Benjamin Rush
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Benjamin Rush (April 19, 1813) was an American revolutionary, a
Founding Father of the United States The Founding Fathers of the United States, often simply referred to as the Founding Fathers or the Founders, were a group of late-18th-century American Revolution, American revolutionary leaders who United Colonies, united the Thirteen Colon ...
and signatory to the U.S. Declaration of Independence, and a civic leader in
Philadelphia Philadelphia ( ), colloquially referred to as Philly, is the List of municipalities in Pennsylvania, most populous city in the U.S. state of Pennsylvania and the List of United States cities by population, sixth-most populous city in the Unit ...
, where he was a physician, politician, social reformer, humanitarian, educator, and the founder of
Dickinson College Dickinson College is a Private college, private Liberal arts colleges in the United States, liberal arts college in Carlisle, Pennsylvania, United States. Founded in 1773 as Carlisle Grammar School, Dickinson was chartered on September 9, 1783, ...
. Rush was a Pennsylvania delegate to the
Continental Congress The Continental Congress was a series of legislature, legislative bodies, with some executive function, for the Thirteen Colonies of British America, Great Britain in North America, and the newly declared United States before, during, and after ...
. He later described his efforts in support of the American Revolution, saying: "He aimed well." He served as surgeon general of the
Continental Army The Continental Army was the army of the United Colonies representing the Thirteen Colonies and later the United States during the American Revolutionary War. It was formed on June 14, 1775, by a resolution passed by the Second Continental Co ...
and became a professor of chemistry, medical theory, and clinical practice at the
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
. Dr. Benjamin Rush was a leader of the
American Enlightenment The American Enlightenment was a period of intellectual and philosophical fervor in the thirteen American colonies in the 18th to 19th century, which led to the American Revolution and the creation of the United States. The American Enlightenme ...
and an enthusiastic supporter of the
American Revolution The American Revolution (1765–1783) was a colonial rebellion and war of independence in which the Thirteen Colonies broke from British America, British rule to form the United States of America. The revolution culminated in the American ...
. He was a leader in Pennsylvania's ratification of the U.S. Constitution in 1788. He was prominent in many reforms, especially in the areas of medicine and education. He opposed slavery, advocated free public schools, and sought improved, but patriarchal, education for women, and a more enlightened penal system. As a leading physician, Rush had a major impact on the emerging medical profession. As an Enlightenment intellectual, Rush was committed to organizing all medical knowledge around explanatory theories, rather than relying on
empirical methods Empirical research is research using empirical evidence. It is also a way of gaining knowledge by means of direct and indirect observation or experience. Empiricism values some research more than other kinds. Empirical evidence (the record of o ...
. Rush argued that illness was the result of imbalances in the body's physical system and was caused by malfunctions in the brain. His approach prepared the way for later medical research, but Rush undertook none of it. He promoted public health by advocating clean environment and stressing the importance of personal and military hygiene. His study of mental disorder made him one of the founders of American
psychiatry Psychiatry is the medical specialty devoted to the diagnosis, treatment, and prevention of deleterious mental disorder, mental conditions. These include matters related to cognition, perceptions, Mood (psychology), mood, emotion, and behavior. ...
. In 1965, the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
recognized Rush as the "father of American psychiatry".


Early life and career

Rush was born to John Rush and Susanna Hall on January 4, 1746 (December 24, 1745, O.S.). The family, of English descent, lived on a farm in the Township of Byberry in Philadelphia County, about 14 miles outside of Philadelphia (the township was incorporated into Philadelphia in 1854). Rush was the fourth of seven children. His father died in July 1751 at age 39, leaving his mother, who ran a country store, to care for the family. At age eight, Benjamin was sent to live with an aunt and uncle to receive an education. He and his older brother
Jacob Jacob, later known as Israel, is a Hebrew patriarch of the Abrahamic religions. He first appears in the Torah, where he is described in the Book of Genesis as a son of Isaac and Rebecca. Accordingly, alongside his older fraternal twin brother E ...
attended a school run by Reverend Samuel Finley, which later became West Nottingham Academy. In 1760, after further studies at the College of New Jersey, which in 1895 became
Princeton University Princeton University is a private university, private Ivy League research university in Princeton, New Jersey, United States. Founded in 1746 in Elizabeth, New Jersey, Elizabeth as the College of New Jersey, Princeton is the List of Colonial ...
, Rush graduated with a
Bachelor of Arts A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts deg ...
degree at age 14. From 1761 to 1766, Rush apprenticed under Dr. John Redman in Philadelphia. Redman encouraged him to further his studies at the
University of Edinburgh The University of Edinburgh (, ; abbreviated as ''Edin.'' in Post-nominal letters, post-nominals) is a Public university, public research university based in Edinburgh, Scotland. Founded by the City of Edinburgh Council, town council under th ...
in Scotland, where Rush studied from 1766 to 1768 and earned an M.D. degree. Rush became fluent in French, Italian, and Spanish as a result of his studies and European tour. While at
Edinburgh Edinburgh is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. The city is located in southeast Scotland and is bounded to the north by the Firth of Forth and to the south by the Pentland Hills. Edinburgh ...
, he became a friend of the
Earl of Leven Earl of Leven (pronounced "''Lee''-ven") is a title in the Peerage of Scotland. It was created in 1641 for Alexander Leslie. He was succeeded by his grandson Alexander, who was in turn followed by his daughters Margaret and Catherine (who are u ...
and his family, including William Leslie. Returning to the
Colonies A colony is a territory subject to a form of foreign rule, which rules the territory and its indigenous peoples separated from the foreign rulers, the colonizer, and their '' metropole'' (or "mother country"). This separated rule was often or ...
in 1769, Rush opened a medical practice in Philadelphia and became professor of chemistry at the
College of Philadelphia The Academy and College of Philadelphia (1749–1791) was a boys' school and men's college in Philadelphia in the colonial-era Province of Pennsylvania. Founded in 1749 by a group of local notables that included Benjamin Franklin, the Academy of P ...
(which in 1791 changed its name to its present name,
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
). After his election to the revived
American Philosophical Society The American Philosophical Society (APS) is an American scholarly organization and learned society founded in 1743 in Philadelphia that promotes knowledge in the humanities and natural sciences through research, professional meetings, publicat ...
in 1768, Rush served as the society's curator from 1770 to 1773, as secretary from 1773 to 1773, and vice president from 1797 to 1801. Rush ultimately published the first American textbook on
chemistry Chemistry is the scientific study of the properties and behavior of matter. It is a physical science within the natural sciences that studies the chemical elements that make up matter and chemical compound, compounds made of atoms, molecules a ...
and several volumes on medical student education and wrote influential patriotic essays.


