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
Thirst is probably the effect of a preternatural excitement of the
vessels of the fauces. It is by no means a uniform symptom of fever. We
sometimes observe it, in the highest degree, in the last stage of
diseases, induced by the retreat of the last remains of excitement from
every part of the body, to the throat.
The white tongue is produced by a change in the secretion which takes
place in that organ. Its yellow colour is the effect of bile; its dryness
is occasioned by an obstruction of secretion, or by the want of action in
the absorbents; and its dark and black colour, by a tendency to
mortification.
It will be difficult to account for the variety in the degrees and
locality of _heat_ in the body in a fever, until we know more of the
cause of animal heat. From whatever cause it be derived, its excess and
deficiency, as well as all its intermediate degrees, are intimately
connected with more or less excitement in the arterial system. It is not
necessary that this excitement should exist only in the large
blood-vessels. It will be sufficient for the purpose of creating great
heat, if it occur only in the cutaneous vessels; hence we find a hot skin
in some cases of malignant fever in which there is an absence of pulse.
Eruptions seem to depend upon effusions of serum, lymph, or red blood
upon the skin, with or without inflammation, in the cutaneous vessels.
I decline taking notice in this place of the symptoms which are produced
by the debility from action and abstraction, and by the depression of the
system. They appear not only in the temperature of the body, but in all
the different symptoms of fever. It is of importance to know when they
originate from the former, and when from the latter causes, as they
sometimes require very different and opposite remedies to remove them.
It remains only to explain the cause why excess in the force or frequency
of the action of the blood-vessels should succeed debility in a part, or
in the whole of the body, and be connected for days and weeks with
depression and preternatural debility in the nerves, brain, muscles, and
alimentary canal. I shall attempt the explanation of this phenomenon by
directing the attention of the reader to the operations of nature in
other parts of her works.
1. A calm may be considered as a state of debility in the atmosphere. It
predisposes to a current of air. But is this current proportioned to the
loss of the equilibrium of the air? By no means. It is excessive in its
force, and tends thereby to destroy the works both of nature and art.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account