An Account of the Diseases which were most frequent in the British military hospitals in Germany — John Shaqi
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
[1] Dr. _Huxham_, in his _Treatise on the ulcerous sore
Throat_, p. 36, says, “I have very often met with this buffy
or sizy Appearance of the Blood in the Beginning of Malignant
Fevers; and yet, Blood drawn two or three Days afterwards,
from the same Persons, hath been quite loose, dissolved, and
sanious as it were.” And in his _Essay on Fevers_, chap.
viii. p. 108. says, “The first Blood frequently appears
florid; what is drawn twenty four Hours after, is commonly
livid, black, and too thin; a third quantity, livid,
dissolved, and sanious. I have sometimes observed the Crasis
of the Blood so broke as to deposite a black Powder, like
Soot, at the Bottom, the superior Part being either a livid
Gore, or a dark green, and exceedingly soft Jelly.”
The Reason of this Difference of Symptoms in the Beginning, and of
these different Appearances of the Blood, seemed to be, that such
Patients as laboured under Pleurisies, low or other Fevers, being
brought into Hospitals where the Malignant Fever was frequent, had
their original Disorders changed into this Fever by breathing a foul
infected Air, and by their Communication with those ill of the Fever,
and of Fluxes; at other Times, a mere Acrimony of the Blood, set in
Motion by a supervening Fever, determined the Disorder to be of this
kind: and I always observed, that those Men were most apt to catch
this Fever, whose Constitutions had been broke down by previous
Disorders.
The Fever appeared in different Forms. Some had only a Quickness of
the Pulse, attended with a slight Head-ach and Sickness, Whiteness of
the Tongue and Thirst, and a Lowness and Languor; which continued for
a Week or more, and then went off, either insensibly, or with a
profuse Sweat, succeeded by a plentiful Sediment in the Urine. Most of
those who fell into profuse kindly-warm Sweats recovered, the Sweat
carrying off the Fever. These profuse Sweats continued for twelve or
twenty-four Hours, and sometimes for two, three, or four Days. In
those who had the Fever in this slight Degree, the Petechiæ seldom
appeared; and it was only known to be this sort of Fever by the other
Symptoms, and the Malignant Fever being frequent at that time in the
Hospitals. Dr. _Pringle_[2] very justly observes, “That these low
Degrees of this Fever are hardly to be characterised, and are only to
be discovered, in full Hospitals, by observing Men languish; though
the Nature of the Illness, for which they come in, should seem to
admit of a speedier Cure.”
[2] _Observations on the Diseases of the Army_, part III.
chap. vii. sect. 3. third Edition, 1761.
For the most Part the Fever appeared with more violent Symptoms, the
Tongue became more parched and dry, more or less of a Delirium came
on, attended with the other Symptoms commonly described as peculiar to
this Fever.
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