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
In this case the inoculated part shews early certain marks of
infection, sometimes on the very next day, or the day after, when
the incision will often appear considerably inflamed and elevated.
The patient about this time frequently makes some of the following
complaints, viz. chillness, itchings, and small pricking pains in the
part, and sometimes on the shoulder, giddiness, drowsiness, and a
slight head-ach, sometimes attended with a feverish heat, but often
without any: the account they themselves give of their feelings, is,
in some, as if they had drank too much, and in others, as if they had
caught a cold. These complaints seldom last twenty-four hours, often
not so long, and with frequent remissions, and never, that I remember,
rise to a degree that requires confinement. The inflammation on the arm
at the time of the complaints, advances apace, and feels hard to the
touch; but upon their wearing off, the inflamed appearances gradually
lessen, and the part dries to a common small scab; the skin that was
before red, turns livid, and the party is quite well, and nothing more
heard of the distemper[2]. In some instances these symptoms attack much
later; even on the seventh or eighth day, when an eruption might be
expected in consequence of them, yet none appears; but the arm gets
well very soon, and the disease is at an end.
[2] See Case I.-XII.
In this irregular sort of the disorder there have, however, been
some examples where a few eruptions have appeared, and probably in
consequence of the inoculation; yet the pustules have not looked like
the true pocks, nor maturated like them, nor lasted longer than three
days; about which time they, for the most part, have dried away.
As I find it difficult to describe the variety and irregularity of
symptoms that occur in this short way of having the distemper, I will
give some cases, by way of illustrating the matter more to the reader’s
satisfaction.
When subjects of this sort first occurred in my practice, I was in
doubt whether they were quite secure from any future attacks of
the distemper; and in order to try whether they were so or not, I
inoculated them a second time, and caused them to associate with
persons in every stage of the disease, and to try all other means of
catching the infection; and this method has been practised with the
generality of such patients ever since, yet without a single instance
of its producing any disorder: so that I now make no scruple of
pronouncing them perfectly safe; and experience has enabled me, for the
most part, to foretell, in two or three days after the operation, when
the disease will pass in this slight manner.
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