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 where flight is not enforced by law, or where it is not practicable,
or preferred, safety should be sought for in such means as reduce the
preternatural tone and fulness induced in the blood-vessels by the
stimulus of the miasmata, and the suppression of customary secretions.
These are,
1. A diet, accommodated to the greater or less exposure of the body to
the action of miasmata, and to the greater or less degrees of labour, or
exercise, which are taken. In cases of great exposure to an infected
atmosphere, with but little exercise, the diet should be simple in its
quality, and small in its quantity. Fresh meats and wine should be
avoided. A little salted meat, and Cayenne pepper with vegetables,
prevent an undue languor of the stomach, from the want of its usual
cordial aliments. The less mortality of the yellow fever in the French
and Spanish West-India islands than in the British, has been justly
attributed to the more temperate habits of the natives of France and
Spain. The Bramins, who live wholly upon vegetables, escape the malignant
fevers of India, while whole regiments of Europeans, who eat animal food,
die in their neighbourhood. The people of Minorca, Dr. Cleghorn says, who
reside near gardens, and live chiefly upon fruit during the summer,
escape the violent autumnal fever of that island. The field negroes of
South-Carolina owe their exemption from bilious fevers to their living
chiefly upon vegetables. There is a fact which shows, that not only
temperance, but abstinence bordering upon famine, has afforded a
protection from malignant fevers. In a letter which I received a few
months ago, from the Rev. Thomas Hall, chaplain to the British factory at
Leghorn, containing an account of the yellow fever which prevailed in
that city, in the summer and autumn of 1804, there is the following
communication. "Of the _rich_, who live in large airy houses, there died
but four persons with the fever. Of the _commodious_, who live
comfortably, but not affluently, there died ten. Of the _poor_, who
inhabited small and crowded rooms, in the dirty and confined parts of the
city, there died nearly seven hundred. But of the _beggars_, who had
scarcely any thing to eat, and who slept half naked every night upon hard
pavements, not one died." From the reduced and exhausted state of the
system in these people, they were incapable, if I may be allowed the
expression, of the combustion of fever. Persons reduced by chronic
diseases, in like manner, often escape such as are acute. Six French
ships of the line landed 300 sick, at St. Domingo, while the yellow fever
prevailed there in the year 1745, and yet no one of them was infected by
it[15].
[15] Desportes, vol. i. p. 140.
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