262 



A few Remarks on the diseases of Seamen. 



22nd. — Better : bowels costive. 



26th. — Has been better under the use 

 of nauseating medicine till to-day, when 

 his head is worse. 



Vesp.— Has fever : temples throbbin 



Diet. 



21th. — Less heat of head : tongue coat 



ed. 



28^.— Ditto. 



Merid. Much worse, with pain in head, 

 and difficulty of breathing. Great oppres- 

 sion at the praecordia. 



2%th. — Head better, and pulse quieter ; 

 but complains much of difficulty of 

 breathing: tongue loaded: bowels open. 

 Coagulum soft, still some difficulty of 

 breathing. 



Vesp. — Difficulty of breathing re- 

 lieved : skin and head still rather hot : 

 bowels not open. Tongue dark and 

 coated. 



30th. — Pulse quiet: skin cool : bowels 

 only open once. 



Oct. 1st. — Vomiting came on last night 

 and he has complained of constant sick- 

 ness since. Tongue thickly coated : bowels 

 not open : pulse quiet : no heat of hea ' 

 cramps in legs. 



2nd. — Symptoms again relieved, but 

 his head has been wandering a good deal 

 for a day or two ; cannot sleep. 



Vesp. — Very restless. 



3rd. — Slept well last night, and 

 this morning. Tongue remains 

 coated. 



s cool 

 much 



Spoon. 



Milk. 



Half. 



22nd. — Haust. Purgans. 

 Vesp.— Pulv. Ipecac. P. 



Digital, aa grs. iii., h. s. 

 26th — Hirud. vi. temps. P. 

 Vesp. — Hirud. xii. capiti. 



Pil. Calom. c Coloc. 

 21th.-— Haust. Purgans. Mist 



Salin. 

 Vesp — Pil. Hydrarg. Extr. 



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

 28th. — Pulv. Jalap. Co ^i. 

 Infric. Unguent. Antimon. 

 Merid. Hirud. xvi. temps. 

 Vesp.— Empl. Lyttae capi- 

 ti; Hydr. chlorid gr. iv. 



tertiis horis. — V. S. ad % 



xvi. 

 29th.— Vini Ipecac. 

 Tinct. Hyosc. 

 Spirit. Ammon. Aro- 

 mat. aa £ ss< 



Mist. Camphor. 2xij. 

 M. ft. Mistura, &c. 

 Vesp.— Enema purgans. 



Pil. Hydrarg, Extr. 



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



30^. — Pulv. Jalap, c ii. s.s. 

 Repet. pil. Calom. c Co- 

 loc, h.s. Enema pur- 

 gans. 

 1st.— 01. Tigl. TT1 iii., s. s. 

 Sinapism abdom. 



Pil. Hydrarg. Extr. 

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



2rcd.— Tinct. Hyoscyam. 



ni_xi. 



Mist. Camphor. ^iss.,s.s. 

 Vesp. — Morphia Acet. gr. i. 



h. s. 

 3rd. — Haust. efferv. ter in 



die. 



Vesp. — Morphia Acet. gr. ss. 



h. s. 

 4th.— Omitt. Medic. 



4th.— Tongue much cleaner, the same 

 otherwise. 



13^.— Has been much better since 

 the weather has been cooler. 



20th.— Improves gradually. Ship go- 

 ing, discharged. 



Remarks. — The bowels were throughout excessively costive: local applications 

 seemed at first to give temporary relief. Putting him under the influence of mer- 

 cury, did no good, nor did the seton. The iodine was not continued long enough 

 to be of any use, as it seemed to disagree with him. No satisfactory reason can be 

 assigned for his getting so much worse from the 26th to the 3rd. The morphia 

 operated very favourably in quieting his incessant restlessness. The symptoms will 

 no doubt all return. 



