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
4. It was objected to this purge, that it inflamed and lacerated the
stomach and bowels. In support of this calumny, the inflamed and
mortified appearances, which those viscera exhibited upon dissection in a
patient who died at the hospital at Bush-hill, were spoken of with horror
in some parts of the city. To refute this objection it will only be
necessary to review the account formerly given of the state of the
stomach and bowels after death from the yellow fever, in cases in which
no mercury had been given. I have before taken notice that sir John
Pringle and Dr. Cleghorn had prescribed mercurial purges with success in
the dysentery, a disease in which the bowels are affected with more
irritation and inflammation than in the yellow fever. Dr. Clark informs
us that he had adopted this practice. I shall insert the eulogium of this
excellent physician upon the use of mercury in the dysentery in his own
words. "For several years past, when the dysentery has resisted the
common mode of practice, I have administered mercury with the greatest
success; and am thoroughly persuaded that it is possessed of powers to
_remove inflammation_ and _ulceration_ of the intestines, which are the
chief causes of death in this distemper[72]."
[72] Vol. ii. p. 342.
5. It was urged against this powerful and efficacious medicine, that it
was prescribed indiscriminately in all cases, and that it did harm in all
weak habits. To this I answer, that there was no person so weak by
constitution or a previous disease, as to be injured by a single dose of
this medicine. Mrs. Meredith, the wife of the treasurer of the United
States, a lady of uncommon delicacy of constitution, took two doses of
the powder in the course of twelve hours, not only without any
inconvenience, but with an evident increase of strength soon afterwards.
Many similar cases might be mentioned. Even children took two or three
doses of it with perfect safety. This will not surprise those physicians
who have been in the practice of giving from ten to twenty grains of
mercury, with an equal quantity of jalap as a worm purge, and from fifty
to a hundred grains of calomel, in the course of four or five days, in
the internal dropsy of the brain. But I am happy in being able to add
further, that many women took it in every stage of pregnancy without
suffering the least inconvenience from it. Out of a great number of
pregnant women whom I attended in this fever I did not lose one to whom I
gave this medicine, nor did any of them suffer an abortion. One of them
had twice miscarried in the course of the two or three last years of her
life. She bore a healthy child three months after her recovery from the
yellow fever.
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