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
IX. _Frictions_, either by means of a dry, or oiled hand, or with linen
or flannel impregnated with volatile and other stimulating substances.
I have found evident advantages from following the advice of Dr.
Cullen, by rubbing the lower extremities _upwards_, and that only in
the _morning_. I have been at a loss to account for the manner in which
sweet oil acts, when applied to dropsical swellings. If it act by what
is improperly called a sedative power upon the blood-vessels, it will
be more proper in tonic than atonic dropsies; but if it act by closing
the pores, and thereby preventing the absorption of moisture from the
air, it will be very proper in the state of dropsy which is now under
consideration. It is in this manner that Dr. Cullen supposes that sweet
oil, when applied to the body, cures that state of diabetes in which
nothing but insipid water is discharged from the bladder.
X. _Heat_, applied either separately or combined with moisture in
the form of warm or vapour baths, has been often used with success in
dropsies of too little action. Dampier, in his voyage round the world,
was cured of a dropsy by means of a copious sweat, excited by burying
himself in a bed of warm sand. Warm fomentations to the legs, rendered
moderately stimulating by the addition of saline or aromatic substances,
have often done service in the atonic dropsical swellings of the lower
extremities.
XI. The _cold bath_. I can say nothing in favour of the efficacy of this
remedy in dropsies, from my own experience. Its good effects seem to
depend wholly on its increasing the excitability of the system to common
stimuli, by the diminution of its excitement. If this be the case, I
would ask, whether _fear_ might not be employed for the same purpose,
and thus become as useful in atonic, as it was formerly proved to be in
tonic dropsies?
XII. _Wounds_, whether excited by cutting instruments or by fire,
provided they excite inflammation and action in the arteries, frequently
cure atonic dropsies. The good effects of inflammation and action in
these cases, appear in the cure of hydrocele by means of the needle, or
the caustic.
XIII. _Exercise._ This is probably as necessary in the atonic dropsy,
as it is in the consumption, and should never be omitted when a patient
is able to take it. The passive exercises of swinging, and riding in
a carriage, are most proper in the lowest stage of the disease; but
as soon as the patient's strength will admit of it, he should ride on
horseback. A journey should be preferred, in this disease, to short
excursions from home.
XIV. A _recumbent posture of the body_ should always be advised during
the intervals of exercise, when the swellings are seated in the lower
extremities.
XV. _Punctures in the legs and feet_ afford the same relief in general
dropsy, accompanied with a weak action in the blood-vessels, that has
been ascribed to them in dropsies of an opposite character.
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