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
2. By similar appearances, with those which have been ascribed to
putrefaction, having been produced by lightning, by violent emotions of
the mind, by extreme pain, and by every thing else which induces sudden
and universal disorganization in the fluids and solids of the body. The
following facts clearly prove that the symptoms which have been supposed
to designate a putrid fever, are wholly the effect of mechanical action
in the blood-vessels, and are unconnected with the introduction of a
putrid ferment in the blood.
Hippocrates relates the case of a certain Antiphillus, in whom a putrid
bilious fever (as he calls it) was brought on by the application of a
caustic to a wound[6].
[6] Epidemics, book iv.
An acute pain in the eye, Dr. Physick informed me, produced the symptoms
of what is called a putrid fever, which terminated in death in five days,
in St. George's hospital, in the year 1789.
Dr. Baynard relates, upon the authority of a colonel Bampfield, that a
stag, which he had chased for some time, stopped at a brook of water in
order to drink. Soon afterwards it fell and expired. The colonel cut its
throat, and was surprised to perceive the blood which issued from it had
a putrid and offensive smell[7].
Dr. Desportes takes notice that a fish, which he calls a sucker, affected
the system nearly in the same manner as the miasmata of the yellow fever.
A distressing vomiting, a coldness of the extremities, and an absence of
pulse, were some of the symptoms produced by it, and an inflammation and
mortification of the stomach and bowels, were discovered after death to
be the effects of its violent operation.
Even opium, in large doses, sometimes produces by its powerful stimulus
the same symptoms which are produced by the stimulus of marsh miasmata.
These symptoms are a slow pulse, coma, a vomiting, cold sweats, a sallow
colour of the face, and a suppression of the discharges by the urinary
passages and bowels.
Error is often perpetuated by words. A belief in the putrefaction of the
blood has done great mischief in medicine. The evil is kept up, under the
influence of new theories, by the epithet putrid, which is still applied
to fever in all our medical books. For which reason I shall reject it
altogether hereafter, and substitute in its room.
[7] Treatise on the Cold Bath.
2. The _gangrenous_ state of fever; for what appear to some physicians to
be signs of putrefaction, are nothing but the issue of a violent
inflammation left in the hands of nature, or accelerated by stimulating
medicines. Thus the sun, when viewed at mid-day, appears to the naked
eye, from the excess of its splendour, to be a mass of darkness, instead
of an orb of light.
Public-domain text, read in full here on John Shaqi.
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