Revolutionary period

Rush was active in the
Sons of Liberty The Sons of Liberty was a loosely organized, clandestine, sometimes violent, political organization active in the Thirteen American Colonies founded to advance the rights of the colonists and to fight taxation by the British government. It p ...
and was elected to attend the provincial conference to send delegates to the
Continental Congress The Continental Congress was a series of legislature, legislative bodies, with some executive function, for the Thirteen Colonies of British America, Great Britain in North America, and the newly declared United States before, during, and after ...
.
Thomas Paine Thomas Paine (born Thomas Pain; – In the contemporary record as noted by Conway, Paine's birth date is given as January 29, 1736–37. Common practice was to use a dash or a slash to separate the old-style year from the new-style year. In ...
consulted Rush when writing the profoundly influential pro-independence pamphlet ''
Common Sense Common sense () is "knowledge, judgement, and taste which is more or less universal and which is held more or less without reflection or argument". As such, it is often considered to represent the basic level of sound practical judgement or know ...
''. Starting in 1776, Rush represented Pennsylvania and signed the Declaration of Independence. He also represented Philadelphia at Pennsylvania's own Constitutional Convention. In an 1811 letter to John Adams, Rush recounted in stark fashion the signing of the Declaration of Independence. He described it as a scene of "pensive and awful silence". Rush said the delegates were called up, one after another, and then filed forward somberly to subscribe to what each thought was their ensuing death warrant. He related that the "gloom of the morning" was briefly interrupted when the rotund
Benjamin Harrison Benjamin Harrison (August 20, 1833March 13, 1901) was the 23rd president of the United States, serving from 1889 to 1893. He was a member of the Harrison family of Virginia—a grandson of the ninth president, William Henry Harrison, and a ...
of Virginia said to a diminutive
Elbridge Gerry Elbridge Gerry ( ; July 17, 1744 – November 23, 1814) was an American Founding Father, merchant, politician, and diplomat who served as the fifth vice president of the United States under President James Madison from 1813 until his death i ...
of Massachusetts, at the signing table, "I shall have a great advantage over you, Mr. Gerry, when we are all hung for what we are now doing. From the size and weight of my body I shall die in a few minutes and be with the Angels, but from the lightness of your body you will dance in the air an hour or two before you are dead." According to Rush, Harrison's remark "procured a transient smile, but it was soon succeeded by the Solemnity with which the whole business was conducted." While Rush was representing Pennsylvania in the Continental Congress (and serving on its medical committee), he also used his medical skills in the field. Rush accompanied the Philadelphia militia during the battles after which the British occupied Philadelphia and most of New Jersey. He was depicted serving in the Battle of Princeton in the painting '' The Death of General Mercer at the Battle of Princeton, January 3, 1777'' by the American artist
John Trumbull John Trumbull (June 6, 1756 – November 10, 1843) was an American painter and military officer best known for his historical paintings of the American Revolutionary War, of which he was a veteran. He has been called the "Painter of the Revolut ...
. The Army Medical Service was in disarray, between the military casualties, extremely high losses from
typhoid Typhoid fever, also known simply as typhoid, is a disease caused by ''Salmonella enterica'' serotype Typhi bacteria, also called ''Salmonella'' Typhi. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often ther ...
, yellow fever and other camp illnesses, political conflicts between Dr. John Morgan and Dr. William Shippen Jr., and inadequate supplies and guidance from the medical committee. Nonetheless, Rush accepted an appointment as surgeon-general of the middle department of the Continental Army. Rush's order "Directions for preserving the health of soldiers" became one of the foundations of preventive military medicine and was repeatedly republished, including as late as 1908. However, Rush's reporting of Shippen's misappropriation of food and wine supplies intended to comfort hospitalized soldiers, under-reporting of patient deaths, and failure to visit the hospitals under his command, ultimately led to Rush's resignation in 1778.


