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 some old Dysenteries, where the villous Coat of the Intestines was
much injured, I gave the Cordial Draughts, with the Addition of Half a
Drachm of the _balsamum copaivi_, a Scruple of the Extract of the
Bark, and five Drops of the _tinctura thebaica_, three Times a Day.
At first, this Medicine seemed to promise much, particularly in the
Case of an old Invalid, _William Brookes_; who had been long ill of a
Flux, attended with Gripes and a Tenesmus. He had used Variety of
Remedies, without receiving any Benefit. For the first Fortnight,
after he began the Use of this Medicine, he rested well, and found
great Relief; and seemed to be in a fair Way of doing well. But the
Disorder being too far advanced before he began to use it, he
relapsed, and died. On opening his Body, the inner Coats of the Rectum
and the lower Part of the Colon seemed to be reduced almost to a
gelatinous Substance, and the other Coats were black, approaching to a
Gangrene.--The same Medicine gave Relief in other Cases, but they were
too far advanced before it was administered. In these Cases, when the
villous Coat of the Intestines was inflamed and very irritable, the
mucilaginous Medicines, the _pulvis e tragacantha_, and such others,
were of Service; and frequently Starch Clysters and Anodynes gave
Relief, when other Remedies had little Effect. Flower, boiled with
Milk, and sweetened with Sugar, and given for Breakfast, as mentioned
by Dr. _Pringle_, proved a good Palliative to some; and the Starch and
Gum Arabic, dissolved in Water, a good Drink to others.--Lime Water
and Milk, drank to the Quantity of a Pint or a Quart a Day, was of use
to a few, though it did not agree with all.
It was very common for Patients bad in the malignant Fever to be
seized likewise with the Flux. Such Cases were always extremely
dangerous; and when the Fever was bad, we were often obliged to
neglect the Flux, and only attend to the Fever.--When the Purging was
violent, and appeared very early in the Fever, it often sunk the
Patients, and soon carried them off: but where it was moderate, and
did not appear till towards the Height or the Decline of the Fever, it
often proved a Crisis to the Disorder.
When such Fluxes appeared early attended with sharp Pain of the
Bowels, and Signs of Inflammation; if the Patient was strong, we
began the Cure with opening a Vein, which the Patient bore easily, and
it gave Relief; but when the Symptoms were mild, without any acute
Pain, the Bleeding was omitted.--Commonly the Bowels were loaded with
corrupted Humours, when this Symptom appeared; and, therefore, we
found it of Advantage to give a Dose of the Salts with Manna and Oil,
or some other gentle Purge, to carry them off; and in the Evening an
Opiate to ease the Pain and procure the Patient Rest.
Public-domain text, read in full here on John Shaqi.
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