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
In reviewing the prejudices against this excellent remedy in
consumptions, I have frequently wished to discover such a substitute
for it as would with equal safety and certainty take down the morbid
excitement, and action of the arterial system. At present we know of no
such remedy; and until it be discovered, it becomes us to combat the
prejudices against bleeding; and to derive all the advantages from it
which have been mentioned.
2. A second remedy for the inflammatory state of consumption should
be sought for in a MILK and VEGETABLE DIET. In those cases where the
milk does not lie easy on the stomach, it should be mixed with water,
or it should be taken without its cheesy or oily parts, as in whey,
or butter-milk, or it should be taken without skimming; for there are
cases in which milk will agree with the stomach in this state, and in
no other. The oil of the milk probably helps to promote the solution of
its curds in the stomach. It is seldom in the power of physicians to
prescribe ass' or goat's milk in this disease; but a good substitute
may be prepared for them by adding to cow's milk a little sugar, and a
third or fourth part of water, or of a weak infusion of green tea. The
quantity of milk taken in a day should not exceed a pint, and even less
than that quantity when we wish to lessen the force of the pulse by the
abstraction of nourishment. The vegetables which are eaten in this state
of the disease, should contain as little stimulus as possible. Rice,
in all the ways in which it is usually prepared for aliment, should
be preferred to other grains, and the less saccharine fruits to those
which abound with sugar. In those cases where the stomach is disposed
to dyspepsia, a little salted meat, fish, or oysters, also soft boiled
eggs, may be taken with safety, mixed with vegetable aliment. Where
there is no morbid affection of the stomach, I have seen the white meats
eaten without increasing the inflammatory symptoms of the disease. The
transition from a full diet to milk and vegetables should be gradual,
and the addition of animal to vegetable aliment, should be made with the
same caution. From the neglect of this direction, much error, both in
theory and practice, has arisen in the treatment of consumptions.
In every case it will be better for the patient to eat four or five,
rather than but two or three meals in a day. A less stimulus is by this
means communicated to the system, and less chyle is mixed with the blood
in a given time. Of so much importance do I conceive this direction to
be, that I seldom prescribe for a chronic disease of any kind without
enforcing it.
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