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
For the vomiting, with a burning sensation in the stomach, which came on
about the fifth day, I found no remedy equal to a table spoonful of sweet
milk, taken every hour, or to small draughts of milk and water. I was
led to prescribe this simple medicine from having heard, from a
West-India practitioner, and afterwards read, in Dr. Hume's account of
the yellow fever, encomiums upon the milk of the cocoa-nut for this
troublesome symptom. Where sweet milk failed of giving relief, I
prescribed small doses of sweet oil, and in some cases a mixture of equal
parts of milk, sweet oil, and molasses. They were all intended to dilute
or blunt the acrimony of the humours, which were either effused or
generated in the stomach. Where they all failed of checking the vomiting,
I prescribed weak camomile tea, or porter, or cyder and water, with
advantage. In some of my patients the stomach rejected all the mixtures
and liquors which have been mentioned. In such cases I directed the
stomach to be left to itself for a few hours, after which it sometimes
received and retained the drinks that it had before rejected, provided
they were administered in a small quantity at a time.
The vomiting was sometimes stopped by a blister applied to the external
region of the stomach.
A mixture of liquid laudanum and sweet oil, applied to the same place,
gave relief where the stomach was affected by pain only, without a
vomiting.
I have formerly mentioned that a distressing _pain_ often seized the
lower part of the _bowels_. I was early taught that laudanum was not a
proper remedy for it. It yielded in almost every case to two or three
emollient glysters, or to the loss of a few ounces of blood.
The convalescence from this fever was in general rapid, but in some cases
it was very slow. I was more than usually struck by the great resemblance
which the system in the convalescence from this fever bore to the state
of the body and mind in old age. It appeared, 1. In the great weakness of
the body, more especially of the limbs. 2. In uncommon depression of
mind, and in a great aptitude to shed tears. 3. In the absence or short
continuance of sleep. 4. In the frequent occurrence of appetite, and, in
some cases, in its inordinate degrees. And 5. In the loss of the hair of
the head, or in its being suddenly changed in some cases to a grey
colour.
Pure air, gentle exercise, and agreeable society removed the debility
both of body and mind of this premature and temporary old age. I met with
a few cases, in which the yellow colour continued for several weeks
after the patient's recovery from all the other symptoms of the fever. It
was removed most speedily and effectually by two or three moderate doses
of calomel and rhubarb.
A feeble and irregular intermittent was very troublesome in some people,
after an acute attack of the fever. It yielded gradually to camomile or
snake-root tea, and country air.
Public-domain text, read in full here on John Shaqi.
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