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
A want of delicacy, in exposing parts of the body which are usually
covered, was a bad symptom. I saw but one recovery where it took place.
Boccacio says the same symptom occurred in the plague in Italy. "It
suspended (he tells us) all modesty, so that young women, of great rank
and delicacy, submitted to be attended, dressed, and even cleansed by
male nurses."
I have remarked, in another place, that but two of my patients recovered
who had the hiccup.
A dry tongue was a bad sign. I saw but one recovery where it occurred,
and none where the tongue was black. A moist and natural tongue, where
symptoms of violence or malignity appeared in other parts of the body,
was always followed by a fatal issue of the disease.
A desire to ride out, or to go home, in persons who were absent from
their families, was, in every instance where it took place, a fatal
symptom. These desires arose from an insensibility to pain, or a false
idea of the state of the disease. It existed to such a degree in some of
the patients in the city hospital, that they often left their beds, and
dressed themselves, in order to go home. All these patients died, and
some of them in the act of putting on their clothes.
From the history that has been given of the symptoms, treatment, and
prognosis of this fever, we see how imperfect all treatises upon
epidemics must be, which are not connected with climate and season. As
well might a traveller describe a foreign climate, by the state of the
weather, or by the productions of the earth, during a single autumn, as a
physician adopt a uniform opinion of the history, treatment, and
prognosis of a fever, from its phenomena in any one country, or during a
single season.
There were three modes of practice used in this epidemic. The first
consisted in the exhibition of purges of castor oil, salts, and manna,
and cooling glysters, and in the use of the warm bath. These remedies
were prescribed chiefly by the French physicians. The second consisted in
the use of mercury alone, in such doses, and in such a manner, as to
excite a salivation. This mode was used chiefly by an itinerant and
popular quack. The third mode consisted in using all the remedies which I
have mentioned in the account of the treatment of this fever, and
accommodating them to the state of the disease. This mode of practice was
followed by most of the American physicians.
The first mode of practice was the least successful. It succeeded only in
such cases as would probably have cured themselves.
The second mode succeeded in mild cases, and now and then in that
malignant state of the fever, in which the action of the blood-vessels
was so much prostrated by the force of the miasmata, as to permit the
mercury to pass over them, and thus to act upon the salivary glands in
the course of four or five days.
Public-domain text, read in full here on John Shaqi.
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