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
We followed the antiphlogistic Method of Cure; and ordered plentiful
Bleeding in the Beginning, till the Violence of the Pain began to
abate, or the Patient grew faint;--and the Side to be fomented with
Flannels dipped in warm emollient Decoctions, and afterwards rubbed
with volatile Liniments: At the same Time the Patient drank freely of
warm diluting Liquors, as Barley Water, the pectoral Decoction, and
such like; and took the saline and other cooling Medicines, mixed
occasionally with Sperma Ceti, or some other soft Pectorals, if there
was a tickling Cough.--When the Patient was costive, we gave a Dose of
Salts, or some other mild Physic, or laxative Clysters.
If the Pain continued very acute, we repeated the Bleeding as often as
Necessity seemed to require, and the Pulse could bear; and immediately
after the second Bleeding ordered a large Blister to be applied to the
Part affected.
Physicians formerly used to forbid Bleeding after the fourth Day, if
it had been omitted so long; but when no Symptoms of Suppuration had
already appeared, on whatever Day of the Disorder it happened, I
ordered plentiful Bleeding, the same as in recent Cases; and never
found any Disadvantage, but often great Service from this Practice.
When the Sharpness of the Pain was gone, and the Pulse became soft,
very often a dull Pain remained for some Time in the Part.--In some
Cases a brisk Purge removed it;--in others, cupping above the Part,
and afterwards rubbing it with the volatile Liniments, did
Service;--in others, gentle Opiates at Night, especially where there
was a tickling Cough;--and in one or two Cases, this Pain did not go
away, till the Patient was ordered to drink every Day for some Time, a
Quart of the Decoction of Sarsaparilla with the antimonial Wine.
In the Course of this Disorder, if a kindly Moisture broke out on the
Skin, which gave Relief, this was encouraged by the Use of mild warm
Liquors; or if the Patient began to spit up a viscid or yellowish
Mucus, we endeavoured to keep up the Expectoration by the Use of mild
Pectorals; and if a Purging came on, we were careful not to check it
too soon, unless it was so violent as to be in Danger of sinking the
Patient.
When an Inflammation of the Side came to Suppuration, which happened
in one or two Cases at _Osnabruck_, in _May_ 1761; as soon as a
Fluctuation of Matter was to be felt, an Incision was was made in the
Part, and the Matter discharged; after which the Sore healed kindly,
and the Patients recovered[51]. I am persuaded, was this Operation
oftener performed, many would recover who die consumptive.
[51] Dr. _Mead_ advises, where the Lungs and Pleura grow
together, and an Abscess forms, to open it with Caustic; and
afterwards to keep the Ulcer open during the Patient’s Life:
For he says, he has often seen, where such Sores were healed
up, that the Patient died soon after by an Efflux of Matter
upon the Breast. _Monita Medica_, Cap. i. Sect. 7.
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