Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
History
Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
It is to no purpose to say, the presence of the peculiar matter which
constitutes an inflammatory or malignant state of the air has not been
detected by any chemical agents. The same thing has been justly said of
the exhalations which produce the bilious intermitting, remitting, and
yellow fever. No experiment that has yet been made, has discovered their
presence in the air. The eudiometer has been used in vain for this
purpose. In one experiment made by Dr. Gattani, the air from a marsh at
the mouth of the river Vateline was found to be apparently purer by two
degrees than the air on a neighbouring mountain, which was 2880 feet
higher than the sea. The inhabitants of the mountain were notwithstanding
healthy, while those who lived in the neighbourhood of the marsh were
annually afflicted with bilious and intermitting fevers[44]. The
contagions of the small-pox and measles consist of matter, and yet who
has ever discovered this matter in the air? We infer the existence of
those remote causes of diseases in the atmosphere only from their
effects. Of the existence of putrid exhalations in it, there are other
evidences besides bilious and yellow fevers. They are sometimes the
objects of the sense of smelling. We see them in the pale or sallow
complexions of the inhabitants of the countries which generate them, and
we observe them occasionally in the diseases of several domestic animals.
The most frequent of these diseases are inflammation, tubercles, and
ulcers in the liver. Dr. Cleghorn describes a diseased state of that
viscus in cattle, in an unhealthy part of the island of Minorca. Dr.
Grainger takes notice of several morbid appearances in the livers of
domestic animals in Holland, in the year 1743. But the United States have
furnished facts to illustrate the truth of this remark. Mr. James
Wardrobe, near Richmond, in Virginia, informed me, that in August, 1794,
at a time when bilious fevers were prevalent in his neighbourhood, his
cattle were seized with a disease, which, I said formerly, is known by
the name of the yellow water, and which appears to be a true yellow
fever. They were attacked with a staggering. Their eyes were muddy, or
ferocious. A costiveness attended in all cases. It killed in two days.
Fifty-two of his cattle perished by it. Upon opening the bodies of
several of them, he found the liver swelled and ulcerated. The blood was
dissolved in the veins. In the bladder of one of them, he found thirteen
pints of blood and water. Similar appearances were observed in the livers
of sheep in the neighbourhood of Cadiz, in the year 1799, during the
prevalence of the yellow fever in that city. They were considered as such
unequivocal marks of an unwholesome atmosphere among the ancients, that
they examined the livers of domestic animals, in order to determine on
the healthy or unhealthy situation of the spot on which they wished to
live.
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