very obvious. It lessens that disposition to totter, which is always
connected with weakness: hence we find the same mode of walking is
adopted by habitual drunkards, and is sometimes from habit practised by
them, when they are not under the influence of strong drink.
7. The breath and perspiration of old people have a peculiar acrimony,
and their urine, in some instances, emits a f[oe]tor of an offensive
nature.
8. The eyes of very old people sometimes change from a dark and blue, to
a light colour.
9. The _memory_ is the first faculty of the mind which fails in the
decline of life. While recent events pass through the mind without
leaving an impression upon it, it is remarkable that the long forgotten
events of childhood and youth are recalled and distinctly remembered.
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