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
In the Intervals between the Purges, we gave in the Day, the Mindereri
Draughts with the Mithridate; or the saline Draughts with the Addition
of four Drops of the _tinctura thebaica_; or some such mild
diaphoretic, every four or six Hours; which helped to keep up a free
Perspiration, without any Danger of stopping the Purging; and for the
most part answered much better than the Diascord, or Philonium, or
other strong Astringents and Opiates commonly prescribed for this
Purpose; which were always liable to check the Purging too much, and
bring on severe Gripes attended with Heat and Fever[37]; and therefore
we seldom made Use of them in this first Stage of the Disorder.
[37] _Sydenham_, _Huxham_, and all good Practitioners, have
taken Notice of the bad Effects of the too free Use of
Astringents, and given Cautions against it.
If the Patient was attacked with severe Gripes[38], and a Tenesmus,
which the Purgatives and gentle Opiates did not relieve, we ordered
the Abdomen to be fomented with warm Stupes; and the Patient to drink
freely of warm Barley or Rice-water, or of weak Broth[39], or an
Infusion of Camomile Flowers, as recommended by Dr. _Pringle_; and
ordered first Clysters of large Quantities of the plain emollient
Decoction to be given; and if the Gripes still continued, to be
repeated in small Quantities, with the Addition of a Drachm or two of
the _tinctura thebaica_; for we observed that Opiate Clysters often
gave more Relief, than Anodynes administered in any other Way; and
sometimes, when a Tenesmus was very troublesome, the common oily
Clyster, with a little Diascord, and _tinctura thebaica_, or the
Starch Clyster, gave more Ease than any other.--In some Cases, where
the Pain was sharp, attended with a Fever, we were obliged to take
away more or less Blood; and sometimes also to apply a Blister to that
Part of the Abdomen where the Patient felt most Pain.
[38] If the Patient was suddenly attacked with sharp Pain of
the Bowels and Gripes, on a Day in which he had not Physic, a
Dose of the Salts and Manna was commonly given immediately,
to empty thoroughly the first Passages.
[39] Mr. _W. Russel_ told me, that he and Dr. _Huck_ found
the free Use of the following Emulsion, made of Bees Wax, to
be of great Use after Evacuations, where there was much Pain
of the Bowels, in recent Cases of Fluxes in the Hospitals in
_America_. ℞. Ceræ alb. vel flavæ drachmes tres. Sapon. alb.
Hispan. drachmam unam. Aquæ fontanæ, unciam unam, liquefiant
super ignem in vase ferreo, agitando spatula, & dein infunde
in mortarium marmoreum, & adde paulatim aq. fontanæ, libras
duas syrupi sacchari. spiritus vini gallici tenuis, vel aquæ
alicujus spirituosæ ana unciam unam, terendo optime ut fiat
emulsio.
This Method of dissolving Bees Wax, in a Watery Liquor, is
entirely new; for before this we knew of no Way of making it
miscible with Water.
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