Controversy

Rush criticized General
George Washington George Washington (, 1799) was a Founding Fathers of the United States, Founding Father and the first president of the United States, serving from 1789 to 1797. As commander of the Continental Army, Washington led Patriot (American Revoluti ...
in two handwritten but unsigned letters while still serving under the surgeon general. One, to Virginia Governor
Patrick Henry Patrick Henry (May 29, 1736 ld Style and New Style dates, O.S. May 18, 1736une 6, 1799) was an American politician, planter and orator who declared to the Virginia Conventions, Second Virginia Convention (1775): "Give me liberty or give m ...
dated October 13, 1778, quotes General
Thomas Conway Thomas Conway (February 27, 1735 – March 1795) was an Irish-born army officer and colonial administrator who served as the French India#Governors, governor of French India from 1787 to 1789. Over the course of his military career, he served in ...
saying that if not for God's grace the ongoing war would have been lost by Washington and his weak counselors. Henry forwarded the letter to Washington, despite Rush's request that the criticism be conveyed orally, and Washington recognized the handwriting. At the time, the supposed
Conway Cabal The Conway Cabal were a group of senior Continental Army officers in late 1777 and early 1778 who aimed to have George Washington replaced as commander-in-chief of the Army during the American Revolutionary War. It was named after Brigadier-Ge ...
was reportedly trying to replace Washington with Horatio Gates as commander-in-chief. Rush's letter relayed General John Sullivan's criticism that forces directly under Washington were undisciplined and mob-like, and contrasted Gates' army as "a well-regulated family". Ten days later, Rush wrote to
John Adams John Adams (October 30, 1735 – July 4, 1826) was a Founding Fathers of the United States, Founding Father and the second president of the United States from 1797 to 1801. Before Presidency of John Adams, his presidency, he was a leader of ...
relaying complaints inside Washington's army, including about "bad bread, no order, universal disgust" and praising Conway, who had been appointed to inspector general. Shippen sought Rush's resignation and received it by the end of the month after Continental Congress delegate John Witherspoon, chairman of a committee to investigate Morgan's and Rush's charges of misappropriation and mismanagement against Shippen, told Rush his complaints would not produce reform. Rush later expressed regret for his gossip against Washington. In a letter to John Adams in 1812, Rush wrote, "He
ashington Ashington is a town and civil parish in Northumberland, England, with a population of 27,864 at the 2011 Census. It was once a centre of the coal mining industry. The town is north of Newcastle upon Tyne, west of the A189 and bordered to the ...
was the highly favored instrument whose patriotism and name contributed greatly to the establishment of the independence of the United States." Rush also successfully pleaded with Washington's biographers Justice Bushrod Washington and Chief Justice
John Marshall John Marshall (September 24, 1755July 6, 1835) was an American statesman, jurist, and Founding Fathers of the United States, Founding Father who served as the fourth chief justice of the United States from 1801 until his death in 1835. He remai ...
to delete his association with those stinging words. In his 2005 book ''
1776 Events January–February * January 1 – American Revolutionary War – Burning of Norfolk: The town of Norfolk, Virginia is destroyed, by the combined actions of the British Royal Navy and occupying Patriot forces. * January ...
'',
David McCullough David Gaub McCullough (; July 7, 1933 – August 7, 2022) was an American popular historian. He was a two-time winner of both the Pulitzer Prize and the National Book Award. In 2006, he was given the Presidential Medal of Freedom, the United S ...
quotes Rush, referring to George Washington:


Post-Revolution

Rush believed that, while America was free from British rule, the "American Revolution" had yet to finish. As expressed in his 1787 'Address to the People of the United States', "The American war is over: but this is far from being the case with the American revolution. On the contrary, nothing but the first act of the great drama is closed." In this address, he encouraged Americans to "come forward" and continue advancements on behalf of America. In 1783, he was appointed to the staff of
Pennsylvania Hospital Pennsylvania Hospital is a Private hospital, private, non-profit, 515-bed teaching hospital located at 800 Spruce Street (Philadelphia), Spruce Street in Center City, Philadelphia, Center City Philadelphia, The hospital was founded on May 11, 17 ...
, and 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
United States Mint The United States Mint is a bureau of the United States Department of the Treasury, Department of the Treasury responsible for producing coinage for the United States to conduct its trade and commerce, as well as controlling the movement of bull ...
, serving from 1797 to 1813. He was elected a fellow of the
American Academy of Arts and Sciences The American Academy of Arts and Sciences (The Academy) is one of the oldest learned societies in the United States. It was founded in 1780 during the American Revolution by John Adams, John Hancock, James Bowdoin, Andrew Oliver, and other ...
in 1788. He became a professor of medical theory and clinical practice at the
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
in 1791, though the quality of his medicine was quite primitive even for the time: he advocated
bloodletting Bloodletting (or blood-letting) was the deliberate withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and othe ...
for almost any illness, long after its practice had declined. While teaching at the University of Pennsylvania, one of his students was future president
William Henry Harrison William Henry Harrison (February 9, 1773April 4, 1841) was the ninth president of the United States, serving from March 4 to April 4, 1841, the shortest presidency in U.S. history. He was also the first U.S. president to die in office, causin ...
, who took a chemistry class from Rush. He was also founder of
Dickinson College Dickinson College is a Private college, private Liberal arts colleges in the United States, liberal arts college in Carlisle, Pennsylvania, United States. Founded in 1773 as Carlisle Grammar School, Dickinson was chartered on September 9, 1783, ...
in
Carlisle, Pennsylvania Carlisle is a Borough (Pennsylvania), borough in and the county seat of Cumberland County, Pennsylvania, United States. Carlisle is located within the Cumberland Valley, a highly productive agricultural region. As of the 2020 United States census ...
. In 1794, he was elected a foreign member of the
Royal Swedish Academy of Sciences The Royal Swedish Academy of Sciences () is one of the Swedish Royal Academies, royal academies of Sweden. Founded on 2 June 1739, it is an independent, non-governmental scientific organization that takes special responsibility for promoting nat ...
. In the 1793 Philadelphia yellow fever epidemic, Rush treated patients with bleeding, calomel, and other early medicinal techniques that often were ineffective and actually brought many patients closer to their deathbeds. Rush's ideas on yellow fever treatments differed from those of many experienced French doctors, who came from the
West Indies The West Indies is an island subregion of the Americas, surrounded by the Atlantic Ocean, North Atlantic Ocean and the Caribbean Sea, which comprises 13 independent island country, island countries and 19 dependent territory, dependencies in thr ...
where there were yellow fever outbreaks every year. However, he also helped the population of the city by convincing Richard Allen to ask members of his
African Methodist Episcopal Church The African Methodist Episcopal Church, usually called the AME Church or AME, is a Methodist denomination based in the United States. It adheres to Wesleyan theology, Wesleyan–Arminian theology and has a connexionalism, connexional polity. It ...
and other free blacks, who it was believed were less affected by yellow fever than other Philadelphians, to perform volunteer aid work for doctors and funeral homes. Rush came down with yellow fever himself during the 1793 epidemic, although he recovered from it. Rush took on several social causes during his lifetime. Rush became a social activist and an abolitionist and was a founding member of the Philadelphia Society for Alleviating the Miseries of Public Prisons (known today as the Pennsylvania Prison Society), which greatly influenced the construction of Eastern State Penitentiary in Philadelphia. He supported
Thomas Jefferson Thomas Jefferson (, 1743July 4, 1826) was an American Founding Fathers of the United States, Founding Father and the third president of the United States from 1801 to 1809. He was the primary author of the United States Declaration of Indepe ...
for president in
1796 Events January–March * January 16 – The first Dutch (and general) elections are held for the National Assembly of the Batavian Republic. (The next Dutch general elections are held in 1888.) * February 1 – The capital of Upper Can ...
over the eventual winner, John Adams.


