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
During the short visit paid to this city, in the year 1798, by Dr.
Borland, a respectable physician of the British army, he put into my
hands the following communication. "In the beginning of August, 1797, 109
Dutch artillery arrived at Port au Prince, in the Bangalore transport.
The florid appearance of the men, their cumbersome clothing, and the
season of the year, seemed all unfavourable omens of the melancholy fate
we presumed awaited them. It was, however, thought a favourable
opportunity, by Dr. Jackson and myself, to try what could be done in
warding off the fever. It was accordingly suggested to Monsieur
Conturier, the chief surgeon of the foreign troops, and the surgeon of
the regiment, that the whole detachment should be blooded freely, and
that, the morning after, a dose of physic should be administered to every
man. This was implicitly complied with, a day or two after, and at this
moment in which I write, although a period of four months has elapsed,
but two of that detachment have died, one of whom was in a dangerous
state when he landed. A success unparalleled during the war in St
Domingo! It is true, several have been attacked with the disease, but in
those the symptoms were less violent, and readily subsided by the use of
the lancet.
"The _crew_ of the Bangalore, on her arrival at Port au Prince, consisted
of twenty-eight men. With them no preventive plan was followed. In a very
few weeks eight died, and at present, of the original number, but
fourteen remain."
All these depleting remedies, whether used separately or together, induce
such an artificial debility in the system, as disposes it to vibrate more
readily under the impression of the miasmata. Thus the willow rises,
after bowing before a blast of wind, while the unyielding oak falls to
the ground by its side. It is from the similarity of the natural weakness
in the systems of women, in the West-Indies, with that which has been
induced by the artificial means that have been mentioned, that they so
generally escape the malignant endemic of the islands.
A second class of preventives of malignant fever are such as obviate the
internal action of miasmata, by exciting a general or partial
determination to the external surface of the body. These are,
1. The warm bath. I have known this grateful remedy used with success in
our city. It serves the treble purposes of keeping the skin clean, and
the pores open, and of defending what are called the vital organs from
disease, by inviting its remote cause to the external surface of the
body.
Public-domain text, read in full here on John Shaqi.
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