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
The following symptoms generally follow, where cold water has been
taken, under the above circumstances, into the body:
In a few minutes after the patient has swallowed the water, he is
affected by a dimness of sight; he staggers in attempting to walk, and,
unless supported, falls to the ground; he breathes with difficulty; a
rattling is heard in his throat; his nostrils and cheeks expand and
contract in every act of respiration; his face appears suffused with
blood, and of a livid colour; his extremities become cold, and his pulse
imperceptible; and, unless relief be speedily obtained, the disease
terminates in death, in four or five minutes.
This description includes only the less common cases of the effects
of drinking a _large_ quantity of _cold_ water, when the body is
_preternaturally_ heated. More frequently, patients are seized with
acute spasms in the breast and stomach. These spasms are so painful as
to produce syncope, and even asphyxia. They are sometimes of the tonic,
but more frequently of the clonic kind. In the intervals of the spasms,
the patient appears to be perfectly well. The intervals between each
spasm become longer or shorter, according as the disease tends to life
or death.
It may not be improper to take notice, that punch, beer, and even toddy,
when drunken under the same circumstances as cold water, have all been
known to produce the same morbid and fatal effects.
I know of but one certain remedy for this disease, and that is LIQUID
LAUDANUM. The doses of it, as in other cases of spasm, should be
proportioned to the violence of the disease. From a tea-spoonful to near
a table-spoonful have been given in some instances, before relief has
been obtained. Where the powers of life appear to be suddenly suspended,
the same remedies should be used, which have been so successfully
employed in recovering persons supposed to be dead from drowning.
Care should be taken in every case of disease, or apparent death, from
drinking cold water, to prevent the patient's suffering from being
surrounded, or even attended by too many people.
Persons who have been recovered from the immediate danger which attends
this disease, are sometimes affected after it, by inflammations and
obstructions in the breast or liver. These generally yield to the usual
remedies which are administered in those complaints, when they arise
from other causes.
If neither the voice of reason, nor the fatal examples of those who
have perished from this cause, are sufficient to produce restraint
in drinking a _large_ quantity of _cold_ liquors, when the body is
_preternaturally_ heated, then let me advise to
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