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A33550 An account of the nature, causes, symptoms, and cure of the distempers that are incident to seafaring people with observations on the diet of the sea-men in His Majesty's navy : illustrated with some remarkable instances of the sickness of the fleet during the last summer, historically related / by W.C. Cockburn, W. (William), 1669-1739. 1696 (1696) Wing C4815; ESTC R24229 70,196 195

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times and went thrice to stool and was very quiet all that day I gave him no Paregorick in the evening as I do in some other cases because I constantly observe that all Opiat Medicins heighten the Fever extreamly and make the Patient sooner delirious and therefore he took nothing else that day but on the 8th in the morning he began the restaceous Powders of which I ordered nine doses to be prepar'd and taken as before In the latter part of the tenth day he had a great blooding at the Nose and lost about twenty ounces that way tho we had let him blood and vomited him before and he had a Stool or two every day while he took his Powders yet with his blooding his Fever went off He continu'd the Barley-decoction sharpned with Vinegar for his ordinary Drink and took the following Purge on the 14th in the morning ℞ Decoct amar purgant ℥ iv Syr. de Rhamn ʒ ij aq Theriacal ʒ ss M. This purg'd him five or six times very gently and he recovered daily Note that his Pulse was very high and his face of a red and fiery color before the Hemorrhagie which we did not very much endeavour to stop tho he bled a Pint. Observation V. About the same time when we had some very sultry days John Wheeler in the same Ship about 38 years of age was taken with a coldness loss of strength a want of appetite and a nauseating of his victuals his Pulse was depress'd and he had a pain in his breast about 12 or 14 hours after came a violent heat which made him very restless and dry I order'd him to be let nine ounces of blood on the 9th of July and that evening he took a Bolus of the Conserve of Wood-sorrel and Sal Prunellae next morning six grains of Tartarum Emeticum which began to work half an hour after he had taken it and he drunk a large draught of thin Water gruel after every vomiting he vomited six times had two Stools slept four hours after and was much easier On the 11th he begun the testaceous Powder of which he had nine doses for three days three to be taken every day all that time he went to stool once a day and pist a great deal on the 14th he took nothing but the Decoction I had ordered him for his ordinary Drink and on the 15th he took the following Purge ℞ Pulv. radic Jalapp ʒ ss resin Jalapp gr iij Crem Tartar ℈ i. M. This Purgative gave him eight Stools and had done working by 12 a clock after which he found himself a great deal better his drought abating and his Pulse more natural he called for victuals and eat a little Water-gruel and that evening he lost six or seven ounces of blood at his Nose and recovered daily Observation VI. I one John Wallin on board the Hospital Ship who was put on board her that day he seem'd to have been a man of a very good habit of body but his Blood running about like Lightning his Pulse beat 132 in a minute he was very dry and delirious he took that night Conserve Lujul. ʒss Sal. prunell ℈ i. in a Bolus with v. grains of Camphire I ordered a large blistering Plaister to be laid to the Nape of his Neck and one behind each Ear they rose very well and were removed next morning and the parts drest with the Empl. de Melil simpl and so he was freed from his Delirium he rested indifferently well that night and next day took this Powder ℞ Occul cancr ppt ʒ j Sal. prunel ℈ ij Pulver serpentar virginian gr xv M. ac divid in vi p. ae ac Capiat unam ter in die Next day in the afternoon a Clyster was injected which purg d him thrice and made him very easy and sensible he drunk what he would of the following Decoction and recover'd on board ℞ Radio Oxylapat ℥ ij aoetos ʒ i Scorzoner ʒ ss Hord. mundat M. j. Coq in s q. aq font ad Hordei crepituram circa finem addendo Passul Maj. integr ℥ iij. Colaturae per subsidentiam clarificatae adde aceti acerrimi q. s ad gratam aciditatem These by the bye are the fatal but almost perpetual consequences of a diaphoretical practice in Fevers especially on young people in a hot season of the