Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
1. _Opium._ It should at first be given in small doses, and afterwards
increased, as circumstances may require.
2. _Madeira_ or _Sherry wine_ alone, or diluted with water, or in the
form of whey, or rendered more cordial by having any agreeable spice
infused in it. It may be given cold or warm, according to the taste of
the patient, or the state of his stomach. If this medicine be rejected
in all the above forms,
3. _Porter_ should be given. It is often retained when no other liquor
will lie upon the stomach. I think I once saved the life of Mr. Nesbit
by this medicine. It checked a vomiting, from the gout, which seemed
to be the last symptom of his departing life. If porter fail of giving
relief,
4. _Ardent spirits_ should be given, either alone, or in the form
of grog, or toddy. Cases have occurred in which a pint of brandy has
been taken in the course of an hour with advantage. Great benefit has
sometimes been found from Dr. Warner's tincture, in this state of the
gout. As these observations may fall into the hands of persons who may
not have access to Dr. Warner's book, I shall here insert the receipt
for preparing it.
Of raisins, sliced and stoned, half a pound.
Rhubarb, one ounce.
Sena, two drachms.
Coriander and fennel seeds, of each one drachm.
Cochineal, saffron, and liquorice root, each half a drachm.
Infuse them for ten days in a quart of French brandy, then strain it,
and add a pint more of brandy to the ingredients, afterwards strain it,
and mix both tinctures together. Four table spoons full of this cordial
are to be taken every hour, mixed with an equal quantity of water, until
relief be obtained.
Ten drops of laudanum may be added to each dose in those cases in which
the cordial does not produce its intended effects, in two or three
hours. If all the different forms of ardent spirits which have been
mentioned fail of giving relief,
5. From 30 drops to a tea spoonful of _æther_ should be given in any
agreeable vehicle. Also,
6. _Volatile alkali._ From five to ten grains of this medicine should be
given every two hours.
7. _Aromatic substances_, such as alspice, ginger, Virginia snake-root,
cloves, and mace in the form of teas, have all been useful in this state
of the gout.
All these remedies are indicated in a more especial manner when the
gout affects the stomach. They are likewise proper when it affects the
bowels. The laudanum in this case should be given by way of glyster.
After the vomiting was checked in Mr. Nesbit by means of porter, he was
afflicted with a dull and distressing pain in his bowels, which was
finally removed by two anodyne glysters injected daily for two or three
weeks.
8. Where the gout produces spasmodic or convulsive motions, the _oil of
amber_ may be given with advantage. I once saw it remove for a while a
convulsive cough from the gout.
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