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
Soon after the above account was written of the good effects of a
mercurial salivation in this fever, I had great satisfaction in
discovering that it had been prescribed with equal, and even greater
success, by Dr. Wade in Bengal, in the year 1791, and by Dr. Chisholm in
the island of Granada, in the cure of bilious yellow fevers[88]. Dr. Wade
did not lose one, and Dr. Chisholm lost only one out of forty-eight
patients in whom the mercury affected the salivary glands. The latter
gave 150 grains of calomel, and applied the strongest mercurial ointment
below the groin of each side, in some cases. He adds further, that not a
single instance of a relapse occurred, where the disease was cured by
salivation.
[88] Medical Commentaries, vol. xviii. p. 209, 288.
After the reduction of the system, _blisters_ were applied with great
advantage to every part of the body. They did most service when they were
applied to the crown of the head. I did not see a single case, in which a
mortification followed the sore, which was created by a blister.
Brandy and water, or porter and water, when agreeable to the stomach,
with now and then a cup of chicken broth, were the drinks I prescribed to
assist in restoring the tone of the system.
In some cases I directed the limbs to be wrapped in flannels dipped in
warm spirits, and cataplasms of bruised garlic to be applied to the feet.
But my principal dependence, next to the use of mercurial medicines, for
exciting a healthy action in the arterial system, was upon mild and
gently stimulating food. This consisted of rich broths, the flesh of
poultry, oysters, thick gruel, mush and milk, and chocolate. I directed
my patients to eat or drink a portion of some of the above articles of
diet every hour or two during the day, and in cases of great debility,
from an exhausted state of the system, I advised their being waked for
the same purpose two or three times in the night. The appetite frequently
craved more savoury articles of food, such as beef-stakes and sausages;
but they were permitted with great caution, and never till the system had
been prepared for them by a less stimulating diet.
There were several _symptoms_ which were very distressing in this
disease, and which required a specific treatment.
Public-domain text, read in full here on John Shaqi.
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