An Account of the Diseases which were most frequent in the British military hospitals in GermanyMonro, Donald
History
An Account of the Diseases which were most frequent in the British military hospitals in Germany
Monro, Donald
Medicine, Military; Military hospitals; Military hygiene; Seven Years' War, 1756-1763 -- Medical care
When the Patient was strong, the Pulse quick and full, the Eyes looked
red, and the Breathing was difficult, after the Petechiæ appeared; I
took away more or less Blood before giving the Bark. Most
Practitioners of late Years have been against Bleeding in this Stage
of the Disorder; but trusting to the Assurances given by Dr.
_Hasenohrl_ of its being safe, nay of Advantage to bleed at this Time,
if the Symptoms required it, I ventured upon it, and found it to be of
the greatest Service, in many Cases, in the Hospitals at _Paderborn_
and elsewhere; and particularly in two Cases at _Bremen_, and one at
_Osnabruck_, where it gave immediate Relief, and seemed to shorten the
Disease much. One of the Patients at _Bremen_, _Robert Ellis_,
belonged to an Independant Company; the other, _Francis Hamstan_, of
the 24th Regiment, had formerly had his Skull fractured, and took the
Fever, while he was in the Hospital, for violent Head-achs, which he
had been subject to, at times, ever after his Skull had been
fractured. The Case at _Osnabruck_ was a Nurse of the Hospital, whose
Name was ---- _Andrews_, a Woman about twenty-five Years of Age, who,
after attending a Dragoon in the Small Pox, and suckling at the same
time her own Child, then in the same Disorder, was, on the 18th of
_January_ 1763, attacked with a Fever. I saw her for the first time on
the 20th, and found her Pulse quick, full, and strong. She complained
of a violent Head-ach; for which she was blooded, and took the saline
Mixture, with Nitre and Contrayerva. Next Day, the 21st, her Blood
appeared very sizy, and she complained of having been costive for some
Days. We gave her immediately an Ounce of the _sal catharticum
amarum_, which operated well. She continued much in the same Way the
22d, and had some loose Stools that Day. Being still inclined to be
loose the 23d, instead of her former Medicines, she was ordered the
_spiritus mindereri_ Mixture, with Mithridate. This checked the
Purging, but did not stop it entirely. The Fever went on, without any
remarkable Change, till the 27th; at which time the Petechiæ appeared
all over her Body, attended with a Redness of the Eyes, and a violent
Oppression and Pain of her Head, and a quick Pulse. I ordered six
Ounces of Blood to be taken away immediately, and a large Blister to
be applied to her Back, and, at the same time, ordered her a cordial
Mixture, with half an Ounce of the Extract of the Bark in it, to be
taken every twenty-four Hours. The 28th, her Pulse was not so hard,
her Head was much easier, the Redness of her Eyes was much less, and
the Petechiæ had begun to die away. The Blood which was taken away the
Day before, had a thin Buff at the Top, but the _Crassamentum_
underneath was of a dark Colour, and of a loose Texture: p. On the
29th, she told me that she had had two or three loose Stools, and she
was lower than the Day before; and therefore a Drachm of Mithridate,
and two Drachms of the Tincture of Cinnamon, were added to her cordial
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