A few Remarks on the diseases of Seamen. 261 



piece. The rest of the liver and the remaining viscera were quite 

 healthy. No doubt had his lungs been stronger, he would have 

 recovered ; though no tubercles were observed, yet he was of 

 a well marked strumous diathesis. 



Cephalalgia. — Several of these cases were merely incipient 

 fevers, and were checked by the ordinary means. Some al- 

 lusion was made in the H. S. Hospital report for 1843,* to 

 several obscure cases of cerebral mischief. The following case 

 is a specimen of them : they are of a very puzzling character, 

 and seem to resemble the earlier stage of the cases of disor- 

 ganisation of the brain, recorded by Dr. Green in his Hospi- 

 tal reports. 



J. Turner. 

 Aug. \2th. — Pale and worn-out looking : 

 has been subject to severe headaches for 

 the last two months, and has been bled 

 three times for them : first attacked on 

 coast of Africa fifteen months ago : gene- 

 ral health good. Pulse natural : never re- 

 ceived a blow on his head. 



\4th. — Head much relieved, but has 

 still constant beating pain in it. 



17 th. — Head rather better. 



\8th. — Complains of pain and constant 

 beating on the top of his head. 



20th. — More swimming in his head. 



25th. — Salivated, but no material 

 change in his head : seton discharges 

 freely. 



28th,— No change. 



29th. — Mouth continues sore. 



Sept. 14th — In the same state : mouth 

 well. 



15th. — Complains of having had violent 

 beating in his head last night. 



16th — Had last night one of the fits 

 of which he complains ; in them his head 

 becomes quite giddy, and there is violent 

 pain : no convulsions or falling down, 

 during the fit. Pulse slow. 



17 th — Slept better: bowels costive. 



Diet. 



Low. 



Low. 



Spoon. 



19^. — Head continues the same, com 

 plains of faintness and difficulty of breath 

 ing. 



* In Dr. Finch's Journal. 



Aug. 12th. — Hirud. xvi. 



temps. Pil. Calom. c Coloc, 



h. s. 

 \3th. — Haust. Purgans. 

 Vesp — Pil. Hydrarg. Ext. 

 Hyosc. aa grs. v., h.s. 



\4th. — Empl. Lyttae nuchse. 

 \bth. — Haust. Purgans. 

 [6th. — Applic. Empl. Lyttae 



capit. 

 18th. — Haust. Purgans. 



20th. — Seton. Pil. Calom. c 



Coloc, h. s. 

 21^. — Pil. Calom. c. Opio, 



bis in die. 

 25th. — Pil. Hydrarg. Pil. 



Rhei, aa grs. v., o. n. 



28th.— 01. Ricini, Bi. repet. 



pil. altern. noct. 

 29^.— Omitt pil. h. s. 

 13^.— Repet. 01. Ricini. 

 R. Potass. Iodid.grs. ijj. bis 



in die. 

 14th, Vesp. — Hirud. xiv. 



temps. 



16th. — Haust. Purgans. P. 

 Rad. Capill. Empl. Lyt- 

 tae capiti. 



\7th.— Pulv. Jalap, c "zi. s. s. 

 \8th.— P. in usum Potass. 



Iodid. 



19M. — Antimon. Potass. 



Tart. gr. £ quater in die, 



Omitt Alia. 



