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
On the Return of the Troops from the Winter Expedition into the
Country of _Hesse_, in the Year 1761, we had several Men seized with
Inflammatory Fevers without any topical Inflammation; and at the
Opening of each Campaign had always Numbers sent to the Hospitals ill
of this Disorder. Towards the End of the Campaigns, and throughout the
Winter, many were seized with Inflammatory Fevers; but these were
mostly complicated, with pleuritic, or peripneumonic Symptoms, or
other topical Inflammations, or with rheumatic Complaints.
In the Inflammatory Fever, the Sick were seized at first with cold and
hot Fits, succeeded by Pain in the Head and all over the Body. The
Pulse was strong and quick, and the Blood sizy; attended with other
Appearances commonly observed in such Fevers.
As the Summer advanced, this Fever was often accompanied with bilious
Symptoms, with Sickness, and vomiting of bilious Matter, and very
frequently with a Purging: Towards the End of Summer it ceased, and
was succeeded by the bilious remittent Fever.--And it was no uncommon
Thing to see those Fevers, which originally were entirely of an
inflammatory Nature, after the sick had been some Days in a crowded
Hospital, partake a good deal of the Nature of the Malignant Fever, or
be changed entirely into it.
We treated these Fevers in the common antiphlogistic Method.--We
blooded freely in the Beginning; gave the saline Draughts with Nitre
and other cooling Medicines; and made the Patients drink plentifully
of small Liquors:--And when they were inclined to be costive, gave
mild Purges, or emollient laxative Clysters. We afterwards applied
Blisters; and if the Pulse began to sink, gave Cordials, Wine, and
other Remedies commonly employed in such Cases;--and towards the
Decline of the Fever endeavoured to promote such Evacuations as were
pointed out by Nature, and likely to prove critical.
When the Case was complicated with bilious Symptoms in the Beginning,
we were obliged to have particular Regard to the first Passages. If
the Patient complained much of Sickness, we gave a gentle Vomit in the
Evening, after bleeding; and a Purge next Day, to carry off any
bilious or corrupted Humours that might be lodged in the Stomach or
Intestines; and we found that these Evacuations gave Relief, and
generally mitigated all the Symptoms.
If at any Time during the Fever a Looseness came on, especially when
attended with Gripes, we gave a Dose of some gentle Physic, which made
a free Evacuation; and an Opiate in the Evening after its Operation;
and afterwards we found it answer better to attempt rather to
moderate, than wholly stop the Purging by strong Astringents, and
Opiates; unless where the Evacuation by Stool was so great as to be in
Danger of sinking the Patient.
The _pulvis antimonialis_, composed of ten Parts of the _pulvis e
chelis_, and one Part of the Tartar emetic, given in small Doses, was
serviceable in many of these Fevers, after free Evacuations had been
made.
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