352 CRIMEAN SERVICES OF “ I ” TROOP, NOW “ 0 ” BATTERY, R.H.A. 
paroxysms. Where the fevers were complicated with irritability of 
the bowels, as was frequently the case, the exhibition of quinine, com¬ 
bined with Dover^s powder and Hydrarg. c. creta, was very successful. 
Diseases of the head and nervous system were very limited in number 
and class, one case of coup de soleil, which was relieved by blisters to 
the occiput, one of fainting also from heat, two cases of epilepsy, in 
one case hereditary, the origin of the other was doubtful, both however 
were developed by exposure to the sun, and one case of tympanitis was 
slight, readily yielding to counter irritation. 
Diseases of the kings , considering the circumstances under which 
the Troop was placed, the exposure to wet and cold, diseases of this 
class were remarkably few, and in general only cases of simple bron¬ 
chitis, the four cases of pneumonia were, however, very severe, and 
required very active treatment, the case that proved fatal was whilst 
the troop was encamped on the heights of Sebastopol during the latter 
portion of November, 1854, when the men were much exposed to wet 
and cold, and the camp was one sheet of deep mud, the inside of the 
tents and hospital marquee being not much better. 
Disease of the liver and spleen .—One was a case of acute hepatitis, 
the remainder were of jaundice, produced in the same way by cold, 
wet, and rapid variations of the temperature, they were generally 
rather tedious in recovering. 
Disease of stomach and bowels. —This class of disease exceeded even 
the average strength of troop in number, and had a serious influence 
in reducing the strength, both of the men and numbers of the Troop. 
Climate, exposure to the sun by day and cold dews at night, improper 
food, want of vegetables, bad cooking, and the impossibility during the 
earlier stages of the campaign of remedying these defects, tended much 
to prolong the disease and retard convalescence. Of diarrhoea, there 
were 145 cases; of acute dysentry, 51, and three other slight cases. 
Bowel complaints prevailed most at Devna in July, and in October and 
November at Balaclava, they appeared to decrease as fevers increased, 
and vice versa , in the earlier months the hot weather, and in the latter 
the green and unripe grapes and fruits tended to this state; the treat¬ 
ment I found most successful was a combination of Dover's powder, 
Hydrarg. c. creta, and aromatic confection. 
Cholera first visited us in Yeeni bazaar, when both cases proved fatal, 
it still followed us across the Black Sea, when one patient died, and on 
the march, when it proved very fatal, the total number of cases was 24, 
of whom 16 were discharged and 8 died, being a mortality of one-third 
of the cases. There were numerous cases of diarrhoea accompanied 
with severe choleraic spasms, which recovered, are not included in 
these. The most successful treatment I found to be the administration 
of mustard emetics, followed by calomel and opium in small and frequent 
dozes, the strength being kept up by arrow-root and brandy, and also 
the free use of sinapisms. I have never experienced any ill effects 
from allowing the patients to drink freely of cold water; indeed, I 
rather think it beneficial, as it serves to allay the intense and painful 
thirst that accompanies this disease. 
