Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author — John Shaqi
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
I now enter upon a detail of some solitary cases of the epidemic, which
soon afterwards spread distress through our city, and terror throughout
the United States.
On the 5th of August, I was requested by Dr. Hodge to visit his child. I
found it ill with a fever of the bilious kind, which terminated (with a
yellow skin) in death on the 7th of the same month.
On the 6th of August, I was called to Mrs. Bradford, the wife of Mr.
Thomas Bradford. She had all the symptoms of a bilious remittent, but
they were so acute as to require two bleedings, and several successive
doses of physic. The last purge she took was a dose of calomel, which
operated plentifully. For several days after her recovery, her eyes and
face were of a yellow colour.
On the same day, I was called to the son of Mrs. M'Nair, who had been
seized violently with all the usual symptoms of a bilious fever. I purged
him plentifully with salts and cremor tartar, and took ten or twelve
ounces of blood from his arm. His symptoms appeared to yield to these
remedies; but on the 10th of the month a hæmorrhage from the nose came
on, and on the morning of the 12th he died.
On the 7th of this month I was called to visit Richard Palmer, a son of
Mrs. Palmer, in Chesnut-street. He had been indisposed for several days
with a sick stomach, and vomiting after eating. He now complained of a
fever and head-ach. I gave him the usual remedies for the bilious fever,
and he recovered in a few days. On the 15th day of the same month I was
sent for to visit his brother William, who was seized with all the
symptoms of the same disease. On the 5th day his head-ach became
extremely acute, and his pulse fell to sixty strokes in a minute. I
suspected congestion to have taken place in his brain, and ordered him to
lose eight ounces of blood. His pulse became more frequent, and less
tense after bleeding, and he recovered in a day or two afterwards.
On the 14th day of this month I was sent for to visit Mrs. Leaming, the
wife of Mr. Thomas Leaming. I suspected at first that she had the
influenza, but in a day or two her fever put on bilious symptoms. She was
affected with an uncommon disposition to faint. Her pulse was languid,
but _tense_. I took a few ounces of blood from her, and purged her with
salts and calomel. I afterwards gave her a small dose of laudanum which
disagreed with her. In my note book I find I have recorded that "she was
worse for it." I was led to make this remark by its being so very
uncommon for a person, who had been properly bled and purged, to take
laudanum in a common bilious fever without being benefited by it. She
recovered, however, slowly, and was yellow for many days afterwards.
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