Medical Sketches of the Expedition to Egypt, from IndiaMcGrigor, James, Sir
History
Medical Sketches of the Expedition to Egypt, from India
McGrigor, James, Sir
Great Britain. Army -- Sanitary affairs; Medicine, Military
At first, calomel was used only as a purgative, but, at last, the use
of this remedy was carried farther. The reports were, “that, upon the
mouth becoming sore, the skin became softer, the pulse more regular,
the eye more clear, the tongue more moist, and that the thirst with
the affection of the head and of the abdomen entirely disappeared. The
evacuations too were copious, and approached more nearly to their natural
colour.” Mr Price writes, “So much am I persuaded, that in the modes
of oxygenation, I am in possession of an infallible remedy, that now I
purposely expose myself.” Where he succeeded in affecting the gums, Mr
Thomas lost none of his patients, and Mr Price in a late letter says,
“Calomel affected the gums of all my patients who survived.” It was a
general remark, that the gums were remarkably obstinate and insensible
to the effects of mercury in this disease. Mr Grisdale writes, “in two
of the cases, I for five days pushed calomel and mercurial ointment to a
very great length, but never could succeed in affecting the gums.” Both
these patients, in a subsequent letter, he reports to have died. Here a
particular fact deserves to be noticed: one of the medical gentlemen, who
went on duty into the pest-house, and escaped the disease, on account
of an old venereal complaint, used mercury and nitric acid very freely
during the two months of his tour of duty, and he was one of the six who
escaped the infection. On the whole, in mercury and the nitric acid, we
appear to have excellent remedies for the plague: but they must be very
early and very liberally exhibited. If the first stage is allowed to pass
over before they are given, the season of doing it with advantage is in
danger of being lost. When the stomach becomes irritable, I suspect that
they never can be given with propriety. Perhaps, of all the cases which
occurred in the army, this treatment never got a fair chance of success,
excepting in those which occurred on the first breaking out of the
disease in the hospital of the 88th regiment, in Mr Thomas’s case, and in
that of Corporal Francis.
I regret, that, in this disease, we did not give a full and more fair
trial to cold bathing. The extraordinary circumstance of the escape of
the Lascar from the Rosetta pest-house, and the great benefit which I
have seen from it in the yellow-fever, to which the plague bears no
slight resemblance, would induce me to give it a full trial in plague.
I have, I believe, recounted the principal part of the treatment, and
that which was most generally agreed upon. Other modes received a trial;
but, from an experience of their inefficacy they were all deserted.
Public-domain text, read in full here on John Shaqi.
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