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
It is no objection to the truth of this remark, that malignant bilious
fevers sometimes appear upon the summits of hills, while their
declivities, and the vallies below, are exempted from them. The miasmata,
in all these cases, are arrested by those heights, and are always to be
traced to putrefaction and exhalation in their neighbourhood. Nor is it
any objection to the indissoluble connection between putrid exhalations
and the yellow fever, which has been mentioned, that the disease
sometimes appears in places remote from the source of miasmata in _time_
and _place_. The bilious pleurisies, which occur in the winter and
spring, after a sickly autumn, prove that they are retained in the body
for many months, and although they are sometimes limited in their extent
to a single house, and often to a village, a city, and the banks of a
creek or river, yet they are now and then carried to a much greater
distance. Mr. Lempriere, in his valuable Observations upon the Diseases
of the British Army in Jamaica, informs us, that Kingston is sometimes
rendered sickly by exhalations from a lagoon, which lies _nine_ miles to
the eastward of that town[34]. The greater or less distance, to which
miasmata are carried from the place where they are generated, appears to
depend upon their quantity, upon the force and duration of currents of
wind which act upon them, and upon their being more or less opposed by
rivers, woods, water, houses, wells, or mountains.
[34] Vol. i. p. 84.
3. It is destroyed, like its fraternal diseases, the common bilious and
intermitting fevers, by means of _long-continued_ and _heavy_ rains[35].
When rains are heavy, but of short duration, they suspend it only in warm
weather; but when they are succeeded by cold weather, they destroy all
the forms of bilious fever. The malignant tertians, described by Dr.
Cleghorn, always ceased about the autumnal equinox; for at that time,
says the doctor, "Rain falls in such torrents as to tear up trees by the
roots, carry away cattle, break down fences, and do considerable mischief
to the gardens and vineyards; but, after a long and scorching summer,
they are very acceptable and beneficial, for they mitigate the excessive
heat of the air, and give a check to epidemical diseases[36]." There are
facts, however, which would seem to contradict the assertion that
miasmata are suspended or destroyed by heavy rains. Dr. Lind, in his
Treatise upon the Diseases of Hot Climates, mentions instances in which
they suddenly created fevers. It is probable, in these cases the rains
may have had that effect, by disturbing the pellicle which time often
throws over the surface of stagnating pools of water, and putrid matters
on dry land. I was led to entertain this opinion by a fact mentioned in a
letter I received from Dr. Davidson, dated November 4th, 1794. "Being
ordered (says the doctor) up to Barbadoes, last November, upon service, I
found that the troops had suffered considerably by that formidable
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