Malarious fever / By E. Hare, Esq., Inspector General of Hospitals, Bengal.

  • Hare, E. (Edward), 1812-1897.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Malarious fever / By E. Hare, Esq., Inspector General of Hospitals, Bengal. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    f^reo-ard of certain local abdominal complications (tliose of « tlie head in general should exclude it), believing that if I *^ arrest a paroxysm, I do greatly more towards the cure at large than Quinine can possibly do harm to the local affection. p i In the more favorable cases last spoken ot, it rarely happens that topical bleeding, purgatives, and mild Mer- curials, with Quinine during the remissions, fail m con- ducting the patient to safety, The treatment of ardent Fever of the hot season in Bengal consists of active blood-letting, to the extent of allaying the vascular disturbance, cold affusion and con- tinned cold to the shaved head, brisk purging, followed by Calomel and Antimony, until the secretions are rendered healthy, and relief obtained. In this Fever, as well as that of the cold season, the skin is harsh to the touch, com- pacted, hot and dry, so as to admit of a more free use of Antimonials and Diaphoretics than we find requisite in _ the' Fever of the rains. Where remission takes place, provided the head be relieved. Quinine must be had recourse to, for' the' pui-pose of preventing recurrences.''-' But there were a large class of cases, and these the most fatal, where no remissions occurred, and where there were head symptoms, for these, therefore, as yet there was no remedy, but Mercury, for Quinine was excluded by wrong theories. I have given these quotations the more fully, because they represent the most enlightened practice of India, of all the- best Medical Officers, during my first years in India. _ And the same doctrines are still advocated by Dr. Martin, in his- last Edition, 1861. They were indeed universal till 1850^ with the exception of some practitioners using Calomel mora freely, and Quinine with more caution than Dr. Martin. I arrived in India in July 1839, and till May 1843 was= occupied in the Cabul Campaign. I had the advantage there,, however, of practice with Her Majesty^s 44th Regiment,: whose Surgeon, my kind friend Dr. liarcourt, taught me the same principles of practice as Dr. Martinis. In 1842 I was sent to Segowlie, on the borders of the Nepaul Terai, the- most deadly in India, and there remained for four years^ I was called to a distance on one occasion to see a Medical Gentleman with Cholera. He died, and left me a valuable Medical Library in which I found the now scarce works of