[Page]
[Page]

AN HISTORICAL ACCOUNT OF THE CLIMATES AND DISEASES OF THE UNITED STATES OF AMERICA; AND OF THE REMEDIES AND METHODS OF TREATMENT, WHICH HAVE BEEN FOUND MOST USEFUL AND EFFICACI­OUS, PARTICULARLY IN THOSE DISEASES WHICH DEPEND UPON CLIMATE AND SITUATION.

COLLECTED PRINCIPALLY FROM PERSONAL OBSERVATION, AND THE COMMUNICATIONS OF PHYSICIANS OF TALENTS AND EXPERIENCE, RESIDING IN THE SEVERAL STATES.

BY WILLIAM CURRIE, Fellow of the College of Physicians of Philadelphia.

Nullius addictus jurare in verba magistri. —Hor.

PHILADELPHIA: PRINTED BY T. DOBSON, AT THE STONE-HOUSE, No. 41, SOUTH SECOND-STREET.

M,DCC,XCII.

[Page]

TO JOHN REDMAN, M. D. PRESIDENT OF THE COLLEGE OF PHYSICIANS OF PHILADELPHIA, &c.

Worthy Sir,

DESIROUS of paying my respects to a man distinguished for liberality of sentiment, and consistency of conduct, as well as for profes­sional talents, and encouraged by the indulgence you have shewn to such literary productions as have utility and the interests of the commu­nity for their object, I have ventured to inscribe the following work to you: and I request you to do me the honour of accepting it, not as a com­pliment of mere civility, but as a tribute of gra­titude and attention, to which you are justly entitled from

Your much obliged and Very humble servant, THE AUTHOR.
[Page]

INTRODUCTION.

I WAS induced to undertake the troublesome and diffi­cult task of collecting and publishing a concise and faithful account of the Climates and Diseases of the United States of America, by a desire of removing the trouble and inconvenience which result from accommodating the rules of practice and forms of prescription made in other coun­tries to the diseases which occur in this, where the climate, soil, and modes of living of the inhabitants, and of course their constitutions, and the semieology of diseases, even of the same genus, are in many respects different; and by a presumption, that such an account might contribute in some measure to improve the treatment of epidemics, espe­cially in this country.

WITH these objects in view, I opened a correspondence with several physicians of talents and experience residing in the several states, and with their assistance, joined to my own personal observations, and such information as I could collect from the few books which contain any thing rela­tive to the subject, have composed the following pages; in [Page 2] which I have endeavoured to exhibit, a synopsis or general view of the situation and climate of each state; and of those diseases in particular which depend upon climate and situ­ation, (with occasional remarks on others); and an account of the remedies and methods of treatment which have been found most uniformly successful.

AS health is a blessing which enhances the value of every enjoyment, and long life the natural desire of all man­kind, I have endeavoured to point out the circumstances most favourable thereto, as well as those productive of disease and death. For this purpose I have inserted a number of meteorological tables and bills of mortality.

AS climate and situation have a remarkable influence upon the constitution and health, as well as upon the complexion and figure of mankind, and as the temperature of climate depends upon various circumstances besides latitude, or proximity to the equator; I have been at some pains in endeavouring to shew what those circumstances are, the causes on which they depend, and the means by which they may be altered.

IN the investigation of the nature and causes of diseases, and in determining the effects of remedies, I have been uniformly governed by actual experience, never by hypo­thesis or plausible conjectures, being convinced that for want of this precaution, the schools of physic have suc­cessively [Page 3] fallen into the most incongruous and palpable errors, and the greatest masters of reasoning have proved the most unsuccessful interpreters of nature's laws.

BUT I am by no means an advocate for the exclusion of reasoning or theory (founded on cautious and judicious in­duction) from medical pursuits, as has unfortunately of late become too much the fashion.

FOR without reasoning, it would be impossible to acquire a knowledge of the proximate causes of diseases, or the particular conditions of the system on which the symptoms of diseases depend.

AND as there are several diseases of a different nature, and produced by causes entirely different in their operation, which have many symptoms in common; the practitioner who is not possessed of this knowledge, must inevitably commit many fatal mistakes.

BUT this knowledge so indispensibly necessary to enable a physician to distinguish one species of disease from ano­ther, as well as to discover the indications he ought to pur­sue in the cure, can only be acquired, (after a previous ac­quaintance with the structure, connection of parts, and oeconomy of the human body in a sound and healthy state) by much study and reflection, and by the strictest enquiry into the condition of the several functions of the body in disease.

