490 Observations on the medical effects 



When in charge of the 5th Regt. N. I., my duties as Civil 

 Surgeon obliged me to reside at a distance from the canton- 

 ments^ and being under the necessity of relying on native 

 assistants to apply the tourniquets in my absence,, I found 

 that they frequently applied them when the hot stage had 

 commenced, or before a complete remission had occurred, and 

 a modified fever followed, which resembled the synocha of 

 Cullen. In all such cases a diminution of the febrile symp- 

 toms was the consequence ; which were very well marked 

 after the tourniquet had been removed, though the fever 

 usually continued during the night, but was rarely percepti- 

 ble next morning. I never saw any bad result ; the fever 

 seemed changed in its character, the pains in the limbs and 

 bones ceased, and cuticular heat was felt over the body which 

 was warm and dry. In many cases the disease is effectually 

 cured. 



I have now before me the particulars of 77 cases of inter- 

 mittent and remittent fevers, all of which were very much 

 benefitted or entirely cured, by the employment of the 

 ligature : of these — 



27* were cured by one application. 



26f by two or three applications. 



19 J by from four to six applications. 



5§ by from seven to ten applications. 



Total . . 77 cured by the application of the tourniquet. 



Congestion of the Spleen. 

 The favourable effects produced on fever and its sequelae, 

 the congestion of the spleen, which is often so rapid in its 

 growth and dispersion, induced me to try it in cases in 

 which this organ was enlarged without any fever. 



* 11 of these uncertain. + 4 Uncertain. 



± None uncertain. § One uncertain. 