Corps of Discovery

In 1803, Jefferson sent
Meriwether Lewis Meriwether Lewis (August 18, 1774 – October 11, 1809) was an American explorer, soldier, politician, and public administrator, best known for his role as the leader of the Lewis and Clark Expedition, also known as the Corps of Discovery, with ...
to Philadelphia to prepare for the
Lewis and Clark Expedition The Lewis and Clark Expedition, also known as the Corps of Discovery Expedition, was the United States expedition to cross the newly acquired western portion of the country after the Louisiana Purchase. The Corps of Discovery was a select gro ...
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 Opium (also known as poppy tears, or Lachryma papaveris) is the dried latex obtained from the seed Capsule (fruit), capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid mor ...
for nervousness *
emetic Vomiting (also known as emesis, puking and throwing up) is the forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteritis, preg ...
s to induce vomiting * medicinal wine * fifty dozen of ''Dr. Rush's Bilious Pills,'' laxatives containing more than 50% mercury, which have since colloquially been referred to as "thunderclappers". Their meat-rich diet and lack of clean water during the expedition gave the men cause to use them frequently. Although their efficacy is questionable, their high mercury content provided a tracer by which archaeologists have been able to verify one of the Corps' campsites on their route to the Pacific. As of 2024, Travelers' Rest State Park, near Lolo, Montana, is the only location to be confirmed via the analysis of the Corps' latrines.


Reforms


Anti-slavery

In 1766, when Rush set out for his studies in Edinburgh, he was outraged by the sight of 100 slave ships in
Liverpool Liverpool is a port City status in the United Kingdom, city and metropolitan borough in Merseyside, England. It is situated on the eastern side of the River Mersey, Mersey Estuary, near the Irish Sea, north-west of London. With a population ...
harbor. As a prominent Presbyterian doctor and professor of chemistry in Philadelphia, he provided a bold and respected voice against the slave trade. He warmly praised the ministry of "Black Harry" Hosier, the
freedman A freedman or freedwoman is a person who has been released from slavery, usually by legal means. Historically, slaves were freed by manumission (granted freedom by their owners), emancipation (granted freedom as part of a larger group), or self- ...
circuit rider who accompanied Bishop
Francis Asbury Francis Asbury (August 20 or 21, 1745 – March 31, 1816) was a British-American Methodist minister who became one of the first two bishop (Methodist), bishops of the Methodist Episcopal Church in the United States. During his 45 years in the col ...
during the establishment of the Methodist Church in America, but the highlight of his involvement was the pamphlet he wrote 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 assailed the slave trade as well as the entire institution of slavery. Rush argued scientifically that Blacks 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."


Anti-capital punishment

Rush deemed public punishments such as putting a person on display in
stocks Stocks are feet and hand restraining devices that were used as a form of corporal punishment and public humiliation. The use of stocks is seen as early as Ancient Greece, where they are described as being in use in Solon's law code. The law de ...
, common at the time, to be counterproductive. Instead, he proposed private confinement, labor, solitude, and religious instruction for criminals, and he opposed the death penalty. His outspoken opposition to
capital punishment Capital punishment, also known as the death penalty and formerly called judicial homicide, is the state-sanctioned killing of a person as punishment for actual or supposed misconduct. The sentence (law), sentence ordering that an offender b ...
pushed the Pennsylvania legislature to abolish the death penalty for all crimes other than
first-degree murder Murder is the unlawful killing of another human without justification or valid excuse committed with the necessary intention as defined by the law in a specific jurisdiction. ("The killing of another person without justification or excuse ...
. He authored a 1792 treatise on punishing murder by death in which he made three principal arguments: :I. Every man possesses an absolute power over his own liberty and property, but not over his own life... :II. The punishment of murder by death, is contrary to reason, and to the order and happiness of society... :III. The punishment of murder by death, is contrary to divine revelation. Rush led the state of Pennsylvania to establish the first state penitentiary, the Walnut Street Prison, in 1790. Rush campaigned for long-term imprisonment, the denial of liberty, as both the most humane but severe punishment. This 1792 treatise was preceded by comments on the efficacy of the death penalty that he self-references and which, evidently, appeared in the second volume of the ''American Museum''.


