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
V. _Hard labour_, or exercise in such a degree as to produce fatigue,
have, in several instances, cured the dropsy. A dispensary patient,
in this city, was cured of this disease by sawing wood. And a patient
in an ascites under my care in the Pennsylvania hospital, had his
belly reduced seven inches in circumference in one day, by the labour
of carrying wood from the yard into the hospital. A second patient
belonging to the Philadelphia dispensary was cured by walking to
Lancaster, 66 miles from the city, in the middle of winter. The efficacy
of travelling in this disease, in cold weather, is taken notice of by
Dr. Monroe, who quotes a case from Dr. Holler, of a French merchant, who
was cured of a dropsy by a journey from Paris to England, in the winter
season. It would seem, that in these two cases, the _cold_ co-operated
as a sedative with the fatigue produced by labour or exercise, in
reducing the tone of the arterial system.
VI. _Low diet._ I have heard of a woman who was cured of a dropsy by
eating nothing but boiled beans for three weeks, and drinking nothing
but the water in which they had been boiled. Many other cases of the
good effects of low diet in dropsies are to be found in the records of
medicine.
VII. _Thirst._ This cruel remedy acts by debilitating the system in two
ways: 1st, by abstracting the stimulus of distention; and, 2dly, by
preventing a supply of fresh water to replace that which is discharged
by the ordinary emunctories of nature.
VIII. _Fasting._ An accidental circumstance, related by sir John
Hawkins, in the life of Dr. Johnson, first led me to observe the
good effects of fasting in the dropsy. If the fact alluded to stood
alone under the present head of this essay, it would be sufficient
to establish the existence of too much action, and the efficacy of
debilitating remedies in certain dropsies. I am the more disposed to lay
a good deal of stress upon this fact, as it was the clue which conducted
me out of the labyrinth of empirical practice, in which I had been
bewildered for many years, and finally led me to adopt the principles
and practice which I am now endeavouring to establish. The passage which
contains this interesting fact is as follows: "A few days after (says
sir John) he [meaning Dr. Johnson] sent for me, and informed me, that
he had discovered in himself the symptoms of a dropsy, and, indeed, his
very much increased bulk, and the swollen appearance of his legs, seemed
to indicate no less. It was on Thursday that I had this conversation
with him; in the course thereof he declared, that he intended to devote
the whole of the next day to _fasting_, humiliation, and such other
devotional exercises as became a man in his situation. On the Saturday
following I made him a visit, and, upon entering his room, I observed
in his countenance such a serenity as indicated, that some remarkable
crisis of his disease had produced a change in his feelings. He told me
Public-domain text, read in full here on John Shaqi.
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