Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
In the application of each of the remedies which have been mentioned,
for the cure of both tonic and atonic dropsies, great care should be
taken to use them in such a manner, as to accommodate them to the
strength and excitability of the patient's system. The most powerful
remedies have often been rendered _hurtful_, by being given in too large
doses in the beginning, and _useless_, by being given in too small doses
in the subsequent stages of the disease.
I have avoided saying any thing of the usual operations for discharging
water from different parts of the body, as my design was to treat only
of the symptoms and cure of those dropsies which affect the whole
system. I shall only remark, that if tapping and punctures have been
more successful in the early, than in the late stage of these diseases,
it is probably because the sudden or gradual evacuation of water takes
down that excessive action in the arterial system, which is most common
in their early stage, and thereby favours the speedy restoration of
healthy action in the exhaling or lymphatic vessels.
Thus have I endeavoured to prove, that two different states of action
take place in dropsies, and have mentioned the remedies which are proper
for each of them under separate heads. But I suspect that dropsies are
often connected with a certain _intermediate_ or mixed action in the
arterial system, analogous to the typhoid action which takes place in
certain fevers. I am led to adopt this opinion, not only from having
observed mixed action to be so universal in most of the diseases of the
arterial and nervous system, but because I have so frequently observed
dropsical swellings to follow the scarlatina, and the puerperile fever,
two diseases which appear to derive their peculiar character from a
mixture of excessive and moderate _force_, combined with irregularity of
action in the arterial system. In dropsies of mixed action, where too
much force prevails in the action of some, and too little in the action
of other of the arterial fibres, the remedies must be debilitating or
stimulating, according to the greater or less predominance of tonic or
atonic diathesis in the arterial system.
I shall conclude this history of dropsies, and of the different and
opposite remedies which have cured them, by the following observations.
1. We learn, in the first place, from what has been said, the
impropriety and even danger of prescribing stimulating medicines
indiscriminately in every case of dropsy.
Public-domain text, read in full here on John Shaqi.
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