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
A case is related by Dr. Innes[85], of the loss of 116 ounces of blood
in seven days having cured this disease. In the patient who was the
subject of this cure, the bleeding was used in the most depressed, and
apparently weak state of the pulse. It rose constantly with the loss of
blood.
[85] Medical Commentaries, vol. iii. p. 496.
The cases related by Dr. Tilton and Dr. Innes were said to be of a
spontaneous nature, but the morbid actions were exactly the same in
both patients with those which are derived from the bite of a rabid
animal. There is but one remote cause of disease, and that is stimulus,
and it is of no consequence in the disease now under consideration,
whether the dread of water be the effect of the saliva of a rabid animal
acting upon the fauces, or of a morbid excitement determined to those
parts by any other stimulus. The inflammation of the stomach depends
upon the same kind of morbid action, whether it be produced by the
miasmata of the yellow fever, or the usual remote and exciting causes
of the gout. An apoplexy is the same disease when it arises from a
contusion by external violence, that it is when it arises spontaneously
from the congestion of blood or water in the brain. A dropsy from
obstructions in the liver induced by strong drink, does not differ in
its proximate cause from the dropsy brought on by the obstructions in
the same viscus which are left by a neglected, or half cured bilious
fever. These remarks are of extensive application, and, if duly attended
to, would deliver us from a mass of error which has been accumulating
for ages in medicine: I mean the nomenclature of diseases from their
remote causes. It is the most offensive and injurious part of the
rubbish of our science.
I grant that bleeding has been used in some instances in hydrophobia
without effect, but in all such cases it was probably used out of time,
or in too sparing a manner. The credit of this remedy has suffered in
many other diseases from the same causes. I beg it may not be tried in
this disease, by any physician who has not renounced our modern systems
of nosology, and adopted, in their utmost extent, the principles and
practice of Botallus and Sydenham in the treatment of malignant fevers.
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