Observations on the Diseases of SeamenBlane, Gilbert, Sir
History
Observations on the Diseases of Seamen
Blane, Gilbert, Sir
Medicine, Naval -- Early Works To 1800; Sailors -- Diseases
After the force of disease has been subdued at sea, men are frequently
lost by relapses, or pine away in dropsies and other chronic
complaints, for want of being supported by some cordial and nourishing
diet. It is mentioned in my memorial to the Admiralty, how insufficient
the small quantity of surgeon’s necessaries are; and it is recommended
that a large quantity of certain species of refreshment should be put
in the purser’s charge, which, being substituted for the common sea
victualling while men are ill or recovering, would cost Government
little or nothing. Besides the articles already mentioned, it was
recommended to set apart a quantity of the best wines, and to be
provided with brown sugar, dried fruits, barley, rice, sago, and salep.
To these might be added eggs, which, if greased and put in salt, may
be preserved fresh for a great length of time. Carrots and other roots
might also be preserved for the longest voyages by means of sugar; and
green vegetables might in like manner be preserved by means of salt.
But of all the articles, either of medicine or diet, for the cure of
the scurvy, lemons and oranges[67] are of much the greatest efficacy.
They are real specifics in that disease, if any thing deserves that
name. This was first ascertained and set in a clear light by Dr. Lind.
Upon what principle their superior efficacy depends, and in what
manner they produce their effect, I am at a loss to determine, never
having been able to satisfy my mind with any theory concerning the
nature and cure of this disease, nor hardly indeed of any other. An
ingenious treatise has been published on this subject by Dr. Milman,
to which I refer the reader, meaning to confine myself in this work
chiefly to what is practical.
Every person who has beheld with attention and feeling the tedious and
languishing series of suffering which the sick and recovering endure
for want of the means of supporting and recruiting their strength and
spirits, must wish that those who preside in the civil department of
the navy would seriously consider this subject, and complete the reform
that has already been begun.
With regard to the victualling of men in health, a most commendable
attention has been paid to the improvement of it. The ordinary articles
of victualling have not only been of excellent quality, but some new
articles have been added, from which the greatest benefit has been
derived. The chief of these are sour krout and melasses. The latter was
first brought into use by Captain Ferguson in the beginning of the late
war. He ordered it to be served with rice to the men who were affected,
or threatened with the scurvy, in the ship under his command. The
benefit experienced from it in this and other instances was so great,
that during the last two years of the war it was made a regular article
of sea victualling, and substituted in place of a certain proportion of
oatmeal[68].
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