Benjamin Rush

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Dr. Benjamin Rush, painted by Charles Willson Peale, c. 1818

Rush's signature

Benjamin Rush (December 24, 1745 – April 19, 1813) was a Founding Father of the United States. Rush lived in the state of Pennsylvania and was a devout Christian, physician, writer, educator, and humanitarian, as well as the founder of Dickinson College in Carlisle, Pennsylvania.

Rush was also a signatory of the Declaration of Independence and attended the Continental Congress. Later in life, he became a professor of medical theory and clinical practice at the University of Pennsylvania. Despite having a wide influence on the development of American government, he is not as widely known as many of his American contemporaries. Rush was also an early opponent of slavery and capital punishment.

Despite his great contributions to early American society, Rush is today most famous as the man who, in 1812, helped reconcile the friendship of two of the largest minds of the early Republic: Thomas Jefferson and John Adams.^[1][clarify]

[edit] Life

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The birthplace of Benjamin Rush, photographed in 1959.

Rush was born in the Township of Byberry in Philadelphia County, which was then about 14 miles outside Philadelphia. The township was incorporated into Philadelphia in 1854, and now remains one of its neighborhoods. His father died when he was six, and Rush spent most of his early life with his maternal uncle, the Reverend Samuel Finley. He attended Finley's academy at Nottingham which would later become West Nottingham Academy.

In 1760, he completed the five-year program earning him a Bachelor of Arts degree at the College of New Jersey (now Princeton University), and then studied medicine under Dr. John Redman in Philadelphia. Redman encouraged him to further his studies at the University of Edinburgh, where he earned a medical degree. While in Europe practicing medicine, he learned French, Italian, and Spanish. Returning to the Colonies in 1769, Rush opened a medical practice in Philadelphia and became Professor of Chemistry at the College of Philadelphia (now the University of Pennsylvania).

He published the first American textbook on chemistry, several volumes on medical student education, and wrote influential patriotic essays. He was active in the Sons of Liberty and was elected to attend the provincial conference to send delegates to the Continental Congress. He consulted Thomas Paine on the writing of the profoundly influential pro-independence pamphlet, Common Sense. He was appointed to represent Pennsylvania at the Continental Congress and signed the Declaration of Independence.

In 1777 he became surgeon-general of the middle department of the Continental Army. Conflicts with the Army Medical service, specifically with Dr. William Shippen, Jr., led to Rush's resignation.

As General George Washington suffered a series of defeats in the war, Rush campaigned for his removal, as part of the Conway Cabal, losing his trust and ending Rush's war activities. Rush later expressed regret for his actions against Washington. In a letter to John Adams in 1812, Rush wrote, "He [Washington] was the highly favored instrument whose patriotism and name contributed greatly to the establishment of the independence of the United States."

In 1783 he was appointed to the staff of Pennsylvania Hospital, of which he remained a member until his death.

He was elected to the Pennsylvania convention which adopted the Federal constitution and was appointed treasurer of the U.S. Mint, serving from 1797-1813.

He became Professor of medical theory and clinical practice at the University of Pennsylvania in 1791, though the quality of his medicine was quite primitive even for the time: he advocated bleeding (for almost any illness) long after its practice had declined. He became a social activist, an abolitionist, and was the most well-known physician in America at the time of his death. He was also founder of the private liberal arts college Dickinson College, in Carlisle, Pennsylvania.

Rush was also a founding member of the Philadelphia Society for Alleviating the Miseries of Public Prisons (known today as the Philadelphia Prison Society), which had great influence in the construction of Eastern State Penitentiary in Philadelphia.

[edit] Corps of discovery

In 1803, Thomas Jefferson sent Meriwether Lewis to Philadelphia to prepare for the Lewis and Clark Expedition under the tutelage of Rush, who taught Lewis about frontier illnesses and the performance of bloodletting. Rush provided the corps with a medical kit that included:

• Turkish opium for nervousness
• emetics to induce vomiting
• medicinal wine
• fifty dozen of Dr. Rush's Bilious Pills, laxatives containing more than 50% mercury, which the corps called "thunderclappers". Their meat-rich diet and lack of clean water during the expedition gave the men cause to use them frequently. Though their efficacy is questionable, their high mercury content provided an excellent tracer by which archaeologists have been able to track the corps' actual route to the Pacific.

