Richmond enquirer. [volume] (Richmond, Va.) 1815-1867, 1822-02-21

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end of the 9Th day, being more elevated at the
margin than IN the centre, and the mar gin it.
self being turgid, shining and rounded, 81 as
often to extend a little over the line Of the
base This vesice is filed with clear lymph
contained in numerous little cells, that co m
Inunicate with each other. After the 9Th OF
9Th day from the insertion Of The virus, il il
surrounded by bright red crcun,scribed
areoa, which varies in its diameter, in differ
entcases, from a quarter Of an inch TO two
inches, and is usually attended with cOnsid-
cradle tuniOur aud hardness of the adjoining
cellular membrane.
This areula declines on the 18th and 18th
day; the surface of The vcsice then becomes
brown in The centre and the fluid in the cells
gradually concretes sto hard rounded scab,
OF reddish brown colour, which at length
becomes black, contracted and dry, and is
not generally detached till after the Goth day
from the >inOculat0n. Ii leaves a perina nent
circular cicatrix, about 5 lines in diameter,
and little depressed, the surface being
marked with very minute pits or indentations
den0tIng the number of cells of " hich the We
sicle had been composed. A vesicle, possess
ing these characters, and passing through these
regular gradatiOns, whether accompanied by
any obvious disorder in the constitution or
not, efftct,lally and permanently secures the
~
sally from the cOntagion of small pox."-
(Bateman's Synopsis of william, page sal)
That there arr: exceptions to the general rule,
Or. Jenner and his followers admit: but AT
ske sametlnc contend, that smallp ox following
vaccination, does not occur 0ftener than small
pOx attacking the same person twice.--The
alatter from pustuIe like the one Just dcscrib-
I'd taken at Il proper period and used cor
Decty, VIII, provided the person is in health,
and not laborlng under any cutanrous erup-
tons, produce, if not scratched or otherwise
injured the true well defined, kline pock-In a
paper writtrn by DR.. Jenncr in 1904 and pub
iished IN the London Medical and Physical
journal for August iS0I-he remarks: III
kve raccinate child lahOrng under coinc-
dent eruptise state of the skin, what is de-
nominated The herperc or Initiative charac-
ter, The pustuIe will participate in the charac-
Ter OF tiie herpetic bIotch, and the patient will
moi receive perfect security from small pox."
et now often do we see physicians yaccinat-
ing under such circumstances, and preserving
the matter from such spurious plistulcs which
never will communicate tir true vaccine in.
? fiction
The irregular vcsiclcs, hich do not wholly
secure the patient from the small pox, are thus
described by DIR. william: Isl. I" A single pearl
conred vesicle, set a hard dark red base,
eighty elevated il is smaller than The genl,-
me r.siclr It's top is ilatiened, or sometimes
81 hi'le depressed i'm not rounded or
yr"sliat;nt the Cd appears to be cellular, like
the genuine vcsicle; but somewhat smaller,
naorc scsse, with sharp angulated edge. In
the inst The arcola is usually difiiise, and of
dark rose color: in The second it is sometimes
al dilute scarlet color, radiatcd and very cx :
tenshe, as from the sting of wasp. The
'reola appears (carlier) around these ycsicles,
on the 9TH or 9Th day after incubation, and
continues more or less vivid for three days,
during which time The scab is completely
formed The scab is smaller, and less regular
than that ,hich succeeds the genuine vesiclr
II also Tails off much sooner, and when sepa-
rated leaves smaller cicatrix which is some
times angulatcd. Sd. A ,csicle wiihuut an
areola." Pustule which is sometimes pro-
tt,lccd instead of the regular vaccine vcscIe, is,
according 10 DIR. Jenner, more like fostering
boil, occasioned by an cStraneous body stick
ing in the skin-which thrcws ont premature
eilloresccnce, which is seldom circunscribed
Dr. William says il is Of conoldal form, and
salscd uEon a hard intlamed base, with diitise
ie,,ness extending beyond it lit increases ria
pidly FROM the cd TO Inc Gil, day, and is usual
~ broken before the erd of the latter. when
an irregular yellowish brown scab Succeeds
Ciceraflon is often produced lin consequence
nt the peck being scratched oil in consequence
gifts ichng) before The peck has arrived at
snatnrity. For further information see Bate
mans Synepsis.)
The catIsrs which produce so many imper-
feet forms OF disease, in addition To those
which have before mentioned, are the fol-
lowing:
LIST. The lymph is taken from the vesicle
after the 18th day, when il is changed in ITS
properties, and instead of being transparent, il
isiurbid. ed. The lymph although good, from
heat, moisture and other causes, becomes
changed in its properties, and IS incapable OF
exciting the true disease. II so many devia-
tions occur, and liable TO be produced, b, So
many different causes, ii is not at all to he
wondered at, that so many persons contract
small pOx or varoloid disease, after believing
themselves TO have been properly vaccinated
and The prnpricty of adopting the advice long
since recommended by Dir. Jenncr. and lately
insisted on by DIR. Potter of Baltimore, be-
comes manifest. DIR. Jenner observes, " when
a deviation arises, Of whatever kind it may
be, common prudence points out the ncccssi-
ty of rc-inocuation."
The view taken of this subject by DR.. Pot
ter, Una letter which he has addressed To DIR
Smith relative to the manner i'm which DIR
$. had used his, DIR. P's, name,) is such one
as we had every right TO expect from n gen
tleman of such high medical reputation. Il
proves him TO be man of deep reflection, cor
rect and nice observation.
Dr. Potter differs with DR.. Smith in believ-
ing that there are any certain external charac-
teristc marks, by which ''you can decide witt
certainty upon the prophylactic powers o
vaccination" This difference of opinion doe.
not lead DIR. p. to draw any conclusion unfa
vourable TO the utility or excellence ofvacctna
ton :" That he has universally inculcatcd,
b,1th privately and publicly, the necessity o
rep lated vaccination, till the system shall