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
"JOHN REDMAN, _President_.
"_November 26th, 1793._
"_To the governor of Pennsylvania._"
Dr. Redman, the president of the college, Dr. Foulke, and Dr. Leib,
dissented from the report contained in this letter. I have been
necessarily led to continue it in the present edition of this work, not
only because all the other members of that body still retain their belief
of the importation of the fever, but as a reason for republishing the
facts and arguments in support of its domestic origin.
I have asserted, in the introduction to the history of this fever, that I
believed it to have been generated in our city; I shall now deliver my
reasons for that belief.
1. The yellow fever in the West-Indies, and in all other countries where
it is endemic, is the offspring of vegetable putrefaction. Heat,
exercise, and intemperance in drinking (says Dr. Lind) _dispose_ to this
fever in hot climates, but they do not produce it without the concurrence
of a remote cause. This remote cause exists at all times, in some spots
of the islands, but in other parts even of the same islands, where there
are no marsh exhalations, the disease is unknown. I shall not waste a
moment in inquiring into the truth of Dr. Warren's account of the origin
of this fever. It is fully refuted by Dr. Hillary, and it is treated as
chimerical by Dr. Lind. They have very limited ideas of the history of
this fever who suppose it to be peculiar to the East or West-Indies. It
was admitted to have been generated in Cadiz after a hot and dry summer
in 1764, and in Pensacola in 1765[62]. The tertian fever of Minorca, when
it attacked Englishmen, put on the usual symptoms of the yellow
fever[63]. In short, this disease appears, according to Dr. Lind, in all
the southern parts of Europe, after hot and dry weather[64].
[62] Lind on the Diseases of Hot Climates, p. 36 and 124.
[63] Cleghorn, p. 176.
[64] Diseases of Hot Climates, p. 123.
2. The same causes (under like circumstances) must always produce the
same effects. There is nothing in the air of the West-Indies, above
other hot countries, which disposes it to produce a yellow fever. Similar
degrees of heat, acting upon dead and moist vegetable matters, are
capable of producing it, together with all its various modifications, in
every part of the world. In support of this opinion, I shall transcribe
part of a letter from Dr. Miller, formerly of the Delaware state, and now
of New-York.
"_Dover, Nov. 5, 1793._
"DEAR SIR,
Public-domain text, read in full here on John Shaqi.
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