[edit] Abolitionism

In 1766 when Rush set out for his studies in Edinburgh, was outraged by the sight of 100 slave ships in Liverpool harbor.^[2] As a prominent Presbyterian doctor and professor of chemistry in Philadelphia, he provided a bold and respected voice against slave trade that could not be ignored.

The highlight of his involvement in abolishing slavery might be the pamphlet he wrote that appeared in Philadelphia, Boston, and New York in 1773 entitled "An Address to the Inhabitants of the British Settlements in America, upon Slave-Keeping." In this first of his many attacks on the social evils of his day, he not only assailed the slave trade, but the entire institution of slavery. Dr. Rush argued scientifically that Negroes were not by nature intellectually or morally inferior. Any apparent evidence to the contrary was only the perverted expression of slavery, which "is so foreign to the human mind, that the moral faculties, as well as those of the understanding are debased, and rendered torpid by it."

[edit] Contributions to medicine

Although anatomy was well understood in Rush's time, the causes of disease remained elusive. Doctors therefore relied on various unscientific treatments. Although Rush continued these practices, he actively sought new explanations and new approaches to treatment, some of which remain influential.

[edit] Physical medicine

Rush was a proponent of bloodletting^[3] and calomel therapy, forms of treatment that were widespread in America at the time. In his report on the Philadelphia yellow fever epidemic, he wrote:

I have found bleeding to be useful, not only in cases where the pulse was full and quick, but where it was slow and tense. I have bled twice in many, and in one acute case four times, with the happiest effect. I consider intrepidity in the use of the lancet, at present, to be necessary, as it is in the use of mercury and jalap, in this insidious and ferocious disease.

Some contemporaries, notably William Cobbett, objected to Rush's extreme use of bloodletting. Cobbett accused Rush of killing more patients than he had saved. Rush sued Cobbett for libel, winning a judgement of $500.^[4]

Rush reviewed the case of Henry Moss, a slave who lost his dark skin color (probably through vitiligo). He proposed that being black was a hereditary skin disease, which he called "negroidism," and that it might be cured. Rush drew the conclusion that "Whites should not tyrannize over [blacks], for their disease should entitle them to a double portion of humanity. However, by the same token, whites should not intermarry with them, for this would tend to infect posterity with the 'disorder'... attempts must be made to cure the disease."^[5]

Rush wrote a descriptive account of the yellow fever epidemic that struck Philadelphia in 1793 (during which he treated up to 120 patients per day), and what is considered to be the first case report on dengue fever (published in 1789 on a case from 1780).^{[citation needed]}

[edit] Mental health

Dr. Benjamin Rush painted by Charles Willson Peale, 1783

Rush was far ahead of his time in the treatment of mental illness. In fact, he is considered the "Father of American Psychiatry", publishing the first textbook on the subject in the United States, Medical Inquiries and Observations upon the Diseases of the Mind (1812).^[6] He undertook to classify different forms of mental illness and to theorize as to their causes and possible cures. Rush believed (incorrectly) that many mental illnesses were caused by disruptions of the blood circulation, and treated them with devices meant to improve circulation to the brain such as a restraining chair and a centrifugal spinning board. After seeing mental patients in appalling conditions in the Pennsylvania Hospital, Rush led a successful campaign in 1792 for the state to build a separate mental ward where the patients could be kept in more humane conditions.

Rush is sometimes considered the father of therapeutic horticulture, particularly as it pertains to the institutionalized. In Diseases of the Mind Rush wrote:

"It has been remarked, that the maniacs of the male sex in all hospitals, who assist in cutting wood, making fires, and digging in a garden, and the females who are employed in washing, ironing, and scrubbing floors, often recover, while persons, whose rank exempts them from performing such services, languish away their lives within the walls of the hospital".

Rush pioneered the therapeutic approach to addiction.^[7][8] Prior to his work, drunkenness was viewed as being sinful and a matter of choice. Rush believed that the alcoholic loses control over himself and identified the properties of alcohol, rather than the alcoholic's choice, as the causal agent. He developed the conception of alcoholism as a form of medical disease and proposed that alcoholics should be weaned from their addiction via less potent substances.^[9]

[edit] Education

During his career, he educated over 3000 medical students, and several of these established Rush Medical College (Chicago) in his honor after his death. One of his last apprentices was Samuel A. Cartwright, later a Confederate States of America surgeon charged with improving sanitary conditions in the camps around Vicksburg, Mississippi, and Port Hudson, Louisiana.^{[citation needed]} Rush University Medical Center in Chicago, formerly Rush-Presbyterian-St. Luke’s Medical Center, was named in his honor.