year or a warm climate for when they are put into a Sweat they catch cold in the end relapse take new doses of Diascordium and Venice Treacle which especially when they are not allowed to drink liberally dissipate and destroy the spirits and serum of the blood that it cannot be kept fluxil but by the hot parts of those Medicins which break down the almost solid blood and supply animal spirits to the last drop of blood and so dye unexpectedly as in Hectick Fevers only their Fate is harder and their Exit not so deliberate for they are kept mad and delirious all the while whereas the other dye in their senses Observation VII At the same time I saw another who was put on board there on the 16th day of his Fever his Pulse did not beat above 37 strokes in a minute he could not speak but star'd and made signs for drink That night he had had three such Plaisters as I mentioned in the former case applied to his Neck and behind his Ears He took now and then two or three spoonfuls of a Julep made of ℥ vi of Barley decoction ℥ ss of a Cordial Tincture and ℥ i of Syrup of Clove-Gillo-flowers This Cordial Tincture Mr. M kie told me he had made of the rad serpentor virginian Cochinel and Spirit of Wine and when by the use of these Medicins he had recovered his senses he began to use this Powder ℞ anʒl pulver radic serpentar virginian ʒss M. ac Divid in vi p. ae Capiat unam bis in die He recovered apace while in the Ship but she being ordered for England our Patient in a day or two was sent ashoar at Portsmouth to the care of Dr. Smith and my most ingenious Friend Mr. Heart 'T would be an easy task to produce many other instances of this kind but these which are faithfully related may suffice to convince us that this Method is surer than the Diaphoretical Practice And therefore I shall proceed first to give an account of our other constant sicknesses and then of our interloping distempers Observation VIII Mr. Nobs Purser to the Elizabeth was taken after Dinner with a coldness and trembling which lasted six hours his Pulse was all the while extremely depress'd and beat not above 40 strokes in a minute then came the warmth which first begun about the trunk of his body and was afterwards diffus'd over all As it encreased he grew very restless and his Pulse became very quick and strong till at last he began to sweat and his heat abated proportionably as the sweating encreased He was well for the rest of that day and all
liberty the spirits thus huddled up and his Pulse beating but about ten strokes less than naturally I order'd twelve ounces of blood to be taken away and prescrib'd him six grains of Tartarum Emeticum next morning that there might be no conveyance of any thing from the stomach that might confirm the cohesion of the stagnating parts but might even break and divide those that were already in a stagnating condition for the reasons to be mention'd hereafter Having thus been let blood in one day about ten a clock in the morning and next day his Vomit working very well about four a clock in the afternoon of that next day his Pulse was at least ten or twelve strokes higher than naturally and therefore he took a dose of the following Powder to restrain that growing motion about the evening ℞ ocul canc pptʒ iij. sal prunel ℥ ss crem Tart. ʒ j M. ac Divid in IX part ●eq Capiat unam ter in die All the while he drunk as much Barley water sharpned with Vinegar as he pleas'd in pursuance of this design and after three days when his Powders were done I prescrib'd him that which follows to be taken next morning ℞ Pulver Cornach ʒ ss Tart. vitriolat gr v. M. ac Ca●piat cum debito regimine It purg'd him some eight or ten times very gently he slept very well that night and got rid of his Fever but that he might recover his strength the better he eat nothing for three days but Burgoo Water-gruel and the like and drunk six ounces of the Deco●tum amarum alterans every morning for that time all which he did with the desired success Observation II. Shelborow Roydon in the same Ship a Man of about thirty years of age and of such a constitution that has a Pulse of sixty strokes or thereabouts in a minute was taken ill with a pain in his head a want of appetite a sudden weakness a costiveness a depress'd Pulse which grew more frequent the second day and then he was very hot restless and his tongue dry I ordered him to be let blood for the reasons I