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
Neither could I observe any regular Crisis in this Fever. Sweat was
the Discharge which oftenest proved critical. Many seemed to be
relieved by a Purging; but as the greater Part had a Looseness after
some Days, which continued often through the Disorder, without
producing any very sudden Change in the Symptoms, it seemed to be a
favourable Circumstance; though it seldom carried off the Fever so
suddenly as to be manifestly critical. The Urine broke, and dropt a
Sediment, for the most part, as the Fever took a favourable Turn.
When this Fever proved mortal, it commonly assumed a continued Form;
the Tongue became parched and dry, the Patient delirious, with
Twitchings of the Tendons, Hiccup, and other fatal Presages; while
others were seized with a violent Diarrhœa, or Dysentery, which sunk
them irrecoverably.
In the Beginning, it was absolutely necessary to bleed the Patients
freely; and frequently to repeat the Evacuation, where the Symptoms
required it. The Blood was of a florid Colour, and commonly threw up
more or less of an inflammatory Buff.
In these Fevers, we were obliged to have particular Regard to the
first Passages, especially in the Beginning of the Disorder; for they
were generally loaded with bilious Humours[74]; which, if suffered to
remain in the Bowels; were either absorbed, and increased the Heat
and Fever, or brought on a violent Diarrhœa; and therefore, after
Bleeding, we gave a Vomit in the Evening, and next Day a Dose of some
gentle Purge, as Rhubarb or Salts; to carry off these putrid, bilious
Humours: And afterwards, in the Course of the Disorder, if the Patient
was costive, and grew hot, restless, and uneasy, we either repeated
the Purge, or gave laxative Clysters, which generally removed these
Symptoms.--Frequently after the Operation of the Emetic, the Patient
had some loose Stools, from the Gall Bladder’s being emptied in the
Strainings to vomit. Such Stools were always bilious, as were commonly
those procured by purgative Medicines.
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