[edit] Religious views and vision

He is generally deemed Presbyterian and was a founder of the Philadelphia Bible Society.^[10] He was an advocate for Christianity in public life and in particular in education. In line with that, he advocated the Bible as a textbook in the public schools.^[11]

That stated, some suggest that he had Universalist leanings. Those that say so look to the following quote on education as evidence.^[12] It states, "Such is my veneration for every religion that reveals the attributes of the Deity, or a future state of rewards and punishments, that I had rather see the opinions of Confucius or Mahomed inculcated upon our youth, than see them grow up wholly devoid of a system of religious principles. But the religion I mean to recommend in this place, is that of the New Testament."^[13]. But many others believe this quote is not evidence of Universalist leanings, but rather, his strong belief in the importance of Christian teaching in education. In this quote, it is said that he is stating that any religious teaching in primary education is better than none at all.

His religious views were influenced around 1780 by what he described as "Fletcher's controversy with the Calvinists in favor of the Universality of the atonement." After hearing Elhanan Winchester preach, Rush indicated that Winchester's theology "embraced and reconciled my ancient calvinistical, and my newly adopted (Arminian) principles. From that time on I have never doubted upon the subject of the salvation of all men." Rush did, however, believe in a state of punishment after death for the wicked, "and of long, long duration." In his later years, Rush, in a letter to John Adams, described his religious views as "a compound of the orthodoxy and heterodoxy of most of our Christian churches."^[14]

He also helped Richard Allen in the founding of the African Methodist Episcopal Church.

[edit] Family

Rush married Julia Stockton in 1776. They had 13 children, 9 of whom survived their first year.

Rush's eldest son, John, initially followed his father into medicine, then joined the navy. During his tour, a friend and fellow officer challenged him to a duel. John shot and killed the challenger and was soon consumed by feelings of guilt. When he returned home unable to care for himself, Rush placed him in the mental ward at the Pennsylvania Hospital, where he died 27 years later without having recovered.^[15]

[edit] Writings

• Letters of Benjamin Rush, volume 1: 1761-1792 (1951), editor L.H. Butterfield, Princeton University Press
• Essays: Literary, Moral, and Philosophical (1798) Philadelphia: Thomas & Samuel F. Bradford, 1989 reprint: Syracuse University Press, ISBN 0-912756-22-5, includes "A Plan of a Peace-Office for the United States"
• The Autobiography of Benjamin Rush: His "Travels Through Life" Together with his Commonplace Book for 1789-1813, 1970 reprint: Greenwood Press, ISBN 0-83713037-9
• Medical Inquiries And Observations Upon The Diseases Of The Mind, 2006 reprint: Kessinger Publishing, ISBN 1-42862669-7
• The Spur of Fame: Dialogues of John Adams and Benjamin Rush, 1805-1813 (2001), Liberty Fund, ISBN 0-86597287-7
• Benjamin Rush, M.D: A Bibliographic Guide (1996), Greenwood Press, ISBN 0-31329823-8
• An Address to the Inhabitants of the British Settlements in America, Upon Slave-keeping. Philadelphia: Printed by J. Dunlap, 1773.

[edit] Notes

[edit] Sources

Wikiquote has a collection of quotations related to:

Benjamin Rush

• Levine, Harry G. "The Discovery of Addiction: Changing Conceptions of Habitual Drunkenness in America." Journal of Studies on Alcohol. 1978; 15: pp: 493-506. Also available at: http://www.soc.qc.cuny.edu/Staff/levine/doa.htm

[edit] Further reading

• Brodsky, Alyn. Benjamin Rush: Patriot and Physician. New York: Truman Talley Books/St. Martin's Press, 2004.
• David Freeman Hawke, Benjamin Rush: Revolutionary Gadfly. Indianapolis: Bobbs-Merrill, 1971.

[edit] External links

• Biography by Rev. Charles A. Goodrich, 1856
• Biographical sketch at the University of Pennsylvania

• Benjamin Rush at the Biographical Directory of the United States Congress
• Article and portrait at "Discovering Lewis & Clark"
• Benjamin Rush at Find A Grave
• Benjamin Rush Birthplace at the Historic American Buildings Survey
• Benjamin Rush Birthplace, Springhouse at the Historic American Buildings Survey

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