Status of women

After the Revolution, Rush proposed a new model of education for elite women that included English language, vocal music, dancing, sciences, bookkeeping, history, and moral philosophy. He was instrumental to the founding of the Young Ladies' Academy of Philadelphia, the first chartered women's institution of higher education in Philadelphia. Rush saw little need for training women in metaphysics, logic, mathematics, or advanced science; rather he wanted the emphasis on guiding women toward moral essays, poetry, history, and religious writings. This type of education for elite women grew dramatically during the post-revolutionary period, as women claimed a role in creating the Republic. And so, the ideal of Republican motherhood emerged, lauding women's responsibility of instructing the young in the obligations of patriotism, the blessings of liberty and the true meaning of
Republicanism Republicanism is a political ideology that encompasses a range of ideas from civic virtue, political participation, harms of corruption, positives of mixed constitution, rule of law, and others. Historically, it emphasizes the idea of self ...
. He opposed coeducational classrooms and insisted on the need to instruct all youth in the Christian religion.


Medical contributions


Physical medicine

Rush was a leading proponent of heroic medicine. He firmly believed in such practices as
bloodletting Bloodletting (or blood-letting) was the deliberate withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and othe ...
patients (a practice now known to be generally harmful, but at the time common practice), as well as purges using calomel and other toxic substances. In his report on the Philadelphia yellow fever epidemic of 1793, Rush 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." During that epidemic, Rush gained acclaim for remaining in town and treating sometimes 100 patients per day (some through freed black volunteers coordinated by Richard Allen), but many died. Even Rush acknowledged the failure of two treatments, sweats in vinegar-wrapped blankets accompanied by mercury rubs, and cold baths. William Cobbett vociferously objected to Rush's extreme use of bloodletting, and even in Rush's day and location, many physicians had abandoned on scientific grounds this favorite remedy of Rush's former teachers
Thomas Sydenham Thomas Sydenham (; 10 September 1624 – 29 December 1689) was an England, English physician. He was the author of ''Observationes Medicae'' (1676) which became a standard textbook of medicine for two centuries so that he became known as 'The ...
and Hermann Boerhaave. Cobbett accused Rush of killing more patients than he had saved. Rush ultimately sued Cobbett for
libel Defamation is a communication that injures a third party's reputation and causes a legally redressable injury. The precise legal definition of defamation varies from country to country. It is not necessarily restricted to making assertions ...
, winning a judgment of $5,000 and $3,000 in court costs, which was only partially paid before Cobbett returned to England. Nonetheless, Rush's practice waned as he continued to advocate bloodletting and purges, much to the chagrin of his friend Thomas Jefferson. Some even blamed Rush's bleeding for hastening the death of
Benjamin Franklin Benjamin Franklin (April 17, 1790) was an American polymath: a writer, scientist, inventor, statesman, diplomat, printer, publisher and Political philosophy, political philosopher.#britannica, Encyclopædia Britannica, Wood, 2021 Among the m ...
, as well as George Washington (although the only one of Washington's medics who opposed the bleeding was Rush's former student), and Rush insisted upon being bled himself shortly before his death (as he had during the yellow fever epidemic two decades earlier). Rush also wrote the first case report on
dengue fever Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas. Asymptomatic infections are uncommon, mild cases happen frequently; if symptoms appear, they typically begin 3 to 14 days after i ...
(published in 1789 on a case from 1780). Perhaps his greatest contributions to physical medicine were his establishment of a public dispensary for low-income patients (Philadelphia Dispensary), and public works associated with draining and rerouting Dock Creek (eliminating mosquito breeding grounds, which greatly decreased
typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposu ...
, typhoid and
cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...
outbreaks). Another of Rush's medical views that now draws criticism is his analysis of race. In reviewing the case of Henry Moss, a slave who lost his dark skin color (probably through
vitiligo Vitiligo (, ) is a chronic autoimmune disorder that causes patches of skin to lose pigment or color. The cause of vitiligo is unknown, but it may be related to immune system changes, genetic factors, stress, or sun exposure, and susceptibili ...
), Rush characterized being black as a hereditary and curable skin disease. Rush wrote that the "disease, instead of inviting us hitesto tyrannise over them lacks it should entitle them to a double portion of our humanity." He added that this "should teach white people the necessity of keeping up that prejudice against iscegenation as it would tend to infect posterity with … their disorder" and called for an "endeavour to discover a remedy for it." Rush was interested in Native American health. He wanted to find out why Native Americans were susceptible to certain illnesses and whether they had higher mortality rates as compared to other people. Other questions that he raised were whether they dreamed more and if their hair turned gray as they got older. His fascination with indigenous peoples came from his interest in the theory that social scientists can better study the history of their own civilization by studying cultures in earlier stages of development, "primitive men". In his autobiography, he writes "From a review of the three different species of settlers, it appears that there are certain regular stages which mark the progress from the savage to civilized life. The first settler is nearly related to an Indian in his manners. In the second, the Indian manners are more diluted. It is in the third species only that we behold civilization completed. It is to the third species of settlers only that it is proper to apply the term of farmers. While we record the voices of the first and second settlers, it is but just to mention their virtues likewise. Their mutual wants to produce mutual dependence; hence they are kind and friendly to each other. Their solitary situation makes visitors agreeable to them; hence they are hospitable to a stranger."


