93
NORTHERN DIVISION OF THE ARMY.
The dose in nearly every case was grains 10, given during the intermission. The average
amount administered in each case was 47.75 grains. The largest amount given to any one
case was 140 grains; the smallest, 15 grains (this was the case of a recruit boy). The average
number of days in hospital was 4.75 days. The longest stay in hospital was 15 days; the
shortest, 2 days. The patients in all, except 11 cases, were sent back to their duty cured. In
4 cases the drug failed to make any impression upon the disease (in one case during three
days, in the second during four days, in the third during ten days, in the fourth during five
days) quinine being afterwards administered with satisfactory results. In the other 7 cases
not sent back to duty the fever was cured, but the patients were retained in hospital; 3
for anæmia and debility were treated with tonics, 1 for lumbago, 1 for inflammation of the
ear not caused by the cinchonidine having existed previously, 1 for chronic bronchitis, and
1 for diarrhœa. The ague from which these men suffered has been generally of a mild type
and free from visceral complication. In considering the above, I think I am at liberty to
conclude that cinchonidine has marked antiperiodic powers in ordinary uncomplicated ague.
It does, however, fail in some cases, apparently from no assignable cause. I have, I think, also
observed that, after some days' treatment with cinchonidine, quinine appears to exert a
quicker and more certain effect; though upon this subject I cannot at present give a decided
opinion, as my notes are not sufficiently extended, as only 4 cases failed and required the ad-
ministration of quinine, and 1 of these cases was subsequently sent on sick leave. Another
point brought to notice in this experiment, was the fact that cinchonidine appears to give
rise to more headache than does a similar amount of quinine.
Resumé.
20. I would first call attention to their low and unsatis
- f a c t o r y c o n d i t i o n , a n d w o u l d s u g g e s t t h a t n e w l i n e s a r e m u c h
required in this station.
I am of opinion that the system of trench latrines is open to objection, chiefly because
many men do not use the trenches, but go abroad into the fields and nullahs, and because
this large cantonment is gradually being surrounded by a zone of latrine ground.
The health of the regiment has been, on the whole, good during the year under review,
though the admissions, average daily sick, and deaths in hospital have all been in excess
o f 1 8 7 5 .
21. The medical pupil has for the greater part of the year been instructed, for two
hours four times a week at my house, in the subjects required at
the half-yearly examinations. At hospital he has been instruct
-ed clinically, and in the office and dispensary. Being the only available subordinate, his in
- s t r u c t i o n h a s b e e n i n t e r f e r e d w i t h c o n s i d e r a b l y o f l a t e b y h i s h a v i n g t o a t t e n d a t t h e r a n g e
during ball practice.
REMARKS BY DEPUTY SURGEON-GENERAL D. WYLLIE, M.D.
Health was tolerably good, although less so than for previous year. The men's lines
are unsatisfactory, particularly in the exceptionally narrow streets; and the huts have the
usual defects of want of plinth, inadequate ventilation, and restricted cubage; the floors are
damp in the rains. Other surroundings fairly favourable, unless that most of the wells run
very low in summer; duties generally moderate, and food supplies, excepting vegetables,
abundant. Hospital accommodation good and ample, out-offices complete, appointments and
service satisfactory and efficient, conservancy good. The returns show, as usual at Mhow,
large number of admissions from bowel complaints, and there is an excess from injuries,
chiefly by ill-fitting boots, as explained by Dr. Patterson, whose report is precise and careful.
Vaccination was attended to.
(In this report no mention of the numbers of the treated, died, &c., of the Right Wing
stationed at Nusseerabad, in January last, is made.)
H. M.'s 25th Regiment N. L. I.
MHow.—In medical charge of Surgeon D. N. PARAKH ;—strength, 496.
Medical pupil.
Location and movement of corps.
1. No movements of head-quarters.
2. Left half battalion at Indore from the 16th of July 1875 to 12th of July 1876. A
detachment proceeded on the 18th of October 1876 to Mehi
d-
pore to relieve the head-quarters of the 10th Regiment pro
-ceeding to Neemuch. It is still stationed at Mehidpore.
3. The following table shows the depth of the sub-soil water, the amount of water in
the well, and the rainfall of each month since January 1876;
also the admissions from ague during each month
B 196—24
Detachments.
Sub-soil water.