Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author — John Shaqi
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
1. An abscess in the lungs is generally the consequence of a neglected,
or half-cured pneumony. It is seldom fatal, where it is not connected
with a predisposition to consumption from general debility, or where
general debility is not previously induced by the want of appetite,
sleep, and exercise, which sometimes accompany that disease of the
lungs. This explanation of the production of consumption by an abscess
in the lungs, will receive further support from attending to the effects
of wounds in the lungs. How seldom are they followed by pulmonary
consumption; and this only because they are as seldom accompanied by
predisposing general debility. I do not recollect a single instance
of this disease having followed a wound in the lungs, either by the
bayonet, or a bullet, during our revolutionary war. The recoveries
which have succeeded such wounds, and frequently under the most
unfavourable circumstances, show how very improbable it is that a much
slighter affection of the lungs should become the cause of a pulmonary
consumption.
A British officer, whom I met in the British camp, a few days after
the battle of Brandywine, in September, 1777, informed me that the
surgeon-general of the royal army had assured him, that out of
twenty-four soldiers who had been admitted into the hospitals, during
the campaign of 1776, with wounds in their lungs, twenty-three of
them had recovered. Even primary diseases of the lungs often exist
with peculiar violence, or continue for many years without inducing a
consumption. I have never known but one instance of the whooping-cough
ending in consumption, and all our books of medicine contain records of
the asthma continuing for twenty and thirty years without terminating
in that disease. The reason in both cases, must be ascribed to those
two original diseases of the lungs not being accompanied by general
debility. One fact more will serve to throw still further light upon
the subject. Millers are much afflicted with a cough from floating
particles of flour constantly irritating their lungs, and yet they are
not more subject to consumptions than other labouring people. Hence "a
miller's cough" is proverbial in some places, to denote a cough of long
continuance without danger.
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