Mental health

Rush published one of the first descriptions and treatments for psychiatric disorders in American medicine, ''Medical Inquiries and Observations, Upon the Diseases of the Mind'' (1812). 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 blood circulation or by sensory overload and treated them with devices meant to improve circulation to the brain such as a centrifugal spinning board, and inactivity/sensory deprivation via a restraining chair with a sensory-deprivation head enclosure ("tranquilizer chair"). After seeing mental patients in appalling conditions in 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 believed, as did so many physicians of the time, that bleeding and active purging with mercury(I) chloride (calomel) were the preferable medical treatments for insanity, a fact evidenced by his statement that, "It is sometimes difficult to prevail upon patients in this state of madness, or even to compel them, to take mercury in any of the ways in which it is usually administered. In these cases I have succeeded, by sprinkling a few grains of calomel daily upon a piece of bread, and afterwards spreading over it, a thin covering of butter." Rush followed the standard procedures of bleeding and treatment with mercury, he did believe that "coercion" and "restraint", the physical punishment, chains and dungeons, which were the practice of the time, were the answer as proven by his invention of the restraint chair and other devices. For this reason, some aspects of his approach could be seen as similar to '' Moral Therapy,'' which would soon rise to prominence in at least the wealthier institutions of Europe and the United States. Rush is sometimes considered a pioneer of
occupational therapy Occupational therapy (OT), also known as ergotherapy, is a healthcare profession. Ergotherapy is derived from the Greek wiktionary:ergon, ergon which is allied to work, to act and to be active. Occupational therapy is based on the assumption t ...
particularly as it pertains to the institutionalized. In ''Diseases of the Mind'' (1812), Rush wrote: Furthermore, Rush was one of the first people to describe Savant Syndrome. In 1789, he described the abilities of Thomas Fuller, an enslaved African who was a lightning calculator. His observation would later be described in other individuals by notable scientists like
John Langdon Down John Langdon Haydon Down (18 November 1828 – 7 October 1896) was a British physician best known for his description of the genetic condition now known as Down's or Down syndrome, which he originally classified in 1862. He is also noted for h ...
. Rush pioneered the therapeutic approach to
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
. 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 Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World He ...
as a form of medical disease and proposed that alcoholics should be weaned from their addiction via less potent substances. Rush advocated for more humane mental institutions and perpetuated the idea that people with mental illness are people who have an illness, rather than inhuman animals. He is quoted to have said, "Terror acts powerfully upon the body, through the medium of the mind, and should be employed in the cure of madness." He also championed the idea of "partial madness," or that people could have varying degrees of mental illness. The
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
's seal bears an image of Rush's purported profile at its center. The outer ring of the seal contains the words "American Psychiatric Association 1844". The Association's history of the seal states:


Educational legacy

During his career, he educated over 3,000 medical students, and several of these established Rush Medical College in
Chicago Chicago is the List of municipalities in Illinois, most populous city in the U.S. state of Illinois and in the Midwestern United States. With a population of 2,746,388, as of the 2020 United States census, 2020 census, it is the List of Unite ...
in his honor after his death. His students included Valentine Seaman, who mapped yellow fever mortality patterns in New York and introduced the
smallpox vaccine The smallpox vaccine is used to prevent smallpox infection caused by the variola virus. It is the first vaccine to have been developed against a contagious disease. In 1796, British physician Edward Jenner demonstrated that an infection with th ...
to the United States in 1799. One of his last apprentices was Samuel A. Cartwright, later a
Confederate States of America The Confederate States of America (CSA), also known as the Confederate States (C.S.), the Confederacy, or Dixieland, was an List of historical unrecognized states and dependencies, unrecognized breakaway republic in the Southern United State ...
surgeon charged with improving sanitary conditions in the camps around
Vicksburg, Mississippi Vicksburg is a historic city in Warren County, Mississippi, United States. It is the county seat. The population was 21,573 at the 2020 census. Located on a high bluff on the east bank of the Mississippi River across from Louisiana, Vicksburg ...
, and Port Hudson, Louisiana. Rush University Medical Center in Chicago, formerly Rush-Presbyterian-St. Luke's Medical Center, was named in his honor.


