Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author — John Shaqi
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
[3] Perhaps there is no greater enemy to the life of man than cold.
Dr. Sydenham ascribes nearly all fevers to it, particularly to
leaving off winter clothes too soon, and to exposing the body to
cold after it has been heated. These sources of fever, he adds,
destroy more than the plague, sword, or famine.--_Wallis's edition,
vol. I. p. 357._
To this proposition there is a seeming objection. Cold, sleep, immoderate
evacuations, and the debilitating passions of grief and fear (all of
which abstract excitement) appear to induce fever without the
interposition of a stimulus. In all these cases, the _sudden_ abstraction
of excitement destroys the equilibrium of the system, by which means the
blood is diverted from its natural channels, and by acting with
preternatural force in its new directions, becomes an irritant to the
blood-vessels, and thus a stimulating and exciting cause of fever. When
it is induced by cold alone, it is probable so much of the perspirable
matter may be retained as to co-operate, by its irritating qualities, in
exciting the fever.
VI. There is but one fever. However different the predisposing, remote,
or exciting causes of fever may be, whether debility from abstraction or
action, whether heat or cold succeeding to each other, whether marsh or
human miasmata, whether intemperance, a fright, or a fall, still I
repeat, there can be but one fever. I found this proposition upon all the
supposed variety of fevers having but one proximate cause. Thus fire is a
unit, whether it be produced by friction, percussion, electricity,
fermentation, or by a piece of wood or coal in a state of inflammation.
VII. All ordinary fever being seated in the blood-vessels, it follows, of
course, that all those local affections we call pleurisy, angina,
phrenitis, internal dropsy of the brain, pulmonary consumption, and
inflammation of the liver, stomach, bowels, and limbs, are symptoms only
of an original and primary disease in the sanguiferous system. The truth
of this proposition is obvious from the above local affections
succeeding primary fever, and from their alternating so frequently with
each other. I except from this remark those cases of primary affections
of the viscera which are produced by local injuries, and which, after a
while, bring the whole sanguiferous system into sympathy. These cases are
uncommon, amounting, probably, to not more than one in a hundred of all
the cases of local affection which occur in general fever.
In my 4th proposition I have called the action of the arteries
_irregular_ in fever, to distinguish it from that excess of action which
takes place after violent exercise, and from that quickness which
accompanies fear or any other directly debilitating cause. The action of
the arteries here is _regular_, and, when felt in the pulse, affords a
very different sensation from that _jerking_ which we feel in the pulse
of a patient labouring under a fever.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account