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
1. It raised the pulse when low, and reduced it when it was
preternaturally tense or full.
2. It revived and strengthened the patient. This was evident in many
cases, in the facility with which patients who had staggered to a
close-stool, walked back again to their beds after a copious evacuation.
Dr. Sydenham takes notice of a similar increase of strength after a
plentiful sweat in the plague. They both acted by abstracting excess of
stimulus, and thereby removing the depression of the system.
3. It abated the paroxysm of the fever. Hence arose the advantage of
giving a purge in some cases in the evening, when an attack of the fever
was expected in the course of the night.
4. It frequently produced sweats when given on the first or second day of
the fever, after the most powerful sudorifics had been taken to no
purpose.
5. It sometimes checked that vomiting which occurs in the beginning of
the disease, and it always assisted in preventing the more alarming
occurrence of that symptom about the 4th or 5th day.
6. It removed obstructions in the lymphatic system. I ascribe it wholly
to the action of mercury, that in no instance did any of the glandular
swellings, which I formerly mentioned, terminate in a suppuration.
7. By discharging the bile through the bowels as soon and as fast as it
was secreted, it prevented, in most cases, a yellowness of the skin.
[66] In some short manuscript notes upon Dr. Mitchell's account of the
yellow fever in Virginia, in the year 1741, made by the late Dr.
Kearsley, sen. of this city, he remarks, that in the yellow fever
which prevailed in the same year in Philadelphia, "some recovered
by an _early_ discharge of _black_ matter by stool." This
gentleman, Dr. Redman informed me, introduced purging with
glauber's salts in the yellow fever in our city. He was preceptor
to Dr. Redman in medicine.
However salutary the mercurial purge was, objections were made to it by
many of our physicians; and prejudices, equally weak and ill-founded,
were excited against it. I shall enumerate, and answer those objections.
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