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 mentioned the scorbutic habit as distinguished from the scurvy,
but there seems to be no difference except in degree; for a person may
be laid to labour under the disease before it betrays itself by any
obvious symptom, and it must have gathered a certain degree of force
before visible symptoms are produced. The chief mark of this latent and
incipient stage of the disease is that incurable state of ulcers that
has been mentioned, whether they appear spontaneously or in consequence
of slight accidents. There is another mark of this scorbutic habit
which is not mentioned in any description of the disease I have ever
seen. It is a soft, indolent tumour which arises under the skin on a
part which has received a small blow, or contusion, so slight as not to
break the skin. It most commonly appears about the elbow or fore-arm,
and generally disappears without any inconvenience, what it contains
being absorbed. A surgeon, who opened one of them, (a practice,
however, not to be approved of) informed me that it consisted of
fluid blood. We may also reckon a languor, or sense of weight, as one
of those marks of scurvy which occur before the more obvious symptoms
appear.
In this state of the disease, the articles of lesser powers, such
as malt and melasses, may be of service by preventing its farther
progress, or the appearance of actual symptoms, and by restoring the
constitution.
In some of the early stages of this disease the effervescing mixture
of acids with fixed alkali may probably also be of use. I never could
perceive any sensible benefit in those cases in which I tried it,
though some of the gentlemen of the fleet reported to me that they
thought it of service.
Public-domain text, read in full here on John Shaqi.
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