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
This principle in the animal economy has been acknowledged by the
practice of occasionally stopping the discharge of water from a canula in
tapping, and of blood from a vein, in order to prevent fainting.
Child-birth induces fainting, and sometimes death, only by the _sudden_
abstraction of the stimulus of distention and pain.
In all those cases where purging or bleeding have produced death in the
yellow fever or plague, when they have been used on the first or second
day of those diseases, I suspect that it was occasioned by the quantity
of the stimulus abstracted being disproportioned to the degrees of
depression in the system. The following facts will I hope throw light
upon this subject.
1. Dr. Hodges informs us, that "although blood could not be drawn in the
plague, even in the smallest quantity without danger, yet a _hundred_
times the quantity of fluids was discharged in pus from buboes without
inconvenience[79]."
[79] Page 114.
2. Pareus, after condemning bleeding in the plague, immediately adds an
account of a patient, who was saved by a hæmorrhage from the nose, which
continued _two_ days[80].
[80] Skenkius, lib. vi. p. 881.
3. I have before remarked that bleeding proved fatal in three cases in
the yellow fever, in the month of August; but at that time I saw one, and
heard of another case, in which death seemed to have been prevented by a
bleeding at the nose. Perhaps the uniform good effects which were
observed to follow a spontaneous hæmorrhage from an orifice in the arm,
arose wholly from the _gradual_ manner in which the stimulus of the blood
was in this way abstracted from the body. Dr. Williams relates a case of
the recovery of a gentleman from the yellow fever, by means of small
hæmorrhages, which continued three days, from wounds in his shoulders
made by being cupped. He likewise mentions several other recoveries by
hæmorrhages from the nose, after "a vomiting of black humours and a
hiccup had taken place[81]."
[81] Essay on the Bilious or Yellow Fever of Jamaica, p. 40.
4. There is a disease in North-Carolina, known among the common people by
the name of the "pleurisy in the head." It occurs in the winter, after a
sickly autumn, and seems to be an evanescent symptom of a bilious
remitting fever. The cure of it has been attempted by bleeding, in the
common way, but generally without success. It has, however, yielded to
this remedy in another form, that is, to the discharge of a few ounces of
blood obtained by thrusting a piece of quill up the nose.
Public-domain text, read in full here on John Shaqi.
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