[Page 4] WHOEVER therefore undertakes the cure of diseases with­out this knowledge is an empiric, and merits the contempt and detestation of every one who values the lives and safety of his fellow-creatures; for "though he may kill by licence, he can only cure by chance."

THE annals of every age, and the bills of mortality of every country, would, if unveiled, produce proofs as strong as those of Holy Writ, that more lives have been destroyed by the villainy of quacks, and the ignorance and officious­ness of nostrum-mongers, than by disease, owing to the credulity of the ignorant, and the remissness of go­vernment: I am, therefore, much surprised that our en­lightened legislatures (whose duty it is to protect the lives as well as the privileges and property of those whom igno­rance or want of information renders liable to imposition) have never yet made provision to prevent the like deplora­ble effects in this country.

THE difficulty of obtaining authentic and satisfactory information on a subject never before attempted in America, has obliged me to leave many parts mutilated and imperfect: and want of sufficient leisure has prevented me from pay­ing requisite attention to systematic arrangement; but as the work has some claim to originality, abounds with a number of interesting facts, and is intended as an intro­duction to a complete system of practice, (now ready for the press,) exhibiting all the latest and most important dis­coveries which have been made in medicine, I trust it will meet with that candour and indulgence to which the best intentions are entitled.

[Page]

AN HISTORICAL ACCOUNT OF THE CLIMATES AND DISEASES OF THE UNITED STATES OF AMERICA.

[Page 398]

CONCLUSION.

BY comparing the preceding account of the several climates of the United States with those of the countries in Europe in the same parallels of latitude, we learn that there is a very material difference between them.

THIS circumstance is presumed to be ow­ing to the following causes.

1st. To the height of the lands in North-America, which are situated between the 40th and 50th degrees of latitude, and extend be­tween six and seven hundred miles from north to south. From these the greatest ri­vers have their source. To the east of them lie the lakes Superior, Michegan, Huron, Otswego, Erie, &c. and the intermediate country is covered with impenetrable forests, interspersed with swamps and morasses; * [Page 399] hence this vast space is incapable of receiving or retaining much heat in Summer, and con­sequently one great source of that warmth by which the Winters in the old continent are moderated, is here considerably diminished.

HENCE also the westerly winds, at least such of them as originate behind these high lands, deposite their vapours in passing over them, and re-absorb fresh ones from these numerous lakes and immense forests over which they pass, and are thereby still more cooled; for air always participates of the temperature of the substance with which it comes in contact.

FARTHER north, viz. between latitude 52 and 63, lie Hudson's Bay and Straits; about [Page 400] 50 miles on the south of this bay, from lat. 50° to 58°, there runs a ridge of mountains, which prevents its receiving any heat from that quarter; and hence the intermediate country is so cold that scarce any animal can live in it.

To the east, this bay is bounded by the barren, mountainous country of Labrador, and a number of islands that lie at its en­trance. The portion of the Atlantic opposite to the entrance of these streights is surround­ed partly by the continent of America, and partly by Greenland as far down as lat. 59. Both are mountainous and intersected by a multitude of creeks and inlets, which are fro­zen over in Winter, and the ensuing Sum­mer the floating ice is protected by numerous high islands, and partly carried down the eastern coast as far as lat. 42, whereby the coolness of the atmosphere is encreased. Hence the N. W. winds are the coldest in all these parts of America during the Winter season, and for reasons which have been ex­plained [Page 401] from page 80 to 96 the north-east as the coldest in Summer.

THE greatest part of the heat of the atmos­phere is certainly derived from its communi­cation with the land or water over which it passes, and in this way it receives either heat or cold more readily than any other body of equal bulk, especially when confined, as in vallies.

AIR incumbent on seas or on large tracts of water, is generally many degrees warmer in Winter, and cooler in Summer, than air incumbent on land; because land is more susceptible both of heat and cold than water.

EXPERIMENTS made by Mr. Hales in 1724, prove that the surface of the earth is much heated during the Summer, but that this heat descends very slowly, a great part of it being communicated to the air.

[Page 402] THAT during the Winter the earth gives out to the air the heat it had accumulated during the Summer, and that on this circum­stance in a great measure the temperature of the Winter depends.

Now as the earth must receive more or less heat during the Summer season, according to the greater or lesser freedom of access which the sun's rays have to it, and to the longer or shorter duration of their access, it follows that whatever circumstances have the effect of obstructing or preventing this access must diminish the grand source which moderates the rigour of the land winds, which prevail during the Winter season. The principal cir­cumstances which obstruct the action of the rays of the sun upon the earth, are cloudy and wet weather, the effects of extraordinary evaporation.

