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
From the history of this dissection, and of many others, in which much
fewer marks appeared of violent disease, in parts whose actions are
essential to life, it is highly probable death is not induced in the
ordinary manner in which malignant fevers produce it, but by a sudden
or gradual suffocation. It is the temporary closure of this aperture
which produces the dread of swallowing liquids: hence the reason why
they are swallowed suddenly, and with intervals, in the manner that has
been described; for, should the glottis be closed during the time of
two swallows, in the highly diseased state of the system which takes
place in this disease, suffocation would be the immediate and certain
consequence. The same difficulty and danger attend the swallowing
saliva, and hence the symptom of spitting, which has been so often
taken notice of in hydrophobia. Solids are swallowed more easily than
fluids, only because they descend by intervals, and because a less
closure of the glottis is sufficient to favour their passage into the
stomach. This remark is confirmed by the frequent occurrence of death
in the very act of swallowing, and that too with the common symptoms of
suffocation. To account for death from this cause, and in the manner
that has been described, it will be necessary to recollect, that fresh
air is more necessary to the action of the lungs in a fever than in
health, and much more so in a fever of a malignant character, such
as the hydrophobia appears to be, than in fevers of a milder nature.
An aversion from swallowing liquids is not peculiar to this disease.
It occurs occasionally in the yellow fever. It occurs likewise in
the disease which has prevailed among the cats, both in Europe and
America, and probably, in both instances, from a dread of suffocation
in consequence of the closure of the glottis, and sudden abstraction of
fresh air.
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