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
II. Such as are proper to cure it when formed.
The first remedy under the first general head is, abstracting or
destroying the virus, by cutting or burning out the wounded part, or by
long and frequent effusions of water upon it, agreeably to the advice
of Dr. Haygarth, in order to wash the saliva from it. The small-pox
has been prevented, by cutting out the part in which the puncture was
made in the arm with variolous matter. There is no reason why the same
practice should not succeed, if used in time, in the hydrophobia. Where
it has failed of success, it has probably been used after the poison has
contaminated the blood. The wound should be kept open and running for
several months. In this way a servant girl, who was bitten by the same
cat that bit Mr. Bellamy, is supposed by Dr. Fothergill to have escaped
the disease. Dr. Weston of Jamaica believes that he prevented the
disease by the same means, in two instances. Perhaps an advantage would
arise from exciting a good deal of inflammation in the wound. We observe
after inoculation, that the more inflamed the puncture becomes, and the
greater the discharge from it, the less fever and eruption follow in the
small-pox.
A second preventive is a low diet, such as has been often used with
success to mitigate the plague and yellow fever. The system, in this
case, bends beneath the stimulus of the morbid saliva, and thus obviates
or lessens its effects at a future day.
During the use of these means to prevent the disease, the utmost
care should be taken to keep up our patient's spirits, by inspiring
confidence in the remedies prescribed for him.
Mercury has been used in order to prevent the disease. There are many
well-attested cases upon record, of persons who have been salivated
after being bitten by mad animals, in whom the disease did not show
itself, but there are an equal number of cases to be met with, in which
a salivation did not prevent it. From this it would seem probable, that
the saliva did not infect in the cases in which the disease was supposed
to have been prevented by the mercury. At the time calomel was used to
prepare the body for the small-pox, a salivation was often induced by
it. The affection of the salivary glands in many instances lessened the
number of pock, but I believe in no instance prevented the eruptive
fever.
I shall say nothing here of the many other medicines which have been
used to prevent the disease. No one of them has, I believe, done any
more good, than the boasted specifics which have been used to eradicate
the gout, or to procure old age. They appear to have derived their
credit from some of the following circumstances accompanying the bite of
the animal.
1. The animal may have been angry, but not diseased with a malignant
fever such as I have described.
2. He may have been diseased, but not to such a degree as to have
rendered his saliva infectious.
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