Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author — John Shaqi
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
But few of the cases of yellow fever which have been mentioned came under
my care, but I saw a considerable number of fevers of a less violent
grade. They were the inflammatory, bilious, mild remitting, chronic, and
intermitting fevers, and the febricula. They appeared, in some instances,
distinct from each other, but they generally blended their symptoms in
their different stages. The yellow fever often came on in the mild form
of an intermittent, and even a febricula, and as often, after a single
paroxysm, ended in a mild remittent or chronic fever. When it appeared in
the latter form, it was frequently attended with a slow or low pulse, and
a vomiting and hiccup, such as attend in the yellow fever. This diversity
of symptoms, with which the summer and autumnal fever came on, made it
impossible to decide upon its type on the day of its attack. Having been
deceived in one instance, I made it a practice afterwards to watch every
case I was called to with double vigilance, lest it should contract a
malignant form in my hands, without my being prepared to meet it. Of the
five original and obvious cases of yellow fever to which I was called, I
saved none, for I saw but one of them before the last stage of the
disease. In many others, I have reason to believe I prevented that
malignant form of fever, by the early and liberal use of depleting
medicines. The practice of those physicians who attended most of the
persons who had the yellow fever, was much less successful than in our
former epidemics. I suspected at the time, and I was convinced
afterwards, that it was occasioned by relying exclusively upon bleeding,
purges, and mercury. The skin, in several of the cases which I saw, was
covered with moisture. This clearly pointed out nature's attempt to
relieve herself by sweating. Upon my mentioning this fact to the late Dr.
Pfeiffer, jun. he instantly adopted my opinion, and informed me, as a
reason for doing so, that he had heard of several whole families in the
Northern Liberties, where the disease prevailed most, who, by attacking
it in its forming state by profuse sweats, had cured themselves, without
the advice of a physician.
AN ACCOUNT
OF THE
_BILIOUS YELLOW FEVER_,
AS IT
APPEARED IN PHILADELPHIA,
IN 1803.
The weather in January was uniformly cold. On the 21st of the month, the
Delaware was completely frozen.
On the 4th of February there was a general thaw, attended with a storm of
hail, thunder, and lightning, which lasted about three quarters of an
hour. The diseases of both these winter months were catarrhs and bilious
pleurisies. The latter appeared in a tertian type. The pain in the side
was most sensible every other day.
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