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 has been common to charge the friends of blood-letting with _temerity_
in their practice. From this view which has been given of it, it appears,
that it would be more proper to ascribe _timidity_ to them, for they
bleed to prevent the offensive and distressing consequences of neglecting
it, which have been mentioned.
21. It cures, without permitting a fever to put on those alarming
symptoms, which excite constant apprehensions of danger and death, in the
minds of patients and their friends. It is because these alarming
symptoms are prevented, by bleeding, that patients are sometimes
unwilling to believe they have been cured by it, of a malignant fever.
Thus, the Syrian leper of old, viewed the water of Jordan as too simple
and too common to cure a formidable disease, without recollecting that
the remedies for the greatest evils of life are all simple, and within
the power of the greatest part of mankind.
22. It prepares the way for the successful use of the bark and other
tonic remedies, by destroying, or so far weakening, a morbid action in
the blood-vessels, that a medicine of a moderate stimulus afterwards
exceeds it in force, and thereby restores equable and healthy action to
the system.
23. Bleeding prevents relapses. It, moreover, prevents that
predisposition to the intermitting and pleuritic states of fever, which
so frequently attack persons in the spring, who have had the bilious
remitting fever in the preceding autumn.
But great and numerous as the advantages of blood-letting are in fevers,
there have been many objections to it. I shall briefly enumerate, and
endeavour to refute the errors upon this subject.
Blood-letting has been forbidden by physicians, by the following
circumstances, and states of the system.
1. By warm weather. Galen bled in a plague, and Aræteus in a bilious
fever, in a warm climate. Dr. Sydenham and Dr. Hillary inform us, that
the most inflammatory fevers occur in, and succeed hot weather. Dr.
Cleghorn prescribed it copiously in the warm months, in Minorca. Dr.
Mosely cured the yellow fever by this remedy, in Jamaica. Dr. Broadbelt,
and Dr. Weston, in the same island, have lately adopted his successful
practice. Dr. Desportes speaks in the highest terms of it in all the
inflammatory diseases of St. Domingo. He complains of the neglect of it
in the rheumatism, in consequence of which, he says, the disease produces
abscesses in the lungs[49]. I have never, in any year of my practice,
been restrained by the heat of summer in the use of the lancet, where the
pulse has indicated it to be necessary, and have always found the same
advantages from it, as when I have prescribed it in the winter or spring
months.
[49] Page 35.
Public-domain text, read in full here on John Shaqi.
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