Religious views and vision

Rush advocated Christianity in public life and in education and sometimes compared himself to the prophet
Jeremiah Jeremiah ( – ), also called Jeremias, was one of the major prophets of the Hebrew Bible. According to Jewish tradition, Jeremiah authored the Book of Jeremiah, book that bears his name, the Books of Kings, and the Book of Lamentations, with t ...
. Rush regularly attended Christ Church in Philadelphia and counted William White among his closest friends (and neighbors). Ever the controversialist, Rush became involved in internal disputes over the revised
Book of Common Prayer The ''Book of Common Prayer'' (BCP) is the title given to a number of related prayer books used in the Anglican Communion and by other Christianity, Christian churches historically related to Anglicanism. The Book of Common Prayer (1549), fi ...
and the splitting of the Episcopal Church from the
Church of England The Church of England (C of E) is the State religion#State churches, established List of Christian denominations, Christian church in England and the Crown Dependencies. It is the mother church of the Anglicanism, Anglican Christian tradition, ...
. He dabbled with
Presbyterianism Presbyterianism is a historically Reformed Protestant tradition named for its form of church government by representative assemblies of elders, known as "presbyters". Though other Reformed churches are structurally similar, the word ''Pr ...
,
Methodism Methodism, also called the Methodist movement, is a Protestant Christianity, Christian Christian tradition, tradition whose origins, doctrine and practice derive from the life and teachings of John Wesley. George Whitefield and John's brother ...
(which split from
Anglicanism Anglicanism, also known as Episcopalianism in some countries, is a Western Christianity, Western Christian tradition which developed from the practices, liturgy, and identity of the Church of England following the English Reformation, in the ...
in those years), and
Unitarianism Unitarianism () is a Nontrinitarianism, nontrinitarian sect of Christianity. Unitarian Christians affirm the wikt:unitary, unitary God in Christianity, nature of God as the singular and unique Creator deity, creator of the universe, believe that ...
. In a letter to
John Adams John Adams (October 30, 1735 – July 4, 1826) was a Founding Fathers of the United States, Founding Father and the second president of the United States from 1797 to 1801. Before Presidency of John Adams, his presidency, he was a leader of ...
, Rush describes his religious views as "a compound of the orthodoxy and heterodoxy of most of our Christian churches." Christian Universalists consider him one of their founders, although Rush stopped attending that church after the death of his friend, former
Baptist Baptists are a Christian denomination, denomination within Protestant Christianity distinguished by baptizing only professing Christian believers (believer's baptism) and doing so by complete Immersion baptism, immersion. Baptist churches ge ...
pastor Elhanan Winchester, in 1797. Rush fought for temperance and both public and Sunday schools. He helped found the Bible Society at Philadelphia (now known as th
Pennsylvania Bible Society
and promoted the American Sunday School Union. When many public schools stopped using the Bible as a textbook, Rush proposed that the U.S. government require such use, as well as furnish an American Bible to every family at public expense. In 1806, Rush proposed inscribing "The Son of Man Came into the World, Not To Destroy Men's Lives, But To Save Them." above the doors of courthouses and other public buildings. Earlier, on July 16, 1776, Rush had complained to Patrick Henry about a provision in Virginia's constitution of 1776 which forbade clergymen from serving in the legislature. Rush felt that the United States was the work of God: "I do not believe that the Constitution was the offspring of inspiration, but I am as perfectly satisfied that the Union of the United States in its form and adoption is as much the work of a Divine Providence as any of the miracles recorded in the Old and New Testament". In 1798, after the Constitution's adoption, Rush declared: "The only foundation for a useful education in a republic is to be laid in Religion. Without this there can be no virtue, and without virtue there can be no liberty, and liberty is the object and life of all republican governments."''America's God and Country Encyclopedia of Quotations,'' by William Federer, 1999, , p. 543 One quote popularly assigned to Rush, however, which portrays him as a medical libertarian: "Unless we put medical freedoms into the Constitution, the time will come when medicine will organize into an undercover dictatorship . .To restrict the art of healing to one class of men and deny equal privileges to others will constitute the Bastille of medical science. All such laws are un-American and despotic and have no place in a republic . .The Constitution of this republic should make special privilege for medical freedom as well as religious freedom," is likely a misattribution. No primary source for it has been found, and the words "un-American" and "undercover" are anachronisms, as their usage as such did not appear until after Rush's death. Before 1779, Rush's religious views were influenced 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 this theology "embraced and reconciled my ancient calvinistical, and my newly adopted (
Arminian Arminianism is a movement of Protestantism initiated in the early 17th century, based on the Christian theology, theological ideas of the Dutch Reformed Church, Dutch Reformed theologian Jacobus Arminius and his historic supporters known as Remo ...
) principles. From that time on I have never doubted upon the subject of the salvation of all men." To simplify, both believed in punishment after death for the wicked. His wife, Julia Rush, thought her husband like
Martin Luther Martin Luther ( ; ; 10 November 1483 – 18 February 1546) was a German priest, Theology, theologian, author, hymnwriter, professor, and former Order of Saint Augustine, Augustinian friar. Luther was the seminal figure of the Reformation, Pr ...
for his ardent passions, fearless attacks on old prejudices, and quick tongue against perceived enemies. Rush helped Richard Allen found the
African Methodist Episcopal Church The African Methodist Episcopal Church, usually called the AME Church or AME, is a Methodist denomination based in the United States. It adheres to Wesleyan theology, Wesleyan–Arminian theology and has a connexionalism, connexional polity. It ...
. In his autobiography, Allen wrote:


Personal life

On January 11, 1776, Rush married Julia Stockton (1759–1848), daughter of Richard Stockton, another signer of the Declaration of Independence, and his wife Annis Boudinot Stockton. They had 13 children, 9 of whom survived their first year: John, Ann Emily,
Richard Richard is a male given name. It originates, via Old French, from compound of the words descending from Proto-Germanic language">Proto-Germanic ''*rīk-'' 'ruler, leader, king' and ''*hardu-'' 'strong, brave, hardy', and it therefore means 'st ...
, Susannah (died as an infant), Elizabeth Graeme (died as an infant), Mary B, James, William (died as an infant), Benjamin (died as an infant), Benjamin, Julia, Samuel, and William.
Richard Richard is a male given name. It originates, via Old French, from compound of the words descending from Proto-Germanic language">Proto-Germanic ''*rīk-'' 'ruler, leader, king' and ''*hardu-'' 'strong, brave, hardy', and it therefore means 'st ...
later became a member of the cabinets of James Madison, James Monroe, John Quincy Adams, Andrew Jackson, James K. Polk, and
Zachary Taylor Zachary Taylor (November 24, 1784 – July 9, 1850) was an American military officer and politician who was the 12th president of the United States, serving from 1849 until his death in 1850. Taylor was a career officer in the United States ...
(at one point during each of their presidencies). In 1812, Rush helped reconcile the friendship of Jefferson and Adams by encouraging the two former presidents to resume writing to each other. Once divided over politics and political rivalries, Jefferson and Adams grew close. On July 4, 1826, the 50th anniversary of the signing of the U.S. Declaration of Independence, Jefferson and Adams both died within hours of each other.


Death

After dying of typhus fever, he was buried (in Section N67) along with his wife Julia in the Christ Church Burial Ground in Philadelphia, not far from where
Benjamin Franklin Benjamin Franklin (April 17, 1790) was an American polymath: a writer, scientist, inventor, statesman, diplomat, printer, publisher and Political philosophy, political philosopher.#britannica, Encyclopædia Britannica, Wood, 2021 Among the m ...
is buried. At the site, a small plaque honoring Benjamin Rush has been placed. However, the box marker is next to the plaque on the right, with inscriptions on the top. The inscription reads, In memory of Benjamin Rush MD he died on the 19th of April in the year of our Lord 1813 Aged 68 years Well done good and faithful servant enter thou into the joy of the Lord Mrs Julia Rush consort of Benjamin Rush MD Born March 2, 1759 Died July 7, 1848 For as in Adam, all die, even so in Christ Shall all be made alive


Legacy

Benjamin Rush Elementary School in
Redmond, Washington Redmond is a city in King County, Washington, United States, located east of Seattle. The population was 73,256 at the 2020 United States census, 2020 census. Redmond is best known as the home of Microsoft and Nintendo of America. The city h ...
, was named by its students for him. The Arts Academy at Benjamin Rush magnet high school in Philadelphia was established in 2008. Rush County, Indiana, is named for him as is its county seat, Rushville. In Chicago, Rush Street as well as Rush University Medical Center are both named for Rush. Benjamin Rush State Park in Philadelphia is named after Rush. The eponymous conservative Benjamin Rush Institute is an associate member of the State Policy Network.


