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
2. By the habits of the persons who are most subject to such fevers.
3. By the theory of fever. I have attempted to prove that the higher
grades of fever depend upon morbid and excessive action in the
blood-vessels. It is connected, of course, with preternatural sensibility
in their muscular fibres. The blood is the most powerful irritant which
acts upon them. By abstracting a part of it, we lessen the principal
cause of the fever. The effect of blood-letting is as immediate and
natural in removing fever, as the abstraction of a particle of sand is,
to cure an inflammation of the eye, when it arises from that cause.
4. By the symptoms of the first stage of violent fevers, such as a
sleepiness and an oppressed pulse, or by delirium, with a throbbing
pulse, and great pains in every part of the body.
5. By the rupture of the blood-vessels, which takes place from the
quantity or impetus of the blood in fevers of great morbid action. Let no
one call bleeding a cruel or unnatural remedy. It is one of the specifics
of nature; but in the use of it she seldom affords much relief. She
frequently pours the stimulating and oppressing mass of blood into the
lungs and brain; and when she finds an outlet for it through the nose, it
is discharged either in such a deficient or excessive quantity, as to be
useless or hurtful. By artificial blood-letting, we can choose the _time_
and _place_ of drawing blood, and we may regulate its quantity by the
degrees of action in the blood-vessels. The disposition of nature to cure
violent morbid action by depletion, is further manifested by her
substituting, in the room of blood-letting, large, but less safe and less
beneficial, evacuations from the stomach and bowels.
6. By the relief which is obtained in fevers of violent action by
remedies of less efficacy (to be mentioned hereafter), which act
indirectly in reducing the force of the sanguiferous system.
7. By the immense advantages which have attended the use of blood-letting
in violent fevers, when used at a proper time, and in a quantity suited
to the force of the disease. I shall briefly enumerate these advantages.
1. It frequently strangles a fever, when used in its forming state, and
thereby saves much pain, time, and expence to a patient.
2. It imparts strength to the body, by removing the depression which is
induced by the remote cause of the fever. It moreover obviates a
disposition to faint, which arises from this state of the system.
3. It reduces the uncommon frequency of the pulse. The loss of ten ounces
of blood reduced Miss Sally Eyre's pulse from 176 strokes to 140, in a
few minutes, in the fever of the year 1794. Dr. Gordon mentions many
similar instances of its reducing the frequency of the pulse, in the
puerperile fever.
4. It renders the pulse more frequent when it is preternaturally slow.
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