m " lllift 8ii& ARMY MEDICAL LIBRARY FOUNDED 1836 WASHINGTON, D.C. A SYLLABUS OF A 'f COURSE of LECTURES ON THE INSTITUTES and PRACTICE of MEDICINE, BY BENJAMIN RUSH,- M. D. PROFESSOR OF THE INSTITUTES OF MEDICINE AND OF CLINICAL PRACTICE IN THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA : . <^\ ■- PRINTED BY THOMAS tlT & AMU EL F. Br^lJ^ FORD, NO. 8, SOUTH FRONT-STREET. ^~°* 1798. 1348i A SYLLABUS OF PHYSIOLOGY. CHAP. I. INTRODUCTION. Of animal life. Of animal heat. Of refpiration. Of the caufes of coughing. fneezing. yawning. laughter and crying. Of voice and fpeech. Of the circulation of the blood. Of the nervous fyftem. Of impreflion, fenfation and motion. Of the fenfes. Of the faculties and operations of the mind. H oc/^fg' ( 4 ; Of pleafure as derived from the fenfes, and its proximate caufe. Of pleafure as derived from the exercifes of the mind, and its proximate caufe. Of fleep and dreams. CHAP. II. Of aliment. Of hunger. Of maflication. Of digeftion. Of the chyle. Of the blood. Of the la&eals and lymphatics. Of the fecretions and excretions. Of nutrition. ( 5 ) CHAP. III. Of the peculiarities of the male and fe- male body and mind. Of menftruation, generation, conception and parturition. Of the different ftages of life. Of health. Of the natural and artificial analyfis of the folids and fluids of the body. PATHOLOGY. CHAP. I. INTRODUCTION. Of difeafe and the origin of moral and na- tural evil. Of diforders and the difference between them and difeafe. Of the caufes of difeafes. Thefe are remote, predifpofing, occafi- onal and proximate. I. Of the remote caufes of difeafes. i. From the fenfible and infenfible qualities of the air. 2. Contagions. 3. Poifons. 4. Light and founds. 5. Aliments, condiments and drinks. ( 8 ) 6. Drefs. 7. Foreign matters introduced into the fyf- tem j fuch as, (A) Worms, (B) Anomalous fubftances taken into the alimentary canal, lungs, nofe and (kin. 8. Anomalous fubftances applied to the ex- ternal furface of the body. ♦ 9. Retained excretions. 10. Motion and reft, fleep and watchfulnefs in excefs. 11. Improper exercife of the faculties of the mind and of the venereal appetite. 12. Different fituations. 13. - - - - ftates of fociety. 14..... governments. 15. . . - . religions. 16..... employments. 17..... amufements. 18. Peculiar cuftoms. 19. Unhealthy anceftors. ( 9 ) 20. An injudicious confidence in the ope- i rations of nature, in falfe fyItems of medicine, and in quacks. 21. The imprudent o. habitual ufe of re- medies without, or by the advice of a phyfician. 22. Sympathy and antipathy. 23. The influence of the moon. 24. Affociation of ideas and motions. 25. The effects of certain original difeafes orfymptoms of difeafes. 26. Injuries from falls, and external vio- lence applied to the body. 27. Submerfion,and other accidents which fufpend animation. 28. Time. The predifpofing caufes of difeafes are natural and artificial, Thofe which are natural, occur in I. Different ages, as in, A. Infancy. B. Childhood. C. Puberty. B ( io ) D. Adolefcency and manhood. E. The period in which the ar- terial, yields to the venous plethora. F. Old age. II. In different conditions of the fyftem as in A. Different temperaments. B. Different conditions of the fyftem in fingle and marri- ed life. C. Pregnancy. D. The period of the ceffation of the menfes. E. Deformity in fize or confi- guration of the whole, or any part of the body. F. Congenial weaknefs of a part, or of the whole of the body. Of the predifpofing caufes of difeafis which are artificial. III. Of the proximate caufes of dif- eafes. ( » ) Thefe are general and partial. I. The general caufes affect: the whole body, directly, or indi- rectly. A. Thro* the medium of the fanguiferous fyftem. B..........- - - of the mind, brain, nerves and mufcles. C. - - -.....