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
2. We are taught, by the facts which have been mentioned, the reason
why physicians have differed so much in their accounts of the same
remedies, and why the same remedies have operated so differently in
the hands of the same physicians. It is because they have been given
without a reference to the different states of the system, which have
been described. Dr. Sydenham says, that he cured the first dropsical
patient he was called to, by frequent purges. He began to exult in
the discovery, as he thought, of a certain cure for dropsies, but his
triumph was of short duration. The same remedy failed in the next case
in which he prescribed it. The reason probably was, the dropsy in the
first case was of a tonic, but in the second of an atonic nature; for
the latter was an ascites from a quartan ague. It is agreeable, however,
to discover, from the theory of dropsies which has been laid down,
that all the different remedies for these diseases have been proper in
their nature, and improper only in the state of the system in which
they have been given. As the discovery of truth in religion reconciles
the principles of the most opposite sects, so the discovery of truth
in medicine reconciles the most opposite modes of practice. It would
be happy if the inquirers after truth in medicine should be taught, by
such discoveries, to treat each other with tenderness and respect, and
to wait with patience till accident, or time, shall combine into one
perfect and consistent system, all the contradictory facts and opinions,
about which physicians have been so long divided.
3. If a state of great morbid action in the arteries has been
demonstrated in dropsies, both from its symptoms and remedies, and if
these dropsies are evidently produced by previous debility, who will
deny the existence of a similar action in certain hæmorrhages, in
gout, palsy, apoplexy, and madness, notwithstanding they are all the
offspring of predisposing debility? And who will deny the efficacy of
bleeding, purges, and other debilitating medicines in certain states
of those diseases, that has seen the same medicines administered with
success in certain dropsies? To reject bleeding, purging, and the other
remedies for violent action in the system, in any of the above diseases,
because that action was preceded by general debility, will lead us to
reject them in the most acute inflammatory fevers, for these are as much
the offspring of previous debility as dropsies or palsy. The previous
debility of the former differs from that of the latter diseases, only in
being of a more acute, or, in other words, of a shorter duration.
Public-domain text, read in full here on John Shaqi.
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