An inaugural dissertation on the influenza : submitted to the examination of the Rev. John Ewing, S.T.P. provost ; the trustees and medical professors of the University of Pennsylvania, in order to obtain the degree of Doctor of Medicine, on the eighth day of May A.D. 1793 / by Robert Johnston, of Philadelphia, member of the American Medical Society.
- Johnston, Robert, 1750-1808
- Date:
- MDCCXCIII [1793]
Licence: Public Domain Mark
Credit: An inaugural dissertation on the influenza : submitted to the examination of the Rev. John Ewing, S.T.P. provost ; the trustees and medical professors of the University of Pennsylvania, in order to obtain the degree of Doctor of Medicine, on the eighth day of May A.D. 1793 / by Robert Johnston, of Philadelphia, member of the American Medical Society. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![[ 19 3 ind general ones often relieve particular parts, it may be moft proper to omit diftinctions of this kind, and premife one univcrfal rule by which the indications of cure are to be governed, viz. Thefeafun of theyear, we fiate of thefyfiem, and the fymptoms prcfaJ- i. BLOOD-LETTING is a proper and fpeedy re- medy to take down the phlogiftic diathefis, and may be either partial or general, according as the fymptoms indi- cate- The pulfe, though it may aflift in determining the quantity of blood which mould be drawn,and the frequen- cy of the operation, it can by tp mean,s be allowed to direct us altogether in the ufe of this valuable remer <ly(43). From the great difpofition which this fever difcovered to degenerate into Typhus(44), we mould be cautious in the ufe of the lancet, and all thingselfe be- ing equal, bleed lefs freely in the fpring than in the fall of the year. 2. CATHARTICS, or purging medicines, are no doubt neceffary, particularly if the patient be afflicted with a violent head-ach, a throbbing of the temporal ar- teries, much cough, conftipation of the bowels, accompa- nied with a tenfe pulfe : but as medicines of this kind debilitate the fyftem confiderably by a Jingle operation, if (4;) Where there is juft reafon to fear a contagious malig- nity in a fever, we mould proceed with the utmoft caution as to repeated bleeding. Huxham on fevers, page 238. See the 1 ft vol. of the Med. Commun. p. 75. Notwithstanding this epidemic [the influenza of 1789] was vifibly of an mfiamniatoiy kind it would not with us, admit of what is called the antiphlo- eiftic plan. Currie on the Difeafes of America, page 323: and at page 163, li Several were benefited by bleeding ; but in ge- neral the patients recovered fooner when it was omitted, ex- cept when pneumonic fymptoms ; filch as acute pain, and a full or hard pulfe indicated it.' .«,. • (44) In the courfe of the dilcafb there frequently appeared unequivocal Ggns of a putrid tendency. Med. Commun. Vol. K page 8o»](https://iiif.wellcomecollection.org/image/b21133852_0035.jp2/full/800%2C/0/default.jpg)
