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
otherwise sound; having no Tubercles, Suppuration, or other Disorder,
that we could observe in cutting them. The Heart and Blood Vessels
were sound, and no other polypous Concretions were observed within
their Cavities, but such as we find in most dead Bodies; which seem to
be formed of the coagulable Lymph in _articulo mortis_. The Viscera of
the Abdomen were in a sound State.
We treated the Peripneumony nearly as the Pleurisy. We bled freely in
the Beginning, till the Breathing became easier, or the Pulse began to
sink; taking Care not to be deceived by a low oppressive Pulse, which
generally rose upon Bleeding. We applied large Blisters; gave the mild
Pectorals freely, and plenty of warm diluting Liquors, Barley Water,
the pectoral Decoction, and such like; which afforded more Relief than
any other Medicines. We gave too saline Purges, and laxative Clysters
occasionally; and in some Cases ordered the Steams of warm emollient
Decoctions with Vinegar to be drawn into the Lungs.
By this Treatment most of them, who applied early for Relief, got the
better of the Disorder.
When the Expectoration began, the Patient continued the free Use of
the mild Pectorals, and diluting Liquors; and no Medicines were given
that might in the least tend to stop it; other Evacuations were
omitted, unless where the Pain of the Breast, or the Difficulty of
Breathing increased; in which Case, if the Pulse kept up, I ordered a
Vein to be opened, and a suitable Quantity of Blood to be taken away;
no other Remedy affording any Relief, till this Evacuation was made.
Where the Patient was costive, we frequently ordered laxative
Clysters, or a mild Purge, and found them beneficial: But where no
such Symptoms occurred, it was best, for the most part, to omit all
Evacuations of this Kind, after a free Expectoration had begun, and to
trust to it for carrying off the Disorder.
In some Cases, where the Expectoration stopt suddenly after bleeding,
we gave with Advantage a gentle Vomit, as recommended by Dr.
_Huxham_[52].
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