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
The termination of this fever in life and death was much more frequent on
the 3d, 5th, 7th, 9th, and 11th days, than is common in the mild
remitting fever. Where death occurred on the even days, it seemed to be
the effect of a violent paroxysm of the fever, or of great vigour of
constitution, or of the force of medicines which protracted some of the
motions of life beyond the close of the odd days which have been
mentioned.
I think I observed the fever to terminate on the third day more
frequently in August, and during the first ten days in September, than it
did after the weather became cool. In this it resembled the common
bilious remittents of our city, also the simple tertians described by Dr.
Cleghorn[31]. The danger seemed to be in proportion to the tendency of
the disease to a speedy crisis, hence more died in August in proportion
to the number who were affected than in September or October, when the
disease was left to itself. But, however strange after this remark it may
appear, the disease yielded to the remedies which finally subdued it more
speedily and certainly upon its first appearance in the city, than it did
two or three weeks afterwards.
[31] Diseases of Minorca, p. 185.
The disease continued for fifteen, twenty, and even thirty days in some
people. Its duration was much influenced by the weather, and by the use
or neglect of certain remedies (to be mentioned hereafter) in the first
stage of the disease.
It has been common with authors to divide the symptoms of this fever into
three different stages. The order I have pursued in the history of those
symptoms will render this division unnecessary. It will I hope be more
useful to divide the patients affected with the disease into three
classes.
The _first_ includes those in whom the stimulus of the miasmata produced
coma, languor, sighing, a disposition to syncope, and a weak or slow
pulse.
The _second_ includes those in whom the miasmata acted with less force,
producing great pain in the head, and other parts of the body; delirium,
vomiting, heat, thirst, and a quick, tense, or full pulse, with obvious
remissions or intermissions of the fever.
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