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
From a short review of these facts, reason and humanity awake from their
long repose in medicine, and unite in proclaiming, that it is time to
take the cure of pestilential epidemics out of the hands of physicians,
and to place it in the hands of the people. Let not the reader startle at
this proposition. I shall give the following reasons for it.
1. In consequence of these diseases affecting a great number of people at
one time, it has always been, and always will be impossible, for them
_all_ to have the benefit of medical aid, more especially as the
proportion of physicians to the number of sick, is generally diminished
upon these occasions, by desertion, sickness, and death.
2. The safety of committing to the people the cure of pestilential
fevers, particularly the yellow fever and the plague, is established by
the simplicity and uniformity of their causes, and of their remedies.
However diversified they may be in their symptoms, the system, in both
diseases, is generally under a state of undue excitement or great
depression, and in most cases requires the abstraction of stimulus in a
greater or less degree, or in a sudden or gradual manner. There can never
be any danger of the people injuring themselves by mistaking any other
disease for an _epidemic_ yellow fever or plague, for no other febrile
disease can prevail with them. It was probably to prevent this mistake,
that the Benevolent Father of mankind, who has permitted no evil to exist
which does not carry its antidote along with it, originally imposed that
law upon all great and mortal epidemics.
3. The history of the yellow fever in the West-Indies proves the
advantage of trusting patients to their own judgment. Dr. Lind has
remarked, that a greater proportion of sailors who had no physicians
recovered from that fever, than of those who had the best medical
assistance. The fresh air of the deck of a ship, a purge of salt water,
and the free use of cold water, probably triumphed here over the cordial
juleps of physicians.
4. By committing the cure of this and other pestilential epidemics to the
people, all those circumstances which prevented the universal success of
purging and bleeding, in this disease, will have no operation. The fever
will be mild in most cases, for all will prepare themselves to receive
it, by a vegetable diet, and by moderate evacuations. The remedies will
be used the _moment_ the disease is felt, or even seen, and its violence
and danger will thereby be obviated. There will then be no disputes among
physicians, about the nature of the disease, to distract the public
mind, for they will seldom be consulted in it. None will suffer from
chronic debility induced by previous fatigue in attending the sick, nor
from the want of nurses, for few will be so ill as to require them, and
there will be no "foreboding" fears of death, or despair of recovery, to
invite an attack of the disease, or to ensure its mortality.
Public-domain text, read in full here on John Shaqi.
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