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
The reasons which induced me to prescribe purging and bleeding, in so
liberal a manner, naturally led me to recommend _cool_ and _fresh air_ to
my patients. The good effects of it were obvious in almost every case in
which it was applied. It was equally proper whether the arterial system
was depressed, or whether it discovered, in the pulse, a high degree of
morbid excitement. Dr. Griffitts furnished a remarkable instance of the
influence of cool air upon the fever. Upon my visiting him, on the
morning of the 8th of October, I found his pulse so full and tense as to
indicate bleeding, but after sitting a few minutes by his bed-side, I
perceived that the windows of his room had been shut in the night by his
nurse, on account of the coldness of the night air. I desired that they
might be opened. In ten minutes afterwards the doctor's pulse became so
much slower and weaker that I advised the postponement of the bleeding,
and recommended a purge instead of it. The bleeding notwithstanding
became necessary, and was used with great advantage in the afternoon of
the same day.
The cool air was improper only in those cases where a chilliness attended
the disease.
For the same reason that I advised cool air, I directed my patients to
use cold _drinks_. They consisted of lemonade, tamarind, jelly and raw
apple water, toast and water, and of weak balm, and camomile tea. The
subacid drinks were preferred in most cases, as being not only most
agreeable to the taste, but because they tended to compose the stomach.
All these drinks were taken in the early stage of the disease. Towards
the close of it, I permitted the use of porter and water, weak punch, and
when the stomach would bear it, weak wine-whey.
I forbade all cordial and stimulating food in the active state of the
arterial system. The less my patients ate, of even the mildest vegetable
food, the sooner they recovered. Weak coffee, which (as I have formerly
remarked) was almost universally agreeable, and weak tea were always
inoffensive. As the action of the pulse diminished, I indulged my
patients with weak chocolate; also with milk, to which roasted apples, or
minced peaches, and (where they were not to be had), bread or Indian mush
were added.
Towards the crisis, I advised the drinking of weak chicken, veal, or
mutton broth, and after the crisis had taken place, I permitted mild
animal food to be eaten in a small quantity, and to be increased
according to the waste of the excitability of the system. This strict
abstinence which I imposed upon my patients did not escape obloquy; but
the benefits they derived from it, and the ill effects which arose in
many cases from a contrary regimen, satisfied me that it was proper in
every case in which it was prescribed.
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account