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
The _thirst_ was moderate or absent in some cases, but it occurred in the
greatest number of persons whom I saw in this fever. Sometimes it was
very intense. One of my patients, who suffered by an excessive draught of
cold water, declared, just before he died, that "he could drink up the
Delaware." It was always an alarming symptom when this thirst came on in
this extravagant degree in the last stage of the disease. In the
beginning of the fever it generally abated upon the appearance of a moist
skin. Water was preferred to all other drinks.
The _appetite_ for food was impaired in this, as in all other fevers, but
it returned much sooner than is common after the patient began to
recover. Coffee was relished in the remissions of the fever, in every
stage of the disease. So keen was the appetite for solid, and more
especially for animal food, after the solution of the fever, that many
suffered from eating aliment that was improper from its quality or
quantity. There was a general disrelish for wine, but malt liquors were
frequently grateful to the taste.
Many people retained a relish for tobacco much longer after they were
attacked by this fever, and acquired a relish for it much sooner after
they began to recover, than are common in any other febrile disease. I
met with one case in which a man, who was so ill as to require two
bleedings, continued to chew tobacco through every stage of his fever.
The convalescence from this disease was marked, in some instances, by a
sudden revival of the venereal appetite. Several weddings took place in
the city between persons who had recovered from the fever. Twelve took
place among the convalescents in the hospital at Bush-hill. I wish I
could add that the passion of the sexes for each other, among those
subjects of public charity, was always gratified only in a lawful way.
Delicacy forbids a detail of the scenes of debauchery which were
practised near the hospital, in some of the tents which had been
appropriated for the reception of convalescents. It was not peculiar to
this fever to produce this morbid excitability of the venereal appetite.
It was produced in a much higher degree by the plague which raged in
Messina in the year 1743.
VII. The _lymphatic_ and _glandular system_ did not escape without some
signs of this disease. I met with three cases of swellings in the
inguinal, two in the parotid, and one in the cervical glands: all these
patients recovered without a suppuration of their swellings. They were
extremely painful in one case in which no redness or inflammation
appeared. In the others there was considerable inflammation and but
little pain.
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