256 



A few Remarks on the diseases of Seamen, 



factory report can be given of any mode of treatment adopted 

 in this hospital. The hot-bath system has been tried pretty 

 extensively within the last two years, chiefly in cases in a 

 state of collapse, but it was only in one instance that it ap- 

 peared to be of decided benefit, and in that case it is difficult 

 to determine how much was due to the other remedies em- 

 ployed. There were two cases, which exhibited well the low 

 typhoid symptoms which frequently follow the acute stage of 

 cholera. In the first case, the efforts of the system were able, 

 after a long struggle, to produce a healthy re-action ; in the 

 second they proved inadequate. An account of the last is 

 subjoined.* 



aetat 34. 

 ago, from 



April \Qth.—G. Manship : 



Had cholera three days 

 which he is recovering slowly. Tongue 

 furred and brown, a good deal of thirst: 

 motions frequent and watery : cuticle rais- 

 ed from the abdomen, which is raw. Pulse 

 very weak. 



11^. — Has had constant vomiting dur- 

 ing the night, of greenish fluid : has pass- 

 ed copious fluid stools, chiefly of bile: 

 complains only of weakness and of vomit- 

 ing. 



Vesper. — Has only vomited twice since 

 the morning: is excessively languid, with 

 some congestion of the head. 



11th. — Has still bilious diarrhoea: no 

 vomiting. 



Vesp. — No purging since morning: in 

 the same languid state : some vomiting 

 of green fluid. 



\3tk. — Passed an immense quantity of 

 bilious-looking stools : is excessively ex- 

 hausted, with some difficulty of breathing : 

 no vomiting. Tongue cleaner. 



Vesp. — Vomiting and purging both 

 stopped: excessively languid. 



14th. — Had only one motion last night : 

 voice stronger. 



Vesp. — No vomiting: has had one stool: 

 improving. 



1 5th. — Station ary . 



Vesp. — Has some cough, and great dif- 

 ficulty of respiration. 



Diet. 



Sago and 

 brandy. 



Sago. 



R. Pil. Plumbi Acet. c. 



Opio. 

 Duo. s. s. 



Inject. Opiat. 



ll^.-Haust. Acid. Hy- 

 drocyanic, dil. 

 Prore nata repet. 

 Merid. R. Pil. Hydrarg. 

 Ext. Hyosc. aa grs. v. 

 Tertiis horis. 



Vesper.— Applic. Empl. 

 Lyttae Nuchae. 



nth.— P. 



13*A.— Mistura Cretoe. 

 cum Tinct. Kino, post sin- 

 gulas dejectiones. 



Haust. Ammon. et Spir. 

 iEther. Nitr. 2 dis horis. 



14th.— Kept. Mist. Cretae 

 prore nata et pil. h. s. 



15^, Vesp — Applic. Empl. 

 Lyttae. 

 Kepet. pil. h. s. 



* We have been informed, that after the appearance of a few cases of cholera 

 on board ship, the practice of keeping the ports facing t lie east always shut, was 

 adopted, and no more cases occurred. 



