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
In all of them the bark had been given at some period or other; and the
flowers of zinc were now tried in all, except the last. In three out
of the five this medicine had the most visible good effects. In one
the disease was so speedily removed, that there was only one fit after
the first day of taking this medicine, and the other two had recovered
perfectly after it had been used for seven days.
In these cases there can be little or no ambiguity with regard to the
real efficacy of the medicine, as the disease had lasted from two
to six months, and there was no other circumstance of change in the
situation or treatment of the patients that could account for their
recovery.
Of the two cases in which it failed, one was the tertian of three
months, attended with the eruption; the other was the relapsed tertian
of three days.
With regard to the dose, I began with giving it in the quantity of two
grains thrice a day, which, in some, produced the desired effect, and
without the least sensible operation on the stomach or bowels. If this
dose did not stop the fits after a few days trial, it was increased to
three grains, which, in some, would produce a little sickness. I found
that four grains ruffled the stomach a good deal; but if the patient is
gradually habituated to it, even more than this may be given without
inconvenience.
In those cases in which it was successful it was not found necessary to
give more than two grains at a dose, except in one of them, in which
three were given the day before the fit ceased. In the two unsuccessful
cases the medicine had a fair trial for a fortnight; but one of them
getting no better, and the other seeming to get worse, it was left off.
The cases to which this medicine is adapted are those that have
extremely distinct remissions, with no symptoms of bile nor any local
affection. When agues come to be long protracted, they are frequently
what may be called nervous; that is, consisting of certain morbid
motions that seem to be induced by habit, after the original cause is
removed, and with a tolerable enjoyment of appetite, sleep, and all the
functions of life, during the intermission.
The two cases in which the zinc failed recovered by the use of the
bark. This had been unsuccessfully tried before, and its good effects
now might either depend on its having been left off for some time,
whereby the body recovered its sensibility to its virtues, or it might
be in consequence of administering it in ardent spirits with a few
grains of capsicum and ginger, additions which I found to improve its
effects in other cases, and is a mode of giving it well suited to this
climate.
The zinc was not tried in the sixth case, on account of the local
affection and the remission being short and imperfect.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account