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
But in order to do justice to this comparative view of the mortality
induced by the yellow fever in the year 1794, it will be necessary to
examine the bill of mortality of the succeeding year. By this it appears
that 2274 persons died in 1795, making 1139 more than died in 1794. The
greatness of this mortality, I well recollect, surprized many of the
citizens of Philadelphia, who had just passed an autumn which was not
unusually sickly, and who had forgotten the uncommon mortality of the
months of January, February, and March, which succeeded the autumn of
1794.
It will probably be asked, how it came to pass that I attended so many
more patients in this fever than any of my brethren. To this I answer,
that, since the year 1793, a great proportion of my patients have
consisted of strangers, and of the poor; and as they are more exposed to
the disease than other people, it follows, that of the persons affected
by the fever, a greater proportion must have fallen to my share as
patients, than to other physicians. My ability to attend a greater number
of patients than most of my brethren, was facilitated by my having, at
the time of the fever, several ingenious and active pupils, who assisted
me in visiting and prescribing for the sick. These pupils were, Ashton
Alexander and Nathaniel Potter (now physicians at Baltimore), John Otto
(now physician in Philadelphia), and Gilbert Watson (since dead of the
yellow fever).
The antiphlogistic remedies were not successful in Philadelphia, in the
yellow fever, in my hands alone. They were equally, and perhaps more so,
in the hands of my friends Dr. Griffitts, Dr. Physick, Dr. Dewees, and
Dr. Woodhouse.
They were moreover successful at the same time in New Haven, Baltimore,
and in Charleston, in South-Carolina. Eighteen out of twenty died of all
who took bark and wine in New-Haven, but only one in ten of those who
used the depleting medicines. In a letter from Dr. Brown, a physician of
eminence in Baltimore, dated November 27th, 1794, he says, "of the many
cases which fell to my care, two only proved mortal where I was called on
the first day of the disease, and had an uncontrouled opportunity to
follow my judgment. Where salivation took place, I had no case of
mortality; and in two of those cases, a black vomiting occurred." Dr.
Ramsay, of Charleston, in a letter to one of his friends in this city,
dated October 14th, 1794, subscribes to the efficacy of the same
practice in a fever which prevailed at that time in Charleston, and
which, he says, resembled the yellow fever of Philadelphia in the year
1793.
But the success of the depleting system was not confined to the United
States. In a letter before quoted, which I received from Dr. Davidson, of
St. Vincents, dated July 22d, 1794, there is the following testimony in
favour of evacuations from the blood-vessels, bowels, and salivary
glands:
Public-domain text, read in full here on John Shaqi.
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