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
The absorbent earths are a more useful remedy in this form of the
disease. They have, perhaps, a restringent effect independent of their
power of absorbing acid. It is certain, however, that great part of
their use consists in the destruction of acid, which is very apt to
be generated in that depraved state of digestion which takes place in
advanced fluxes, particularly in this lienteric state of the bowels. In
the early and acute state the vegetable purgatives, such as cream of
tartar, tamarinds, and manna, are proper; but in this advanced stage
they are hurtful by the acidity and flatulence which they produce, and
both the food and medicines should be so calculated as to avert and
correct those inconveniencies. There is something in vegetable acids
extremely unfriendly to a weak state of the bowels in general, tending
to bring on spasmodic gripings, and preventing a healthy digestion and
assimilation, as we know in the case of heartburn, and of those who
make use of vinegar to check corpulency, by preventing the formation
of blood. Vegetable acids, however, are admissible where there is
a redundancy of bile, or where the excrements are putrid; and Dr.
Zimmerman recommends tamarinds as a useful medicine in what he calls
the putrid dysentery.
Lime water has been recommended in old flaxes, and I tried it in
several cases; but, except in one, I could not perceive any benefit
from it.
Absorbents may very properly be combined in prescription with some of
the compound-officinal opiates, and a medicine will thereby be formed,
which will have at once the advantage of an anodyne, a bitter, an
astringent, a carminative, and absorbent. As these earths have little
or no taste, they may also be added, with propriety, to the common
drink, as in the form of the chalk julep, or _decoctum album_. It
may be thought that here and elsewhere I have not been so particular
as I ought to be concerning the forms and doses of medicines; but
circumstances, such as age, constitution, and symptoms, make these,
in a great measure, discretionary; and any one who is sufficiently
conversant with physic to be entrusted with the charge of the sick,
will have sufficient judgement to vary his practice accordingly. It
has, therefore been my object rather to give the general principles of
treatment than the particular forms of medicines.
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