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
It would be easy, by pursuing this subject a little further, to mention
a number of facts which, by the aid of principles in physiology and
pathology, which are universally admitted, would open to us a new theory
of fevers, but this would lead us too far from the subject before us.
I shall only remark, that all that has been said of the influence of
_general_ debilitating causes upon the lungs, both in pneumony and
consumption, and of the alternation of the consumption with other
general diseases, will receive great support from considering the lungs
only as a part of the whole external surface of the body, upon which
most of the remote and exciting causes of both diseases produce their
first effects. This extent of the surface of the body, not only to the
lungs, but to the alimentary canal, was first taken notice of by Dr.
Boerhaave; but was unhappily neglected by him in his theories of the
diseases of the lungs and bowels. Dr. Keil supposes that the lungs,
from the peculiar structure of the bronchial vessels, and air vesicles,
expose a surface to the action of the air, equal to the extent of the
whole external and visible surface of the body.
Thus have I mentioned the usual palliative remedies for the
consumption. Many of these remedies, under certain circumstances, I have
said have cured the disease, but I suspect that most of these cures have
taken place only when the disease has partaken of an intermediate nature
between a pneumony and a true pulmonary consumption. Such connecting
shades, appear between the extreme points of many other diseases. In a
former essay[31], I endeavoured to account for the transmutation (if I
may be allowed the expression) of the pneumony into the consumption,
by ascribing it to the increase of the debilitating refinements of
civilized life. This opinion has derived constant support from every
observation I have made connected with this subject, since its first
publication, in the year 1772.
[31] Inquiry into the Diseases and Remedies of the Indians of
North-America; and a comparative view of their diseases and
remedies with those of civilized nations. Vol. I.
I come now to treat of the RADICAL REMEDIES for the pulmonary
consumption.
In an essay formerly alluded to[32], I mentioned the effects of labour,
and the hardships of a camp or naval life, upon this disease. As there
must frequently occur such objections to each of those remedies, as to
forbid their being recommended or adopted, it will be necessary to seek
for substitutes for them in the different species of exercise. These
are, _active_, _passive_, and _mixed_. The _active_ includes walking,
and the exercise of the hands and feet in working or dancing. The
_passive_ includes rocking in a cradle, swinging, sailing, and riding in
carriages of different kinds. The _mixed_ is confined chiefly to riding
on horseback.
[32] Thoughts on the Pulmonary Consumption. Vol. I.
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