The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
The causes of this disorder is a defective diet, contaminated air, and
want of proper exercise.
In regard to the diet, salt provisions and foul water are the accessory
means, which not only impoverishes the blood, but gives it a tendency to
a putrescency, whereby it loses its spirit, the lymph its
gelatinousness, and the crasamentous part its resinous consistency.
Thence the serum becomes sharp and acrimonious; the lymphatic part in
the blood unable to nourish the stamina of the solids; and the red
crasamentous part becomes crumous, and void of its vivacity: and as the
solids must in consequence suffer in proportion to the state of the
blood, from whence they have their existence, and become maintained, it
must follow also, that they degenerate into the same state of
corruption: thence we find not only a universal lassitude and debility
in the limbs, but gradually the smaller vessels become unable to
circulate the corrupt humours, break, bleed, and even mortify of their
own accord, without any other cause than the putrescent nature of their
containing fluids.
Though the symptoms are in general too well known, not to be easily
mistaken; yet I shall here describe this destructive disease in its
various gradations.
When a patient first begins to be tainted with the scurvy, he feels a
lassitude all over his body, and a peculiar proneness to indulgence and
idleness; work becomes irksome; and neither has he strength, nor
inclination, to do his work with the same chearfulness as before. He
sleeps more in general, but his rest is for ever disturbed with heavy
and melancholy dreams; and particularly of that nature, as for ever to
be engaged in escaping from some sad danger, but unfortunately that his
limbs are so remarkably heavy, that he cannot move them. With these and
the like labour in vain phantoms his sleep is disturbed, till at length
he awakes, and finds himself more fatigued than when he first went to
rest. The mouth is always foul and slimy, and frequently attended with a
disagreeable taint. The appetite is depraved, and the victuals sits very
heavy on the stomach.
This is the first stage of the scurvy; and when a patient is sure of
those symptoms, it is time some remedy should be used, in order to
prevent the approaching evils; which gradually come on thus.
The gums begin to swell, though not very sore; and frequently bleed
either on their own accord, or at the least touch of any thing that
comes near them. The breath becomes very disagreeable, even to the
patient himself. The teeth grow dark, brown or black, become loose, and
the very jaw bone, together with the roots of the teeth are exposed and
seem uncovered from the decayed gum.
Sometimes a scurfy itch ensues, and sometimes little spots appear. The
body becomes remarkably weak, and sensibly falls away, and the colour of
the skin gets a disagreeable tawny hew; which is most remarkable,
together with other emaciated features in the patient’s countenance.
Public-domain text, read in full here on John Shaqi.
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