The Present Method of Inoculating for the Small-Pox: To which are added, some experiments, instituted with a view to discover the effects of a similar treatment in the natural small-poxDimsdale, Thomas
History
The Present Method of Inoculating for the Small-Pox: To which are added, some experiments, instituted with a view to discover the effects of a similar treatment in the natural small-pox
Dimsdale, Thomas
Smallpox -- Vaccination -- Early works to 1800
This treatment indeed seems as hard at first to the patients, as it
must appear singular to the reader; but the effects are so salutary,
and so constantly confirmed by experience, and an easy progress through
every stage of the disease depends so much upon it, that I admit of no
exception, unless the weather be extremely severe, and the constitution
very delicate. And it is indisputably true, that in the few instances
where the symptoms of eruption have run very high, the patients
dreading any motion, and fearing the cold as the greatest evil, yet,
when under these circumstances, I have persuaded them to rise out of
bed, and go out of doors, though led sometimes by two assistants, and
have allowed them to drink as much cold water as they chose, they have
not suffered the least sinister accident: on the contrary, after
they have been prevailed on, although reluctantly, to comply with
these directions, they find their spirits revived; an inclination
for nourishment returns; they rest well; a gentle sweat succeeds,
accompanied with a favourable eruption; and the fever seems wholly to
be extinguished.
In general, the complaints in this state are very moderate, and
attended with so little illness, that the patient eats and sleeps well
the whole time: a few pustules appear, sometimes equally dispersed;
sometimes the inflammations on the arms spread, and are surrounded with
a few pustules, which gradually advance to maturity; during which time,
for the most part, the eruption proceeds kindly, and there is much more
difficulty to restrain the patients within due bounds, and prevent
their mixing with the public, and spreading the infection (which I
always endeavour to prevent) than there was at first to prevail upon
them to go abroad. During this time medicine is seldom wanted; the
cool air seems the best cordial; and if any uncommon languor happens,
a bason of small broth, or a glass of wine, is allowed in the day, or
some white-wine whey at bed time; which are indeed at any time allowed
to tender, aged, or weakly persons.
With these exceptions, they have hitherto been kept very scrupulously
to the diet at first directed. But after the eruption is completed, if
occasion requires, they are indulged in a little well-boiled meat of
the lightest kind, as chicken, veal, or mutton.
The regimen above-mentioned, the cooling alterative purges, and the
free use of cool air at the season of eruption, almost universally
prevent either alarming symptoms, or a large crop of pustules. A few
I have seen with such a quantity of pustules, though distinct, that I
have neither advised nor allowed them to go out of the house. But the
generality of my patients, when the eruptions are few, amuse themselves
abroad within proper limits, with the pustules out upon them.
Public-domain text, read in full here on John Shaqi.
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