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
While morbid excitement thus pervades generally or partially the
sanguiferous system, depression and debility are increased in the
alimentary canal, and in the nervous and muscular systems. In the
stomach, bowels, and muscles, this debility is occasioned by their
excitement being abstracted, and translated to the blood-vessels.
I shall now endeavour to illustrate the propositions which have been
delivered, by taking notice of the manner in which fevers are produced by
some of its most obvious and common causes.
Has the body been debilitated by exposure to the cold air? its
excitability is thereby increased, and heat acts upon it with an
accumulated force: hence the frequency of catarrhs, pleurisies, and other
inflammatory fevers in the spring, after a cold winter; and of bilious
remittents in the autumn, when warm days succeed to cold and damp
nights. These diseases are seldom felt for the first time in the open
air, but generally after the body has been exposed to cold, and
afterwards to the heat of a warm room or a warm bed. Mild intermittents
have frequently been observed to acquire an inflammatory type in the
Pennsylvania hospital, in the months of November and December, from the
heat of the stove rooms acting upon bodies previously debilitated and
rendered excitable by cold and disease.
Has there been an abstraction of heat by a sudden shifting of the wind
from the south-west to the north-west or north-east points of the
compass, or by a cold night succeeding to a warm day? a fever is thereby
frequently excited. These sources of fever occur every autumn in
Philadelphia. The miasmata which exist in the body at that time in a
harmless state, are excited into action, in a manner to be mentioned
presently, by the debility from cold, aided in the latter case by the
inaction of sleep, suddenly induced upon the system.
Again: has the body been _suddenly_ debilitated by labour or exercise?
its excitement is thereby diminished, but its excitability is increased
in such a manner that a full meal, or an intemperate glass of wine, if
taken _immediately_ after the fatigue is induced upon the body, excites a
fever: hence the frequency of fevers in persons upon their return from
hunting, surveying, long rides, or from a camp life.
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