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
There are other familiar and well-established facts, which prove, that
either from the influence of disease, from habits of life, or the
nature of particular animals, life can go on for a length of time with
little or no aliment. This is the case in fevers, in sea-sickness,
in certain singular cases that have been recorded[122], in torpid
animals, and in animals of cold blood. Though a man in health will die
if deprived of food for a very few days, it does not follow that this
is owing to the want of matter to repair the waste of the body. The
craving for food, and the faintness from long abstinence, arise from
the want of the accustomed stimulus, especially in those who are used
to live well; and a person feels himself most refreshed by food and
drink when newly taken in, and before it can be applied to the purpose
of nutrition.
As there is a continual waste and decay, however, both of our fluids
and solids, some degree of reparation is absolutely necessary,
especially to animals of warm blood; and such _ingesta_ as would
give the stimulus of food, without being possessed of any nutritious
principle, would indeed continue life for a certain time; but disease
would ensue. The provision used at sea answers, in a great measure, to
this description; for unless the powers of digestion and assimilation
are remarkably strong, salt beef and biscuit, which have been long
kept, do not contain much more nourishment than saw-dust, or the bark
of a tree, and the disease induced by this diet is the scurvy.
The nature and symptoms of the scurvy countenance this opinion: for
as the means of renewing the animal matter of our bodies is withdrawn
under this course of diet, nature, in consequence of an accommodating
principle, observes a sort of frugality, and the animal œconomy adopts
such measures as may be productive of the least possible waste and
corruption of the fluids. Accordingly all the secretions become scanty;
and, in particular, one of the first symptoms of this disease is a
suppression of perspiration, as appears by the goose-skin that attends
it. There is a paucity of urine. There is also a great languor in
the circulation, which may be considered either as a means adopted by
nature to prevent that vitiated and effete state of the fluids which a
brisker action might induce; or it may happen from a want of that due
supply of nourishment necessary to produce a vigorous action of all the
functions.
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