Writings

* * * * 1989 reprint: Syracuse University Press, * * * * Rush, Benjamin (1812) ''Medical Inquiries And Observations Upon The Diseases Of The Mind'', 2006 reprint: Kessinger Publishing, . Free digital copies of original published in 1812 at http://deila.dickinson.edu/theirownwords/title/0034. or https://web.archive.org/web/20121024024628/http://collections.nlm.nih.gov/muradora/objectView.action?pid=nlm%3Anlmuid-2569036R-bk * * * * * * * ''The Spur of Fame: Dialogues of John Adams and Benjamin Rush, 1805–1813'' (2001), Liberty Fund, * *


Archival collections

The Presbyterian Historical Society in
Philadelphia Philadelphia ( ), colloquially referred to as Philly, is the List of municipalities in Pennsylvania, most populous city in the U.S. state of Pennsylvania and the List of United States cities by population, sixth-most populous city in the Unit ...
,
Pennsylvania Pennsylvania, officially the Commonwealth of Pennsylvania, is a U.S. state, state spanning the Mid-Atlantic (United States), Mid-Atlantic, Northeastern United States, Northeastern, Appalachian, and Great Lakes region, Great Lakes regions o ...
, has a collection o
Benjamin Rush's original manuscripts
The Library Company of Philadelphia ha
papers of the Rush family
including a significant correspondence collection.


See also

* List of abolitionist forerunners *
Memorial to the 56 Signers of the Declaration of Independence The Memorial to the 56 Signers of the Declaration of Independence is a memorial depicting the signatures of the 56 signatories to the United States Declaration of Independence. It is located in the Constitution Gardens on the National Mall in ...


Notes


References


Further reading

* * , major scholarly biography. * Butterfield, Lyman H. "Benjamin Rush as a Promoter of Useful Knowledge." ''Proceedings of the American Philosophical Society'' 92.1 (1948): 26-36
online
* Butterfield, Lyman Henry. "The Reputation of Benjamin Rush." ''Pennsylvania History'' (1950): 3-22
online
* D'Elia, Donald J. ''Benjamin Rush, philosopher of the American Revolution'' (American Philosophical Society, 1974
online
* , A major scholarly biography. * * Hansen, Allen Oscar. ''Liberalism and American education in the eighteenth century'' (1926; reprinted 1965, 1977
online
pp 44–63. * , Scholarly biography to 1789. * * * * Naramore, Sarah E. "The Echo of Revolution: The Influence of War on Benjamin Rush’s Medical Theory' ''Pennsylvania History'' (2024) 91 (4): 423–452. https://doi.org/10.5325/pennhistory.91.4.0423 * Naramore, Sarah E. (2023).
Benjamin Rush, Civic Health, and Human Illness in the Early American Republic
'' Rochester, NY: University of Rochester Press. * Packard, Christopher S. ''Benjamin Rush, Civic Health, and Human Illness in the Early American Republic'' (Cambridge UP, 2023
online
* Riedman, Sarah Regal, et al. ''Benjamin Rush: physician, patriot, Founding Father'' (1964
online
* * Shryock, Richard Harrison. ''Benjamin Rush from the perspective of the twentieth century'' (1946
online
* * Unger, Harlow Giles. ''Dr. Benjamin Rush: The Founding Father Who Healed a Wounded Nation'' (Da Capo Press, 2018). 320 pp
online review
scholarly biography


Primary sources

* Butterfield, Lyman Henry, ed. ''Letters of Benjamin Rush'' (Two-Vol., Princeton UP, 1951) * Corner, George W. ed. ''The autobiography of Benjamin Rush: his "travels through life" together with his commonplace book for 1789-1813'' (Oxford UP, 1948
online
*


External links

*
"Benjamin Rush: The Revolution's Doctor of Medicine and Universal Humanitarian" – excerpts from his writings "An oration, delivered before the American Philosophical Society, held in Philadelphia on the 27th of February, 1786; containing an enquiry into the influence of physical causes upon the moral faculty."
*
Papers
from the Historic Psychiatry Collection, Menninger Archives, Kansas Historical Society *
Guide to the Benjamin Rush Lectures
at th
University of Chicago Special Collections Research CenterGuide to Benjamin Rush, On the Influence of Physical Causes on the Moral Faculty 1786
at th
University of Chicago Special Collections Research Center
* * {{DEFAULTSORT:Rush, Benjamin 1746 births 1813 deaths 18th-century American physicians Alumni of the University of Edinburgh American abolitionists American chemists American slave owners American male writers American people of English descent American Presbyterians American psychiatrists Temperance activists from Pennsylvania Burials at Christ Church, Philadelphia Continental Congressmen from Pennsylvania Deaths from typhus in the United States Dickinson College Fellows of the American Academy of Arts and Sciences History of psychiatry Members of the American Philosophical Society Members of the Royal Swedish Academy of Sciences Members of the Universalist Church of America Mental health activists Political activists from Pennsylvania Physicians in the American Revolution Physicians from Philadelphia People from colonial Pennsylvania Presbyterian abolitionists Presbyterians from Pennsylvania Princeton University alumni Rush University Signers of the United States Declaration of Independence Stockton family (New Jersey) University and college founders University of Pennsylvania faculty West Nottingham Academy alumni Founding Fathers of the United States