THE evaporation from the lakes, swamps and forests in America is astonishing.

[Page 403] THE evaporation from land covered with living vegetables is much greater than from that which is bare. The rays of the sun are not only obstructed by the evaporations from these immense forests, but where the trees are tall and close together, they are entirely excluded from acting upon the ground at all.

HENCE it may be presumed that the woods, thickets, and height of the lands in North-America are the circumstances which render the climates of the several states different from, and less agreeable than the countries in the same latitude in Europe, where the lands are lower, and the country more cleared and bet­ter cultivated.

WE also learn from the account of the dis­eases contained in the preceding pages, that the cold of the northern states properly guard­ed against, produces but few diseases of a dangerous nature, and that Intermitting, Re­mitting or Bilious Fevers, and Fluxes, are scarcely ever known there; but in proceeding [Page 404] to the southward in Maryland and Virginia, where the heat is more intense and of longer continuance, and the soil more moist, especi­ally upon lands in an imperfect state of culti­vation, the diseases last mentioned are very prevalent, and often fatal, especially to fo­reigners; though the natives who fix their habitations in dry and elevated situations, and observe a medium between excess and absti­nence, enjoy a tolerable share of health.

IN South-Carolina and Georgia, Fevers and Fluxes are still more epidemic, violent, and obstinate, especially after the Rice harvest in August and September, when the waters are diminished and permitted to stagnate and corrupt. The fevers which occur at this sea­son are very anomalous, neither intermitting nor remitting perfectly, but participating much of the nature of that commonly called the Yellow Fever, which is often so fatal with­in the Tropics.

ALTHOUGH the United States of America [Page 405] cannot boast of the superiority of their cli­mates over other countries in parallel lati­tudes, they are exceeded by few in fertility of soil, and equalled by none in political advan­tages.

AND, from whatever causes it may proceed, the inhabitants, in the middle and particularly in the northern states enjoy a greater proportion of health, and live to a greater age than the in­habitants of Europe. The diseases which do occur are more simple and uniform; and this country is intirely exempt from some of the most formidable and destructive which infest the other quarters of the globe.

THE Spotted Pestilence, the fatal offspring of famine, uncleanliness, and vitiated air, has never yet reached our favoured shores.

THE Small-pox, the Measles, the Malig­nant Quinsy, the Influenza, and almost every other contagious disease were foreigners to this continent, till they were introduced [Page 406] through the medium of commerce from Eu­rope, into which they were first conveyed from Asia, or the dominions of the despotic Turk, bordering on that immense continent.

THE Leprosy, the Yaws, the Eliphantiasis, and other loathsome disorders are endemic to Africa.

WHETHER Africa or South-America gave origin to the Syphilis remains uncertain, though that dishonour is generally ascribed to the latter.

NOR is North-America, like many other countries, subject to earthquakes, the erup­tion of volcanoes, hurricanes, periodical de­luges, impetuous whirlwinds, noxious and consuming blasts of wind, or withering and protracted drought.

WHAT does it avail the inhabitants of A­sia that many of their provinces are blest with the most delightful climate and fertile soil [Page 407] that imagination can conceive, since they themselves are in subjection to the arbitrary will of a capricious and despotic tyrant.

ONE half of Africa lies beneath the burn­ing line, and its sable inhabitants are all im­mersed in rude and dismal barbarism, entirely unacquainted with the use of the Plough and the Loom.

EVEN in Europe (the seat of Science and the nurse of Arts) Liberty, "the most preci­ous gift of heaven to man," is scarcely known, or only enjoyed by the lucky and the favoured few. The rest are greater drudges than the beasts they own; for there, society is divided into two distinct classes, nobles and commons, lords and tenants: the former possessing and enjoying every thing; the latter indigent, op­pressed, and almost destitute of the common necessaries of life.

NORTH-AMERICA is the only portion of this spacious globe where man can [Page 408] live securely, and enjoy all the privileges to which he has a native right.

IN this enviable and favoured region there is no proud—usurping aristocracy—no ec­clesiastical orders with exclusive privileges—no kings with arbitrary power or corrupting influence—no venal parliaments composed of different ranks and opposing interests—no monopolizing confederacies of opulent and interested traders and manufacturers, to the exclusion of those to whom chance or fortune has been less liberal.

NOR are the taxes or expences of govern­ment so considerable as to consume the pro­fits of honest industry, or ever employed to gratify the splendid projects of mad ambi­tion.