intimated before and because he had not gone to Stool for two or three days I desir'd he might have a Clyster in the evening that might purge him once or twice and next morning six grains of Tartarum Emeticum with which he vomited five times and purged twice he was very easy after his vomi●ing his pains began to go off and his Pulse to beat a great deal quicker on the third morning he took the first dose of the following Powder ℞ ocul cancr ppt vel pulver testar ovor non calcinat ʒ ij Sal prunell ʒ jss Sal Tart. ʒ ss aut ℈ ij M. ac divid in IX part aequal ut capiat unam ter in die Next morning after the taking all the doses of this Powder he was purged with that which follows ℞ Pulver radic Jalapp ʒ ss Resin Jalap gr iij. Crem Tart. ℈ j. M. ac capiat hora septima matutina During the whole progress of his sickness I allow'd him the Barley Decoction acidulated as before and while he took the Powders he had one or two Stools a day and after his Purging Powder the Fever was perfectly vanquished but that he might recover his strength the sooner I order'd him twenty drops of Elixir Proprietatis in Barley-water for three or four days and to begin to take them a day or two after his Fever was perfectly over Observation III. Walter Griffin a man of five and twenty or six and twenty years and of a bilious Constitution was taken on the fifteenth of June last with a Shivering and Coldness that lasted ten hours his pulse was depress'd and he was troubl'd with pains over all his body the same evening he began to be hot his pulse beat 90 times in a minute and he had an insatiable drought about the time his Pulse began to rise and his heat to encrease he had a very large sweating but without any benefit He was let xii ounces of blood that morning on the 16th he took iv grains of the vomiting Tartar by which he vomited six or seven times and went thrice to Stool and was a great deal easier the greatest part of that day on the 17th he begun to take a dose of the Testaceous Powders I prescrib'd and continued till he had taken nine doses but on the 18th his Pulse was very high and beat more than a hundred in one minute and he inclined to be delirious And therefore I order'd him to be let sixteen ounces of blood more and to continue the use of the Powders only he took in the evening two grains of Camphire in that Dose and had a very good night on the 19th he took his Powder without any addition and the following Purgative on the 20th ℞ Decoct Tamarind amar purgant an ℥ iij. Syr. de Rhamno ℥ i. M. This purg'd him twelve times very easily and so he got rid of his Fever I order'd him all the time of his sickness to drink as much of the following ●ec●ction as he pleas'd and he drank at least three quarts in some days ℞ radic oxylappath acetos an ℥ ii hord mund M. j. Coq l. a. in S. q. aq font ad lb ij circa finem addendo passul Maj. integr ℥ iij. Colatur clarae affund acet a●errimi q. s ad gratam aciditatem pro potu ordinario Now tho by this method our Patients are speedily recovered and are never or very little delirious yet all the Winter and in the beginning of the Spring as I observ'd in visiting the Fleet at Black-stakes the coldness lasts four or five days tho not such a coldness as we feel in Agues and therefore there must be a great deal more circumspection us'd in Bleeding sometimes in a lesser and sometimes tho not so frequently in a greater quantity but this must be done with respect to the Patient's constitution and circumstances provided always that the powers of the faculties be not lessen'd at this time too 't is sometimes necessary to repeat the Powders and Purgatives a second time and sometimes to take the following Powder when the pains are more obstinate and hard to be removed ℞ Ocul cancr pat ʒ ss Antimon diaphoret sal Absynth an ℈ j. M. ac Divid in 3 part aeq quas consumat partitis vicibus eodem die Observation IV. William Richards on board the Elizabeth being about 30 years of age whose natural Pulse strikes 60 in a minute was taken on the fifth of July last with a shivering sudden weakness a want of appetite and pains in his bones then he grew hot restless had a great drought and could not sleep He was let 12 ounces of blood on the 6th by which his Pulse was sensibly rais'd while he was a bleeding he took vii grains of Emetick Tartar and being well plv'd with thin Water-gruel after his Vomit began to work he vomited five or six