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 small-pox, though a disease of less force than the plague, has often
chased it from Constantinople, probably from its being in a declining
state. But this exclusive prevalence of a single epidemic is not confined
to the plague and small-pox. Dr. Sydenham's writings are full of proofs
of the dominion of febrile diseases over each other. Hence, after
treating upon a symptomatic pleurisy which sometimes accompanied a slow
fever, in the year 1675, and which had probably been injudiciously
treated by some of those physicians who prescribe for the name of a
disease, he delivers the following aphorism: "Whoever, in the cure of
fevers, hath not always in view the constitution of the year, inasmuch as
it tends to produce some particular epidemic disease, and likewise to
reduce all the cotemporary diseases to its own form and likeness,
proceeds in an uncertain and fallacious way[34]." It appears further,
from the writings of this excellent physician, that where the monarchy of
a single disease was not immediately acknowledged, by a sudden retreat
of all cotemporary diseases, they were forced to do homage to it, by
wearing its livery. It would be easy to multiply proofs of this
assertion, from the numerous histories of epidemics which are to be found
in his works. I shall mention only one or two of them. A continual fever,
accompanied by a dry skin, had prevailed for some time in the city of
London. During the continuance of this fever, the regular small-pox made
its appearance. It is peculiar to the small-pox, when of a distinct
nature, to be attended by irregular sweats before the eruption of the
pock. The continual fever now put on a new symptom. It was attended by
sweats in its first stage, exactly like those which attended the eruptive
fever of the small-pox[35]. This despotism of a powerful epidemic
extended itself to the most trifling indispositions. It even blended
itself, Dr. Sydenham tells us, with the commotions excited in the system
by the suppression of the lochia, as well as with the common puerperile
fever[36]. Dr. Morton has left testimonies behind him, in different parts
of his works, which establish, in the most ample manner, the truth of Dr.
Sydenham's observations. Dr. Huxham describes the small-pox as blending
some of its symptoms with those of a slow fever, at Plymouth, in the year
1729[37]. Dr. Cleghorn mentions a constitution of the air at Minorca, so
highly inflammatory, "that not only tertian fevers, but even a common
hurt or bruise required more plentiful evacuations than ordinary[38]."
Riverius informs us, in his history of a pestilential fever that
prevailed in France, that "it united itself with phrenitis, angina,
pleurisy, peripneumony, hepatitis, dysentery, and many other
diseases[39]."
[34] Vol. i. p. 340.
[35] Vol. i. p. 352.
[36] Vol. ii. p. 164. See also p. 1, 109, 122, 204, 212, 233, 274, 355,
358-9, and 436.
[37] De Aere et Morb. Epidem. p. 33, 34.
[38] Page 285.
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