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
5. Riverius describes a pestilential fever which prevailed at
Montpellier, in the year 1623, which carried off one half of all who were
affected by it[82]. After many unsuccessful attempts to cure it, this
judicious physician prescribed the loss of _two_ or _three_ ounces of
blood. The pulse rose with this small evacuation. Three or four hours
afterwards he drew six ounces of blood from his patients, and with the
same good effect. The next day he gave a purge, which, he says, rescued
his patients from the grave. All whom he treated in this manner
recovered. The whole history of this epidemic is highly interesting, from
its agreeing with our late epidemic in so many of its symptoms, more
especially as they appeared in the different states of the pulse.
[82] De Febre Pestilenti, vol. ii. p. 145, 146, and 147.
An old and intelligent citizen of Philadelphia, who remembers the yellow
fever of 1741, says that when it first made its appearance bleeding was
attended with fatal consequences. It was laid aside afterwards, and the
disease prevailed with great mortality until it was checked by the cold
weather. Had blood been drawn in the manner mentioned by Riverius, or had
it been drawn in the usual way, after the abstraction of the stimulus of
heat by the cool weather, the disease might probably have been subdued,
and the remedy of blood-letting thereby have recovered its character.
Dr. Hodges has another remark, in his account of the plague in London in
the year 1665, which is still more to our purpose than the one which I
have quoted from it upon this subject. He says that "bleeding, as a
preventive of the plague, was only safe and useful when the blood was
drawn by a _small_ orifice, and a _small_ quantity taken at _different_
times[83]."
[83] Page 209.
I have remarked, in the history of this fever, that it was often cured on
the first or second day by a copious sweat. The Rev. Mr. Ustick was one
among many whom I could mention, who were saved from a violent attack of
the fever by this evacuation. It would be absurd to suppose that the
miasmata which produced the disease were discharged in this manner from
the body. The sweat seemed to cure the fever only by lessening the
quantity of the fluids, and thus _gradually_ removing the depression of
the system. The profuse sweats which sometimes cure the plague, as well
as the disease which is brought on by the bite of poisonous snakes, seem
to act in the same way.
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