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
This is the second state, and now dissolution actually begins to take
place.
The patient loses his strength sensibly, so as not to be able to be
supported by his own limbs. Over his body variously appear red, scarlet,
yellow, green, livid and black spots, of various magnitude; some of
which will bleed on their own accord; others will break into malignant
ulcers, and others again will mortify. The appetite fails; a flux
frequently ensues; the urine will be thick and stinking; and the poor
wretch gradually dies merely by putrefaction.
The scurvy has had many definitions, and has been divided into various
classes. All the difference of the disorder is, that sometimes it is
attended with a fever, only in some degrees, more in one habit, than in
another; which may be owing either to the nature of the constitution
itself, but principally depends on the climate the patient is in: to
which I must not forget to add, that frequently the scurvy is
complicated with other disorders. I could make many observations on this
head, but, this perhaps would serve more to indulge myself than to
benefit my reader.
I shall therefore suppose that I have said enough, to proceed to the
cure; which I do with the more chearfulness, as I am happy in knowing it
by experience to be not only easy, but efficacious.
The first time I ever experienced, and had it in my power to examine
into the nature of the _true_ scurvy, I was fortunate enough to discover
so much of its corruptive quality, as to hit upon the true antidote;
namely, the sacharine quality and acidity of vegetables; and upon this
foundation I established my method of cure with success.
I shall not here enumerate the many experiments that I made in the
course of these inquiries, but proceed to the result thereof, and the
method to be observed.
In the first place, sugar is an article of more virtue, than what is in
general known; and of so great a value to seamen, that he ought to
esteem it as one of the greatest preservatives of his health. Next to
this is vinegar, which is not only a resister of putrefaction, but has a
coagulating, and condensing quality to the animal juices; whereby it not
only consolidates the fluids without adding acrimony, but on the
contrary, absorbs animal acrimony, and braces up the solids.
On the same principle, I have found _dried malt_, to be of great
advantage in scorbutic cases; in which, both the saccharine and acidity
of vegetables is contained even in a heightened degree,——This being
premised, I proceed in the following manner:
When a man is found to have evident signs of the scurvy, let his drink
be acidulated with one fourth, or third, &c. of good vinegar, or what is
yet better, lemon juice, and well sweetened with sugar.
If there is malt on board, let a malt decoction, or temporary beer be
made in the following manner:
No. XLVII
Public-domain text, read in full here on John Shaqi.
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