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
If there has been much sickness at stomach, a vomiting frequently
happens soon after the pill: this the patients should promote by
drinking plentifully of some warm diluents; and till the fatigue
occasioned by it is over, they certainly ought not to go abroad.
By this operation, and the stools which succeed, the feverish and
internal heat, the thirst, sickness, and pains, are for the most part
considerably abated. The patients commonly complain of being very
low and faint after these evacuations; but the most urgent symptoms
being alleviated thereby, a disposition to receive nourishment hourly
increases. They are then allowed to drink thin mutton or chicken broth,
milk pottage, or tea, as the most grateful and refreshing cordial
sustenance they can take. Sleep likewise now most commonly comes on
spontaneously. But they are permitted to enjoy this refreshment by day
upon the bed only; for I always dissuade them from going into it till
night.
From the foregoing account it appears, that the fever preceding
eruption, and the most grievous symptoms accompanying it, are often
greatly mitigated by this practice; and I will here add, that the
eruption is most certainly retarded, that is, it does not appear so
soon after the attack of the disease, nor come out so precipitately
when it has begun to appear, as it seemed likely to have done if the
natural progress had not been interrupted; an effect, which, however
dangerous it may have been thought, may be produced with the utmost
safety, and clearly shews the utility of the practice. For it is
evident from experience, that the later the eruption shews itself
after the beginning of the disease, and the slower it comes out, the
more mild and favourable is the subsequent disorder. And I am of
opinion, that the eruption is not only retarded and protracted by this
method, but likewise that it is in some degree repressed; having had
strong reasons to apprehend, in several instances, that the number of
pustules, which appeared at first, were by such repression actually
diminished; and those that remained seemed larger, and of a milder kind.
What has hitherto been said on the subject, relates only to the disease
in its eruptive state, which is certainly a very interesting period;
but that which follows is not less so, though not always attended
to so much as it deserves: for when the eruption is completed, the
symptoms abate, the patients seem relieved, and often to such a degree,
that both they, and their attendants, flatter themselves with hopes
of a happy event, and think it unnecessary to apply for any medical
assistance; yet with all these hopeful appearances, the number and
kind of the small-pox are frequently such, as would make a judicious
practitioner apprehensive of much danger in the subsequent stages.
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