A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
With such a varied dietary, comprehended in the above enumeration, it
would be impossible for scurvy to invade the ship's company, especially
when aided by other wholesome agencies, as cleanliness, well-ventilated
and dry sleeping rooms, and clothing adapted to the weather. The
antiscorbutic virtues of lime-juice were known long ago, being
mentioned by {184} Albertus in 1593, but it was not until many years
later that it became an integral part of the English navy-ration. The
law requires it to be carried on board all merchant vessels, and to be
served out ten days after the crew has been living on salt rations. The
juice keeps well if properly prepared and preserved from contact with
air, especially when fortified with a small quantity of alcohol, the
usual strength being about 10 per cent. It should be carried in vessels
containing just enough to furnish a few days' rations to the whole
crew, by which plan only a small amount need be exposed to the
decomposing influence of the air. The juice can be reduced by
evaporation to a very small bulk. This method was adopted in supplying
the Arctic cruiser Rodgers.[20] The juice was reduced to a paste, each
pound of which represented one gallon of the solution of the ordinary
strength. It has also been used in the form of lozenges and biscuit. It
may be stated that great reliance has been placed upon malt, the acid
wines, and cider as good antiscorbutics.
[Footnote 20: _Report of the Surgeon-General of the Navy for 1880_.]
In connection with the food-supplies it is proper to mention those
influences of a depressing character which have a tendency to favor the
development of scurvy. The first is dampness in the sleeping apartments
of the men. This should be prevented by ventilation, drying stoves, and
taking care that no wet garments are permitted to remain in the
apartments. They should be taken off immediately and hung outside to
dry, and under no circumstances should the men be permitted to sleep in
them, as is sometimes done.
Exposure to cold is unavoidable under certain conditions, and the men
should then be protected by proper clothing adapted to the weather.
Protracted fatigue is a third favoring circumstance, and the crew
should be spared all the strain of hard work possible, especially in
high latitudes. The apartments should also be kept well ventilated and
scrupulously clean; and, lastly, depressing mental emotions, which are
so apt to arise from exposure to danger and want, should be dispelled
by cheering assurances, constant occupation, and whatever amusements
can be had. These are the chief influences which are to be considered
in adopting measures to prevent the occurrence of scurvy in
communities, armies, on shipboard, or in persons confined in houses of
detention.
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