An Account of the Diseases which were most frequent in the British military hospitals in Germany — John Shaqi
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
[23] These Pains and Mortifications of the Feet and Toes were
not confined to those who were brought low by malignant
Fevers; for, during the very hard Frost in the Beginning of
the Year 1763, many of the Patients who lay in very large
open Wards in the Hospital at _Osnabruck_, were affected in
the same Way. One Man had both Feet, and Part of each Leg,
compleatly mortified, and died in about nine Days after the
first Appearance of the Mortification. One lost half of one
Foot, and some Toes of the other; and the third lost the
first Joint of some of his Toes, and the Ends of others.
As soon as the Sick began to complain of these Pains of the Toes and
Feet, I found the best Remedy to be, the Bathing of the Feet in warm
Water, or in warm aromatic Fomentations; and, after keeping the Feet
for some time in these warm Liquors, to dry them well, and then rub
them with the _linimentum saponaceum_, or _linimentum volatile_, and
wrap them up in Flannel. And if ever any Lividness or Redness appeared
on the Parts, we gave plentifully of the Cortex and Cordials, if not
contra-indicated by the other Symptoms. When Vesicles arose on the
Part, and a Gangrene formed, we directed the Parts to be scarified,
and proper Dressings to be applied, while warm aromatic Fomentations
and Cataplasms were used.
In _January_ 1762, one Patient, ill of the Petechial Fever at
_Bremen_, had a Lividness and Blackness, threatning a Mortification,
which appeared at the End of his Nose. I expected for some Days, that,
if he recovered, he would lose Part of his Nose; but, by giving him
large and repeated Doses of the _cortex_ and _confectio cardiaca_, in
a Mindereri Mixture, and allowing him the free Use of Wine, its
further Progress was prevented; and as the Patient got clear of the
Fever, the Nose recovered its natural Colour, and only the scarf Skin
peeled off from the End of it.
When the Fever continued long, and reduced the Patients low, it was
very common for the Back, and Parts on which the Weight of the Body
rested, to mortify. As soon as any thing of this Kind was observed, we
ordered such Parts to be covered with proper Dressings, and gave the
Bark and Cordials freely; and took care to make the Patient change his
Posture; and by Pillows prevented as much as possible the Weight of
the Body from resting on that Part. By this Treatment, many recovered,
where the Fever was on the Decline, and the Strength not too much
exhausted; even tho’ a very large Surface of the Skin had mortified;
but where the Patients were very low, and the Fever still continued,
or where it was complicated with a Flux, which kept them perpetually
nasty, and exhausted the Strength, it generally proved fatal.
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