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
3. Of the medicines whose action is compounded of mechanical and
chemical qualities, calomel, jalap, and the powder of steel, are the
principal.
Calomel, in order to be effectual, must be given in large doses. It is
a safe and powerful anthelmintic. Combined with jalap, it often brings
away worms when given for other purposes.
Of all the medicines that I have administered, I know of none more safe
and certain than the simple preparations of iron, whether they be given
in the form of steel-filings or of the rust of iron. If ever they fail
of success, it is because they are given in too small doses. I generally
prescribe from five to thirty grains every morning, to children
between one year, and ten years old; and I have been taught by an old
sea-captain, who was cured of a tænia by this medicine, to give from two
drachms to half an ounce of it, every morning, for three or four days,
not only with safety, but with success.
I shall conclude this essay with the following remarks:
1. Where the action of medicines upon worms in the bowels does not agree
exactly with their action upon the earth-worms in the experiments that
have been related, it must be ascribed to the medicines being more or
less altered by the action of the stomach upon them. I conceive that the
superior anthelmintic qualities of pink-root, steel-filings, and calomel
(all of which acted but slowly upon the earth-worms compared with many
other substances) are in a great degree occasioned by their escaping the
digestive powers unchanged, and acting in a concentrated state upon the
worms.
2. In fevers attended with anomalous symptoms, which are supposed
to arise from worms, I have constantly refused to yield to the
solicitations of my patients, to abandon the indications of cure in the
fever, and to pursue worms as the _principal_ cause of the disease.
While I have adhered steadily to the usual remedies for the different
states of fever, in all their stages, I have at the same time blended
those remedies occasionally with anthelmintic medicines. In this I
have imitated the practice of physicians in many other diseases, in
which troublesome and dangerous symptoms are pursued, without seducing
the attention from the original disease. The anthelmintic medicines
prescribed in these cases, should not be the rust of iron, and common
salt, which are so very useful in chronic diseases from worms, but
calomel and jalap, and such other medicines as aid in the cure of
fevers.
AN ACCOUNT
OF THE
_EXTERNAL USE OF ARSENIC_,
IN THE
CURE OF CANCERS.
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