Lvi INTRODUCTORY. 



Porrigo ; sycosis ; the sypliilides. 



Alopsecia, if total. 



Nievi ; large, livid, liairy, and unsightly spots on the face. 



"When the imperious need of obtaining men to fill up the dwindling regiments of 

 the national forces resulted in the passage of the enrollment-law, a concise code of 

 instructions to medical officers, for their guidance in examining recruits, formed a 

 part of the official regulations issued by the Provost-Marshal- Gleneral for the govern- 

 ance of the conscription. Although the more copious rules just given form the present 

 official standard, the instructions to enrolling sm-geons are well worthy of preservation 

 for their own merit and for their pertinence to the history of the draft. In the 

 supplementary part of this volume will be found the expressed opinions of a large 

 number of the surgeons entrusted Avith the onerous duty of examining men drafted 

 or offered for service, as to the sufficiency and equitable adaptedness of this code for 

 the purpose intended. It met, for the most part, with their emphatic approval, the 

 alterations recommended being chiefly technical or comparatively unimportant. 



INSTRUCTIONS FOR THE PHYSICAL EXAMINATION OP DRAFTED MEN AND SUBSTITUTES, 



AND GENERAL REGULATIONS CONCERNING.^ 



The duty of inspecting men and of determining whether they are fit or unfit for 

 the military service of the country requires the utmost impartiality, skill, and circum- 

 spection on the part of the examining surgeon and board of enrollment ; for upon the 

 manner in which this duty is performed will depend, in a very great degree, the 

 efficiency of the Army. 



In the examination, the examining surgeons will bear in mind that the object of 

 the Government is to secure the services of men who are effective, able-bodied, sober, 

 and free from disqualifying diseases. 



The examining surgeons will also remember that the object of the drafted men, 

 in claiming exemption, may be to escape from service by pretended, simulated, or 

 factitious diseases, or by exaggerating or aggravating those that really exist, and that 

 the design of substitutes frequently is to conceal disqualifying infirmities. 



The examination by the examining surgeon is to be conducted in the day-time, 

 in the presence of the board of enrollment only, and in a room well lighted and 

 sufficiently large for the drafted man to walk about and exercise his limbs, which he 

 must be required to do briskly. 



The man is to be examined stripped. 



The surgeon will habitually conduct his examination of a man in the following 

 order, to ascertain : 



1. AVhether his limljs are well formed and sufficiently muscular ; whether they 

 are ulcerated or extensively cicatrized ; whether he has free motion of all his joints ; 

 and whether there are any varicose veins, tumors, wounds, fractures, dislocations, or 

 sprains that would imjiede his marching, or prevent continuous muscular exertion. 



2. Whether the thumbs and fingers are complete in number, are well formed, 

 and their motion unimpaired. 



' Scvised regvlaiiona for the sorernment of the Bureau of the Provost-Marahal-Gcneral. Washington, April 1, X8(i4. 



