A brief history of the late expedition against Fort San Juan, so far as it relates to the diseases of the troops : together with some observations on climate, infection and contagion; and several of the endemial complaints of the West-Indies / by Thomas Dancer.
- Thomas Dancer
- Date:
- 1781
Licence: Public Domain Mark
Credit: A brief history of the late expedition against Fort San Juan, so far as it relates to the diseases of the troops : together with some observations on climate, infection and contagion; and several of the endemial complaints of the West-Indies / by Thomas Dancer. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![Amidst fuch a multitude of fick as we had at the caftle of San Juan, in the number of which were almoft all the Fa- culty themfelves, it was impoflible to be very minute in obfervations on particular cafes. To ihew an equal huma- nity towards alh a partial neglect towards individuals was indifpenfible -j-; and therefore, an infinity of circumflances in the practice of phyfic might have efcaped my attention : as for example, I was never able to determine any thing precifely concerning the critical days; the exiftence of which in thefe fevers has been fo often afferted and denied. Treatment.] The intermittent and remittent, being fo nearly allied as to their fymptoms, cannot differ much in their cure: but as in the remittent there is greater danger, there is alfo required more vigilance and circumfpe&iom This is particularly neceifary with regard to bleeding and the ufe of vomits. Venasfection may be hazardous in in- termittents, but is in general much more fo here, from the quicker progrefs of the fluids towards putrefaction.—Pro- blematical, however, as it may feem, there are certain cafes which require bleeding on this very account. In plethoric patients, and where the fymptoms run very high, the early and difcreet ufe of the lancet will promife more advantage in mitigating the violent reaction or ardency of fever, than it can poffibly do hurt by debilitating the patient: the pu- trefaction, f Mais il arrive fouvent que lc nonabre des malades eft fi grand dans une arrr.ee, & qu'ils font difperfees en tant d'endroits differens qu'il eft impoflible que les medicins fe portent partout & puiflent donner kurs foins a chacun d'euxj](https://iiif.wellcomecollection.org/image/b21113403_0060.jp2/full/800%2C/0/default.jpg)


