Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
14. Is the strength of the nervous system increased by convulsions? This
is so evident that it often requires four or five persons to confine a
delicate woman to her bed in a convulsive fit. In like manner the
strength of the arterial system is increased in a fever. This strength is
great in proportion to the weakness of every other part of the body.
15. Do we observe certain nervous convulsions to affect some parts of the
nervous system more than others, or, in other words, do we observe
preternatural strength or excitement to exist in one part of the nervous
system, while other parts of the same system exhibit marks of
preternatural weakness or defect of excitement? We observe the same thing
in the blood-vessels in a fever. The pulse at the wrist is often _tense_,
while the force of the heart is very much diminished. A delirium often
occurs in a fever from excess of excitement in the blood-vessels of the
brain, while the pulse at the wrist exhibits every mark of preternatural
weakness.
16. Is there a rigidity of the muscles in certain nervous diseases, as in
catalepsy? Something like this solstice in convulsion occurs in that
state of fever in which the pulse beats but sixty, or fewer strokes in a
minute.
17. Do convulsions go off _gradually_ from the nervous system, as in
tetanus, and chorea sancti viti? So they do from the arterial
blood-vessels in certain states of fever.
18. Do convulsions go off _suddenly_ in any cases from the nervous
system? The convulsion in the blood-vessels goes off in the same manner
by a sweat, or by a hæmorrhage, frequently in the course of a night, and
sometimes in a single hour.
19. Does palsy in some instances succeed to convulsions in the nervous
system? Something like a palsy occurs in fevers of great inflammatory
action in the arteries. They are often inactive in the wrists, and in
other parts of the body, from the immense pressure of the remote cause of
the fever upon them.
From the facts and analogies which have been mentioned, I have been led
to conclude that the common forms of fever are occasioned simply by
irregular action, or convulsion in the blood-vessels.
The history of the phenomena of fever, as delivered in the foregoing
pages, resolves itself into a chain, consisting of the five following
links.
1. Debility from action, or the abstraction of stimuli. When this
debility is induced by action, it is sometimes preceded by elevated
excitement in the blood-vessels, from the first impressions of stimuli
upon them.
2. An increase of their excitability.
3. Stimulating powers applied to them.
4. Depression. And,
5. Irregular action or convulsion.
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