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
I was informed by Dr. Young, physician to the army, that he found
an infusion of chamæmile flowers one of the best medicines in this
vomiting; and a surgeon of one of the line-of-battle ships informed
me, that he also found advantage from it in alleviating this symptom.
The French author above mentioned affirms, that milk, boiled with
some flour or bread, given in the quantity of a spoonful at a time,
and frequently repeated, had more effect than any thing he tried in
stopping the vomiting in this fever. I have seen this symptom relieved
by fomenting the stomach with stupes wrung from the decoction of bark,
and sprinkled with camphorated spirits and tincture of bark[109].
But nothing I have ever seen tried had so great an effect in removing
this irritability of stomach as a blister applied to it externally;
and it is a remedy which, so far as I know, has not been hitherto
recommended. In other fevers, when the head was not particularly
affected, I preferred this part for the application of a blister, for
it is in some respects more convenient than between the shoulders, and
the stomach is the part more affected perhaps than any other in all
fevers. But in this fever I was led to apply it to this part, both
from its being affected in an uncommon degree, and from observing,
upon inspecting the bodies of those who died, that the only morbid
appearance that could be discovered was an inflammatory suffusion on
the inner membranes of the stomach.
I have employed opiates both externally and internally to allay this
symptom, but without the effect that might have been expected from so
powerful a sedative.
As the stomach will seldom, even in the most favourable cases, bear
such a quantity of bark as to subdue the disease, it must be exhibited
in every other way that can be thought of, such as by clyster and by
external fomentation, both of which I have employed with good effect. I
used to order a pint of decoction of bark to be injected every three or
four hours, and the fomentation to be employed nearly as often. I have
heard of the decoction of bark being used as a warm bath with success;
but I cannot decide concerning this practice from my own experience.
I have no other internal remedy to recommend; for whatever power of
retention the stomach may have should be employed in taking bark. If it
should become tolerably retentive, camphor will be found of service;
and if given in the evening with an opiate, perspiration and sleep will
probably be procured, by which the patient will be greatly relieved.
Blisters to the thighs and legs seemed to coincide with the general
intention of cure, and they appeared to be of advantage in the cases in
which they were tried.
4. Of the Effects of Flowers of Zinc and White Vitriol in the Cure of
obstinate INTERMITTENT FEVERS.
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