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 duties of wooding and watering are so unwholesome, that negroes,
if possible, should be hired to perform them. In general, however, the
employing of seamen in filling water and cutting wood is unavoidable,
but it should be so managed as not to allow them, on any account,
to stay on shore all night; for, besides that the air is then more
unwholesome, men, when asleep, are more susceptible of any harm, either
from the cold or the impurity of air, than when awake and employed.
As the service necessarily requires that men should be on shore more
or less, however unwholesome the air may be, means are to be used
to prevent its pernicious impressions on the body. Certain internal
medicines, such as bitters, aromatics, and small quantities of
spirituous liquors, tend to preserve the body from its bad effects.
Of the bitters, Peruvian bark is, perhaps, the best; and there is a
well-affected instance of its efficacy in the account given by Mr.
Robertson of a voyage in the Rainbow to the coast of Africa; and by
the same means Count Bonneval and his suite escaped sickness in the
camps in Hungary, while half of the army were cut off by fevers. In
consequence of Mr. Robertson’s representation of the effects of bark
in curing and preventing the fevers of that climate, the ships of
war fitted out for the coast of Guinea have been supplied with it
gratuitously, and Government would find its account in extending this
bounty to all the tropical stations.
We have seen, in the former part of this work, that the fever produced
by the impure air of marshes may not appear for many days after the
noxious principle, whatever it is, has been imbibed; men having been
sometimes seized with it more than a week after they had been at sea.
It naturally occurs, therefore, that something may be done in the
intermediate time to prevent the effects of this bad air; and nothing
is more adviseable than to take some doses of Peruvian bark, after
clearing the bowels by a purgative. Some facts, related in the first
part of this work, show that an interval of ten days or a fortnight may
elapse between the imbibing of the poison and its taking effect. And,
in order to guard against the diseases of this climate in general, it
would be more proper to take some large doses of bark once in either
of these periods, than to make a constant practice of taking a little,
as I have known some people do, by which they may also render their
body in some measure insensible to its good effects. I knew a physician
of some eminence in the West Indies, who always enjoyed uninterrupted
health, and he imputed it to his taking from half an ounce to an ounce
of bark every change and full of the moon, as he thought that fevers
of the intermitting and remitting kind, were more apt to occur at
these periods. Whether this idea be well founded or not, the practice
is proper, upon the other principle that has been mentioned, and the
phases of the moon will at least serve as an aid to the memory.
Public-domain text, read in full here on John Shaqi.
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