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
The system of Dr. Boerhaave then governed the practice of every physician
in Philadelphia. Of course diseases were ascribed to morbid acrimonies,
and other matters in the blood, and the practice of those years was
influenced by a belief in them. Medicines were prescribed to thin, and to
incrassate the blood, and diet drinks were administered in large
quantities, in order to alter its qualities. Great reliance was placed
upon the powers of nature, and critical days were expected with
solicitude, in order to observe the discharge of the morbid cause of
fevers from the system. This matter was looked for chiefly in the urine,
and glasses to retain it were a necessary part of the furniture of every
sick room. To ensure the discharge of the supposed morbid matter of
fevers through the pores, patients were confined to their beds, and
fresh, with cool air, often excluded by close doors and curtains. The
medicines to promote sweats were generally of a feeble nature. The
spiritus mindereri, and the spirit of sweet nitre were in daily use for
that purpose. In dangerous cases, saffron and Virginia snake-root were
added to them.
Blood-letting was used plentifully in pleurisies and rheumatisms, but
sparingly in all other diseases. Blood was often drawn from the feet, in
order to excite a revulsion of disease from the superior parts of the
body. It was considered as unsafe, at that time, to bleed during the
monthly disease of the female sex.
Purges or vomits began the cure of all febrile diseases, but as the
principal dependence was placed upon sweating medicines, those powerful
remedies were seldom repeated in the subsequent stages of fevers. To this
remark there was a general exception in the yellow fever of 1762. Small
doses of glauber's salts were given every day after bleeding, so as to
promote a gentle, but constant discharge from the bowels.
The bark was administered freely in intermittents. The prejudices against
it at that time were so general among the common people, that it was
often necessary to disguise it. An opinion prevailed among them, that it
lay in their bones, and that it disposed them to take cold. It was seldom
given in the low and gangrenous states of fever, when they were not
attended with remissions.
The use of opium was confined chiefly to ease pain, to compose a cough,
and to restrain preternatural discharges from the body. Such were the
prejudices against it, that it was often necessary to conceal it in other
medicines. It was rarely taken without the advice of a physician.
Public-domain text, read in full here on John Shaqi.
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