Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
This controversy with my
brethren, with whom I had long lived in friendly intercourse, carried on
amidst the most distressing labours, was extremely painful to me, and was
submitted to only to prevent the greater evil of the depopulation of our
city by the use of remedies which had been prescribed by myself, as well
as others, not only without effect, but with evident injury to the sick.
The repeated and numerous instances of their inefficacy, in some of the
most opulent families in the city, and the almost uniform success of the
depleting remedies, happily restored the public mind, after a while, from
its distracted state, and procured submission to the latter from nearly
all the persons who were affected by the fever.
Besides the two modes of practice which have been described, there were
two others: the one consisted of _moderate_ purging with calomel only,
and moderate bleeding, on the first or second day of the fever, and
afterwards by the copious use of bark, wine, laudanum, and aromatic
tonics. This practice was supported by an opinion, that the fever was
inflammatory in its first, and putrid in its second stage. The other mode
referred to was peculiar to the French physicians, several of whom had
arrived in the city from the West-Indies, just before the disease made
its appearance. Their remedies were various. Some of them prescribed
nitre, cremor tartar, camphor, centaury tea, the warm bath, glysters, and
moderate bleeding, while a few used lenient purges, and large quantities
of tamarind water, and other diluting drinks. The dissentions of the
American physicians threw a great number of patients into the hands of
these French physicians. They were moreover supposed to be better
acquainted with the disease than the physicians of the city, most of
whom, it was well known, had never seen it before.
I shall hereafter inquire into the relative success of each of the four
modes of practice which have been mentioned.
Having delivered a general account of the remedies which I used in this
disease, I shall now proceed to make a few remarks upon each of them. I
shall afterwards mention the effects of the remedies used by other
physicians.
OF PURGING.
Public-domain text, read in full here on John Shaqi.
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