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. It is induced by such an abstraction of natural stimuli as to reduce
the system _below_ its healthy grade of excitement, and thereby to induce
what Dr. Brown calls _direct_ debility, but what I shall call debility
from abstraction. This general debility is the same, whether brought on
by the former or the latter causes. When induced by the latter, the
system becomes more excitable than when induced by the former causes, and
hence an attack of fever is more frequently invited by it, than by that
state of debility which succeeds the application of an undue portion of
stimulating powers. To this there is an exception, and that is, when the
remote causes of fever act with so much force and rapidity as _suddenly_
to depress the system, without an intermediate elevation of it, and
before sufficient time is given to expend any part of its strength or
excitability, or to produce the debility of action. The system in this
state, is exactly similar to that which arises from a sudden reduction of
its healthy excitement, by the abstraction of stimuli. This debility from
abstraction, moreover, is upon a footing with the debility from action,
when it is of a _chronic_ nature. They both alike expend so much of the
quality or substance of excitability, as to leave the system in a state
in which irritants are seldom able to excite the commotions of fever, and
when they do, it is of a feeble nature, and hence we observe persons who
have been long exposed to debilitating causes of both kinds, often escape
fevers, while those who are _recently_ debilitated, are affected by them,
under the same circumstances of exposure to those causes.
That fevers are preceded by general debility I infer from their causes,
all of which act by reducing the excitement of the system, by the
abstraction of stimuli, or by their excessive or unusual application. The
causes which operate in the former way are,
1. Cold. This is universally acknowledged to be a predisposing cause of
fever. That it debilitates, I infer, 1. From the languor which is
observed in the inhabitants of cold countries, and from the weakness
which is felt in labour or exercise in cold weather. 2. From the effects
of experiments, which prove, that cold air and cold water lessen the
force and frequency of the pulse.
2. The debilitating passions of fear, grief, and despair.
3. All excessive evacuations, whether by the bowels, blood-vessels,
pores, or urinary passages.
4. Famine, or the abstraction of the usual quantity of nourishing food.
The causes which predispose to fever by the excessive or unusual
application of stimuli are,
1. Heat. Hence the greater frequency of fevers in warm climates, and in
warm weather.
2. Intemperance in eating and drinking.
3. Unusual labour or exercise.
4. Violent emotions, and stimulating passions of the mind.
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