Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
_Cold water_ was a most agreeable and powerful remedy in this disease. I
directed it to be applied by means of napkins to the head, and to be
injected into the bowels by way of glyster. It gave the same ease to
both, when in pain, which opium gives to pain from other causes. I
likewise advised the washing of the face and hands, and sometimes the
feet, with cold water, and always with advantage. It was by suffering the
body to lie for some time in a bed of cold water, that the inhabitants of
the island of Massuah cured the most violent bilious fevers[84]. When
applied in this way, it _gradually_ abstracts the heat from the body, and
thereby lessens the action of the system. It differs as much in its
effects upon the body from the cold bath, as rest in a cold room, differs
from exercise in the cold and open air.
[84] Bruce's Travels.
I was first led to the practice of the partial application of cold water
to the body, in fevers of too much force in the arterial system, by
observing its good effects in active hæmorrhages, and by recollecting the
effects of a partial application of warm water to the feet, in fevers of
an opposite character. Cold water when applied to the feet as certainly
reduces the pulse in force and frequency, as warm water, applied in the
same way, produces contrary effects upon it. In an experiment which was
made at my request, by one of my pupils, by placing his feet in cold pump
water for a few minutes, the pulse was reduced 24 strokes in a minute,
and became so small as hardly to be perceptible.
But this effect of cold water, in reducing the frequency of the pulse, is
not uniform. In weak and irritable habits, it increases its frequency.
This has been fully proved by a number of experiments, made by my former
pupil, Dr. Stock, of Bristol, in England, and published in his "Medical
Collections of the Effects of Cold, as a Remedy in certain Diseases[85]."
[85] Page 185.
In the use of the remedies which were necessary to overcome the
inflammatory action of the system, I was obliged to reduce it below its
natural point of excitement. In the present imperfect state of our
knowledge in medicine, perhaps no disease of too much action can be cured
without it.
Public-domain text, read in full here on John Shaqi.
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