Whether it be yet ascertained by experiment that the quantity of
variolous matter inserted into the skin makes any difference with
respect to the subsequent mildness or violence of the disease, I
know not; but I have the strongest reason for supposing that if
either the punctures or incisions be made so deep as to go
through it and wound the adipose membrane, that the risk of
bringing on a violent disease is greatly increased. I have known
an inoculator whose practice was "to cut deep enough (to use his
own expression) to see a bit of fat." and there to lodge the
matter. The great number of bad cases, independent of
inflammations and abscesses on the arms, and the fatality which
attended this practice, was almost inconceivable; and I cannot
account for it on any other principle than that of the matter
being placed in this situation instead of the skin.
It was the practice of another, whom I well remember, to pinch up
a small portion of the skin on the arms of his patients and to
pass through it a needle, with a thread attached to it previously
dipped in variolous matter. The thread was lodged in the
perforated part, and consequently left in contact with the
cellular membrane. This practice was attended with the same ill
success as the former. Although it is very improbable that any
one would now inoculate in this rude way by design, yet these
observations may tend to place a double guard over the lancet,
when infants, whose skins are comparatively so very thin, fall
under the care of the inoculator.
A very respectable friend of mine, Dr. Hardwicke, of Sodbury, in
this county, inoculated great numbers of patients previous to the
introduction of the more modern method by Sutton, and with such
success that a fatal instance occurred as rarely as since that
method has been adopted. It was the doctor's practice to make as
slight an incision as possible upon the skin, and there to lodge
a thread saturated with the variolous matter. When his patients
became indisposed, agreeably to the custom then prevailing, they
were directed to go to bed and were kept moderately warm. Is it
not probable then that the success of the modern practice may
depend more upon the method of invariably depositing the virus in
or upon the skin, than on the subsequent treatment of the
disease?
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account