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
[72] Dr. _Pringle_ takes Notice of this yellow Colour or
Jaundice. He says, “some grow yellow, as in the Jaundice.
This was found more frequent during the first Campaign than
afterwards; it was an unfavourable, but not a mortal
Symptom.” _Observ._ part iii. ch. 4.--_Hippocrates_ mentions
the Jaundice occurring in Fevers, _Aphor._ iv. § 62 & 64; and
he reckons it a favourable Symptom in ardent Fevers, where it
happens on the seventh Day. See _Book on Crises_’s, sect. 3.
[73] Does this Fever, when accompanied with this universal
Yellowness of the Skin, approach to the Nature of the yellow
Fever of the _West Indies_? As I had so few Cases of this
Kind under my Care, I cannot determine any thing about it
from my own Experience; but, from the Accounts of others, I
should believe them to be very different Disorders.--In the
yellow Fever of the _West Indies_, the Blood appears quite
loose and dissolved, without the least Appearance of Size,
even on the first Day; and the general Yellowness appears on
the third or fourth, with Signs of a total Dissolution, and
gangrenous Diathesis of the Blood: Whereas, in the Remitting
Fever of _Jamaica_, Mr. _Nasmith_ tells us, (See Dr. _Lind_’s
first Paper on Fevers), there is always an inflammatory
Diathesis of the Blood. The Yellowness in both depends on a
Redundancy and Absorption of Bile; but in the yellow Fever of
the _West Indies_, the Bile is in a much more putrescent
State, and a great Part of the Cure depends on the early and
speedy Evacuation of it.--In the yellow Fevers which appeared
in _Haslar_ Hospital, which are taken Notice of by Dr.
_Lind_, in his _Two Papers on Fevers_, the Blood was in quite
a different State from what it is in the Yellow Fever of the
_West Indies_; the Blood drawn from two of these Patients
became covered with a thick yellow Gluten, and the Serum was
of the Consistence of a thin Syrup, and of a deep yellow
Tinge, and tasted bitter; and in another who was bled two
Days before his Death, it threw up the same thick yellow
Gluten, tho’ the red Part below was quite loose.
I could not observe any certain critical Days, or Periods, when this
Disorder terminated.--Some, who had it slightly, got well in a few
Days; with others, it continued longer: Some continued long feverish,
and would seem cooler and freer from Fever for a Day or two, and then
grow worse again; and many had repeated Relapses.
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