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
When the yellowish Colour of the Countenance remained after the Fever,
we kept the Patient on a low Diet; and his Body open by Means of the
saline Draughts, with a few Grains of Rhubarb, or by giving Half a
Drachm, or two Scruples of the Soap Pills with Rhubarb daily; which,
for the most part, removed the Yellowness soon. Two only had a
Jaundice remain after the Fever, and both were cured in a short Time.
In other Respects, the Treatment of this Fever, when it degenerated
into a continued Form, had nothing particular in it; nor differed from
the common Practice of giving cooling Medicines when the Fever was
high, and supporting Nature by the Use of Cordials and Wine, and the
Application of Blisters, &c. when low; and promoting such Evacuations
as Nature pointed out for a Crisis.
OF THE Intermitting Fever, or Ague.
This Disorder belongs to the same Tribe of Diseases as the Remitting
Fever. We call it an Intermitting Fever, or Ague, when the Paroxysms
are distinct, begin with a cold and hot Fit, and go off with a Sweat;
and the Patient is cool, and free from the Fever in the Intervals
between the Fits.
Many have been the Causes alledged to produce this Disorder. The great
Quantity of Bile that is often thrown up in the Fit, has caused it to
be ranked among the bilious Diseases; and the Seasons of the Year in
which it is most frequent, and the low moist Situation of the Places
where it is endemic, have made Practitioners suspect, that an
obstructed Perspiration, and a Tendency in the Juices to the
Putrescent, are the Cause of it.
But whatever Cause we may suppose to give Rise to the first feverish
Fit, it is difficult from hence to account for the regular Returns of
the Paroxysms and Intermissions: For my own Part, after considering
Intermittents, which observed a regular _Type_ in the Course of a
Salivation[78]; their being so easily stopt by the Bark without any
sensible Evacuation; their being sometimes put away by a Stimulus
externally applied[79], or by a Fright, or sudden Plunge into cold
Water[80]; their returning after slight Errors in Diet, and sometimes
by the Operation of a Purge, or of Bleeding; their attacking sometimes
only particular Parts, and many such Accidents in these Fevers, I must
confess, that I am unable to form any Idea, either of their Origin,
Seat, or Cause[81].
[78] See _Van Swieten_, Vol. II. p. 537.
[79] A Gentleman told me, that he was once cured of an Ague
in the Country, by applying a Poultice of Garlic to his
Wrists, and letting it lie on till it inflamed and blistered
the Part.--I have seen Blisters cure an Ague.--In the
_Edinburgh Med. Essays_, Vol. II. Art. v. we have an Account
of Agues being cured by the Application of Poultices of
recent Erigerum (Groundsel) applied to the Stomach on the
Days free from the Paroxysm, which caused strong Vomiting.
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