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
Thus have I described the symptoms of this fever. From the history I have
given, it appears that it counterfeited nearly all the acute and chronic
forms of disease to which the human body is subject. An epitome, both of
its symptoms and its theory, is happily delivered by Dr. Sydenham, in the
following words. After describing the epidemic cough, pleurisy, and
peripneumony of 1675, he adds, "But in other epidemics, the symptoms are
so slight from the disturbance raised in the blood by the morbific
particles contained in the mass, that nature being in a manner
_oppressed_, is rendered unable to produce _regular_ symptoms that are
suitable to the disease; and almost all the phenomena that happen are
_irregular_, by reason of the entire _subversion_ of the animal economy;
in which case the fever is often _depressed_, which, of its own nature,
would be very high. Sometimes also fewer signs of a fever appear than the
nature of the disease requires, from a translation of the malignant
cause, either to the nervous system, or to some other parts of the body,
or to some of the juices not contained in the blood; whilst the morbific
matter is yet turgid[29]."
[29] Wallis's edition, vol. i. p. 344.
The disease ended in death in various ways. In some it was sudden; in
others it came on by gradual approaches. In some the last hours of life
were marked with great pain, and strong convulsions; but in many more,
death seemed to insinuate itself into the system, with all the gentleness
of natural sleep. Mr. Powell expired with a smile on his countenance. Dr.
Griffitts informed me that Dr. Johnson exhibited the same symptom in the
last hours of his life. This placid appearance of the countenance, in the
act of dying, was not new to me. It frequently occurs in diseases which
affect the brain and nerves. I lost a patient, in the year 1791, with the
gout, who not only smiled, but laughed, a few minutes before he expired.
I proceed now to mention some peculiarities of the fever, which could not
be brought in under any of the foregoing heads.
Public-domain text, read in full here on John Shaqi.
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