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
I shall now mention the remedies which are proper and useful in this
disease.
I. The first indication of cure is to evacuate the bile from the stomach
and bowels. This should be done by gentle doses of ipecacuanha, or
tartar emetic. The vomits should be repeated occasionally, if indicated,
in every stage of the disease. The bowels should be opened by means
of calomel, manna, castor oil, or magnesia. I have generally found
rhubarb improper for this purpose, while the stomach was in a very
irritable state. In those cases, where there is reason to believe that
the offending contents of the primæ viæ have been discharged by nature
(which is often the case), the emetics and purges should by no means be
given; but, instead of them, recourse must be had to
II. Opiates. A few drops of liquid laudanum, combined in a testaceous
julep, with peppermint or cinnamon-water, seldom fail of composing the
stomach and bowels. In some instances, this medicine alone subdues
the disease in two or three days; but where it does not prove so
successful, it produces a remission of pain, and of other distressing
symptoms, in every stage of the disease.
III. Demulcent and diluting drinks have an agreeable effect in this
disease. Mint and mallow teas, or a tea made of blackberry roots infused
in cold water, together with a decoction of the shavings of hartshorn
and gum arabic with cinnamon, should all be given in their turns for
this purpose.
IV. Glysters made of flaxseed tea, or of mutton broth, or of starch
dissolved in water, with a few drops of liquid laudanum in them, give
ease, and produce other useful effects.
V. Plasters of Venice treacle applied to the region of the stomach,
and flannels dipped in infusions of bitter and aromatic herbs in warm
spirits, or Madeira wine, and applied to the region of the abdomen,
often afford considerable relief.
VI. As soon as the more violent symptoms of the disease are composed,
tonic and cordial medicines should be given. The bark in decoction,
or in substance (where it can be retained in that form), mixed with
a little nutmeg, often produces the most salutary effects. Port wine
or claret mixed with water are likewise proper in this stage of the
disease. After the disease has continued for some time, we often see
an appetite suddenly awakened for articles of diet of a stimulating
nature. I have seen many children recover from being gratified in an
inclination to eat salted fish, and the different kinds of salted meat.
In some instances they discover an appetite for butter, and the richest
gravies of roasted meats, and eat them with obvious relief to all their
symptoms. I once saw a child of sixteen months old, perfectly restored,
from the lowest stage of this disease, by eating large quantities of
rancid English cheese, and drinking two or three glasses of port wine
every day. She would in no instance eat bread with the cheese, nor taste
the wine, if it was mixed with water.
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