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
The dread of water, from which this disease derives its name, has five
distinct grades. 1. It cannot be drunken. 2. It cannot be touched. 3.
The sound of it pouring from one vessel to another, 4. the sight of
it, and 5. even the naming of it, cannot be borne, without exciting
convulsions. But this symptom is not a universal one. Dr. Mead mentions
three cases in which there was no dread of water, in persons who
received the disease from the bite of a rabid animal. It is unfortunate
for this disease, as well as many others, that a single symptom should
impose names upon them. In the present instance it has done great harm,
by fixing the attention of physicians so exclusively upon the dread of
water which occurs in it, that they have in a great measure overlooked
every other circumstance which belongs to the disease. The theory of
the hydrophobia, which an examination of its causes, symptoms, and
accidental cures, with all the industry I was capable of, has led me to
adopt, is, that it is a _malignant state of fever_. My reasons for this
opinion are as follow:
1. The disease in all rabid animals is a fever. This is obvious in dogs
who are most subject to it. It is induced in them by the usual causes
of fever, such as scanty or putrid aliment[78], extreme cold, and the
sudden action of heat upon their bodies. Proofs of its being derived
from each of the above causes are to be met with in most of the authors
who have written upon it. The animal matters which are rendered morbid
by the action of the above causes upon them, are determined to the
saliva, in which a change seems to be induced, similar to that which
takes place in the perspirable matter of the human species from the
operation of similar causes upon it. This matter, it is well known, is
the remote cause of the jail fever. No wonder the saliva of a dog should
produce a disease of the same kind, after being vitiated by the same
causes, and thereby disposed to produce the same effects.
[78] "Animal food, in a state of putridity, is amongst the most
frequent causes of canine madness."
"Canine madness chiefly arises from the excessive number of
ill-kept and ill-fed dogs."
YOUNG'S ANNUALS, vol. XVII. p. 561.
2. The disease called canine madness, prevails occasionally among
dogs at those times in which malignant fevers are epidemic. This will
not surprise those persons who have been accustomed to observe the
prevalence of the influenza and bilious fevers among other domestic
animals at a time when they are epidemic among the human species.
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