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 have observed great benefit from the use of external remedies in
dysentery, and these have, perhaps, been too much neglected by authors
and practitioners. The warm bath is of great service, especially where
the gripes and tenesmus are severe, and where the fever has been taken
off by previous evacuation. Fomentations or warm applications of any
kind to the abdomen give temporary relief; and it will be found of
advantage to keep those parts, at all times, well defended from the
cold air. Blisters to the abdomen were also found of use, and likewise
acrid liniments, composed of oil, volatile spirits, and tincture
of cantharides. Where the stomach has been much affected, I have
perceived relief from fomenting it with stupes, upon which thebaic
tincture and camphorated spirits were sprinkled, as recommended by Dr.
Lind. I was once affected with a bad dysentery in the West Indies,
and I thought myself much relieved by the warm bath and a blister.
Strangury is not an uncommon symptom in this disease, independent of
cantharides, and the most sensible and effectual relief is derived from
fomentations to the pubis and perinæum, as I also experienced in my own
case.
What has been hitherto said regards chiefly the acute dysentery; but
the most frequent and troublesome complaint that occurred at the
hospital, was the same disease in what may be called its chronic state.
There is a considerable variety of symptoms in all the stages of this
disease, but particularly in the more advanced or chronic state, so
that a corresponding variety is necessary in the modes of treatment,
and there are few diseases in which there is more room for exercising
the judgement.
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