Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
1. Dissolved blood. It occurs in the malignant states of fever. I have
seen it several times in the pleurisy, and have once heard of it in a
case of gout. I have ascribed this decomposition of the blood to such a
violent degree of action in the blood-vessels, as to dispose them to a
paralytic state. It is generally considered as a signal to lay aside the
lancet. If it occur in the _first stage_ of a fever, it indicates a very
opposite practice. By repeated bleedings, the vessels recover their
natural action, and the blood becomes _reduced_ to its original texture.
Of this I have had frequent experience, since the year 1793. It required
three successive bleedings to restore the blood from a dissolved, to a
coagulable state, in Mr. Benton. It afterwards became very sizy. If this
dissolved blood appear towards the close of a malignant fever, no other
benefit than the protraction of life for a day or two, or an easy death,
can be expected from repeating the bleeding, even though it be indicated
by a tense pulse; for the viscera are generally so much choaked by the
continuance of violent action in the blood-vessels, that they are seldom
able to discharge the blood which distends them, into the cavity in the
vessels, which is created by the abstraction of blood from a vein. There
is some variety in the appearance of this state of the blood, which
indicates more or less violent pressure upon the blood-vessels. It
threatens most danger to life when it resembles molasses in its
consistence. The danger is less when the part which is dissolved occupies
the bottom of the bowl, and when its surface is covered with a sizy
pellicle or coat.
Does not the restoration of the blood from its disorganized state, by
means of bleeding, suggest an idea of a similar change being practicable
in the solids, when they are disorganized by disease? And are we not led
hereby to an animating view of the extent and power of medicine?
2. Blood of a scarlet colour, without any separation into crassamentum or
serum, indicates a second degree of morbid action. It occurs likewise in
the malignant state of fever. It is called improperly dense blood. It
occurs in old people.
3. Blood in which part of the crassamentum is dissolved in the serum,
forming a resemblance to what is called the lotura carnium, or the
washings of flesh in water.
4. Crassamentum sinking to the bottom of a bowl in yellow serum.
5. Crassamentum floating in serum, which is at first turbid, but which
afterwards becomes yellow and transparent, by depositing certain red and
fiery particles of the blood in the bottom of the bowl.
Public-domain text, read in full here on John Shaqi.
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