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
After this consultation I was soon able to trace all the cases of fever
which I have mentioned to this source. Dr. Hodge lived a few doors above
Mr. Le Maigre's, where his child had been exposed to the exhalation from
the coffee for several days. Mrs. Bradford had spent an afternoon in a
house directly opposite to the wharf and dock on which the putrid coffee
had emitted its noxious effluvia, a few days before her sickness, and had
been much incommoded by it. Her sister, Mrs. Leaming, had visited her
during her illness at her house, which was about two hundred yards from
the infected wharf. Young Mr. M'Nair and Mrs. Palmer's two sons had spent
whole days in a compting house near where the coffee was exposed, and
each of them had complained of having been made sick by its offensive
smell, and Mr. Aston had frequently been in Water-street near the source
of the exhalation.
This discovery of the malignity, extent, and origin of a fever which I
knew to be attended with great danger and mortality, gave me great pain.
I did not hesitate to name it the _bilious remitting yellow fever_. I had
once seen it epidemic in Philadelphia, in the year 1762. Its symptoms
were among the first impressions which diseases made upon my mind. I had
recorded some of these symptoms, as well as its mortality. I shall here
introduce a short account of it, from a note book which I kept during my
apprenticeship.
"In the year 1762, in the months of August, September, October, November,
and December, the bilious yellow fever prevailed in Philadelphia, after a
_very hot summer_, and spread like a plague, carrying off daily, for some
time, upwards of twenty persons.
"The patients were generally seized with rigours, which were succeeded
with a violent fever, and pains in the head and back. The pulse was full,
and sometimes irregular. The eyes were inflamed, and had a yellowish
cast, and a vomiting almost always attended.
"The 3d, 5th, and 7th days were mostly critical, and the disease
generally terminated on one of them, in life or death.
"An eruption on the 3d or 7th day over the body proved salutary.
"An excessive heat and burning about the region of the liver, with cold
extremities, portended death to be at hand."
I have taken notice, in my note book, of the principal remedy which was
prescribed in this fever by my preceptor in medicine, but this shall be
mentioned hereafter.
Public-domain text, read in full here on John Shaqi.
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