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
Before I quit the subject of blood-letting in hydrophobia, I have to
add, that it has been used with success in two instances in dogs that
had exhibited all the usual symptoms of what has been called madness.
In one case, blood was drawn by cutting off the tail, in the other,
by cutting off the ears of the diseased animal. I mention these facts
with pleasure, not only because they serve to support the theory and
practice which I have endeavoured to establish in this disease, but
because they will render it unnecessary to destroy the life of a useful
and affectionate animal in order to prevent his spreading it. By curing
it in a dog by means of bleeding, we moreover beget confidence in the
same remedy in persons who have been bitten by him, and thus lessen
the force of the disease, by preventing the operation of fear upon the
system.
2. Purges and glysters have been found useful in the hydrophobia. They
discharge bile which is frequently vitiated, and reduce morbid action in
the stomach and blood-vessels. Dr. Coste ascribes the cure of a young
woman in a convent wholly to glysters given five or six times every day.
3. Sweating after bleeding completed the cure of the boy whose case is
mentioned by Mr. Wrightson. Dr. Baumgarten speaks highly of this mode
of depleting, and says further, that it has never been cured "but by
evacuations of some kind."
4. All the advantages which attend a salivation in common malignant
fevers, are to be expected from it in the hydrophobia. It aided
blood-letting in two persons who were cured by Mr. Falconer and Dr. Le
Compt.
There are several cases upon record in which musk and opium have
afforded evident relief in this disease.
A physician in Virginia cured it by large doses of bark and wine. I have
no doubt of the efficacy of these remedies when the disease is attended
with a moderate or feeble morbid action in the system, for I take it for
granted, it resembles malignant fevers from other causes in appearing
in different grades of force. In its more violent and common form,
stimulants of all kinds must do harm, unless they are of such a nature,
and exhibited in such quantities, as to exceed in their force the
stimulus of the disease; but this is not to be expected, more especially
as the stomach is for the most part so irritable as sometimes to reject
the mildest aliments as well as the most gentle medicines.
After the morbid actions in the system have been weakened, tonic
remedies would probably be useful in accelerating the cure.
Blisters and stimulating cataplasms, applied to the feet, might probably
be used with the same advantage in the declining state of the disease,
that they have been used in the same stage of other malignant fevers.
Public-domain text, read in full here on John Shaqi.
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