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 shall here refer the reader to the principles laid down in the outlines
of the theory of fever, for an account of the manner in which the system
was predisposed to this disease, by the debility induced by the reduction
of its excitement, by action and abstraction, and by subsequent
depression. Where a predisposition was thus produced, the fever was
excited by the following causes, acting directly or indirectly upon the
system. Where this predisposition did not exist, the exciting causes
produced both the predisposition and the disease. They were,
1. _Great labour_, or exercises of body or mind, in walking, riding,
watching, or the like. It was labour which excited the disease so
universally among the lower class of people. A long walk often induced
it. Few escaped it after a day, or even a few hours spent in gunning. A
hard trotting horse brought it on two of my patients. Perhaps riding on
horseback, and in the sun, was the exciting cause of the disease in most
of the citizens and strangers who were affected by it in their flight
from the city. A fall excited it in a girl, and a stroke upon the head
excited it in a young man who came under my care. Many people were seized
with the disease in consequence of their exertions on the night of the
7th of September, in extinguishing the fire which consumed Mr. Dobson's
printing-office, and even the less violent exercise of working the fire
engines, for the purpose of laying the dust in the streets, added
frequently to the number of the sick.
2. _Heat_, from every cause, but more especially the heat of the sun, was
a very common exciting cause of the disease. The register of the weather
during the latter end of August, the whole of September, and the first
two weeks in October will show how much the heat of the sun must have
contributed to excite the disease, more especially among labouring
people. The heat of common fires likewise became a frequent cause of the
activity of the miasmata where they had been received into the body;
hence the greater mortality of the disease among bakers, blacksmiths, and
hatters than among any other class of people.
3. _Intemperance_ in eating or drinking. A plentiful meal, and a few
extra glasses of wine seldom failed of exciting the fever. But where the
body was strongly impregnated with the seeds of the disease, even the
smallest deviation from the customary stimulus of diet, in respect to
quality or quantity, roused them into action. A supper of twelve oysters
in one, and of but three in another, of my patients produced the disease.
Half an ounce of meat excited it in a lady who had lived, by my advice,
for two weeks upon milk and vegetables, and even a supper of sallad,
dressed after the French fashion, excited it in one of Dr. Mease's
patients.
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