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
1. SEA-VOYAGES have cured consumptions; but it has been only when they
have been so long, or so frequent, as to substitute the long continuance
of gentle, to violent degrees of exercise of a shorter duration, or
where they have been accompanied by some degree of the labour and care
of navigating the ship.
2. A CHANGE OF CLIMATE has often been prescribed for the cure of
consumptions, but I do not recollect an instance of its having
succeeded, except when it has been accompanied by exercise, as in
travelling, or by some active laborious pursuit.
Doctor Gordon of Madeira, ascribes the inefficacy of the air of Madeira
in the consumption, in part to the difficulty patients find of using
exercise in carriages, or even on horseback, from the badness of the
roads in that island.
3. JOURNIES have often performed cures in the consumption, but it has
been chiefly when they have been long, and accompanied by difficulties
which have roused and invigorated the powers of the mind and body.
4. VOMITS and NAUSEATING MEDICINES have been much celebrated for the
cure of consumptions. These, by procuring a temporary determination to
the surface of the body, so far lessen the pain and cough, as to enable
patients to use profitable exercise. Where this has not accompanied or
succeeded the exhibition of vomits, I believe they have seldom afforded
any _permanent_ relief.
5. BLOOD-LETTING has often relieved consumptions; but it has been only
by removing the troublesome symptoms of inflammatory diathesis, and
thereby enabling the patients to use exercise, or labour, with advantage.
6. VEGETABLE BITTERS and some of the STIMULATING GUMS have in some
instances afforded relief in consumptions; but they have done so only
in those cases where there was great debility, accompanied by a total
absence of inflammatory diathesis. They have most probably acted by
their tonic qualities, as substitutes for labour and exercise.
7. A PLENTIFUL and REGULAR PERSPIRATION, excited by means of a flannel
shirt, worn next to the skin, or by means of a stove-room, or by a warm
climate, has in many instances _prolonged_ life in consumptive habits;
but all these remedies have acted as palliatives only, and thereby have
enabled the consumptive patients to enjoy the more beneficial effects of
exercise.
8. BLISTERS, SETONS, and ISSUES, by determining the perspirable matter
from the lungs to the surface of the body, lessen pain and cough, and
thereby prepare the system for the more salutary effects of exercise.
9. The effects of SWINGING upon the pulse and respiration, leave us no
room to doubt of its being a tonic remedy, and therefore a safe and
agreeable substitute for exercise.
From all these facts it is evident, that the remedies for consumptions
must be sought for in those _exercises and employments which give the
greatest vigour to the constitution_. And here I am happy in being able
to produce several facts which demonstrate the safety and certainty of
this method of cure.
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