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
III. And last place, to mention the _misplaced_ states of fever. The term
is not a new one in medicine. The gout is said to be misplaced, when it
passes from the feet to the viscera. The periodical pains in the head,
eyes, ears, jaws, hips, and back, which occur in the sickly autumnal
months, and which impart no fulness, force, nor frequency to the pulse,
are all misplaced fevers. There are, besides these, many other local
morbid affections, which are less suspected of belonging to febrile
diseases. The nature of these states of fever may easily be understood,
by recollecting one of the laws of sensation, that is, that certain
impressions, which excite neither sensation nor motion in the part of the
body to which they are applied, excite both in another part. Thus worms,
which are not felt in the stomach or bowels, often produce a troublesome
sensation in the throat, and a stone, which is attended with no pain in
the bladder, produces a troublesome itching in the glans penis. In like
manner, the irritants which produce fever in ordinary cases pass through
the blood-vessels, and convey their usual morbid effects into a remote
part of the body which has been prepared to receive them by previous
debility. That this is the case, I infer further, from fevers being
called back from their misplaced or suffocated situations, by creating an
artificial debility in the arteries by the abstraction of blood. This is
often done in muscular convulsions, and in several diseases of the brain.
Under this class of fevers are included
27. The _chronic hepatic_ state of fever. The causes, symptoms, and
remedies of the liver disease of the East-Indies, as mentioned by Dr.
Girdlestone, all prove that it is nothing but a bilious fever translated
from the blood-vessels, and absorbed, or suffocated, as it were, in the
liver. This view of the chronic hepatitis is important, inasmuch as it
leads to the liberal use of all the remedies which cure bilious fever.
Gall stones and contusions now and then produce a hepatitis, but under no
other circumstances do I believe it ever exists, but as a symptom of
general or latent fever.
28. The hæmorrhoids are frequently a local disease, but they are
sometimes accompanied with pain, giddiness, chills, and an active pulse.
When these symptoms occur, it should be considered as a _hæmorrhoidal_
state of fever.
29. The opthalmia, when it occurs, as it frequently does in sickly
seasons, with a quick and tense pulse, and pains diffused over the whole
head, may properly be called an _opthalmic_ state of fever.
30. The tooth-ach, and
31. Ear-ach, when they arise from colds, and are attended with great
heat, a quick and tense pulse, and pains in the head, are _odontalgic_
and _otalgic_ states of fever.
32. The apthæ, from the pain and fever which attend them, are justly
entitled to the name of the _apthous_ state of fever.
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