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 the view I have given of the state of the blood-vessels in fever,
the reader will perceive the difference between my opinions and Dr.
Brown's upon this subject. The doctor supposes a fever to consist in
debility. I do not admit debility to be a disease, but place it wholly in
morbid excitement, invited and fixed by previous debility. He makes a
fever to consist in a change only of a _natural_ action of the
blood-vessels. I maintain that it consists in a _preternatural_ and
convulsive action of the blood-vessels. Lastly, Dr. Brown supposes
excitement and excitability to be _equally_ diffused over the whole body,
but in unhealthy proportions to each other. My theory places fever in
excitement and excitability _unequally_ diffused, manifesting themselves,
at the _same time_, in morbid actions, depression, and debility from
abstraction, in different parts of the body. No new excitement from
without is infused into the system by the irritants which excite a fever.
They only destroy its equal and natural distribution; for while the
arteries are in a plus, the muscles, stomach, and bowels are in a minus
state of excitement, and the business of medicine is to equalize it in
the cure of fever, that is, to abstract its excess from the
blood-vessels, and to restore it to the other parts of the body.
II. I come now to apply the theory which I have delivered to the
explanation and description of the different phenomena or states of
fever.
I have said in my sixth proposition that there is but one fever. Of
course I do not admit of its artificial division into genera and species.
A disease which so frequently changes its form and place, should never
have been designated, like plants and animals, by unchangeable
characters. The oak tree and the lion possess exactly the same properties
which they did nearly 6000 years ago. But who can say the same thing of
any one disease? The pulmonary consumption is sometimes transformed into
head-ach, rheumatism, diarrh[oe]a, and mania, in the course of two or
three months, or the same number of weeks. The bilious fever often
appears in the same person in the form of colic, dysentery, inflammation
of the liver, lungs, and brain, in the course of five or six days. The
hypochondriasis and the hysteria seldom fail to exchange their symptoms
twice in the four and twenty hours. Again: the oak tree has not united
with any of the trees of the forest, nor has the lion imparted his
specific qualities to any other animal. But who can apply similar remarks
to any one disease? Phrenitis, gastritis, enteritis, nephritis, and
rheumatism all appear at the same time in the gout and yellow fever. Many
observations of the same kind might be made, to show the disposition of
nearly all other diseases to anastomose with each other. To describe them
therefore by any fixed or specific characters is as impracticable as to
measure the dimensions of a cloud on a windy day, or to fix the component
Public-domain text, read in full here on John Shaqi.
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