-----of the ftomach and alimentary ca- nal. D. --------------- of the external furfaceof the body. E. - - - -........of the lymphatic fyftem and the glands. F.............of the blood. G.............of the fecreted fluids. H.............of the vifcera. ( « ) j I. Of the tranflation of difeafes I to different parts of the fame fyftem, and to different fyftems. II. The partial caufes affect. A. The Ikin and hair. B. Features of the face. C. The cellular membrane. D. The trachea, lungs, liver, fpleen, omentum, kidneys I and bladder of urine. 1 E. The heart and blood veffels. F. The nerves and brain. G. The fenfes. H. The ftomach and alimentarj canal. I. The lafteal and lymphatic veffels. K. The glands. L. Certain fecretions and ex- cretions. M. Te dons, mufcles and liga- ments. N. Bones. ( '3 ) O. Organs of generation of both fexes. P. The uterus. (^ The texture, fituation or fu- perficies of certain parts of the body. R. The particular faculties of the mind. III. Of the proximate caufe of the phenomena of old age. IV. Of death. C H A P. I I. Of the figns of difeafes as they appear in i. partial debility, indirect and direct. 2. In pain. 3. In the heat and coldnefs of the body. 4. In the eyes. 5. In the countenance. 6. In refpiration. ( '4 ) /. In different pofitions of the body. 8. In the different ftates of the faculies of the mind. 9. Inthirft. 10. In the pulfe. 11. In the different ftates of the appetite, and 12.-------'-------of the fecretions and excretions. Of the figns of death. 1. 2. THERAPEUTICS, OR Of the method of curing difeafes. Of the fuppofed powers of nature in cu- ring difeafes. Of medicines which remove morbid ac- tion, by abstracting ftimulus from the difeafedpart, either direclly or in- directly. 3. Of medicines which remove morbid ac- / tion, by excitingaftronger and healthy aftion in the difeafed part, or in fome other part of the body ( '5 ) 4. Of medicines which remove morbid ac- tion in one part of the body, by exci- ting it in other parts lefs effential to life. 5. Of the remedies for preventing the re- currence of difeafe by removing pre- difpofing debility. 6. Of medicines which femove difeafes by abftracting redundant and foreignmat- ters from the body, and which offend by their quantity or quality. 7. Of medicines which remove difeafes by mixing with, and thus deftroying mat- ters which offend by their qua- lity. 8. Of medicines which cure difeafes by re- moving obstructions. 9. Of medicines which are fuppofed to cure difeafes by changing the quality of the fluids, or the texture of the fo- lids. 10. Of the remedies for relieving pain. 11. Of the means of obtaining longevity. PRACTICE of MEDICINE. C H A P. I. *,.. —■■«■■■■■■•—— Of the method to be obferved in vifiting patients. Of the mode of examining the figns of dif- eafes. CHAP. II. Of general difeafes. Of the unity of the remote and proximate caufes of all difeafes. Of the different ftates of fever, as manifef- ted primarily in the blood-veffels. States of Fever. Of the malignant. Gangrenous Synocha Bilious ( 18 ) States of Fever. Typhus Typhoid Synochoid Synochula Hectic Febricula Intermitting Sweating Fainting Burning Cold and chilly Inteftinal Pulmonary Anginofe Rheumatic Arthretic Maniacal Phreuitic Apoplectic Paralytic Lethargic Hydrocephalic Nephritic Hydropic Eruptive Hoemorrhagic ( «9 ) States of Fever. Amenorrhagic Hcemorrhoidal Hepatic Serophulous Convulfive Opthalmic Odontalgic Otalgic Apthous Hyfterical Hypocondriacal Cutaneous CHAP. II. Of other general difeafes, fee Pathology Chapter I. Seaionlll. CHAP. III. Of local difeafes and diforders, fee Patho- logy Chapter I. Section II. Of the peculiar difeafes of women and chil- dren. Of the peculiar difeafes of negroes. Of the means of leffening the psins of death, WZ R^2sy c A