74
A SKETCH OF THE MEDICAL HISTORY OF THE NATIVE ARMY OF BOMBAY.
These results are not so satisfactory; an antiseptic remedy does not appear to nullify the
malarial poison. In the Practitioner for June 1873, carbolic acid was spoken of (page 394)
as being successful in 3 to 7-grain doses; also 3/4 minim injected hypodermically; but the
above cases do not seem specially favourable. I have noticed, too, that several of these cases
were re-admitted after the interval of from a fortnight to three weeks. The number of
cases treated with Eucalyptus globalus have only been five. No. 1, quartan ague: 2 previous
attacks, tinct. eucalypt. glob. 1 teaspoonful three times a day; no return. No. 2, quotidian:
admission temperature, 104.2; same treatment, no return. No. 3, quotidian: admission tem-
perature 97.2; first day 1 teaspoonful, afterwards 2 teaspoonfuls three times a day; fever recur
-red three times; then 20 grains quinine for three successive days ; the fever recurred twice,
and then did not return. No. 4, quotidian: admission temperature 97.1. The treatment as,
above for three days, during which the attacks recurred; afterwards quinine for three days in
20, 15, and 20-grain doses, respectively; fever did not return after first dose of quinine. No. 5,
quotidian: admission temperature 97.3. Eucalyptus globulus as above for nine days; the
attacks recurred every day; on the tenth 20 grains quinine were given; no recurrence of
fever. The cold baths were used in 2 cases of a more remittent than intermittent type, and
owing to strong objection on the part of the patients they were not continued. The tem
-perature of the baths could not be altered conveniently to the degree required as in cold
climates: thus 85° to 81° here the coldest that they could be made; the patients were immersed
at a temperature of from 98° to 100°, and then the baths cooled as low as possible. The
temperature ran down at once from well-marked pyrexia (104—105) to a little above normal
100°, and where there had been sleeplessness before the patients sank into a doze so that the
relief temporarily was great. High temperatures succeeded certainly, but then the treatment
was not to be persevered in.
Resvmé of the whole.
11. Everything satisfactory as regards the hospital and
regiment. Latterly, however, the men appear to be feeling the.
effect of six years' service in Guzerat.
12. One medical pupil was attached until October last, when he was sent to Grant
Medical College. He learnt the names and doses of most of the
medicines, and was supplied with minor books on bandaging
and materia medica.
REMARKS BY DEPUTY SURGEON-GENERAL D. WYLLIE, M.D.
This regiment, which has completed five years in Guzerat, was the healthiest in the circle;
the percentage of admissions to strength was only 68.28, and the mortality as low as, 43.
Unless in some increase in admissions from ague, there is nothing in the sick returns to
indicate that climate and residence are beginning to tell on the men, as suggested in the
report. The lines are of a temporary kind, of wood and split-bamboo construction, very
suitable, having excellent ventilation. Water-supply -fair and sufficient; but drainage inade
quate in heavy rains from want of natural surface slope; trench latrines. Hospital, inspected
22nd December, has suitable and sufficient accommodation, and its equipment is satisfactory.
A bath-room has been recently added, but the out-offices are still incomplete. Vaccination
and re-vaccination were carefully attended to and systematically carried out.
H. M.'s 22nd. Regiment N. I.
BARODA.—In medical charge of Surgeon-Major H. A. LEWIS; strength, 647.
Instruction to native medical
pupil.
1. The regiment has been stationed in Baroda during the
past year.
Location and movement of corps.
2. There have been no alterations in the lines since the last report. In some of the huts
the ground was found moist and damp at the depth of less than
one foot. The ventilation throughout the lines is very defect-
ive. To improve it, the branches of the numerous trees (whose foliage almost conceal the
men's huts) have been lopped off to the extent of ten feet from the ground.
3 . T h e t r e n c h s y s t e m i s s t i l l a d o p t e d . T h e t r e n c h e s a r e t o t h e n o r t h - e a s t o f t h e l i n e s ,
and distant less than 150 yards from the nearest well, which
supplies drinking water. The drains in the lines are kept in a
sanitary condition.
Lines.
Conservancy and sanitary ar-
rangements.