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
III. _Purges._ The efficacy of this remedy, in the cure of dropsies,
has been acknowledged by physicians in all ages and countries. Jalap,
calomel, scammony, and gamboge, are often preferred for this purpose;
but I have heard of two cases of ascites being cured by a table
spoonful of sweet oil taken every day. It probably acted only as a
gentle laxative. The cream of tartar, so highly commended by Dr. Home,
seems to act _chiefly_ in the same way. Gherlius, from whom Dr. Home
learned the use of this medicine, says, that all the persons whom he
cured by it were in the vigour of life, and that their diseases had
been only of a few months continuance. From these two circumstances,
it is most probable they were dropsies of great morbid action in the
arterial system. He adds further, that the persons who were cured by
this medicine, were reduced very low by the use of it. Dr. Home says
that it produced the same effect upon the patients whom he cured by it,
in the infirmary of Edinburgh. Dr. Sydenham prefers gentle to drastic
purges, and recommends the exhibition of them every day. Both drastic
and gentle purges act by diminishing the action of the arterial system,
and thereby promote the absorption and discharge of water. That purges
promote absorption, we learn not only from their effects in dropsies,
but from an experiment related by Mr. Cruikshank[40], of a man who
acquired several ounces of weight after the operation of a purge. The
absorption in this case was from the atmosphere. So great is the effect
of purges in promoting absorption, that Mr. Hunter supposes the matter
of a gonorrh[oe]a, or of topical venereal ulcers to be conveyed by them
in some instances into every part of the body.
[40] Letter to Mr. Clare, p. 117.
IV. _Certain medicines_, which, by lessening the _action of the
arterial system_, favour the absorption and evacuation of water. The
only medicines of this class which I shall name are _nitre_, _cream of
tartar_, and _foxglove_.
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