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. _Opium._ The efficacy of this medicine in dropsies has been
attested by Dr. Willis, and several other practical writers. It seems to
possess almost an exclusive power of acting alike upon the arterial, the
lymphatic, the glandular, and the nervous systems.
IV. _Metallic tonics_, such as chalybeate medicines of all kinds, and
the mild preparations of copper and mercury. I once cured an incipient
ascites and anasarca by large doses of the rust of iron; and I have
cured many dropsies by giving mercury in such quantities as to excite a
plentiful salivation. I have, it is true, often given it without effect,
probably from my former ignorance of the violent action of the arteries,
which so frequently occurs in dropsies, and in which cases mercury must
necessarily have done harm.
V. _Diuretics_, consisting of alkaline salts, nitre, and the oxymels
of squills and colchicum. It is difficult to determine how far these
medicines produce their salutary effects by acting directly upon the
kidneys. It is remarkable that these organs are seldom affected in
dropsies, and that their diseases are rarely followed by dropsical
effusions in any part of the body.
VI. _Generous diet_, consisting of animal food, rendered cordial by
spices; also sound old wine.
VII. _Diluting drinks_ taken in such large quantities as to excite the
action of the vessels by the stimulus of distention. This effect has
been produced, sir George Baker informs us, by means of large draughts
of simple water, and of cyder and water[44]. The influence of distention
in promoting absorption is evident in the urinary and gall bladders,
which frequently return their contents to the blood by the lymphatics,
when they are unable to discharge them through their usual emunctories.
Is it not probable that the distention produced by the large quantities
of liquids which we are directed to administer after giving the
foxglove, may have been the means of performing some of those cures of
dropsies, which have been ascribed to that remedy?
[44] The remark upon this fact by sir George, is worthy of notice, and
implies much more than was probably intended by it. "When common
means have failed, success has sometimes followed a method
_directly contrary_ to the established practice." Medical
Transactions, vol. II.
VIII. _Pressure._ Bandages bound tightly around the belly and limbs,
sometimes prevent the increase or return of dropsical swellings. The
influence of pressure upon the action of the lymphatics appears in the
absorption of bone which frequently follows the pressure of contiguous
tumours, also in the absorption of flesh which follows the long pressure
of certain parts of the body upon a sick bed.
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