IT is true none of the enervating re­finements of luxury or dissipation are to be found here; but here all the necessaries and conveniences of life abound, and a pleasing [Page 409] equality and decent competence are every where displayed—here the dignity of the human species is restored, and man enjoys all the freedom to which he is entitled; for here he is a member of the government he obeys, and a framer of the laws by which he is governed, either in person or by the repre­sentatives of his own choice.

FINIS.
[Page]

INDEX.

A
  • ACCOUNT of the diseases which occur at An­napolis 238
  • Advantages of pure air, 121
B
  • Bill of mortality for Milford, 12
    • for Salem, 27—35, &c.
    • for Philadelphia, from 188 to 192, &c.
  • Births and deaths, a register of, in Philadelphia, 188, &c.
  • Brown, Dr. his errors exposed, 252
C
  • Climate, an account of the New-England, 31
    • New-York, 48
    • New-Jersey, 54
    • Pennsylvania, 72
    • Delaware, 203
    • Maryland, 225
    • Virginia, 262
    • North-Carolina, 326
    • South-Carolina, 344
    • Georgia, 393
  • [Page ii] Causes, an explanation of the, which alter the tem­perature of climates, 80 & 40
  • Connecticut, its population, and the longevity of its inhabitants, &c. 11 & 12
  • Carolina, North its situation, 326
    • South, do. 342
  • Consumption, method of treating, 124
  • Cholera, method of treating, 133
  • Cynanche Trachealis, or Hives, 178 & 376
D
  • Diseases, which occur in New-England, 1
    • account of, by Dr. Senter, 7
    • by Dr. Holyoke, 13
    • in New-York, 41
    • Dr. Jones's account of 53
    • in New-Jersey, 56
    • Dr. Mashean's letter respecting, 60
    • in Pennsylvania, 94
    • catalogue of, 96
    • observations on, at Philadelphia, for 1790, 125
    • in Maryland, 227
    • in Virginia, 271—278 & 300
    • in North-Carolina, 333
    • in South-Carolina, 371
    • in Georgia. 397
  • Dispensary, its utility, 162
  • Dysentery, description and treatment of, 136—248, &c.
  • Diarrhoea, description and treatment of, 133—305, &c.
    • [Page iii]Dr. Johnston's method, 239
  • Dropsy, cured by the Digitalis, 61 & 241
    • by Squills, 293
  • Drowned persons, directions for restoring to life, 254
E
  • Exercise, its salutary effects, 113
  • Erysipelas, occasioned by the poison vine, how cured, 119
F
  • Fevers, Intermitting, rare in New-England, 8
    • their cause, 121
    • description and cure of by Dr. Lyons, 289
    • by Taylor and Hansford, 308
    • Remitting, description and treatment, 143—317
    • Synochus, description and treatment, 221 & 309
    • Typhus, 120
G
  • George-Town, its situation and diseases, 235
  • Gout, method of treating, 249
H
  • Head-ach, sick, method of treating, 111
  • Hydrocephalus Internus, cured by mercurial friction, 62
    • by calomel and blisters, 251
    • observations on, 337
  • [Page iv] Hepatitis, case of, 160
    • how cured, 165
  • Hives, or Cynanche Trachealis, 178
I
  • Jersey, New, situation of, 56
  • Influenza, 323
  • Inoculation, when first introduced into America, 37
L
  • Laudanum, relieves the ill effects produced by drinking cold water, 9
M
  • Meteorological observations made in New-England 13, &c.
    • in Boston, 29, &c.
    • in New-York, 45, &c.
    • in Philadelphia, 125
    • in Virginia, 267
    • in Charleston, 365
  • Mineral springs, in Pennsylvania, 69
    • in Virginia, 259
  • Maryland, its situation, &c. 225
P
  • Pennsylvania, situation of, 64
  • Pleurisy, description and treatment of, 141—283—303
Q
  • [Page v]Quinsy, how treated by Dr. Lyons, 288
R
  • Rheumatism, description and treatment, 170
S
  • Small-Pox, description and treatment, 165
  • Snakes, the effects of their bites, how cured, 105
T
  • Tea, a narcotic, 43
V
  • Virginia, situation of, &c. 257
W
  • Water, the quality of, at New-York, 44
    • at Philadelphia, 67
    • at Charleston, 361
  • Worms, how destroyed by Dr. Miller, 329
Y
  • York, New, situation of, 41

This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Text Creation Partnership. This Phase I text is available for reuse, according to the terms of Creative Commons 0 1.0 Universal. The text can be copied, modified, distributed and performed, even for commercial purposes, all without asking permission.