The Cambria freeman. [volume] (Ebensburg, Pa.) 1867-1938, 1881-12-16

Their. are few disease Lhat possess
more interest both for the physician
and the public than SIN JiIpoE, ana hence
we take pleasure Ui laying ot.Df' our
readers % description o. The treatment
which has been used for many years
with great success by Dr. Aluan ;.
P5vua, late Professor OF Theory and
Practice iu the Southern Medical Col
Ipge. Atlanta. and, Honorable fellows or
the Medical Society of Virginia, etc.
TIE following is an abstract made by
his permission from one OF hI5 lectures
on smallpox.
Prof. Payne states that as early as
1916. when at the Small lpOX Hospital in
New York city, he noticed that the pri-
mary or initial fever of small pOX could
be detected 10y the pulse before any 9TH
er symptom appeared. This pathogno-
monte pulse is one peculiar to smallpox,
a pulse. sui gcueris difficult to describe,
but recognizable by any physician who
viii patiently and carefully investigate
the subject until his finger becomes ed
ucated. When once recognized 1t can
uerer De forgotten, any more than ply
sician who bas once learned to detect
the hemOrrhJgiC pulse could forget its
peculiar thrill impaired to his educated
finger.
Having learned to recognize the ini-
tial fever by its peculiar pulse. he next
proceeds to yacCIHate. II this IS done
ten or twelve hours after inception of
the initial fever the patient Will have
slight iudisposition, without sign of
eruption, and as positive exemption
from a recurrence OF the disease as if it
had had it III the most malignant fOIm.
The patient is vacCiuat9d early after the
initial fever sets in, he may then be al
lowed to 90 where he pleases without
fear of giving the disease to others. The
migrating of the vaccine matter upon
the primary viTiOlOus fever seems to
have the power to destroy its ability of
reproduction or propagation entirely.
Another peculiarly IS this If an IN
protected patient is ydCcinated before
the inception Of The initid! fever, and
the vaccine takes, but does not prevent,
only mOuIues the disease the result VIII
be variOlOid I'm it's appearance of chaTac-
teristics But If vaccinated after the
commencement of The initial fever, and
too late TO entirely prevent an eruption,
the eruption will resemble in size and
other characteristics the smallpox erup-
tiOu. it matters not whether there is one
or ahuudred pimp.es. There is as great
a difference in the appearance of the
variOlOid eruption and the smallpox
eruption as there is between gray and
yellow.
DR.. Payne divides smallpox into con.
fluent. semi-cOuaueut, discrete, mOdi-
fed and manipulated, the latter being a
term of his own invention. In 1887
smallpox broke out in his sneighborhOod.
in Virginia, and was of the variety
known rs uuriOIu ujgru, and when not
modified by some benign influence was
invariably cOnhueEt. Those IN and
around Manassas were Of the same var
iety Being called to attend a cOlOTed
chambermaid who had but recently
abOrted, and who was in room over
the kitchen of a large hotel near his
own dwelling, he recognized in her the
pulse peculiar to smallpox, and the next
day the eruption appeared. In regard
to isolation he says Il saw it would
never do to -remOve this woman. and l
determined to isolate the case and abide
the consequences, be they what 5hey
might. If I have her removed, I said,
the poor woman must die, and the pre-
vailing winds will blow the virus for
miles down the valley below, and the
disease will spread beyond control. But
by isOlating the case | have every conf
deuCe i'm my ability to check it. But
should she die she must be removed for
burial land that she will die there is a
strong probability, and my plans shall
incur the repTOach Of all my friends and
ueighbors. These were grave consider
atiOus and | was by no means reclining
ON a bed of roses. Firm in faith Of the
greatest good to the greatest number, I
never faltered. 1 said to myself, if she
dies I will wrap her from her toes to the
crown Of her head in double linen. and
with the aid of some one who has had
the smallpox l viii bury her" This was
January II, 1873. BY the Both she was
c0nvalesceut having had it in the semi
cOufuent form. Three persons who
were in the room at the time were OF
dered to report to the doctor twice
daily. One of them gave the peculiar
pulse on the oath and was then vdccina-
ted. He was indispOsed for two days.
arm sore, but no pustules appeared. The
others, who had been yaCciuated before,
did not take it.
Another case described by DR.. Payne
occurred in January, 1873. He was
called ON to see ". J., suffering from an
eruption which he recognized as yariO-
IOid lie vaCcinated The father and two
sisters, but an Old aunt refused to be
vaccinated for many years. and she died
on the 10th of February. The next day
January 25,h. he found the brother at
home with the peculiar pulse. As ne
was unprotected DT. Payne yacCiuaUed
him at once. and the very next day his
arm looked as IL VdccIuated eight days
before it rapidly became sore he was
indispOsed for two or three days. and
recovered without a single sign of eTup.
tiOn.
In another case of unusually poor and
shifuess people. the whole family of
eight persons, OF all ages and both sexes
occupied a house that had dOuly one room
in which the cooking, washing. and
everything else had to be done. GOOD
air and cleanliness were impossible
The father suffered from a very maIig
usut case OF varigloid and was terribly
SCARED mp, but tha rest of the family
none of whom had been vaccjuated be
fore we're vacciuaLej after the initial
fever ba-au, gui escaped with slight at
JacNs. One of the women had twenty
pustules, but no scars another had TIVE
or three pimplCs q third had two on
heI face and one on the bottom of eacl
foot a fourth had no eruption. Th,
boys had about twenty pustules each
We might quote numerous other case
Of whites aud blacks where vaccination
after the initial fever had set in was fol
lowed by the arms becoming rapidly
sore, malaise continued for "a day or Nv,
and rapid recovery with slight eruptiO!
or none at all,
On the 18th OF January Prof. Payne
own family were exposed 30 smallpox
and the initial fever revealed itself il
all their pulses on February ,. He re
vaccinated them their arms becam
RAPIDLY sore there was very slight ma
L.. 4.