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
It may here be observed, that the addition of a little neutral salt
alone will sometimes so qualify the operation of opium, as to prevent
its bad effects, such as the increase of febrile heat and delirium, and
the stupor and head-ach which, when given alone, it frequently induces
the following day. I have generally employed nitre with this intention;
but this does not seem so well adapted to this disease as some other
neutral salts, as it tends too much to lower the powers of life.
But with a view to perspiration, the _Spiritus Mindereri_ is the most
effectual neutral medicine when conjoined with an opiate, and there
is not, perhaps, a more safe and pleasing diaphoretic known than a
combination of it with syrup of poppies[94]. There is some neutral salt
in Dover’s powder, and this has more effect than could be expected
from so small a quantity of an inert medicine; for I know from trials
of my own, as well as those of others, that ipecacuanha and opium
given together, in the proportions prescribed in that powder, will
not have the same effect as when joined with the neutral salt. This
is an instance of those useful combinations of medicines which can be
discovered only by experience, but which every physician ought gladly
to adopt in practice upon good testimony and fair trial, though he may
not be able to account for their effects, nor to explain their mode of
operation.
There is nothing more important than plentiful warm dilution; and the
infusion of sauge, or any such light aromatic, is rather more proper
than farinaceous decoctions, or any compositions in which there is wine
or spirits. Success in this, as well as other diseases, depends on
attention to nursing as much as upon medicine; for what would it avail
here to administer medicines for promoting perspiration, unless they
were assisted with fluids to allay thirst, to dilute the acrimony in
the first passages and in the vessels, and to furnish the materials of
free perspiration?
But however desirable it may be to procure sweat, this is not to be
attempted by close rooms and bed clothes, nor by hot medicines, such
as volatile salts, serpentary, spirituous tinctures, or aromatics.
These, according to the testimony of Sydenham, tend to increase the
heat and delirium, and to produce _petechiæ_, miliary eruptions, or
local inflammations. In the intervals of the anodyne diaphoretic above
described, _Spiritus Mindereri_ and small doses of camphor, with
proper dilution, may be safely employed to procure a soft skin.
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