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
This Disorder weakens the Patient much, in a short Space of Time; and
sometimes, when violent, kills in less than twenty-four Hours. It is
always most frequent in Summer and the Beginning of Autumn; and is
taken Notice of by _Hippocrates_, _Aretæus_, _Celsus_, and other
antient Authors; and is very accurately described by many of them.--It
is of the bilious Kind; and the Cure principally depends upon the free
Use of warm mild Liquors in the Beginning; to dilute and blunt the
Acrimony of the Bile, and other Fluids, and to promote their
Discharge; and afterwards of gentle Cordials to support the Strength;
and warm Fomentations to allay the Pain when violent; and mild Opiates
to procure Rest; and if the Sickness or Griping remains next Day after
the Cholera is stopt, to give a Dose of Physic and an Opiate in the
Evening.
An Officer, who had been wounded on the 15th of _July_, at the Battle
of _Fillinghausen_, began afterwards to live very freely, and was on
the 4th of _August_ seized in the Night with the Cholera.--About ten
o’Clock next Day I was sent for; and found him in violent Agony, with
sharp Pain in the Bowels, Reachings, and Strainings to Vomit, and
Spasms and Cramps in the Bowels, Legs, and Arms.--He had large red
Blotches on his Extremities, and no Pulse was to be felt at the Wrist,
and rather a Fluttering than a Beating at the Heart.--He had vomited
and purged much in the Night before I saw him, but the Purging had
begun to abate.--I immediately ordered him an emollient Clyster, and a
saline Draught, with the _confectio cardiaca_, and five Drops of
liquid Laudanum; which, if he vomited up, was to be repeated soon
after; if not, only once in four Hours: And he was directed to drink
freely of weak Chicken Broth, warm.--Two Hours afterwards we found him
in the same Situation; still no Pulse to be felt, which prevented us
from bleeding him; and the violent Pain of the Stomach and Bowels, and
the Cramps, continued. We then ordered Flannels, dipped in a warm
emollient Decoction, to be kept constantly applied to his Belly,
dipping them in the warm Decoction as soon as they began to grow cool;
his Clyster to be repeated with the Addition of a Drachm of the
_electuarium e baccis lauri_, and Half a Drachm of the _tinctura
thebaica_; a Scruple of Castor, and Half a Drachm of Spirit of
Lavender, to be added to each of his Draughts; and a Blister to be
prepared, in case these Medicines gave no Relief.--Soon after,
beginning to use the Fomentations, the Cramps and Pains began to
abate; about four o’Clock in the Afternoon we could perceive a
Fluttering of the Pulse at the Wrist, and all the Pains and Cramps
were much easier; so that there was no occasion for the Blister.--Next
Morning he was very easy, but low, and inclined to be sick; for which
his Cordial Draughts were repeated every six Hours.--The third Day, as
he complained of a little Griping in the Bowels, we ordered him a Dose
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