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
It is agreeable in medical researches to be under the direction of
principles. They render unnecessary, in many instances, the slow and
expensive operations of experience, and thus multiply knowledge, by
lessening labour. The science of navigation has rested upon this basis,
since the discovery of the loadstone. A mariner who has navigated a
ship to one distant port, is capable of conducting her to every port
on the globe. In like manner, the physician who can cure one disease
by a knowledge of its principles, may by the same means cure all the
diseases of the human body, for their causes are the same. Judgment is
required, only in accommodating the force of remedies to the force of
each disease. The difference in diseases which arises from their seats,
from age, sex, habit, season, and climate, may be known in a short time,
and is within the compass of very moderate talents.
IV. Were I to enumerate all the local symptoms of gout which occur
without fever, and the remedies that are proper to relieve them, I
should be led into a tedious digression. The reader must consult
practical books for an account of them. I shall only mention the
remedies for a few of them.
The theory of the gout which has been delivered, will enable us to
understand the reason why a disease which properly belongs to the
whole system, should at any time be accompanied only with local morbid
affection. The whole body is a unit, and hence morbid impressions which
are resisted by sound parts are propagated to such as are weak, where
they excite those morbid actions we call disease.
The _head-ach_ is a distressing symptom of the gout. It yields to
depleting or tonic remedies, according to the degree of morbid action
which accompanies it. I have heard an instance of an old man, who was
cured of an obstinate head-ach by throwing aside his nightcap, and
sleeping with his bare head exposed to the night air. The disease in
this case was probably attended with great morbid action. In this
state of the vessels of the brain, cupping, cold applications to the
head, purges, a temperate diet, and blisters behind the ears, are all
proper remedies, and should be used together, or in succession, as the
nature of the disease may require. Many persons have been cured of the
same complaint by sleeping in woollen nightcaps. The morbid action in
these cases is always of a feeble nature. With this remedy, tonics,
particularly the bark and cold bath, will be proper. I have once known
a chronic gouty pain in the head cured by an issue in the arm, after
pounds of bark, and many other tonic remedies, had been taken to no
purpose.
The _ophthalmia_ from gout should be treated with the usual remedies
for that disease when it arises from other causes, with the addition of
such local applications to other and distant parts of the body, as may
abstract the gouty action from the eyes.
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